Imaging prices at Riverside University Health System-medical Center
Moreno Valley, CA · every code in this section with a posted price and a Medicare benchmark.
353 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$461.92–$860.62 | $461.92–$860.62 | varies |
| Abdomen 2 views (74019) | $968.83 | $968.83 | 7.2× |
| Angio internal mammary (75756) | $4,773.60 | $4,773.60 | 1.2× |
| Angio pulmonary bilat (75743) | $4,222.80 | $4,222.80 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,019.57 | $7,019.57 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $4,849.92 | $4,849.92 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $5,334.91 | $5,334.91 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,773.60 | $4,773.60 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,108.29 | $3,108.29 | 0.8× |
| Ankle 2 views (73600) | $751.25 | $751.25 | 6.7× |
| Aortography thoracic serialography rs&i (75605) | $7,300.60 | $7,300.60 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,216 | $3,216 | 0.8× |
| Artery X-Rays Abdomen (75726) | $8,644.41 | $8,644.41 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $4,682.86 | $4,682.86 | 1.2× |
| Artery X-Rays Pelvis (75736) | $8,111.78 | $8,111.78 | 1.1× |
| Artery X-Rays Spine (75705) | $10,325.27 | $10,325.27 | 1.4× |
| Arthrogram ankle (73615) | $1,444.51 | $1,444.51 | 3.2× |
| Arthrogram hip (73525) | $1,487.84 | $1,487.84 | 3.3× |
| Arthrogram Wrist (73115) | $1,487.84 | $1,487.84 | 3.3× |
| Bone age studies (77072) | $769.58 | $769.58 | 5.7× |
| Bone Imaging 3 Phase (78315) | $3,573.72 | $3,573.72 | 7.0× |
| Bone Imaging Limited Area (78300) | $1,674.11 | $1,674.11 | 3.3× |
| Bone Imaging Whole Body (78306) | $4,705.78 | $4,705.78 | 9.2× |
| Bone marrow imaging limited area (78102) | $1,396.15 | $1,396.15 | 2.7× |
| Bone survey infant (77076) | $1,711.28 | $1,711.28 | 12.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,642.46 | $4,642.46 | 6.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,016.48 | $5,016.48 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,976.93 | $7,976.93 | 17.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,354.36 | $4,354.36 | 4.3× |
| Chest 1 view (71045) | $787.88 | $787.88 | 7.0× |
| Chest 2 views (71046) | $1,038.47 | $1,038.47 | 9.3× |
| Chest 3 views (71047) | $805.55 | $805.55 | 7.2× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$755.19–$902.03 | $755.19–$902.03 | varies |
| Clavicle complete (73000) | $819.39 | $819.39 | 7.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $273.60 | $273.60 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $10,556.70 | $10,556.70 | 2.6× |
| Contrast X-Ray Bladder (74430) | $1,099.87 | $1,099.87 | 2.5× |
| Contrast X-Ray Of Elbow (73085) | $1,444.51 | $1,444.51 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,851.39 | $1,851.39 | 4.1× |
| Corpora cavernosography (74445) | $687.28 | $687.28 | 5.1× |
| CT abdomen and pelvis without and with contrast (74178) | $14,428.32 | $14,428.32 | 32.2× |
| CT abdomen and pelvis without contrast (74176) | $11,836.53 | $11,836.53 | 38.6× |
| CT abdomen w contrast (74160) | $8,678.07 | $8,678.07 | 38.5× |
| CT abdomen w wo contrast (74170) | $8,890.35 | $8,890.35 | 39.4× |
| CT abdomen w/o contrast (74150) | $4,413.40 | $4,413.40 | 32.8× |
| CT Angio Abdomen and Pelvis (74174) | $13,453.72 | $13,453.72 | 30.0× |
| CT Angio Chest (71275) | $11,135.38 | $11,135.38 | 49.4× |
| CT Angio Head (70496) | $8,888.06 | $8,888.06 | 39.4× |
| CT angio hrt w/3d image (75574) | $1,586.02 | $1,586.02 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $11,438.46 | $11,438.46 | 50.7× |
| CT Angio Neck (70498) | $10,643.75 | $10,643.75 | 47.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $10,730.46 | $10,730.46 | 47.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $587.48 | $587.48 | 2.6× |
| CT cervical spine w/ contrast (72126) | $8,150.24 | $8,150.24 | 18.2× |
| CT cervical spine w/o contrast (72125) | $8,649.39 | $8,649.39 | 64.3× |
| CT cervical spine w/wo cont (72127) | $8,143.21 | $8,143.21 | 36.1× |
| CT chest w contrast (71260) | $8,424.19 | $8,424.19 | 37.3× |
| CT chest w/wo contrast (71270) | $8,332.59 | $8,332.59 | 36.9× |
| CT head/brain with contrast (70460) | $8,551.57 | $8,551.57 | 37.9× |
| CT head/brain without and with contrast (70470) | $9,399.01 | $9,399.01 | 41.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,586.02 | $1,586.02 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,441.84 | $1,441.84 | 12.9× |
| CT hrt w/3d image congen (75573) | $2,573.59 | $2,573.59 | 5.7× |
| CT iac w contrast (70481) | $8,200.67 | $8,200.67 | 36.4× |
| CT l-spine w&w/o contrast (72133) | $10,791 | $10,791 | 47.8× |
| CT lower ext w/o (73700) | $8,044.51 | $8,044.51 | 59.8× |
| CT lower extremity w/contrast material (73701) | $7,912.87 | $7,912.87 | 35.1× |
| CT lumbar spine w contrast (72132) | $9,538.02 | $9,538.02 | 21.3× |
| CT lumbar spine w/o contrast (72131) | $9,832.17 | $9,832.17 | 73.1× |
| CT maxillofacial w contrast (70487) | $7,943.93 | $7,943.93 | 35.2× |
| CT maxillofacial wo contrast (70486) | $7,202.51 | $7,202.51 | 53.6× |
| CT neck tissue combo (70492) | $7,636.74 | $7,636.74 | 33.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,400.41 | $8,400.41 | 37.2× |
| CT orbits w/o contrast (70480) | $7,202.51 | $7,202.51 | 53.6× |
| CT pelvis w&w/o contrast (72194) | $5,619.88 | $5,619.88 | 24.9× |
| CT pelvis w/o contrast (72192) | $6,958.66 | $6,958.66 | 51.8× |
| CT scan of leg combo (73702) | $8,332.59 | $8,332.59 | 36.9× |
| CT scans face/jaw combo (70488) | $7,500.81 | $7,500.81 | 33.2× |
| CT soft tissue neck w contrast (70491) | $7,862.17 | $7,862.17 | 34.9× |
| CT soft tissue neck w/o contrast (70490) | $7,202.51 | $7,202.51 | 53.6× |
| CT thoracic spine w contrast (72129) | $7,193.52 | $7,193.52 | 31.9× |
| CT thoracic spine w/o contrast (72128) | $7,940.63 | $7,940.63 | 59.1× |
| CT thoracic spine w/wo cont (72130) | $8,143.21 | $8,143.21 | 36.1× |
| CT thorax w/o contrast (71250) | $8,044.51 | $8,044.51 | 59.8× |
| CT upper ext wo (73200) | $8,044.51 | $8,044.51 | 59.8× |
| CT upper extremity w/o & w/contrast material (73202) | $8,143.21 | $8,143.21 | 36.1× |
| CT upper extremity with contrast (73201) | $7,912.87 | $7,912.87 | 17.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $13,412.64 | $13,412.64 | 59.5× |
| Cta Abdomen (74175) | $5,306.93 | $5,306.93 | 23.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,168.50 | $1,168.50 | 2.6× |
| CTA pelvis (72191) | $4,099.32 | $4,099.32 | 18.2× |
| Dilation ureters/urethra rs&i (74485) | $3,180.58 | $3,180.58 | 1.2× |
| Discography Cerv/Thor Spine (72285) | $2,494.73 | $2,494.73 | 1.0× |
| Diskography lumbar (72295) | $2,608.11 | $2,608.11 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,184.62 | $1,184.62 | 8.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,444.51 | $1,444.51 | 10.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $397.57 | $397.57 | 3.0× |
| Dxa Bone Density Axial (77080) | $1,219.16 | $1,219.16 | 9.1× |
| Dxa bone density study (77085) | $316.35 | $316.35 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $456.17 | $456.17 | 4.1× |
| Echo exam uterus (76831) | $938.03 | $938.03 | 3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,486.49 | $1,486.49 | 4.8× |
| Esophagram (74220) | $1,508.02 | $1,508.02 | 6.7× |
| Fetal Biophys Profile W/Nst (76818) | $1,882.76 | $1,882.76 | 14.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $476.19 | $476.19 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $1,209.42 | $1,209.42 | 3.9× |
| Follow-Up Angiography (75898) | $2,765.70 | $2,765.70 | 0.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$662.20–$696.38 | $662.20–$696.38 | varies |
| Forearm 2 views (73090) | $997.52 | $997.52 | 8.9× |
| Gastric emptying imaging study (78264) | $3,774.57 | $3,774.57 | 7.3× |
| Gastroesophageal Reflux Exam (78262) | $2,203.74 | $2,203.74 | 4.3× |
| Gated Heart Planar Single (78472) | $2,539.73 | $2,539.73 | 4.9× |
| GI Endoscopic US S&I (76975) | $569.12 | $569.12 | 1.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$734.06–$816 | $734.06–$816 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,222.80 | $4,222.80 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,364.93 | $4,364.93 | 1.1× |
| Hepatobiliary System Imaging (78226) | $4,009.29 | $4,009.29 | 7.8× |
| Hysterosalpingogram (74740) | $1,218.88 | $1,218.88 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $691.02 | $691.02 | 6.2× |
| Infant hip ultrasound, limited static exam (76886) | $781.54 | $781.54 | 7.0× |
| K Flow/Funct Image Multiple (78709) | $3,411.28 | $3,411.28 | 4.9× |
| K Flow/Funct Image W/Drug (78708) | $2,662.06 | $2,662.06 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,679.34 | $2,679.34 | 3.8× |
| Knee 3 Views (73562) | $1,038.47 | $1,038.47 | 9.3× |
| Liver & Spleen Imaging Static Only (78215) | $2,883.10 | $2,883.10 | 5.6× |
| Lung Perf&Ventilat Diferentl (78598) | $4,853.67 | $4,853.67 | 7.0× |
| Lung perfusion differential (78597) | $3,116.38 | $3,116.38 | 6.1× |
| Lung Ventilat&Perfus Imaging (78582) | $6,975.38 | $6,975.38 | 10.0× |
| Lymph System Imaging (78195) | $2,676.68 | $2,676.68 | 3.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,341.43 | $2,341.43 | 1.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,949.78 | $1,949.78 | 2.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,755.93 | $6,755.93 | 1.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,040.11 | $3,040.11 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $7,758.25 | $7,758.25 | 25.3× |
| Magnetic Resonance Elastography (76391) | $947.68 | $947.68 | 3.1× |
| Meckels Divert Exam (78290) | $2,007.92 | $2,007.92 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $10,315.53 | $10,315.53 | 23.0× |
| MRA head w/o contrast (70544) | $8,135.51 | $8,135.51 | 26.5× |
| MRA head with contrast (70545) | $7,262.15 | $7,262.15 | 16.2× |
| MRA neck w contrast (70548) | $5,204.30 | $5,204.30 | 11.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,474.94 | $6,474.94 | 14.4× |
| MRA neck w/o contrast (70547) | $6,733 | $6,733 | 21.9× |
| MRI abdomen w contrast (74182) | $4,578.90 | $4,578.90 | 10.2× |
| MRI abdomen w/o contrast (74181) | $9,694.51 | $9,694.51 | 31.6× |
| MRI any jt lower extrem w/contrast material (73722) | $6,078.62 | $6,078.62 | 6.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,939.87 | $8,939.87 | 19.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,415.75 | $7,415.75 | 7.4× |
| MRI bone marrow blood supply (77084) | $6,003.65 | $6,003.65 | 19.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,631.68 | $4,631.68 | 15.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,792.30 | $2,792.30 | 9.1× |
| MRI cardiac w/o cont stress (75559) | $3,533.26 | $3,533.26 | 5.0× |
| MRI cardiac w/o contrast (75557) | $3,170.97 | $3,170.97 | 10.3× |
| MRI cervical spine w contrast (72142) | $6,813.95 | $6,813.95 | 15.2× |
| MRI cervical spine w/o cont (72141) | $10,776.05 | $10,776.05 | 35.1× |
| MRI chest w/o contrast (71550) | $7,181.91 | $7,181.91 | 23.4× |
| MRI chest with contrast (71551) | $4,841.21 | $4,841.21 | 4.8× |
| MRI chest wo w contrast (71552) | $7,834.84 | $7,834.84 | 17.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,236.48 | $5,236.48 | 11.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,125.29 | $10,125.29 | 22.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,629.08 | $8,629.08 | 28.1× |
| MRI lumbar spine w contrast (72149) | $6,813.95 | $6,813.95 | 15.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,360.12 | $11,360.12 | 25.3× |
| MRI orbit face &/neck w/o contrast (70540) | $8,466.22 | $8,466.22 | 27.6× |
| MRI orbit face neck w contrast (70542) | $5,828.79 | $5,828.79 | 13.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,309.94 | $10,309.94 | 23.0× |
| MRI pelvis w contrast (72196) | $5,427.47 | $5,427.47 | 12.1× |
| MRI pelvis w/o & w contrast (72197) | $12,536 | $12,536 | 27.9× |
| MRI pelvis w/o contrast (72195) | $8,379.57 | $8,379.57 | 27.3× |
| MRI thoracic spine w/o contrast (72146) | $10,776.05 | $10,776.05 | 35.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,236.48 | $5,236.48 | 11.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,251.37 | $7,251.37 | 23.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $8,591.31 | $8,591.31 | 19.1× |
| MRI, abdomen, combo (74183) | $14,110.42 | $14,110.42 | 31.4× |
| MRI, dorsal spine combo (72157) | $11,105.19 | $11,105.19 | 24.7× |
| MRI, dorsal spine contrast (72147) | $7,495.70 | $7,495.70 | 16.7× |
| MRI, joint upper extrem (73221) | $7,261.41 | $7,261.41 | 23.7× |
| MRI, joint upper extrem combo (73223) | $9,158.24 | $9,158.24 | 20.4× |
| MRI, lumbar spine combo (72158) | $11,323.54 | $11,323.54 | 25.2× |
| Myelogram cervical (72240) | $1,697.99 | $1,697.99 | 1.7× |
| Myelogram Lumbar (72265) | $1,364.26 | $1,364.26 | 1.4× |
| Myelography thoracic (72255) | $1,364.26 | $1,364.26 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $2,637.45 | $2,637.45 | 2.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,336.25 | $4,336.25 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $9,767.79 | $9,767.79 | 5.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,943.14 | $6,943.14 | 2.5× |
| N-invas est c ffr sw aly CTA (75580) | $1,805.21 | $1,805.21 | 1.6× |
| Neck soft tissue (70360) | $783.34 | $783.34 | 7.0× |
| Nm csf leak detection (78650) | $2,957 | $2,957 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $1,037.14 | $1,037.14 | 7.7× |
| Nuclear Rx Oral Admin (79005) | $9,357.62 | $9,357.62 | 31.2× |
| Ob us nuchal meas 1 gest (76813) | $982.30 | $982.30 | 7.3× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $1,878.82 | $1,878.82 | 14.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,359.25 | $1,359.25 | 10.1× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $38.56 | $38.56 | 1.0× |
| Panoramic X-ray of jaws (70355) | $695.06 | $695.06 | 6.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,148.85–$1,764.62 | $1,148.85–$1,764.62 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,126.86 | $2,126.86 | 4.1× |
| Pelvis 1 or 2 views (72170) | $907.76 | $907.76 | 6.8× |
| Peritoneogram Rs&I (74190) | $760.70 | $760.70 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $7,161.05 | $7,161.05 | 3.9× |
| PET image w/CT, full body (78816) | $14,647.96 | $14,647.96 | 8.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,996.86 | $12,996.86 | 7.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,071.12 | $5,071.12 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,126.86 | $2,126.86 | 4.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $472.25 | $472.25 | 0.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,594.58 | $1,594.58 | 11.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,352.29 | $1,352.29 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,038.47 | $1,038.47 | 9.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $751.25 | $751.25 | 6.7× |
| Radex elbow complete minimum 3 views (73080) | $1,039.86 | $1,039.86 | 9.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,664.32 | $1,664.32 | 12.4× |
| Radex fingr minimum 2 views (73140) | $614.97 | $614.97 | 5.5× |
| Radex foot complete minimum 3 views (73630) | $964.84 | $964.84 | 8.6× |
| Radex Hand Minimum 3 Views (73130) | $1,058.65 | $1,058.65 | 9.5× |
| Radex lower extremity infant minimum 2 views (73592) | $653.02 | $653.02 | 5.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,078.24 | $1,078.24 | 8.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,095.57 | $1,095.57 | 9.8× |
| Radex Ribs Unilateral 2 Views (71100) | $1,237.35 | $1,237.35 | 11.1× |
| Radex shoulder complete minimum 2 views (73030) | $1,038.47 | $1,038.47 | 9.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $474.70 | $474.70 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $794.94 | $794.94 | 7.1× |
| Radex Sternum Minimum 2 Views (71120) | $920.49 | $920.49 | 8.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,071.51 | $1,071.51 | 9.6× |
| Radex Toe Minimum 2 Views (73660) | $626.92 | $626.92 | 5.6× |
| Radex upper extremity infant minimum 2 views (73092) | $619.36 | $619.36 | 4.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,038.47 | $1,038.47 | 9.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $853.51 | $853.51 | 6.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,570.12 | $1,570.12 | 11.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $493.31 | $493.31 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $1,323.81 | $1,323.81 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $1,798.75 | $1,798.75 | 8.0× |
| Radiologic exam knee complete 4/more views (73564) | $1,120.59 | $1,120.59 | 8.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,220.77 | $1,220.77 | 9.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,331.11 | $2,331.11 | 10.3× |
| Radiologic exam swallow function contrast study (74230) | $1,642.43 | $1,642.43 | 7.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,089 | $1,089 | 4.8× |
| Radiologic examination femur 1 view (73551) | $607.17 | $607.17 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) | $803.97 | $803.97 | 7.2× |
| Radiologic examination knee 1/2 views (73560) | $751.25 | $751.25 | 6.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $819.39 | $819.39 | 7.3× |
| Renal Cyst Study (74470) | $990.61 | $990.61 | 1.4× |
| Ribs bilateral 3 views (71110) | $1,367.59 | $1,367.59 | 10.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,151.12 | $2,151.12 | 4.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,424.04 | $2,424.04 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,216.95 | $4,216.95 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,216.95 | $4,216.95 | 6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,370.90 | $3,370.90 | 4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,750.86 | $3,750.86 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,559.83 | $4,559.83 | 2.7× |
| Rp Therapy Intravenous Administration (79101) | $511.54 | $511.54 | 1.7× |
| Scapula (73010) | $908.49 | $908.49 | 6.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $333 | $333 | 14.2× |
| Sella turcica (70240) | $452.09 | $452.09 | 4.0× |
| Shoulder 1 view (73020) | $849.56 | $849.56 | 7.6× |
| Shoulder Arthrography (73040) | $1,851.39 | $1,851.39 | 4.1× |
| Sialogram (70390) | $755.19 | $755.19 | 2.5× |
| Skull less than 4 views (70250) | $1,032.97 | $1,032.97 | 7.7× |
| Sternoclavicular joints (71130) | $737.78 | $737.78 | 6.6× |
| Superior sagittal sinus venogram (75870) | $3,305.43 | $3,305.43 | 0.8× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $52.13 | $52.13 | 0.4× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $19.10 | $19.10 | 0.4× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $197.75 | $197.75 | 1.8× |
| Tbs technical calculation only (77091) | $197.75 | $197.75 | 1.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $852.88 | $852.88 | 3.8× |
| Thoracic spine 2 views (72070) | $1,161.99 | $1,161.99 | 8.6× |
| Thoracic spine 3 views (72072) | $1,314.68 | $1,314.68 | 9.8× |
| Thoracolumbar 2 views (72080) | $1,181.74 | $1,181.74 | 10.6× |
| Thyroid Met Imaging Body (78018) | $5,147.52 | $5,147.52 | 7.4× |
| Thyroid Uptake Measurement (78012) | $566.44 | $566.44 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,558.26 | $2,558.26 | 5.0× |
| Ultrasound Breast Limited (76642) | $1,319.30 | $1,319.30 | 11.8× |
| Ultrasound elastography first target lesion (76982) | $416.38 | $416.38 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $497.34 | $497.34 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) | $1,159.92 | $1,159.92 | 8.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $790.01 | $790.01 | 1.8× |
| Ultrasound, abdomen limited (76705) | $2,344.38 | $2,344.38 | 17.4× |
| Umbilical-artery Doppler (OB) (76820) | $617.56 | $617.56 | 4.6× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$169.23–$2,833.38 | $169.23–$2,833.38 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,133.70–$1,942.51 | $1,133.70–$1,942.51 | varies |
| Urethrocystogram voiding (74455) | $1,715.01 | $1,715.01 | 5.6× |
| Urethrocystography retrograde (74450) | $2,702.98 | $2,702.98 | 8.8× |
| Us breast unilateral complete (76641) | $759 | $759 | 5.6× |
| Us chest (76604) | $2,715.47 | $2,715.47 | 20.2× |
| Us complete joint (76881) | $664.84 | $664.84 | 4.9× |
| Us exam, pelvic, limited (76857) | $1,683.64 | $1,683.64 | 12.5× |
| Us head (76506) | $619.42 | $619.42 | 4.6× |
| Us kidney transplant (76776) | $3,097.67 | $3,097.67 | 23.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,036.38 | $2,036.38 | 15.1× |
| Us ob detailed single fetus (76811) | $1,809.67 | $1,809.67 | 5.9× |
| Us ob limited 1 or more fetuses (76815) | $1,902.04 | $1,902.04 | 14.1× |
| Us ob transvaginal (76817) | $1,671.38 | $1,671.38 | 12.4× |
| Us pelvic non ob complete (76856) | $2,937.13 | $2,937.13 | 21.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,246.75 | $2,246.75 | 16.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$704.72–$1,497.10 | $704.72–$1,497.10 | varies |
| Us retroperitoneal complete (76770) | $2,394.84 | $2,394.84 | 17.8× |
| Us retroperitoneal limited (76775) | $596.34 | $596.34 | 4.4× |
| Us scrotum and contents (76870) | $2,390.30 | $2,390.30 | 17.8× |
| Us spinal canal and contents (76800) | $1,974.57 | $1,974.57 | 14.7× |
| Us thyroid (76536) | $2,450.89 | $2,450.89 | 18.2× |
| Us transrectal (76872) | $2,410.09 | $2,410.09 | 17.9× |
| Vein X-Ray Chest (75827) | $4,409.39 | $4,409.39 | 2.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,504.29 | $3,504.29 | 0.9× |
| Vein X-Ray Skull Epidural (75872) | $3,311.23 | $3,311.23 | 4.1× |
| Venogram Sinus/Jugular (75860) | $4,222.80 | $4,222.80 | 1.0× |
| Venography Adrenal Unilateral (75840) | $4,222.80 | $4,222.80 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $4,849.92 | $4,849.92 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $4,800.44 | $4,800.44 | 2.4× |
| Venography extremity unilateral rs&i (75820) | $2,772.16 | $2,772.16 | 1.4× |
| Venography Orbital Rs&I (75880) | $1,978.56 | $1,978.56 | 2.5× |
| Venography Renal Bilateral (75833) | $4,222.80 | $4,222.80 | 1.0× |
| Venography Renal Unilateral (75831) | $4,364.93 | $4,364.93 | 1.1× |
| Venous sampling by catheter (75893) | $7,300.60 | $7,300.60 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $253.31 | $253.31 | 2.3× |
| Wrist 2 views (73100) | $696.38 | $696.38 | 6.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $628.28 | $628.28 | 5.6× |
| X-ray antegrade pyelogram tube (74425) | $791.15 | $791.15 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $4,222.80 | $4,222.80 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $755.19 | $755.19 | 5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $819.39 | $819.39 | 7.3× |
| X-Ray Exam Breast Specimen (76098) | $1,675.38 | $1,675.38 | 2.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $833.25 | $833.25 | 7.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,416.60 | $2,416.60 | 18.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $894.16 | $894.16 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $858.04 | $858.04 | 7.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,032.14 | $1,032.14 | 9.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $508.66 | $508.66 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,394.38 | $1,394.38 | 10.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,497.52 | $1,497.52 | 11.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,765.51 | $1,765.51 | 13.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $945.04 | $945.04 | 8.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,495.85 | $1,495.85 | 11.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,516.83 | $1,516.83 | 11.3× |
| X-ray eye for foreign body (70030) | $685.39 | $685.39 | 6.1× |
| X-ray humerus (73060) | $899.44 | $899.44 | 8.0× |
| X-ray IV pyelogram (ivp) (74400) | $1,409.40 | $1,409.40 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $678.13 | $678.13 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $857.04 | $857.04 | 7.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,193.16 | $1,193.16 | 8.9× |
| X-ray nose-rectum child f.b. (76010) | $651.62 | $651.62 | 5.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,645.88 | $1,645.88 | 12.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,015.31 | $1,015.31 | 7.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,099.25 | $1,099.25 | 9.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,364.23 | $1,364.23 | 12.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,578.19 | $1,578.19 | 11.7× |
| X-Ray Stress View (77071) | $409.20 | $409.20 | 3.7× |
| X-ray thoracic spine 4 vw (72074) | $1,125.39 | $1,125.39 | 8.4× |
| X-Ray Tmj Unilat (70328) | $757.58 | $757.58 | 6.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,986.88 | $1,986.88 | 4.4× |
| X-Rays Bone Length Studies (77073) | $879.58 | $879.58 | 6.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$2,631.12–$2,894.23 | $2,631.12–$2,894.23 | varies |
| Xr c-spine 4 or 5 views (72050) | $1,714.24 | $1,714.24 | 12.7× |
| Xr facial bones less than 3 views (70140) | $1,080.27 | $1,080.27 | 9.7× |
| Xr orbits complete 4 views (70200) | $1,657.18 | $1,657.18 | 12.3× |
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.