Imaging prices at San Ramon Regional Medical Center
San Ramon, CA · every code in this section with a posted price and a Medicare benchmark.
289 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) | $1,334.25 | $1,779 | 10.9× |
| Abdomen 2 views (74019) | $2,202 | $2,936 | 14.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $7,713.75 | $10,285 | 13.7× |
| Angio internal mammary (75756) | $6,861.75 | $9,149 | 1.5× |
| Angio pulmonary bilat (75743) | $12,565.50 | $16,754 | 2.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,379.50 | $8,506 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $8,963.25 | $11,951 | 2.0× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$10,983–$12,289.50 | $14,644–$16,386 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,535 | $11,380 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,149.50 | $6,866 | 1.2× |
| Ankle 2 views (73600) | $1,602 | $2,136 | 13.0× |
| Aortography thoracic serialography rs&i (75605) | $7,711.50 | $10,282 | 1.0× |
| Artery X-Rays Abdomen (75726) | $4,458 | $5,944 | 0.6× |
| Arthrogram hip (73525) | $3,361.50 | $4,482 | 6.8× |
| Arthrogram Wrist (73115) | $4,425 | $5,900 | 9.0× |
| Bone age studies (77072) | $1,038 | $1,384 | 7.0× |
| Bone Imaging 3 Phase (78315) | $4,181.25 | $5,575 | 7.4× |
| Bone Imaging Limited Area (78300) | $3,793.50 | $5,058 | 6.7× |
| Bone Imaging Whole Body (78306) | $6,401.25 | $8,535 | 11.3× |
| Bone marrow imaging; whole body (78104) | $3,264.75 | $4,353 | 5.8× |
| Cat Scan Follow-Up Study (76380) range across 6 matching MRF lines |
$2,933.25–$5,232 | $3,911–$6,976 | varies |
| Cerebrospinal Fluid Scan (78630) | $5,431.50 | $7,242 | 7.1× |
| Chest 1 view (71045) | $1,201.50 | $1,602 | 9.8× |
| Chest 2 views (71046) | $1,506 | $2,008 | 12.3× |
| Chest 3 views (71047) | $2,292 | $3,056 | 18.7× |
| Chest 4 or more views (71048) | $2,713.50 | $3,618 | 18.4× |
| Clavicle complete (73000) | $1,952.25 | $2,603 | 15.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $603 | $804 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $9,294.75 | $12,393 | 2.1× |
| Contrast X-Ray Bladder (74430) | $2,933.25 | $3,911 | 6.0× |
| Contrast X-Ray Of Elbow (73085) | $4,179 | $5,572 | 8.5× |
| Contrast X-Ray Of Knee Joint (73580) | $3,113.25 | $4,151 | 6.3× |
| CT abdomen and pelvis without and with contrast (74178) | $15,916.50 | $21,222 | 32.3× |
| CT abdomen and pelvis without contrast (74176) | $15,603.75 | $20,805 | 46.3× |
| CT abdomen w contrast (74160) | $8,407.50 | $11,210 | 33.9× |
| CT abdomen w wo contrast (74170) | $10,849.50 | $14,466 | 43.8× |
| CT abdomen w/o contrast (74150) | $7,520.25 | $10,027 | 50.9× |
| CT Angio Abdomen and Pelvis (74174) | $9,048 | $12,064 | 18.4× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$14,033.25–$16,230 | $18,711–$21,640 | varies |
| CT Angio Head (70496) | $11,856 | $15,808 | 47.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$8,918.25–$11,634 | $11,891–$15,512 | varies |
| CT Angio Neck (70498) | $13,259.25 | $17,679 | 53.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$6,083.25–$7,349.25 | $8,111–$9,799 | varies |
| CT cervical spine w/ contrast (72126) | $11,455.50 | $15,274 | 23.3× |
| CT cervical spine w/o contrast (72125) | $10,643.25 | $14,191 | 72.1× |
| CT cervical spine w/wo cont (72127) | $17,243.25 | $22,991 | 69.6× |
| CT chest w contrast (71260) | $9,951.75 | $13,269 | 40.2× |
| CT chest w/wo contrast (71270) | $15,189.75 | $20,253 | 61.3× |
| CT head/brain with contrast (70460) | $9,038.25 | $12,051 | 36.5× |
| CT head/brain without and with contrast (70470) | $13,960.50 | $18,614 | 56.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $663.75 | $885 | 5.4× |
| CT iac w contrast (70481) | $11,598 | $15,464 | 46.8× |
| CT l-spine w&w/o contrast (72133) | $19,121.25 | $25,495 | 77.2× |
| CT lower ext w/o (73700) | $7,947.75 | $10,597 | 53.8× |
| CT lower extremity w/contrast material (73701) | $9,378 | $12,504 | 37.9× |
| CT lumbar spine w contrast (72132) | $13,653.75 | $18,205 | 27.7× |
| CT lumbar spine w/o contrast (72131) | $14,426.25 | $19,235 | 97.7× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$9,994.50–$13,518.75 | $13,326–$18,025 | varies |
| CT maxillofacial wo contrast (70486) | $10,811.25 | $14,415 | 73.2× |
| CT neck tissue combo (70492) | $12,497.25 | $16,663 | 50.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $15,867.75 | $21,157 | 64.1× |
| CT orbits w/o contrast (70480) | $9,630.75 | $12,841 | 65.2× |
| CT pelvis w&w/o contrast (72194) | $14,855.25 | $19,807 | 60.0× |
| CT pelvis w/o contrast (72192) | $10,169.25 | $13,559 | 68.9× |
| CT scan of leg combo (73702) | $13,261.50 | $17,682 | 53.5× |
| CT scans face/jaw combo (70488) | $10,900.50 | $14,534 | 44.0× |
| CT soft tissue neck w contrast (70491) | $8,789.25 | $11,719 | 35.5× |
| CT soft tissue neck w/o contrast (70490) | $8,045.25 | $10,727 | 54.5× |
| CT thoracic spine w contrast (72129) | $8,596.50 | $11,462 | 34.7× |
| CT thoracic spine w/o contrast (72128) | $7,632 | $10,176 | 51.7× |
| CT thorax w/o contrast (71250) | $11,205.75 | $14,941 | 75.9× |
| CT upper ext wo (73200) | $5,337.75 | $7,117 | 36.2× |
| CT upper extremity w/o & w/contrast material (73202) | $7,914 | $10,552 | 32.0× |
| CT upper extremity with contrast (73201) | $7,257.75 | $9,677 | 14.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,572.50 | $15,430 | 46.7× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$8,919–$9,856.50 | $11,892–$13,142 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$12,374.25–$14,615.25 | $16,499–$19,487 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$3,902.25–$5,201.25 | $5,203–$6,935 | varies |
| Discography Cerv/Thor Spine (72285) | $4,472.25 | $5,963 | 1.6× |
| Diskography lumbar (72295) | $3,050.25 | $4,067 | 1.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,715.25–$1,997.25 | $2,287–$2,663 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$763.50–$813.75 | $1,018–$1,085 | varies |
| Echo exam of fetal heart (76825) | $3,990.75 | $5,321 | 5.2× |
| Echo exam uterus (76831) | $2,812.50 | $3,750 | 8.3× |
| Echo Guide For Artery Repair (76936) | $3,264.75 | $4,353 | 10.7× |
| Esophagram (74220) | $2,127.75 | $2,837 | 8.6× |
| Fetal Biophys Profile W/Nst (76818) | $3,354.75 | $4,473 | 22.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,719.50 | $3,626 | 18.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$3,290.25–$3,430.50 | $4,387–$4,574 | varies |
| Follow-Up Angiography (75898) | $9,168 | $12,224 | 2.1× |
| Foot 2 views (73620) | $1,269.75 | $1,693 | 10.3× |
| Forearm 2 views (73090) | $1,831.50 | $2,442 | 14.9× |
| Gastric emptying imaging study (78264) | $7,602.75 | $10,137 | 13.5× |
| Hand 2 views (73120) | $1,092.75 | $1,457 | 7.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,848.25 | $5,131 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $6,688.50 | $8,918 | 8.7× |
| Hepatobiliary System Imaging (78226) | $6,688.50 | $8,918 | 11.8× |
| Ht Muscle Image Spect Sing (78451) | $11,619 | $15,492 | 6.4× |
| Hysterosalpingogram (74740) | $3,343.50 | $4,458 | 9.9× |
| Infusion Ivp (74410) | $1,629.75 | $2,173 | 6.6× |
| Interstitial radiation source applic complex (77778) | $36,960.75 | $49,281 | 37.6× |
| K Flow/Funct Image Multiple (78709) | $7,203.75 | $9,605 | 9.4× |
| K Flow/Funct Image W/Drug (78708) | $7,203.75 | $9,605 | 9.4× |
| K Flow/Funct Image W/O Drug (78707) | $9,380.25 | $12,507 | 12.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $6,435 | $8,580 | 11.4× |
| Knee 3 Views (73562) | $2,300.25 | $3,067 | 18.7× |
| Liver & Spleen Imaging Static Only (78215) | $6,674.25 | $8,899 | 11.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,121.50 | $4,162 | 5.5× |
| Liver imaging w/vascular flow (78202) | $987 | $1,316 | 1.3× |
| Lung perfusion differential (78597) | $9,506.25 | $12,675 | 16.8× |
| Lung Ventilat&Perfus Imaging (78582) | $8,466 | $11,288 | 11.0× |
| Lung Ventilation Imaging (78579) | $5,983.50 | $7,978 | 10.6× |
| Lymph System Imaging (78195) | $2,833.50 | $3,778 | 3.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,722.75 | $2,297 | 5.1× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,889.25–$3,721.50 | $2,519–$4,962 | varies |
| Meckels Divert Exam (78290) | $9,880.50 | $13,174 | 17.5× |
| Mra Head W/O & W/Contrast Material (70546) | $7,979.25 | $10,639 | 16.2× |
| MRA head w/o contrast (70544) | $9,355.50 | $12,474 | 27.8× |
| MRA head with contrast (70545) | $6,264 | $8,352 | 12.7× |
| MRA neck w contrast (70548) | $6,499.50 | $8,666 | 13.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,897 | $9,196 | 14.0× |
| MRA neck w/o contrast (70547) | $7,161.75 | $9,549 | 21.3× |
| MRI abdomen w contrast (74182) | $12,033.75 | $16,045 | 24.4× |
| MRI abdomen w/o contrast (74181) | $12,223.50 | $16,298 | 36.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,816.75 | $5,089 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,317.75 | $5,757 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,113.50 | $6,818 | 4.6× |
| MRI cervical spine w contrast (72142) | $15,138.75 | $20,185 | 30.7× |
| MRI cervical spine w/o cont (72141) | $11,619.75 | $15,493 | 34.5× |
| MRI chest w/o contrast (71550) | $14,325 | $19,100 | 42.5× |
| MRI chest wo w contrast (71552) | $11,654.25 | $15,539 | 23.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,164.25 | $4,219 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,075.50 | $13,434 | 20.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,682.75 | $3,577 | 8.0× |
| MRI lumbar spine w contrast (72149) | $16,098.75 | $21,465 | 32.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $15,586.50 | $20,782 | 31.6× |
| MRI orbit face &/neck w/o contrast (70540) | $15,850.50 | $21,134 | 47.0× |
| MRI orbit face neck w contrast (70542) | $6,888 | $9,184 | 14.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,089 | $9,452 | 14.4× |
| MRI pelvis w contrast (72196) | $13,731.75 | $18,309 | 27.9× |
| MRI pelvis w/o & w contrast (72197) | $13,990.50 | $18,654 | 28.4× |
| MRI pelvis w/o contrast (72195) | $8,472 | $11,296 | 25.1× |
| MRI thoracic spine w/o contrast (72146) | $10,172.25 | $13,563 | 30.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,198 | $4,264 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $11,097.75 | $14,797 | 22.5× |
| MRI, abdomen, combo (74183) | $16,325.25 | $21,767 | 33.1× |
| MRI, dorsal spine combo (72157) | $10,919.25 | $14,559 | 22.2× |
| MRI, dorsal spine contrast (72147) | $11,003.25 | $14,671 | 22.3× |
| MRI, joint upper extrem (73221) | $10,218 | $13,624 | 30.3× |
| MRI, joint upper extrem combo (73223) | $6,000 | $8,000 | 12.2× |
| MRI, lumbar spine combo (72158) | $15,429 | $20,572 | 31.3× |
| Myelogram cervical (72240) | $4,080.75 | $5,441 | 3.7× |
| Myelogram Lumbar (72265) | $3,540.75 | $4,721 | 3.2× |
| Myelography thoracic (72255) | $7,185 | $9,580 | 6.5× |
| Myelograpy 2/more regions rs&i (72270) | $6,722.25 | $8,963 | 6.1× |
| Myocardial Spect Multiple Studies (78452) | $15,503.25 | $20,671 | 8.5× |
| Neck soft tissue (70360) | $1,632 | $2,176 | 13.3× |
| Nm csf leak detection (78650) | $5,922 | $7,896 | 3.2× |
| Optic foramina (70190) | $680.25 | $907 | 5.5× |
| Parathyroid Planar Imaging (78070) | $6,402.75 | $8,537 | 11.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,836.50 | $3,782 | 5.0× |
| Pelvis 1 or 2 views (72170) | $1,746.75 | $2,329 | 11.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,059.75 | $17,413 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,767.75 | $6,357 | 8.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,706.75 | $3,609 | 18.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,954.25–$3,252 | $3,939–$4,336 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,851.75 | $2,469 | 15.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,284.75 | $1,713 | 10.5× |
| Radex elbow complete minimum 3 views (73080) | $2,334.75 | $3,113 | 19.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,500 | $2,000 | 10.2× |
| Radex fingr minimum 2 views (73140) | $1,695 | $2,260 | 13.8× |
| Radex foot complete minimum 3 views (73630) | $1,859.25 | $2,479 | 15.1× |
| Radex Hand Minimum 3 Views (73130) | $2,062.50 | $2,750 | 16.8× |
| Radex lower extremity infant minimum 2 views (73592) | $922.50 | $1,230 | 7.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $462.75 | $617 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,050.50 | $2,734 | 16.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $382.50 | $510 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,761.75 | $2,349 | 14.3× |
| Radex shoulder complete minimum 2 views (73030) | $2,262 | $3,016 | 18.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,225.50 | $1,634 | 10.0× |
| Radex Spine 1 View Specify Level (72020) | $1,204.50 | $1,606 | 9.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,307.25 | $1,743 | 10.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,522.50 | $2,030 | 12.4× |
| Radex Toe Minimum 2 Views (73660) | $1,628.25 | $2,171 | 13.2× |
| Radex upper extremity infant minimum 2 views (73092) | $368.25 | $491 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,415.75 | $3,221 | 19.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,691.25 | $2,255 | 11.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,920 | $2,560 | 13.0× |
| Radiologic exam colon double contrast study (74280) | $3,060.75 | $4,081 | 12.4× |
| Radiologic exam colon single contrast study (74270) | $3,294 | $4,392 | 13.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,629.75 | $2,173 | 6.6× |
| Radiologic exam knee complete 4/more views (73564) | $2,158.50 | $2,878 | 14.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,081 | $4,108 | 20.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,306 | $4,408 | 13.3× |
| Radiologic exam swallow function contrast study (74230) | $1,238.25 | $1,651 | 5.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,733 | $3,644 | 11.0× |
| Radiologic examination femur 1 view (73551) | $838.50 | $1,118 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $1,582.50 | $2,110 | 12.9× |
| Radiologic examination knee 1/2 views (73560) | $2,147.25 | $2,863 | 17.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $4,156.50 | $5,542 | 28.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,177.25 | $2,903 | 17.7× |
| Ribs bilateral 3 views (71110) | $2,264.25 | $3,019 | 15.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,205 | $2,940 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,859 | $7,812 | 7.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $11,382.75 | $15,177 | 14.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $11,382.75 | $15,177 | 6.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,913.50 | $17,218 | 6.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $11,382.75 | $15,177 | 6.2× |
| Scapula (73010) | $1,350.75 | $1,801 | 9.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $135 | $180 | 5.8× |
| Sella turcica (70240) | $378 | $504 | 3.1× |
| Shoulder 1 view (73020) | $1,836.75 | $2,449 | 14.9× |
| Shoulder Arthrography (73040) | $3,623.25 | $4,831 | 7.4× |
| Sialogram (70390) | $1,030.50 | $1,374 | 3.1× |
| Skull less than 4 views (70250) | $1,552.50 | $2,070 | 10.5× |
| Speech evaluation, complex (70371) | $653.25 | $871 | 1.9× |
| Sternoclavicular joints (71130) | $1,215 | $1,620 | 9.9× |
| Thoracic spine 2 views (72070) | $2,328 | $3,104 | 15.8× |
| Thoracolumbar 2 views (72080) | $1,550.25 | $2,067 | 12.6× |
| Thyroid Imaging With Vascular Flow (78013) | $4,206 | $5,608 | 7.5× |
| Thyroid Uptake Measurement (78012) | $3,572.25 | $4,763 | 6.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,584.75 | $6,113 | 8.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$384.75–$414.75 | $513–$553 | varies |
| Ultrasound elastography first target lesion (76982) | $891.75 | $1,189 | 6.0× |
| Ultrasound Elastography Parenchyma (76981) | $891.75 | $1,189 | 6.0× |
| Ultrasound Exam Aaa Screen (76706) | $938.25 | $1,251 | 6.4× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$3,803.25–$4,653.75 | $5,071–$6,205 | varies |
| Upper gi w/o kub (74240) | $2,769.75 | $3,693 | 11.2× |
| Urethrocystogram voiding (74455) | $3,945.75 | $5,261 | 11.7× |
| Urethrocystography retrograde (74450) | $3,300.75 | $4,401 | 9.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$693–$1,554.75 | $924–$2,073 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$2,439.75–$2,898 | $3,253–$3,864 | varies |
| Us complete joint (76881) | $592.50 | $790 | 4.0× |
| Us exam, pelvic, limited (76857) | $846.75 | $1,129 | 5.7× |
| Us head (76506) | $2,138.25 | $2,851 | 14.5× |
| Us kidney transplant (76776) | $3,582 | $4,776 | 24.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$592.50–$770.25 | $790–$1,027 | varies |
| Us ob limited 1 or more fetuses (76815) | $3,795 | $5,060 | 25.7× |
| Us ob transvaginal (76817) | $2,619.75 | $3,493 | 17.7× |
| Us pelvic non ob complete (76856) | $3,776.25 | $5,035 | 25.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,793.50 | $5,058 | 25.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $3,060 | $4,080 | 20.7× |
| Us retroperitoneal complete (76770) | $4,470.75 | $5,961 | 30.3× |
| Us retroperitoneal limited (76775) | $2,878.50 | $3,838 | 19.5× |
| Us scrotum and contents (76870) | $3,963.75 | $5,285 | 26.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$3,303.75–$3,799.50 | $4,405–$5,066 | varies |
| Vein X-Ray Chest (75827) | $15,024.75 | $20,033 | 6.8× |
| Venogram Sinus/Jugular (75860) | $5,464.50 | $7,286 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $12,647.25 | $16,863 | 2.8× |
| Venography extremity bilateral rs&i (75822) | $4,392.75 | $5,857 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $4,290 | $5,720 | 1.9× |
| Venography Renal Unilateral (75831) | $4,438.50 | $5,918 | 1.0× |
| Venous sampling by catheter (75893) | $12,959.25 | $17,279 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $509.25 | $679 | 4.1× |
| Wrist 2 views (73100) | $1,575 | $2,100 | 12.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,464 | $1,952 | 11.9× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,575.50–$3,043.50 | $3,434–$4,058 | varies |
| X-Ray Aorta Leg Arteries (75630) | $14,693.25 | $19,591 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $1,037.25 | $1,383 | 7.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,215 | $1,620 | 9.9× |
| X-Ray Exam Breast Specimen (76098) | $1,441.50 | $1,922 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$1,341.75–$1,393.50 | $1,789–$1,858 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$1,611.75–$1,664.25 | $2,149–$2,219 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,611.75 | $2,149 | 10.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,295.75 | $3,061 | 15.6× |
| X-Ray Exam L-S Spine Bending (72114) | $2,814.75 | $3,753 | 19.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,753.50 | $2,338 | 14.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,809.75 | $2,413 | 12.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,350.25 | $4,467 | 22.7× |
| X-ray eye for foreign body (70030) | $945 | $1,260 | 7.7× |
| X-ray humerus (73060) | $1,905 | $2,540 | 15.5× |
| X-ray IV pyelogram (ivp) (74400) | $3,291.75 | $4,389 | 13.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,554 | $2,072 | 12.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,501.50 | $2,002 | 12.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,945.50 | $2,594 | 13.2× |
| X-ray nose-rectum child f.b. (76010) | $1,374.75 | $1,833 | 11.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,772 | $3,696 | 18.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,641 | $2,188 | 11.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,128.50 | $2,838 | 17.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,720.50 | $2,294 | 14.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,622.25 | $2,163 | 11.0× |
| X-ray thoracic spine 4 vw (72074) | $2,301.75 | $3,069 | 15.6× |
| X-Ray Tmj Unilat (70328) | $574.50 | $766 | 4.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,999 | $5,332 | 8.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$462.75–$1,832.25 | $617–$2,443 | varies |
| X-Rays Bone Survey Complete (77075) | $3,882 | $5,176 | 26.3× |
| Xr c-spine 4 or 5 views (72050) | $2,649 | $3,532 | 17.9× |
| Xr facial bones less than 3 views (70140) | $1,397.25 | $1,863 | 11.4× |
| Xr orbits complete 4 views (70200) | $1,520.25 | $2,027 | 10.3× |
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.