Imaging prices at Sierra View Medical Center
Porterville, CA · every code in this section with a posted price and a Medicare benchmark.
292 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) | $3,510.78 | $5,015.40 | 2.0× |
| Abdomen 1 View (74018) | $152.39 | $217.70 | 1.4× |
| Abdomen 2 views (74019) | $201.46 | $287.80 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $688.17 | $983.10 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $10,633.35 | $15,190.50 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $7,088.90 | $10,127 | 1.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$158.20–$237.30 | $226–$339 | varies |
| Arthrogram ankle (73615) | $696.92 | $995.60 | 1.6× |
| Arthrogram hip (73525) | $572.88 | $818.40 | 1.3× |
| Arthrogram Wrist (73115) | $572.88 | $818.40 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $558.67 | $798.10 | 3.2× |
| Bone age studies (77072) | $214.76 | $306.80 | 1.6× |
| Bone Imaging 3 Phase (78315) | $1,238.93 | $1,769.90 | 2.4× |
| Bone Imaging Whole Body (78306) | $906.92 | $1,295.60 | 1.8× |
| Bone marrow imaging; whole body (78104) | $1,107.89 | $1,582.70 | 2.2× |
| Bone survey infant (77076) | $506.45 | $723.50 | 3.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,133.09 | $1,618.70 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,034.67 | $1,478.10 | 1.5× |
| Chest 1 view (71045) | $189.42 | $270.60 | 1.7× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$201.46–$246.05 | $287.80–$351.50 | varies |
| Chest 3 views (71047) | $246.05 | $351.50 | 2.2× |
| Chest 4 or more views (71048) | $270.06 | $385.80 | 2.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$173.04–$259.56 | $247.20–$370.80 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $237.93 | $339.90 | 1.8× |
| Continuing medical physics consltj pr wk (77336) | $385.91 | $551.30 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $6,893.53 | $9,847.90 | 1.7× |
| Contrast X-Ray Bladder (74430) | $517.86 | $739.80 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $369.53 | $527.90 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $572.88 | $818.40 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,234.47 | $3,192.10 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,790.95 | $2,558.50 | 5.8× |
| CT abdomen w contrast (74160) | $1,877.33 | $2,681.90 | 8.3× |
| CT abdomen w wo contrast (74170) | $2,234.47 | $3,192.10 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,790.95 | $2,558.50 | 13.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,346.12 | $3,351.60 | 5.2× |
| CT Angio Chest (71275) | $1,771.56 | $2,530.80 | 7.9× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,439.97–$1,771.56 | $2,057.10–$2,530.80 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,771.56 | $2,530.80 | 7.9× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,439.97–$1,771.56 | $2,057.10–$2,530.80 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,771.56 | $2,530.80 | 7.9× |
| CT cervical spine w/ contrast (72126) | $1,971.13 | $2,815.90 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,790.95 | $2,558.50 | 13.3× |
| CT cervical spine w/wo cont (72127) | $1,241.87 | $1,774.10 | 5.5× |
| CT chest w contrast (71260) | $1,877.33 | $2,681.90 | 8.3× |
| CT chest w/wo contrast (71270) | $2,346.12 | $3,351.60 | 10.4× |
| CT head/brain with contrast (70460) | $1,307.32 | $1,867.60 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,676.43 | $2,394.90 | 7.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $232.19 | $331.70 | 2.1× |
| CT iac w contrast (70481) | $1,371.30 | $1,959 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $1,241.87 | $1,774.10 | 5.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,263.85–$2,527.63 | $1,805.50–$3,610.90 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,307.32–$2,614.43 | $1,867.60–$3,734.90 | varies |
| CT lumbar spine w contrast (72132) | $1,971.13 | $2,815.90 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,790.95 | $2,558.50 | 13.3× |
| CT maxillofacial w contrast (70487) | $1,371.30 | $1,959 | 6.1× |
| CT maxillofacial wo contrast (70486) | $1,204.42 | $1,720.60 | 9.0× |
| CT neck tissue combo (70492) | $1,683.92 | $2,405.60 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,759.73 | $2,513.90 | 7.8× |
| CT orbits w/o contrast (70480) | $1,263.85 | $1,805.50 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $2,234.47 | $3,192.10 | 9.9× |
| CT pelvis w/o contrast (72192) | $1,790.95 | $2,558.50 | 13.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,759.73–$3,519.32 | $2,513.90–$5,027.60 | varies |
| CT scans face/jaw combo (70488) | $1,759.73 | $2,513.90 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,307.32 | $1,867.60 | 5.8× |
| CT soft tissue neck w/o contrast (70490) | $1,204.42 | $1,720.60 | 9.0× |
| CT thoracic spine w contrast (72129) | $1,877.33 | $2,681.90 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,790.95 | $2,558.50 | 13.3× |
| CT thoracic spine w/wo cont (72130) | $1,241.87 | $1,774.10 | 5.5× |
| CT thorax w/o contrast (71250) | $1,790.95 | $2,558.50 | 13.3× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$504.28–$1,204.42 | $720.40–$1,720.60 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,759.73 | $2,513.90 | 7.8× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,371.30–$2,057.30 | $1,959–$2,939 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,771.56 | $2,530.80 | 7.9× |
| Cta Abdomen (74175) | $1,771.56 | $2,530.80 | 7.9× |
| CTA pelvis (72191) | $1,771.56 | $2,530.80 | 7.9× |
| Dxa Bone Density Axial (77080) | $243.25 | $347.50 | 1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $93.38 | $133.40 | 0.8× |
| Echograp Trans R Pros Study (76873) | $728.14 | $1,040.20 | 5.4× |
| Esophagram (74220) | $296.66 | $423.80 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $554.26 | $791.80 | 4.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$303.10–$406.21 | $433–$580.30 | varies |
| Follow-Up Angiography (75898) | $640.36 | $914.80 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$193.34–$289.94 | $276.20–$414.20 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$216.16–$324.17 | $308.80–$463.10 | varies |
| Gastric emptying imaging study (78264) | $677.74 | $968.20 | 1.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$168.70–$171.29 | $241–$244.70 | varies |
| Hepatobil Syst Image W/Drug (78227) | $990.99 | $1,415.70 | 1.4× |
| Hepatobiliary System Imaging (78226) | $766.99 | $1,095.70 | 1.5× |
| Hysterosalpingogram (74740) | $820.75 | $1,172.50 | 2.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $456.05 | $651.50 | 4.1× |
| Infant hip ultrasound, limited static exam (76886) | $456.05 | $651.50 | 4.1× |
| Infusion Ivp (74410) | $572.04 | $817.20 | 2.5× |
| K Flow/Funct Image Multiple (78709) | $1,107.89 | $1,582.70 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $1,107.89 | $1,582.70 | 1.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $801.15 | $1,144.50 | 1.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$274.26–$411.39 | $391.80–$587.70 | varies |
| Liver & Spleen Imaging Static Only (78215) | $708.82 | $1,012.60 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $878.57 | $1,255.10 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,068.90–$1,531.78 | $1,527–$2,188.25 | varies |
| Lymph System Imaging (78195) | $1,107.89 | $1,582.70 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $2,036.51 | $2,909.30 | 6.6× |
| Mammary ductogram or galactogram single (77053) | $420.21 | $600.30 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $660.31 | $943.30 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,782.20 | $2,546 | 4.0× |
| MRA head w/o contrast (70544) | $1,002.05 | $1,431.50 | 3.3× |
| MRA head with contrast (70545) | $1,165.71 | $1,665.30 | 2.6× |
| MRA neck w contrast (70548) | $1,644.51 | $2,349.30 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,100.35 | $3,000.50 | 4.7× |
| MRA neck w/o contrast (70547) | $1,499.54 | $2,142.20 | 4.9× |
| MRI abdomen w contrast (74182) | $2,097.06 | $2,995.80 | 4.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,499.54–$2,272.97 | $2,142.20–$3,247.10 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,644.51–$2,149.21 | $2,349.30–$3,070.30 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,595.30–$2,552.90 | $2,279–$3,647 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,644.51–$2,466.73 | $2,349.30–$3,523.90 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,965.04 | $2,807.20 | 6.4× |
| MRI cervical spine w contrast (72142) | $2,484.30 | $3,549 | 5.5× |
| MRI cervical spine w/o cont (72141) | $2,484.30 | $3,549 | 8.1× |
| MRI chest w/o contrast (71550) | $2,608.13 | $3,725.90 | 8.5× |
| MRI chest with contrast (71551) | $1,644.51 | $2,349.30 | 1.6× |
| MRI chest wo w contrast (71552) | $2,100.35 | $3,000.50 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,644.51–$2,466.73 | $2,349.30–$3,523.90 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,484.30–$3,726.45 | $3,549–$5,323.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$982.80–$1,499.54 | $1,404–$2,142.20 | varies |
| MRI lumbar spine w contrast (72149) | $2,484.30 | $3,549 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,448.55 | $4,926.50 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,967.98 | $2,811.40 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,644.51 | $2,349.30 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,100.35 | $3,000.50 | 4.7× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,097.06–$2,484.30 | $2,995.80–$3,549 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,552.90–$3,448.55 | $3,647–$4,926.50 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,499.54–$2,484.30 | $2,142.20–$3,549 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,484.30 | $3,549 | 8.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,644.51 | $2,349.30 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,499.54–$2,249.24 | $2,142.20–$3,213.20 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,100.35–$2,484.30 | $3,000.50–$3,549 | varies |
| MRI, abdomen, combo (74183) | $2,552.90 | $3,647 | 5.7× |
| MRI, dorsal spine combo (72157) | $3,145.38 | $4,493.40 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,608.13 | $3,725.90 | 5.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,721.02–$1,965.04 | $2,458.60–$2,807.20 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,100.35–$3,150.56 | $3,000.50–$4,500.80 | varies |
| MRI, lumbar spine combo (72158) | $3,448.55 | $4,926.50 | 7.7× |
| Myelogram cervical (72240) | $1,155.91 | $1,651.30 | 1.1× |
| Myelogram Lumbar (72265) | $1,155.91 | $1,651.30 | 1.1× |
| Neck soft tissue (70360) | $150.85 | $215.50 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,692.01 | $5,274.30 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $1,302.84 | $1,861.20 | 4.3× |
| Parathyroid Planar Imaging (78070) | $576.45 | $823.50 | 1.1× |
| Pelvis 1 or 2 views (72170) | $173.04 | $247.20 | 1.3× |
| Pet Image W/Ct Lmtd (78814) | $2,632 | $3,760 | 1.4× |
| PET image w/CT, full body (78816) | $2,860.69 | $4,086.70 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,746.31 | $3,923.30 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $731.36 | $1,044.80 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $475.09 | $678.70 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $355.53 | $507.90 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$250.53–$369.18 | $357.90–$527.40 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$150.85–$226.24 | $215.50–$323.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$211.96–$317.87 | $302.80–$454.10 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $418.81 | $598.30 | 3.1× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$168.70–$252.98 | $241–$361.40 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$247.45–$371.14 | $353.50–$530.20 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$205.80–$308.63 | $294–$440.90 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$201.46–$302.05 | $287.80–$431.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $415.66 | $593.80 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $268.24 | $383.20 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $201.46 | $287.80 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$253.47–$380.03 | $362.10–$542.90 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $173.04 | $247.20 | 1.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $792.12 | $1,131.60 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $201.46 | $287.80 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $211.96 | $302.80 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $307.02 | $438.60 | 2.7× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$143.36–$215.04 | $204.80–$307.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$201.46–$302.05 | $287.80–$431.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$211.96–$317.87 | $302.80–$454.10 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$417.06–$2,138.08 | $595.80–$3,054.40 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$581.14–$1,710.45 | $830.20–$2,443.50 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$638.96–$656.95 | $912.80–$938.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $326.27 | $466.10 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $693.98 | $991.40 | 3.1× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$536.20–$693.98 | $766–$991.40 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$356.51–$534.73 | $509.30–$763.90 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $201.46 | $287.80 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $463.47 | $662.10 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $456.05 | $651.50 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$456.05–$628.46 | $651.50–$897.80 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$160.44–$240.73 | $229.20–$343.90 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$215.39–$323.12 | $307.70–$461.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$204.19–$306.32 | $291.70–$437.60 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $506.45 | $723.50 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$173.04–$259.56 | $247.20–$370.80 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $1,424.50 | $2,035 | 4.7× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $1,424.50 | $2,035 | 4.7× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $5,160.26 | $7,371.80 | 17.2× |
| Ribs bilateral 3 views (71110) | $201.46 | $287.80 | 1.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $573.44 | $819.20 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,186.64 | $1,695.20 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,231.37 | $1,759.10 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,231.37–$1,293.74 | $1,759.10–$1,848.20 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,143.66 | $1,633.80 | 1.6× |
| Scapula (73010) range across 2 matching MRF lines |
$211.96–$317.94 | $302.80–$454.20 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$71.33–$91.35 | $101.90–$130.50 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$178.99–$268.31 | $255.70–$383.30 | varies |
| Shoulder Arthrography (73040) | $572.88 | $818.40 | 1.3× |
| Skull less than 4 views (70250) | $211.96 | $302.80 | 1.6× |
| Special Physics Consult (77370) | $240.03 | $342.90 | 1.4× |
| Special treatment procedure (77470) | $2,383.50 | $3,405 | 3.4× |
| Stereotactic Body Radiation Delivery (77373) | $5,745.04 | $8,207.20 | 2.5× |
| Sternoclavicular joints (71130) | $222.25 | $317.50 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,546.72 | $2,209.60 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,338.40 | $1,912 | 2.8× |
| Ther rad simulaj-aided field setting simple (77280) | $869.61 | $1,242.30 | 5.0× |
| Thoracic spine 2 views (72070) | $201.46 | $287.80 | 1.5× |
| Thoracic spine 3 views (72072) | $286.30 | $409 | 2.1× |
| Thoracolumbar 2 views (72080) | $493.22 | $704.60 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $494.62 | $706.60 | 1.0× |
| Thyroid Met Imaging Body (78018) | $1,235.78 | $1,765.40 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $202.79 | $289.70 | 0.4× |
| Tx Devices Design & Construction Complex (77334) | $728.14 | $1,040.20 | 1.5× |
| Tx devices design & construction intermediate (77333) | $451.36 | $644.80 | 2.6× |
| Tx devices design & construction simple (77332) | $305.69 | $436.70 | 1.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$424.69–$637.07 | $606.70–$910.10 | varies |
| Ultrasound elastography first target lesion (76982) | $320.88 | $458.40 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $320.88 | $458.40 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $728.14 | $1,040.20 | 5.4× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$365.19–$763.91 | $521.70–$1,091.30 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $517.86 | $739.80 | 4.6× |
| Unlisted fluoroscopic procedure (76496) | $303.10 | $433 | 2.7× |
| Unlisted us procedure (76999) | $395.01 | $564.30 | 3.5× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$569.10–$714.77 | $813–$1,021.10 | varies |
| Urethrocystogram voiding (74455) | $517.86 | $739.80 | 1.7× |
| Urethrocystography retrograde (74450) | $517.86 | $739.80 | 1.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$530.88–$796.32 | $758.40–$1,137.60 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$424.69–$728.14 | $606.70–$1,040.20 | varies |
| Us complete joint (76881) | $424.69 | $606.70 | 3.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$239.89–$728.14 | $342.70–$1,040.20 | varies |
| Us head (76506) | $456.05 | $651.50 | 3.4× |
| Us kidney transplant (76776) | $456.05 | $651.50 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $178.64 | $255.20 | 1.3× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$205.80–$228.34 | $294–$326.20 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$178.64–$341.60 | $255.20–$488 | varies |
| Us pelvic non ob complete (76856) | $763.91 | $1,091.30 | 5.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$341.60–$728.14 | $488–$1,040.20 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $228.34 | $326.20 | 1.7× |
| Us retroperitoneal complete (76770) | $728.14 | $1,040.20 | 5.4× |
| Us retroperitoneal limited (76775) | $239.89 | $342.70 | 1.8× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$239.89–$534.59 | $342.70–$763.70 | varies |
| Us thyroid (76536) | $728.14 | $1,040.20 | 5.4× |
| Us transrectal (76872) range across 3 matching MRF lines |
$352.80–$728.14 | $504–$1,040.20 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,362.34–$1,963.78 | $1,946.20–$2,805.40 | varies |
| Venography caval inferior serialography rs&i (75825) | $1,963.78 | $2,805.40 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,186.99 | $1,695.70 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $3,607.24 | $5,153.20 | 1.8× |
| Venography Renal Unilateral (75831) | $1,587.60 | $2,268 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$118.16–$177.10 | $168.80–$253 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $251.93 | $359.90 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $517.86 | $739.80 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $351.75 | $502.50 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$158.20–$237.30 | $226–$339 | varies |
| X-Ray Exam Breast Specimen (76098) | $211.96 | $302.80 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $351.75 | $502.50 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $387.80 | $554 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.44 | $229.20 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $200.55 | $286.50 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $265.23 | $378.90 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $265.23 | $378.90 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $332.08 | $474.40 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $505.05 | $721.50 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $253.47 | $362.10 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $290.64 | $415.20 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $421.75 | $602.50 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $232.61 | $332.30 | 1.7× |
| X-ray eye for foreign body (70030) | $201.46 | $287.80 | 1.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$173.04–$259.56 | $247.20–$370.80 | varies |
| X-ray IV pyelogram (ivp) (74400) | $572.04 | $817.20 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $211.96 | $302.80 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $274.26 | $391.80 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $253.47 | $362.10 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $201.46 | $287.80 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $470.82 | $672.60 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $424.76 | $606.80 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $228.34 | $326.20 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $351.75 | $502.50 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $472.29 | $674.70 | 3.5× |
| X-ray thoracic spine 4 vw (72074) | $133.49 | $190.70 | 1.0× |
| X-Ray Tmj Unilat (70328) | $201.46 | $287.80 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $409.71 | $585.30 | 0.9× |
| X-Rays Bone Length Studies (77073) | $240.03 | $342.90 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $1,022.91 | $1,461.30 | 7.6× |
| Xr c-spine 4 or 5 views (72050) | $356.30 | $509 | 2.6× |
| Xr facial bones less than 3 views (70140) | $418.81 | $598.30 | 3.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $201.46 | $287.80 | 1.5× |
| Xr orbits complete 4 views (70200) | $418.81 | $598.30 | 3.1× |
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.