Imaging prices at Sacred Heart Medical Center Riverbend
Springfield, OR · every code in this section with a posted price and a Medicare benchmark.
330 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) range across 2 matching MRF lines |
$6,368.70–$6,878.30 | $9,798–$10,582 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$200.20–$204.10 | $308–$314 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$298.35–$319.80 | $459–$492 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,276.60–$1,415.05 | $1,964–$2,177 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$3,400.15–$3,769.35 | $5,231–$5,799 | varies |
| Angio internal mammary (75756) | $4,996.55 | $7,687 | 1.4× |
| Angio pulmonary bilat (75743) | $5,136.30 | $7,902 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$7,525.05–$7,675.85 | $11,577–$11,809 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$5,495.75–$5,605.60 | $8,455–$8,624 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,322.20 | $8,188 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,697.90 | $8,766 | 1.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$219.05–$447.20 | $337–$688 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,207.15 | $8,011 | 0.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,222.70 | $4,958 | 0.9× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$12,467.65–$12,717.25 | $19,181–$19,565 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$15,211.30–$29,825.90 | $23,402–$45,886 | varies |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
$6,221.15–$143,086.45 | $9,571–$220,133 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$469.95–$507.65 | $723–$781 | varies |
| Bone age studies (77072) | $160.55 | $247 | 1.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,171.95–$1,207.05 | $1,803–$1,857 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,010.10–$1,119.95 | $1,554–$1,723 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$962.65–$991.25 | $1,481–$1,525 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,006.85–$1,036.75 | $1,549–$1,595 | varies |
| Bone marrow imaging limited area (78102) | $1,286.35 | $1,979 | 2.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$972.40–$991.90 | $1,496–$1,526 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,276.60 | $1,964 | 2.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,192.75 | $1,835 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$3,702.40–$4,104.10 | $5,696–$6,314 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,322.45 | $3,573 | 2.7× |
| Cardiac Shunt Detection (78428) | $939.90 | $1,446 | 2.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$562.25–$579.15 | $865–$891 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,396.20 | $2,148 | 2.3× |
| Cerebrospinal Fluid Scan (78630) | $1,334.45 | $2,053 | 2.2× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$196.95–$393.90 | $303–$606 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$206.05–$209.95 | $317–$323 | varies |
| Chest 3 views (71047) | $289.25 | $445 | 3.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$245.70–$358.15 | $378–$551 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$210.60–$214.50 | $324–$330 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $211.25 | $325 | 1.8× |
| Continuing medical physics consltj pr wk (77336) | $666.90 | $1,026 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$7,525.05–$7,675.85 | $11,577–$11,809 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,096.55 | $1,687 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$3,752.45–$3,864.90 | $5,773–$5,946 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,726.75–$2,808.65 | $4,195–$4,321 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,671.15–$1,721.20 | $2,571–$2,648 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,877.85–$1,934.40 | $2,889–$2,976 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,097.85–$1,131 | $1,689–$1,740 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,925–$3,012.75 | $4,500–$4,635 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,506.40–$2,581.80 | $3,856–$3,972 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$1,918.15–$5,129.15 | $2,951–$7,891 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,781.65–$1,834.95 | $2,741–$2,823 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,918.15–$1,976 | $2,951–$3,040 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,135.25–$2,199.60 | $3,285–$3,384 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,593.80–$1,802.45 | $2,452–$2,773 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,629.25 | $4,045 | 13.4× |
| CT cervical spine w/ contrast (72126) | $1,504.75 | $2,315 | 3.9× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,233.05–$1,270.10 | $1,897–$1,954 | varies |
| CT cervical spine w/wo cont (72127) | $1,812.85 | $2,789 | 9.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,671.15–$1,721.20 | $2,571–$2,648 | varies |
| CT chest w/wo contrast (71270) | $2,575.30 | $3,962 | 13.2× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,005.55–$1,035.45 | $1,547–$1,593 | varies |
| CT head/brain without and with contrast (70470) | $1,337.70 | $2,058 | 6.8× |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$1,099.80–$1,132.95 | $1,692–$1,743 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $159.90 | $246 | 1.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,220.70–$1,404 | $1,878–$2,160 | varies |
| CT l-spine w&w/o contrast (72133) | $2,081.95 | $3,203 | 10.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,087.45–$2,174.90 | $1,673–$3,346 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,671.15–$3,342.30 | $2,571–$5,142 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,707.55–$1,758.90 | $2,627–$2,706 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,366.30–$1,407.25 | $2,102–$2,165 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,671.15–$1,721.20 | $2,571–$2,648 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,097.85–$1,131 | $1,689–$1,740 | varies |
| CT neck tissue combo (70492) | $1,230.45 | $1,893 | 6.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,499.55–$1,662.05 | $2,307–$2,557 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$763.75–$771.55 | $1,175–$1,187 | varies |
| CT pelvis w&w/o contrast (72194) | $1,481.35 | $2,279 | 7.6× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,366.30–$1,407.25 | $2,102–$2,165 | varies |
| CT scan of leg combo (73702) | $1,314.30 | $2,022 | 6.7× |
| CT scans face/jaw combo (70488) | $1,196 | $1,840 | 6.1× |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$1,671.15–$1,721.20 | $2,571–$2,648 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,097.85–$1,131 | $1,689–$1,740 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,318.20–$1,357.85 | $2,028–$2,089 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,093.30–$1,125.80 | $1,682–$1,732 | varies |
| CT thoracic spine w/wo cont (72130) | $1,802.45 | $2,773 | 9.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,370.85–$1,411.80 | $2,109–$2,172 | varies |
| CT unlisted procedure (76497) | $191.10 | $294 | 2.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,096.55–$1,129.70 | $1,687–$1,738 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,671.15–$1,721.20 | $2,571–$2,648 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,324.40–$2,393.95 | $3,576–$3,683 | varies |
| Cta Abdomen (74175) | $2,206.10 | $3,394 | 11.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,264.30–$8,473.40 | $5,022–$13,036 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$880.75–$2,609.75 | $1,355–$4,015 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,016 | $4,640 | 1.3× |
| Diskography lumbar (72295) | $5,442.45 | $8,373 | 2.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $450.45 | $693 | 3.9× |
| Echo exam of fetal heart (76825) | $790.40 | $1,216 | 1.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$573.95–$585.65 | $883–$901 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$888.55–$1,055.60 | $1,367–$1,624 | varies |
| Follow-Up Angiography (75898) | $2,330.90 | $3,586 | 0.7× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$215.80–$440.70 | $332–$678 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$202.15–$404.30 | $311–$622 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,006.85–$1,036.75 | $1,549–$1,595 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,145.95 | $1,763 | 2.6× |
| Gated Heart Planar Single (78472) | $1,060.80 | $1,632 | 2.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$241.80–$282.75 | $372–$435 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,442.45 | $8,373 | 1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,619.30 | $11,722 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$1,451.45–$1,495 | $2,233–$2,300 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,219.40–$1,352 | $1,876–$2,080 | varies |
| Ht Musc Image Planar Mult (78454) | $3,378.70 | $5,198 | 2.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,688.10–$3,798.60 | $5,674–$5,844 | varies |
| Hysterosalpingogram (74740) | $530.40 | $816 | 2.0× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$232.05–$236.60 | $357–$364 | varies |
| K Flow/Funct Image Multiple (78709) | $1,186.25 | $1,825 | 2.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,214.85–$1,251.25 | $1,869–$1,925 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,447.55 | $2,227 | 2.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$229.45–$468 | $353–$720 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,127.75 | $1,735 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,248 | $1,920 | 2.8× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,525.55–$1,571.05 | $2,347–$2,417 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,131.65–$1,254.50 | $1,741–$1,930 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,597.05 | $2,457 | 2.6× |
| Lung Ventilation Imaging (78579) | $1,141.40 | $1,756 | 2.6× |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$1,194.05–$1,229.80 | $1,837–$1,892 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,848.10 | $12,074 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,361.10 | $2,094 | 5.1× |
| Meckels Divert Exam (78290) | $1,227.20 | $1,888 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,413.10 | $2,174 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,160.65–$4,285.45 | $6,401–$6,593 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,857.70–$3,715.40 | $2,858–$5,716 | varies |
| MRA head with contrast (70545) | $3,450.20 | $5,308 | 8.9× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,358.55–$3,723.20 | $5,167–$5,728 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$2,088.45–$2,150.85 | $3,213–$3,309 | varies |
| MRI abdomen w contrast (74182) | $1,952.60 | $3,004 | 5.0× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,857.05–$1,912.95 | $2,857–$2,943 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,144.35 | $3,299 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,547.05–$3,653.65 | $5,457–$5,621 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,787.50 | $2,750 | 2.0× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,211.60–$1,342.90 | $1,864–$2,066 | varies |
| MRI brain functional w/physician admnistration (70555) | $1,394.90 | $2,146 | 5.2× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,002.95–$1,111.50 | $1,543–$1,710 | varies |
| MRI cervical spine w contrast (72142) | $2,120.95 | $3,263 | 5.4× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,857.05–$1,912.95 | $2,857–$2,943 | varies |
| MRI chest w/o contrast (71550) | $1,924 | $2,960 | 7.2× |
| MRI chest with contrast (71551) | $1,768 | $2,720 | 2.0× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,224.95–$2,466.10 | $3,423–$3,794 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,114.45 | $3,253 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,843.75–$5,857.80 | $4,375–$9,012 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,857.05–$3,825.90 | $2,857–$5,886 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,950.65–$2,162.55 | $3,001–$3,327 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,660.10–$1,710.15 | $2,554–$2,631 | varies |
| MRI orbit face neck w contrast (70542) | $2,129.40 | $3,276 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,893.15–$2,980.25 | $4,451–$4,585 | varies |
| MRI pelvis w contrast (72196) | $1,578.85 | $2,429 | 4.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,185.30–$2,250.95 | $3,362–$3,463 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,857.05–$1,912.95 | $2,857–$2,943 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,094.30 | $3,222 | 5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,830.40–$1,885 | $2,816–$2,900 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,149.25–$3,243.50 | $4,845–$4,990 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| MRI, dorsal spine contrast (72147) | $1,945.45 | $2,993 | 5.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,857.05–$1,912.95 | $2,857–$2,943 | varies |
| MRI, joint upper extrem combo (73223) | $3,653.65 | $5,621 | 9.4× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,843.75–$2,928.90 | $4,375–$4,506 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,580.50 | $3,970 | 1.8× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$3,502.20–$3,607.50 | $5,388–$5,550 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$231.40–$235.95 | $356–$363 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,043.90 | $1,606 | 2.3× |
| Nm csf leak detection (78650) | $4,174.95 | $6,423 | 2.9× |
| Nm myocard infarct spect (78469) | $4,445.35 | $6,839 | 7.3× |
| Nonvascular Shunt X-Ray (75809) | $253.50 | $390 | 2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,534.80 | $11,592 | 4.9× |
| Nuclear Rx Intra-Arterial (79445) range across 3 matching MRF lines |
$819–$908.05 | $1,260–$1,397 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$652.60–$672.10 | $1,004–$1,034 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$163.15–$166.40 | $251–$256 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$365.95–$373.10 | $563–$574 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $298.35 | $459 | 2.6× |
| Panoramic X-ray of jaws (70355) | $144.95 | $223 | 1.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$2,115.75–$2,179.45 | $3,255–$3,353 | varies |
| Parathyroid Planar Imaging (78070) | $1,005.55 | $1,547 | 2.3× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$2,388.75–$2,460.25 | $3,675–$3,785 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$300.95–$319.80 | $463–$492 | varies |
| Peritoneogram Rs&I (74190) | $1,067.95 | $1,643 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,879.85 | $5,969 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$802.10–$826.15 | $1,234–$1,271 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$400.40–$408.20 | $616–$628 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$759.85–$774.80 | $1,169–$1,192 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$205.40–$410.80 | $316–$632 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$170.30–$224.25 | $262–$345 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$225.55–$451.10 | $347–$694 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$277.55–$336.70 | $427–$518 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$219.05–$438.10 | $337–$674 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$202.15–$412.10 | $311–$634 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$319.80–$639.60 | $492–$984 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$250.25–$266.50 | $385–$410 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$228.15–$257.40 | $351–$396 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$174.85–$349.70 | $269–$538 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$219.70–$439.40 | $338–$676 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$222.30–$226.85 | $342–$349 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$169.65–$248.95 | $261–$383 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $208 | $320 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$198.25–$233.35 | $305–$359 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$228.15–$253.50 | $351–$390 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$239.85–$488.80 | $369–$752 | varies |
| Radiation treatment delivery level 2 (77407) | $527.80 | $812 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $977.60 | $1,504 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$276.90–$282.75 | $426–$435 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $363.35 | $559 | 3.1× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$675.35–$792.35 | $1,039–$1,219 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$638.30–$672.75 | $982–$1,035 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$339.30–$678.60 | $522–$1,044 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$255.45–$332.80 | $393–$512 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$694.85–$708.50 | $1,069–$1,090 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$593.45–$605.15 | $913–$931 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$574.60–$586.30 | $884–$902 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$227.50–$232.05 | $350–$357 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$225.55–$451.10 | $347–$694 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$180.70–$361.40 | $278–$556 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$203.45–$406.90 | $313–$626 | varies |
| Renal Cyst Study (74470) | $1,372.80 | $2,112 | 2.3× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$295.10–$347.10 | $454–$534 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$1,083.55–$1,201.20 | $1,667–$1,848 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,205.75 | $1,855 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,502.20 | $5,388 | 5.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,835.30 | $4,362 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,403.35–$1,445.60 | $2,159–$2,224 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,910.70–$2,997.80 | $4,478–$4,612 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 3 matching MRF lines |
$2,835.30–$3,142.75 | $4,362–$4,835 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$4,919.20–$5,066.75 | $7,568–$7,795 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$692.90–$768.30 | $1,066–$1,182 | varies |
| Salivary Gland Function Study (78232) | $661.05 | $1,017 | 1.5× |
| Scapula (73010) range across 3 matching MRF lines |
$266.50–$271.70 | $410–$418 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$187.85–$383.50 | $289–$590 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$254.80–$319.80 | $392–$492 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$869.05–$938.60 | $1,337–$1,444 | varies |
| Special treatment procedure (77470) | $1,678.30 | $2,582 | 2.7× |
| Srs Multisource (77371) range across 2 matching MRF lines |
$72,798.70–$78,622.70 | $111,998–$120,958 | varies |
| Sternoclavicular joints (71130) | $229.45 | $353 | 2.4× |
| Superior sagittal sinus venogram (75870) | $1,346.15 | $2,071 | 0.4× |
| Testicular Imaging W/Flow (78761) | $786.50 | $1,210 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $981.50 | $1,510 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $876.85 | $1,349 | 5.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$1,315.60–$1,341.60 | $2,024–$2,064 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$255.45–$286.65 | $393–$441 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$319.80–$323.70 | $492–$498 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$241.15–$282.10 | $371–$434 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,037.40 | $1,596 | 2.3× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,280.50–$1,318.85 | $1,970–$2,029 | varies |
| Thyroid Uptake Measurement (78012) | $711.75 | $1,095 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$965.90–$995.15 | $1,486–$1,531 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,216.80–$3,379.35 | $1,872–$5,199 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$258.70–$517.40 | $398–$796 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$375.70–$383.50 | $578–$590 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$469.95–$939.90 | $723–$1,446 | varies |
| Unlisted fluoroscopic procedure (76496) | $221 | $340 | 2.3× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,098.50 | $1,690 | 2.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$627.25–$639.60 | $965–$984 | varies |
| Ureteral Reflux Study (78740) | $724.10 | $1,114 | 1.6× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$533.65–$544.05 | $821–$837 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$533.65–$544.05 | $821–$837 | varies |
| Us breast unilateral complete (76641) | $291.20 | $448 | 2.5× |
| Us chest (76604) range across 2 matching MRF lines |
$275.60–$280.80 | $424–$432 | varies |
| Us complete joint (76881) | $557.70 | $858 | 4.8× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$319.15–$325.65 | $491–$501 | varies |
| Us head (76506) range across 2 matching MRF lines |
$424.45–$432.90 | $653–$666 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$490.75–$962 | $755–$1,480 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$319.80–$326.30 | $492–$502 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$357.50–$364.65 | $550–$561 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$447.85–$456.95 | $689–$703 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$498.55–$508.30 | $767–$782 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$533–$543.40 | $820–$836 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$566.15–$577.20 | $871–$888 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$453.05–$462.15 | $697–$711 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$482.95–$492.70 | $743–$758 | varies |
| Us spinal canal and contents (76800) | $586.30 | $902 | 5.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$471.90–$481.65 | $726–$741 | varies |
| Us transrectal (76872) | $219.70 | $338 | 1.9× |
| Vein X-Ray Chest (75827) | $2,738.45 | $4,213 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,387.45 | $3,673 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $3,222.05 | $4,957 | 0.9× |
| Venogram Sinus/Jugular (75860) | $2,919.80 | $4,492 | 0.8× |
| Venography Adrenal Unilateral (75840) | $5,374.20 | $8,268 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $4,418.70 | $6,798 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $1,732.25 | $2,665 | 1.0× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,119.65–$2,161.90 | $3,261–$3,326 | varies |
| Venography Renal Bilateral (75833) | $6,828.25 | $10,505 | 1.9× |
| Venography Renal Unilateral (75831) | $2,802.15 | $4,311 | 0.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$193.05–$393.90 | $297–$606 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $242.45 | $373 | 2.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$634.40–$647.40 | $976–$996 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$5,655.65–$5,768.75 | $8,701–$8,875 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$170.95–$295.75 | $263–$455 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$172.25–$351 | $265–$540 | varies |
| X-Ray Exam Breast Specimen (76098) | $704.60 | $1,084 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $234.65 | $361 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$254.15–$269.10 | $391–$414 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$191.10–$195 | $294–$300 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$276.90–$565.50 | $426–$870 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$244.40–$290.55 | $376–$447 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$295.10–$308.10 | $454–$474 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$345.80–$460.85 | $532–$709 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$310.05–$488.80 | $477–$752 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$229.45–$311.35 | $353–$479 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$247–$469.95 | $380–$723 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$319.80–$323.70 | $492–$498 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$232.70–$237.25 | $358–$365 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$211.25–$422.50 | $325–$650 | varies |
| X-ray IV pyelogram (ivp) (74400) | $881.40 | $1,356 | 4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$174.20–$232.05 | $268–$357 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $196.95 | $303 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$319.80–$326.30 | $492–$502 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$566.15–$577.20 | $871–$888 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$328.25–$410.80 | $505–$632 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$228.15–$289.25 | $351–$445 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$226.20–$230.75 | $348–$355 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$196.95–$200.85 | $303–$309 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $286.65 | $441 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$319.15–$411.45 | $491–$633 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$318.50–$365.30 | $490–$562 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$944.45–$963.30 | $1,453–$1,482 | varies |
| X-Rays Bone Length Studies (77073) | $292.50 | $450 | 2.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$527.80–$538.20 | $812–$828 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$159.25–$407.55 | $245–$627 | varies |
| Xr facial bones less than 3 views (70140) | $217.10 | $334 | 2.2× |
| Xr orbits complete 4 views (70200) | $323.70 | $498 | 2.8× |
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.