Imaging prices at Sherman Oaks Hospital
Sherman Oaks, CA · every code in this section with a posted price and a Medicare benchmark.
272 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 |
$111 | $229–$600 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $511 | $1,702 | 1.0× |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$1,656 | $1,082–$2,163 | 1.0× |
| Angio internal mammary (75756) | $4,041 | $2,978 | 1.0× |
| Angio pulmonary bilat (75743) | $4,041 | $2,445 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,041 | $2,671 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,041 | $278.72–$9,197 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$4,041 | $234.60–$9,197 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$4,041 | $2,131–$9,197 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$4,041 | $2,288–$2,978 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$111 | $172–$311.50 | 1.0× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$7,121 | $1,859–$10,304 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$4,041 | $1,859–$4,416 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 5 matching MRF lines |
$7,121 | $1,535–$7,360 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $4,041 | $2,260 | 1.0× |
| Artery X-Rays Pelvis (75736) | $7,121 | $9,197 | 1.0× |
| Arthrogram hip (73525) | $446 | $541 | 1.0× |
| Arthrogram Wrist (73115) | $446 | $541 | 1.0× |
| Bone age studies (77072) | $133 | $529.37 | 1.0× |
| Bone Imaging 3 Phase (78315) | $511 | $1,951 | 1.0× |
| Bone Imaging Limited Area (78300) | $511 | $1,720 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $511 | $1,216 | 1.0× |
| Bone Imaging Whole Body (78306) | $511 | $1,835 | 1.0× |
| Bone survey infant (77076) | $133 | $412 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $694 | $1,041 | 1.0× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$111 | $373–$1,239 | 1.0× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$694 | $454–$1,191 | 1.0× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$111 | $33–$600 | 1.0× |
| Chest 2 views (71046) range across 7 matching MRF lines |
$111 | $82–$600 | 1.0× |
| Chest 3 views (71047) range across 4 matching MRF lines |
$111 | $239–$314 | 1.0× |
| Chest 4 or more views (71048) | $133 | $402 | 1.0× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$224 | $249–$382 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$111 | $240–$311.50 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$4,041 | $1,612–$9,197 | 1.0× |
| Contrast X-Ray Bladder (74430) | $446 | $194 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $446 | $541 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$446 | $1,929.40–$2,622.41 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $305 | $1,520.89 | 1.0× |
| CT abdomen w contrast (74160) | $224 | $2,149 | 1.0× |
| CT abdomen w wo contrast (74170) | $224 | $2,609 | 1.0× |
| CT abdomen w/o contrast (74150) | $133 | $2,054 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $446 | $5,600 | 1.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$224 | $1,644.16–$2,288 | 1.0× |
| CT Angio Head (70496) | $224 | $2,200 | 1.0× |
| CT angio hrt w/3d image (75574) | $446 | $2,288 | 1.0× |
| CT Angio Neck (70498) | $224 | $2,200 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $224 | $1,642 | 1.0× |
| CT bone density (77078) | $111 | $412 | 1.0× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$446 | $2,239–$2,244 | 1.0× |
| CT cervical spine w/o contrast (72125) | $133 | $2,067 | 1.0× |
| CT chest w contrast (71260) | $224 | $2,141 | 1.0× |
| CT chest w/wo contrast (71270) | $224 | $2,379 | 1.0× |
| CT head/brain with contrast (70460) | $224 | $1,731 | 1.0× |
| CT head/brain without and with contrast (70470) | $224 | $3,331 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $446 | $2,750 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $111 | $1,572 | 1.0× |
| CT hrt w/3d image congen (75573) | $446 | $2,750 | 1.0× |
| CT iac w contrast (70481) | $224 | $1,702 | 1.0× |
| CT lower ext w/o (73700) | $133 | $1,463 | 1.0× |
| CT lower extremity w/contrast material (73701) | $224 | $1,301 | 1.0× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$446 | $2,239–$2,240 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $133 | $2,067 | 1.0× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$224 | $1,424–$1,622 | 1.0× |
| CT maxillofacial wo contrast (70486) range across 7 matching MRF lines |
$133 | $996–$1,784 | 1.0× |
| CT neck tissue combo (70492) | $224 | $3,450 | 1.0× |
| CT orbits w/o contrast (70480) | $133 | $1,589 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $224 | $2,154 | 1.0× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$133 | $1,677–$3,358.65 | 1.0× |
| CT scan of leg combo (73702) range across 10 matching MRF lines |
$224 | $1,012–$1,738 | 1.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$224 | $2,001–$2,369 | 1.0× |
| CT soft tissue neck w contrast (70491) | $224 | $1,953 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $133 | $1,482 | 1.0× |
| CT thoracic spine w contrast (72129) | $224 | $2,242 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $133 | $2,067 | 1.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$133 | $1,941–$1,942 | 1.0× |
| CT upper ext wo (73200) | $133 | $1,492 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) | $224 | $2,049 | 1.0× |
| CT upper extremity with contrast (73201) range across 7 matching MRF lines |
$446 | $1,341–$1,929.40 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$224 | $2,500–$2,750 | 1.0× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$224 | $2,200–$2,970 | 1.0× |
| CTA pelvis (72191) | $224 | $2,970 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $2,499 | $1,117 | 1.0× |
| Diskography lumbar (72295) | $2,499 | $1,117 | 1.0× |
| Dxa Bone Density Axial (77080) | $133 | $412 | 1.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$224 | $277–$484 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $305 | $1,175 | 1.0× |
| Follow-Up Angiography (75898) | $4,041 | $855 | 1.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$111 | $175–$311.50 | 1.0× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$111 | $238–$311.50 | 1.0× |
| Gastric emptying imaging study (78264) | $511 | $1,702 | 1.0× |
| Gated Heart Planar Single (78472) | $511 | $2,168 | 1.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$133 | $116–$562.55 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $891 | $2,816 | 1.0× |
| Hepatobiliary System Imaging (78226) | $511 | $2,294.32 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,656 | $5,284 | 1.0× |
| Hysterosalpingogram (74740) | $305 | $519 | 1.0× |
| Joint Survey Single View (77077) | $133 | $619 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $694 | $2,303 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $694 | $2,303 | 1.0× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$111 | $178–$407.64 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $511 | $454 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $511 | $1,925 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $694 | $1,082 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $694 | $2,273 | 1.0× |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$511 | $1,082–$1,724 | 1.0× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$694 | $1,243–$1,983.40 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $305 | $1,136 | 1.0× |
| Meckels Divert Exam (78290) | $511 | $882 | 1.0× |
| MRA head w/o contrast (70544) | $305 | $2,761 | 1.0× |
| MRA head with contrast (70545) | $446 | $3,500 | 1.0× |
| MRA neck w/o contrast (70547) | $305 | $2,761 | 1.0× |
| MRI abdomen w contrast (74182) | $446 | $2,800 | 1.0× |
| MRI abdomen w/o contrast (74181) | $305 | $2,800 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,003 | $3,450 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $446 | $3,450 | 1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$1,003 | $1,246–$3,458.75 | 1.0× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$305 | $2,044–$2,800 | 1.0× |
| MRI cervical spine w contrast (72142) | $446 | $2,800 | 1.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$305 | $2,044–$2,800 | 1.0× |
| MRI chest w/o contrast (71550) | $305 | $2,800 | 1.0× |
| MRI chest wo w contrast (71552) | $446 | $3,450 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $446 | $1,795 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$446 | $1,969–$2,800 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$305 | $1,769–$3,450 | 1.0× |
| MRI lumbar spine w contrast (72149) | $446 | $2,800 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $446 | $3,450 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$305 | $2,600–$2,800 | 1.0× |
| MRI orbit face neck w contrast (70542) | $446 | $2,800 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $446 | $3,450 | 1.0× |
| MRI pelvis w contrast (72196) | $446 | $2,800 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $446 | $3,450 | 1.0× |
| MRI pelvis w/o contrast (72195) | $305 | $2,800 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $305 | $2,800 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$446 | $1,795–$1,969 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$305 | $1,292–$2,800 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$446 | $1,795–$3,450 | 1.0× |
| MRI, abdomen, combo (74183) | $446 | $4,305.80 | 1.0× |
| MRI, dorsal spine combo (72157) | $446 | $3,450 | 1.0× |
| MRI, dorsal spine contrast (72147) | $446 | $2,800 | 1.0× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$305 | $1,292–$1,893 | 1.0× |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$446 | $1,591–$2,269 | 1.0× |
| MRI, lumbar spine combo (72158) | $446 | $3,450 | 1.0× |
| Myelogram cervical (72240) | $1,003 | $725 | 1.0× |
| Myelogram Lumbar (72265) | $1,003 | $1,274 | 1.0× |
| Myelography thoracic (72255) | $1,003 | $740 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,003 | $1,072 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$511 | $834–$2,163 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,656 | $501–$590 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$1,656 | $2,163–$5,284 | 1.0× |
| Neck soft tissue (70360) | $111 | $311.50 | 1.0× |
| Nm myocard infarct spect (78469) | $694 | $1,429 | 1.0× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$298 | $358–$2,163 | 1.0× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$111 | $358–$562.55 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $133 | $562.55 | 1.0× |
| Parathyroid Planar Imaging (78070) | $511 | $1,553 | 1.0× |
| Pelvis 1 or 2 views (72170) | $133 | $562.55 | 1.0× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $1,656 | $644 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $511 | $1,482 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $133 | $562.55 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $699 | $385 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$111 | $239–$311.50 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$111 | $120–$311.50 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$111 | $239–$311.50 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $133 | $562.55 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$111 | $172–$311.50 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$111 | $238–$498.81 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$111 | $145–$311.50 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $133 | $433 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $111 | $311.50 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $111 | $311.50 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$111 | $238–$505.62 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$111 | $216–$238 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $224 | $800 | 1.0× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$111 | $271–$692 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $111 | $311.50 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$111 | $267–$637 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$111 | $175–$311.50 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$111 | $238–$311.50 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $133 | $562.55 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$133 | $477–$562.55 | 1.0× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$224 | $566–$1,008.70 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $224 | $483 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$133 | $244–$562.55 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $133 | $562.55 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $224 | $549 | 1.0× |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$224 | $827–$911.10 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$224 | $695–$1,008.70 | 1.0× |
| Radiologic examination femur 1 view (73551) | $111 | $240 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $111 | $311.50 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 10 matching MRF lines |
$111 | $62–$311.50 | 1.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $111 | $302 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$111 | $238–$311.50 | 1.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $699 | $180 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $511 | $1,216 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 5 matching MRF lines |
$511 | $834–$1,429 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$694 | $541–$1,731 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$694 | $1,429–$1,784 | 1.0× |
| Scapula (73010) range across 4 matching MRF lines |
$133 | $238–$681.06 | 1.0× |
| Sella turcica (70240) | $111 | $273 | 1.0× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$111 | $311.50–$506.25 | 1.0× |
| Shoulder Arthrography (73040) | $446 | $541 | 1.0× |
| Skull less than 4 views (70250) | $133 | $562.55 | 1.0× |
| Special dosimetry (77331) | $172 | $757 | 1.0× |
| Speech evaluation, complex (70371) | $305 | $827 | 1.0× |
| Sternoclavicular joints (71130) | $111 | $224 | 1.0× |
| Testicular Imaging W/Flow (78761) | $511 | $1,073 | 1.0× |
| Ther rad simulaj-aided field setting simple (77280) | $172 | $375 | 1.0× |
| Thoracic spine 2 views (72070) | $133 | $562.55 | 1.0× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$111 | $239–$323 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $511 | $930 | 1.0× |
| Thyroid Met Imaging Body (78018) | $694 | $1,831 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $511 | $1,553 | 1.0× |
| Ultrasound Breast Limited (76642) | $111 | $423 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$133 | $655–$1,513.25 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 7 matching MRF lines |
$111 | $28–$973 | 1.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 3 matching MRF lines |
$511 | $145–$383 | 1.0× |
| Urethrocystogram voiding (74455) | $305 | $266 | 1.0× |
| Us breast unilateral complete (76641) | $133 | $562.55 | 1.0× |
| Us chest (76604) range across 2 matching MRF lines |
$133 | $534.40–$548 | 1.0× |
| Us complete joint (76881) | $133 | $755.37 | 1.0× |
| Us exam, pelvic, limited (76857) | $133 | $562.55 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$133 | $560.40–$702 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $133 | $548 | 1.0× |
| Us pelvic non ob complete (76856) | $133 | $763 | 1.0× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$133 | $637–$740 | 1.0× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$133 | $534.40–$562.55 | 1.0× |
| Us scrotum and contents (76870) | $133 | $740 | 1.0× |
| Us thyroid (76536) range across 4 matching MRF lines |
$133 | $560.40–$702 | 1.0× |
| Vein X-Ray Chest (75827) | $2,014 | $1,715 | 1.0× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,041 | $1,715–$11,087.80 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,014 | $692–$2,275 | 1.0× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$2,014 | $358–$2,275 | 1.0× |
| Venography Renal Bilateral (75833) | $4,041 | $1,882 | 1.0× |
| Venous sampling by catheter (75893) | $7,121 | $905 | 1.0× |
| Venous thrombosis imaging (78457) | $694 | $740 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $511 | $893 | 1.0× |
| Wrist 2 views (73100) | $111 | $288 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $111 | $239 | 1.0× |
| X-ray antegrade pyelogram tube (74425) range across 5 matching MRF lines |
$446 | $239–$1,258.07 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,041 | $1,482–$9,197 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$111 | $66–$311.50 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $699 | $247 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $133 | $329 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$111 | $190–$311.50 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$111 | $238–$311.50 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133 | $562.55 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $133 | $562.55 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $111 | $311.50 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $133 | $512 | 1.0× |
| X-ray eye for foreign body (70030) | $111 | $257 | 1.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$111 | $238–$311.50 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$224 | $230–$890 | 1.0× |
| X-ray IV pyelogram+tomography (74415) | $224 | $1,159 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111 | $311.50 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $111 | $432.90 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $133 | $562.55 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $111 | $371.80 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $133 | $562.55 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $133 | $562.55 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$111 | $283–$311.50 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $111 | $388 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $133 | $538 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $133 | $562.55 | 1.0× |
| X-Ray Tmj Unilat (70328) | $111 | $439 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$446 | $402–$880 | 1.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$133 | $619–$2,145 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $133 | $2,145 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $133 | $562.55 | 1.0× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$111 | $238–$290 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $133 | $261 | 1.0× |
| Xr orbits complete 4 views (70200) | $133 | $562.55 | 1.0× |
| Xr Tomogram Single Plane (76100) range across 6 matching MRF lines |
$133 | $348–$814 | 1.0× |
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.