Imaging prices at St. Bernardine Medical Center
San Bernardino, CA · every code in this section with a posted price and a Medicare benchmark.
285 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$64.94–$196.47 | $195–$590 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$78.59–$312.36 | $236–$938 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $351.65 | $1,056 | 0.7× |
| Angio internal mammary (75756) | $3,520.48 | $10,572 | 0.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,182.15–$3,277.72 | $9,556–$9,843 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,359.64 | $16,095 | 1.3× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$1,884.78–$3,037.30 | $5,660–$9,121 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,853.48–$2,934.73 | $8,569–$8,813 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$1,974.03–$5,236.10 | $5,928–$15,724 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,009.66 | $9,038 | 0.7× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,484.18–$4,618.71 | $13,466–$13,870 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,618.71–$4,757.24 | $13,870–$14,286 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$5,321.01–$5,892.77 | $15,979–$17,696 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$98.24–$104.23 | $295–$313 | varies |
| Bone Imaging 3 Phase (78315) | $392.94 | $1,180 | 0.8× |
| Bone Imaging Limited Area (78300) | $283.05 | $850 | 0.6× |
| Bone Imaging Multiple Areas (78305) | $381.29 | $1,145 | 0.7× |
| Bone Imaging Whole Body (78306) | $392.94 | $1,180 | 0.8× |
| Bone marrow imaging limited area (78102) | $375.96 | $1,129 | 0.7× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$378.63–$389.95 | $1,137–$1,171 | varies |
| Brain Flow Imaging Only (78610) | $578.76 | $1,738 | 0.8× |
| Brain Image W/Flow < 4 Views (78601) | $392.94 | $1,180 | 0.8× |
| Brain imaging < 4 static views (78600) | $392.94 | $1,180 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $578.76 | $1,738 | 0.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $587.42 | $1,764 | 0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $597.74 | $1,795 | 1.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,715.62 | $5,152 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $100.90 | $303 | 0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $578.76 | $1,738 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $578.76 | $1,738 | 0.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$64.94–$171.17 | $195–$514 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$63.27–$222.45 | $190–$668 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$64.94–$279.06 | $195–$838 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$63.27–$347.66 | $190–$1,044 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$400.60–$412.59 | $1,203–$1,239 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $159.18 | $478 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,647.02–$3,037.30 | $4,946–$9,121 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$298.37–$307.70 | $896–$924 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,139.53 | $12,431 | 9.2× |
| CT abdomen and pelvis without contrast (74176) | $2,370.63 | $7,119 | 7.7× |
| CT abdomen w contrast (74160) | $2,612.72 | $7,846 | 11.6× |
| CT abdomen w wo contrast (74170) | $3,047.95 | $9,153 | 13.5× |
| CT abdomen w/o contrast (74150) | $1,674.66 | $5,029 | 12.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,925.74 | $8,786 | 6.5× |
| CT Angio Chest (71275) | $2,075.26 | $6,232 | 9.2× |
| CT Angio Head (70496) | $2,075.26 | $6,232 | 9.2× |
| CT angio hrt w/3d image (75574) | $219.78 | $660 | 0.5× |
| CT Angio Neck (70498) | $2,117.88 | $6,360 | 9.4× |
| CT cervical spine w/ contrast (72126) | $2,323.01 | $6,976 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,179.16 | $3,541 | 8.8× |
| CT cervical spine w/wo cont (72127) | $2,617.72 | $7,861 | 11.6× |
| CT chest w contrast (71260) | $2,654.35 | $7,971 | 11.8× |
| CT chest w/wo contrast (71270) | $2,999.34 | $9,007 | 13.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $234.10 | $703 | 1.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $142.53 | $428 | 1.1× |
| CT head/brain with contrast (70460) | $2,084.58 | $6,260 | 9.2× |
| CT head/brain without and with contrast (70470) | $2,495.51 | $7,494 | 11.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $219.78 | $660 | 0.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $186.82 | $561 | 1.7× |
| CT hrt w/3d image congen (75573) | $219.78 | $660 | 0.5× |
| CT iac w contrast (70481) | $1,131.87 | $3,399 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $2,939.73 | $8,828 | 13.0× |
| CT lumbar spine w contrast (72132) | $2,608.73 | $7,834 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $1,324.35 | $3,977 | 9.8× |
| CT maxillofacial w contrast (70487) | $1,902.43 | $5,713 | 8.4× |
| CT maxillofacial wo contrast (70486) | $1,572.10 | $4,721 | 11.7× |
| CT neck tissue combo (70492) | $2,403.27 | $7,217 | 10.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,248.09 | $3,748 | 5.5× |
| CT orbits w/o contrast (70480) | $967.37 | $2,905 | 7.2× |
| CT pelvis w&w/o contrast (72194) | $3,054.28 | $9,172 | 13.5× |
| CT pelvis w/o contrast (72192) | $1,378.62 | $4,140 | 10.3× |
| CT scans face/jaw combo (70488) | $2,279.72 | $6,846 | 10.1× |
| CT soft tissue neck w contrast (70491) | $2,019.32 | $6,064 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,675.99 | $5,033 | 12.5× |
| CT thoracic spine w contrast (72129) | $2,370.63 | $7,119 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,209.13 | $3,631 | 9.0× |
| CT thoracic spine w/wo cont (72130) | $2,678.99 | $8,045 | 11.9× |
| CT thorax w/o contrast (71250) | $1,353.65 | $4,065 | 10.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,886.45 | $5,665 | 8.4× |
| Cta Abdomen (74175) | $2,077.26 | $6,238 | 9.2× |
| CTA pelvis (72191) | $1,605.73 | $4,822 | 7.1× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,363.97–$1,432.24 | $4,096–$4,301 | varies |
| Diskography lumbar (72295) | $2,106.56 | $6,326 | 0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $96.57 | $290 | 0.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$141.86–$146.19 | $426–$439 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$137.53–$141.86 | $413–$426 | varies |
| Echo exam uterus (76831) | $200.47 | $602 | 0.7× |
| Echo Guide For Artery Repair (76936) | $409.59 | $1,230 | 1.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$341–$351.65 | $1,024–$1,056 | varies |
| Fetal Biophys Profile W/Nst (76818) | $563.44 | $1,692 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $411.26 | $1,235 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$436.23–$458.55 | $1,310–$1,377 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$1,011.99–$3,037.30 | $3,039–$9,121 | varies |
| Gastric emptying imaging study (78264) | $392.94 | $1,180 | 0.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $401.60 | $1,206 | 0.8× |
| Gastric Mucosa Imaging (78261) | $344.66 | $1,035 | 0.7× |
| Gated Heart Planar Single (78472) | $415.26 | $1,247 | 0.8× |
| Gated Heart, Multiple (78473) | $523.81 | $1,573 | 1.0× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $533.47 | $1,602 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$2,744.26–$2,826.51 | $8,241–$8,488 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$2,771.23–$2,854.48 | $8,322–$8,572 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,310.36 | $3,935 | 1.9× |
| Hepatobiliary System Imaging (78226) | $956.38 | $2,872 | 1.9× |
| Ht Musc Image Planar Mult (78454) | $1,944.72 | $5,840 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $1,614.06 | $4,847 | 1.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$335.67–$345.99 | $1,008–$1,039 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $275.40 | $827 | 2.5× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$20.98–$69.60 | $63–$209 | varies |
| K Flow/Funct Image Multiple (78709) | $515.16 | $1,547 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $515.16 | $1,547 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $515.16 | $1,547 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $392.94 | $1,180 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) | $404.27 | $1,214 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $392.94 | $1,180 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $389.28 | $1,169 | 0.6× |
| Lung perfusion differential (78597) | $332.67 | $999 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $698.97 | $2,099 | 1.0× |
| Lung Ventilation Imaging (78579) | $391.28 | $1,175 | 0.8× |
| Lymph System Imaging (78195) | $441.90 | $1,327 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $319.68 | $960 | 1.0× |
| Meckels Divert Exam (78290) | $351.65 | $1,056 | 0.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30.97 | $93 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,189.48 | $9,578 | 7.1× |
| MRA head w/o contrast (70544) | $1,909.76 | $5,735 | 6.2× |
| MRA head with contrast (70545) | $2,769.23 | $8,316 | 6.2× |
| MRA neck w contrast (70548) | $2,686.98 | $8,069 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,094.57 | $9,293 | 6.9× |
| MRA neck w/o contrast (70547) | $1,853.15 | $5,565 | 6.0× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,528.81–$2,598.40 | $7,594–$7,803 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,743.93–$1,796.21 | $5,237–$5,394 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $472.20 | $1,418 | 1.5× |
| MRI cardiac w/o cont stress (75559) | $556.11 | $1,670 | 0.8× |
| MRI cardiac w/o contrast (75557) | $352.65 | $1,059 | 1.1× |
| MRI cervical spine w contrast (72142) | $3,383.95 | $10,162 | 7.5× |
| MRI cervical spine w/o cont (72141) | $2,333.67 | $7,008 | 7.6× |
| MRI chest w/o contrast (71550) | $1,216.79 | $3,654 | 4.0× |
| MRI chest with contrast (71551) | $1,763.91 | $5,297 | 1.7× |
| MRI chest wo w contrast (71552) | $2,032.97 | $6,105 | 4.5× |
| MRI lumbar spine w contrast (72149) | $3,141.19 | $9,433 | 7.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,897.44 | $11,704 | 8.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,404.27 | $4,217 | 4.6× |
| MRI orbit face neck w contrast (70542) | $2,035.97 | $6,114 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,340.33 | $7,028 | 5.2× |
| MRI pelvis w contrast (72196) | $546.79 | $1,642 | 1.2× |
| MRI pelvis w/o & w contrast (72197) | $628.71 | $1,888 | 1.4× |
| MRI pelvis w/o contrast (72195) | $414.92 | $1,246 | 1.4× |
| MRI thoracic spine w/o contrast (72146) | $2,446.89 | $7,348 | 8.0× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,912.42–$2,999.67 | $8,746–$9,008 | varies |
| MRI, dorsal spine combo (72157) | $4,078.26 | $12,247 | 9.1× |
| MRI, dorsal spine contrast (72147) | $3,548.12 | $10,655 | 7.9× |
| MRI, lumbar spine combo (72158) | $3,617.72 | $10,864 | 8.1× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$648.69–$668 | $1,948–$2,006 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$649.69–$669.33 | $1,951–$2,010 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$649.69–$669.33 | $1,951–$2,010 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,028.31–$1,059.28 | $3,088–$3,181 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $795.87 | $2,390 | 1.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,614.06 | $4,847 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,944.72 | $5,840 | 1.2× |
| N-invas est c ffr sw aly CTA (75580) | $773.56 | $2,323 | 0.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$57.95–$60.28 | $174–$181 | varies |
| Nm csf leak detection (78650) | $1,352.98 | $4,063 | 0.8× |
| Nm myocard infarct spect (78469) | $554.78 | $1,666 | 0.8× |
| Nuclear Rx Intra-Arterial (79445) | $269.73 | $810 | 0.9× |
| Nuclear Rx Oral Admin (79005) | $288.72 | $867 | 1.0× |
| Ob us nuchal meas 1 gest (76813) | $114.22 | $343 | 0.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $25.65 | $77 | 0.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$25.65–$128.21 | $77–$385 | varies |
| Parathyroid Planar Imaging (78070) | $392.94 | $1,180 | 0.8× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$56.61–$61.94 | $170–$186 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$1,215.45–$3,037.30 | $3,650–$9,121 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $496.17 | $1,490 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$110.23–$113.89 | $331–$342 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$499.50–$530.47 | $1,500–$1,593 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$57.61–$61.94 | $173–$186 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$57.28–$58.95 | $172–$177 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$65.27–$71.93 | $196–$216 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$54.28–$79.92 | $163–$240 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$454.55–$468.54 | $1,365–$1,407 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$62.61–$68.27 | $188–$205 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$57.61–$81.92 | $173–$246 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$53.95–$58.95 | $162–$177 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$176.83–$1,121.22 | $531–$3,367 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$57.61–$61.28 | $173–$184 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$106.23–$326.34 | $319–$980 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$709.96–$731.27 | $2,132–$2,196 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$504.17–$525.48 | $1,514–$1,578 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $170.50 | $512 | 0.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$59.28–$61.94 | $178–$186 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$117.22–$468.54 | $352–$1,407 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$425.91–$438.57 | $1,279–$1,317 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$164.17–$169.17 | $493–$508 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$251.09–$259.08 | $754–$778 | varies |
| Renal Cyst Study (74470) | $1,933.40 | $5,806 | 2.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$297.71–$306.70 | $894–$921 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $421.58 | $1,266 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,352.98 | $4,063 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,352.98 | $4,063 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,352.98 | $4,063 | 1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,156.85 | $3,474 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,312.36 | $3,941 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,156.85 | $3,474 | 0.7× |
| Rp Therapy Intravenous Administration (79101) | $277.73 | $834 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $33.97 | $102 | 1.5× |
| Sella turcica (70240) range across 2 matching MRF lines |
$126.21–$129.87 | $379–$390 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$64.94–$103.57 | $195–$311 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$309.36–$318.69 | $929–$957 | varies |
| Stereotactic Body Radiation Delivery (77373) | $1,856.15 | $5,574 | 0.8× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$59.28–$81.26 | $178–$244 | varies |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$3,037.30–$3,788.21 | $9,121–$11,376 | varies |
| Testicular Imaging W/Flow (78761) | $452.22 | $1,358 | 0.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $178.16 | $535 | 0.8× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$62.28–$366.30 | $187–$1,100 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$65.94–$285.72 | $198–$858 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$61.28–$64.61 | $184–$194 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $198.81 | $597 | 0.4× |
| Thyroid Met Imaging Body (78018) | $515.16 | $1,547 | 0.7× |
| Thyroid Uptake Measurement (78012) | $152.19 | $457 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $240.76 | $723 | 0.5× |
| Ultrasound elastography first target lesion (76982) | $149.85 | $450 | 1.1× |
| Ultrasound Elastography Parenchyma (76981) | $141.86 | $426 | 1.1× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$25.98–$521.82 | $78–$1,567 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$27.98–$562.44 | $84–$1,689 | varies |
| Umbilical-artery Doppler (OB) (76820) | $93.91 | $282 | 0.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$475.86–$490.51 | $1,429–$1,473 | varies |
| Ureteral Reflux Study (78740) | $443.23 | $1,331 | 0.9× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$446.22–$459.54 | $1,340–$1,380 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$433.24–$459.54 | $1,301–$1,380 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$25.65–$321.35 | $77–$965 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$29.31–$390.95 | $88–$1,174 | varies |
| Us head (76506) | $141.53 | $425 | 1.1× |
| Us kidney transplant (76776) | $145.86 | $438 | 1.1× |
| Us ob detailed single fetus (76811) | $228.44 | $686 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$30.31–$432.57 | $91–$1,299 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$30.31–$484.52 | $91–$1,455 | varies |
| Us pelvic non ob complete (76856) | $583.42 | $1,752 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $628.71 | $1,888 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $558.11 | $1,676 | 4.2× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$607.06–$648.36 | $1,823–$1,947 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$32.31–$317.69 | $97–$954 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$29.97–$498.17 | $90–$1,496 | varies |
| Us spinal canal and contents (76800) | $334.67 | $1,005 | 2.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$25.31–$422.58 | $76–$1,269 | varies |
| Us transrectal (76872) | $145.86 | $438 | 1.1× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,361.97–$3,037.30 | $4,090–$9,121 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,037.30 | $9,121 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $3,037.30 | $9,121 | 0.7× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,032.97–$3,123.88 | $9,108–$9,381 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,361.97–$3,037.30 | $4,090–$9,121 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,361.97–$1,616.05 | $4,090–$4,853 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$3,277.72–$4,104.90 | $9,843–$12,327 | varies |
| Venous sampling by catheter (75893) | $5,236.10 | $15,724 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $779.56 | $2,341 | 1.5× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$73.26–$75.60 | $220–$227 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$53.95–$58.95 | $162–$177 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$1,877.46–$3,037.30 | $5,638–$9,121 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$139.53–$335.34 | $419–$1,007 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$511.16–$562.77 | $1,535–$1,690 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$91.25–$574.43 | $274–$1,725 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$113.56–$717.95 | $341–$2,156 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$141.53–$897.77 | $425–$2,696 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$63.94–$260.74 | $192–$783 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$81.26–$327.34 | $244–$983 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 5 matching MRF lines |
$125.55–$408.60 | $377–$1,227 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$109.89–$142.86 | $330–$429 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$62.94–$68.27 | $189–$205 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$125.88–$473.20 | $378–$1,421 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$856.48–$882.79 | $2,572–$2,651 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92.91 | $279 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$201.14–$208.80 | $604–$627 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$109.89–$120.88 | $330–$363 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$59.28–$87.25 | $178–$262 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 5 matching MRF lines |
$110.56–$121.22 | $332–$364 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$65.27–$77.93 | $196–$234 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$334–$343.99 | $1,003–$1,033 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$65.27–$81.92 | $196–$246 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$54.28–$78.59 | $163–$236 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$64.94–$103.57 | $195–$311 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$344.33–$355.32 | $1,034–$1,067 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$427.91–$441.56 | $1,285–$1,326 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$60.28–$63.94 | $181–$192 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$374.63–$386.28 | $1,125–$1,160 | varies |
| Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines |
$62.94–$369.30 | $189–$1,109 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$57.61–$61.94 | $173–$186 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $109.23 | $328 | 0.8× |
| Xr orbits complete 4 views (70200) range across 5 matching MRF lines |
$59.28–$130.21 | $178–$391 | varies |
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.