Imaging prices at Saint Agnes Medical Center
Fresno, CA · every code in this section with a posted price and a Medicare benchmark.
341 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) | $6,064.50 | $9,330 | 3.4× |
| Abdomen 1 View (74018) | $12,410.83 | — | 110.9× |
| Abdomen 2 views (74019) | $218.40 | $336 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,467.70 | $2,258 | 2.9× |
| Angio internal mammary (75756) | $2,691 | $4,140 | 0.7× |
| Angio pulmonary bilat (75743) | $2,237.95 | $3,443 | 0.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,036.50 | $6,210 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $37,945.75 | — | 9.3× |
| Angiography extremity unilateral rs&i (75710) | $2,237.95 | $3,443 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,196.35 | $3,379 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,691 | $4,140 | 0.7× |
| Ankle 2 views (73600) | $196.30 | — | 1.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,460.90 | $3,786 | 0.3× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$37,030.03–$50,740.08 | — | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,691 | $4,140 | 0.7× |
| Artery X-Rays Pelvis (75736) | $40,306.58 | — | 5.6× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$3,538.60 | $5,444 | 0.5× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$441.35–$662.35 | $679–$1,019 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$551.85–$828.10 | $849–$1,274 | varies |
| Basic radiation dosimetry calculation (77300) | $389.35 | $599 | 2.3× |
| Bone age studies (77072) | $240.50 | $370 | 1.8× |
| Bone Imaging 3 Phase (78315) | $986.70 | $1,518 | 1.9× |
| Bone Imaging Limited Area (78300) | $796.90 | $1,226 | 1.5× |
| Bone Imaging Multiple Areas (78305) | $861.90 | $1,326 | 1.7× |
| Bone Imaging Whole Body (78306) | $929.50 | $1,430 | 1.8× |
| Bone marrow imaging limited area (78102) | $700.05 | $1,077 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $759.85 | $1,169 | 1.5× |
| Bone survey infant (77076) | $317.85 | $489 | 2.4× |
| Brachytx isodose complex (77318) | $1,251.25 | $1,925 | 2.6× |
| Brain Image W/Flow < 4 Views (78601) | $763.75 | $1,175 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,054.30 | $1,622 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,232.85 | $9,589 | 3.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$35,385.91–$39,934.89 | — | varies |
| Cerebrospinal Fluid Scan (78630) | $1,027.65 | $1,581 | 1.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19,564.63–$29,100.43 | — | varies |
| Chest 2 views (71046) | $460.20 | — | 4.1× |
| Chest 3 views (71047) | $369.85 | $569 | 3.3× |
| Chest 4 or more views (71048) | $460.20 | $708 | 3.4× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$201.50–$302.25 | $310–$465 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $454.35 | $699 | 3.4× |
| Continuing medical physics consltj pr wk (77336) | $523.25 | $805 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $5,247.45 | $8,073 | 1.3× |
| Contrast X-Ray Bladder (74430) | $381.55 | $587 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$796.90–$1,195.35 | $1,226–$1,839 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,089.80 | $6,292 | 9.1× |
| CT abdomen and pelvis without contrast (74176) | $2,863.25 | — | 9.3× |
| CT abdomen w contrast (74160) | $1,363.05 | $2,097 | 6.0× |
| CT abdomen w wo contrast (74170) | $1,541.80 | $2,372 | 6.8× |
| CT abdomen w/o contrast (74150) | $1,235.65 | $1,901 | 9.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,271.45 | $5,033 | 7.3× |
| CT Angio Chest (71275) | $2,402.40 | — | 10.6× |
| CT Angio Head (70496) | $4,011.80 | — | 17.8× |
| CT angio hrt w/3d image (75574) | $2,193.10 | $3,374 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,924–$2,886 | $2,960–$4,440 | varies |
| CT Angio Neck (70498) | $1,887.60 | $2,904 | 8.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,924 | $2,960 | 8.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,013.70 | $3,098 | 8.9× |
| CT cervical spine w/ contrast (72126) | $1,843.40 | $2,836 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,665.30 | $2,562 | 12.4× |
| CT cervical spine w/wo cont (72127) | $2,059.20 | $3,168 | 9.1× |
| CT chest w contrast (71260) | $1,775.80 | — | 7.9× |
| CT chest w/wo contrast (71270) | $1,637.35 | $2,519 | 7.3× |
| CT head/brain with contrast (70460) | $1,367.60 | $2,104 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,790.10 | $2,754 | 7.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,235 | $1,900 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $419.25 | $645 | 3.7× |
| CT iac w contrast (70481) | $1,410.50 | $2,170 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $2,022.15 | $3,111 | 9.0× |
| CT lower ext w/o (73700) | $980.85 | — | 7.3× |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$1,148.55–$1,723.15 | $1,767–$2,651 | varies |
| CT lumbar spine w contrast (72132) | $1,732.90 | $2,666 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,429.35 | $2,199 | 10.6× |
| CT maxillofacial w contrast (70487) | $1,300.65 | $2,001 | 5.8× |
| CT maxillofacial wo contrast (70486) | $1,175.85 | $1,809 | 8.7× |
| CT neck tissue combo (70492) | $1,366.95 | $2,103 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,537.25 | $2,365 | 6.8× |
| CT orbits w/o contrast (70480) | $1,214.20 | $1,868 | 9.0× |
| CT pelvis w&w/o contrast (72194) | $1,790.10 | $2,754 | 7.9× |
| CT pelvis w/o contrast (72192) | $1,110.85 | $1,709 | 8.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,391.65–$2,087.80 | $2,141–$3,212 | varies |
| CT scans face/jaw combo (70488) | $1,509.95 | $2,323 | 6.7× |
| CT soft tissue neck w contrast (70491) | $1,255.15 | $1,931 | 5.6× |
| CT soft tissue neck w/o contrast (70490) | $1,080.30 | $1,662 | 8.0× |
| CT thoracic spine w contrast (72129) | $1,870.05 | $2,877 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $3,090.75 | — | 23.0× |
| CT thoracic spine w/wo cont (72130) | $2,247.70 | $3,458 | 10.0× |
| CT thorax w/o contrast (71250) | $1,142.70 | $1,758 | 8.5× |
| CT unlisted procedure (76497) | $975 | $1,500 | 8.7× |
| CT upper ext wo (73200) | $1,082.90 | — | 8.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,552.20–$2,328.30 | $2,388–$3,582 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$1,304.55–$1,957.15 | $2,007–$3,011 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,665 | $4,100 | 11.8× |
| Cta Abdomen (74175) | $4,407.65 | — | 19.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,013.70 | $3,098 | 4.5× |
| CTA pelvis (72191) | $2,212.60 | $3,404 | 9.8× |
| Dilation ureters/urethra rs&i (74485) | $1,101.10 | $1,694 | 0.4× |
| Diskography lumbar (72295) | $3,605.55 | $5,547 | 1.4× |
| Dxa Bone Density Axial (77080) | $460.20 | $708 | 3.4× |
| Dxa bone density study (77085) | $226.85 | $349 | 1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $180.05 | $277 | 1.6× |
| Echo exam uterus (76831) | $442 | $680 | 1.4× |
| Echo Guide For Artery Repair (76936) | $1,076.40 | $1,656 | 3.9× |
| Echograp Trans R Pros Study (76873) | $367.90 | $566 | 2.7× |
| Esophagram (74220) | $399.75 | $615 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $631.15 | $971 | 4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $631.15 | $971 | 4.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,804.40 | $2,776 | 5.9× |
| Fluoroscopy up to 1 hr (76000) | $1,339.65 | — | 4.4× |
| Follow-Up Angiography (75898) | $1,459.25 | $2,245 | 0.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$294.45–$1,073.80 | — | varies |
| Forearm 2 views (73090) | $692.90 | — | 6.2× |
| Gastric emptying imaging study (78264) | $1,350.05 | $2,077 | 2.6× |
| Gated Heart Planar Single (78472) | $1,164.80 | $1,792 | 2.3× |
| Gated Heart, Multiple (78473) | $1,408.55 | $2,167 | 2.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$213.85–$321.10 | $329–$494 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,045.55 | $3,147 | 2.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,691 | $4,140 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,237.95 | $3,443 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,961.05 | $3,017 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,483.30 | $2,282 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $2,416.70 | $3,718 | 1.5× |
| Hysterosalpingogram (74740) | $429 | $660 | 1.4× |
| Interstitial radiation source applic complex (77778) | $3,239.60 | $4,984 | 3.6× |
| K Flow/Funct Image Multiple (78709) | $1,624.35 | $2,499 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,456 | $2,240 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $958.10 | $1,474 | 1.4× |
| Kidney Imaging Morphol (78700) | $724.75 | $1,115 | 1.4× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$271.05–$406.90 | $417–$626 | varies |
| Leveen/Shunt Patency Exam (78291) | $904.80 | $1,392 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,115.40 | $1,716 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,015.95 | $1,563 | 2.0× |
| Liver imaging static only (78201) | $1,023.10 | $1,574 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,299.35 | $1,999 | 1.9× |
| Lung perfusion differential (78597) | $781.30 | $1,202 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,307.15 | $2,011 | 1.9× |
| Lung Ventilation Imaging (78579) | $832.65 | $1,281 | 1.6× |
| Lymph System Imaging (78195) | $1,506.70 | $2,318 | 2.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,724.50 | $5,730 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,483 | $3,820 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $3,097.90 | $4,766 | 10.1× |
| Meckels Divert Exam (78290) | $863.85 | $1,329 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,145.95 | $1,763 | 2.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $33.15 | $51 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,721.25 | $5,725 | 8.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,358.20–$7,678.16 | — | varies |
| MRA head with contrast (70545) | $2,546.05 | $3,917 | 5.7× |
| MRA neck w contrast (70548) | $2,503.15 | $3,851 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,015.05 | $6,177 | 8.9× |
| MRA neck w/o contrast (70547) | $2,135.25 | $3,285 | 7.0× |
| MRI abdomen w contrast (74182) | $2,309.45 | $3,553 | 5.1× |
| MRI abdomen w/o contrast (74181) | $2,538.90 | — | 8.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,535–$3,802.50 | $3,900–$5,850 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,263.35–$6,395.35 | $6,559–$9,839 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,540.85–$3,811.60 | $3,909–$5,864 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,003.65 | $4,621 | 9.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,002.65 | $3,081 | 6.5× |
| MRI cervical spine w contrast (72142) | $2,678 | $4,120 | 6.0× |
| MRI cervical spine w/o cont (72141) | $2,523.95 | $3,883 | 8.2× |
| MRI chest w/o contrast (71550) | $2,135.25 | $3,285 | 7.0× |
| MRI chest wo w contrast (71552) | $4,258.80 | $6,552 | 9.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,548–$3,822 | $3,920–$5,880 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,639.44 | — | 10.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$2,273.70–$3,410.55 | $3,498–$5,247 | varies |
| MRI lumbar spine w contrast (72149) | $2,550.60 | $3,924 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,327.70 | $6,658 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,112.50 | $3,250 | 6.9× |
| MRI orbit face neck w contrast (70542) | $3,248.05 | $4,997 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,276.35 | $6,579 | 9.5× |
| MRI pelvis w contrast (72196) | $2,424.50 | $3,730 | 5.4× |
| MRI pelvis w/o & w contrast (72197) | $4,271.15 | $6,571 | 9.5× |
| MRI pelvis w/o contrast (72195) | $2,059.20 | $3,168 | 6.7× |
| MRI spectroscopy (76390) | $2,092.35 | $3,219 | 18.7× |
| MRI thoracic spine w/o contrast (72146) | $2,372.50 | $3,650 | 7.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,540.85–$3,811.60 | $3,909–$5,864 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,251.60–$3,377.40 | $3,464–$5,196 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,461.60–$6,692.40 | $6,864–$10,296 | varies |
| MRI, abdomen, combo (74183) | $4,508.40 | $6,936 | 10.0× |
| MRI, dorsal spine combo (72157) | $4,306.90 | $6,626 | 9.6× |
| MRI, dorsal spine contrast (72147) | $2,557.75 | $3,935 | 5.7× |
| MRI, joint upper extrem (73221) | $2,306.20 | — | 7.5× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$4,263.35–$6,395.35 | $6,559–$9,839 | varies |
| MRI, lumbar spine combo (72158) | $4,327.70 | $6,658 | 9.6× |
| Myocardial Spect Multiple Studies (78452) | $2,752.10 | $4,234 | 1.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,124.55 | $4,807 | 1.7× |
| Neck soft tissue (70360) | $176.80 | $272 | 1.6× |
| Nm myocard infarct spect (78469) | $1,023.10 | $1,574 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $475.15 | $731 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,320.25 | $8,185 | 3.0× |
| Nuclear Rx Intra-Arterial (79445) | $559.65 | $861 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $664.30 | $1,022 | 2.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,157 | $1,780 | 1.7× |
| Parathyroid Planar Imaging (78070) | $903.50 | $1,390 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,478.10 | $2,274 | 2.9× |
| Pelvis 1 or 2 views (72170) | $220.35 | $339 | 1.6× |
| Peritoneogram Rs&I (74190) | $737.75 | $1,135 | 1.0× |
| PET image w/CT, full body (78816) | $6,618.95 | $10,183 | 3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,232.85 | $9,589 | 3.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,108.95 | $4,783 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $767 | $1,180 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $308.75 | $475 | 2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,125.01 | — | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$361.40–$1,280.50 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$169.65–$254.80 | $261–$392 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$234.65–$352.30 | $361–$542 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $276.90 | $426 | 2.1× |
| Radex fingr minimum 2 views (73140) | $178.10 | — | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$213.85–$724.75 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$514.15–$724.75 | — | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$170.95–$256.75 | $263–$395 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $241.80 | $372 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $187.20 | $288 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$401.05–$468.65 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $180.70 | $278 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $190.45 | $293 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $187.85 | $289 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $226.85 | $349 | 2.0× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$173.55–$260.65 | $267–$401 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$206.05–$309.40 | $317–$476 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$405.60–$1,073.15 | — | varies |
| Radiation treatment delivery level 3 (77412) | $755.30 | $1,162 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $255.45 | $393 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $245.70 | $378 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $523.25 | $805 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $421.20 | $648 | 1.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $414.05 | $637 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$298.35–$447.85 | $459–$689 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $247 | $380 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $412.75 | $635 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $423.80 | $652 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $455 | $700 | 2.0× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$139.10–$208.65 | $214–$321 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$467.35–$548.60 | — | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$294.45–$52,208.78 | — | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $444.60 | $684 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$195.65–$986.70 | — | varies |
| Renal Cyst Study (74470) | $747.50 | $1,150 | 1.1× |
| Ribs bilateral 3 views (71110) | $293.80 | $452 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $833.95 | $1,283 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $876.20 | $1,348 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,757.60 | $2,704 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,754.70 | $4,238 | 3.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,754.70 | $4,238 | 3.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,754.70 | $4,238 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,124.55 | $4,807 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,754.70 | $4,238 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $585 | $900 | 1.9× |
| Scapula (73010) range across 3 matching MRF lines |
$208.65–$313.30 | $321–$482 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$78.65–$118.30 | $121–$182 | varies |
| Shoulder 1 view (73020) | $3,259.75 | — | 29.1× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$554.45–$832 | $853–$1,280 | varies |
| Skull less than 4 views (70250) | $243.75 | $375 | 1.8× |
| Special dosimetry (77331) | $313.30 | $482 | 1.8× |
| Special Physics Consult (77370) | $596.05 | $917 | 3.4× |
| Special teletherapy port plan (77321) | $841.75 | $1,295 | 1.7× |
| Special treatment procedure (77470) | $2,206.10 | $3,394 | 3.1× |
| Sternoclavicular joints (71130) | $165.10 | $254 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $776.75 | $1,195 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,840.15 | $2,831 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $832.65 | $1,281 | 4.8× |
| Thoracic spine 2 views (72070) | $252.85 | $389 | 1.9× |
| Thoracic spine 3 views (72072) | $282.75 | $435 | 2.1× |
| Thoracolumbar 2 views (72080) | $249.60 | $384 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $928.20 | $1,428 | 1.8× |
| Thyroid Met Imaging Body (78018) | $1,437.15 | $2,211 | 2.1× |
| Thyroid Uptake Measurement (78012) | $707.20 | $1,088 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,190.80 | $1,832 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $877.50 | $1,350 | 1.8× |
| Tx devices design & construction simple (77332) | $287.95 | $443 | 1.7× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$265.20–$397.80 | $408–$612 | varies |
| Ultrasound Exam Aaa Screen (76706) | $321.75 | $495 | 2.4× |
| Ultrasound, abdomen limited (76705) | $691.60 | — | 5.1× |
| Umbilical-artery Doppler (OB) (76820) | $288.60 | $444 | 2.1× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$267.15–$468.65 | $411–$721 | varies |
| Upper gi w/o kub (74240) | $414.05 | $637 | 1.8× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $594.10 | $914 | 53.7× |
| Urea breath test c-14 isotopic analysis (78268) | $594.10 | $914 | 6.3× |
| Urethrocystogram voiding (74455) | $461.50 | $710 | 1.5× |
| Urethrocystography retrograde (74450) | $636.35 | $979 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$324.35–$486.85 | $499–$749 | varies |
| Us chest (76604) | $388.05 | $597 | 2.9× |
| Us complete joint (76881) | $447.85 | $689 | 3.3× |
| Us exam, pelvic, limited (76857) | $296.40 | $456 | 2.2× |
| Us head (76506) | $391.30 | $602 | 2.9× |
| Us kidney transplant (76776) | $538.20 | $828 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $219.70 | $338 | 1.6× |
| Us ob detailed single fetus (76811) | $681.20 | $1,048 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $442 | $680 | 3.3× |
| Us ob transvaginal (76817) | $564.85 | $869 | 4.2× |
| Us pelvic non ob complete (76856) | $1,147.90 | — | 8.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $500.50 | $770 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $442 | $680 | 3.3× |
| Us retroperitoneal complete (76770) | $592.15 | $911 | 4.4× |
| Us retroperitoneal limited (76775) | $371.15 | $571 | 2.8× |
| Us scrotum and contents (76870) | $378.95 | $583 | 2.8× |
| Us spinal canal and contents (76800) | $295.10 | $454 | 2.2× |
| Us thyroid (76536) | $481.65 | $741 | 3.6× |
| Vein X-Ray Chest (75827) | $2,237.95 | $3,443 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,128.75 | $3,275 | 0.5× |
| Venogram Sinus/Jugular (75860) | $2,237.95 | $3,443 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $13,063.92 | — | 3.2× |
| Venography extremity bilateral rs&i (75822) | $56,028.02 | — | 27.7× |
| Venography extremity unilateral rs&i (75820) | $20,345.53 | — | 10.0× |
| Venography Renal Bilateral (75833) | $42,567.22 | — | 10.5× |
| Venography Renal Unilateral (75831) | $56,028.02 | — | 13.8× |
| Venous sampling by catheter (75893) | $15,838 | — | 2.2× |
| Wrist 2 views (73100) | $684.45 | — | 6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $180.05 | $277 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $681.85 | $1,049 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $5,836.35 | $8,979 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $267.15 | $411 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $401.05 | — | 3.6× |
| X-Ray Exam Breast Specimen (76098) | $26,271.91 | — | 37.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.45 | $293 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $263.90 | $406 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $182.65 | $281 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $381.55 | — | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $239.85 | $369 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $304.20 | $468 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $360.10 | $554 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $415.35 | $639 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $477.10 | $734 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $259.35 | $399 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $438.75 | $675 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $217.75 | $335 | 1.6× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$146.25–$219.70 | $225–$338 | varies |
| X-ray humerus (73060) | $406.25 | — | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $150.80 | $232 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $196.95 | $303 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276.90 | $426 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $150.80 | $232 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $355.55 | $547 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $222.30 | $342 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $262.60 | $404 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $321.10 | $494 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $291.85 | $449 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $735.80 | $1,132 | 1.6× |
| X-Rays Bone Length Studies (77073) | $241.15 | $371 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $573.95 | $883 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $397.80 | $612 | 3.0× |
| Xr facial bones less than 3 views (70140) | $174.20 | $268 | 1.6× |
| Xr orbits complete 4 views (70200) | $265.20 | $408 | 2.0× |
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.