Imaging prices at Scripps Mercy Hospital
San Diego, CA · every code in this section with a posted price and a Medicare benchmark.
443 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) | $6,393.75 | $25,575 | 3.6× |
| Abdomen 1 View (74018) | $67.68 | $270.72 | 0.6× |
| Abdomen 2 views (74019) | $97.77 | $391.10 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $230.75 | $923.01 | 0.4× |
| Adrenal Cortex & Medulla Img (78075) | $1,890.39 | $7,561.55 | 1.1× |
| Angio internal mammary (75756) | $7,248.62 | $28,994.49 | 1.8× |
| Angio pulmonary bilat (75743) | $3,444.68 | $13,778.72 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,892.33 | $11,569.34 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,410.27 | $9,641.09 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $2,410.27 | $9,641.09 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,108.99 | $8,435.98 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,143.45 | $4,573.80 | 0.3× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$227.49–$341.24 | $909.97–$1,364.95 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,882.56 | $15,530.26 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,757.49 | $7,029.98 | 0.4× |
| Artery X-Rays Abdomen (75726) | $5,324.73 | $21,298.94 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $1,096.58 | $4,386.34 | 0.3× |
| Artery X-Rays Pelvis (75736) | $8,985.49 | $35,941.97 | 1.3× |
| Artery X-Rays Spine (75705) | $9,584.52 | $38,338.10 | 1.3× |
| Arthrogram ankle (73615) | $709.97 | $2,839.90 | 1.6× |
| Arthrogram hip (73525) | $804.90 | $3,219.61 | 1.8× |
| Arthrogram Wrist (73115) | $754.59 | $3,018.38 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $855.94 | $3,423.75 | 5.0× |
| Bone age studies (77072) | $322.70 | $1,290.82 | 2.4× |
| Bone Imaging 3 Phase (78315) | $880.42 | $3,521.70 | 1.7× |
| Bone Imaging Limited Area (78300) | $619 | $2,476.02 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $619 | $2,476.02 | 1.2× |
| Bone Imaging Whole Body (78306) | $1,123.85 | $4,495.40 | 2.2× |
| Bone marrow imaging limited area (78102) | $393.09 | $1,572.36 | 0.8× |
| Bone marrow imaging; multiple areas (78103) | $393.09 | $1,572.36 | 0.8× |
| Bone marrow imaging; whole body (78104) | $393.09 | $1,572.36 | 0.8× |
| Bone survey infant (77076) | $125.76 | $503.05 | 0.9× |
| Brachytx isodose complex (77318) | $184.12 | $736.47 | 0.4× |
| Brachytx Isodose Plan Simple (77316) | $165.40 | $661.59 | 0.3× |
| Brain Flow Imaging Only (78610) | $1,481.33 | $5,925.31 | 2.1× |
| Brain Image W/Flow < 4 Views (78601) | $230.75 | $923.01 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $552.21 | $2,208.84 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,559.03 | $6,236.11 | 0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $573.55 | $2,294.21 | 1.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $866.03 | $3,464.12 | 0.9× |
| Cardiac Shunt Detection (78428) | $393.09 | $1,572.36 | 0.8× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$105.45–$110.73 | $421.79–$442.94 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $552.21 | $2,208.84 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $297.34 | $1,189.38 | 0.4× |
| Chest 1 view (71045) range across 10 matching MRF lines |
$54.14–$75.74 | $216.58–$302.98 | varies |
| Chest 2 views (71046) | $243.65 | $974.59 | 2.2× |
| Chest 3 views (71047) | $71.88 | $287.53 | 0.6× |
| Chest 4 or more views (71048) | $295.77 | $1,183.09 | 2.2× |
| Cholecystography Oral Contrast (74290) | $393.22 | $1,572.87 | 1.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $172.47 | $689.90 | 1.3× |
| Cisternography Positive Contrast Rs&I (70015) | $698.15 | $2,792.61 | 0.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$227.46–$341.19 | $909.83–$1,364.75 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $229.70 | $918.82 | 1.7× |
| Continuing medical physics consltj pr wk (77336) | $742.50 | $2,970 | 4.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,108.99 | $8,435.95 | 0.5× |
| Contrast X-Ray Bladder (74430) | $503.06 | $2,012.26 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $591.60 | $2,366.41 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $493 | $1,972.01 | 1.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $393.22 | $1,572.87 | 1.7× |
| Corpora cavernosography (74445) | $172.47 | $689.90 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,362.50 | $9,450 | 5.3× |
| CT abdomen and pelvis without contrast (74176) | $1,456.80 | $5,827.20 | 4.7× |
| CT abdomen w contrast (74160) | $607.66 | $2,430.66 | 2.7× |
| CT abdomen w wo contrast (74170) | $708.33 | $2,833.34 | 3.1× |
| CT abdomen w/o contrast (74150) | $317.66 | $1,270.66 | 2.4× |
| CT Angio Abdomen and Pelvis (74174) | $687.89 | $2,751.55 | 1.5× |
| CT Angio Chest (71275) | $1,664.74 | $6,658.96 | 7.4× |
| CT Angio Head (70496) | $2,343.60 | $9,374.40 | 10.4× |
| CT angio hrt w/3d image (75574) | $771.55 | $3,086.21 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$812.73–$1,219.09 | $3,250.92–$4,876.38 | varies |
| CT Angio Neck (70498) | $2,570.40 | $10,281.60 | 11.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $975.17 | $3,900.67 | 4.3× |
| CT bone density (77078) | $159.41 | $637.65 | 1.4× |
| CT cervical spine w/ contrast (72126) | $1,762.50 | $7,050 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,725 | $6,900 | 12.8× |
| CT cervical spine w/wo cont (72127) | $1,800 | $7,200 | 8.0× |
| CT chest w contrast (71260) | $2,133.65 | $8,534.59 | 9.5× |
| CT chest w/wo contrast (71270) | $741.89 | $2,967.55 | 3.3× |
| CT colonography screening (74263) | $515.96 | $2,063.83 | 1.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,450.22 | $5,800.89 | 6.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $276.38 | $1,105.52 | 2.1× |
| CT head/brain with contrast (70460) | $940.40 | $3,761.61 | 4.2× |
| CT head/brain without and with contrast (70470) | $1,016.40 | $4,065.60 | 4.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $528.77 | $2,115.07 | 1.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $235.29 | $941.18 | 2.1× |
| CT hrt w/3d image congen (75573) | $933.79 | $3,735.17 | 2.1× |
| CT iac w contrast (70481) | $2,152.65 | $8,610.62 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $521.13 | $2,084.54 | 2.3× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$503.68–$693.80 | $2,014.74–$2,775.20 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$605.27–$907.90 | $2,421.07–$3,631.61 | varies |
| CT lumbar spine w contrast (72132) | $500.47 | $2,001.89 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $479.81 | $1,919.23 | 3.6× |
| CT maxillofacial w contrast (70487) | $1,924.17 | $7,696.69 | 8.5× |
| CT maxillofacial wo contrast (70486) | $1,832.54 | $7,330.18 | 13.6× |
| CT neck tissue combo (70492) | $1,736.16 | $6,944.64 | 7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,865.03 | $11,460.13 | 12.7× |
| CT orbits w/o contrast (70480) | $1,617.41 | $6,469.63 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $766.56 | $3,066.23 | 3.4× |
| CT pelvis w/o contrast (72192) | $363.89 | $1,455.55 | 2.7× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$792.05–$1,188.07 | $3,168.20–$4,752.30 | varies |
| CT scans face/jaw combo (70488) | $547.12 | $2,188.48 | 2.4× |
| CT soft tissue neck w contrast (70491) | $1,653.48 | $6,613.94 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $800.93 | $3,203.71 | 6.0× |
| CT thoracic spine w contrast (72129) | $808.05 | $3,232.22 | 3.6× |
| CT thoracic spine w/o contrast (72128) | $550.51 | $2,202.05 | 4.1× |
| CT thoracic spine w/wo cont (72130) | $866.25 | $3,465 | 3.8× |
| CT thorax w/o contrast (71250) | $524.73 | $2,098.94 | 3.9× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$455.71–$683.57 | $1,822.86–$2,734.30 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$503.68–$755.53 | $2,014.74–$3,022.12 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$479.70–$719.55 | $1,918.80–$2,878.21 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $496.22 | $1,984.90 | 2.2× |
| Cta Abdomen (74175) | $655.34 | $2,621.38 | 2.9× |
| CTA pelvis (72191) | $463.49 | $1,853.95 | 2.1× |
| Dilation ureters/urethra rs&i (74485) | $2,666.91 | $10,667.66 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $2,501.04 | $10,004.17 | 1.0× |
| Diskography lumbar (72295) | $3,349.51 | $13,398.05 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $356.46 | $1,425.85 | 2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $283.37 | $1,133.50 | 2.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $143.53 | $574.12 | 1.1× |
| Dxa Bone Density Axial (77080) | $127.15 | $508.61 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $70.41 | $281.66 | 0.6× |
| Echo exam of fetal heart (76825) | $614.66 | $2,458.64 | 0.9× |
| Echo exam uterus (76831) | $411.39 | $1,645.55 | 1.3× |
| Echo Guide For Artery Repair (76936) | $184.67 | $738.68 | 0.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $741.49 | $2,965.95 | 2.4× |
| Echograp Trans R Pros Study (76873) | $111.63 | $446.54 | 0.8× |
| Esophagram (74220) | $233.85 | $935.42 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $174.25 | $697.02 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $103.74 | $414.98 | 0.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $457.74 | $1,830.95 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $200.30 | $801.22 | 0.7× |
| Follow-Up Angiography (75898) | $1,143.45 | $4,573.80 | 0.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$88.20–$132.30 | $352.80–$529.20 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$185.03–$277.54 | $740.11–$1,110.16 | varies |
| Gastric emptying imaging study (78264) | $557.37 | $2,229.50 | 1.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $393.09 | $1,572.36 | 0.8× |
| Gastric Mucosa Imaging (78261) | $393.09 | $1,572.36 | 0.8× |
| Gated Heart Planar Single (78472) | $284.59 | $1,138.38 | 0.6× |
| Gated Heart, Multiple (78473) | $230.75 | $923.01 | 0.4× |
| GI Endoscopic US S&I (76975) | $472.74 | $1,890.98 | 1.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $506.53 | $2,026.12 | 0.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$326.50–$489.75 | $1,306–$1,958.99 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,551.51 | $10,206.04 | 2.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,135.63 | $8,542.52 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,719.75 | $6,879 | 1.9× |
| Heart Image (Pet) Multiple (78492) | $1,559.03 | $6,236.11 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,410.27 | $9,641.09 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,757.49 | $7,029.98 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $527.99 | $2,111.95 | 0.8× |
| Hepatobiliary System Imaging (78226) | $230.75 | $923.01 | 0.4× |
| Ht Muscle Image Spect Sing (78451) | $842.53 | $3,370.12 | 0.5× |
| Hysterosalpingogram (74740) | $330.48 | $1,321.92 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $127.79 | $511.15 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $127.79 | $511.15 | 1.1× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $6,389.37 | $25,557.48 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $1,730.14 | $6,920.55 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,647.75 | $6,591 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $297.34 | $1,189.38 | 0.4× |
| Kidney Imaging Morphol (78700) | $393.09 | $1,572.36 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $393.09 | $1,572.36 | 0.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$226.69–$340.04 | $906.78–$1,360.17 | varies |
| Leveen/Shunt Patency Exam (78291) | $393.09 | $1,572.36 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) | $318.72 | $1,274.89 | 0.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $230.75 | $923.01 | 0.4× |
| Liver imaging static only (78201) | $802.40 | $3,209.60 | 1.1× |
| Liver imaging w/vascular flow (78202) | $1,366.89 | $5,467.58 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $366.72 | $1,466.90 | 0.5× |
| Lung perfusion differential (78597) | $428.54 | $1,714.17 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $327.11 | $1,308.45 | 0.5× |
| Lung Ventilation Imaging (78579) | $284.59 | $1,138.38 | 0.6× |
| Lymph System Imaging (78195) | $797.64 | $3,190.55 | 1.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,096.58 | $4,386.34 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) range across 2 matching MRF lines |
$308.82–$1,064.58 | $1,235.27–$4,258.32 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,374.39 | $13,497.56 | 0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,397.09 | $5,588.35 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $420.62 | $1,682.50 | 1.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $295.74 | $1,182.96 | 0.4× |
| Magnetic Resonance Elastography (76391) | $681.59 | $2,726.36 | 2.2× |
| Mammary ductogram or galactogram multiple (77054) | $396.60 | $1,586.41 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $537.06 | $2,148.26 | 1.8× |
| Meckels Divert Exam (78290) | $428.54 | $1,714.17 | 0.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $187.75 | $751.02 | 0.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,567.50 | $6,270 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,736.64 | $6,946.56 | 3.9× |
| MRA head w/o contrast (70544) | $971.71 | $3,886.85 | 3.2× |
| MRA head with contrast (70545) | $1,354.18 | $5,416.71 | 3.0× |
| MRA neck w contrast (70548) | $1,077.06 | $4,308.24 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,420.92 | $5,683.68 | 3.2× |
| MRA neck w/o contrast (70547) | $733.20 | $2,932.80 | 2.4× |
| MRI abdomen w contrast (74182) | $780.62 | $3,122.50 | 1.7× |
| MRI abdomen w/o contrast (74181) | $549.07 | $2,196.29 | 1.8× |
| MRI any jt lower extrem w/contrast material (73722) | $1,063.58 | $4,254.33 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,196.75–$1,533.63 | $4,787–$6,134.54 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,100.20 | $4,400.79 | 1.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $432.73 | $1,730.93 | 1.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $389.46 | $1,557.84 | 1.3× |
| MRI cardiac w/o cont stress (75559) | $402.09 | $1,608.35 | 0.6× |
| MRI cardiac w/o contrast (75557) | $406.05 | $1,624.22 | 1.3× |
| MRI cervical spine w contrast (72142) | $1,382.83 | $5,531.33 | 3.1× |
| MRI cervical spine w/o cont (72141) | $1,257.12 | $5,028.48 | 4.1× |
| MRI chest w/o contrast (71550) | $635.76 | $2,543.04 | 2.1× |
| MRI chest with contrast (71551) | $639.24 | $2,556.96 | 0.6× |
| MRI chest wo w contrast (71552) | $642.72 | $2,570.88 | 1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $529.70 | $2,118.82 | 1.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$782.83–$1,174.24 | $3,131.32–$4,696.97 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$493.46–$740.19 | $1,973.84–$2,960.75 | varies |
| MRI lumbar spine w contrast (72149) | $810 | $3,240 | 1.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,662 | $6,648 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $740.93 | $2,963.71 | 2.4× |
| MRI orbit face neck w contrast (70542) | $828.55 | $3,314.22 | 1.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $878.25 | $3,513.02 | 2.0× |
| MRI pelvis w contrast (72196) | $631.01 | $2,524.03 | 1.4× |
| MRI pelvis w/o & w contrast (72197) | $946.08 | $3,784.32 | 2.1× |
| MRI pelvis w/o contrast (72195) | $567.91 | $2,271.63 | 1.9× |
| MRI spectroscopy (76390) | $342.47 | $1,369.87 | 3.1× |
| MRI thoracic spine w/o contrast (72146) | $1,026.21 | $4,104.86 | 3.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $546.13 | $2,184.53 | 1.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$496.48–$744.73 | $1,985.94–$2,978.91 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$886.96–$1,330.45 | $3,547.86–$5,321.80 | varies |
| MRI, abdomen, combo (74183) | $860.11 | $3,440.45 | 1.9× |
| MRI, dorsal spine combo (72157) | $1,128.84 | $4,515.35 | 2.5× |
| MRI, dorsal spine contrast (72147) | $1,077.52 | $4,310.10 | 2.4× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$578.14–$867.21 | $2,312.57–$3,468.86 | varies |
| MRI, joint upper extrem combo (73223) | $1,622.25 | $6,489 | 3.6× |
| MRI, lumbar spine combo (72158) | $846.45 | $3,385.80 | 1.9× |
| Myelogram cervical (72240) | $483.33 | $1,933.34 | 0.5× |
| Myelogram Lumbar (72265) | $483.33 | $1,933.34 | 0.5× |
| Myelography thoracic (72255) | $662.86 | $2,651.45 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $460.29 | $1,841.18 | 0.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $393.09 | $1,572.36 | 0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,393.38 | $5,573.51 | 0.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,108.29 | $4,433.18 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $842.53 | $3,370.12 | 0.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,092.20 | $4,368.81 | 0.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,683.69 | $6,734.76 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,703.38 | $6,813.51 | 0.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,209.33 | $12,837.33 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $3,209.33 | $12,837.33 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $2,755.59 | $11,022.35 | 2.5× |
| Neck soft tissue (70360) | $211.25 | $844.99 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $393.09 | $1,572.36 | 0.8× |
| Nm csf leak detection (78650) | $989.62 | $3,958.50 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $156.48 | $625.92 | 1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,950 | $19,800 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $150.71 | $602.85 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $1,856.25 | $7,425 | 6.2× |
| Ob us nuchal meas 1 gest (76813) | $108.13 | $432.52 | 0.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $372.94 | $1,491.76 | 2.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $35.34 | $141.38 | 1.0× |
| Optic foramina (70190) | $95.51 | $382.04 | 0.9× |
| Panoramic X-ray of jaws (70355) | $95.51 | $382.04 | 0.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $917.42 | $3,669.67 | 1.3× |
| Parathyroid Planar Imaging (78070) | $230.75 | $923.01 | 0.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $230.75 | $923.01 | 0.4× |
| Pelvis 1 or 2 views (72170) range across 10 matching MRF lines |
$107.57–$130.37 | $430.27–$521.47 | varies |
| Peritoneogram Rs&I (74190) | $330.97 | $1,323.88 | 0.5× |
| Pet Image W/Ct Lmtd (78814) | $1,032.85 | $4,131.41 | 0.6× |
| PET image w/CT, full body (78816) | $2,209.46 | $8,837.83 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,098.20 | $4,392.80 | 0.6× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $905.56 | $3,622.26 | 0.5× |
| Pet Myocardial Sngl Study (78491) | $1,559.03 | $6,236.11 | 0.8× |
| PET whole body (78813) | $1,032.85 | $4,131.41 | 0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,845.36 | $7,381.46 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $230.75 | $923.01 | 0.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$195.55–$215.13 | $782.21–$860.54 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $432.29 | $1,729.15 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$227.51–$341.26 | $910.03–$1,365.04 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$203.04–$216 | $812.16–$864 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$243.93–$365.90 | $975.73–$1,463.59 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $293.33 | $1,173.31 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$211.32–$316.98 | $845.28–$1,267.92 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$226.81–$340.22 | $907.25–$1,360.87 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$273.03–$409.54 | $1,092.12–$1,638.18 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $227.23 | $908.93 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $172.47 | $689.90 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.25 | $844.99 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $140.83 | $563.33 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$243.07–$364.61 | $972.29–$1,458.43 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $211.25 | $844.99 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $183.40 | $733.60 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $93.89 | $375.55 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $211.25 | $844.99 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $247.92 | $991.69 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 9 matching MRF lines |
$203.38–$305.08 | $813.54–$1,220.31 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $97.77 | $391.10 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$242.35–$363.53 | $969.42–$1,454.13 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $408.38 | $1,633.54 | 3.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,625 | $38,500 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $377.83 | $1,511.32 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $683.91 | $2,735.66 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $990 | $3,960 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $215.13 | $860.54 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $242.03 | $968.11 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $168.84 | $675.36 | 0.7× |
| Radiologic exam colon single contrast study (74270) | $257.28 | $1,029.12 | 1.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $122.16 | $488.63 | 0.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$310.57–$465.86 | $1,242.29–$1,863.43 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $381.45 | $1,525.82 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $127.15 | $508.61 | 0.6× |
| Radiologic exam swallow function contrast study (74230) | $127.15 | $508.61 | 0.6× |
| Radiologic exam teeth complete full mouth (70320) | $353.33 | $1,413.34 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $385.92 | $1,543.68 | 1.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$93.89–$144.38 | $375.55–$577.54 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$88.20–$132.30 | $352.81–$529.21 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$70.53–$105.79 | $282.12–$423.18 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $107.57 | $430.27 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$199.15–$298.73 | $796.61–$1,194.92 | varies |
| Radiopharm Dacryocystography (78660) | $230.75 | $923.01 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $322.21 | $1,288.85 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $292.92 | $1,171.69 | 0.6× |
| Renal Cyst Study (74470) | $1,011.55 | $4,046.22 | 1.4× |
| Ribs bilateral 3 views (71110) | $107.57 | $430.27 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $230.75 | $923.01 | 0.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $393.09 | $1,572.36 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $989.62 | $3,958.50 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $802.40 | $3,209.60 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $982.80 | $3,931.20 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,425.68 | $5,702.72 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,763.10 | $7,052.41 | 1.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,469.51 | $9,878.05 | 1.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $256.74 | $1,026.96 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $230.91 | $923.65 | 0.8× |
| Salivary Gland Function Study (78232) | $382.17 | $1,528.68 | 0.7× |
| Salivary Gland Imaging (78230) | $393.09 | $1,572.36 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $393.09 | $1,572.36 | 0.8× |
| Scapula (73010) | $352.08 | $1,408.32 | 2.6× |
| Shoulder 1 view (73020) | $75.74 | $302.98 | 0.7× |
| Shoulder Arthrography (73040) | $754.59 | $3,018.38 | 1.7× |
| Sialogram (70390) | $353.33 | $1,413.34 | 1.2× |
| Skull less than 4 views (70250) | $97.77 | $391.10 | 0.7× |
| Special dosimetry (77331) | $446.87 | $1,787.50 | 2.6× |
| Special Physics Consult (77370) | $825 | $3,300 | 4.8× |
| Special teletherapy port plan (77321) | $1,206.15 | $4,824.60 | 2.5× |
| Special treatment procedure (77470) | $1,760 | $7,040 | 2.5× |
| Speech evaluation, complex (70371) | $153.36 | $613.43 | 0.5× |
| Spleen Imaging (78185) | $230.75 | $923.01 | 0.4× |
| Stereotactic Body Radiation Delivery (77373) | $5,400 | $21,600 | 2.3× |
| Sternoclavicular joints (71130) | $110.90 | $443.62 | 1.0× |
| Superior sagittal sinus venogram (75870) | $1,118.88 | $4,475.52 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,187.50 | $12,750 | 6.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $625.76 | $2,503.05 | 1.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $353.33 | $1,413.34 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,968.75 | $7,875 | 4.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,546.87 | $6,187.50 | 3.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,125 | $4,500 | 6.5× |
| Thoracic spine 2 views (72070) | $195.55 | $782.21 | 1.5× |
| Thoracic spine 3 views (72072) | $293.33 | $1,173.31 | 2.2× |
| Thoracolumbar 2 views (72080) | $95.51 | $382.04 | 0.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $393.28 | $1,573.11 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,149.58 | $4,598.32 | 2.2× |
| Thyroid Met Imaging Body (78018) | $2,471.62 | $9,886.50 | 3.5× |
| Thyroid Uptake Measurement (78012) | $333.31 | $1,333.24 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,690.04 | $6,760.17 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $1,155 | $4,620 | 2.4× |
| Tx devices design & construction intermediate (77333) | $367.91 | $1,471.65 | 2.1× |
| Tx devices design & construction simple (77332) | $305.10 | $1,220.40 | 1.8× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$276.04–$414.07 | $1,104.18–$1,656.27 | varies |
| Ultrasound Exam Aaa Screen (76706) | $74.86 | $299.44 | 0.6× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$365.80–$447.64 | $1,463.20–$1,790.56 | varies |
| Umbilical-artery Doppler (OB) (76820) | $77.28 | $309.14 | 0.6× |
| Unlisted fluoroscopic procedure (76496) | $117.45 | $469.82 | 1.0× |
| Unlisted magnetic resonance procedure (76498) | $424.74 | $1,698.98 | 3.8× |
| Unlisted us procedure (76999) | $166.80 | $667.21 | 1.5× |
| Upper gi w/o kub (74240) | $192.96 | $771.84 | 0.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $11.64 | $46.58 | 1.1× |
| Urea breath test c-14 isotopic analysis (78268) | $98.79 | $395.16 | 1.0× |
| Urethrocystogram voiding (74455) | $293.76 | $1,175.04 | 1.0× |
| Urethrocystography retrograde (74450) | $440.64 | $1,762.56 | 1.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$564.33–$846.50 | $2,257.34–$3,386 | varies |
| Us chest (76604) | $410.29 | $1,641.16 | 3.1× |
| Us complete joint (76881) | $500.37 | $2,001.47 | 3.7× |
| Us exam, pelvic, limited (76857) | $538.81 | $2,155.26 | 4.0× |
| Us head (76506) | $74.86 | $299.44 | 0.6× |
| Us kidney transplant (76776) | $74.86 | $299.44 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $404.25 | $1,616.99 | 3.0× |
| Us ob detailed single fetus (76811) | $136.71 | $546.84 | 0.4× |
| Us ob limited 1 or more fetuses (76815) | $97.35 | $389.40 | 0.7× |
| Us ob transvaginal (76817) | $558.59 | $2,234.35 | 4.2× |
| Us pelvic non ob complete (76856) | $577.81 | $2,311.24 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $735.44 | $2,941.78 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $110.25 | $441 | 0.8× |
| Us retroperitoneal complete (76770) | $97.35 | $389.40 | 0.7× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$235.72–$353.59 | $942.90–$1,414.35 | varies |
| Us scrotum and contents (76870) | $538.81 | $2,155.26 | 4.0× |
| Us spinal canal and contents (76800) | $82.80 | $331.19 | 0.6× |
| Us thyroid (76536) | $522.34 | $2,089.35 | 3.9× |
| Us transrectal (76872) range across 2 matching MRF lines |
$226.34–$230.76 | $905.38–$923.06 | varies |
| Vascular Flow Imaging (78445) | $393.09 | $1,572.36 | 0.8× |
| Vasogram (74440) | $353.33 | $1,413.34 | 1.2× |
| Vein X-Ray Chest (75827) | $1,576.26 | $6,305.04 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,524.60 | $6,098.40 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $1,344.70 | $5,378.79 | 0.3× |
| Venogram Sinus/Jugular (75860) | $2,530.79 | $10,123.15 | 0.6× |
| Venography Adrenal Unilateral (75840) | $4,049.27 | $16,197.07 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,410.27 | $9,641.09 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,170 | $4,680 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $1,050.84 | $4,203.36 | 0.5× |
| Venography Orbital Rs&I (75880) | $950.53 | $3,802.11 | 1.2× |
| Venography Renal Bilateral (75833) | $2,410.28 | $9,641.12 | 0.6× |
| Venography Renal Unilateral (75831) | $5,423.11 | $21,692.45 | 1.3× |
| Venous sampling by catheter (75893) | $7,987.10 | $31,948.42 | 1.1× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$218.88–$328.31 | $875.51–$1,313.26 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $123.23 | $492.91 | 1.1× |
| X-ray antegrade pyelogram tube (74425) | $352.08 | $1,408.32 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,811.98 | $11,247.94 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $195.55 | $782.21 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$184.92–$277.39 | $739.70–$1,109.56 | varies |
| X-Ray Exam Breast Specimen (76098) | $864.57 | $3,458.30 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $56.85 | $227.40 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $129.73 | $518.93 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $203.45 | $813.79 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $59.61 | $238.46 | 0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $70.41 | $281.66 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $293.33 | $1,173.31 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $97.77 | $391.10 | 0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $143.42 | $573.70 | 1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $117.36 | $469.44 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) | $381.45 | $1,525.82 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $243.65 | $974.59 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $381.45 | $1,525.82 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $352.08 | $1,408.32 | 2.6× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$95.42–$143.13 | $381.67–$572.51 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$211.25–$422.49 | $844.99–$1,689.98 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $211.25 | $844.99 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $90.24 | $360.96 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $322.70 | $1,290.82 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $203.04 | $812.16 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $205.41 | $821.66 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $293.33 | $1,173.31 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $258.19 | $1,032.76 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $243.65 | $974.59 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $227.23 | $908.93 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $195.55 | $782.21 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $108.13 | $432.52 | 0.8× |
| X-Ray Tmj Unilat (70328) | $152.57 | $610.27 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $352.14 | $1,408.58 | 0.8× |
| X-Rays Bone Length Studies (77073) | $107.57 | $430.27 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $136.94 | $547.78 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $352.08 | $1,408.32 | 2.6× |
| Xr facial bones less than 3 views (70140) | $100.12 | $400.49 | 0.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $172.47 | $689.90 | 1.3× |
| Xr myelogram posterior fossa (70010) | $709.97 | $2,839.90 | 1.6× |
| Xr orbits complete 4 views (70200) | $97.77 | $391.10 | 0.7× |
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.