Imaging prices at Southwest Healthcare Rancho Springs Hospital
Murrieta, CA · every code in this section with a posted price and a Medicare benchmark.
418 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | — | $19,326 | — |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
— | $675–$780 | — |
| Abdomen 2 views (74019) | — | $1,079 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
— | $3,328–$5,101 | — |
| Adrenal Cortex & Medulla Img (78075) | — | $4,502 | — |
| Angio internal mammary (75756) range across 2 matching MRF lines |
— | $7,175–$8,697 | — |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
— | $7,640–$9,261 | — |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | — | $9,261 | — |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
— | $7,609–$15,063 | — |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
— | $7,175–$10,042 | — |
| Angiography pulmonary unilateral slctv rs&i (75741) | — | $8,697 | — |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | — | $8,697 | — |
| Ankle 2 views (73600) range across 3 matching MRF lines |
— | $862–$1,294 | — |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
— | $7,707–$9,341 | — |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
— | $8,697–$10,143 | — |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
— | $8,837–$10,711 | — |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
— | $8,697–$10,001 | — |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
— | $8,837–$12,318 | — |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
— | $8,837–$10,711 | — |
| Arthrogram ankle (73615) | — | $1,740 | — |
| Arthrogram hip (73525) range across 4 matching MRF lines |
— | $1,740–$2,609 | — |
| Arthrogram Wrist (73115) | — | $1,100 | — |
| Basic radiation dosimetry calculation (77300) | — | $1,114 | — |
| Bone age studies (77072) range across 2 matching MRF lines |
— | $283–$345 | — |
| Bone Imaging 3 Phase (78315) | — | $4,574 | — |
| Bone Imaging Limited Area (78300) | — | $2,619 | — |
| Bone Imaging Multiple Areas (78305) | — | $3,036 | — |
| Bone Imaging Whole Body (78306) | — | $4,087 | — |
| Bone marrow imaging limited area (78102) | — | $1,987 | — |
| Bone marrow imaging; whole body (78104) | — | $3,379 | — |
| Bone survey infant (77076) | — | $1,779 | — |
| Brain Flow Imaging Only (78610) | — | $2,512 | — |
| Brain Image W/Flow < 4 Views (78601) | — | $2,816 | — |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | — | $3,207 | — |
| Brain Imaging Minimum 4 Static Views (78605) | — | $2,816 | — |
| Brain Imaging Pet Metabolic Evaluation (78608) | — | $25,769 | — |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | — | $6,510 | — |
| Cardiac MRI w/w/o contrast & further seq (75561) | — | $10,469 | — |
| Cardiac MRI w/w/o contrast w/stress (75563) | — | $3,012 | — |
| Cat Scan Follow-Up Study (76380) | — | $2,896 | — |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | — | $3,590 | — |
| Cerebrospinal Fluid Scan (78630) | — | $5,276 | — |
| Chest 1 view (71045) range across 4 matching MRF lines |
— | $969–$1,018 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $1,771–$1,860 | — |
| Chest 3 views (71047) | — | $1,294 | — |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
— | $1,401–$1,465 | — |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | — | $446 | — |
| Cisternography Positive Contrast Rs&I (70015) | — | $2,044 | — |
| Clavicle complete (73000) range across 3 matching MRF lines |
— | $693–$1,064 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | — | $453 | — |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
— | $2,037–$2,471 | — |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
— | $7,175–$11,754 | — |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
— | $1,306–$1,502 | — |
| Contrast X-Ray Of Elbow (73085) | — | $1,740 | — |
| Contrast X-Ray Of Knee Joint (73580) | — | $2,165 | — |
| Contrast Xray Throat/Cerv Esopha (74210) | — | $1,315 | — |
| CT abdomen and pelvis without and with contrast (74178) | — | $9,402 | — |
| CT abdomen and pelvis without contrast (74176) | — | $6,126 | — |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
— | $5,301–$8,128 | — |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
— | $6,227–$8,715 | — |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
— | $4,378–$6,712 | — |
| CT Angio Abdomen and Pelvis (74174) | — | $10,321 | — |
| CT Angio Chest (71275) range across 2 matching MRF lines |
— | $8,132–$9,856 | — |
| CT Angio Head (70496) range across 2 matching MRF lines |
— | $6,419–$8,553 | — |
| CT angio hrt w/3d image (75574) | — | $9,386 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
— | $10,405–$15,608 | — |
| CT Angio Neck (70498) range across 2 matching MRF lines |
— | $6,113–$8,553 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | — | $9,472 | — |
| CT cervical spine w/ contrast (72126) | — | $11,304 | — |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
— | $4,433–$10,042 | — |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
— | $7,574–$11,611 | — |
| CT chest w contrast (71260) range across 2 matching MRF lines |
— | $4,844–$6,735 | — |
| CT chest w/wo contrast (71270) | — | $8,076 | — |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | — | $10,307 | — |
| CT colonogrphy dx image postprocess w/o contrast (74261) | — | $1,894 | — |
| CT head/brain with contrast (70460) | — | $7,684 | — |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
— | $5,766–$8,069 | — |
| CT heart contrast eval cardiac structure&morph (75572) | — | $2,635 | — |
| CT heart no contrast quant eval coronry calcium (75571) | — | $2,236 | — |
| CT hrt w/3d image congen (75573) | — | $3,730 | — |
| CT iac w contrast (70481) range across 2 matching MRF lines |
— | $4,863–$6,808 | — |
| CT l-spine w&w/o contrast (72133) | — | $10,286 | — |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
— | $4,037–$8,477 | — |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
— | $4,426–$9,292 | — |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
— | $7,534–$9,527 | — |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
— | $5,720–$8,005 | — |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
— | $4,863–$6,808 | — |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
— | $4,126–$5,547 | — |
| CT neck tissue combo (70492) | — | $8,837 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $8,837 | — |
| CT orbits w/o contrast (70480) | — | $5,547 | — |
| CT pelvis w&w/o contrast (72194) | — | $8,153 | — |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
— | $4,038–$5,652 | — |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
— | $7,379–$9,627 | — |
| CT scans face/jaw combo (70488) | — | $8,837 | — |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
— | $4,863–$6,808 | — |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
— | $3,964–$5,547 | — |
| CT thoracic spine w contrast (72129) | — | $9,527 | — |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
— | $5,720–$8,005 | — |
| CT thoracic spine w/wo cont (72130) | — | $10,286 | — |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
— | $4,684–$6,124 | — |
| CT upper ext wo (73200) range across 5 matching MRF lines |
— | $4,016–$8,434 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
— | $6,766–$10,150 | — |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
— | $5,899–$7,667 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
— | $9,349–$12,461 | — |
| Cta Abdomen (74175) | — | $9,485 | — |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | — | $8,553 | — |
| CTA pelvis (72191) | — | $8,624 | — |
| Diskography lumbar (72295) range across 2 matching MRF lines |
— | $5,360–$6,497 | — |
| Doppler Echo Fetal Spectral Display Complete (76827) | — | $758 | — |
| Doppler Fetal Mid Cerebral Artery (76821) | — | $1,771 | — |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
— | $1,298–$1,728 | — |
| Dxa bone density study 1/>sites appendiclr skel (77081) | — | $836 | — |
| Echo exam of fetal heart (76825) | — | $1,638 | — |
| Echo exam uterus (76831) | — | $1,884 | — |
| Echo Guide For Artery Repair (76936) | — | $5,222 | — |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | — | $1,049 | — |
| Esophagram (74220) range across 2 matching MRF lines |
— | $1,084–$1,517 | — |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
— | $306–$1,756 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
— | $306–$1,703 | — |
| Fluoroscopy up to 1 hr (76000) | — | $1,403 | — |
| Follow-Up Angiography (75898) | — | $2,951 | — |
| Foot 2 views (73620) range across 4 matching MRF lines |
— | $554–$1,167 | — |
| Forearm 2 views (73090) range across 5 matching MRF lines |
— | $627–$1,317 | — |
| Gastric emptying imaging study (78264) | — | $4,128 | — |
| Gastroesophageal Reflux Exam (78262) | — | $3,523 | — |
| Gated Heart Planar Single (78472) | — | $5,779 | — |
| Gated Heart, Multiple (78473) | — | $7,514 | — |
| Hand 2 views (73120) range across 5 matching MRF lines |
— | $543–$1,434 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | — | $11,917 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | — | $7,570 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | — | $4,188 | — |
| Heart first pass single,planar (78481) | — | $4,329 | — |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
— | $7,175–$8,697 | — |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
— | $6,644–$8,053 | — |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
— | $7,849–$12,032 | — |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
— | $6,216–$7,907 | — |
| Ht Musc Image Planar Mult (78454) | — | $9,075 | — |
| Ht Muscle Image Spect Sing (78451) | — | $8,149 | — |
| Hyperthermia external generated superficial (77600) range across 2 matching MRF lines |
— | $2,083–$2,527 | — |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | — | $2,527 | — |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | — | $3,370 | — |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | — | $2,527 | — |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | — | $3,370 | — |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
— | $1,081–$1,367 | — |
| Image fusion (77399) | — | $2,867 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) | — | $1,603 | — |
| Infant hip ultrasound, limited static exam (76886) | — | $1,304 | — |
| Infusion Ivp (74410) range across 2 matching MRF lines |
— | $1,339–$1,623 | — |
| Interstitial radiation source applic complex (77778) | — | $2,867 | — |
| Intracavitary Radiation Source Applic Complex (77763) | — | $3,710 | — |
| Intracavitary Radiation Source Applic Intermed (77762) | — | $2,989 | — |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
— | $1,720–$2,088 | — |
| K Flow/Funct Image Multiple (78709) | — | $5,485 | — |
| K Flow/Funct Image W/Drug (78708) | — | $5,465 | — |
| K Flow/Funct Image W/O Drug (78707) | — | $3,694 | — |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
— | $1,640–$1,987 | — |
| Kidney Imaging Morphol (78700) | — | $2,527 | — |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
— | $2,430–$3,235 | — |
| Knee 3 Views (73562) range across 3 matching MRF lines |
— | $1,000–$1,500 | — |
| Leveen/Shunt Patency Exam (78291) | — | $2,410 | — |
| Liver & Spleen Imaging Static Only (78215) | — | $2,779 | — |
| Liver & Spleen Imaging W/Vascular Flow (78216) | — | $2,880 | — |
| Liver imaging static only (78201) | — | $3,609 | — |
| Liver imaging w/vascular flow (78202) | — | $4,269 | — |
| Lung Perf&Ventilat Diferentl (78598) | — | $6,144 | — |
| Lung perfusion differential (78597) | — | $3,790 | — |
| Lung Ventilat&Perfus Imaging (78582) | — | $7,322 | — |
| Lung Ventilation Imaging (78579) | — | $3,537 | — |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
— | $2,786–$3,825 | — |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
— | $5,485–$6,646 | — |
| Lymphangiography extremity only unilateral rs&i (75801) | — | $4,494 | — |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines |
— | $6,170–$7,479 | — |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | — | $5,057 | — |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
— | $7,731–$11,595 | — |
| Mammary ductogram or galactogram multiple (77054) | — | $2,017 | — |
| Mammary ductogram or galactogram single (77053) | — | $1,450 | — |
| Meckels Divert Exam (78290) | — | $2,906 | — |
| Mr safety determination physician/other qhp (76016) | — | $370 | — |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | — | $102 | — |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | — | $385 | — |
| Mr safety implt pos&/immoblj (76019) | — | $249 | — |
| Mr safety med physics xm customization plng&mntr (76017) | — | $1,013 | — |
| Mra Head W/O & W/Contrast Material (70546) | — | $13,036 | — |
| MRA head w/o contrast (70544) | — | $8,927 | — |
| MRA head with contrast (70545) | — | $10,372 | — |
| MRA neck w contrast (70548) | — | $11,405 | — |
| Mra Neck W/O &W/Contrast Material (70549) | — | $13,036 | — |
| MRA neck w/o contrast (70547) | — | $8,927 | — |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
— | $7,640–$11,713 | — |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
— | $6,378–$8,927 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
— | $9,181–$13,771 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
— | $13,543–$17,667 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
— | $9,181–$13,771 | — |
| MRI bone marrow blood supply (77084) | — | $9,181 | — |
| MRI cardiac w/o cont stress (75559) | — | $2,090 | — |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
— | $6,046–$7,329 | — |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
— | $7,707–$11,814 | — |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
— | $7,534–$10,042 | — |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
— | $6,378–$9,777 | — |
| MRI chest with contrast (71551) | — | $9,341 | — |
| MRI chest wo w contrast (71552) | — | $13,850 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
— | $11,085–$13,771 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
— | $12,365–$18,548 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
— | $6,312–$13,250 | — |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
— | $7,707–$11,814 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
— | $9,701–$12,734 | — |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
— | $7,259–$9,675 | — |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
— | $7,574–$9,181 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
— | $8,837–$12,365 | — |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
— | $7,707–$9,341 | — |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
— | $10,248–$12,902 | — |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
— | $6,697–$8,927 | — |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
— | $6,312–$7,651 | — |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
— | $8,286–$10,042 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
— | $9,181–$13,771 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
— | $6,312–$11,475 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
— | $13,543–$16,066 | — |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
— | $8,903–$12,461 | — |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
— | $9,701–$14,869 | — |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
— | $7,707–$11,814 | — |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
— | $6,312–$11,475 | — |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
— | $11,777–$12,318 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
— | $9,701–$13,576 | — |
| Myelogram cervical (72240) | — | $3,939 | — |
| Myelogram Lumbar (72265) | — | $3,939 | — |
| Myelography thoracic (72255) | — | $3,939 | — |
| Myelograpy 2/more regions rs&i (72270) | — | $5,057 | — |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | — | $2,165 | — |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | — | $3,340 | — |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | — | $3,609 | — |
| Myocardial Spect Multiple Studies (78452) | — | $8,856 | — |
| Neck soft tissue (70360) range across 2 matching MRF lines |
— | $492–$602 | — |
| Nm csf leak detection (78650) | — | $3,846 | — |
| Nm myocard infarct spect (78469) | — | $4,329 | — |
| Nonvascular Shunt X-Ray (75809) | — | $862 | — |
| Ntsty modul radthx pln dose-vol histos (77301) | — | $11,486 | — |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | — | $847 | — |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
— | $844–$1,266 | — |
| Panoramic X-ray of jaws (70355) | — | $613 | — |
| Parathyroid Planar Imaging (78070) | — | $2,285 | — |
| Pelvis 1 or 2 views (72170) | — | $925 | — |
| Perineogram (74775) | — | $1,246 | — |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
— | $1,628–$3,803 | — |
| Proton tx delivery complex (77525) | — | $13,690 | — |
| Proton tx delivery simple w/o compensation (77520) range across 2 matching MRF lines |
— | $7,440–$9,019 | — |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | — | $8,697 | — |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
— | $2,344–$3,121 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
— | $1,548–$1,625 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
— | $1,771–$2,019 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
— | $1,075–$1,613 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
— | $754–$1,131 | — |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
— | $1,075–$1,613 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) | — | $1,104 | — |
| Radex fingr minimum 2 views (73140) | — | $712 | — |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
— | $1,015–$1,524 | — |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
— | $968–$1,452 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
— | $1,174–$1,761 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
— | $789–$1,185 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
— | $565–$712 | — |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | — | $641 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $1,318 | — |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
— | $1,101–$1,652 | — |
| Radex Sinuses Paransl < 3 Views (70210) | — | $727 | — |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | — | $1,761 | — |
| Radex Spine 1 View Specify Level (72020) | — | $575 | — |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
— | $941–$1,443 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
— | $669–$810 | — |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
— | $717–$754 | — |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
— | $989–$1,484 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
— | $1,003–$1,505 | — |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | — | $1,516 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $1,121 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
— | $1,026–$1,180 | — |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
— | $1,532–$2,209 | — |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
— | $1,174–$1,524 | — |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
— | $1,363–$2,045 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $1,131 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
— | $1,400–$1,602 | — |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
— | $1,561–$1,986 | — |
| Radiologic exam teeth complete full mouth (70320) | — | $1,055 | — |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | — | $927 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
— | $1,130–$2,708 | — |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
— | $1,318–$1,977 | — |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
— | $854–$1,280 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $997 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
— | $674–$1,350 | — |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | — | $2,165 | — |
| Renal Cyst Study (74470) | — | $1,628 | — |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
— | $1,064–$1,488 | — |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
— | $2,928–$3,367 | — |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | — | $3,872 | — |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | — | $6,483 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | — | $5,273 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
— | $4,895–$5,557 | — |
| Salivary Gland Imaging (78230) | — | $1,987 | — |
| Scapula (73010) range across 3 matching MRF lines |
— | $1,038–$1,348 | — |
| Sella turcica (70240) | — | $476 | — |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
— | $804–$1,207 | — |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
— | $1,740–$3,479 | — |
| Sialogram (70390) | — | $1,487 | — |
| Skull less than 4 views (70250) | — | $1,107 | — |
| Special dosimetry (77331) | — | $2,867 | — |
| Special Physics Consult (77370) range across 2 matching MRF lines |
— | $2,383–$2,888 | — |
| Special teletherapy port plan (77321) | — | $2,867 | — |
| Special treatment procedure (77470) | — | $8,053 | — |
| Speech evaluation, complex (70371) | — | $1,740 | — |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
— | $950–$1,267 | — |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
— | $7,175–$8,697 | — |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | — | $1,478 | — |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | — | $1,478 | — |
| Surf radj ther supfc/orthvlt treatment planning (77436) | — | $1,478 | — |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
— | $1,640–$1,987 | — |
| Telethx isodose pln cplx w/basic dosimetry (77307) | — | $2,981 | — |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | — | $1,629 | — |
| Testicular Imaging W/Flow (78761) | — | $2,651 | — |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | — | $5,393 | — |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | — | $2,867 | — |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
— | $2,369–$2,871 | — |
| Thoracic spine 2 views (72070) | — | $1,202 | — |
| Thoracic spine 3 views (72072) | — | $1,302 | — |
| Thoracolumbar 2 views (72080) | — | $1,335 | — |
| Thyroid Imaging With Vascular Flow (78013) | — | $4,506 | — |
| Thyroid Met Imaging Body (78018) | — | $4,502 | — |
| Thyroid Uptake Measurement (78012) | — | $1,987 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
— | $5,140–$5,497 | — |
| Tx Devices Design & Construction Complex (77334) | — | $2,691 | — |
| Tx devices design & construction intermediate (77333) | — | $1,575 | — |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
— | $920–$2,867 | — |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
— | $1,217–$2,005 | — |
| Ultrasound elastography first target lesion (76982) | — | $627 | — |
| Ultrasound Elastography Parenchyma (76981) | — | $627 | — |
| Ultrasound Exam Aaa Screen (76706) | — | $1,487 | — |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
— | $2,398–$2,769 | — |
| Umbilical-artery Doppler (OB) (76820) | — | $1,485 | — |
| Unlis px ther radiol clinical tx planning (77299) | — | $2,867 | — |
| Unlisted magnetic resonance procedure (76498) | — | $7,651 | — |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | — | $2,435 | — |
| Unlisted Procedure Clinical Brachytherapy (77799) | — | $1,987 | — |
| Unlisted us procedure (76999) | — | $766 | — |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
— | $1,243–$2,501 | — |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | — | $1,987 | — |
| Ureteral Reflux Study (78740) | — | $1,987 | — |
| Urethrocystogram voiding (74455) | — | $1,513 | — |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
— | $1,027–$1,246 | — |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
— | $1,747–$2,621 | — |
| Us chest (76604) range across 4 matching MRF lines |
— | $1,087–$1,241 | — |
| Us complete joint (76881) | — | $2,554 | — |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
— | $2,228–$2,573 | — |
| Us head (76506) range across 2 matching MRF lines |
— | $1,123–$1,499 | — |
| Us kidney transplant (76776) | — | $2,555 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
— | $1,141–$1,340 | — |
| Us ob detailed single fetus (76811) | — | $3,871 | — |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
— | $1,185–$1,499 | — |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
— | $1,610–$2,036 | — |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
— | $2,300–$2,657 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
— | $2,313–$2,926 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | — | $927 | — |
| Us retroperitoneal complete (76770) | — | $1,662 | — |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
— | $1,185–$1,330 | — |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
— | $2,319–$2,809 | — |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
— | $977–$1,499 | — |
| Us thyroid (76536) range across 4 matching MRF lines |
— | $2,065–$2,752 | — |
| Us transrectal (76872) range across 3 matching MRF lines |
— | $1,269–$1,690 | — |
| Vascular Flow Imaging (78445) | — | $1,987 | — |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
— | $7,175–$10,001 | — |
| Vein X-Ray Liver W/O Hemodyn (75887) | — | $8,053 | — |
| Vein X-Ray Spleen/Liver (75810) | — | $12,000 | — |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
— | $7,175–$8,697 | — |
| Venography Adrenal Unilateral (75840) | — | $8,697 | — |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
— | $7,175–$10,998 | — |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
— | $2,433–$5,784 | — |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
— | $1,520–$2,515 | — |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
— | $7,640–$9,261 | — |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
— | $7,175–$8,697 | — |
| Venous sampling by catheter (75893) | — | $9,341 | — |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | — | $3,335 | — |
| Vertebral fracture assessment via dxa (77086) | — | $745 | — |
| Wrist 2 views (73100) range across 5 matching MRF lines |
— | $624–$1,307 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
— | $759–$799 | — |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
— | $1,027–$2,544 | — |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
— | $9,100–$15,197 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $1,169 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
— | $553–$1,158 | — |
| X-Ray Exam Breast Specimen (76098) | — | $1,635 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | — | $1,682 | — |
| X-Ray Exam Hip Uni 1 View (73501) | — | $851 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) | — | $1,342 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $1,134 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $1,436 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $1,739 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | — | $1,302 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) | — | $1,484 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
— | $1,206–$1,393 | — |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
— | $338–$508 | — |
| X-ray humerus (73060) range across 3 matching MRF lines |
— | $828–$1,184 | — |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
— | $1,161–$2,456 | — |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
— | $1,449–$1,756 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $712 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $784 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | — | $1,220 | — |
| X-ray nose-rectum child f.b. (76010) | — | $916 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $1,595 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $634 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | — | $433 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
— | $358–$573 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | — | $976 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $1,528 | — |
| X-ray thoracic spine 4 vw (72074) | — | $1,631 | — |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
— | $541–$595 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
— | $1,786–$2,165 | — |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
— | $468–$515 | — |
| X-Rays Bone Survey Complete (77075) | — | $2,057 | — |
| Xr c-spine 4 or 5 views (72050) | — | $1,359 | — |
| Xr facial bones less than 3 views (70140) | — | $836 | — |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
— | $661–$992 | — |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
— | $850–$1,068 | — |
| Xr Tomogram Single Plane (76100) | — | $1,036 | — |
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.