Imaging prices at Reston Hospital Center
Reston, VA · every code in this section with a posted price and a Medicare benchmark.
293 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) | $13,037.96 | $13,037.96 | 8.9× |
| Abdomen 1 View (74018) | $1,081.06 | $1,081.06 | 11.7× |
| Abdomen 2 views (74019) | $1,187.95 | $1,187.95 | 10.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,020.22 | $2,020.22 | 4.8× |
| Angio pulmonary bilat (75743) | $9,962.41 | $9,962.41 | 3.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,648.56 | $7,648.56 | 2.3× |
| Angiography extremity bilateral rs&i (75716) | $9,962.41 | $9,962.41 | 3.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$9,685.67–$9,962.41 | $9,685.67–$9,962.41 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,962.41 | $9,962.41 | 3.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,798.60 | $6,798.60 | 2.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$834.96–$874.72 | $834.96–$874.72 | varies |
| Aortography thoracic serialography rs&i (75605) | $9,962.41 | $9,962.41 | 1.7× |
| Artery X-Rays Abdomen (75726) | $9,962.41 | $9,962.41 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) | $6,798.60 | $6,798.60 | 2.0× |
| Artery X-Rays Pelvis (75736) | $9,962.41 | $9,962.41 | 1.7× |
| Artery X-Rays Spine (75705) | $9,962.41 | $9,962.41 | 1.7× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$3,175.23–$3,326.43 | $3,175.23–$3,326.43 | varies |
| Arthrogram Wrist (73115) | $1,892.13 | $1,892.13 | 5.1× |
| Basic radiation dosimetry calculation (77300) | $1,299.87 | $1,299.87 | 9.1× |
| Bone age studies (77072) | $582.95 | $582.95 | 5.3× |
| Bone Imaging 3 Phase (78315) | $3,602.81 | $3,602.81 | 8.5× |
| Bone Imaging Whole Body (78306) | $4,013.79 | $4,013.79 | 9.5× |
| Brachytx Isodose Plan Simple (77316) | $1,437.04 | $1,437.04 | 3.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,558.67 | $1,558.67 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $2,740.54 | $2,740.54 | 29.8× |
| Cerebrospinal Fluid Scan (78630) | $2,271.27 | $2,271.27 | 4.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$963.15–$980.99 | $963.15–$980.99 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,056.08–$1,075.64 | $1,056.08–$1,075.64 | varies |
| Chest 3 views (71047) | $1,152.34 | $1,152.34 | 12.5× |
| Chest 4 or more views (71048) | $1,229.42 | $1,229.42 | 11.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$721.05–$741.65 | $721.05–$741.65 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $442.48 | $442.48 | 4.0× |
| Continuing medical physics consltj pr wk (77336) | $2,197.26 | $2,197.26 | 15.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$9,685.67–$9,962.41 | $9,685.67–$9,962.41 | varies |
| Contrast X-Ray Bladder (74430) | $2,388.75 | $2,388.75 | 6.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $741.65 | $741.65 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $10,631.69 | $10,631.69 | 28.8× |
| CT abdomen and pelvis without contrast (74176) | $7,918.94 | $7,918.94 | 31.4× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$4,676.60–$4,899.29 | $4,676.60–$4,899.29 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$6,026.19–$6,313.15 | $6,026.19–$6,313.15 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$4,070.41–$4,145.79 | $4,070.41–$4,145.79 | varies |
| CT Angio Abdomen and Pelvis (74174) | $7,622.14 | $7,622.14 | 20.6× |
| CT Angio Chest (71275) | $6,094.03 | $6,094.03 | 32.8× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$3,492.59–$4,961.91 | $3,492.59–$4,961.91 | varies |
| CT angio hrt w/3d image (75574) | $4,385.21 | $4,385.21 | 11.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$3,798.95–$3,869.31 | $3,798.95–$3,869.31 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$3,557.27–$4,961.91 | $3,557.27–$4,961.91 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,869.31 | $3,869.31 | 20.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$5,510.64–$5,665.14 | $5,510.64–$5,665.14 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$4,489.82–$4,615.70 | $4,489.82–$4,615.70 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$6,735.26–$6,924.10 | $6,735.26–$6,924.10 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$4,581.74–$4,666.59 | $4,581.74–$4,666.59 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$6,115.72–$6,228.97 | $6,115.72–$6,228.97 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $3,914.29 | $3,914.29 | 21.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,431.98 | $3,431.98 | 31.0× |
| CT head/brain with contrast (70460) | $3,978.20 | $3,978.20 | 21.4× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$4,771.63–$4,860 | $4,771.63–$4,860 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,728.30 | $1,728.30 | 4.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,571.08 | $1,571.08 | 17.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$4,418.27–$4,500.09 | $4,418.27–$4,500.09 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$7,728.30–$7,871.41 | $7,728.30–$7,871.41 | varies |
| CT lower ext w/o (73700) | $4,592.13 | $4,592.13 | 41.5× |
| CT lower extremity w/contrast material (73701) | $6,241.69 | $6,241.69 | 33.6× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$6,900.70–$7,028.49 | $6,900.70–$7,028.49 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$6,128.20–$6,241.69 | $6,128.20–$6,241.69 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$5,268.28–$5,365.84 | $5,268.28–$5,365.84 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$4,184.29–$4,261.77 | $4,184.29–$4,261.77 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$5,405.49–$5,559.94 | $5,405.49–$5,559.94 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,292.52–$5,390.53 | $5,292.52–$5,390.53 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,477.90–$3,542.31 | $3,477.90–$3,542.31 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$6,208.68–$6,504.33 | $6,208.68–$6,504.33 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$4,264.74–$4,343.71 | $4,264.74–$4,343.71 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$7,513.62–$7,871.41 | $7,513.62–$7,871.41 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$5,741.55–$6,014.95 | $5,741.55–$6,014.95 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$4,506.61–$4,721.21 | $4,506.61–$4,721.21 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$3,427.37–$3,590.58 | $3,427.37–$3,590.58 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$6,900.70–$7,028.49 | $6,900.70–$7,028.49 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$6,128.20–$6,241.69 | $6,128.20–$6,241.69 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$7,728.30–$7,871.41 | $7,728.30–$7,871.41 | varies |
| CT thorax w/o contrast (71250) | $3,576.71 | $3,576.71 | 32.3× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$3,825.90–$4,383.39 | $3,825.90–$4,383.39 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$6,310.40–$7,490.18 | $6,310.40–$7,490.18 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$5,665.14–$6,427.26 | $5,665.14–$6,427.26 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,322.76 | $4,322.76 | 23.3× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,322.76–$4,402.82 | $4,322.76–$4,402.82 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$4,322.76–$4,402.82 | $4,322.76–$4,402.82 | varies |
| Discography Cerv/Thor Spine (72285) | $7,245.62 | $7,245.62 | 3.5× |
| Diskography lumbar (72295) | $6,827.97 | $6,827.97 | 3.3× |
| Dxa Bone Density Axial (77080) | $1,587.99 | $1,587.99 | 14.4× |
| Echo exam uterus (76831) | $2,481.32 | $2,481.32 | 9.8× |
| Echo Guide For Artery Repair (76936) | $5,068.14 | $5,068.14 | 22.2× |
| Esophagram (74220) range across 2 matching MRF lines |
$940.67–$967.55 | $940.67–$967.55 | varies |
| Fetal Biophys Profile W/Nst (76818) | $1,863.44 | $1,863.44 | 16.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $617.64 | $617.64 | 5.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,162.81–$1,199.71 | $1,162.81–$1,199.71 | varies |
| Follow-Up Angiography (75898) | $2,264.60 | $2,264.60 | 0.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$828.53–$867.99 | $828.53–$867.99 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$1,109.24–$1,162.06 | $1,109.24–$1,162.06 | varies |
| Gastric emptying imaging study (78264) | $3,269.35 | $3,269.35 | 7.7× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$721.05–$755.38 | $721.05–$755.38 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $993.52 | $993.52 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,676.01 | $8,676.01 | 2.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,559.92 | $6,559.92 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $3,447.34 | $3,447.34 | 6.0× |
| Hepatobiliary System Imaging (78226) | $3,447.34 | $3,447.34 | 8.1× |
| Ht Muscle Image Spect Sing (78451) | $5,516.85 | $5,516.85 | 4.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$2,454.20–$2,524.32 | $2,454.20–$2,524.32 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,135.42 | $2,135.42 | 23.2× |
| K Flow/Funct Image W/Drug (78708) | $5,955.96 | $5,955.96 | 10.4× |
| K Flow/Funct Image W/O Drug (78707) | $3,482.91 | $3,482.91 | 6.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,004.60–$1,052.44 | $1,004.60–$1,052.44 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,662.65 | $1,662.65 | 3.9× |
| Lung perfusion differential (78597) | $2,928.63 | $2,928.63 | 6.9× |
| Lung Ventilat&Perfus Imaging (78582) | $8,142.21 | $8,142.21 | 14.2× |
| Lymph System Imaging (78195) | $1,938.18 | $1,938.18 | 3.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,896.53 | $4,896.53 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $6,898.37 | $6,898.37 | 27.3× |
| Meckels Divert Exam (78290) | $2,955.42 | $2,955.42 | 7.0× |
| Mlc imrt design & construction per imrt plan (77338) | $11,824.20 | $11,824.20 | 29.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $64.80 | $64.80 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $10,397.18 | $10,397.18 | 28.2× |
| MRA head w/o contrast (70544) | $6,060.46 | $6,060.46 | 24.0× |
| MRA neck w contrast (70548) | $6,641.55 | $6,641.55 | 18.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,208.14 | $10,208.14 | 27.6× |
| MRA neck w/o contrast (70547) | $6,010.88 | $6,010.88 | 23.8× |
| MRI abdomen w contrast (74182) | $11,438.24 | $11,438.24 | 31.0× |
| MRI abdomen w/o contrast (74181) | $10,439.49 | $10,439.49 | 41.3× |
| MRI any jt lower extrem w/contrast material (73722) | $9,434.40 | $9,434.40 | 11.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,091.32 | $11,091.32 | 30.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,887.48 | $6,887.48 | 8.3× |
| MRI cervical spine w contrast (72142) | $7,495.26 | $7,495.26 | 20.3× |
| MRI cervical spine w/o cont (72141) | $7,240.78 | $7,240.78 | 28.7× |
| MRI chest w/o contrast (71550) | $6,898.37 | $6,898.37 | 27.3× |
| MRI chest wo w contrast (71552) | $11,344.44 | $11,344.44 | 30.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$9,857.54–$10,139.18 | $9,857.54–$10,139.18 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$8,376.66–$8,454.94 | $8,376.66–$8,454.94 | varies |
| MRI lumbar spine w contrast (72149) | $7,495.26 | $7,495.26 | 20.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,566.72 | $11,566.72 | 31.3× |
| MRI orbit face &/neck w/o contrast (70540) | $7,015.03 | $7,015.03 | 27.8× |
| MRI orbit face neck w contrast (70542) | $7,226.87 | $7,226.87 | 19.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,408.21 | $11,408.21 | 30.9× |
| MRI pelvis w/o & w contrast (72197) | $11,650.06 | $11,650.06 | 31.5× |
| MRI pelvis w/o contrast (72195) | $6,374.02 | $6,374.02 | 25.2× |
| MRI thoracic spine w/o contrast (72146) | $7,240.78 | $7,240.78 | 28.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,379.54 | $6,379.54 | 25.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,226.87 | $7,226.87 | 19.6× |
| MRI, abdomen, combo (74183) | $11,120.51 | $11,120.51 | 30.1× |
| MRI, dorsal spine combo (72157) | $11,566.72 | $11,566.72 | 31.3× |
| MRI, dorsal spine contrast (72147) | $7,495.26 | $7,495.26 | 20.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$6,898.37–$7,226.87 | $6,898.37–$7,226.87 | varies |
| MRI, joint upper extrem combo (73223) | $11,408.21 | $11,408.21 | 30.9× |
| MRI, lumbar spine combo (72158) | $11,566.72 | $11,566.72 | 31.3× |
| Myocardial Spect Multiple Studies (78452) | $7,629.58 | $7,629.58 | 5.6× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$841.74–$865.79 | $841.74–$865.79 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,828.84 | $12,828.84 | 8.8× |
| Nuclear Rx Intra-Arterial (79445) | $642.14 | $642.14 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,892.21 | $4,892.21 | 8.5× |
| Parathyroid Planar Imaging (78070) | $2,601.55 | $2,601.55 | 6.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,128.53–$1,160.77 | $1,128.53–$1,160.77 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,620 | $4,620 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,948.94 | $2,948.94 | 7.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,496.73–$1,539.50 | $1,496.73–$1,539.50 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,264.60 | $2,264.60 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$1,109.24–$2,279.66 | $1,109.24–$2,279.66 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$771.03–$807.74 | $771.03–$807.74 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$940.67–$1,878.86 | $940.67–$1,878.86 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,721.71–$1,770.90 | $1,721.71–$1,770.90 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$638.89–$669.32 | $638.89–$669.32 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$1,088.89–$2,236.68 | $1,088.89–$2,236.68 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$828.53–$1,654.57 | $828.53–$1,654.57 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$701.76–$735.17 | $701.76–$735.17 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$953.88–$981.14 | $953.88–$981.14 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$1,035.67–$1,065.26 | $1,035.67–$1,065.26 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$1,228.88–$2,571.81 | $1,228.88–$2,571.81 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,078.13 | $1,078.13 | 11.7× |
| Radex Spine 1 View Specify Level (72020) | $916.63 | $916.63 | 10.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,120–$1,140.74 | $1,120–$1,140.74 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,461.99–$1,489.06 | $1,461.99–$1,489.06 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$638.89–$669.32 | $638.89–$669.32 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$837.15–$852.65 | $837.15–$852.65 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$753.18–$1,503.52 | $753.18–$1,503.52 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,132.61 | $1,132.61 | 10.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,552.79 | $15,552.79 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $1,102.19 | $1,102.19 | 10.2× |
| Radiation treatment delivery level 3 (77412) | $2,371.04 | $2,371.04 | 4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,652.78–$1,700.01 | $1,652.78–$1,700.01 | varies |
| Radiologic exam colon double contrast study (74280) | $1,657.77 | $1,657.77 | 8.9× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,242.45–$1,277.95 | $1,242.45–$1,277.95 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$1,611.72–$3,311.13 | $1,611.72–$3,311.13 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,162.81 | $1,162.81 | 10.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$940.67–$967.55 | $940.67–$967.55 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,023.76 | $1,023.76 | 5.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,576.71–$1,621.76 | $1,576.71–$1,621.76 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$754.12–$768.09 | $754.12–$768.09 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,010.16–$1,028.86 | $1,010.16–$1,028.86 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$903.19–$1,853.55 | $903.19–$1,853.55 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,421.37–$2,977.73 | $1,421.37–$2,977.73 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,122.81–$1,154.89 | $1,122.81–$1,154.89 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,478.50 | $6,478.50 | 11.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,708.22 | $4,708.22 | 8.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,708.22 | $4,708.22 | 3.4× |
| Scapula (73010) range across 4 matching MRF lines |
$746.40–$781.95 | $746.40–$781.95 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $65.62 | $65.62 | 2.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$507.84–$532.03 | $507.84–$532.03 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,946.35–$2,039.04 | $1,946.35–$2,039.04 | varies |
| Skull less than 4 views (70250) | $1,234.97 | $1,234.97 | 11.2× |
| Special dosimetry (77331) | $737.89 | $737.89 | 5.2× |
| Special Physics Consult (77370) | $1,783.35 | $1,783.35 | 12.5× |
| Special teletherapy port plan (77321) | $2,376.74 | $2,376.74 | 6.0× |
| Special treatment procedure (77470) | $11,355.76 | $11,355.76 | 19.4× |
| Stereotactic Body Radiation Delivery (77373) | $11,109.38 | $11,109.38 | 5.9× |
| Sternoclavicular joints (71130) | $946.20 | $946.20 | 10.3× |
| Superior sagittal sinus venogram (75870) | $6,798.60 | $6,798.60 | 2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,703.64 | $3,703.64 | 9.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,041.07 | $5,041.07 | 12.7× |
| Ther rad simulaj-aided field setting simple (77280) | $2,576.54 | $2,576.54 | 18.1× |
| Thoracic spine 2 views (72070) | $928.99 | $928.99 | 8.4× |
| Thoracic spine 3 views (72072) | $852.21 | $852.21 | 7.7× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$625.94–$637.53 | $625.94–$637.53 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,085.95 | $3,085.95 | 7.3× |
| Tx Devices Design & Construction Complex (77334) | $2,008.88 | $2,008.88 | 5.1× |
| Tx devices design & construction intermediate (77333) | $1,184.99 | $1,184.99 | 8.3× |
| Tx devices design & construction simple (77332) | $1,477.56 | $1,477.56 | 10.4× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$1,160.02–$2,361.50 | $1,160.02–$2,361.50 | varies |
| Ultrasound Exam Aaa Screen (76706) | $742.95 | $742.95 | 6.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,164.35–$2,204.43 | $2,164.35–$2,204.43 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$632.57–$650.65 | $632.57–$650.65 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,308.88–$1,346.27 | $1,308.88–$1,346.27 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,657.77–$1,688.47 | $1,657.77–$1,688.47 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$2,266.70–$2,331.46 | $2,266.70–$2,331.46 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$1,405.46–$2,862.19 | $1,405.46–$2,862.19 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,917.88–$1,972.67 | $1,917.88–$1,972.67 | varies |
| Us complete joint (76881) | $828.07 | $828.07 | 7.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,318.32–$1,342.74 | $1,318.32–$1,342.74 | varies |
| Us head (76506) | $2,434.60 | $2,434.60 | 22.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $474.63 | $474.63 | 4.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,425.09–$1,451.48 | $1,425.09–$1,451.48 | varies |
| Us ob transvaginal (76817) | $761.50 | $761.50 | 6.9× |
| Us pelvic non ob complete (76856) | $1,297.57 | $1,297.57 | 11.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,172.83 | $1,172.83 | 10.6× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,237.74–$2,279.18 | $2,237.74–$2,279.18 | varies |
| Us retroperitoneal limited (76775) | $1,511.54 | $1,511.54 | 13.7× |
| Us scrotum and contents (76870) | $2,135.42 | $2,135.42 | 19.3× |
| Us spinal canal and contents (76800) | $2,104.23 | $2,104.23 | 19.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,640.49–$1,670.87 | $1,640.49–$1,670.87 | varies |
| Us transrectal (76872) | $2,986.81 | $2,986.81 | 27.0× |
| Vein X-Ray Chest (75827) | $8,676.01 | $8,676.01 | 5.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $8,836.67 | $8,836.67 | 2.6× |
| Vein X-Ray Skull Epidural (75872) | $1,360.17 | $1,360.17 | 2.0× |
| Venogram Sinus/Jugular (75860) | $8,676.01 | $8,676.01 | 2.6× |
| Venography Adrenal Unilateral (75840) | $6,798.60 | $6,798.60 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $9,962.41 | $9,962.41 | 3.0× |
| Venography extremity bilateral rs&i (75822) | $1,788.91 | $1,788.91 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $894.82 | $894.82 | 0.5× |
| Venography Renal Bilateral (75833) | $8,676.01 | $8,676.01 | 2.6× |
| Venography Renal Unilateral (75831) | $8,676.01 | $8,676.01 | 2.6× |
| Venous sampling by catheter (75893) | $8,230.68 | $8,230.68 | 1.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$638.89–$669.32 | $638.89–$669.32 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,013.52 | $1,013.52 | 11.0× |
| X-ray antegrade pyelogram tube (74425) | $1,199.34 | $1,199.34 | 3.2× |
| X-Ray Aorta Leg Arteries (75630) | $10,323.50 | $10,323.50 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$608.55–$625.94 | $608.55–$625.94 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$721.05–$755.38 | $721.05–$755.38 | varies |
| X-Ray Exam Breast Specimen (76098) | $923.36 | $923.36 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $625.94 | $625.94 | 6.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $755.60 | $755.60 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $933.46 | $933.46 | 10.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$998.04–$1,016.52 | $998.04–$1,016.52 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$1,079.95–$1,099.95 | $1,079.95–$1,099.95 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,079.95 | $1,079.95 | 9.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,161.50 | $1,161.50 | 10.5× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,496.73–$1,539.50 | $1,496.73–$1,539.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,085.10 | $1,085.10 | 11.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,160.77 | $1,160.77 | 10.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$1,276.37–$1,312.84 | $1,276.37–$1,312.84 | varies |
| X-ray eye for foreign body (70030) | $1,583.33 | $1,583.33 | 17.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$566.76–$588.89 | $566.76–$588.89 | varies |
| X-ray IV pyelogram+tomography (74415) | $3,674.42 | $3,674.42 | 19.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,301.62 | $1,301.62 | 14.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,007.82–$1,036.62 | $1,007.82–$1,036.62 | varies |
| X-ray nose-rectum child f.b. (76010) | $828.53 | $828.53 | 9.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,496.73–$1,568.01 | $1,496.73–$1,568.01 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$928.99–$946.20 | $928.99–$946.20 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$774.69–$789.04 | $774.69–$789.04 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,779.30 | $1,779.30 | 19.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,781.56 | $1,781.56 | 16.1× |
| X-Ray Tmj Unilat (70328) | $506.92 | $506.92 | 5.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,088.52 | $3,088.52 | 8.4× |
| X-Rays Bone Length Studies (77073) | $928.99 | $928.99 | 8.4× |
| X-Rays Bone Survey Complete (77075) | $1,770.90 | $1,770.90 | 16.0× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,048.18–$1,078.13 | $1,048.18–$1,078.13 | varies |
| Xr facial bones less than 3 views (70140) | $793.05 | $793.05 | 8.6× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,451.36–$1,492.83 | $1,451.36–$1,492.83 | 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.