Imaging prices at Sky Lakes Medical Center
Klamath Falls, OR · every code in this section with a posted price and a Medicare benchmark.
338 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) | $6,935.04 | $9,246.72 | 4.0× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$291.44–$303.85 | $388.58–$405.13 | varies |
| Abdomen 2 views (74019) | $321.67 | $428.89 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,289.73 | $1,719.64 | 2.5× |
| Angio internal mammary (75756) | $2,642.90 | $3,523.86 | 0.7× |
| Angio pulmonary bilat (75743) | $5,593.46 | $7,457.95 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $5,593.46 | $7,457.95 | 1.4× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$5,310.57–$5,593.46 | $7,080.76–$7,457.95 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,573.80 | $6,098.40 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,496.88 | $8,662.50 | 1.6× |
| Ankle 2 views (73600) | $309.98 | $413.30 | 2.8× |
| Aortography thoracic serialography rs&i (75605) | $6,748.22 | $8,997.63 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,134.74 | $8,179.66 | 1.5× |
| Artery X-Rays Abdomen (75726) | $5,517.15 | $7,356.20 | 0.8× |
| Artery X-Rays Pelvis (75736) | $5,085.50 | $6,780.66 | 0.7× |
| Arthrogram ankle (73615) | $1,731.50 | $2,308.67 | 3.9× |
| Arthrogram hip (73525) | $1,856.06 | $2,474.75 | 4.2× |
| Arthrogram Wrist (73115) | $1,731.50 | $2,308.67 | 3.9× |
| Basic radiation dosimetry calculation (77300) | $698.43 | $931.24 | 4.1× |
| Bone age studies (77072) | $282.07 | $376.09 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,425.89 | $1,901.19 | 2.8× |
| Bone Imaging Limited Area (78300) | $1,188.25 | $1,584.33 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,425.89 | $1,901.19 | 2.8× |
| Bone marrow imaging limited area (78102) | $1,313.31 | $1,751.08 | 2.6× |
| Bone survey infant (77076) | $355.57 | $474.09 | 2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,973.81 | $2,631.75 | 2.9× |
| Cat Scan Follow-Up Study (76380) | $1,044.63 | $1,392.84 | 9.5× |
| Chest 1 view (71045) | $281.08 | $374.77 | 2.5× |
| Chest 2 views (71046) | $304.46 | $405.94 | 2.8× |
| Chest 3 views (71047) | $472.70 | $630.27 | 4.3× |
| Chest 4 or more views (71048) | $525 | $700 | 4.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $233 | $310.67 | 1.8× |
| Clavicle complete (73000) | $309.98 | $413.30 | 2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $247.50 | $330 | 1.9× |
| Continuing medical physics consltj pr wk (77336) | $818.16 | $1,090.88 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $5,593.46 | $7,457.95 | 1.4× |
| Contrast X-Ray Bladder (74430) | $913.73 | $1,218.31 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,687.33 | $2,249.77 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,731.50 | $2,308.67 | 3.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,341.01 | $5,788.01 | 9.8× |
| CT abdomen and pelvis without contrast (74176) | $2,468.42 | $3,291.22 | 8.2× |
| CT abdomen w contrast (74160) | $1,742.98 | $2,323.98 | 7.8× |
| CT abdomen w wo contrast (74170) | $2,412.32 | $3,216.43 | 10.9× |
| CT abdomen w/o contrast (74150) | $1,234.21 | $1,645.61 | 9.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,489.39 | $3,319.19 | 5.6× |
| CT Angio Chest (71275) | $2,382.75 | $3,177 | 10.7× |
| CT Angio Head (70496) | $2,081.86 | $2,775.81 | 9.4× |
| CT angio hrt w/3d image (75574) | $933.40 | $1,244.53 | 2.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,413.33 | $3,217.77 | 10.9× |
| CT Angio Neck (70498) | $2,084.15 | $2,778.87 | 9.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,379.44 | $3,172.58 | 10.7× |
| CT cervical spine w/ contrast (72126) | $1,945.42 | $2,593.89 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,500.89 | $2,001.19 | 11.3× |
| CT cervical spine w/wo cont (72127) | $2,243.04 | $2,990.72 | 10.1× |
| CT chest w contrast (71260) | $1,848.32 | $2,464.42 | 8.3× |
| CT chest w/wo contrast (71270) | $1,928.68 | $2,571.58 | 8.7× |
| CT colonography screening (74263) | $485.74 | $647.66 | 1.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,160.69 | $1,547.59 | 8.8× |
| CT head/brain with contrast (70460) | $1,600.17 | $2,133.56 | 7.2× |
| CT head/brain without and with contrast (70470) | $1,816.38 | $2,421.84 | 8.2× |
| CT iac w contrast (70481) | $1,936.70 | $2,582.26 | 8.7× |
| CT l-spine w&w/o contrast (72133) | $2,412.32 | $3,216.43 | 10.9× |
| CT lower ext w/o (73700) | $1,450.88 | $1,934.50 | 11.0× |
| CT lower extremity w/contrast material (73701) | $2,120.57 | $2,827.43 | 9.5× |
| CT lumbar spine w contrast (72132) | $2,226.61 | $2,968.81 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,597.92 | $2,130.56 | 12.1× |
| CT maxillofacial w contrast (70487) | $1,936.70 | $2,582.26 | 8.7× |
| CT maxillofacial wo contrast (70486) | $1,325.90 | $1,767.87 | 10.0× |
| CT neck tissue combo (70492) | $1,938.16 | $2,584.22 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,098.22 | $2,797.63 | 9.4× |
| CT orbits w/o contrast (70480) | $1,288.22 | $1,717.62 | 9.7× |
| CT pelvis w&w/o contrast (72194) | $1,928.68 | $2,571.58 | 8.7× |
| CT pelvis w/o contrast (72192) | $1,241.26 | $1,655.02 | 9.4× |
| CT scan of leg combo (73702) | $2,297.44 | $3,063.26 | 10.3× |
| CT scans face/jaw combo (70488) | $2,098.22 | $2,797.63 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,847.25 | $2,463 | 8.3× |
| CT soft tissue neck w/o contrast (70490) | $1,288.22 | $1,717.62 | 9.7× |
| CT thoracic spine w contrast (72129) | $2,065.94 | $2,754.59 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $1,481.04 | $1,974.72 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $2,272.53 | $3,030.04 | 10.2× |
| CT thorax w/o contrast (71250) | $1,234.21 | $1,645.61 | 9.3× |
| CT upper ext wo (73200) | $1,524.39 | $2,032.52 | 11.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,412.32 | $3,216.43 | 10.9× |
| CT upper extremity with contrast (73201) | $2,226.61 | $2,968.81 | 5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,742.68 | $3,656.91 | 12.3× |
| Cta Abdomen (74175) | $2,461.96 | $3,282.62 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,166.01 | $5,554.68 | 9.4× |
| CTA pelvis (72191) | $1,992.52 | $2,656.70 | 9.0× |
| Diskography lumbar (72295) | $11,494.52 | $15,326.03 | 4.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $198.96 | $265.28 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $254.44 | $339.26 | 1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $283.96 | $378.61 | 2.1× |
| Dxa Bone Density Axial (77080) | $387.82 | $517.10 | 2.9× |
| Dxa bone density study (77085) | $619.37 | $825.83 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $163.58 | $218.10 | 1.5× |
| Echo exam of fetal heart (76825) | $1,930.86 | $2,574.48 | 2.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$936.86–$976.76 | $1,249.15–$1,302.35 | varies |
| Echo Guide For Artery Repair (76936) | $1,011.53 | $1,348.71 | 3.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,930.86 | $2,574.48 | 6.4× |
| Esophagram (74220) | $552.44 | $736.58 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$146.36–$705.82 | $195.14–$941.10 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$67.76–$705.82 | $90.35–$941.10 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$571.72–$575.78 | $762.30–$767.71 | varies |
| Follow-Up Angiography (75898) | $525.58 | $700.77 | 0.1× |
| Foot 2 views (73620) | $309.98 | $413.30 | 2.8× |
| Forearm 2 views (73090) | $309.98 | $413.30 | 2.8× |
| Gastric emptying imaging study (78264) | $1,416.21 | $1,888.28 | 2.8× |
| Gastroesophageal Reflux Exam (78262) | $1,180.18 | $1,573.57 | 2.3× |
| Gated Heart Planar Single (78472) | $1,535.14 | $2,046.86 | 3.0× |
| Hand 2 views (73120) | $331.58 | $442.10 | 2.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,549.98 | $6,066.64 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,473.53 | $1,964.71 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,507.33 | $3,343.11 | 1.5× |
| Hysterosalpingogram (74740) | $1,009.87 | $1,346.49 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $582.29 | $776.39 | 5.3× |
| Infant hip ultrasound, limited static exam (76886) | $55.07 | $73.43 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $1,900.78 | $2,534.38 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $1,958.13 | $2,610.84 | 2.8× |
| Knee 3 Views (73562) | $310.65 | $414.20 | 2.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,306.80 | $1,742.40 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,978.15 | $2,637.53 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,037.82 | $2,717.09 | 3.0× |
| Lung Ventilation Imaging (78579) | $989.07 | $1,318.76 | 2.0× |
| Lymph System Imaging (78195) | $1,227.60 | $1,636.80 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $2,411.08 | $3,214.77 | 8.0× |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$957.81–$999.53 | $1,277.08–$1,332.71 | varies |
| Meckels Divert Exam (78290) | $1,180.18 | $1,573.57 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,293.34 | $1,724.45 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,117.36 | $4,156.48 | 7.1× |
| MRA head w/o contrast (70544) | $2,578.60 | $3,438.14 | 8.5× |
| MRA head with contrast (70545) | $2,847.66 | $3,796.88 | 6.4× |
| MRA neck w contrast (70548) | $2,768.05 | $3,690.73 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,117.36 | $4,156.48 | 7.1× |
| MRA neck w/o contrast (70547) | $2,578.60 | $3,438.14 | 8.5× |
| MRI abdomen w contrast (74182) | $3,050.83 | $4,067.77 | 6.9× |
| MRI abdomen w/o contrast (74181) | $2,518.52 | $3,358.02 | 8.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,050.83 | $4,067.77 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,518.06 | $4,690.74 | 8.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,050.83 | $4,067.77 | 3.1× |
| MRI brain functional w/o physician admnistration (70554) | $2,578.60 | $3,438.14 | 8.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,189.91 | $4,253.21 | 10.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,313.99 | $3,085.32 | 7.7× |
| MRI cervical spine w contrast (72142) | $3,117.16 | $4,156.22 | 7.1× |
| MRI cervical spine w/o cont (72141) | $2,172.40 | $2,896.54 | 7.2× |
| MRI chest w/o contrast (71550) | $2,518.52 | $3,358.02 | 8.3× |
| MRI chest with contrast (71551) | $2,965.54 | $3,954.06 | 3.0× |
| MRI chest wo w contrast (71552) | $3,412.58 | $4,550.11 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,050.83 | $4,067.77 | 6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,518.06 | $4,690.74 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,518.52 | $3,358.02 | 8.3× |
| MRI lumbar spine w contrast (72149) | $3,050.83 | $4,067.77 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,034.60 | $4,046.13 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,578.60 | $3,438.14 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,951.02 | $5,268.03 | 8.9× |
| MRI pelvis w contrast (72196) | $3,050.83 | $4,067.77 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $3,518.06 | $4,690.74 | 8.0× |
| MRI pelvis w/o contrast (72195) | $2,518.52 | $3,358.02 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $2,518.52 | $3,358.02 | 8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,050.83 | $4,067.77 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,518.52 | $3,358.02 | 8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,518.06 | $4,690.74 | 8.0× |
| MRI, abdomen, combo (74183) | $3,858.98 | $5,145.31 | 8.7× |
| MRI, dorsal spine combo (72157) | $3,740.48 | $4,987.31 | 8.5× |
| MRI, dorsal spine contrast (72147) | $3,050.83 | $4,067.77 | 6.9× |
| MRI, joint upper extrem (73221) | $2,518.52 | $3,358.02 | 8.3× |
| MRI, joint upper extrem combo (73223) | $3,858.98 | $5,145.31 | 8.7× |
| MRI, lumbar spine combo (72158) | $3,869.35 | $5,159.13 | 8.8× |
| Myelogram Lumbar (72265) | $2,983.89 | $3,978.52 | 3.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,667.11 | $3,556.15 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $4,178.92 | $5,571.89 | 2.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,086.54 | $4,115.38 | 1.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,814.04 | $6,418.72 | 1.7× |
| Neck soft tissue (70360) | $276.22 | $368.29 | 2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $680.62 | $907.50 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $892.74 | $1,190.32 | 6.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,716.58 | $11,622.11 | 5.0× |
| Nuclear Rx Oral Admin (79005) | $1,030.19 | $1,373.59 | 3.5× |
| Ob us nuchal meas 1 gest (76813) | $260.87 | $347.83 | 2.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $705.82 | $941.10 | 5.3× |
| Optic foramina (70190) | $309.98 | $413.30 | 2.8× |
| Panoramic X-ray of jaws (70355) | $309.98 | $413.30 | 2.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,323.20 | $3,097.60 | 3.4× |
| Parathyroid Planar Imaging (78070) | $1,064.24 | $1,418.98 | 2.1× |
| Pelvis 1 or 2 views (72170) | $309.98 | $413.30 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $4,109.80 | $5,479.74 | 2.3× |
| PET image w/CT, full body (78816) | $4,813.90 | $6,418.53 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,813.90 | $6,418.53 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,018.90 | $1,358.54 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $469.58 | $626.10 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $982.23 | $1,309.64 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $310.65 | $414.20 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $309.98 | $413.30 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $309.98 | $413.30 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $309.98 | $413.30 | 2.3× |
| Radex fingr minimum 2 views (73140) | $309.98 | $413.30 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $309.98 | $413.30 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $310.65 | $414.20 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $309.98 | $413.30 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $309.98 | $413.30 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $309.98 | $413.30 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $309.98 | $413.30 | 2.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $309.98 | $413.30 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $309.98 | $413.30 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $309.98 | $413.30 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $527.03 | $702.71 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $309.98 | $413.30 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $309.98 | $413.30 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $309.98 | $413.30 | 2.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $551.37 | $735.16 | 4.2× |
| Radiation treatment delivery level 1 (77402) | $603.80 | $805.07 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $603.80 | $805.07 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $812.28 | $1,083.04 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $309.98 | $413.30 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $736.67 | $982.23 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $552.44 | $736.58 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $630.81 | $841.08 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $458.30 | $611.06 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $347.98 | $463.98 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $552.44 | $736.58 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $489.14 | $652.18 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $552.44 | $736.58 | 2.5× |
| Radiologic examination femur 1 view (73551) | $309.98 | $413.30 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $309.98 | $413.30 | 2.8× |
| Radiologic examination knee 1/2 views (73560) | $309.98 | $413.30 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $418.08 | $557.44 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $309.98 | $413.30 | 2.8× |
| Ribs bilateral 3 views (71110) | $291.62 | $388.83 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,097.25 | $1,463 | 2.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,472.25 | $1,963 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,100.32 | $5,467.10 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,720.44 | $3,627.25 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,030.32–$3,087.82 | $2,707.10–$4,117.10 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,720.44 | $3,627.25 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,087.15 | $4,116.20 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,720.44 | $3,627.25 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $1,487.88 | $1,983.84 | 5.0× |
| Scapula (73010) | $309.98 | $413.30 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $118.25 | $157.67 | 5.1× |
| Shoulder 1 view (73020) | $309.98 | $413.30 | 2.8× |
| Shoulder Arthrography (73040) | $1,856.06 | $2,474.75 | 4.2× |
| Skull less than 4 views (70250) | $309.98 | $413.30 | 2.3× |
| Special dosimetry (77331) | $556.08 | $741.44 | 3.3× |
| Special Physics Consult (77370) | $1,239.32 | $1,652.43 | 7.3× |
| Special teletherapy port plan (77321) | $1,806.97 | $2,409.29 | 3.8× |
| Special treatment procedure (77470) | $2,582.19 | $3,442.92 | 3.7× |
| Stereotactic Body Radiation Delivery (77373) | $10,138.10 | $13,517.47 | 4.5× |
| Sternoclavicular joints (71130) | $309.98 | $413.30 | 2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,733.14 | $2,310.85 | 3.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $887.23 | $1,182.97 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,876.56 | $2,502.08 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,601.60 | $2,135.46 | 3.4× |
| Ther rad simulaj-aided field setting simple (77280) | $954.64 | $1,272.85 | 5.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $691.70 | $922.26 | 3.1× |
| Thoracic spine 2 views (72070) | $320.90 | $427.87 | 2.4× |
| Thoracic spine 3 views (72072) | $372 | $496 | 2.8× |
| Thoracolumbar 2 views (72080) | $309.98 | $413.30 | 2.8× |
| Thyroid Met Imaging Body (78018) | $1,600.50 | $2,134 | 2.3× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$520.34–$536.05 | $693.79–$714.73 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,064.24 | $1,418.98 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $1,293.34 | $1,724.45 | 2.7× |
| Tx devices design & construction intermediate (77333) | $1,179.26 | $1,572.35 | 6.9× |
| Tx devices design & construction simple (77332) | $942.64 | $1,256.86 | 5.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$80.97–$138.56 | $107.96–$184.74 | varies |
| Ultrasound elastography first target lesion (76982) | $608.72 | $811.62 | 4.6× |
| Ultrasound Elastography Parenchyma (76981) | $608.72 | $811.62 | 4.6× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$146.36–$730.95 | $195.14–$974.60 | varies |
| Ultrasound, abdomen limited (76705) | $705.82 | $941.10 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $384.01 | $512.01 | 2.9× |
| Unlisted us procedure (76999) | $28 | $37.34 | 0.3× |
| Upper gi w/o kub (74240) | $552.44 | $736.58 | 2.5× |
| Urethrocystogram voiding (74455) | $913.73 | $1,218.31 | 3.0× |
| Urethrocystography retrograde (74450) | $913.73 | $1,218.31 | 3.0× |
| Us breast unilateral complete (76641) | $408.14 | $544.18 | 3.1× |
| Us chest (76604) | $393.48 | $524.64 | 3.0× |
| Us complete joint (76881) range across 3 matching MRF lines |
$122.79–$705.82 | $163.72–$941.10 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$33.41–$393.48 | $44.55–$524.64 | varies |
| Us head (76506) | $393.48 | $524.64 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$146.36–$393.48 | $195.14–$524.64 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,153.32–$1,202.48 | $1,537.76–$1,603.30 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$58.78–$425.53 | $78.38–$567.37 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$146.36–$667.51 | $195.14–$890.01 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$782.24–$815.57 | $1,042.98–$1,087.43 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$133.06–$705.82 | $177.42–$941.10 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$393.48–$415.12 | $524.64–$553.49 | varies |
| Us retroperitoneal complete (76770) | $904.19 | $1,205.59 | 6.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$146.36–$494.80 | $195.14–$659.73 | varies |
| Us scrotum and contents (76870) | $705.82 | $941.10 | 5.3× |
| Us spinal canal and contents (76800) | $597.49 | $796.65 | 4.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$146.36–$705.82 | $195.14–$941.10 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$146.36–$231.30 | $195.14–$308.40 | varies |
| Vascular Flow Imaging (78445) | $944.55 | $1,259.40 | 1.9× |
| Vein X-Ray Chest (75827) | $2,690.42 | $3,587.23 | 1.3× |
| Venogram Sinus/Jugular (75860) | $6,134.74 | $8,179.66 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $2,620.41 | $3,493.88 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $2,620.41 | $3,493.88 | 1.3× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,761.92–$2,114.30 | $2,349.23–$2,819.07 | varies |
| Venography Renal Bilateral (75833) | $4,954.95 | $6,606.60 | 1.2× |
| Venography Renal Unilateral (75831) | $4,954.95 | $6,606.60 | 1.2× |
| Venous sampling by catheter (75893) | $10,219.40 | $13,625.87 | 1.4× |
| Wrist 2 views (73100) | $309.98 | $413.30 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $309.98 | $413.30 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $913.73 | $1,218.31 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $5,593.46 | $7,457.95 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $462.93 | $617.24 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $309.98 | $413.30 | 2.8× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,673.19–$1,746.08 | $2,230.92–$2,328.11 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $309.98 | $413.30 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $309.98 | $413.30 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $551.37 | $735.16 | 4.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $309.98 | $413.30 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$282.82–$458.30 | $377.10–$611.06 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $490.36 | $653.81 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $462.93 | $617.24 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $435.51 | $580.68 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $551.37 | $735.16 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $435.51 | $580.68 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $341.35 | $455.13 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $518.24 | $690.98 | 3.9× |
| X-ray eye for foreign body (70030) | $220.60 | $294.13 | 2.0× |
| X-ray humerus (73060) | $309.98 | $413.30 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $309.98 | $413.30 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $309.98 | $413.30 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $404.78 | $539.71 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $248.61 | $331.48 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $462.93 | $617.24 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $309.98 | $413.30 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $309.98 | $413.30 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $309.98 | $413.30 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $309.98 | $413.30 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $462.93 | $617.24 | 3.5× |
| X-ray thoracic spine 4 vw (72074) | $549.94 | $733.26 | 4.2× |
| X-Ray Tmj Unilat (70328) | $362.06 | $482.74 | 3.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $913.73 | $1,218.31 | 2.1× |
| X-Rays Bone Length Studies (77073) | $557.72 | $743.62 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $491.12 | $654.83 | 3.7× |
| Xr c-spine 4 or 5 views (72050) | $462.93 | $617.24 | 3.5× |
| Xr facial bones less than 3 views (70140) | $309.98 | $413.30 | 2.8× |
| Xr orbits complete 4 views (70200) | $309.98 | $413.30 | 2.3× |
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.