Imaging prices at St. Elizabeth Hospital
Enumclaw, WA · every code in this section with a posted price and a Medicare benchmark.
364 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) | $247.61 | $700.70 | 2.5× |
| Abdomen 2 views (74019) | $313.24 | $886.45 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,078.70 | $3,052.64 | 2.3× |
| Angio pulmonary bilat (75743) | $3,109.14 | $8,798.67 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,122.57 | $8,836.67 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,115.49 | $8,816.65 | 0.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,732.44 | $7,732.62 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,179.88 | $8,998.87 | 0.9× |
| Artery X-Rays Abdomen (75726) | $4,103.39 | $11,612.34 | 0.6× |
| Artery X-Rays Spine (75705) | $3,428.18 | $9,701.54 | 0.5× |
| Basic radiation dosimetry calculation (77300) | $553.48 | $1,566.29 | 3.5× |
| Bone age studies (77072) | $238.70 | $675.48 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,760.54 | $4,982.22 | 3.8× |
| Bone Imaging Limited Area (78300) | $922.19 | $2,609.73 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $960.29 | $2,717.55 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,676.71 | $4,744.97 | 3.6× |
| Bone marrow imaging limited area (78102) | $561.15 | $1,588.01 | 1.2× |
| Bone marrow imaging; multiple areas (78103) | $600.43 | $1,699.17 | 1.3× |
| Bone marrow imaging; whole body (78104) | $678.99 | $1,921.49 | 1.5× |
| Bone survey infant (77076) | $283.88 | $803.36 | 2.3× |
| Brachytx isodose complex (77318) | $1,813.69 | $5,132.63 | 4.2× |
| Brain Flow Imaging Only (78610) | $723.01 | $2,046.07 | 1.1× |
| Brain Image W/Flow < 4 Views (78601) | $675.25 | $1,910.89 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $945.34 | $2,675.25 | 1.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $675.25 | $1,910.89 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,212.21 | $9,090.36 | 1.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,450.01 | $4,103.42 | 3.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,756.56 | $4,970.95 | 4.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,756.56 | $4,970.95 | 1.9× |
| Cardiac Shunt Detection (78428) | $941.15 | $2,663.37 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $716.76 | $2,028.36 | 7.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $971.92 | $2,750.46 | 1.5× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $1,036.09 | $2,932.06 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,099.83 | $3,112.43 | 1.7× |
| Chest 1 view (71045) | $234.87 | $664.66 | 2.3× |
| Chest 2 views (71046) | $305.33 | $864.06 | 3.0× |
| Chest 3 views (71047) | $307.68 | $870.70 | 3.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$305.33–$307.68 | $864.06–$870.70 | varies |
| Cholecystography Oral Contrast (74290) | $238.21 | $674.10 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $76.69 | $217 | 0.6× |
| Continuing medical physics consltj pr wk (77336) | $790.91 | $2,238.22 | 5.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,188.53 | $9,023.34 | 0.9× |
| Contrast X-Ray Bladder (74430) | $518.51 | $1,467.34 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $596.83 | $1,688.97 | 2.9× |
| Corpora cavernosography (74445) | $385.95 | $1,092.21 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $4,787.06 | $13,547.07 | 11.8× |
| CT abdomen and pelvis without contrast (74176) | $3,627.69 | $10,266.14 | 13.1× |
| CT abdomen w contrast (74160) | $2,175.66 | $6,156.96 | 10.7× |
| CT abdomen w wo contrast (74170) | $2,338.83 | $6,618.73 | 11.5× |
| CT abdomen w/o contrast (74150) | $1,776.78 | $5,028.18 | 14.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,722.03 | $13,363.05 | 11.7× |
| CT Angio Chest (71275) | $2,784.34 | $7,879.51 | 13.7× |
| CT Angio Head (70496) | $2,141.27 | $6,059.64 | 10.5× |
| CT angio hrt w/3d image (75574) | $1,166.34 | $3,300.66 | 2.9× |
| CT Angio Neck (70498) | $2,248.33 | $6,362.62 | 11.0× |
| CT cervical spine w/ contrast (72126) | $1,791.18 | $5,068.91 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,628.34 | $4,608.10 | 13.4× |
| CT cervical spine w/wo cont (72127) | $1,954.01 | $5,529.72 | 9.6× |
| CT chest w contrast (71260) | $2,160.90 | $6,115.19 | 10.6× |
| CT chest w/wo contrast (71270) | $2,333.77 | $6,604.41 | 11.5× |
| CT colonography screening (74263) | $1,142.43 | $3,233 | 4.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $936.39 | $2,649.90 | 4.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $851.26 | $2,409 | 7.0× |
| CT head/brain with contrast (70460) | $1,693.33 | $4,792.01 | 8.3× |
| CT head/brain without and with contrast (70470) | $1,896.53 | $5,367.05 | 9.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,166.34 | $3,300.66 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $92.02 | $260.40 | 0.9× |
| CT hrt w/3d image congen (75573) | $1,166.34 | $3,300.66 | 2.9× |
| CT iac w contrast (70481) | $1,669.22 | $4,723.77 | 8.2× |
| CT l-spine w&w/o contrast (72133) | $1,772.35 | $5,015.62 | 8.7× |
| CT lumbar spine w contrast (72132) | $1,624.65 | $4,597.65 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,476.95 | $4,179.68 | 12.2× |
| CT maxillofacial w contrast (70487) | $1,510.49 | $4,274.58 | 7.4× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$297.15–$1,485.73 | $840.90–$4,204.50 | varies |
| CT neck tissue combo (70492) | $2,032.33 | $5,751.36 | 10.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,694.70 | $4,795.89 | 8.3× |
| CT orbits w/o contrast (70480) | $1,529.05 | $4,327.12 | 12.6× |
| CT pelvis w&w/o contrast (72194) | $2,135.76 | $6,044.06 | 10.5× |
| CT pelvis w/o contrast (72192) | $1,601.82 | $4,533.05 | 13.2× |
| CT scans face/jaw combo (70488) | $1,696.20 | $4,800.14 | 8.3× |
| CT soft tissue neck w contrast (70491) | $1,670.41 | $4,727.15 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,489.45 | $4,215.04 | 12.3× |
| CT thoracic spine w contrast (72129) | $1,705.89 | $4,827.54 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,550.80 | $4,388.67 | 12.8× |
| CT thoracic spine w/wo cont (72130) | $1,860.96 | $5,266.40 | 9.1× |
| CT thorax w/o contrast (71250) | $1,923.20 | $5,442.52 | 15.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,150.55 | $6,085.91 | 10.6× |
| Cta Abdomen (74175) | $2,266.58 | $6,414.26 | 11.1× |
| CTA pelvis (72191) | $2,034.87 | $5,758.56 | 10.0× |
| Dilation ureters/urethra rs&i (74485) | $1,273.12 | $3,602.83 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $2,466.69 | $6,980.56 | 1.1× |
| Diskography lumbar (72295) | $2,349.22 | $6,648.14 | 1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $302.67 | $856.53 | 2.5× |
| Dxa Bone Density Axial (77080) | $421.06 | $1,191.56 | 3.5× |
| Dxa bone density study (77085) | $677.20 | $1,916.43 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $181.07 | $512.39 | 1.8× |
| Echo exam of fetal heart (76825) | $661.05 | $1,870.72 | 1.0× |
| Echo exam uterus (76831) | $539.73 | $1,527.38 | 1.9× |
| Echo Guide For Artery Repair (76936) | $589.44 | $1,668.07 | 2.4× |
| Echograp Trans R Pros Study (76873) | $601.73 | $1,702.84 | 5.0× |
| Esophageal Motility Study (78258) | $552.27 | $1,562.87 | 1.2× |
| Esophagram (74220) | $652.80 | $1,847.38 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $437.95 | $1,239.35 | 3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $410.58 | $1,161.89 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $470.82 | $1,332.38 | 1.7× |
| Follow-Up Angiography (75898) | $2,607.79 | $7,379.87 | 0.7× |
| Gastric emptying imaging study (78264) | $1,239.73 | $3,508.36 | 2.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,607.64 | $4,549.51 | 3.5× |
| Gastroesophageal Reflux Exam (78262) | $947.13 | $2,680.31 | 2.0× |
| Gated Heart Planar Single (78472) | $1,305.62 | $3,694.80 | 2.8× |
| Gated Heart, Multiple (78473) | $1,621.14 | $4,587.71 | 3.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,924.05 | $5,444.94 | 3.1× |
| Heart first pass single,planar (78481) | $981.10 | $2,776.43 | 1.6× |
| Heart Image (Pet) Multiple (78492) | $3,638.62 | $10,297.06 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,616.21 | $7,403.71 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,690.80 | $4,784.86 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,436.70 | $4,065.77 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,364.87 | $3,862.48 | 2.9× |
| Ht Musc Image Planar Mult (78454) | $1,485.39 | $4,203.55 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $2,422.98 | $6,856.88 | 1.6× |
| Hysterosalpingogram (74740) | $460.95 | $1,304.45 | 1.7× |
| Image fusion (77399) | $726.43 | $2,055.75 | 4.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $361.81 | $1,023.90 | 3.6× |
| Infant hip ultrasound, limited static exam (76886) | $322.62 | $912.98 | 3.2× |
| Interstitial radiation source applic complex (77778) | $2,726.36 | $7,715.41 | 3.4× |
| Joint Survey Single View (77077) | $194.15 | $549.42 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $1,246.94 | $3,528.74 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,187.56 | $3,360.71 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,167.77 | $3,304.70 | 1.9× |
| Kidney Imaging Morphol (78700) | $811.50 | $2,296.48 | 1.7× |
| Leveen/Shunt Patency Exam (78291) | $663.06 | $1,876.42 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $871.79 | $2,467.11 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $937.37 | $2,652.70 | 2.0× |
| Liver imaging static only (78201) | $904.48 | $2,559.61 | 1.4× |
| Liver imaging w/vascular flow (78202) | $872.37 | $2,468.75 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,406.99 | $3,981.69 | 2.2× |
| Lung perfusion differential (78597) | $934.55 | $2,644.72 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,379.38 | $3,903.56 | 2.2× |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$593.14–$698.01 | $1,678.53–$1,975.30 | varies |
| Lymph System Imaging (78195) | $1,387.35 | $3,926.10 | 2.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $900.37 | $2,547.98 | 0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,206.41 | $6,244 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $1,546.29 | $4,375.90 | 5.6× |
| Mammary ductogram or galactogram multiple (77054) | $561.90 | $1,590.13 | 2.0× |
| Mammary ductogram or galactogram single (77053) | $522.96 | $1,479.92 | 1.9× |
| Meckels Divert Exam (78290) | $734.18 | $2,077.66 | 1.6× |
| Mlc imrt design & construction per imrt plan (77338) | $2,449 | $6,930.50 | 5.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21.64 | $61.23 | 0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $81.10 | $229.48 | 0.7× |
| Mr safety implt pos&/immoblj (76019) | $52.48 | $148.50 | 0.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $213.54 | $604.30 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,600.78 | $7,360.03 | 6.4× |
| MRA head w/o contrast (70544) | $1,769.24 | $5,006.82 | 6.4× |
| MRA head with contrast (70545) | $1,928.47 | $5,457.43 | 4.8× |
| MRA neck w contrast (70548) | $1,874.12 | $5,303.64 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,974.80 | $8,418.49 | 7.3× |
| MRA neck w/o contrast (70547) | $1,725.39 | $4,882.73 | 6.2× |
| MRI abdomen w contrast (74182) | $2,227.09 | $6,302.52 | 5.5× |
| MRI abdomen w/o contrast (74181) | $1,579.21 | $4,469.06 | 5.7× |
| MRI bone marrow blood supply (77084) | $1,538.39 | $4,353.55 | 5.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,735.72 | $4,911.97 | 6.3× |
| MRI cardiac w/o cont stress (75559) | $1,419.89 | $4,018.19 | 2.2× |
| MRI cardiac w/o contrast (75557) | $1,244.23 | $3,521.09 | 4.5× |
| MRI cervical spine w contrast (72142) | $2,350.44 | $6,651.60 | 5.8× |
| MRI cervical spine w/o cont (72141) | $2,311.91 | $6,542.56 | 8.3× |
| MRI chest w/o contrast (71550) | $1,850.43 | $5,236.60 | 6.7× |
| MRI chest with contrast (71551) | $2,230.66 | $6,312.62 | 2.5× |
| MRI chest wo w contrast (71552) | $3,041.81 | $8,608.12 | 7.5× |
| MRI lumbar spine w contrast (72149) | $2,457.09 | $6,953.40 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,718.32 | $10,522.61 | 9.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,567.46 | $4,435.79 | 5.7× |
| MRI orbit face neck w contrast (70542) | $2,122.59 | $6,006.80 | 5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,265.53 | $9,241.24 | 8.1× |
| MRI pelvis w contrast (72196) | $1,971.61 | $5,579.52 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $3,286.01 | $9,299.20 | 8.1× |
| MRI pelvis w/o contrast (72195) | $1,807.31 | $5,114.56 | 6.5× |
| MRI spectroscopy (76390) | $881.79 | $2,495.39 | 8.7× |
| MRI thoracic spine w/o contrast (72146) | $2,419.43 | $6,846.83 | 8.7× |
| MRI, abdomen, combo (74183) | $3,036.94 | $8,594.35 | 7.5× |
| MRI, dorsal spine combo (72157) | $3,722.20 | $10,533.58 | 9.2× |
| MRI, dorsal spine contrast (72147) | $2,456.65 | $6,952.16 | 6.1× |
| MRI, lumbar spine combo (72158) | $3,725.91 | $10,544.09 | 9.2× |
| Myelogram cervical (72240) | $1,232.12 | $3,486.81 | 1.4× |
| Myelogram Lumbar (72265) | $1,232.12 | $3,486.81 | 1.4× |
| Myelography thoracic (72255) | $1,232.12 | $3,486.81 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,407.04 | $3,981.82 | 1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $941.15 | $2,663.37 | 2.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,231.85 | $9,145.94 | 2.1× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $995.89 | $2,818.29 | 1.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,132.48 | $3,204.85 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $3,160.41 | $8,943.76 | 2.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,697.30 | $10,463.11 | 2.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,730.81 | $16,217.83 | 2.2× |
| N-invas est c ffr sw aly CTA (75580) | $1,757.29 | $4,973 | 1.8× |
| Neck soft tissue (70360) | $204.88 | $579.77 | 2.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $353.52 | $1,000.43 | 0.8× |
| Nm csf leak detection (78650) | $1,042.03 | $2,948.86 | 0.7× |
| Nm myocard infarct spect (78469) | $1,143.98 | $3,237.39 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $325.31 | $920.59 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,468.59 | $12,645.84 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $607.12 | $1,718.10 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $825.80 | $2,336.94 | 3.0× |
| Ob us nuchal meas 1 gest (76813) | $398.04 | $1,126.41 | 3.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $449.62 | $1,272.37 | 3.7× |
| Optic foramina (70190) | $135.51 | $383.47 | 1.3× |
| Parathyroid Planar Imaging (78070) | $1,020.58 | $2,888.18 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,491.06 | $7,049.54 | 5.4× |
| Pelvis 1 or 2 views (72170) | $293.17 | $829.63 | 2.4× |
| Perineogram (74775) | $383.26 | $1,084.60 | 1.4× |
| Peritoneogram Rs&I (74190) | $346.08 | $979.36 | 0.5× |
| Pet Image Skull-Thigh (78812) | $3,571.67 | $10,107.60 | 2.2× |
| Pet Image W/Ct Lmtd (78814) | $3,482.63 | $9,855.62 | 2.1× |
| PET image w/CT, full body (78816) | $3,846.03 | $10,884.03 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,634.05 | $10,284.12 | 2.2× |
| Pet Myocardial Sngl Study (78491) | $3,543.15 | $10,026.90 | 2.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,779.41 | $7,865.55 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $813.84 | $2,303.10 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $388.74 | $1,100.10 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $401.15 | $1,135.21 | 0.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $288.91 | $817.57 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $301.37 | $852.84 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $272.28 | $770.52 | 2.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $147.74 | $418.09 | 1.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $230.09 | $651.13 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $837.67 | $2,370.55 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $216.64 | $613.06 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $230.68 | $652.79 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $301.70 | $853.78 | 3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,328.06 | $3,758.33 | 10.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,268.82 | $20,570.30 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $465.87 | $1,318.38 | 3.9× |
| Radiation treatment delivery level 2 (77407) | $551.83 | $1,561.63 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $739.92 | $2,093.92 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $329.84 | $933.40 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $354.08 | $1,002 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $658.62 | $1,863.85 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $541.33 | $1,531.93 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $647.95 | $1,833.65 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $331.28 | $937.48 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $741.30 | $2,097.83 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $682.95 | $1,932.70 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $642.59 | $1,818.49 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $355.91 | $1,007.19 | 2.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $160.30 | $453.63 | 1.6× |
| Radiopharm Dacryocystography (78660) | $749.93 | $2,122.23 | 1.6× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $875.33 | $2,477.11 | 3.2× |
| Renal Cyst Study (74470) | $594.14 | $1,681.37 | 0.9× |
| Ribs bilateral 3 views (71110) | $282.17 | $798.51 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $810.39 | $2,293.34 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,040.20 | $2,943.69 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,886.87 | $5,339.71 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,378.86 | $3,902.09 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,451.44 | $4,107.47 | 2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,886.87 | $5,339.71 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $867.08 | $2,453.78 | 3.2× |
| Salivary Gland Imaging Serial Images (78231) | $687.05 | $1,944.30 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $100.86 | $285.40 | 4.3× |
| Sella turcica (70240) | $104.56 | $295.88 | 1.0× |
| Sialogram (70390) | $413.48 | $1,170.11 | 1.5× |
| Skull less than 4 views (70250) | $290.50 | $822.07 | 2.4× |
| Special dosimetry (77331) | $318.79 | $902.15 | 2.0× |
| Special teletherapy port plan (77321) | $1,031.33 | $2,918.58 | 2.4× |
| Special treatment procedure (77470) | $2,702.17 | $7,646.96 | 4.2× |
| Speech evaluation, complex (70371) | $523.45 | $1,481.33 | 1.9× |
| Srs Multisource (77371) | $40,508.34 | $114,636.17 | 4.7× |
| Stereotactic Body Radiation Delivery (77373) | $4,692.69 | $13,280.03 | 2.3× |
| Sternoclavicular joints (71130) | $219.14 | $620.15 | 2.2× |
| Superior sagittal sinus venogram (75870) | $1,357.01 | $3,840.23 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,368.52 | $3,872.82 | 3.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,014.99 | $2,872.34 | 2.3× |
| Testicular Imaging W/Flow (78761) | $735.71 | $2,081.99 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,951.37 | $5,522.26 | 4.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,365.96 | $3,865.58 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $959.43 | $2,715.11 | 6.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $281.40 | $796.33 | 1.4× |
| Thoracic spine 2 views (72070) | $288.59 | $816.67 | 2.4× |
| Thoracic spine 3 views (72072) | $329.47 | $932.37 | 2.7× |
| Thoracolumbar 2 views (72080) | $246.69 | $698.11 | 2.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $767.95 | $2,173.24 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $686.67 | $1,943.22 | 1.5× |
| Thyroid Met Imaging Body (78018) | $1,297.94 | $3,673.08 | 2.1× |
| Thyroid Uptake Measurement (78012) | $368.32 | $1,042.31 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $807.85 | $2,286.14 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $1,026.39 | $2,904.61 | 2.4× |
| Tx devices design & construction intermediate (77333) | $634.29 | $1,794.99 | 4.1× |
| Tx devices design & construction simple (77332) | $448.12 | $1,268.15 | 2.9× |
| Ultrasound elastography first target lesion (76982) | $190.08 | $537.91 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $190.08 | $537.91 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $386.01 | $1,092.36 | 3.2× |
| Ultrasound, abdomen limited (76705) | $464.79 | $1,315.32 | 3.8× |
| Umbilical-artery Doppler (OB) (76820) | $273.44 | $773.80 | 2.3× |
| Unlisted fluoroscopic procedure (76496) | $550.96 | $1,559.18 | 5.5× |
| Unlisted magnetic resonance procedure (76498) | $1,731.09 | $4,898.87 | 17.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$980.29–$2,552.43 | $2,774.14–$7,223.20 | varies |
| Upper gi w/o kub (74240) | $740.59 | $2,095.80 | 3.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $145.06 | $410.50 | 13.1× |
| Urea breath test c-14 isotopic analysis (78268) | $268.43 | $759.62 | 2.8× |
| Ureteral Reflux Study (78740) | $740.91 | $2,096.72 | 1.6× |
| Urethrocystogram voiding (74455) | $668.23 | $1,891.05 | 2.4× |
| Urethrocystography retrograde (74450) | $514.03 | $1,454.65 | 1.9× |
| Us chest (76604) | $433.63 | $1,227.14 | 3.6× |
| Us exam, pelvic, limited (76857) | $405.52 | $1,147.59 | 3.3× |
| Us head (76506) | $369.92 | $1,046.83 | 3.0× |
| Us ob detailed single fetus (76811) | $761.36 | $2,154.58 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $342.76 | $969.99 | 2.8× |
| Us ob transvaginal (76817) | $451.99 | $1,279.10 | 3.7× |
| Us pelvic non ob complete (76856) | $565.84 | $1,601.29 | 4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $533.86 | $1,510.79 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $331.46 | $938.01 | 2.7× |
| Us retroperitoneal complete (76770) | $618.99 | $1,751.68 | 5.1× |
| Us retroperitoneal limited (76775) | $425.09 | $1,202.97 | 3.5× |
| Us scrotum and contents (76870) | $504.08 | $1,426.49 | 4.2× |
| Us spinal canal and contents (76800) | $425.57 | $1,204.31 | 3.5× |
| Us thyroid (76536) | $432.17 | $1,222.99 | 3.6× |
| Us transrectal (76872) | $457.14 | $1,293.66 | 3.8× |
| Vascular Flow Imaging (78445) | $372.75 | $1,054.85 | 0.8× |
| Vein X-Ray Chest (75827) | $2,861.49 | $8,097.82 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,696.18 | $4,800.06 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $1,600.14 | $4,528.28 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,671.69 | $4,730.78 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $3,012.09 | $8,524.02 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,155.88 | $3,271.07 | 0.6× |
| Venography Renal Bilateral (75833) | $1,923.36 | $5,442.97 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,732.44 | $7,732.62 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $700.26 | $1,981.68 | 1.5× |
| Vertebral fracture assessment via dxa (77086) | $198.31 | $561.18 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $279.99 | $792.35 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $492.18 | $1,392.82 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $3,294.82 | $9,324.12 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $349.27 | $988.39 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $352.08 | $996.35 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $784.36 | $2,219.69 | 7.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,069.58 | $3,026.84 | 8.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,238.93 | $3,506.09 | 10.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $244.69 | $692.45 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $272.29 | $770.55 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $299.88 | $848.64 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $475.32 | $1,345.10 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $315.13 | $891.78 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $493.70 | $1,397.12 | 4.1× |
| X-ray eye for foreign body (70030) | $203.20 | $575.03 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $714.67 | $2,022.45 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $775.35 | $2,194.17 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $204.50 | $578.70 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $224.90 | $636.45 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $315.13 | $891.78 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $191.08 | $540.74 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $355.49 | $1,006 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $287.63 | $813.95 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $191.75 | $542.63 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $256.47 | $725.77 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $276.11 | $781.36 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $409.11 | $1,157.75 | 3.4× |
| X-Ray Stress View (77071) | $275.76 | $780.36 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $363.14 | $1,027.65 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $809.05 | $2,289.56 | 2.0× |
| X-Rays Bone Length Studies (77073) | $293.41 | $830.33 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $508.44 | $1,438.85 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $443.80 | $1,255.92 | 3.7× |
| Xr facial bones less than 3 views (70140) | $231.13 | $654.06 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $217.04 | $614.20 | 1.8× |
| Xr myelogram posterior fossa (70010) | $1,046.77 | $2,962.29 | 2.6× |
| Xr orbits complete 4 views (70200) | $306.81 | $868.24 | 2.5× |
| Xr Tomogram Single Plane (76100) | $395.36 | $1,118.82 | 3.3× |
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.