Imaging prices at Redlands Community Hospital
Redlands, CA · every code in this section with a posted price and a Medicare benchmark.
299 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) | $5,820.24 | $24,251 | 3.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$244.08–$488.16 | $1,017–$2,034 | varies |
| Abdomen 2 views (74019) | $280.08 | $1,167 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,345.92 | $5,608 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $2,544.48 | $10,602 | 0.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$227.76–$455.52 | $949–$1,898 | varies |
| Arthrogram ankle (73615) | $134.88 | $562 | 0.3× |
| Arthrogram hip (73525) | $573.36 | $2,389 | 1.3× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$250.80–$501.60 | $1,045–$2,090 | varies |
| Basic radiation dosimetry calculation (77300) | $479.04 | $1,996 | 2.8× |
| Bone age studies (77072) | $173.28 | $722 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,357.44 | $5,656 | 2.6× |
| Bone Imaging Limited Area (78300) | $732.72 | $3,053 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $600 | $2,500 | 1.2× |
| Bone Imaging Whole Body (78306) | $1,425.36 | $5,939 | 2.8× |
| Brachytx isodose complex (77318) | $798.96 | $3,329 | 1.7× |
| Brachytx isodose intermed (77317) | $397.20 | $1,655 | 0.8× |
| Brachytx Isodose Plan Simple (77316) | $271.68 | $1,132 | 0.6× |
| Brain Image W/Flow < 4 Views (78601) | $198 | $825 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,146 | $14,366 | 5.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $288.24 | $1,201 | 0.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $600.24 | $2,501 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $387.84 | $1,616 | 3.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $761.52 | $3,173 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $1,185.12 | $4,938 | 1.7× |
| Chest 1 view (71045) | $202.56 | $844 | 1.8× |
| Chest 2 views (71046) | $287.52 | $1,198 | 2.6× |
| Chest 3 views (71047) | $295.92 | $1,233 | 2.6× |
| Chest 4 or more views (71048) | $387.84 | $1,616 | 2.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$205.20–$410.40 | $855–$1,710 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $475.68 | $1,982 | 3.5× |
| Continuing medical physics consltj pr wk (77336) | $658.08 | $2,742 | 3.8× |
| Contrast X-Ray Bladder (74430) | $415.20 | $1,730 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $120.48 | $502 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $422.88 | $1,762 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,380.24 | $18,251 | 9.8× |
| CT abdomen and pelvis without contrast (74176) | $3,430.80 | $14,295 | 11.2× |
| CT abdomen w contrast (74160) | $2,307.12 | $9,613 | 10.2× |
| CT abdomen w wo contrast (74170) | $2,538 | $10,575 | 11.3× |
| CT abdomen w/o contrast (74150) | $1,713.84 | $7,141 | 12.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,083.28 | $12,847 | 6.9× |
| CT Angio Chest (71275) | $1,740.24 | $7,251 | 7.7× |
| CT Angio Head (70496) | $1,660.56 | $6,919 | 7.4× |
| CT angio hrt w/3d image (75574) | $1,336.80 | $5,570 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,893.60–$4,239.84 | $7,890–$17,666 | varies |
| CT Angio Neck (70498) | $1,822.08 | $7,592 | 8.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,893.60–$3,787.20 | $7,890–$15,780 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,018.64 | $8,411 | 8.9× |
| CT cervical spine w/ contrast (72126) | $2,450.40 | $10,210 | 5.5× |
| CT cervical spine w/o contrast (72125) | $2,333.76 | $9,724 | 17.4× |
| CT cervical spine w/wo cont (72127) | $2,522.64 | $10,511 | 11.2× |
| CT chest w contrast (71260) | $2,284.80 | $9,520 | 10.1× |
| CT chest w/wo contrast (71270) | $2,495.04 | $10,396 | 11.1× |
| CT head/brain with contrast (70460) | $2,105.28 | $8,772 | 9.3× |
| CT head/brain without and with contrast (70470) | $2,342.88 | $9,762 | 10.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,084.80 | $4,520 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,036.32 | $4,318 | 9.3× |
| CT hrt w/3d image congen (75573) | $1,164 | $4,850 | 2.6× |
| CT iac w contrast (70481) | $1,824.96 | $7,604 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $2,824.08 | $11,767 | 12.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,726.56–$3,453.12 | $7,194–$14,388 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,740.24–$3,826.08 | $7,251–$15,942 | varies |
| CT lumbar spine w contrast (72132) | $2,449.68 | $10,207 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $2,263.68 | $9,432 | 16.8× |
| CT maxillofacial w contrast (70487) | $1,824.96 | $7,604 | 8.1× |
| CT maxillofacial wo contrast (70486) | $1,271.52 | $5,298 | 9.5× |
| CT neck tissue combo (70492) | $2,088.48 | $8,702 | 9.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,915.92 | $7,983 | 8.5× |
| CT orbits w/o contrast (70480) | $1,721.76 | $7,174 | 12.8× |
| CT pelvis w&w/o contrast (72194) | $2,546.64 | $10,611 | 11.3× |
| CT pelvis w/o contrast (72192) | $1,885.68 | $7,857 | 14.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,995.84–$4,239.84 | $8,316–$17,666 | varies |
| CT scans face/jaw combo (70488) | $1,923.60 | $8,015 | 8.5× |
| CT soft tissue neck w contrast (70491) | $1,770.24 | $7,376 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $1,500.96 | $6,254 | 11.2× |
| CT thoracic spine w contrast (72129) | $2,337.60 | $9,740 | 10.4× |
| CT thoracic spine w/o contrast (72128) | $1,980.24 | $8,251 | 14.7× |
| CT thoracic spine w/wo cont (72130) | $2,419.20 | $10,080 | 10.7× |
| CT thorax w/o contrast (71250) | $1,912.32 | $7,968 | 14.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,584.48–$3,168.96 | $6,602–$13,204 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,340–$4,680 | $9,750–$19,500 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,228.64–$4,457.28 | $9,286–$18,572 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,023.44 | $8,431 | 9.0× |
| Cta Abdomen (74175) | $1,705.44 | $7,106 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,360–$3,482.64 | $14,000–$14,511 | varies |
| CTA pelvis (72191) | $1,793.52 | $7,473 | 8.0× |
| Dxa Bone Density Axial (77080) | $239.52 | $998 | 1.8× |
| Echo exam uterus (76831) | $152.64 | $636 | 0.5× |
| Echo Guide For Artery Repair (76936) | $235.20 | $980 | 0.8× |
| Esophagram (74220) | $384.72 | $1,603 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$374.16–$380.64 | $1,559–$1,586 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$214.56–$429.12 | $894–$1,788 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$213.60–$427.20 | $890–$1,780 | varies |
| Gastric emptying imaging study (78264) | $1,050.48 | $4,377 | 2.0× |
| Gated Heart Planar Single (78472) | $1,648.32 | $6,868 | 3.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$231.36–$462.72 | $964–$1,928 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,112.16 | $4,634 | 1.6× |
| Hepatobiliary System Imaging (78226) | $1,199.76 | $4,999 | 2.3× |
| Ht Musc Image Planar Mult (78454) | $905.28 | $3,772 | 0.5× |
| Ht Muscle Image Spect Sing (78451) | $2,538.48 | $10,577 | 1.5× |
| Hysterosalpingogram (74740) | $297.12 | $1,238 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $159.36 | $664 | 1.4× |
| Infant hip ultrasound, limited static exam (76886) | $191.52 | $798 | 1.7× |
| Interstitial radiation source applic complex (77778) | $930.96 | $3,879 | 1.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $488.16 | $2,034 | 0.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $464.64 | $1,936 | 0.7× |
| Intracavitary radiation source applic simple (77761) | $443.04 | $1,846 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $1,274.88 | $5,312 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,496.40 | $6,235 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$234.48–$468.96 | $977–$1,954 | varies |
| Liver & Spleen Imaging Static Only (78215) | $894.96 | $3,729 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $844.80 | $3,520 | 1.2× |
| Lung perfusion differential (78597) | $1,172.64 | $4,886 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,847.76 | $7,699 | 2.6× |
| Lymph System Imaging (78195) | $1,179.12 | $4,913 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,435.68 | $5,982 | 4.7× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $3,120 | $13,000 | 13.8× |
| Meckels Divert Exam (78290) | $459.12 | $1,913 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $3,043.44 | $12,681 | 6.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,079.68 | $12,832 | 6.9× |
| MRA head w/o contrast (70544) | $2,153.76 | $8,974 | 7.0× |
| MRA head with contrast (70545) | $2,487.12 | $10,363 | 5.5× |
| MRA neck w contrast (70548) | $2,360.64 | $9,836 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,844.72 | $11,853 | 6.3× |
| MRA neck w/o contrast (70547) | $1,800.72 | $7,503 | 5.9× |
| MRI abdomen w contrast (74182) | $1,133.76 | $4,724 | 2.5× |
| MRI abdomen w/o contrast (74181) | $1,101.12 | $4,588 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,040–$4,080 | $8,500–$17,000 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,151.84–$4,303.68 | $8,966–$17,932 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,040–$4,080 | $8,500–$17,000 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,067.28 | $4,447 | 3.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $399.84 | $1,666 | 1.3× |
| MRI cardiac w/o cont stress (75559) | $413.52 | $1,723 | 0.6× |
| MRI cardiac w/o contrast (75557) | $183.60 | $765 | 0.6× |
| MRI cervical spine w contrast (72142) | $2,407.92 | $10,033 | 5.4× |
| MRI cervical spine w/o cont (72141) | $2,457.12 | $10,238 | 8.0× |
| MRI chest w/o contrast (71550) | $2,027.76 | $8,449 | 6.6× |
| MRI chest with contrast (71551) | $2,184 | $9,100 | 2.2× |
| MRI chest wo w contrast (71552) | $2,632.32 | $10,968 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,184–$4,368 | $9,100–$18,200 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,502.96–$5,005.92 | $10,429–$20,858 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,590–$4,077.12 | $6,625–$16,988 | varies |
| MRI lumbar spine w contrast (72149) | $2,381.28 | $9,922 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,251.76 | $13,549 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,246.40 | $9,360 | 7.3× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,256–$2,280 | $9,400–$9,500 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,810.88 | $11,712 | 6.3× |
| MRI pelvis w contrast (72196) | $2,370.72 | $9,878 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $3,219.36 | $13,414 | 7.2× |
| MRI pelvis w/o contrast (72195) | $2,520.24 | $10,501 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $2,297.52 | $9,573 | 7.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,872–$3,744 | $7,800–$15,600 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$1,795.44–$4,080 | $7,481–$17,000 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,111.04–$4,649.28 | $8,796–$19,372 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,166.40–$2,856 | $4,860–$11,900 | varies |
| MRI, dorsal spine combo (72157) | $3,162.48 | $13,177 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,162.64 | $9,011 | 4.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,848.96–$3,697.92 | $7,704–$15,408 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,324.64–$4,649.28 | $9,686–$19,372 | varies |
| MRI, lumbar spine combo (72158) | $3,031.68 | $12,632 | 6.8× |
| Myelogram cervical (72240) | $590.64 | $2,461 | 0.6× |
| Myelogram Lumbar (72265) | $610.56 | $2,544 | 0.6× |
| Myelography thoracic (72255) | $715.44 | $2,981 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $974.64 | $4,061 | 1.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,734 | $6,734 | 4.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $854.88 | $3,562 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $2,853.12 | $11,888 | 1.7× |
| N-invas est c ffr sw aly CTA (75580) | $783.84 | $3,266 | 0.7× |
| Neck soft tissue (70360) | $211.20 | $880 | 1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,823.28 | $20,097 | 2.7× |
| Ob us nuchal meas 1 gest (76813) | $303.36 | $1,264 | 2.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $89.76 | $374 | 0.7× |
| Parathyroid Planar Imaging (78070) | $634.56 | $2,644 | 1.2× |
| Pelvis 1 or 2 views (72170) | $236.16 | $984 | 1.8× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,080–$17,777 | $17,000–$17,777 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $13,036 | $15,058 | 7.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $913.92 | $3,808 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $316.80 | $1,320 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$288.72–$577.44 | $1,203–$2,406 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$188.40–$376.80 | $785–$1,570 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$269.52–$539.04 | $1,123–$2,246 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $332.40 | $1,385 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$183.60–$367.20 | $765–$1,530 | varies |
| Radex foot complete minimum 3 views (73630) | $275.28 | $1,147 | 2.5× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$246.96–$493.92 | $1,029–$2,058 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$30.72–$61.44 | $128–$256 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $247.44 | $1,031 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$266.16–$532.32 | $1,109–$2,218 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $251.76 | $1,049 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $222.24 | $926 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $218.88 | $912 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$327.36–$654.72 | $1,364–$2,728 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$169.44–$338.88 | $706–$1,412 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$33.84–$67.68 | $141–$282 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$278.16–$556.32 | $1,159–$2,318 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$396.24–$1,800 | $1,651–$7,500 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$465.60–$2,160 | $1,940–$9,000 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$706.32–$2,698.32 | $2,943–$11,243 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $383.28 | $1,597 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $324 | $1,350 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $798.24 | $3,326 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $588.72 | $2,453 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $384.72 | $1,603 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$302.40–$604.80 | $1,260–$2,520 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $303.84 | $1,266 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $441.36 | $1,839 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $448.08 | $1,867 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $601.20 | $2,505 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$255.36–$510.72 | $1,064–$2,128 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$212.64–$425.28 | $886–$1,772 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$226.80–$453.60 | $945–$1,890 | varies |
| Renal Cyst Study (74470) | $873.12 | $3,638 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $691.92 | $2,883 | 1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,038 | $4,325 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,115.52 | $4,648 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,394.40 | $5,810 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,514.16 | $6,309 | 2.2× |
| Scapula (73010) range across 2 matching MRF lines |
$278.88–$557.76 | $1,162–$2,324 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$57.36–$318.72 | $239–$1,328 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$211.68–$423.36 | $882–$1,764 | varies |
| Shoulder Arthrography (73040) | $687.60 | $2,865 | 1.5× |
| Skull less than 4 views (70250) | $259.92 | $1,083 | 1.9× |
| Special dosimetry (77331) | $256.56 | $1,069 | 1.5× |
| Special Physics Consult (77370) | $801.60 | $3,340 | 4.6× |
| Special teletherapy port plan (77321) | $1,246.80 | $5,195 | 2.6× |
| Special treatment procedure (77470) | $2,178.96 | $9,079 | 3.1× |
| Sternoclavicular joints (71130) | $195.84 | $816 | 1.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $70.56 | $294 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,605.36 | $6,689 | 3.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $232.56 | $969 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,660.08 | $6,917 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,075.68 | $4,482 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $749.76 | $3,124 | 4.3× |
| Thoracic spine 3 views (72072) | $286.56 | $1,194 | 2.1× |
| Thoracolumbar 2 views (72080) | $294.72 | $1,228 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $312.72 | $1,303 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $669.12 | $2,788 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $1,137.60 | $4,740 | 2.4× |
| Tx devices design & construction intermediate (77333) | $780 | $3,250 | 4.5× |
| Tx devices design & construction simple (77332) | $665.52 | $2,773 | 3.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$249.84–$490.08 | $1,041–$2,042 | varies |
| Ultrasound Exam Aaa Screen (76706) | $720 | $3,000 | 5.4× |
| Ultrasound, abdomen limited (76705) | $631.44 | $2,631 | 4.7× |
| Umbilical-artery Doppler (OB) (76820) | $343.92 | $1,433 | 2.6× |
| Urethrocystogram voiding (74455) | $468.72 | $1,953 | 1.5× |
| Urethrocystography retrograde (74450) | $718.80 | $2,995 | 2.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$305.04–$609.84 | $1,271–$2,541 | varies |
| Us chest (76604) | $400.80 | $1,670 | 3.0× |
| Us complete joint (76881) | $726.48 | $3,027 | 5.4× |
| Us head (76506) | $147.84 | $616 | 1.1× |
| Us kidney transplant (76776) | $658.56 | $2,744 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$533.76–$563.28 | $2,224–$2,347 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$494.40–$565.20 | $2,060–$2,355 | varies |
| Us ob limited 1 or more fetuses (76815) | $567.60 | $2,365 | 4.2× |
| Us ob transvaginal (76817) | $475.44 | $1,981 | 3.5× |
| Us pelvic non ob complete (76856) | $693.12 | $2,888 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $686.88 | $2,862 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $365.52 | $1,523 | 2.7× |
| Us retroperitoneal complete (76770) | $633.84 | $2,641 | 4.7× |
| Us retroperitoneal limited (76775) | $605.04 | $2,521 | 4.5× |
| Us scrotum and contents (76870) | $614.16 | $2,559 | 4.6× |
| Us spinal canal and contents (76800) | $306.72 | $1,278 | 2.3× |
| Us thyroid (76536) | $522 | $2,175 | 3.9× |
| Us transrectal (76872) | $666.72 | $2,778 | 5.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$230.64–$461.28 | $961–$1,922 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$242.16–$484.32 | $1,009–$2,018 | varies |
| X-ray antegrade pyelogram tube (74425) | $415.44 | $1,731 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $273.12 | $1,138 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$228.96–$457.92 | $954–$1,908 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$396.96–$437.76 | $1,654–$1,824 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $346.08 | $1,442 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $362.64 | $1,511 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $166.08 | $692 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $261.36 | $1,089 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $331.68 | $1,382 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $342 | $1,425 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $558.24 | $2,326 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $256.08 | $1,067 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $494.40 | $2,060 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$349.68–$699.36 | $1,457–$2,914 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$112.80–$225.60 | $470–$940 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$232.56–$465.12 | $969–$1,938 | varies |
| X-ray IV pyelogram (ivp) (74400) | $621.36 | $2,589 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $247.68 | $1,032 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $265.20 | $1,105 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $268.56 | $1,119 | 2.0× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$105.12–$276.48 | $438–$1,152 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $387.36 | $1,614 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$267.84–$535.68 | $1,116–$2,232 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$267.84–$535.68 | $1,116–$2,232 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $250.32 | $1,043 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $387.60 | $1,615 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $413.04 | $1,721 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $674.40 | $2,810 | 1.5× |
| X-Rays Bone Length Studies (77073) | $339.12 | $1,413 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $601.92 | $2,508 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $414.96 | $1,729 | 3.1× |
| Xr facial bones less than 3 views (70140) | $256.32 | $1,068 | 2.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$300.72–$601.44 | $1,253–$2,506 | 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.