Imaging prices at St. John's Riverside Hospital
Yonkers, NY · every code in this section with a posted price and a Medicare benchmark.
340 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) | $4,901.10 | $5,766 | 2.8× |
| Abdomen 1 View (74018) | $314.50 | $370 | 2.9× |
| Abdomen 2 views (74019) | $481.10 | $566 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,570.80 | $1,848 | 3.1× |
| Angio pulmonary bilat (75743) | $10,083.55 | $11,863 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $10,714.25 | $12,605 | 2.7× |
| Angiography extremity unilateral rs&i (75710) | $10,714.25 | $12,605 | 2.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,714.25 | $12,605 | 2.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,755.30 | $4,418 | 1.0× |
| Ankle 2 views (73600) | $314.50 | $370 | 2.9× |
| Aortography thoracic serialography rs&i (75605) | $10,083.55 | $11,863 | 1.5× |
| Artery X-Rays Abdomen (75726) | $19,130.10 | $22,506 | 2.8× |
| Artery X-Rays Pelvis (75736) | $10,083.55 | $11,863 | 1.5× |
| Artery X-Rays Spine (75705) | $19,130.10 | $22,506 | 2.8× |
| Arthrogram ankle (73615) | $1,391.45 | $1,637 | 3.2× |
| Arthrogram hip (73525) | $1,459.45 | $1,717 | 3.4× |
| Arthrogram Wrist (73115) | $1,391.45 | $1,637 | 3.2× |
| Basic radiation dosimetry calculation (77300) | $640.05 | $753 | 3.8× |
| Bone age studies (77072) | $271.15 | $319 | 2.1× |
| Bone Imaging 3 Phase (78315) | $2,307.75 | $2,715 | 4.6× |
| Bone Imaging Multiple Areas (78305) | $1,887.85 | $2,221 | 3.8× |
| Bone Imaging Whole Body (78306) | $1,887.85 | $2,221 | 3.8× |
| Bone marrow imaging limited area (78102) | $1,351.50 | $1,590 | 2.7× |
| Brachytx isodose complex (77318) | $1,898.90 | $2,234 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $640.05 | $753 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $3,021.75 | $3,555 | 6.1× |
| Brain imaging < 4 static views (78600) | $1,570.80 | $1,848 | 3.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,086.35 | $3,631 | 4.6× |
| Cardiovasc nucl exam unlisted (78499) | $1,602.25 | $1,885 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $1,509.60 | $1,776 | 13.9× |
| Chest 1 view (71045) | $271.15 | $319 | 2.5× |
| Chest 2 views (71046) | $413.95 | $487 | 3.8× |
| Chest 3 views (71047) | $271.15 | $319 | 2.5× |
| Chest 4 or more views (71048) | $497.25 | $585 | 3.8× |
| Cholecystography Oral Contrast (74290) | $600.95 | $707 | 2.7× |
| Clavicle complete (73000) | $314.50 | $370 | 2.9× |
| Continuing medical physics consltj pr wk (77336) | $546.55 | $643 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$10,083.55–$10,714.25 | $11,863–$12,605 | varies |
| Contrast X-Ray Bladder (74430) | $922.25 | $1,085 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,391.45 | $1,637 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,445 | $1,700 | 3.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $481.10 | $566 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,680.05 | $3,153 | 6.2× |
| CT abdomen and pelvis without contrast (74176) | $2,448.85 | $2,881 | 8.2× |
| CT abdomen w contrast (74160) | $1,016.60 | $1,196 | 4.6× |
| CT abdomen w wo contrast (74170) | $2,924 | $3,440 | 13.4× |
| CT abdomen w/o contrast (74150) | $2,448.85 | $2,881 | 18.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,826.65 | $2,149 | 4.2× |
| CT Angio Chest (71275) | $3,049.80 | $3,588 | 13.9× |
| CT Angio Head (70496) | $2,748.90 | $3,234 | 12.6× |
| CT angio hrt w/3d image (75574) | $2,646.90 | $3,114 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,748.90 | $3,234 | 12.6× |
| CT Angio Neck (70498) | $2,748.90 | $3,234 | 12.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,717.45 | $3,197 | 12.4× |
| CT bone density (77078) | $1,138.15 | $1,339 | 10.5× |
| CT cervical spine w/ contrast (72126) | $2,493.05 | $2,933 | 5.7× |
| CT cervical spine w/o contrast (72125) | $2,448.85 | $2,881 | 18.8× |
| CT cervical spine w/wo cont (72127) | $2,963.10 | $3,486 | 13.5× |
| CT chest w contrast (71260) | $2,506.65 | $2,949 | 11.4× |
| CT chest w/wo contrast (71270) | $3,007.30 | $3,538 | 13.7× |
| CT head/brain with contrast (70460) | $2,448.85 | $2,881 | 11.2× |
| CT head/brain without and with contrast (70470) | $2,506.65 | $2,949 | 11.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,448.85 | $2,881 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $212.50 | $250 | 2.0× |
| CT iac w contrast (70481) | $2,448.85 | $2,881 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $2,963.10 | $3,486 | 13.5× |
| CT lower ext w/o (73700) | $2,448.85 | $2,881 | 18.8× |
| CT lower extremity w/contrast material (73701) | $2,448.85 | $2,881 | 11.2× |
| CT lumbar spine w contrast (72132) | $2,493.05 | $2,933 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $2,448.85 | $2,881 | 18.8× |
| CT maxillofacial w contrast (70487) | $2,574.65 | $3,029 | 11.8× |
| CT maxillofacial wo contrast (70486) | $2,448.85 | $2,881 | 18.8× |
| CT neck tissue combo (70492) | $2,448.85 | $2,881 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,574.65 | $3,029 | 11.8× |
| CT orbits w/o contrast (70480) | $2,448.85 | $2,881 | 18.8× |
| CT pelvis w&w/o contrast (72194) | $2,862.80 | $3,368 | 13.1× |
| CT pelvis w/o contrast (72192) | $2,448.85 | $2,881 | 18.8× |
| CT scan of leg combo (73702) | $2,595.90 | $3,054 | 11.9× |
| CT scans face/jaw combo (70488) | $2,722.55 | $3,203 | 12.4× |
| CT soft tissue neck w contrast (70491) | $2,574.65 | $3,029 | 11.8× |
| CT soft tissue neck w/o contrast (70490) | $2,448.85 | $2,881 | 18.8× |
| CT thoracic spine w contrast (72129) | $2,448.85 | $2,881 | 11.2× |
| CT thoracic spine w/o contrast (72128) | $2,448.85 | $2,881 | 18.8× |
| CT thoracic spine w/wo cont (72130) | $2,448.85 | $2,881 | 11.2× |
| CT thorax w/o contrast (71250) | $2,448.85 | $2,881 | 18.8× |
| CT unlisted procedure (76497) | $343.40 | $404 | 3.2× |
| CT upper ext wo (73200) | $2,448.85 | $2,881 | 18.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,595.90 | $3,054 | 11.9× |
| CT upper extremity with contrast (73201) | $2,448.85 | $2,881 | 5.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,883.65 | $4,569 | 17.7× |
| Cta Abdomen (74175) | $2,971.60 | $3,496 | 13.6× |
| CTA pelvis (72191) | $2,968.20 | $3,492 | 13.6× |
| Dilation ureters/urethra rs&i (74485) | $6,299.35 | $7,411 | 2.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,210.40 | $1,424 | 9.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $759.90 | $894 | 5.8× |
| Dxa Bone Density Axial (77080) | $793.05 | $933 | 6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $793.05 | $933 | 7.3× |
| Echo exam of fetal heart (76825) | $3,111.85 | $3,661 | 4.6× |
| Echo exam uterus (76831) | $650.25 | $765 | 2.2× |
| Echograp Trans R Pros Study (76873) | $759.90 | $894 | 5.8× |
| Esophagram (74220) | $600.95 | $707 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $892.50 | $1,050 | 6.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,361.70 | $1,602 | 10.4× |
| Fluoroscopy up to 1 hr (76000) | $669.80 | $788 | 2.2× |
| Follow-Up Angiography (75898) | $3,708.55 | $4,363 | 0.9× |
| Forearm 2 views (73090) | $314.50 | $370 | 2.9× |
| Gastric emptying imaging study (78264) | $1,826.65 | $2,149 | 3.7× |
| Gated Heart Planar Single (78472) | $1,876.80 | $2,208 | 3.8× |
| Gated Heart, Multiple (78473) | $2,199.80 | $2,588 | 4.4× |
| Hand 2 views (73120) | $413.10 | $486 | 3.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,083.55 | $11,863 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,952.45 | $2,297 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,579.30 | $1,858 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $4,255.10 | $5,006 | 2.6× |
| Hysterosalpingogram (74740) | $1,102.45 | $1,297 | 3.7× |
| Infant hip ultrasound, limited static exam (76886) | $759.90 | $894 | 7.0× |
| Infusion Ivp (74410) | $831.30 | $978 | 3.8× |
| Interstitial radiation source applic complex (77778) | $6,332.50 | $7,450 | 7.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,979.25 | $3,505 | 3.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,979.25 | $3,505 | 4.3× |
| Intracavitary radiation source applic simple (77761) | $2,979.25 | $3,505 | 4.3× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $25,364 | $29,840 | 2.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $25,364 | $29,840 | 2.8× |
| Joint Survey Single View (77077) | $345.10 | $406 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $2,121.60 | $2,496 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,307.75 | $2,715 | 3.4× |
| Kidney Imaging Morphol (78700) | $1,874.25 | $2,205 | 3.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$374–$392.70 | $440–$462 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,570.80 | $1,848 | 3.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,933.75 | $2,275 | 3.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,570.80 | $1,848 | 3.1× |
| Liver imaging static only (78201) | $4,236.40 | $4,984 | 6.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,582.70 | $1,862 | 2.3× |
| Lymph System Imaging (78195) | $2,036.60 | $2,396 | 3.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,165.80 | $2,548 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $5,510.55 | $6,483 | 18.5× |
| Mammary ductogram or galactogram multiple (77054) | $1,218.05 | $1,433 | 4.1× |
| Mammary ductogram or galactogram single (77053) | $1,102.45 | $1,297 | 3.7× |
| Meckels Divert Exam (78290) | $1,570.80 | $1,848 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,685.65 | $6,689 | 13.1× |
| MRA head w/o contrast (70544) | $5,685.65 | $6,689 | 19.1× |
| MRA head with contrast (70545) | $5,685.65 | $6,689 | 13.1× |
| MRA neck w contrast (70548) | $5,652.50 | $6,650 | 13.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,652.50 | $6,650 | 13.0× |
| MRA neck w/o contrast (70547) | $5,652.50 | $6,650 | 19.0× |
| MRI abdomen w contrast (74182) | $6,368.20 | $7,492 | 14.6× |
| MRI abdomen w/o contrast (74181) | $6,368.20 | $7,492 | 21.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$5,510.55–$7,045.65 | $6,483–$8,289 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,368.20 | $7,492 | 14.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,510.55 | $6,483 | 5.6× |
| MRI bone marrow blood supply (77084) | $5,510.55 | $6,483 | 18.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,510.55 | $6,483 | 18.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,510.55 | $6,483 | 18.5× |
| MRI cardiac w/o contrast (75557) | $6,368.20 | $7,492 | 21.4× |
| MRI cervical spine w contrast (72142) | $6,543.30 | $7,698 | 15.0× |
| MRI cervical spine w/o cont (72141) | $5,271.70 | $6,202 | 17.7× |
| MRI chest w/o contrast (71550) | $6,368.20 | $7,492 | 21.4× |
| MRI chest with contrast (71551) | $6,368.20 | $7,492 | 6.5× |
| MRI chest wo w contrast (71552) | $6,368.20 | $7,492 | 14.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,510.55 | $6,483 | 12.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,510.55 | $6,483 | 12.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$6,368.20–$7,045.65 | $7,492–$8,289 | varies |
| MRI lumbar spine w contrast (72149) | $6,543.30 | $7,698 | 15.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,543.30 | $7,698 | 15.0× |
| MRI orbit face &/neck w/o contrast (70540) | $5,510.55 | $6,483 | 18.5× |
| MRI orbit face neck w contrast (70542) | $5,510.55 | $6,483 | 12.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,368.20 | $7,492 | 14.6× |
| MRI pelvis w contrast (72196) | $6,368.20 | $7,492 | 14.6× |
| MRI pelvis w/o & w contrast (72197) | $6,368.20 | $7,492 | 14.6× |
| MRI pelvis w/o contrast (72195) | $6,368.20 | $7,492 | 21.4× |
| MRI thoracic spine w/o contrast (72146) | $6,543.30 | $7,698 | 22.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$6,368.20–$6,728.60 | $7,492–$7,916 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,368.20 | $7,492 | 21.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,510.55 | $6,483 | 12.7× |
| MRI, abdomen, combo (74183) | $6,368.20 | $7,492 | 14.6× |
| MRI, dorsal spine combo (72157) | $6,543.30 | $7,698 | 15.0× |
| MRI, dorsal spine contrast (72147) | $6,543.30 | $7,698 | 15.0× |
| MRI, joint upper extrem (73221) | $5,510.55 | $6,483 | 18.5× |
| MRI, joint upper extrem combo (73223) | $6,368.20 | $7,492 | 14.6× |
| MRI, lumbar spine combo (72158) | $6,368.20 | $7,492 | 14.6× |
| Myelogram cervical (72240) | $2,647.75 | $3,115 | 2.7× |
| Myelogram Lumbar (72265) | $2,647.75 | $3,115 | 2.7× |
| Myelography thoracic (72255) | $2,647.75 | $3,115 | 2.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,468.40 | $2,904 | 2.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,709.35 | $2,011 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $4,145.45 | $4,877 | 2.6× |
| Neck soft tissue (70360) | $314.50 | $370 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $328.95 | $387 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,845.85 | $5,701 | 2.8× |
| Nuclear medicine study of endocrine organs (78099) | $1,570.80 | $1,848 | 3.1× |
| Nuclear Rx Intra-Arterial (79445) | $943.50 | $1,110 | 3.2× |
| Nuclear Rx Oral Admin (79005) | $1,570.80 | $1,848 | 5.4× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $384.20 | $452 | 2.9× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $648.55 | $763 | 6.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $759.90 | $894 | 5.8× |
| Optic foramina (70190) | $400.35 | $471 | 3.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,479 | $1,740 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,784.15 | $2,099 | 3.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,061.65 | $1,249 | 2.1× |
| Pelvis 1 or 2 views (72170) | $392.70 | $462 | 3.0× |
| Peritoneogram Rs&I (74190) | $1,881.90 | $2,214 | 2.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,083.55 | $11,863 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,737.40 | $2,044 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,116.05 | $1,313 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $314.50 | $370 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $252.45 | $297 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $433.50 | $510 | 3.3× |
| Radex fingr minimum 2 views (73140) | $343.40 | $404 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $271.15 | $319 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $271.15 | $319 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $600.95 | $707 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $400.35 | $471 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) | $481.10 | $566 | 4.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $260.95 | $307 | 2.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $787.95 | $927 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $252.45 | $297 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $392.70 | $462 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $519.35 | $611 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $254.15 | $299 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $271.15 | $319 | 2.5× |
| Radiation treatment delivery level 1 (77402) | $495.55 | $583 | 3.9× |
| Radiation treatment delivery level 3 (77412) | $818.55 | $963 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $519.35 | $611 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $481.10 | $566 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $954.55 | $1,123 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $1,112.65 | $1,309 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) | $433.50 | $510 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $702.95 | $827 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $522.75 | $615 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,190.85 | $1,401 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) | $392.70 | $462 | 3.6× |
| Radiologic examination knee 1/2 views (73560) | $314.50 | $370 | 2.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,012.35 | $1,191 | 7.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $400.35 | $471 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $314.50 | $370 | 2.9× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,689.80 | $1,988 | 2.5× |
| Renal Cyst Study (74470) | $3,135.65 | $3,689 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,649 | $1,940 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$2,729.35–$3,099.10 | $3,211–$3,646 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,717.45–$5,020.95 | $3,197–$5,907 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,508 | $6,480 | 8.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,447.60 | $4,056 | 2.1× |
| Rp Therapy Intravenous Administration (79101) | $1,570.80 | $1,848 | 5.4× |
| Scapula (73010) | $314.50 | $370 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $102 | $120 | 4.4× |
| Sella turcica (70240) | $314.50 | $370 | 2.9× |
| Shoulder Arthrography (73040) | $1,406.75 | $1,655 | 3.2× |
| Special dosimetry (77331) | $642.60 | $756 | 3.8× |
| Special Physics Consult (77370) | $1,212.10 | $1,426 | 7.2× |
| Special treatment procedure (77470) | $3,837.75 | $4,515 | 5.6× |
| Speech evaluation, complex (70371) | $1,410.15 | $1,659 | 4.7× |
| Spleen Imaging (78185) | $1,570.80 | $1,848 | 3.1× |
| Sternoclavicular joints (71130) | $400.35 | $471 | 3.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,399.95 | $1,647 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $546.55 | $643 | 1.2× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,391.45 | $1,637 | 4.7× |
| Testicular Imaging W/Flow (78761) | $1,785 | $2,100 | 3.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,396.15 | $2,819 | 5.1× |
| Ther rad simulaj-aided field setting simple (77280) | $546.55 | $643 | 3.3× |
| Thoracic spine 2 views (72070) | $392.70 | $462 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,570.80 | $1,848 | 3.1× |
| Thyroid Met Imaging Body (78018) | $2,136.05 | $2,513 | 3.2× |
| Thyroid Uptake Measurement (78012) | $1,570.80 | $1,848 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,570.80 | $1,848 | 3.1× |
| Tx Devices Design & Construction Complex (77334) | $1,005.55 | $1,183 | 2.2× |
| Tx devices design & construction simple (77332) | $1,015.75 | $1,195 | 6.1× |
| Ultrasound Breast Limited (76642) | $723.35 | $851 | 6.7× |
| Ultrasound, abdomen limited (76705) | $460.70 | $542 | 3.5× |
| Umbilical-artery Doppler (OB) (76820) | $759.90 | $894 | 5.8× |
| Unlisted Dx Radiographic Procedure (76499) | $945.20 | $1,112 | 8.7× |
| Unlisted fluoroscopic procedure (76496) | $394.40 | $464 | 3.6× |
| Unlisted magnetic resonance procedure (76498) | $5,510.55 | $6,483 | 50.7× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$9,639.85–$10,122.65 | $11,341–$11,909 | varies |
| Unlisted us procedure (76999) | $359.55 | $423 | 3.3× |
| Upper gi w/o kub (74240) | $849.15 | $999 | 3.9× |
| Urethrocystogram voiding (74455) | $1,098.20 | $1,292 | 3.7× |
| Urethrocystography retrograde (74450) | $922.25 | $1,085 | 3.1× |
| Us breast unilateral complete (76641) | $759.90 | $894 | 5.8× |
| Us chest (76604) | $384.20 | $452 | 2.9× |
| Us complete joint (76881) | $378.25 | $445 | 2.9× |
| Us exam, pelvic, limited (76857) | $759.90 | $894 | 5.8× |
| Us head (76506) | $759.90 | $894 | 5.8× |
| Us kidney transplant (76776) | $759.90 | $894 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $613.70 | $722 | 4.7× |
| Us ob detailed single fetus (76811) | $1,185.75 | $1,395 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $759.90 | $894 | 5.8× |
| Us ob transvaginal (76817) | $759.90 | $894 | 5.8× |
| Us pelvic non ob complete (76856) | $832.15 | $979 | 6.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $832.15 | $979 | 6.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $759.90 | $894 | 5.8× |
| Us retroperitoneal complete (76770) | $759.90 | $894 | 5.8× |
| Us retroperitoneal limited (76775) | $761.60 | $896 | 5.8× |
| Us scrotum and contents (76870) | $787.95 | $927 | 6.0× |
| Us spinal canal and contents (76800) | $759.90 | $894 | 5.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$460.70–$759.90 | $542–$894 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$772.65–$811.75 | $909–$955 | varies |
| Vascular Flow Imaging (78445) | $1,099.90 | $1,294 | 2.2× |
| Vein X-Ray Chest (75827) | $4,266.15 | $5,019 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $10,714.25 | $12,605 | 2.7× |
| Venography extremity bilateral rs&i (75822) | $3,270.80 | $3,848 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $10,083.55 | $11,863 | 5.1× |
| Venography Renal Bilateral (75833) | $10,714.25 | $12,605 | 2.7× |
| Venography Renal Unilateral (75831) | $10,714.25 | $12,605 | 2.7× |
| Venous sampling by catheter (75893) | $10,714.25 | $12,605 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $314.50 | $370 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $1,197.65 | $1,409 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $10,714.25 | $12,605 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $219.30 | $258 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $314.50 | $370 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $1,855.55 | $2,183 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $627.30 | $738 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $481.10 | $566 | 4.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $433.50 | $510 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $497.25 | $585 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $497.25 | $585 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $362.95 | $427 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $214.20 | $252 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $557.60 | $656 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $512.55 | $603 | 3.9× |
| X-ray eye for foreign body (70030) | $271.15 | $319 | 2.5× |
| X-ray humerus (73060) | $425.85 | $501 | 3.9× |
| X-ray IV pyelogram (ivp) (74400) | $922.25 | $1,085 | 4.2× |
| X-ray IV pyelogram+tomography (74415) | $1,012.35 | $1,191 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $373.15 | $439 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $392.70 | $462 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $559.30 | $658 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $214.20 | $252 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $600.95 | $707 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $392.70 | $462 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $392.70 | $462 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $519.35 | $611 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $600.95 | $707 | 4.6× |
| X-Ray Stress View (77071) | $314.50 | $370 | 2.9× |
| X-Ray Tmj Unilat (70328) | $702.95 | $827 | 6.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,038.70 | $1,222 | 2.4× |
| X-Rays Bone Length Studies (77073) | $535.50 | $630 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $583.10 | $686 | 4.5× |
| Xr facial bones less than 3 views (70140) | $433.50 | $510 | 4.0× |
| Xr orbits complete 4 views (70200) | $433.50 | $510 | 3.3× |
| Xr Tomogram Single Plane (76100) | $600.95 | $707 | 4.6× |
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.