Imaging prices at Riverside Community Hospital
Riverside, CA · every code in this section with a posted price and a Medicare benchmark.
370 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) | $13,563.25 | $13,563.25 | 7.6× |
| Abdomen 1 View (74018) | $1,456.75 | $1,456.75 | 13.0× |
| Abdomen 2 views (74019) | $1,713.75 | $1,713.75 | 12.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,579.50 | $3,579.50 | 7.0× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$6,361.50–$6,760 | $6,361.50–$6,760 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$16,087.75–$18,525 | $16,087.75–$18,525 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $16,087.75 | $16,087.75 | 4.0× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,573.75–$22,871.25 | $6,573.75–$22,871.25 | varies |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$6,231.75–$22,871.25 | $6,231.75–$22,871.25 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 6 matching MRF lines |
$6,760–$18,525 | $6,760–$18,525 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$6,000–$6,760 | $6,000–$6,760 | varies |
| Ankle 2 views (73600) | $1,276 | $1,276 | 11.4× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$16,087.75–$22,871.25 | $16,087.75–$22,871.25 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$16,087.75–$18,525 | $16,087.75–$18,525 | varies |
| Artery X-Rays Adrenal Gland (75731) | $16,087.75 | $16,087.75 | 4.0× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$16,087.75–$22,871.25 | $16,087.75–$22,871.25 | varies |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
$6,515.25–$18,525 | $6,515.25–$18,525 | varies |
| Arthrogram ankle (73615) | $3,478.50 | $3,478.50 | 7.8× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$2,199.75–$2,947.75 | $2,199.75–$2,947.75 | varies |
| Arthrogram Wrist (73115) | $3,478.50 | $3,478.50 | 7.8× |
| Basic radiation dosimetry calculation (77300) | $2,311.75 | $2,311.75 | 13.4× |
| Bone age studies (77072) | $1,207.50 | $1,207.50 | 9.0× |
| Bone Imaging 3 Phase (78315) | $4,185 | $4,185 | 8.1× |
| Bone Imaging Limited Area (78300) | $5,161.75 | $5,161.75 | 10.0× |
| Bone Imaging Multiple Areas (78305) | $4,804 | $4,804 | 9.3× |
| Bone Imaging Whole Body (78306) | $6,531 | $6,531 | 12.7× |
| Bone marrow imaging; multiple areas (78103) | $5,221.25 | $5,221.25 | 10.2× |
| Bone survey infant (77076) | $2,382.25 | $2,382.25 | 17.7× |
| Brachytx isodose complex (77318) | $6,014.50 | $6,014.50 | 12.5× |
| Brachytx isodose intermed (77317) | $4,214.75 | $4,214.75 | 8.8× |
| Brachytx Isodose Plan Simple (77316) | $2,865.50 | $2,865.50 | 6.0× |
| Brain Flow Imaging Only (78610) | $6,531 | $6,531 | 9.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $6,531 | $6,531 | 9.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $16,563.50 | $16,563.50 | 36.9× |
| Cat Scan Follow-Up Study (76380) | $14,898.25 | $14,898.25 | 133.1× |
| Cerebrospinal Fluid Scan (78630) | $4,043.25 | $4,043.25 | 5.8× |
| Chest 1 view (71045) | $976.50 | $976.50 | 8.7× |
| Chest 2 views (71046) | $1,428.75 | $1,428.75 | 12.8× |
| Chest 3 views (71047) | $1,677.50 | $1,677.50 | 15.0× |
| Chest 4 or more views (71048) | $1,928 | $1,928 | 14.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $3,374.50 | $3,374.50 | 25.1× |
| Cholecystography Oral Contrast (74290) | $1,893.50 | $1,893.50 | 8.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$2,452.25–$4,272.75 | $2,452.25–$4,272.75 | varies |
| Clavicle complete (73000) | $1,184.75 | $1,184.75 | 10.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $412.25 | $412.25 | 3.1× |
| Continuing medical physics consltj pr wk (77336) | $2,893.25 | $2,893.25 | 16.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$16,087.75–$22,871.25 | $16,087.75–$22,871.25 | varies |
| Contrast X-Ray Bladder (74430) | $1,955 | $1,955 | 4.4× |
| Contrast X-Ray Of Elbow (73085) | $3,478.50 | $3,478.50 | 7.8× |
| Contrast X-Ray Of Knee Joint (73580) | $5,113.25 | $5,113.25 | 11.4× |
| CT abdomen and pelvis without and with contrast (74178) | $29,473 | $29,473 | 65.7× |
| CT abdomen and pelvis without contrast (74176) | $22,350.75 | $22,350.75 | 72.8× |
| CT abdomen w contrast (74160) | $17,358 | $17,358 | 76.9× |
| CT abdomen w wo contrast (74170) | $19,649 | $19,649 | 87.1× |
| CT abdomen w/o contrast (74150) | $14,900 | $14,900 | 110.8× |
| CT Angio Abdomen and Pelvis (74174) | $29,473 | $29,473 | 65.7× |
| CT Angio Chest (71275) | $18,743.25 | $18,743.25 | 83.1× |
| CT Angio Head (70496) | $18,743.25 | $18,743.25 | 83.1× |
| CT angio hrt w/3d image (75574) | $2,439 | $2,439 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $18,743.25 | $18,743.25 | 83.1× |
| CT Angio Neck (70498) | $18,741.75 | $18,741.75 | 83.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $18,743.25 | $18,743.25 | 83.1× |
| CT bone density (77078) | $8,858.25 | $8,858.25 | 79.1× |
| CT cervical spine w/ contrast (72126) | $17,358 | $17,358 | 38.7× |
| CT cervical spine w/o contrast (72125) | $14,900 | $14,900 | 110.8× |
| CT cervical spine w/wo cont (72127) | $19,649 | $19,649 | 87.1× |
| CT chest w contrast (71260) | $17,358 | $17,358 | 76.9× |
| CT chest w/wo contrast (71270) | $19,649 | $19,649 | 87.1× |
| CT colonography screening (74263) | $5,540.50 | $5,540.50 | 18.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,768.50 | $1,768.50 | 13.2× |
| CT head/brain with contrast (70460) | $17,358 | $17,358 | 76.9× |
| CT head/brain without and with contrast (70470) | $19,649 | $19,649 | 87.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,439 | $2,439 | 5.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $413.25 | $413.25 | 3.7× |
| CT hrt w/3d image congen (75573) | $2,439 | $2,439 | 5.4× |
| CT iac w contrast (70481) | $17,358 | $17,358 | 76.9× |
| CT l-spine w&w/o contrast (72133) | $19,649 | $19,649 | 87.1× |
| CT lower ext w/o (73700) | $14,900 | $14,900 | 110.8× |
| CT lower extremity w/contrast material (73701) | $17,358 | $17,358 | 76.9× |
| CT lumbar spine w contrast (72132) | $17,358 | $17,358 | 38.7× |
| CT lumbar spine w/o contrast (72131) | $14,900 | $14,900 | 110.8× |
| CT maxillofacial w contrast (70487) | $17,358 | $17,358 | 76.9× |
| CT maxillofacial wo contrast (70486) | $14,900 | $14,900 | 110.8× |
| CT neck tissue combo (70492) | $19,649 | $19,649 | 87.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $19,649 | $19,649 | 87.1× |
| CT orbits w/o contrast (70480) | $14,900 | $14,900 | 110.8× |
| CT pelvis w&w/o contrast (72194) | $19,649 | $19,649 | 87.1× |
| CT pelvis w/o contrast (72192) | $14,900 | $14,900 | 110.8× |
| CT scan of leg combo (73702) | $19,649 | $19,649 | 87.1× |
| CT scans face/jaw combo (70488) | $19,649 | $19,649 | 87.1× |
| CT soft tissue neck w contrast (70491) | $17,354.75 | $17,354.75 | 76.9× |
| CT soft tissue neck w/o contrast (70490) | $14,900 | $14,900 | 110.8× |
| CT thoracic spine w contrast (72129) | $17,358 | $17,358 | 76.9× |
| CT thoracic spine w/o contrast (72128) | $17,358 | $17,358 | 129.1× |
| CT thoracic spine w/wo cont (72130) | $17,354.75 | $17,354.75 | 76.9× |
| CT thorax w/o contrast (71250) | $14,900 | $14,900 | 110.8× |
| CT upper ext wo (73200) | $14,900 | $14,900 | 110.8× |
| CT upper extremity w/o & w/contrast material (73202) | $19,649 | $19,649 | 87.1× |
| CT upper extremity with contrast (73201) | $17,358 | $17,358 | 38.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,743.25 | $18,743.25 | 83.1× |
| Cta Abdomen (74175) | $18,743.25 | $18,743.25 | 83.1× |
| CTA pelvis (72191) | $18,743.25 | $18,743.25 | 83.1× |
| Dilation ureters/urethra rs&i (74485) | $3,905 | $3,905 | 1.5× |
| Discography Cerv/Thor Spine (72285) | $5,280 | $5,280 | 2.1× |
| Diskography lumbar (72295) | $5,280 | $5,280 | 2.1× |
| Echo Guide For Artery Repair (76936) | $1,376.25 | $1,376.25 | 5.0× |
| Esophagram (74220) | $1,770.50 | $1,770.50 | 7.8× |
| Fetal Biophys Profile W/Nst (76818) | $4,568.75 | $4,568.75 | 34.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,609 | $2,609 | 19.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,431.50–$1,536 | $1,431.50–$1,536 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,122–$4,491.50 | $4,122–$4,491.50 | varies |
| Foot 2 views (73620) | $1,110.25 | $1,110.25 | 9.9× |
| Forearm 2 views (73090) | $1,143 | $1,143 | 10.2× |
| Gastric emptying imaging study (78264) | $4,375.50 | $4,375.50 | 8.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $4,375.50 | $4,375.50 | 8.5× |
| Gastroesophageal Reflux Exam (78262) | $5,609 | $5,609 | 10.9× |
| Gated Heart Planar Single (78472) | $7,279.25 | $7,279.25 | 14.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,735.25 | $4,735.25 | 6.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,130.50–$2,261 | $1,130.50–$2,261 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $27,844.25 | $27,844.25 | 31.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $27,844.25 | $27,844.25 | 31.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $27,844.25 | $27,844.25 | 31.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,883.75 | $6,883.75 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,883.75 | $6,883.75 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $5,606.50 | $5,606.50 | 8.0× |
| Hepatobiliary System Imaging (78226) | $5,606.50 | $5,606.50 | 10.9× |
| Ht Musc Image Planar Mult (78454) | $7,460.25 | $7,460.25 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $12,942 | $12,942 | 7.8× |
| Hysterosalpingogram (74740) | $2,474.50 | $2,474.50 | 8.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,306.25 | $3,306.25 | 29.5× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$4,251.50–$7,045.50 | $4,251.50–$7,045.50 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $6,149.25 | $6,149.25 | 6.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $4,959.75 | $4,959.75 | 7.0× |
| Intracavitary radiation source applic simple (77761) | $3,451.25 | $3,451.25 | 4.9× |
| K Flow/Funct Image W/Drug (78708) | $6,531 | $6,531 | 9.4× |
| K Flow/Funct Image W/O Drug (78707) | $6,531 | $6,531 | 9.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $6,531 | $6,531 | 12.7× |
| Kidney Imaging Morphol (78700) | $6,531 | $6,531 | 12.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,311–$2,622 | $1,311–$2,622 | varies |
| Leveen/Shunt Patency Exam (78291) | $4,757.75 | $4,757.75 | 9.3× |
| Liver & Spleen Imaging Static Only (78215) | $3,579.50 | $3,579.50 | 7.0× |
| Liver imaging w/vascular flow (78202) | $2,488 | $2,488 | 3.6× |
| Lung Perf&Ventilat Diferentl (78598) | $11,816.25 | $11,816.25 | 16.9× |
| Lung Ventilat&Perfus Imaging (78582) | $11,437.50 | $11,437.50 | 16.4× |
| Lung Ventilation Imaging (78579) | $5,641.25 | $5,641.25 | 11.0× |
| Lymph System Imaging (78195) | $6,531 | $6,531 | 9.4× |
| Magnetic Image Jaw Joint (70336) | $14,927.50 | $14,927.50 | 48.6× |
| Mammary ductogram or galactogram multiple (77054) | $3,438.25 | $3,438.25 | 11.2× |
| Mammary ductogram or galactogram single (77053) | $2,463.25 | $2,463.25 | 8.0× |
| Meckels Divert Exam (78290) | $3,579.50 | $3,579.50 | 7.0× |
| Medical physics dose eval radiation expos w/rprt (76145) | $628.25 | $628.25 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) | $11,633 | $11,633 | 24.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $92.50 | $92.50 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $14,835.50 | $14,835.50 | 33.1× |
| MRA head w/o contrast (70544) | $11,964 | $11,964 | 39.0× |
| MRA head with contrast (70545) | $13,820.75 | $13,820.75 | 30.8× |
| MRA neck w contrast (70548) | $2,844.75 | $2,844.75 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,591.25 | $3,591.25 | 8.0× |
| MRA neck w/o contrast (70547) | $2,345.75 | $2,345.75 | 7.6× |
| MRI abdomen w/o contrast (74181) | $13,281 | $13,281 | 43.3× |
| MRI any jt lower extrem w/contrast material (73722) | $13,281 | $13,281 | 13.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $18,318.25 | $18,318.25 | 40.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $13,281 | $13,281 | 13.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $19,915.75 | $19,915.75 | 64.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $13,281 | $13,281 | 43.3× |
| MRI cardiac w/o contrast (75557) | $13,281 | $13,281 | 43.3× |
| MRI cervical spine w contrast (72142) | $14,927.50 | $14,927.50 | 33.3× |
| MRI cervical spine w/o cont (72141) | $13,281 | $13,281 | 43.3× |
| MRI chest w/o contrast (71550) | $13,281 | $13,281 | 43.3× |
| MRI chest with contrast (71551) | $14,927.50 | $14,927.50 | 14.8× |
| MRI chest wo w contrast (71552) | $16,563.50 | $16,563.50 | 36.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,887.25 | $13,887.25 | 30.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $14,927.50 | $14,927.50 | 33.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $12,023.25 | $12,023.25 | 39.2× |
| MRI lumbar spine w contrast (72149) | $14,927.50 | $14,927.50 | 33.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $16,563.50 | $16,563.50 | 36.9× |
| MRI orbit face &/neck w/o contrast (70540) | $13,279.75 | $13,279.75 | 43.3× |
| MRI orbit face neck w contrast (70542) | $14,927.50 | $14,927.50 | 33.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $16,560.25 | $16,560.25 | 36.9× |
| MRI pelvis w contrast (72196) | $1,732.75 | $1,732.75 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $16,563.50 | $16,563.50 | 36.9× |
| MRI pelvis w/o contrast (72195) | $13,281 | $13,281 | 43.3× |
| MRI spectroscopy (76390) | $19,922 | $19,922 | 178.0× |
| MRI thoracic spine w/o contrast (72146) | $13,279.75 | $13,279.75 | 43.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,281 | $13,281 | 43.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $13,281 | $13,281 | 29.6× |
| MRI, abdomen, combo (74183) | $16,563.50 | $16,563.50 | 36.9× |
| MRI, dorsal spine combo (72157) | $16,563.50 | $16,563.50 | 36.9× |
| MRI, dorsal spine contrast (72147) | $14,927.50 | $14,927.50 | 33.3× |
| MRI, joint upper extrem (73221) | $12,023.25 | $12,023.25 | 39.2× |
| MRI, joint upper extrem combo (73223) | $14,927.50 | $14,927.50 | 33.3× |
| MRI, lumbar spine combo (72158) | $16,563.50 | $16,563.50 | 36.9× |
| Myelogram cervical (72240) | $2,812.25 | $2,812.25 | 2.8× |
| Myelogram Lumbar (72265) | $2,812.25 | $2,812.25 | 2.8× |
| Myelography thoracic (72255) | $2,901.25 | $2,901.25 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $6,469 | $6,469 | 6.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $7,279.25 | $7,279.25 | 14.2× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $7,279.25 | $7,279.25 | 10.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,759.75 | $3,759.75 | 2.3× |
| Myocardial Spect Multiple Studies (78452) | $14,798.25 | $14,798.25 | 8.9× |
| Neck soft tissue (70360) | $1,264.75 | $1,264.75 | 11.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,836.75 | $1,836.75 | 3.7× |
| Nm myocard infarct spect (78469) | $7,279.25 | $7,279.25 | 10.4× |
| Nonvascular Shunt X-Ray (75809) | $2,381.25 | $2,381.25 | 17.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $13,563.25 | $13,563.25 | 7.6× |
| Nuclear Rx Intra-Arterial (79445) | $1,362.75 | $1,362.75 | 4.5× |
| Nuclear Rx Oral Admin (79005) | $9,880.25 | $9,880.25 | 32.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $3,396.25 | $3,396.25 | 25.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,681.25 | $2,681.25 | 3.8× |
| Parathyroid Planar Imaging (78070) | $3,797.25 | $3,797.25 | 7.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,175.75 | $4,175.75 | 8.1× |
| Pelvis 1 or 2 views (72170) | $1,143 | $1,143 | 8.5× |
| Peritoneogram Rs&I (74190) | $2,092 | $2,092 | 3.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,883.75 | $6,883.75 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,289.50 | $6,289.50 | 12.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,928 | $1,928 | 14.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,052.50–$2,089.50 | $2,052.50–$2,089.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,428.75–$2,857.50 | $1,428.75–$2,857.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $1,110.25 | $1,110.25 | 9.9× |
| Radex elbow complete minimum 3 views (73080) | $1,275.50 | $1,275.50 | 11.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,327.25 | $2,327.25 | 17.3× |
| Radex fingr minimum 2 views (73140) | $976.50 | $976.50 | 8.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,407–$2,813.75 | $1,407–$2,813.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,407–$2,813.50 | $1,407–$2,813.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $1,589.50 | $1,589.50 | 14.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,454.25 | $1,454.25 | 10.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,386.25 | $1,386.25 | 12.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,687.25 | $1,687.25 | 15.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,614.50–$3,229 | $1,614.50–$3,229 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,162.50 | $1,162.50 | 10.4× |
| Radex Spine 1 View Specify Level (72020) | $1,354 | $1,354 | 12.1× |
| Radex Sternum Minimum 2 Views (71120) | $1,315.50 | $1,315.50 | 11.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,704.25 | $1,704.25 | 15.2× |
| Radex Toe Minimum 2 Views (73660) | $905 | $905 | 8.1× |
| Radex upper extremity infant minimum 2 views (73092) | $1,589.50 | $1,589.50 | 11.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,358 | $1,358 | 12.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,828.50 | $2,828.50 | 21.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $38,757.75 | $38,757.75 | 4.1× |
| Radiation treatment delivery level 1 (77402) | $2,160 | $2,160 | 16.5× |
| Radiation treatment delivery level 2 (77407) | $2,537 | $2,537 | 5.1× |
| Radiation treatment delivery level 3 (77412) | $2,834.50 | $2,834.50 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,889.50 | $2,889.50 | 21.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,014.50 | $2,014.50 | 15.0× |
| Radiologic exam colon double contrast study (74280) | $4,265.25 | $4,265.25 | 18.9× |
| Radiologic exam colon single contrast study (74270) | $3,290 | $3,290 | 14.6× |
| Radiologic exam knee complete 4/more views (73564) | $2,027.50 | $2,027.50 | 15.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,422.25 | $1,422.25 | 10.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,828.50 | $2,828.50 | 12.5× |
| Radiologic exam swallow function contrast study (74230) | $2,477.75 | $2,477.75 | 11.0× |
| Radiologic exam teeth complete full mouth (70320) | $1,255.75 | $1,255.75 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,940.50 | $3,940.50 | 17.5× |
| Radiologic examination femur 1 view (73551) | $1,174.75 | $1,174.75 | 10.5× |
| Radiologic examination femur minimum 2 views (73552) | $1,386.25 | $1,386.25 | 12.4× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,174.75–$2,349.25 | $1,174.75–$2,349.25 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,193.75–$2,388 | $1,193.75–$2,388 | varies |
| Renal Cyst Study (74470) | $4,122 | $4,122 | 5.9× |
| Ribs bilateral 3 views (71110) | $2,099.25 | $2,099.25 | 15.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $6,531 | $6,531 | 12.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $10,629.50 | $10,629.50 | 15.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,019.50 | $8,019.50 | 11.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,019.50 | $8,019.50 | 11.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,019.50 | $8,019.50 | 4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $9,021.25 | $9,021.25 | 4.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $8,019.50 | $8,019.50 | 4.8× |
| Rp Therapy Intravenous Administration (79101) | $6,616 | $6,616 | 22.0× |
| Scapula (73010) | $1,305.75 | $1,305.75 | 9.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $211.25 | $211.25 | 9.0× |
| Sella turcica (70240) | $1,525.25 | $1,525.25 | 13.6× |
| Shoulder 1 view (73020) | $1,008.75 | $1,008.75 | 9.0× |
| Shoulder Arthrography (73040) | $3,478.50 | $3,478.50 | 7.8× |
| Sialogram (70390) | $2,006.25 | $2,006.25 | 6.5× |
| Skull less than 4 views (70250) | $1,543 | $1,543 | 11.5× |
| Special dosimetry (77331) | $858.75 | $858.75 | 5.0× |
| Special Physics Consult (77370) | $3,382.50 | $3,382.50 | 19.6× |
| Special teletherapy port plan (77321) | $4,902.75 | $4,902.75 | 10.2× |
| Special treatment procedure (77470) | $8,116.75 | $8,116.75 | 11.4× |
| Spleen Imaging (78185) | $4,475 | $4,475 | 8.7× |
| Stereotactic Body Radiation Delivery (77373) | $28,955 | $28,955 | 12.6× |
| Sternoclavicular joints (71130) | $1,207.50 | $1,207.50 | 10.8× |
| Superior sagittal sinus venogram (75870) | $16,108 | $16,108 | 4.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,869.75 | $1,869.75 | 14.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,237.75 | $3,237.75 | 6.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,259.50 | $2,259.50 | 4.7× |
| Testicular Imaging W/Flow (78761) | $4,238.25 | $4,238.25 | 8.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $7,900.50 | $7,900.50 | 16.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $5,409.75 | $5,409.75 | 11.2× |
| Ther rad simulaj-aided field setting simple (77280) | $4,214.75 | $4,214.75 | 24.4× |
| Thoracic spine 2 views (72070) | $1,757.75 | $1,757.75 | 13.1× |
| Thoracolumbar 2 views (72080) | $2,222.75 | $2,222.75 | 19.9× |
| Thyroid Imaging With Vascular Flow (78013) | $2,201 | $2,201 | 4.3× |
| Thyroid Met Imaging Body (78018) | $6,531 | $6,531 | 9.4× |
| Thyroid Uptake Measurement (78012) | $2,201 | $2,201 | 4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,201 | $2,201 | 4.3× |
| Tx Devices Design & Construction Complex (77334) | $3,943.25 | $3,943.25 | 8.2× |
| Tx devices design & construction intermediate (77333) | $2,305 | $2,305 | 13.3× |
| Tx devices design & construction simple (77332) | $1,639.25 | $1,639.25 | 9.5× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$875–$1,751.25 | $875–$1,751.25 | varies |
| Ultrasound elastography first target lesion (76982) | $219.75 | $219.75 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $219.75 | $219.75 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $3,489.50 | $3,489.50 | 26.0× |
| Ultrasound, abdomen limited (76705) | $4,066.25 | $4,066.25 | 30.2× |
| Upper gi w/o kub (74240) | $3,940.50 | $3,940.50 | 17.5× |
| Urethrocystogram voiding (74455) | $4,008 | $4,008 | 13.1× |
| Urethrocystography retrograde (74450) | $4,670.75 | $4,670.75 | 15.2× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$1,117.50–$4,353 | $1,117.50–$4,353 | varies |
| Us chest (76604) | $2,156.75 | $2,156.75 | 16.0× |
| Us complete joint (76881) | $3,750.50 | $3,750.50 | 27.9× |
| Us exam, pelvic, limited (76857) | $3,396.25 | $3,396.25 | 25.3× |
| Us head (76506) | $2,566 | $2,566 | 19.1× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,585.25–$5,922.25 | $1,585.25–$5,922.25 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,374.50 | $3,374.50 | 25.1× |
| Us ob limited 1 or more fetuses (76815) | $3,504.25 | $3,504.25 | 26.1× |
| Us ob transvaginal (76817) | $2,457.25 | $2,457.25 | 18.3× |
| Us pelvic non ob complete (76856) | $3,679.25 | $3,679.25 | 27.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,433.75 | $3,433.75 | 25.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,691.25 | $1,691.25 | 12.6× |
| Us retroperitoneal complete (76770) | $3,700.25 | $3,700.25 | 27.5× |
| Us retroperitoneal limited (76775) | $4,144 | $4,144 | 30.8× |
| Us scrotum and contents (76870) | $3,795.50 | $3,795.50 | 28.2× |
| Us spinal canal and contents (76800) | $2,756 | $2,756 | 20.5× |
| Us thyroid (76536) | $1,005.25 | $1,005.25 | 7.5× |
| Us transrectal (76872) | $3,396.25 | $3,396.25 | 25.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$6,000–$6,883.75 | $6,000–$6,883.75 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $16,381 | $16,381 | 4.0× |
| Vein X-Ray Spleen/Liver (75810) | $6,883.75 | $6,883.75 | 1.7× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$6,361.50–$6,760 | $6,361.50–$6,760 | varies |
| Venography Adrenal Unilateral (75840) range across 6 matching MRF lines |
$6,760–$18,525 | $6,760–$18,525 | varies |
| Venography caval inferior serialography rs&i (75825) | $6,361.50 | $6,361.50 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$4,701.25–$6,000 | $4,701.25–$6,000 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$4,808–$5,241 | $4,808–$5,241 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$6,883.75–$7,368.50 | $6,883.75–$7,368.50 | varies |
| Venography Renal Unilateral (75831) range across 6 matching MRF lines |
$6,883.75–$7,368.50 | $6,883.75–$7,368.50 | varies |
| Venous sampling by catheter (75893) | $15,482.25 | $15,482.25 | 2.2× |
| Wrist 2 views (73100) | $1,119.25 | $1,119.25 | 10.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,887.50 | $1,887.50 | 16.9× |
| X-ray antegrade pyelogram tube (74425) | $3,113.25 | $3,113.25 | 6.9× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$16,087.75–$22,871.25 | $16,087.75–$22,871.25 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,110.25 | $1,110.25 | 9.9× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$387.75–$1,204 | $387.75–$1,204 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,354 | $1,354 | 12.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,398.75 | $1,398.75 | 10.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,489.50 | $2,489.50 | 18.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,041.50 | $1,041.50 | 9.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,754.50 | $1,754.50 | 15.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,598.50 | $2,598.50 | 19.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,754.50 | $1,754.50 | 13.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,598.50 | $2,598.50 | 19.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,912 | $2,912 | 21.7× |
| X-Ray Exam L-S Spine Bending (72114) | $4,357.75 | $4,357.75 | 32.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,398.75 | $1,398.75 | 12.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,828.50 | $2,828.50 | 21.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,355.50 | $3,355.50 | 25.0× |
| X-ray humerus (73060) | $1,370.50 | $1,370.50 | 12.2× |
| X-ray IV pyelogram (ivp) (74400) | $4,265.25 | $4,265.25 | 18.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,721 | $1,721 | 15.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,174.75 | $1,174.75 | 10.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,730.50 | $1,730.50 | 12.9× |
| X-ray nose-rectum child f.b. (76010) | $1,502.75 | $1,502.75 | 13.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,758.25 | $2,758.25 | 20.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,544.75 | $1,544.75 | 11.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,585 | $1,585 | 14.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,835.75 | $2,835.75 | 25.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,085.25 | $3,085.25 | 22.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,715.75 | $2,715.75 | 6.1× |
| X-Rays Bone Length Studies (77073) | $1,951.25 | $1,951.25 | 14.5× |
| X-Rays Bone Survey Complete (77075) | $2,381.25 | $2,381.25 | 17.7× |
| Xr c-spine 4 or 5 views (72050) | $2,489.50 | $2,489.50 | 18.5× |
| Xr facial bones less than 3 views (70140) | $1,916.25 | $1,916.25 | 17.1× |
| Xr orbits complete 4 views (70200) | $1,964.75 | $1,964.75 | 14.6× |
| Xr Tomogram Single Plane (76100) | $2,578.75 | $2,578.75 | 19.2× |
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.