Imaging prices at Santiam Hospital & Clinics
Stayton, OR · every code in this section with a posted price and a Medicare benchmark.
252 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$43–$389.37 | $43–$389.37 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$63–$479.01 | $63–$479.01 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$267–$1,741.97 | $267–$1,741.97 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| Arthrogram ankle (73615) | $87 | $87 | 0.2× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$88–$1,651.22 | $88–$1,651.22 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$86–$1,651.22 | $86–$1,651.22 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$29–$479.01 | $29–$479.01 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$231–$1,741.97 | $231–$1,741.97 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$150–$1,745.35 | $150–$1,745.35 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$231–$1,741.97 | $231–$1,741.97 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$245–$1,741.97 | $245–$1,741.97 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$99–$479.01 | $99–$479.01 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$386–$1,651.22 | $386–$1,651.22 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$134–$518.03 | $134–$518.03 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$43–$389.37 | $43–$389.37 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$52–$389.37 | $52–$389.37 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$63–$389.37 | $63–$389.37 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$93–$479.01 | $93–$479.01 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$38–$389.37 | $38–$389.37 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$155–$479.01 | $155–$479.01 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$77–$1,651.22 | $77–$1,651.22 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$80–$1,651.22 | $80–$1,651.22 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$87–$1,651.22 | $87–$1,651.22 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$830–$4,288 | $830–$4,288 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$553–$3,082.35 | $553–$3,082.35 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$302–$1,674.56 | $302–$1,674.56 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$332–$2,622.22 | $332–$2,622.22 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$281–$1,332.83 | $281–$1,332.83 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$360–$1,651.22 | $360–$1,651.22 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$396–$2,231.89 | $396–$2,231.89 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$415–$752.76 | $415–$752.76 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$284–$808.25 | $284–$808.25 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$416–$752.76 | $416–$752.76 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$284–$808.25 | $284–$808.25 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$286–$1,674.56 | $286–$1,674.56 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$272–$1,332.83 | $272–$1,332.83 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$182–$2,028.71 | $182–$2,028.71 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$292–$1,721.09 | $292–$1,721.09 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$326–$2,147.10 | $326–$2,147.10 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$268–$1,651.30 | $268–$1,651.30 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$300–$1,807.43 | $300–$1,807.43 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$209–$835.47 | $209–$835.47 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$300–$2,911.74 | $300–$2,911.74 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$258–$1,240.80 | $258–$1,240.80 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$411–$1,585.64 | $411–$1,585.64 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$286–$1,950.64 | $286–$1,950.64 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$272–$1,537.56 | $272–$1,537.56 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$285–$1,864.82 | $285–$1,864.82 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$268–$1,077.43 | $268–$1,077.43 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$613–$1,468.80 | $613–$1,468.80 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$219–$835.47 | $219–$835.47 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$302–$943.01 | $302–$943.01 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$286–$2,622.22 | $286–$2,622.22 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$258–$1,332.83 | $258–$1,332.83 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$289–$1,924.79 | $289–$1,924.79 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$285–$1,864.82 | $285–$1,864.82 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$326–$1,468.80 | $326–$1,468.80 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$305–$973.51 | $305–$973.51 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$289–$808.25 | $289–$808.25 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$272–$1,537.56 | $272–$1,537.56 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$300–$808.25 | $300–$808.25 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$272–$1,423.82 | $272–$1,423.82 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$258–$1,240.80 | $258–$1,240.80 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $286 | $286 | 1.5× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$176–$1,651.22 | $176–$1,651.22 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$358–$835.47 | $358–$835.47 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$448–$2,532.78 | $448–$2,532.78 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$495–$1,497.24 | $495–$1,497.24 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$298–$813.24 | $298–$813.24 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$50–$479.01 | $50–$479.01 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $49 | $49 | 0.5× |
| Esophagram (74220) | $109 | $109 | 0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$247–$479.01 | $247–$479.01 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$40–$1,046.58 | $40–$1,046.58 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$57–$389.37 | $57–$389.37 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$39–$389.37 | $39–$389.37 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$218–$1,741.97 | $218–$1,741.97 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$272–$1,741.97 | $272–$1,741.97 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$50–$958.02 | $50–$958.02 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$238–$2,261.05 | $238–$2,261.05 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$238–$1,741.97 | $238–$1,741.97 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$203–$5,948.52 | $203–$5,948.52 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$57–$1,046.58 | $57–$1,046.58 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$113–$389.37 | $113–$389.37 | varies |
| Joint Survey Single View (77077) | $74 | $74 | 0.6× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$516–$2,261.05 | $516–$2,261.05 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$64–$389.37 | $64–$389.37 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$72–$1,741.97 | $72–$1,741.97 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$96–$1,706.84 | $96–$1,706.84 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$294–$2,261.05 | $294–$2,261.05 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$231–$2,261.05 | $231–$2,261.05 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$220–$1,151.36 | $220–$1,151.36 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$101–$1,741.97 | $101–$1,741.97 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$424–$2,266.53 | $424–$2,266.53 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$283–$1,878.78 | $283–$1,878.78 | varies |
| MRA head with contrast (70545) | $283 | $283 | 0.7× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$283–$1,700.41 | $283–$1,700.41 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$424–$2,271.70 | $424–$2,271.70 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$281–$1,700.41 | $281–$1,700.41 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$231–$1,651.22 | $231–$1,651.22 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$345–$2,112.98 | $345–$2,112.98 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$381–$6,639.75 | $381–$6,639.75 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$509–$2,036.46 | $509–$2,036.46 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$381–$3,319.87 | $381–$3,319.87 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$247–$1,046.58 | $247–$1,046.58 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $223 | $223 | 0.8× |
| MRI cardiac w/o contrast (75557) | $261 | $261 | 1.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$454–$2,347.70 | $454–$2,347.70 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$376–$1,960.98 | $376–$1,960.98 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$343–$1,841.55 | $343–$1,841.55 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$258–$3,319.87 | $258–$3,319.87 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$304–$1,651.22 | $304–$1,651.22 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $381 | $381 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$381–$2,036.46 | $381–$2,036.46 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$196–$1,046.58 | $196–$1,046.58 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$421–$3,071.50 | $421–$3,071.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$605–$2,880.21 | $605–$2,880.21 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$319–$1,960.98 | $319–$1,960.98 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$381–$2,347.70 | $381–$2,347.70 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$506–$2,881.76 | $506–$2,881.76 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$251–$1,651.22 | $251–$1,651.22 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$304–$1,651.22 | $304–$1,651.22 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$190–$1,046.58 | $190–$1,046.58 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$376–$2,135.21 | $376–$2,135.21 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $381 | $381 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$319–$1,360.23 | $319–$1,360.23 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$323–$2,036.46 | $323–$2,036.46 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$531–$4,089.99 | $531–$4,089.99 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$605–$4,112.22 | $605–$4,112.22 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$454–$3,071.50 | $454–$3,071.50 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$319–$1,602.70 | $319–$1,602.70 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$506–$2,036.46 | $506–$2,036.46 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$555–$4,112.22 | $555–$4,112.22 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$239–$5,948.52 | $239–$5,948.52 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$41–$389.37 | $41–$389.37 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$229–$1,741.97 | $229–$1,741.97 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$41–$479.01 | $41–$479.01 | varies |
| Peritoneogram Rs&I (74190) | $3,350 | $3,350 | 5.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$75–$479.01 | $75–$479.01 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$62–$778.75 | $62–$778.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$38–$389.37 | $38–$389.37 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$63–$389.37 | $63–$389.37 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$61–$479.01 | $61–$479.01 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$48–$389.37 | $48–$389.37 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$63–$389.37 | $63–$389.37 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$41–$389.37 | $41–$389.37 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$41–$389.37 | $41–$389.37 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$53–$389.37 | $53–$389.37 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$64–$389.37 | $64–$389.37 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$40–$389.37 | $40–$389.37 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$36–$389.37 | $36–$389.37 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$49–$389.37 | $49–$389.37 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$34–$389.37 | $34–$389.37 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$32–$389.37 | $32–$389.37 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$38–$479.01 | $38–$479.01 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$62–$778.75 | $62–$778.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $63 | $63 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$59–$479.01 | $59–$479.01 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$63–$479.01 | $63–$479.01 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$231–$808.25 | $231–$808.25 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$164–$1,286.30 | $164–$1,286.30 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$109–$808.25 | $109–$808.25 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$117–$479.01 | $117–$479.01 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$60–$479.01 | $60–$479.01 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$111–$808.25 | $111–$808.25 | varies |
| Radiologic exam swallow function contrast study (74230) | $75 | $75 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$164–$808.25 | $164–$808.25 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$52–$376.05 | $52–$376.05 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$108–$479.01 | $108–$479.01 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$44–$454.96 | $44–$454.96 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$280–$5,948.52 | $280–$5,948.52 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$41–$479.01 | $41–$479.01 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$90–$97.49 | $90–$97.49 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$36–$389.37 | $36–$389.37 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$194–$1,651.22 | $194–$1,651.22 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$55–$479.01 | $55–$479.01 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$52–$389.37 | $52–$389.37 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$52–$479.01 | $52–$479.01 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$52–$479.01 | $52–$479.01 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$52–$423.94 | $52–$423.94 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $199 | $199 | 0.4× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$165–$1,687.96 | $165–$1,687.96 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$230–$1,741.97 | $230–$1,741.97 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$127–$778.75 | $127–$778.75 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$80–$479.01 | $80–$479.01 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$140–$479.01 | $140–$479.01 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$366–$479.01 | $366–$479.01 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$164–$808.25 | $164–$808.25 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$81–$1,046.58 | $81–$1,046.58 | varies |
| Urethrocystography retrograde (74450) | $50 | $50 | 0.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$121–$958.02 | $121–$958.02 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$80–$958.02 | $80–$958.02 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$145–$479.01 | $145–$479.01 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$132–$479.01 | $132–$479.01 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$33–$479.01 | $33–$479.01 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$216–$958.02 | $216–$958.02 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$272–$1,010.79 | $272–$1,010.79 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$217–$479.01 | $217–$479.01 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$324–$479.01 | $324–$479.01 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$303–$479.01 | $303–$479.01 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$351–$501.49 | $351–$501.49 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$291–$479.01 | $291–$479.01 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$175–$479.01 | $175–$479.01 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$68–$479.01 | $68–$479.01 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$152–$479.01 | $152–$479.01 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$178–$479.01 | $178–$479.01 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$130–$479.01 | $130–$479.01 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$71–$1,741.97 | $71–$1,741.97 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$40–$575.94 | $40–$575.94 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$57–$389.37 | $57–$389.37 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$49–$389.37 | $49–$389.37 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$120–$479.01 | $120–$479.01 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$85–$389.37 | $85–$389.37 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$38–$2,254.92 | $38–$2,254.92 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$38–$382.46 | $38–$382.46 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$45–$479.01 | $45–$479.01 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$67–$479.01 | $67–$479.01 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$29–$389.37 | $29–$389.37 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$50–$389.37 | $50–$389.37 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$51–$454.96 | $51–$454.96 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$62–$479.01 | $62–$479.01 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$70–$479.01 | $70–$479.01 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $80 | $80 | 0.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$86–$636.43 | $86–$636.43 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$52–$389.37 | $52–$389.37 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$86–$556.29 | $86–$556.29 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$63–$479.01 | $63–$479.01 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$41–$389.37 | $41–$389.37 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$62–$389.37 | $62–$389.37 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$116–$808.25 | $116–$808.25 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $45 | $45 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$26–$375.44 | $26–$375.44 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$122–$479.01 | $122–$479.01 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$26–$389.37 | $26–$389.37 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$63–$479.01 | $63–$479.01 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$46–$479.01 | $46–$479.01 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$41–$389.37 | $41–$389.37 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$59–$389.37 | $59–$389.37 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$81–$479.01 | $81–$479.01 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$36–$454.96 | $36–$454.96 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$43–$389.37 | $43–$389.37 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$88–$1,651.22 | $88–$1,651.22 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$66–$486.50 | $66–$486.50 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$324–$1,138.43 | $324–$1,138.43 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$73–$479.01 | $73–$479.01 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$46–$389.37 | $46–$389.37 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$66–$479.01 | $66–$479.01 | varies |
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.