Imaging prices at St. Joseph's Medical Center of Stockton
Stockton, CA · every code in this section with a posted price and a Medicare benchmark.
350 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) | $2,029.49 | $6,903 | 1.0× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$46.75–$367.21 | $159–$1,249 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$91.73–$594.77 | $312–$2,023 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,309.67 | $7,856 | 4.1× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $536.85 | $1,826 | 0.3× |
| Adrenal Cortex & Medulla Img (78075) | $536.85 | $1,826 | 0.3× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,863.08–$1,881.02 | $6,337–$6,398 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,184.24–$1,767.53 | $4,028–$6,012 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$2,575.74–$2,600.43 | $8,761–$8,845 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,580.44–$2,716.27 | $8,777–$9,239 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,856.03–$1,944.23 | $6,313–$6,613 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,903.65 | $6,475 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$1,441.19–$2,881.79 | $4,902–$9,802 | varies |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,450.98 | $11,738 | 0.4× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$2,011.26 | $6,841 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,972.74 | $6,710 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $76.15 | $259 | 0.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$53.22–$85.56 | $181–$291 | varies |
| Bone Imaging 3 Phase (78315) | $2,468.72 | $8,397 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,269.50 | $4,318 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,622.30 | $5,518 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,763.42 | $5,998 | 3.1× |
| Bone marrow imaging limited area (78102) | $263.13 | $895 | 0.5× |
| Bone marrow imaging; whole body (78104) | $263.13 | $895 | 0.5× |
| Bone survey infant (77076) | $180.23 | $613 | 1.2× |
| Brachytx isodose complex (77318) | $1,413.85 | $4,809 | 2.7× |
| Brachytx isodose intermed (77317) | $1,149.54 | $3,910 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $735.89 | $2,503 | 1.4× |
| Brain Flow Imaging Only (78610) | $247.85 | $843 | 0.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,444.13 | $4,912 | 2.6× |
| Brain imaging < 4 static views (78600) | $245.49 | $835 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $202.28 | $688 | 0.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $202.28 | $688 | 0.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,403.27 | $4,773 | 2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,312.13–$1,442.07 | $4,463–$4,905 | varies |
| Cardiac Shunt Detection (78428) | $156.12 | $531 | 0.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$199.63–$419.54 | $679–$1,427 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,282.33 | $7,763 | 3.0× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 2 matching MRF lines |
$877.01–$4,734.58 | $2,983–$16,104 | varies |
| Cerebrospinal Fluid Scan (78630) | $631.52 | $2,148 | 0.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$55.86–$399.55 | $190–$1,359 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$72.03–$519.21 | $245–$1,766 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$111.72–$523.32 | $380–$1,780 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$105.26–$642.98 | $358–$2,187 | varies |
| Cholecystography Oral Contrast (74290) | $264.02 | $898 | 1.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $251.67 | $856 | 1.7× |
| Cisternography Positive Contrast Rs&I (70015) | $304.59 | $1,036 | 0.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$214.62–$1,134.26 | $730–$3,858 | varies |
| Continuing medical physics consltj pr wk (77336) | $279.30 | $950 | 1.5× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,287.14–$2,574.27 | $4,378–$8,756 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$194.63–$389.55 | $662–$1,325 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $174.35 | $593 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,132.49–$6,308.95 | $3,852–$21,459 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$431.30–$3,612.97 | $1,467–$12,289 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$707.37–$3,578.28 | $2,406–$12,171 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$998.72–$4,160.69 | $3,397–$14,152 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$499.22–$2,329.95 | $1,698–$7,925 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,802.81 | $6,132 | 3.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$979.32–$5,153.82 | $3,331–$17,530 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,184.24–$1,249.80 | $4,028–$4,251 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,240.98–$1,477.35 | $4,221–$5,025 | varies |
| CT Angio Neck (70498) | $1,302.42 | $4,430 | 5.3× |
| CT bone density (77078) | $353.98 | $1,204 | 2.9× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$662.68–$5,221.74 | $2,254–$17,761 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$530.09–$2,650.71 | $1,803–$9,016 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$848.19–$5,884.41 | $2,885–$20,015 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$613.29–$3,862.87 | $2,086–$13,139 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$766.46–$4,813.37 | $2,607–$16,372 | varies |
| CT colonography screening (74263) | $1,674.92 | $5,697 | 5.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,366.52 | $4,648 | 5.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,210.11 | $4,116 | 8.3× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$543.32–$3,236.06 | $1,848–$11,007 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$661.50–$3,873.75 | $2,250–$13,176 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$782.93–$1,477.35 | $2,663–$5,025 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$295.47–$1,255.68 | $1,005–$4,271 | varies |
| CT hrt w/3d image congen (75573) | $1,049 | $3,568 | 2.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$693.84–$720.89 | $2,360–$2,452 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$848.19–$5,884.41 | $2,885–$20,015 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$662.68–$5,221.74 | $2,254–$17,761 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$530.09–$2,650.71 | $1,803–$9,016 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$632.10–$3,642.08 | $2,150–$12,388 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$511.56–$544.20 | $1,740–$1,851 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$831.73–$4,498.50 | $2,829–$15,301 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$788.51–$3,469.79 | $2,682–$11,802 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$599.47–$2,712.74 | $2,039–$9,227 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$860.54–$6,368.93 | $2,927–$21,663 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$487.75–$2,868.86 | $1,659–$9,758 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$782.63–$4,364.43 | $2,662–$14,845 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$642.69–$3,780.26 | $2,186–$12,858 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$529.20–$3,137.57 | $1,800–$10,672 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$662.68–$5,221.74 | $2,254–$17,761 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$530.09–$2,650.71 | $1,803–$9,016 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$848.19–$5,884.41 | $2,885–$20,015 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$490.40–$3,065.84 | $1,668–$10,428 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,067.81–$4,449.40 | $3,632–$15,134 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$948.74–$949.04 | $3,227–$3,228 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$808.21–$848.49 | $2,749–$2,886 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,140.43 | $3,879 | 0.4× |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$986.96–$1,992.74 | $3,357–$6,778 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$986.96–$1,992.74 | $3,357–$6,778 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $270.19 | $919 | 1.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $512.45 | $1,743 | 3.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$251.67–$1,056.35 | $856–$3,593 | varies |
| Dxa bone density study (77085) | $321.93 | $1,095 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$55.28–$603.59 | $188–$2,053 | varies |
| Echo exam of fetal heart (76825) | $2,147.38 | $7,304 | 2.8× |
| Echo exam uterus (76831) | $250.20 | $851 | 0.7× |
| Esophageal Motility Study (78258) | $156.12 | $531 | 0.3× |
| Esophagram (74220) | $195.22 | $664 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$184.34–$201.10 | $627–$684 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$418.95–$762.35 | $1,425–$2,593 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$334.58–$668.56 | $1,138–$2,274 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,097.21–$2,193.54 | $3,732–$7,461 | varies |
| Gastric emptying imaging study (78264) | $1,920.71 | $6,533 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $156.12 | $531 | 0.3× |
| Gated Heart Planar Single (78472) | $306.06 | $1,041 | 0.5× |
| Gated Heart, Multiple (78473) | $1,737.25 | $5,909 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,867.20 | $6,351 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,801.93 | $6,129 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,637.88 | $5,571 | 1.7× |
| Heart first pass single,planar (78481) | $202.28 | $688 | 0.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$1,539.68–$1,554.68 | $5,237–$5,288 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$1,480.59–$1,539.68 | $5,036–$5,237 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,326.43 | $7,913 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,686.09 | $5,735 | 3.0× |
| Ht Musc Image Planar Mult (78454) | $3,224.89 | $10,969 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $2,708.63 | $9,213 | 1.5× |
| Hysterosalpingogram (74740) | $184.93 | $629 | 0.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $326.05 | $1,109 | 2.7× |
| Infant hip ultrasound, limited static exam (76886) | $277.83 | $945 | 2.3× |
| Infusion Ivp (74410) | $501.57 | $1,706 | 2.0× |
| Joint Survey Single View (77077) | $98.49 | $335 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $1,205.99 | $4,102 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $2,319.08 | $7,888 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $3,293.10 | $11,201 | 4.3× |
| Kidney Imaging Morphol (78700) | $2,458.14 | $8,361 | 4.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $695.61 | $2,366 | 1.2× |
| Leveen/Shunt Patency Exam (78291) | $156.12 | $531 | 0.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,293.02 | $4,398 | 2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $635.93 | $2,163 | 1.1× |
| Liver imaging static only (78201) | $1,309.48 | $4,454 | 1.7× |
| Liver imaging w/vascular flow (78202) | $536.85 | $1,826 | 0.7× |
| Lung Perf&Ventilat Diferentl (78598) | $2,320.84 | $7,894 | 3.1× |
| Lung perfusion differential (78597) | $156.12 | $531 | 0.3× |
| Lung Ventilat&Perfus Imaging (78582) | $2,188.83 | $7,445 | 2.9× |
| Lung Ventilation Imaging (78579) | $1,225.69 | $4,169 | 2.2× |
| Lymph System Imaging (78195) | $2,315.25 | $7,875 | 3.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
$326.34–$652.39 | $1,110–$2,219 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,112.79 | $3,785 | 0.3× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,488.53–$1,562.61 | $5,063–$5,315 | varies |
| Meckels Divert Exam (78290) | $2,315.25 | $7,875 | 4.1× |
| Mlc imrt design & construction per imrt plan (77338) | $4,409.71 | $14,999 | 8.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$5,302.88–$10,605.76 | $18,037–$36,074 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,143.08–$6,350.70 | $3,888–$21,601 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,206.58–$9,208.38 | $4,104–$31,321 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,205.70–$1,269.20 | $4,101–$4,317 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,776.65–$1,840.15 | $6,043–$6,259 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,142.19–$6,345.41 | $3,885–$21,583 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$1,334.47–$3,592.98 | $4,539–$12,221 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$872.60–$975.20 | $2,968–$3,317 | varies |
| MRI bone marrow blood supply (77084) | $885.83 | $3,013 | 2.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,526.75 | $5,193 | 4.6× |
| MRI cardiac w/o contrast (75557) | $937.28 | $3,188 | 2.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,208.34–$3,544.47 | $4,110–$12,056 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$241.67–$886.12 | $822–$3,014 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,117.50–$1,173.65 | $3,801–$3,992 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$448.65–$941.39 | $1,526–$3,202 | varies |
| MRI chest wo w contrast (71552) | $1,619.65 | $5,509 | 3.3× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$321.93–$1,126.61 | $1,095–$3,832 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$80.56–$1,288.90 | $274–$4,384 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,083.69–$3,824.94 | $3,686–$13,010 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,210.99–$5,546.31 | $4,119–$18,865 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,466.18–$6,375.10 | $4,987–$21,684 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$562.72–$1,125.44 | $1,914–$3,828 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,406.50–$4,688.72 | $4,784–$15,948 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,031.65–$2,813.29 | $3,509–$9,569 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$888.47–$2,422.86 | $3,022–$8,241 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$1,437.08–$4,311.51 | $4,888–$14,665 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,211.28–$4,038.09 | $4,120–$13,735 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,049.88–$3,553.58 | $3,571–$12,087 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,287.43–$4,023.39 | $4,379–$13,685 | varies |
| Myelogram cervical (72240) | $304.59 | $1,036 | 0.3× |
| Myelogram Lumbar (72265) | $304.59 | $1,036 | 0.3× |
| Myelography thoracic (72255) | $304.59 | $1,036 | 0.3× |
| Myelograpy 2/more regions rs&i (72270) | $508.62 | $1,730 | 0.5× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,252.44 | $4,260 | 1.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $515.68 | $1,754 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $3,224.89 | $10,969 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$857.01–$1,714.02 | $2,915–$5,830 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$64.68–$379.56 | $220–$1,291 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $98.20 | $334 | 0.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $156.12 | $531 | 0.3× |
| Nm csf leak detection (78650) | $536.85 | $1,826 | 0.3× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$107.31–$393.08 | $365–$1,337 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,805.25 | $12,943 | 2.0× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$146.42–$292.53 | $498–$995 | varies |
| Nuclear Rx Oral Admin (79005) | $348.39 | $1,185 | 1.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$110.84–$158.47 | $377–$539 | varies |
| Optic foramina (70190) | $67.62 | $230 | 0.6× |
| Parathyroid Planar Imaging (78070) | $860.84 | $2,928 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $849.66 | $2,890 | 1.5× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$51.75–$258.14 | $176–$878 | varies |
| Peritoneogram Rs&I (74190) | $264.31 | $899 | 0.3× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $536.85 | $1,826 | 0.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,537.62 | $5,230 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,575.84 | $5,360 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$106.43–$734.12 | $362–$2,497 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$263.13–$531.26 | $895–$1,807 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$83.50–$83.79 | $284–$285 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$53.22–$115.55 | $181–$393 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$75.27–$442.77 | $256–$1,506 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$78.21–$302.82 | $266–$1,030 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $540.67 | $1,839 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$50.28–$56.45 | $171–$192 | varies |
| Radex Sternum Minimum 2 Views (71120) | $66.15 | $225 | 0.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $103.79 | $353 | 0.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$105.26–$106.73 | $358–$363 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$4,029.57 | $13,706 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $325.17 | $1,106 | 2.3× |
| Radiation treatment delivery level 2 (77407) | $373.68 | $1,271 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $812.62 | $2,764 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $69.09 | $235 | 0.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$385.44–$851.72 | $1,311–$2,897 | varies |
| Radiologic exam colon double contrast study (74280) | $511.56 | $1,740 | 2.1× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$113.78–$379.26 | $387–$1,290 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $70.56 | $240 | 0.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$89.09–$98.49 | $303–$335 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $244.91 | $833 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $925.81 | $3,149 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $270.48 | $920 | 1.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $122.90 | $418 | 0.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $129.95 | $442 | 1.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $109.37 | $372 | 0.1× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $106.73 | $363 | 0.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $2,222.94 | $7,561 | 4.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,022.72 | $6,880 | 3.7× |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$341.34–$344.57 | $1,161–$1,172 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$100.26–$607.11 | $341–$2,065 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $214.33 | $729 | 0.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,929.71 | $9,965 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,572.69 | $12,152 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,858.75 | $13,125 | 5.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,930.20 | $13,368 | 5.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $642.98 | $2,187 | 0.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $786.16 | $2,674 | 0.4× |
| Rp Therapy Intravenous Administration (79101) | $389.85 | $1,326 | 1.2× |
| Salivary Gland Function Study (78232) | $156.12 | $531 | 0.3× |
| Salivary Gland Imaging Serial Images (78231) | $156.12 | $531 | 0.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$27.64–$39.99 | $94–$136 | varies |
| Sella turcica (70240) | $58.22 | $198 | 0.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$70.56–$360.45 | $240–$1,226 | varies |
| Special dosimetry (77331) | $419.54 | $1,427 | 2.2× |
| Special Physics Consult (77370) | $427.48 | $1,454 | 2.3× |
| Special teletherapy port plan (77321) | $1,452.95 | $4,942 | 2.8× |
| Special treatment procedure (77470) | $1,472.06 | $5,007 | 1.9× |
| Speech evaluation, complex (70371) | $109.37 | $372 | 0.3× |
| Stereotactic Body Radiation Delivery (77373) | $1,698.15 | $5,776 | 0.7× |
| Sternoclavicular joints (71130) | $79.97 | $272 | 0.7× |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$2,078.29–$2,093.28 | $7,069–$7,120 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $89.38 | $304 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,224.51 | $4,165 | 2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,208.05 | $4,109 | 2.3× |
| Testicular Imaging W/Flow (78761) | $1,369.75 | $4,659 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,136.80 | $7,268 | 4.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,132.49 | $3,852 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,132.49 | $3,852 | 6.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $302.82 | $1,030 | 1.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$87.03–$644.75 | $296–$2,193 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$101.43–$724.42 | $345–$2,464 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$84.97–$385.73 | $289–$1,312 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $585.95 | $1,993 | 1.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $293.12 | $997 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,278.90 | $4,350 | 2.3× |
| Thyroid Met Imaging Body (78018) | $2,092.99 | $7,119 | 2.8× |
| Thyroid Uptake Measurement (78012) | $573.30 | $1,950 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,541.15 | $5,242 | 2.8× |
| Tx Devices Design & Construction Complex (77334) | $1,103.09 | $3,752 | 2.1× |
| Tx devices design & construction intermediate (77333) | $386.03 | $1,313 | 2.0× |
| Tx devices design & construction simple (77332) | $584.48 | $1,988 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $137.01 | $466 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$74.09–$254.90 | $252–$867 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$216.98–$242.55 | $738–$825 | varies |
| Upper gi w/o kub (74240) | $222.86 | $758 | 0.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $60.86 | $207 | 5.5× |
| Urea breath test c-14 isotopic analysis (78268) | $92.91 | $316 | 1.0× |
| Ureteral Reflux Study (78740) | $156.12 | $531 | 0.3× |
| Urethrocystogram voiding (74455) | $1,262.73 | $4,295 | 3.8× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$126.42–$252.55 | $430–$859 | varies |
| Us chest (76604) | $171.11 | $582 | 1.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$224.91–$239.91 | $765–$816 | varies |
| Us head (76506) | $259.31 | $882 | 1.8× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$456.88–$502.16 | $1,554–$1,708 | varies |
| Us ob detailed single fetus (76811) | $231.68 | $788 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$161.12–$182.58 | $548–$621 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$182.58–$204.04 | $621–$694 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$255.20–$285.18 | $868–$970 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$231.97–$262.84 | $789–$894 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$214.62–$236.09 | $730–$803 | varies |
| Us retroperitoneal complete (76770) | $264.90 | $901 | 1.8× |
| Us retroperitoneal limited (76775) | $216.68 | $737 | 1.5× |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$197.57–$288.71 | $672–$982 | varies |
| Us spinal canal and contents (76800) | $264.31 | $899 | 1.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$182.87–$267.25 | $622–$909 | varies |
| Us transrectal (76872) | $198.16 | $674 | 1.4× |
| Vascular Flow Imaging (78445) | $219.33 | $746 | 0.4× |
| Vasogram (74440) range across 2 matching MRF lines |
$319.88–$640.04 | $1,088–$2,177 | varies |
| Vein X-Ray Chest (75827) | $1,651.99 | $5,619 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,582.02 | $5,381 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$1,336.82–$1,349.76 | $4,547–$4,591 | varies |
| Venogram Sinus/Jugular (75860) | $1,517.04 | $5,160 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,184.53–$1,558.50 | $4,029–$5,301 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,005.19–$1,994.50 | $3,419–$6,784 | varies |
| Venography Renal Bilateral (75833) | $1,824.57 | $6,206 | 0.4× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$1,903.65–$1,921.88 | $6,475–$6,537 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $156.12 | $531 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $61.16 | $208 | 0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $83.50 | $284 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,544.68–$3,089.06 | $5,254–$10,507 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$127.89–$602.41 | $435–$2,049 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$209.04–$217.27 | $711–$739 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$72.92–$315.47 | $248–$1,073 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $161.70 | $550 | 1.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$97.02–$315.47 | $330–$1,073 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$202.57–$1,193.06 | $689–$4,058 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$354.57–$1,193.06 | $1,206–$4,058 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$175.82–$954.03 | $598–$3,245 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$85.85–$545.08 | $292–$1,854 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$185.22–$942.86 | $630–$3,207 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,023.12 | $3,480 | 4.2× |
| X-ray IV pyelogram+tomography (74415) | $542.14 | $1,844 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$65.86–$313.70 | $224–$1,067 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$100.55–$578.89 | $342–$1,969 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$90.56–$533.03 | $308–$1,813 | varies |
| X-ray nose-rectum child f.b. (76010) | $48.81 | $166 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$135.54–$795.86 | $461–$2,707 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$83.21–$525.38 | $283–$1,787 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$69.98–$446.59 | $238–$1,519 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$65.57–$437.77 | $223–$1,489 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$83.79–$383.38 | $285–$1,304 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$222.56–$448.94 | $757–$1,527 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$123.19–$862.01 | $419–$2,932 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $511.56 | $1,740 | 1.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$68.80–$186.40 | $234–$634 | varies |
| X-Rays Bone Survey Complete (77075) | $196.40 | $668 | 1.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$136.13–$735.59 | $463–$2,502 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$57.33–$364.86 | $195–$1,241 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $78.50 | $267 | 0.5× |
| Xr myelogram posterior fossa (70010) | $508.62 | $1,730 | 1.0× |
| Xr orbits complete 4 views (70200) | $79.68 | $271 | 0.5× |
| Xr Tomogram Single Plane (76100) | $345.45 | $1,175 | 2.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.