Imaging prices at Sonoma Valley Hospital
Sonoma, CA · every code in this section with a posted price and a Medicare benchmark.
294 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) | $520.80 | $744 | 4.4× |
| Abdomen 2 views (74019) | $743.40 | $1,062 | 5.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,588.60 | $3,698 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $9,221.80 | $13,174 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $6,657 | $9,510 | 1.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$504–$672 | $720–$960 | varies |
| Arthrogram ankle (73615) | $1,039.50 | $1,485 | 2.2× |
| Arthrogram hip (73525) | $1,379.70 | $1,971 | 2.9× |
| Arthrogram Wrist (73115) | $1,039.50 | $1,485 | 2.2× |
| Bone age studies (77072) | $221.20 | $316 | 1.5× |
| Bone Imaging 3 Phase (78315) | $3,462.20 | $4,946 | 6.3× |
| Bone Imaging Limited Area (78300) | $1,595.30 | $2,279 | 2.9× |
| Bone Imaging Whole Body (78306) | $2,872.10 | $4,103 | 5.2× |
| Bone survey infant (77076) | $429.80 | $614 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $2,091.60 | $2,988 | 17.5× |
| Cerebrospinal Fluid Scan (78630) | $2,493.40 | $3,562 | 3.3× |
| Chest 1 view (71045) | $767.20 | $1,096 | 6.4× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$87.50–$798 | $125–$1,140 | varies |
| Chest 3 views (71047) | $829.50 | $1,185 | 6.9× |
| Chest 4 or more views (71048) | $882 | $1,260 | 6.1× |
| Cholecystography Oral Contrast (74290) | $399 | $570 | 1.7× |
| Clavicle complete (73000) | $688.10 | $983 | 5.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,454.50 | $4,935 | 24.0× |
| Contrast X-Ray Bladder (74430) | $1,239.70 | $1,771 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $1,039.50 | $1,485 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,796.90 | $2,567 | 3.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $534.10 | $763 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $7,722.40 | $11,032 | 16.1× |
| CT abdomen and pelvis without contrast (74176) | $6,486.20 | $9,266 | 19.8× |
| CT abdomen w contrast (74160) | $4,599 | $6,570 | 19.1× |
| CT abdomen w wo contrast (74170) | $4,826.50 | $6,895 | 20.0× |
| CT abdomen w/o contrast (74150) | $3,334.80 | $4,764 | 23.2× |
| CT Angio Abdomen and Pelvis (74174) | $12,188.40 | $17,412 | 25.4× |
| CT Angio Chest (71275) | $6,495.30 | $9,279 | 26.9× |
| CT Angio Head (70496) | $8,435 | $12,050 | 35.0× |
| CT angio hrt w/3d image (75574) | $4,544.40 | $6,492 | 9.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $7,137.90 | $10,197 | 29.6× |
| CT Angio Neck (70498) | $7,084 | $10,120 | 29.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,647.90 | $9,497 | 27.6× |
| CT cervical spine w/ contrast (72126) | $5,299 | $7,570 | 11.0× |
| CT cervical spine w/o contrast (72125) | $4,957.40 | $7,082 | 34.5× |
| CT cervical spine w/wo cont (72127) | $6,000.40 | $8,572 | 24.9× |
| CT chest w contrast (71260) | $4,365.20 | $6,236 | 18.1× |
| CT chest w/wo contrast (71270) | $4,804.80 | $6,864 | 19.9× |
| CT head/brain with contrast (70460) | $4,025 | $5,750 | 16.7× |
| CT head/brain without and with contrast (70470) | $4,382.70 | $6,261 | 18.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $800.10 | $1,143 | 6.7× |
| CT iac w contrast (70481) | $4,878.30 | $6,969 | 20.2× |
| CT l-spine w&w/o contrast (72133) | $5,975.90 | $8,537 | 24.8× |
| CT lower ext w/o (73700) | $3,388 | $4,840 | 23.6× |
| CT lower extremity w/contrast material (73701) | $4,146.10 | $5,923 | 17.2× |
| CT lumbar spine w contrast (72132) | $5,323.50 | $7,605 | 11.1× |
| CT lumbar spine w/o contrast (72131) | $3,994.20 | $5,706 | 27.8× |
| CT maxillofacial w contrast (70487) | $4,379.90 | $6,257 | 18.2× |
| CT maxillofacial wo contrast (70486) | $3,502.80 | $5,004 | 24.4× |
| CT neck tissue combo (70492) | $4,622.10 | $6,603 | 19.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,492.20 | $7,846 | 22.8× |
| CT orbits w/o contrast (70480) | $3,649.80 | $5,214 | 25.4× |
| CT pelvis w&w/o contrast (72194) | $5,198.20 | $7,426 | 21.6× |
| CT pelvis w/o contrast (72192) | $3,918.60 | $5,598 | 27.3× |
| CT scan of leg combo (73702) | $4,313.40 | $6,162 | 17.9× |
| CT scans face/jaw combo (70488) | $4,818.80 | $6,884 | 20.0× |
| CT soft tissue neck w contrast (70491) | $4,286.10 | $6,123 | 17.8× |
| CT soft tissue neck w/o contrast (70490) | $3,571.40 | $5,102 | 24.8× |
| CT thoracic spine w contrast (72129) | $5,040 | $7,200 | 20.9× |
| CT thoracic spine w/o contrast (72128) | $3,916.50 | $5,595 | 27.2× |
| CT thoracic spine w/wo cont (72130) | $5,853.40 | $8,362 | 24.3× |
| CT thorax w/o contrast (71250) | $3,454.50 | $4,935 | 24.0× |
| CT unlisted procedure (76497) | $852.60 | $1,218 | 7.1× |
| CT upper ext wo (73200) | $3,301.90 | $4,717 | 23.0× |
| CT upper extremity w/o & w/contrast material (73202) | $4,191.60 | $5,988 | 17.4× |
| CT upper extremity with contrast (73201) | $3,849.30 | $5,499 | 8.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,650 | $9,500 | 27.6× |
| Cta Abdomen (74175) | $8,167.60 | $11,668 | 33.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $671.30 | $959 | 1.4× |
| CTA pelvis (72191) | $6,281.10 | $8,973 | 26.0× |
| Discography Cerv/Thor Spine (72285) | $9,067.80 | $12,954 | 3.4× |
| Diskography lumbar (72295) | $8,161.30 | $11,659 | 3.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $224 | $320 | 1.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $395.50 | $565 | 2.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $644.70 | $921 | 4.5× |
| Dxa Bone Density Axial (77080) | $856.10 | $1,223 | 6.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $391.30 | $559 | 3.3× |
| Echo exam of fetal heart (76825) | $683.90 | $977 | 0.9× |
| Echo exam uterus (76831) | $738.50 | $1,055 | 2.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $385.70 | $551 | 1.2× |
| Esophagram (74220) | $948.50 | $1,355 | 3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $810.60 | $1,158 | 5.6× |
| Fluoroscopy up to 1 hr (76000) | $1,372.70 | $1,961 | 4.2× |
| Foot 2 views (73620) | $636.30 | $909 | 5.3× |
| Forearm 2 views (73090) | $823.90 | $1,177 | 6.9× |
| Gastric emptying imaging study (78264) | $3,259.20 | $4,656 | 5.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,963.10 | $4,233 | 5.4× |
| Gastric Mucosa Imaging (78261) | $1,199.80 | $1,714 | 2.2× |
| Gated Heart Planar Single (78472) | $3,201.80 | $4,574 | 5.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,138.10 | $4,483 | 4.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$511.70–$682.50 | $731–$975 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,723.30 | $5,319 | 5.0× |
| Hepatobiliary System Imaging (78226) | $3,714.20 | $5,306 | 6.8× |
| Ht Muscle Image Spect Sing (78451) | $5,153.40 | $7,362 | 2.9× |
| Hysterosalpingogram (74740) | $952.70 | $1,361 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $399 | $570 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $170.10 | $243 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $1,644.30 | $2,349 | 2.2× |
| Knee 3 Views (73562) | $738.50 | $1,055 | 6.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,304.10 | $1,863 | 2.4× |
| Lung Perf&Ventilat Diferentl (78598) | $4,175.50 | $5,965 | 5.6× |
| Lung perfusion differential (78597) | $1,962.10 | $2,803 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $3,924.90 | $5,607 | 5.3× |
| Lung Ventilation Imaging (78579) | $2,221.80 | $3,174 | 4.0× |
| Lymph System Imaging (78195) | $3,409 | $4,870 | 4.6× |
| Magnetic Image Jaw Joint (70336) | $3,488.80 | $4,984 | 10.6× |
| Mammary ductogram or galactogram multiple (77054) | $789.60 | $1,128 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $865.90 | $1,237 | 2.6× |
| Meckels Divert Exam (78290) | $2,669.10 | $3,813 | 4.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,957.40 | $7,082 | 10.3× |
| MRA head w/o contrast (70544) | $4,151 | $5,930 | 12.7× |
| MRA head with contrast (70545) | $4,721.50 | $6,745 | 9.8× |
| MRA neck w contrast (70548) | $5,430.60 | $7,758 | 11.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,397.30 | $9,139 | 13.3× |
| MRA neck w/o contrast (70547) | $4,525.50 | $6,465 | 13.8× |
| MRI abdomen w contrast (74182) | $4,619.30 | $6,599 | 9.6× |
| MRI abdomen w/o contrast (74181) | $3,558.10 | $5,083 | 10.8× |
| MRI any jt lower extrem w/contrast material (73722) | $3,761.10 | $5,373 | 3.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,221.30 | $7,459 | 10.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,979.50 | $5,685 | 3.7× |
| MRI bone marrow blood supply (77084) | $1,070.30 | $1,529 | 3.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,447.20 | $3,496 | 7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,812.30 | $2,589 | 5.5× |
| MRI cardiac w/o contrast (75557) | $1,591.80 | $2,274 | 4.9× |
| MRI cervical spine w contrast (72142) | $5,229.70 | $7,471 | 10.9× |
| MRI cervical spine w/o cont (72141) | $4,005.40 | $5,722 | 12.2× |
| MRI chest w/o contrast (71550) | $3,849.30 | $5,499 | 11.7× |
| MRI chest with contrast (71551) | $4,271.40 | $6,102 | 4.0× |
| MRI chest wo w contrast (71552) | $6,483.40 | $9,262 | 13.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,925.60 | $5,608 | 8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,782.40 | $6,832 | 10.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,597–$3,462.90 | $3,710–$4,947 | varies |
| MRI lumbar spine w contrast (72149) | $5,213.60 | $7,448 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,620–$6,160 | $6,600–$8,800 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,966.20 | $5,666 | 12.1× |
| MRI orbit face neck w contrast (70542) | $4,383.40 | $6,262 | 9.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,137.60 | $8,768 | 12.8× |
| MRI pelvis w contrast (72196) | $3,724 | $5,320 | 7.8× |
| MRI pelvis w/o & w contrast (72197) | $6,342.70 | $9,061 | 13.2× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,671.20–$3,561.60 | $3,816–$5,088 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,615.90–$3,488.10 | $3,737–$4,983 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,018 | $5,740 | 8.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,636.90–$3,515.40 | $3,767–$5,022 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,350.50 | $6,215 | 9.1× |
| MRI, abdomen, combo (74183) | $6,275.50 | $8,965 | 13.1× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,620–$6,160 | $6,600–$8,800 | varies |
| MRI, dorsal spine contrast (72147) | $5,518.10 | $7,883 | 11.5× |
| MRI, joint upper extrem (73221) | $3,611.30 | $5,159 | 11.0× |
| MRI, joint upper extrem combo (73223) | $4,503.10 | $6,433 | 9.4× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,568.20–$6,090.70 | $6,526–$8,701 | varies |
| Myelogram cervical (72240) | $3,497.90 | $4,997 | 3.2× |
| Myelogram Lumbar (72265) | $2,164.40 | $3,092 | 2.0× |
| Myelography thoracic (72255) | $2,454.20 | $3,506 | 2.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,992.50 | $4,275 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $6,854.40 | $9,792 | 3.9× |
| Neck soft tissue (70360) | $676.20 | $966 | 5.7× |
| Parathyroid Planar Imaging (78070) | $1,936.90 | $2,767 | 3.5× |
| Pelvis 1 or 2 views (72170) | $672 | $960 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,341.80 | $4,774 | 6.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,348.90 | $1,927 | 9.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,442 | $2,060 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $783.30 | $1,119 | 6.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $648.20 | $926 | 5.4× |
| Radex elbow complete minimum 3 views (73080) | $810.60 | $1,158 | 6.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $994 | $1,420 | 6.9× |
| Radex fingr minimum 2 views (73140) | $553.70 | $791 | 4.6× |
| Radex foot complete minimum 3 views (73630) | $700.70 | $1,001 | 5.9× |
| Radex Hand Minimum 3 Views (73130) | $744.10 | $1,063 | 6.2× |
| Radex lower extremity infant minimum 2 views (73592) | $186.20 | $266 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $356.30 | $509 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $816.20 | $1,166 | 6.8× |
| Radex Ribs Unilateral 2 Views (71100) | $609.70 | $871 | 5.1× |
| Radex shoulder complete minimum 2 views (73030) | $763.70 | $1,091 | 6.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $256.90 | $367 | 2.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $721.70 | $1,031 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $519.40 | $742 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $849.80 | $1,214 | 7.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $784.70 | $1,121 | 6.6× |
| Radex Toe Minimum 2 Views (73660) | $578.20 | $826 | 4.8× |
| Radex upper extremity infant minimum 2 views (73092) | $216.30 | $309 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $782.60 | $1,118 | 6.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,395.10 | $1,993 | 9.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $937.30 | $1,339 | 6.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,168.30 | $1,669 | 8.1× |
| Radiologic exam colon double contrast study (74280) | $2,940 | $4,200 | 12.2× |
| Radiologic exam colon single contrast study (74270) | $1,974.70 | $2,821 | 8.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $420 | $600 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $828.80 | $1,184 | 5.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $783.30 | $1,119 | 5.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,701.70 | $2,431 | 7.1× |
| Radiologic exam swallow function contrast study (74230) | $980 | $1,400 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,936.20 | $2,766 | 8.0× |
| Radiologic examination femur 1 view (73551) | $618.80 | $884 | 5.2× |
| Radiologic examination femur minimum 2 views (73552) | $714.70 | $1,021 | 6.0× |
| Radiologic examination knee 1/2 views (73560) | $609.70 | $871 | 5.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,036.70 | $1,481 | 7.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $298.90 | $427 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $775.60 | $1,108 | 6.5× |
| Ribs bilateral 3 views (71110) | $785.40 | $1,122 | 5.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,670.20 | $2,386 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,337.30 | $3,339 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,855.60 | $5,508 | 5.2× |
| Salivary Gland Imaging Serial Images (78231) | $959.70 | $1,371 | 1.7× |
| Scapula (73010) | $767.90 | $1,097 | 5.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $94.50 | $135 | 4.0× |
| Shoulder 1 view (73020) | $609 | $870 | 5.1× |
| Shoulder Arthrography (73040) | $1,684.90 | $2,407 | 3.5× |
| Sialogram (70390) | $775.60 | $1,108 | 2.4× |
| Skull less than 4 views (70250) | $721.70 | $1,031 | 5.0× |
| Sternoclavicular joints (71130) | $624.40 | $892 | 5.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $777.70 | $1,111 | 3.2× |
| Thoracic spine 2 views (72070) | $782.60 | $1,118 | 5.4× |
| Thoracic spine 3 views (72072) | $963.20 | $1,376 | 6.7× |
| Thoracolumbar 2 views (72080) | $720.30 | $1,029 | 6.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,446.20 | $2,066 | 2.6× |
| Thyroid Uptake Measurement (78012) | $1,301.30 | $1,859 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,931.30 | $2,759 | 3.5× |
| Ultrasound Breast Limited (76642) | $702.80 | $1,004 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $858.90 | $1,227 | 6.0× |
| Ultrasound, abdomen limited (76705) | $1,194.20 | $1,706 | 8.3× |
| Umbilical-artery Doppler (OB) (76820) | $644.70 | $921 | 4.5× |
| Unlisted Dx Radiographic Procedure (76499) | $366.10 | $523 | 3.1× |
| Unlisted us procedure (76999) | $653.80 | $934 | 5.5× |
| Upper gi w/o kub (74240) | $1,918 | $2,740 | 8.0× |
| Ureteral Reflux Study (78740) | $835.80 | $1,194 | 1.5× |
| Urethrocystogram voiding (74455) | $1,364.30 | $1,949 | 4.2× |
| Urethrocystography retrograde (74450) | $1,362.20 | $1,946 | 4.2× |
| Us breast unilateral complete (76641) | $725.90 | $1,037 | 5.0× |
| Us chest (76604) | $886.20 | $1,266 | 6.2× |
| Us complete joint (76881) | $1,033.20 | $1,476 | 7.2× |
| Us exam, pelvic, limited (76857) | $826.70 | $1,181 | 5.8× |
| Us head (76506) | $359.80 | $514 | 2.5× |
| Us kidney transplant (76776) | $1,285.20 | $1,836 | 8.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $868.70 | $1,241 | 6.0× |
| Us ob detailed single fetus (76811) | $1,093.40 | $1,562 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $1,208.20 | $1,726 | 8.4× |
| Us ob transvaginal (76817) | $1,131.90 | $1,617 | 7.9× |
| Us pelvic non ob complete (76856) | $1,159.20 | $1,656 | 8.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,058.70 | $2,941 | 14.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $606.90 | $867 | 4.2× |
| Us retroperitoneal complete (76770) | $1,321.60 | $1,888 | 9.2× |
| Us retroperitoneal limited (76775) | $847 | $1,210 | 5.9× |
| Us scrotum and contents (76870) | $1,164.10 | $1,663 | 8.1× |
| Us spinal canal and contents (76800) | $280 | $400 | 1.9× |
| Us thyroid (76536) | $1,141.70 | $1,631 | 7.9× |
| Us transrectal (76872) | $1,563.10 | $2,233 | 10.9× |
| Venography extremity bilateral rs&i (75822) | $2,965.90 | $4,237 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $3,140.20 | $4,486 | 1.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $874.30 | $1,249 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $231 | $330 | 1.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$487.90–$650.30 | $697–$929 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $618.80 | $884 | 5.2× |
| X-ray antegrade pyelogram tube (74425) | $1,507.10 | $2,153 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $673.40 | $962 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$577.50–$770 | $825–$1,100 | varies |
| X-Ray Exam Breast Specimen (76098) | $982.80 | $1,404 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $497 | $710 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $585.90 | $837 | 4.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $928.90 | $1,327 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $947.80 | $1,354 | 7.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,222.90 | $1,747 | 10.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,777.30 | $2,539 | 12.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $759.50 | $1,085 | 5.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $891.10 | $1,273 | 6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,243.90 | $1,777 | 8.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,022 | $1,460 | 7.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $694.40 | $992 | 5.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $996.80 | $1,424 | 6.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $961.80 | $1,374 | 6.7× |
| X-ray eye for foreign body (70030) | $625.80 | $894 | 5.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$607.60–$809.90 | $868–$1,157 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,933.40 | $2,762 | 8.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $467.60 | $668 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $696.50 | $995 | 4.8× |
| X-ray nose-rectum child f.b. (76010) | $198.10 | $283 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,260 | $1,800 | 8.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $650.30 | $929 | 4.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $499.80 | $714 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $753.20 | $1,076 | 6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $840 | $1,200 | 7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $819 | $1,170 | 5.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,130.80 | $3,044 | 4.4× |
| X-Rays Bone Length Studies (77073) | $550.20 | $786 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $1,465.80 | $2,094 | 10.2× |
| Xr c-spine 4 or 5 views (72050) | $808.50 | $1,155 | 5.6× |
| Xr facial bones less than 3 views (70140) | $877.80 | $1,254 | 7.3× |
| Xr orbits complete 4 views (70200) | $975.80 | $1,394 | 6.8× |
| Xr Tomogram Single Plane (76100) | $491.40 | $702 | 3.4× |
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.