Imaging prices at Seattle Children's Hospital
Seattle, WA · every code in this section with a posted price and a Medicare benchmark.
358 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) | $19,860.20 | $19,860.20 | 12.4× |
| Abdomen 1 View (74018) | $487.30 | $487.30 | 4.8× |
| Abdomen 2 views (74019) | $602.40 | $602.40 | 5.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,470.50 | $3,470.50 | 7.5× |
| Angio internal mammary (75756) | $9,221.60 | $9,221.60 | 2.5× |
| Angio pulmonary bilat (75743) | $9,845.20 | $9,845.20 | 2.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,652 | $8,652 | 2.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$10,595.30–$166,395.50 | $10,595.30 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$108,550.60–$164,413.60 | — | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,792.20 | $8,792.20 | 2.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,653.60 | $8,653.60 | 2.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$497.50–$994.30 | $497.50–$994.30 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,717.80 | $14,717.80 | 2.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $9,502.90 | $9,502.90 | 2.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$14,295.90–$164,413.60 | $14,295.90 | varies |
| Artery X-Rays Adrenal Gland (75731) | $8,051.30 | $8,051.30 | 2.2× |
| Artery X-Rays Pelvis (75736) | $9,234.80 | $9,234.80 | 1.4× |
| Artery X-Rays Spine (75705) | $74,353.95 | — | 11.5× |
| Arthrogram ankle (73615) | $1,403.70 | $1,403.70 | 3.5× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,845.60–$3,690.10 | $1,845.60–$3,690.10 | varies |
| Basic radiation dosimetry calculation (77300) | $1,664.20 | $1,664.20 | 10.7× |
| Bone age studies (77072) | $388.90 | $388.90 | 3.2× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$2,967.70–$5,638.90 | $2,967.70–$5,638.90 | varies |
| Bone marrow imaging; whole body (78104) | $2,727.30 | $2,727.30 | 5.9× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$841.80–$1,483.20 | $841.80–$1,483.20 | varies |
| Brain Flow Imaging Only (78610) | $1,898.20 | $1,898.20 | 3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,997.80 | $8,997.80 | 5.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$4,401.70–$6,771.80 | $4,401.70–$6,771.80 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $9,553.90 | $9,553.90 | 10.5× |
| Cat Scan Follow-Up Study (76380) | $1,358.90 | $1,358.90 | 13.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,824 | $2,824 | 4.5× |
| Cerebrospinal Fluid Scan (78630) | $2,812.10 | $2,812.10 | 4.5× |
| Chest 1 view (71045) | $627.80 | $627.80 | 6.2× |
| Chest 2 views (71046) | $627.30 | $627.30 | 6.2× |
| Chest 3 views (71047) | $700 | $700 | 6.9× |
| Chest 4 or more views (71048) | $804.80 | $804.80 | 6.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $682 | $682 | 5.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$560.50–$1,120.40 | $560.50–$1,120.40 | varies |
| Continuing medical physics consltj pr wk (77336) | $2,043 | $2,043 | 13.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$10,621.20–$137,535.10 | $10,621.20 | varies |
| Contrast X-Ray Bladder (74430) | $1,257.20 | $1,257.20 | 3.1× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$27,186.60–$50,774.95 | — | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,335.60–$2,670.80 | $1,335.60–$2,670.80 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $7,302.30 | $7,302.30 | 18.0× |
| CT abdomen and pelvis without contrast (74176) | $4,491.90 | $4,491.90 | 16.2× |
| CT abdomen w contrast (74160) | $3,848.20 | $3,848.20 | 18.9× |
| CT abdomen w wo contrast (74170) | $4,358.30 | $4,358.30 | 21.4× |
| CT abdomen w/o contrast (74150) | $2,812.10 | $2,812.10 | 23.2× |
| CT Angio Abdomen and Pelvis (74174) | $7,255.30 | $7,255.30 | 17.9× |
| CT Angio Chest (71275) | $4,393.50 | $4,393.50 | 21.6× |
| CT Angio Head (70496) | $5,385.40 | $5,385.40 | 26.4× |
| CT angio hrt w/3d image (75574) | $6,297.80 | $6,297.80 | 15.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,165.60–$8,331.10 | $4,165.60–$8,331.10 | varies |
| CT Angio Neck (70498) | $4,757.20 | $4,757.20 | 23.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,118.40 | $3,118.40 | 15.3× |
| CT cervical spine w/ contrast (72126) | $3,362.90 | $3,362.90 | 8.3× |
| CT cervical spine w/o contrast (72125) | $2,898.90 | $2,898.90 | 23.9× |
| CT cervical spine w/wo cont (72127) | $4,316.10 | $4,316.10 | 21.2× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,674.80–$3,740.60 | $3,674.80–$3,740.60 | varies |
| CT chest w/wo contrast (71270) | $4,401 | $4,401 | 21.6× |
| CT head/brain with contrast (70460) | $2,732.60 | $2,732.60 | 13.4× |
| CT head/brain without and with contrast (70470) | $3,392.60 | $3,392.60 | 16.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,921.30 | $1,921.30 | 19.0× |
| CT hrt w/3d image congen (75573) | $4,907.50 | $4,907.50 | 12.1× |
| CT iac w contrast (70481) | $3,586.20 | $3,586.20 | 17.6× |
| CT l-spine w&w/o contrast (72133) | $4,215.50 | $4,215.50 | 20.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,230.30–$4,460.10 | $2,230.30–$4,460.10 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,722.30–$5,444.30 | $2,722.30–$5,444.30 | varies |
| CT lumbar spine w contrast (72132) | $3,902.20 | $3,902.20 | 9.6× |
| CT lumbar spine w/o contrast (72131) | $3,181.60 | $3,181.60 | 26.2× |
| CT maxillofacial w contrast (70487) | $2,865 | $2,865 | 14.1× |
| CT maxillofacial wo contrast (70486) | $2,419.60 | $2,419.60 | 19.9× |
| CT neck tissue combo (70492) | $3,192 | $3,192 | 15.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,965 | $3,965 | 19.5× |
| CT orbits w/o contrast (70480) | $2,869 | $2,869 | 23.6× |
| CT pelvis w&w/o contrast (72194) | $4,169.30 | $4,169.30 | 20.5× |
| CT pelvis w/o contrast (72192) | $2,706.40 | $2,706.40 | 22.3× |
| CT scan of leg combo (73702) | $3,671 | $3,671 | 18.0× |
| CT scans face/jaw combo (70488) | $3,987.40 | $3,987.40 | 19.6× |
| CT soft tissue neck w contrast (70491) | $3,491.60 | $3,491.60 | 17.1× |
| CT soft tissue neck w/o contrast (70490) | $2,572 | $2,572 | 21.2× |
| CT thoracic spine w contrast (72129) | $3,076.20 | $3,076.20 | 15.1× |
| CT thoracic spine w/o contrast (72128) | $2,866.50 | $2,866.50 | 23.6× |
| CT thoracic spine w/wo cont (72130) | $4,219.70 | $4,219.70 | 20.7× |
| CT thorax w/o contrast (71250) | $2,896.50 | $2,896.50 | 23.9× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,228.60–$4,457 | $2,228.60–$4,457 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,762.90 | $3,762.90 | 18.5× |
| CT upper extremity with contrast (73201) | $3,369 | $3,369 | 8.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,019.70 | $4,019.70 | 19.7× |
| Cta Abdomen (74175) | $4,706.90 | $4,706.90 | 23.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,779 | $6,779 | 16.7× |
| CTA pelvis (72191) | $4,451.70 | $4,451.70 | 21.9× |
| Dilation ureters/urethra rs&i (74485) | $4,034.80 | $4,034.80 | 1.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $654.60 | $654.60 | 5.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,031.10 | $1,031.10 | 8.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $627 | $627 | 5.2× |
| Dxa Bone Density Axial (77080) | $775.40 | $775.40 | 6.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $697.30 | $697.30 | 6.9× |
| Echo exam of fetal heart (76825) | $2,076.90 | $2,076.90 | 3.3× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$2,605.10–$3,717 | $2,605.10–$3,717 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,166.70 | $1,166.70 | 4.2× |
| Esophagram (74220) | $1,008 | $1,008 | 4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $623 | $623 | 5.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $5,842.80 | $5,842.80 | 21.1× |
| Fluoroscopy up to 1 hr (76000) | $869.60 | $869.60 | 3.1× |
| Follow-Up Angiography (75898) | $249,419.30 | — | 68.0× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$525.20–$1,049.70 | $525.20–$1,049.70 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$563.50–$1,186.40 | $563.50–$1,186.40 | varies |
| Gastric emptying imaging study (78264) | $2,904.20 | $2,904.20 | 6.3× |
| Gastroesophageal Reflux Exam (78262) | $2,465.50 | $2,465.50 | 5.3× |
| Gated Heart Planar Single (78472) | $2,677 | $2,677 | 5.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$612–$1,223.40 | $612–$1,223.40 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $55,451.70 | — | 15.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $9,176.80 | $9,176.80 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $3,203.10 | $3,203.10 | 5.1× |
| Hepatobiliary System Imaging (78226) | $2,520 | $2,520 | 5.4× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) | $6,165 | $6,165 | 9.6× |
| Ht Muscle Image Spect Sing (78451) | $4,341.20 | $4,341.20 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,389.10 | $1,389.10 | 13.7× |
| Infant hip ultrasound, limited static exam (76886) | $1,131.30 | $1,131.30 | 11.2× |
| Joint Survey Single View (77077) | $459.80 | $459.80 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $2,788.70 | $2,788.70 | 4.4× |
| K Flow/Funct Image W/O Drug (78707) | $2,182.80 | $2,182.80 | 3.5× |
| Kidney Imaging Morphol (78700) | $2,275.30 | $2,275.30 | 4.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$661.60–$1,322.50 | $661.60–$1,322.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,028.50 | $2,028.50 | 4.4× |
| Lung Ventilat&Perfus Imaging (78582) | $3,508.40 | $3,508.40 | 5.6× |
| Lung Ventilation Imaging (78579) | $2,242.60 | $2,242.60 | 4.8× |
| Lymph System Imaging (78195) | $3,195.40 | $3,195.40 | 5.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $78,040 | — | 21.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $13,432.80 | $13,432.80 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $4,337.30 | $4,337.30 | 15.7× |
| Magnetic Resonance Elastography (76391) | $5,046.30 | $5,046.30 | 18.2× |
| Meckels Divert Exam (78290) | $3,557.30 | $3,557.30 | 7.7× |
| Mlc imrt design & construction per imrt plan (77338) | $21,030.60 | $21,030.60 | 48.4× |
| Mra Head W/O & W/Contrast Material (70546) | $6,791.10 | $6,791.10 | 16.8× |
| MRA head w/o contrast (70544) | $4,691.70 | $4,691.70 | 16.9× |
| MRA head with contrast (70545) | $5,746.30 | $5,746.30 | 14.2× |
| MRA neck w contrast (70548) | $4,782.80 | $4,782.80 | 11.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,518.80 | $6,518.80 | 16.1× |
| MRA neck w/o contrast (70547) | $4,510.90 | $4,510.90 | 16.3× |
| MRI abdomen w contrast (74182) | $6,242.30 | $6,242.30 | 15.4× |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$3,490.50–$5,765.20 | $3,490.50–$5,765.20 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,729.10 | $4,729.10 | 5.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$6,053–$12,105 | $6,053–$12,105 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,920.80 | $4,920.80 | 5.4× |
| MRI brain functional w/o physician admnistration (70554) | $7,760.10 | $7,760.10 | 28.0× |
| MRI brain functional w/physician admnistration (70555) | $7,613.80 | $7,613.80 | 27.5× |
| MRI cardiac w/o contrast (75557) | $4,679.50 | $4,679.50 | 16.9× |
| MRI cervical spine w contrast (72142) | $2,291.40 | $2,291.40 | 5.7× |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$1,044.90–$4,586.90 | $1,044.90–$4,586.90 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,642.50–$5,160.40 | $1,642.50–$5,160.40 | varies |
| MRI chest with contrast (71551) | $6,451.70 | $6,451.70 | 7.1× |
| MRI chest wo w contrast (71552) | $7,891.10 | $7,891.10 | 19.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,110.70 | $5,110.70 | 12.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$6,808.80–$14,308.30 | $6,808.80–$14,308.30 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,456.70–$8,942.10 | $1,456.70–$8,942.10 | varies |
| MRI lumbar spine w contrast (72149) | $2,206 | $2,206 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,660.70–$6,676.90 | $4,660.70–$6,676.90 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,323.20–$4,792.20 | $3,323.20–$4,792.20 | varies |
| MRI orbit face neck w contrast (70542) | $5,427.40 | $5,427.40 | 13.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,597.10 | $7,597.10 | 18.8× |
| MRI pelvis w contrast (72196) | $5,392.20 | $5,392.20 | 13.3× |
| MRI pelvis w/o & w contrast (72197) | $7,330.80 | $7,330.80 | 18.1× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,444–$4,396.50 | $1,444–$4,396.50 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$1,157.20–$3,403.90 | $1,157.20–$3,403.90 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,657.70 | $4,657.70 | 11.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,305.40–$4,381.80 | $1,305.40–$4,381.80 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$6,207.20–$12,414.20 | $6,207.20–$12,414.20 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$6,968.20–$8,710.10 | $6,968.20–$8,710.10 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$5,077.40–$7,254.60 | $5,077.40–$7,254.60 | varies |
| MRI, dorsal spine contrast (72147) | $2,370.40 | $2,370.40 | 5.9× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$2,740.70–$8,431.90 | $2,740.70–$8,431.90 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$4,043.20–$12,438.70 | $4,043.20–$12,438.70 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,775.40–$6,850.90 | $4,775.40–$6,850.90 | varies |
| Myelogram cervical (72240) | $3,339.10 | $3,339.10 | 3.7× |
| Myelogram Lumbar (72265) | $2,941.80 | $2,941.80 | 3.2× |
| Myelography thoracic (72255) | $3,162.70 | $3,162.70 | 3.5× |
| Myelograpy 2/more regions rs&i (72270) | $4,163.20 | $4,163.20 | 4.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,865.80 | $7,865.80 | 5.2× |
| Myocardial Spect Multiple Studies (78452) | $6,276.20 | $6,276.20 | 4.2× |
| Neck soft tissue (70360) | $552.60 | $552.60 | 5.5× |
| Nonvascular Shunt X-Ray (75809) | $25,376.75 | — | 209.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $20,811 | $20,811 | 12.9× |
| Nuclear Rx Oral Admin (79005) | $1,293.50 | $1,293.50 | 4.8× |
| Ob us nuchal meas 1 gest (76813) | $500 | $500 | 4.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $783.70 | $783.70 | 6.5× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $834.10 | $834.10 | 5.4× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $341.30 | $341.30 | 2.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$577.30–$865.40 | $577.30–$865.40 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $670.30 | — | 20.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $523.80 | $523.80 | 4.3× |
| Optic foramina (70190) | $535.80 | $535.80 | 5.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,961.60 | $2,961.60 | 4.7× |
| Parathyroid Planar Imaging (78070) | $2,093.70 | $2,093.70 | 4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,178.90 | $2,178.90 | 4.7× |
| Pelvis 1 or 2 views (72170) | $605.70 | $605.70 | 5.0× |
| Perineogram (74775) | $1,296.10 | $1,296.10 | 4.7× |
| Peritoneogram Rs&I (74190) | $1,201.80 | $1,201.80 | 1.9× |
| Pet Image W/Ct Lmtd (78814) | $5,908.80 | $5,908.80 | 3.6× |
| PET image w/CT, full body (78816) | $10,103.10 | $10,103.10 | 6.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,427.80 | $9,427.80 | 5.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $93,036.75 | — | 25.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,743.50 | $2,743.50 | 5.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $891.50 | $891.50 | 7.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$1,550.45–$1,628.40 | $1,576.10–$1,628.40 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$690–$1,379.40 | $690–$1,379.40 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$469.30–$937.70 | $469.30–$937.70 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$613.80–$1,227.30 | $613.80–$1,227.30 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $760.50 | $760.50 | 6.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$511.20–$1,021.50 | $511.20–$1,021.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$583.40–$1,164.40 | $583.40–$1,164.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$828.20–$1,655.70 | $828.20–$1,655.70 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$462.30–$924.40 | $462.30–$924.40 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $967.70 | $967.70 | 8.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $591.60 | $591.60 | 5.9× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,260.20 | $1,260.20 | 12.5× |
| Radex Ribs Unilateral 2 Views (71100) | $542.40 | $542.40 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$587.70–$1,174.90 | $587.70–$1,174.90 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $504.60 | $504.60 | 5.0× |
| Radex Spine 1 View Specify Level (72020) | $507.50 | $507.50 | 5.0× |
| Radex Sternum Minimum 2 Views (71120) | $604.30 | $604.30 | 6.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $852.70 | $852.70 | 8.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$500.10–$999.30 | $500.10–$999.30 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$498.80–$996.60 | $498.80–$996.60 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$661.20–$1,389 | $661.20–$1,389 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $863.40 | $863.40 | 7.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $53,178.70 | $53,178.70 | 6.2× |
| Radiation treatment delivery level 1 (77402) | $1,698.80 | $1,698.80 | 14.3× |
| Radiation treatment delivery level 2 (77407) | $1,976.50 | $1,976.50 | 4.4× |
| Radiation treatment delivery level 3 (77412) | $3,159.70 | $3,159.70 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $814.50 | $814.50 | 6.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $761.20 | $761.20 | 6.3× |
| Radiologic exam colon double contrast study (74280) | $2,357.80 | $2,357.80 | 11.6× |
| Radiologic exam colon single contrast study (74270) | $1,673.20 | $1,673.20 | 8.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$692.80–$1,385 | $692.80–$1,385 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $739.10 | $739.10 | 6.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,268.60 | $1,268.60 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,630.50 | $1,630.50 | 8.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$423.60–$849.50 | $423.60–$849.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$583.40–$1,164.60 | $583.40–$1,164.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$522.30–$1,044.20 | $522.30–$1,044.20 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $971.40 | $971.40 | 8.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$563.50–$1,124.50 | $563.50–$1,124.50 | varies |
| Renal Cyst Study (74470) | $2,931.10 | $2,931.10 | 4.6× |
| Ribs bilateral 3 views (71110) | $725.80 | $725.80 | 6.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,440.30 | $2,440.30 | 5.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,607 | $4,607 | 7.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$3,289.20–$4,804.20 | $3,289.20–$4,804.20 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$2,765–$3,935.40 | $2,765–$3,935.40 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,226.80 | $4,226.80 | 2.8× |
| Rp Therapy Intravenous Administration (79101) | $24,182.80 | $24,182.80 | 89.2× |
| Scapula (73010) range across 2 matching MRF lines |
$537.70–$1,075.70 | $537.70–$1,075.70 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$417.10–$837.20 | $417.10–$837.20 | varies |
| Shoulder Arthrography (73040) | $1,367.60 | $1,367.60 | 3.4× |
| Sialogram (70390) | $1,403.80 | $1,403.80 | 5.1× |
| Skull less than 4 views (70250) | $602.90 | $602.90 | 5.0× |
| Special dosimetry (77331) | $1,436.60 | $1,436.60 | 9.2× |
| Special Physics Consult (77370) | $3,239 | $3,239 | 20.8× |
| Special teletherapy port plan (77321) | $4,287.40 | $4,287.40 | 9.9× |
| Special treatment procedure (77470) | $8,268.30 | $8,268.30 | 12.9× |
| Speech evaluation, complex (70371) | $1,191.90 | $1,191.90 | 4.3× |
| Spleen Imaging (78185) | $2,225.50 | $2,225.50 | 4.8× |
| Stereotactic Body Radiation Delivery (77373) | $32,945.90 | $32,945.90 | 15.9× |
| Superior sagittal sinus venogram (75870) | $8,754.20 | $8,754.20 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,609.10 | $5,609.10 | 12.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $5,134.10 | $5,134.10 | 11.8× |
| Ther rad simulaj-aided field setting simple (77280) | $3,245.60 | $3,245.60 | 20.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,884.60 | $1,884.60 | 9.3× |
| Thoracic spine 2 views (72070) | $720 | $720 | 5.9× |
| Thoracic spine 3 views (72072) | $766.70 | $766.70 | 6.3× |
| Thoracolumbar 2 views (72080) | $584.80 | $584.80 | 5.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,855.50 | $1,855.50 | 4.0× |
| Thyroid Met Imaging Body (78018) | $3,214.50 | $3,214.50 | 5.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,698.60 | $2,698.60 | 5.8× |
| Tx Devices Design & Construction Complex (77334) | $4,578 | $4,578 | 10.5× |
| Tx devices design & construction intermediate (77333) | $3,019.50 | $3,019.50 | 19.3× |
| Tx devices design & construction simple (77332) | $2,021.80 | $2,021.80 | 13.0× |
| Ultrasound Breast Limited (76642) | $743.10 | — | 7.4× |
| Ultrasound Elastography Parenchyma (76981) | $365.40 | $365.40 | 3.0× |
| Ultrasound, abdomen limited (76705) | $1,039.20 | $1,039.20 | 8.6× |
| Umbilical-artery Doppler (OB) (76820) | $543 | $543 | 4.5× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$8,850.60–$9,052.20 | $8,850.60–$9,052.20 | varies |
| Unlisted magnetic resonance procedure (76498) | $12,518.50 | $12,518.50 | 123.9× |
| Unlisted us procedure (76999) | $1,144.10 | $1,144.10 | 11.3× |
| Upper gi w/o kub (74240) | $1,173.20 | $1,173.20 | 5.8× |
| Ureteral Reflux Study (78740) | $2,395.80 | $2,395.80 | 5.2× |
| Urethrocystogram voiding (74455) | $1,432.40 | $1,432.40 | 5.2× |
| Urethrocystography retrograde (74450) | $1,320.80 | $1,320.80 | 4.8× |
| Us chest (76604) | $973.60 | $973.60 | 8.0× |
| Us complete joint (76881) | $1,095 | $1,095 | 9.0× |
| Us exam, pelvic, limited (76857) | $901.40 | $901.40 | 7.4× |
| Us head (76506) | $1,137.80 | $1,137.80 | 9.4× |
| Us kidney transplant (76776) | $1,295.90 | $1,295.90 | 10.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$618.90–$959.55 | $618.90 | varies |
| Us ob detailed single fetus (76811) | $1,261 | $1,261 | 4.6× |
| Us ob limited 1 or more fetuses (76815) | $616 | $616 | 5.1× |
| Us ob transvaginal (76817) | $667 | $667 | 5.5× |
| Us pelvic non ob complete (76856) | $1,105.80 | $1,105.80 | 9.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $900 | $900 | 7.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $578 | $578 | 4.8× |
| Us retroperitoneal complete (76770) | $1,326.30 | $1,326.30 | 10.9× |
| Us retroperitoneal limited (76775) | $956.80 | $956.80 | 7.9× |
| Us scrotum and contents (76870) | $1,053.70 | $1,053.70 | 8.7× |
| Us spinal canal and contents (76800) | $999 | $999 | 8.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,191.40–$1,387.70 | $1,191.40–$1,387.70 | varies |
| Us transrectal (76872) | $1,684.40 | $1,684.40 | 13.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$144,481.55–$236,725.55 | — | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,999.60 | $7,999.60 | 2.2× |
| Vein X-Ray Skull Epidural (75872) | $8,922.50 | $8,922.50 | 12.2× |
| Vein X-Ray Spleen/Liver (75810) | $122,015.50 | — | 33.3× |
| Venogram Sinus/Jugular (75860) | $9,764.70 | $9,764.70 | 2.7× |
| Venography Adrenal Unilateral (75840) | $8,922.50 | $8,922.50 | 2.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$10,543.90–$129,826.85 | $10,543.90 | varies |
| Venography extremity bilateral rs&i (75822) | $48,343.85 | — | 26.4× |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$3,826.30–$184,232.50 | $3,826.30 | varies |
| Venography Orbital Rs&I (75880) | $1,651.50 | $1,651.50 | 2.3× |
| Venography Renal Bilateral (75833) | $11,531.40 | $11,531.40 | 3.1× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$48,343.85–$50,265 | — | varies |
| Venous sampling by catheter (75893) | $79,868.10 | — | 12.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$562.20–$1,123.80 | $562.20–$1,123.80 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $639.10 | $639.10 | 6.3× |
| X-ray antegrade pyelogram tube (74425) | $1,569 | $1,569 | 3.9× |
| X-Ray Aorta Leg Arteries (75630) | $10,311.10 | $10,311.10 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $746.30 | $746.30 | 6.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$529.20–$1,059.40 | $529.20–$1,059.40 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $641.50 | $641.50 | 6.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$769.80–$1,272.40 | $769.80–$1,272.40 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$790.70–$980.70 | $790.70–$980.70 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $590.90 | $590.90 | 5.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $548.20 | $548.20 | 5.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $641.50 | $641.50 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $634 | $634 | 5.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $730 | $730 | 6.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,164.80 | $1,164.80 | 9.6× |
| X-Ray Exam L-S Spine Bending (72114) | $1,261.90 | $1,261.90 | 10.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $765.90 | $765.90 | 7.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,141.60 | $1,141.60 | 9.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $709 | $709 | 5.8× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$573–$1,145.60 | $573–$1,145.60 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,640.20 | $1,640.20 | 8.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $537.90 | $537.90 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $496.50 | $496.50 | 4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $678.60 | $678.60 | 5.6× |
| X-ray nose-rectum child f.b. (76010) | $672.70 | $672.70 | 6.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $854.40 | $854.40 | 7.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $648.40 | $648.40 | 5.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $552.60 | $552.60 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $674.40 | $674.40 | 6.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $674.40 | $674.40 | 6.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $782.90 | $782.90 | 6.4× |
| X-ray thoracic spine 4 vw (72074) | $791.60 | $791.60 | 6.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,916.30 | $1,916.30 | 4.7× |
| X-Rays Bone Length Studies (77073) | $641.50 | $641.50 | 5.3× |
| X-Rays Bone Survey Complete (77075) | $1,472.50 | $1,472.50 | 12.1× |
| Xr c-spine 4 or 5 views (72050) | $920.80 | $920.80 | 7.6× |
| Xr facial bones less than 3 views (70140) | $562.30 | $562.30 | 5.6× |
| Xr orbits complete 4 views (70200) | $705.20 | $705.20 | 5.8× |
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.