Imaging prices at Salinas Valley Health Medical Center
Salinas, CA · every code in this section with a posted price and a Medicare benchmark.
333 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) | $944.56 | $944.56 | 7.4× |
| Abdomen 2 views (74019) | $1,307.83 | $1,307.83 | 8.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,602.52 | $4,602.52 | 7.9× |
| Angio internal mammary (75756) | $7,055.71 | $7,055.71 | 1.5× |
| Angio pulmonary bilat (75743) | $12,169.47 | $12,169.47 | 2.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $11,899.98 | $11,899.98 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $10,946.17 | $10,946.17 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $13,333.31 | $13,333.31 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,931.66 | $10,931.66 | 2.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,766.55 | $11,766.55 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$775.46–$1,648.67 | $775.46–$1,648.67 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,313.48 | $12,313.48 | 1.5× |
| Artery X-Rays Abdomen (75726) | $13,520.89 | $13,520.89 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) | $11,766.55 | $11,766.55 | 2.5× |
| Artery X-Rays Pelvis (75736) | $14,409.97 | $14,409.97 | 1.8× |
| Artery X-Rays Spine (75705) | $8,836.48 | $8,836.48 | 1.1× |
| Arthrogram ankle (73615) | $1,412.20 | $1,412.20 | 2.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$2,153.32–$5,167.93 | $2,153.32–$5,167.93 | varies |
| Arthrogram Wrist (73115) | $1,408.23 | $1,408.23 | 2.8× |
| Bone age studies (77072) | $927.37 | $927.37 | 6.1× |
| Bone Imaging 3 Phase (78315) | $5,359.49 | $5,359.49 | 9.2× |
| Bone Imaging Limited Area (78300) | $2,582.65 | $2,582.65 | 4.4× |
| Bone Imaging Multiple Areas (78305) | $3,469.63 | $3,469.63 | 5.9× |
| Bone Imaging Whole Body (78306) | $4,980.35 | $4,980.35 | 8.5× |
| Bone survey infant (77076) | $1,355.39 | $1,355.39 | 8.9× |
| Brain Flow Imaging Only (78610) | $3,922.18 | $3,922.18 | 4.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,964.45 | $5,964.45 | 11.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,150.45 | $7,150.45 | 6.2× |
| Cardiac Shunt Detection (78428) | $3,015.95 | $3,015.95 | 5.2× |
| Cat Scan Follow-Up Study (76380) | $2,782.12 | $2,782.12 | 21.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,617.04 | $3,617.04 | 4.6× |
| Cerebrospinal Fluid Scan (78630) | $5,354.20 | $5,354.20 | 6.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$922.09–$1,111.01 | $922.09–$1,111.01 | varies |
| Chest 2 views (71046) | $1,147.98 | $1,147.98 | 9.0× |
| Chest 3 views (71047) | $1,284.05 | $1,284.05 | 10.1× |
| Chest 4 or more views (71048) | $1,548.27 | $1,548.27 | 10.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$1,107.04–$1,384.47 | $1,107.04–$1,384.47 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,144.37 | $2,144.37 | 14.0× |
| Contrast Exam Abdominl Aorta (75625) | $10,781.06 | $10,781.06 | 2.3× |
| Contrast X-Ray Bladder (74430) | $1,545.62 | $1,545.62 | 3.0× |
| Contrast X-Ray Of Elbow (73085) | $1,546.95 | $1,546.95 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $2,301.26 | $2,301.26 | 4.5× |
| CT abdomen and pelvis without and with contrast (74178) | $14,160.30 | $14,160.30 | 27.7× |
| CT abdomen and pelvis without contrast (74176) | $8,989.72 | $8,989.72 | 25.8× |
| CT abdomen w contrast (74160) | $6,584.09 | $6,584.09 | 25.7× |
| CT abdomen w wo contrast (74170) | $7,508.82 | $7,508.82 | 29.3× |
| CT abdomen w/o contrast (74150) | $5,891.86 | $5,891.86 | 38.5× |
| CT Angio Abdomen and Pelvis (74174) | $15,880.28 | $15,880.28 | 31.1× |
| CT Angio Chest (71275) | $7,523.37 | $7,523.37 | 29.3× |
| CT Angio Head (70496) | $7,607.90 | $7,607.90 | 29.7× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$5,931.50–$6,538.99 | $5,931.50–$6,538.99 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,759.31–$8,880.05 | $3,759.31–$8,880.05 | varies |
| CT Angio Neck (70498) | $5,735.97 | $5,735.97 | 22.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,342.42 | $9,342.42 | 36.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $5,147.08 | $5,147.08 | 20.1× |
| CT cervical spine w/ contrast (72126) | $8,851 | $8,851 | 17.3× |
| CT cervical spine w/o contrast (72125) | $8,061.01 | $8,061.01 | 52.7× |
| CT cervical spine w/wo cont (72127) | $8,851 | $8,851 | 34.5× |
| CT chest w contrast (71260) | $7,938.16 | $7,938.16 | 30.9× |
| CT chest w/wo contrast (71270) | $8,494.33 | $8,494.33 | 33.1× |
| CT head/brain with contrast (70460) | $5,214.18 | $5,214.18 | 20.3× |
| CT head/brain without and with contrast (70470) | $6,133.61 | $6,133.61 | 23.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,051.68 | $5,051.68 | 9.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,750 | $2,750 | 21.6× |
| CT hrt w/3d image congen (75573) | $3,752.94 | $3,752.94 | 7.4× |
| CT iac w contrast (70481) | $6,883.98 | $6,883.98 | 26.8× |
| CT l-spine w&w/o contrast (72133) | $6,998.89 | $6,998.89 | 27.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,808.63–$8,979.13 | $5,808.63–$8,979.13 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$5,940.74–$6,915.68 | $5,940.74–$6,915.68 | varies |
| CT lumbar spine w contrast (72132) | $7,775.67 | $7,775.67 | 15.2× |
| CT lumbar spine w/o contrast (72131) | $6,421.60 | $6,421.60 | 42.0× |
| CT maxillofacial w contrast (70487) | $6,688.45 | $6,688.45 | 26.1× |
| CT maxillofacial wo contrast (70486) | $5,417.61 | $5,417.61 | 35.4× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,750.38–$5,883.94 | $2,750.38–$5,883.94 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,809.97 | $5,809.97 | 22.6× |
| CT orbits w/o contrast (70480) | $6,356.87 | $6,356.87 | 41.6× |
| CT pelvis w&w/o contrast (72194) | $8,440.15 | $8,440.15 | 32.9× |
| CT pelvis w/o contrast (72192) | $5,796.76 | $5,796.76 | 37.9× |
| CT scan of leg combo (73702) | $8,643.60 | $8,643.60 | 33.7× |
| CT scans face/jaw combo (70488) | $7,309.35 | $7,309.35 | 28.5× |
| CT soft tissue neck w contrast (70491) | $5,883.94 | $5,883.94 | 22.9× |
| CT soft tissue neck w/o contrast (70490) | $4,869.38 | $4,869.38 | 31.8× |
| CT thoracic spine w contrast (72129) | $8,919.70 | $8,919.70 | 34.8× |
| CT thoracic spine w/o contrast (72128) | $7,737.36 | $7,737.36 | 50.6× |
| CT thoracic spine w/wo cont (72130) | $7,207.79 | $7,207.79 | 28.1× |
| CT thorax w/o contrast (71250) | $7,704.33 | $7,704.33 | 50.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,721.45–$7,330.48 | $5,721.45–$7,330.48 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $7,177.24 | $7,177.24 | 28.0× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$5,940.74–$7,330.48 | $5,940.74–$7,330.48 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $10,966.01 | $10,966.01 | 42.7× |
| Cta Abdomen (74175) | $8,014.79 | $8,014.79 | 31.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $12,588.55 | $12,588.55 | 24.7× |
| CTA pelvis (72191) | $7,562.98 | $7,562.98 | 29.5× |
| Dilation ureters/urethra rs&i (74485) | $4,776.91 | $4,776.91 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,347.46 | $1,347.46 | 8.8× |
| Dxa Bone Density Axial (77080) | $770.17 | $770.17 | 5.0× |
| Dxa bone density study (77085) | $1,034.38 | $1,034.38 | 6.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $338.19 | $338.19 | 2.7× |
| Echo Guide For Artery Repair (76936) | $2,951.21 | $2,951.21 | 9.3× |
| Esophagram (74220) | $1,947.23 | $1,947.23 | 7.6× |
| Fetal Biophys Profile W/Nst (76818) | $6,461.31 | $6,461.31 | 42.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,606.45 | $3,606.45 | 23.6× |
| Fluoroscopy up to 1 hr (76000) | $2,879.87 | $2,879.87 | 8.3× |
| Follow-Up Angiography (75898) | $3,323.75 | $3,323.75 | 0.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$630.14–$1,256.32 | $630.14–$1,256.32 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$996.07–$1,573.37 | $996.07–$1,573.37 | varies |
| Gastric emptying imaging study (78264) | $5,089.98 | $5,089.98 | 8.7× |
| Gated Heart Planar Single (78472) | $6,020.01 | $6,020.01 | 10.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$788.66–$1,262.92 | $788.66–$1,262.92 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,145.63 | $10,145.63 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,814 | $7,814 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $4,772.94 | $4,772.94 | 6.0× |
| Hepatobiliary System Imaging (78226) | $3,763.66 | $3,763.66 | 6.4× |
| Ht Muscle Image Spect Sing (78451) | $3,648.72 | $3,648.72 | 1.9× |
| Hysterosalpingogram (74740) | $2,134.81 | $2,134.81 | 6.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,607.74 | $2,607.74 | 20.5× |
| Infant hip ultrasound, limited static exam (76886) | $1,408.23 | $1,408.23 | 11.1× |
| K Flow/Funct Image W/Drug (78708) | $5,878.65 | $5,878.65 | 7.4× |
| K Flow/Funct Image W/O Drug (78707) | $4,961.84 | $4,961.84 | 6.2× |
| Kidney Imaging Morphol (78700) | $3,860.10 | $3,860.10 | 6.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$1,101.74–$2,383.17 | $1,101.74–$2,383.17 | varies |
| Leveen/Shunt Patency Exam (78291) | $5,034.50 | $5,034.50 | 8.6× |
| Liver & Spleen Imaging Static Only (78215) | $3,924.82 | $3,924.82 | 6.7× |
| Lung Perf&Ventilat Diferentl (78598) | $8,701.73 | $8,701.73 | 11.0× |
| Lung perfusion differential (78597) | $8,701.73 | $8,701.73 | 14.9× |
| Lung Ventilat&Perfus Imaging (78582) | $3,405.66 | $3,405.66 | 4.3× |
| Lung Ventilation Imaging (78579) | $3,738.57 | $3,738.57 | 6.4× |
| Lymph System Imaging (78195) | $5,001.48 | $5,001.48 | 6.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,091.04 | $7,091.04 | 1.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,007.71–$4,957.87 | $3,007.71–$4,957.87 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,200.82 | $1,200.82 | 3.4× |
| Mammary ductogram or galactogram single (77053) | $634.09 | $634.09 | 1.8× |
| Meckels Divert Exam (78290) | $3,578.71 | $3,578.71 | 6.1× |
| Mra Head W/O & W/Contrast Material (70546) | $10,150.91 | $10,150.91 | 19.9× |
| MRA head w/o contrast (70544) | $6,747.91 | $6,747.91 | 19.3× |
| MRA head with contrast (70545) | $2,310.87 | $2,310.87 | 4.5× |
| MRA neck w contrast (70548) | $3,810.27 | $3,810.27 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,684.59 | $9,684.59 | 19.0× |
| MRA neck w/o contrast (70547) | $6,593.34 | $6,593.34 | 18.9× |
| MRI abdomen w contrast (74182) | $9,471.91 | $9,471.91 | 18.6× |
| MRI abdomen w/o contrast (74181) | $6,256.46 | $6,256.46 | 17.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$8,224.82–$9,788.95 | $8,224.82–$9,788.95 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$10,062.41–$11,267.20 | $10,062.41–$11,267.20 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$7,140.27–$9,788.95 | $7,140.27–$9,788.95 | varies |
| MRI cardiac w/o contrast (75557) | $4,772.07 | $4,772.07 | 13.7× |
| MRI cervical spine w contrast (72142) | $9,062.37 | $9,062.37 | 17.8× |
| MRI cervical spine w/o cont (72141) | $7,319.91 | $7,319.91 | 21.0× |
| MRI chest w/o contrast (71550) | $2,614.07 | $2,614.07 | 7.5× |
| MRI chest with contrast (71551) | $3,406.44 | $3,406.44 | 3.0× |
| MRI chest wo w contrast (71552) | $9,136.34 | $9,136.34 | 17.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,080.87 | $9,080.87 | 17.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,659.47 | $9,659.47 | 18.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$5,240.60–$9,745.35 | $5,240.60–$9,745.35 | varies |
| MRI lumbar spine w contrast (72149) | $7,560.34 | $7,560.34 | 14.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,026.74 | $10,026.74 | 19.6× |
| MRI orbit face &/neck w/o contrast (70540) | $5,165.30 | $5,165.30 | 14.8× |
| MRI orbit face neck w contrast (70542) | $5,739.94 | $5,739.94 | 11.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,041.24 | $9,041.24 | 17.7× |
| MRI pelvis w contrast (72196) | $2,490.49 | $2,490.49 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $10,564.41 | $10,564.41 | 20.7× |
| MRI pelvis w/o contrast (72195) | $6,987 | $6,987 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $7,145.53 | $7,145.53 | 20.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,482.34 | $5,482.34 | 10.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$4,873.32–$9,745.35 | $4,873.32–$9,745.35 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,811.28 | $5,811.28 | 11.4× |
| MRI, abdomen, combo (74183) | $9,279.03 | $9,279.03 | 18.2× |
| MRI, dorsal spine combo (72157) | $8,218.22 | $8,218.22 | 16.1× |
| MRI, dorsal spine contrast (72147) | $3,596.25 | $3,596.25 | 7.0× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$4,923.54–$8,770.42 | $4,923.54–$8,770.42 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$7,821.92–$10,250 | $7,821.92–$10,250 | varies |
| MRI, lumbar spine combo (72158) | $10,759.92 | $10,759.92 | 21.1× |
| Myelogram cervical (72240) | $3,145.41 | $3,145.41 | 2.7× |
| Myelogram Lumbar (72265) | $3,146.72 | $3,146.72 | 2.7× |
| Myelography thoracic (72255) | $5,241.91 | $5,241.91 | 4.6× |
| Myelograpy 2/more regions rs&i (72270) | $5,972.44 | $5,972.44 | 5.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$8,341.08–$10,092.79 | $8,341.08–$10,092.79 | varies |
| N-invas est c ffr sw aly CTA (75580) | $7,490.84 | $7,490.84 | 6.0× |
| Neck soft tissue (70360) | $752.99 | $752.99 | 5.9× |
| Nm csf leak detection (78650) | $9,088.80 | $9,088.80 | 4.8× |
| Nm unlisted gi procedure (78299) | $5,934.12 | $5,934.12 | 10.1× |
| Nuclear Rx Intra-Arterial (79445) | $2,690.97 | $2,690.97 | 7.9× |
| Nuclear Rx Oral Admin (79005) | $2,586.61 | $2,586.61 | 7.6× |
| Ob us nuchal meas 1 gest (76813) | $842.84 | $842.84 | 5.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,722.49 | $4,722.49 | 5.9× |
| Parathyroid Planar Imaging (78070) | $4,229.97 | $4,229.97 | 7.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,156.01 | $4,156.01 | 7.1× |
| Pelvis 1 or 2 views (72170) | $944.56 | $944.56 | 6.2× |
| Peritoneogram Rs&I (74190) | $1,977.61 | $1,977.61 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $14,394.10 | $14,394.10 | 6.9× |
| PET image w/CT, full body (78816) | $20,957.07 | $20,957.07 | 10.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $20,957.07 | $20,957.07 | 10.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,038.44 | $4,038.44 | 6.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $5,575.64 | $5,575.64 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,525.82 | $1,525.82 | 10.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,856.07 | $1,856.07 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$1,093.82–$1,877.21 | $1,093.82–$1,877.21 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$653.92–$1,465.03 | $653.92–$1,465.03 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$1,035.72–$2,276.17 | $1,035.72–$2,276.17 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,667.16 | $1,667.16 | 10.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$710.72–$1,269.53 | $710.72–$1,269.53 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$1,149.31–$2,298.62 | $1,149.31–$2,298.62 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$974.94–$2,258.99 | $974.94–$2,258.99 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $618.82 | $618.82 | 4.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $946.18 | $946.18 | 6.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,161.20 | $1,161.20 | 9.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,343.50 | $1,343.50 | 10.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$1,212.72–$2,252.39 | $1,212.72–$2,252.39 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $912.85 | $912.85 | 7.2× |
| Radex Spine 1 View Specify Level (72020) | $916.82 | $916.82 | 7.2× |
| Radex Sternum Minimum 2 Views (71120) | $1,064.76 | $1,064.76 | 8.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,775.48 | $1,775.48 | 13.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$928.70–$1,183.66 | $928.70–$1,183.66 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $640.12 | $640.12 | 4.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$1,048.91–$2,252.39 | $1,048.91–$2,252.39 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,775.48 | $1,775.48 | 11.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,079.29 | $1,079.29 | 7.1× |
| Radiologic exam colon double contrast study (74280) | $4,212.81 | $4,212.81 | 16.4× |
| Radiologic exam colon single contrast study (74270) | $2,202.19 | $2,202.19 | 8.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,865.31 | $1,865.31 | 7.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$1,299.92–$2,084.62 | $1,299.92–$2,084.62 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,414.85 | $1,414.85 | 9.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,157.27 | $2,157.27 | 8.4× |
| Radiologic exam swallow function contrast study (74230) | $1,947.23 | $1,947.23 | 7.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,716.07 | $2,716.07 | 10.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$1,083.26–$2,166.51 | $1,083.26–$2,166.51 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$866.61–$1,387.09 | $866.61–$1,387.09 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$1,011.93–$1,790.03 | $1,011.93–$1,790.03 | varies |
| Ribs bilateral 3 views (71110) | $1,478.24 | $1,478.24 | 9.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,284.11 | $3,284.11 | 5.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,351.56 | $5,351.56 | 9.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,504.89 | $8,504.89 | 10.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,305.38 | $7,305.38 | 9.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,833.23 | $5,833.23 | 7.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,303.40 | $7,303.40 | 3.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,055.94 | $6,055.94 | 3.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,690.97 | $2,690.97 | 7.9× |
| Rp Therapy Intravenous Administration (79101) | $1,943.27 | $1,943.27 | 5.7× |
| Scapula (73010) range across 2 matching MRF lines |
$1,338.22–$1,891.73 | $1,338.22–$1,891.73 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $198.16 | $198.16 | 8.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$908.89–$1,264.24 | $908.89–$1,264.24 | varies |
| Shoulder Arthrography (73040) | $2,248.41 | $2,248.41 | 4.4× |
| Skull less than 4 views (70250) | $1,112.32 | $1,112.32 | 7.3× |
| Sternoclavicular joints (71130) | $993.43 | $993.43 | 7.8× |
| Thoracic spine 2 views (72070) | $1,338.22 | $1,338.22 | 8.8× |
| Thoracic spine 3 views (72072) | $1,561.46 | $1,561.46 | 10.2× |
| Thoracolumbar 2 views (72080) | $1,191.58 | $1,191.58 | 9.4× |
| Thyroid Imaging With Vascular Flow (78013) | $3,017.27 | $3,017.27 | 5.2× |
| Thyroid Met Imaging Body (78018) | $6,034.54 | $6,034.54 | 7.6× |
| Thyroid Uptake Measurement (78012) | $3,132.20 | $3,132.20 | 5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,017.27 | $3,017.27 | 5.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$790–$1,800.58 | $790–$1,800.58 | varies |
| Ultrasound Elastography Parenchyma (76981) | $500 | $500 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $1,539.01 | $1,539.01 | 10.1× |
| Ultrasound, abdomen limited (76705) | $1,642.06 | $1,642.06 | 10.7× |
| Umbilical-artery Doppler (OB) (76820) | $1,026.45 | $1,026.45 | 6.7× |
| Unlisted Dx Radiographic Procedure (76499) | $1,113.64 | $1,113.64 | 8.7× |
| Unlisted fluoroscopic procedure (76496) | $10,844.46 | $10,844.46 | 85.2× |
| Unlisted us procedure (76999) | $2,005.35 | $2,005.35 | 15.8× |
| Upper gi w/o kub (74240) | $1,965.73 | $1,965.73 | 7.7× |
| Ureteral Reflux Study (78740) | $4,854.84 | $4,854.84 | 8.3× |
| Urethrocystogram voiding (74455) | $2,590.59 | $2,590.59 | 7.4× |
| Urethrocystography retrograde (74450) | $2,243.13 | $2,243.13 | 6.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,163.85–$2,253.71 | $1,163.85–$2,253.71 | varies |
| Us chest (76604) | $1,587.88 | $1,587.88 | 10.4× |
| Us complete joint (76881) | $1,342.18 | $1,342.18 | 8.8× |
| Us exam, pelvic, limited (76857) | $1,700.19 | $1,700.19 | 11.1× |
| Us head (76506) | $2,005.35 | $2,005.35 | 13.1× |
| Us kidney transplant (76776) | $2,607.74 | $2,607.74 | 17.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $771.50 | $771.50 | 5.0× |
| Us ob detailed single fetus (76811) | $3,165.21 | $3,165.21 | 9.1× |
| Us ob limited 1 or more fetuses (76815) | $1,599.78 | $1,599.78 | 10.5× |
| Us ob transvaginal (76817) | $1,392.37 | $1,392.37 | 9.1× |
| Us pelvic non ob complete (76856) | $2,165.19 | $2,165.19 | 14.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,498.08 | $1,498.08 | 9.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,001.36 | $1,001.36 | 6.5× |
| Us retroperitoneal complete (76770) | $1,813.80 | $1,813.80 | 11.9× |
| Us retroperitoneal limited (76775) | $2,224.64 | $2,224.64 | 14.5× |
| Us scrotum and contents (76870) | $1,700.19 | $1,700.19 | 11.1× |
| Us spinal canal and contents (76800) | $2,643.42 | $2,643.42 | 17.3× |
| Us thyroid (76536) | $1,873.24 | $1,873.24 | 12.2× |
| Us transrectal (76872) | $1,758.32 | $1,758.32 | 11.5× |
| Vein X-Ray Chest (75827) | $9,194.47 | $9,194.47 | 4.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,832.42 | $5,832.42 | 1.3× |
| Venogram Sinus/Jugular (75860) | $7,728.11 | $7,728.11 | 1.7× |
| Venography Adrenal Unilateral (75840) | $11,054.51 | $11,054.51 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $9,194.47 | $9,194.47 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $8,227.49 | $8,227.49 | 3.6× |
| Venography extremity unilateral rs&i (75820) | $6,953.98 | $6,953.98 | 3.0× |
| Venography Renal Bilateral (75833) | $11,013.55 | $11,013.55 | 2.4× |
| Venography Renal Unilateral (75831) | $10,757.27 | $10,757.27 | 2.3× |
| Venous sampling by catheter (75893) | $11,878.84 | $11,878.84 | 1.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$849.43–$1,068.72 | $849.43–$1,068.72 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,088.55 | $1,088.55 | 8.6× |
| X-ray antegrade pyelogram tube (74425) | $3,117.66 | $3,117.66 | 6.1× |
| X-Ray Aorta Leg Arteries (75630) | $13,437.67 | $13,437.67 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $1,233.86 | $1,233.86 | 8.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$1,019.85–$1,355.39 | $1,019.85–$1,355.39 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$969.66–$1,245.74 | $969.66–$1,245.74 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $880.84 | $880.84 | 6.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,291.99 | $1,291.99 | 8.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,680.37 | $1,680.37 | 11.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,174.40 | $1,174.40 | 9.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,923.44 | $1,923.44 | 15.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,325.05 | $2,325.05 | 15.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,437.33 | $2,437.33 | 15.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,437.33 | $2,437.33 | 15.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,582.65 | $2,582.65 | 16.9× |
| X-Ray Exam L-S Spine Bending (72114) | $2,474.32 | $2,474.32 | 16.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,256.32 | $1,256.32 | 9.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,221.99 | $2,221.99 | 14.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,552.24 | $1,552.24 | 10.2× |
| X-ray eye for foreign body (70030) | $1,046.26 | $1,046.26 | 8.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$980.20–$1,705.48 | $980.20–$1,705.48 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,085.96 | $3,085.96 | 12.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $816.41 | $816.41 | 6.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,387.09 | $1,387.09 | 10.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,291.99 | $1,291.99 | 8.4× |
| X-ray nose-rectum child f.b. (76010) | $893.03 | $893.03 | 7.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,478.24 | $1,478.24 | 9.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,335.58 | $1,335.58 | 8.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $730.53 | $730.53 | 4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,330.30 | $1,330.30 | 10.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,517.88 | $1,517.88 | 11.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,214.08 | $2,214.08 | 14.5× |
| X-ray thoracic spine 4 vw (72074) | $1,472.98 | $1,472.98 | 9.6× |
| X-Ray Tmj Unilat (70328) | $816.41 | $816.41 | 6.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,417.51 | $2,417.51 | 4.7× |
| X-Rays Bone Length Studies (77073) | $1,361.99 | $1,361.99 | 8.9× |
| X-Rays Bone Survey Complete (77075) | $2,800.62 | $2,800.62 | 18.3× |
| Xr c-spine 4 or 5 views (72050) | $1,680.37 | $1,680.37 | 11.0× |
| Xr facial bones less than 3 views (70140) | $980.20 | $980.20 | 7.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $372.99 | $372.99 | 2.4× |
| Xr orbits complete 4 views (70200) | $1,301.23 | $1,301.23 | 8.5× |
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.