Imaging prices at Straub Benioff Medical Center
Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.
387 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) | $192 | $320 | 1.9× |
| Abdomen 2 views (74019) | $207.60 | $346 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $743.40 | $1,239 | 1.6× |
| Angio internal mammary (75756) | $2,554.80 | $4,258 | 0.7× |
| Angio pulmonary bilat (75743) | $2,603.40 | $4,339 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $3,294 | $5,490 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,664.60 | $4,441 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,872.20 | $4,787 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,665.60 | $2,776 | 0.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$118.20–$157.80 | $197–$263 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,461.40 | $5,769 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,126.20 | $1,877 | 0.3× |
| Artery X-Rays Abdomen (75726) | $4,764 | $7,940 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $1,155 | $1,925 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,937.60 | $4,896 | 0.4× |
| Artery X-Rays Spine (75705) | $4,520.40 | $7,534 | 0.7× |
| Arthrogram ankle (73615) | $547.80 | $913 | 1.3× |
| Arthrogram hip (73525) | $556.80 | $928 | 1.4× |
| Arthrogram Wrist (73115) | $547.80 | $913 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $261.60 | $436 | 1.6× |
| Bone age studies (77072) | $109.20 | $182 | 0.9× |
| Bone Imaging 3 Phase (78315) | $904.20 | $1,507 | 1.9× |
| Bone Imaging Limited Area (78300) | $743.40 | $1,239 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $835.80 | $1,393 | 1.8× |
| Bone Imaging Whole Body (78306) | $858.60 | $1,431 | 1.8× |
| Bone marrow imaging limited area (78102) | $743.40 | $1,239 | 1.6× |
| Bone marrow imaging; multiple areas (78103) | $835.20 | $1,392 | 1.8× |
| Bone survey infant (77076) | $167.40 | $279 | 1.4× |
| Brachytx isodose complex (77318) | $517.20 | $862 | 1.2× |
| Brain Flow Imaging Only (78610) | $964.80 | $1,608 | 1.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $964.80 | $1,608 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,553.40 | $2,589 | 3.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,723.20 | $2,872 | 1.9× |
| Cardiac Shunt Detection (78428) | $791.40 | $1,319 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $330 | $550 | 3.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $964.80 | $1,608 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $964.80 | $1,608 | 1.5× |
| Chest 1 view (71045) | $205.20 | $342 | 2.0× |
| Chest 2 views (71046) | $238.20 | $397 | 2.3× |
| Chest 3 views (71047) | $267 | $445 | 2.6× |
| Chest 4 or more views (71048) | $311.40 | $519 | 2.5× |
| Cholecystography Oral Contrast (74290) | $481.20 | $802 | 2.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$144–$198 | $240–$330 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $406.20 | $677 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,872.20 | $4,787 | 0.8× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$43.20–$541.80 | $72–$903 | varies |
| Contrast X-Ray Of Elbow (73085) | $556.80 | $928 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $547.80 | $913 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $462 | $770 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$2,538–$2,618.40 | $4,230–$4,364 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,009.40 | $3,349 | 7.1× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,338–$1,418.40 | $2,230–$2,364 | varies |
| CT abdomen w wo contrast (74170) | $1,686 | $2,810 | 8.1× |
| CT abdomen w/o contrast (74150) | $1,156.80 | $1,928 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,649 | $4,415 | 6.4× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,126.20–$1,659 | $1,877–$2,765 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,766.40–$1,877.40 | $2,944–$3,129 | varies |
| CT angio hrt w/3d image (75574) | $1,123.20 | $1,872 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,361.40–$1,563.60 | $2,269–$2,606 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,827–$1,941.60 | $3,045–$3,236 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,219.20–$1,298.40 | $2,032–$2,164 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,360.80 | $2,268 | 6.6× |
| CT cervical spine w/ contrast (72126) | $1,383 | $2,305 | 3.4× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$857.40–$1,323 | $1,429–$2,205 | varies |
| CT cervical spine w/wo cont (72127) | $1,470.60 | $2,451 | 7.1× |
| CT chest w contrast (71260) | $1,393.80 | $2,323 | 6.7× |
| CT chest w/wo contrast (71270) | $1,509.60 | $2,516 | 7.3× |
| CT colonography screening (74263) | $1,360.20 | $2,267 | 4.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,077.60 | $1,796 | 5.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $809.40 | $1,349 | 6.6× |
| CT head/brain with contrast (70460) | $1,273.20 | $2,122 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,363.80 | $2,273 | 6.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $762 | $1,270 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $125.40 | $209 | 1.2× |
| CT hrt w/3d image congen (75573) | $883.20 | $1,472 | 2.1× |
| CT iac w contrast (70481) | $1,240.20 | $2,067 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $1,447.20 | $2,412 | 7.0× |
| CT lower ext w/o (73700) | $1,165.80 | $1,943 | 9.4× |
| CT lower extremity w/contrast material (73701) | $1,328.40 | $2,214 | 6.4× |
| CT lumbar spine w contrast (72132) | $1,528.80 | $2,548 | 3.7× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$952.80–$1,467.60 | $1,588–$2,446 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$945–$1,242.60 | $1,575–$2,071 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$820.80–$1,151.40 | $1,368–$1,919 | varies |
| CT neck tissue combo (70492) | $1,470.60 | $2,451 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,378.20 | $2,297 | 6.7× |
| CT orbits w/o contrast (70480) | $1,180.20 | $1,967 | 9.6× |
| CT pelvis w&w/o contrast (72194) | $1,447.20 | $2,412 | 7.0× |
| CT pelvis w/o contrast (72192) | $1,308 | $2,180 | 10.6× |
| CT scan of leg combo (73702) | $1,447.20 | $2,412 | 7.0× |
| CT scans face/jaw combo (70488) | $1,363.80 | $2,273 | 6.6× |
| CT soft tissue neck w contrast (70491) | $1,394.40 | $2,324 | 6.7× |
| CT soft tissue neck w/o contrast (70490) | $1,210.20 | $2,017 | 9.8× |
| CT thoracic spine w contrast (72129) | $1,603.80 | $2,673 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,465.20 | $2,442 | 11.9× |
| CT thoracic spine w/wo cont (72130) | $1,447.20 | $2,412 | 7.0× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,027.80–$1,279.20 | $1,713–$2,132 | varies |
| CT unlisted procedure (76497) | $1,053.60 | $1,756 | 10.2× |
| CT upper ext wo (73200) | $1,103.40 | $1,839 | 8.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,470.60 | $2,451 | 7.1× |
| CT upper extremity with contrast (73201) | $1,273.20 | $2,122 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,563.60 | $2,606 | 7.5× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,650–$1,728.60 | $2,750–$2,881 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,360.80 | $2,268 | 3.3× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,504.80–$1,756.80 | $2,508–$2,928 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,001 | $3,335 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $1,840.20 | $3,067 | 0.8× |
| Diskography lumbar (72295) | $1,992.60 | $3,321 | 0.9× |
| Dxa Bone Density Axial (77080) | $249.60 | $416 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $146.40 | $244 | 1.4× |
| Echo Guide For Artery Repair (76936) | $339.60 | $566 | 1.3× |
| Esophagram (74220) | $253.80 | $423 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$113.40–$455.40 | $189–$759 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $81.60 | $136 | 0.7× |
| Fluoroscopy up to 1 hr (76000) | $473.40 | $789 | 1.7× |
| Follow-Up Angiography (75898) | $1,155 | $1,925 | 0.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$124.20–$166.20 | $207–$277 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$126–$226.80 | $210–$378 | varies |
| Gastric emptying imaging study (78264) | $743.40 | $1,239 | 1.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $743.40 | $1,239 | 1.6× |
| Gastroesophageal Reflux Exam (78262) | $743.40 | $1,239 | 1.6× |
| Gated Heart Planar Single (78472) | $743.40 | $1,239 | 1.6× |
| Gated Heart, Multiple (78473) | $876.60 | $1,461 | 1.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $964.80 | $1,608 | 1.5× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$168–$211.80 | $280–$353 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,347.80 | $3,913 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,872.20 | $4,787 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $964.80 | $1,608 | 1.5× |
| Hepatobiliary System Imaging (78226) | $743.40 | $1,239 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $2,575.80 | $4,293 | 1.7× |
| Hysterosalpingogram (74740) | $543.60 | $906 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $445.20 | $742 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $412.80 | $688 | 4.0× |
| Infusion Ivp (74410) | $703.20 | $1,172 | 3.4× |
| Interstitial radiation source applic complex (77778) | $1,581.60 | $2,636 | 1.9× |
| Joint Survey Single View (77077) | $595.80 | $993 | 4.8× |
| K Flow/Funct Image Multiple (78709) | $1,210.80 | $2,018 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,148.40 | $1,914 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $964.80 | $1,608 | 1.5× |
| Kidney Imaging Morphol (78700) | $743.40 | $1,239 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $743.40 | $1,239 | 1.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$264–$429 | $440–$715 | varies |
| Leveen/Shunt Patency Exam (78291) | $743.40 | $1,239 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $743.40 | $1,239 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $857.40 | $1,429 | 1.8× |
| Liver imaging static only (78201) | $1,098.60 | $1,831 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $964.80 | $1,608 | 1.5× |
| Lung perfusion differential (78597) | $743.40 | $1,239 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $964.80 | $1,608 | 1.5× |
| Lung Ventilation Imaging (78579) | $743.40 | $1,239 | 1.6× |
| Lymph System Imaging (78195) | $964.80 | $1,608 | 1.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,920 | $3,200 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $1,324.80 | $2,208 | 4.7× |
| Mammary ductogram or galactogram multiple (77054) | $436.20 | $727 | 1.5× |
| Mammary ductogram or galactogram single (77053) | $347.40 | $579 | 1.2× |
| Meckels Divert Exam (78290) | $743.40 | $1,239 | 1.6× |
| Mr safety determination physician/other qhp (76016) | $202.20 | $337 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $56.40 | $94 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $222.60 | $371 | 2.0× |
| Mr safety implt pos&/immoblj (76019) | $151.20 | $252 | 2.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $555 | $925 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,091.60–$2,152.80 | $3,486–$3,588 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,107.60–$1,504.20 | $1,846–$2,507 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,709.40–$1,759.80 | $2,849–$2,933 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,600.80–$1,648.20 | $2,668–$2,747 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,829.40–$1,882.80 | $3,049–$3,138 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,470.60–$1,513.80 | $2,451–$2,523 | varies |
| MRI abdomen w contrast (74182) | $1,520.40 | $2,534 | 3.7× |
| MRI abdomen w/o contrast (74181) | $1,716 | $2,860 | 6.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,686 | $2,810 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,899 | $3,165 | 4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,749.60 | $2,916 | 1.9× |
| MRI bone marrow blood supply (77084) | $1,371.60 | $2,286 | 4.9× |
| MRI brain functional w/physician admnistration (70555) | $1,548.60 | $2,581 | 5.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,031.60 | $3,386 | 7.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,410 | $2,350 | 5.0× |
| MRI cardiac w/o cont stress (75559) | $1,303.80 | $2,173 | 2.0× |
| MRI cardiac w/o contrast (75557) | $1,441.20 | $2,402 | 5.1× |
| MRI cervical spine w contrast (72142) | $1,436.40 | $2,394 | 3.5× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,372.80–$1,413 | $2,288–$2,355 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,441.20–$1,464.60 | $2,402–$2,441 | varies |
| MRI chest with contrast (71551) | $1,686 | $2,810 | 1.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,752–$1,779.60 | $2,920–$2,966 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,436.40 | $2,394 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,752 | $2,920 | 4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,654.20 | $2,757 | 5.9× |
| MRI lumbar spine w contrast (72149) | $1,635.60 | $2,726 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,746 | $2,910 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,464.60 | $2,441 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,517.40 | $2,529 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,952.40 | $3,254 | 4.7× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,502.40–$1,546.20 | $2,504–$2,577 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,775.40–$1,830 | $2,959–$3,050 | varies |
| MRI pelvis w/o contrast (72195) | $1,594.80 | $2,658 | 5.7× |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,254.60–$1,493.40 | $2,091–$2,489 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,512.60 | $2,521 | 5.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,323.60 | $2,206 | 3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,395 | $2,325 | 4.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,543.80 | $2,573 | 3.7× |
| MRI, abdomen, combo (74183) | $1,924.80 | $3,208 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,774.80 | $2,958 | 4.3× |
| MRI, dorsal spine contrast (72147) | $1,638.60 | $2,731 | 4.0× |
| MRI, joint upper extrem (73221) | $1,787.40 | $2,979 | 6.3× |
| MRI, joint upper extrem combo (73223) | $2,099.40 | $3,499 | 5.1× |
| MRI, lumbar spine combo (72158) | $2,037.60 | $3,396 | 4.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $743.40 | $1,239 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $2,785.80 | $4,643 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) | $1,431 | $2,385 | 1.4× |
| Neck soft tissue (70360) | $233.40 | $389 | 2.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $386.40 | $644 | 0.8× |
| Nm csf leak detection (78650) | $2,575.80 | $4,293 | 1.7× |
| Nm myocard infarct spect (78469) | $1,959 | $3,265 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $497.40 | $829 | 4.0× |
| Nuclear Rx Intra-Arterial (79445) | $498.60 | $831 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $478.20 | $797 | 1.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $64.20 | $107 | 0.5× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $72.60 | $121 | 0.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $88.80 | $148 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $28.80 | $48 | 0.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $6 | $10 | 0.2× |
| Optic foramina (70190) | $349.20 | $582 | 3.4× |
| Parathyroid Planar Imaging (78070) | $743.40 | $1,239 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $743.40 | $1,239 | 1.6× |
| Pelvis 1 or 2 views (72170) | $162.60 | $271 | 1.3× |
| Perineogram (74775) | $528.60 | $881 | 1.9× |
| Peritoneogram Rs&I (74190) | $547.20 | $912 | 0.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,872.20 | $4,787 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $743.40 | $1,239 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$57–$441 | $95–$735 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $530.40 | $884 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$47.40–$374.40 | $79–$624 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$118.20–$157.20 | $197–$262 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$245.40–$397.20 | $409–$662 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $370.20 | $617 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$106.20–$144.60 | $177–$241 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$221.40–$354 | $369–$590 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$248.40–$397.20 | $414–$662 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $211.20 | $352 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $297 | $495 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $227.40 | $379 | 2.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $504.60 | $841 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) | $225.60 | $376 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$221.40–$309.60 | $369–$516 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $160.80 | $268 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $649.20 | $1,082 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $260.40 | $434 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $235.80 | $393 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $482.40 | $804 | 4.7× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$109.20–$145.20 | $182–$242 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $208.80 | $348 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$237–$240 | $395–$400 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$131.40–$520.20 | $219–$867 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $340.80 | $568 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $222 | $370 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $515.40 | $859 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $515.40 | $859 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $250.20 | $417 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$297.60–$595.80 | $496–$993 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $277.20 | $462 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $489 | $815 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $416.40 | $694 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $250.20 | $417 | 1.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$36–$192 | $60–$320 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$44.40–$230.40 | $74–$384 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$193.20–$302.40 | $322–$504 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $256.20 | $427 | 2.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $402.60 | $671 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$154.80–$205.20 | $258–$342 | varies |
| Renal Cyst Study (74470) | $425.40 | $709 | 0.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$49.80–$351 | $83–$585 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $743.40 | $1,239 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $904.20 | $1,507 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,352 | $3,920 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,001 | $3,335 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,932.60 | $3,221 | 3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,785.80 | $4,643 | 1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,001.80 | $5,003 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,647.80 | $4,413 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $498.60 | $831 | 1.8× |
| Salivary Gland Imaging (78230) | $743.40 | $1,239 | 1.6× |
| Scapula (73010) | $223.80 | $373 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$45–$72 | $75–$120 | varies |
| Sella turcica (70240) | $360.60 | $601 | 3.5× |
| Shoulder 1 view (73020) | $195.60 | $326 | 1.9× |
| Shoulder Arthrography (73040) | $781.80 | $1,303 | 1.9× |
| Sialogram (70390) | $451.80 | $753 | 1.6× |
| Skull less than 4 views (70250) | $270.60 | $451 | 2.2× |
| Special treatment procedure (77470) | $1,096.20 | $1,827 | 1.7× |
| Spleen Imaging (78185) | $743.40 | $1,239 | 1.6× |
| Sternoclavicular joints (71130) | $234.60 | $391 | 2.3× |
| Superior sagittal sinus venogram (75870) | $1,328.40 | $2,214 | 0.4× |
| Testicular Imaging W/Flow (78761) | $743.40 | $1,239 | 1.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $654 | $1,090 | 3.2× |
| Thoracic spine 2 views (72070) | $236.40 | $394 | 1.9× |
| Thoracic spine 3 views (72072) | $313.20 | $522 | 2.5× |
| Thoracolumbar 2 views (72080) | $219 | $365 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $835.80 | $1,393 | 1.8× |
| Thyroid Met Imaging Body (78018) | $964.80 | $1,608 | 1.5× |
| Thyroid Uptake Measurement (78012) | $743.40 | $1,239 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $919.80 | $1,533 | 1.9× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$76.20–$538.80 | $127–$898 | varies |
| Ultrasound elastography first target lesion (76982) | $273.60 | $456 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $226.80 | $378 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $187.80 | $313 | 1.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$99–$443.40 | $165–$739 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$1,242–$5,898.60 | $2,070–$9,831 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$207–$412.80 | $345–$688 | varies |
| Upper gi w/o kub (74240) | $217.80 | $363 | 1.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $223.20 | $372 | 20.2× |
| Ureteral Reflux Study (78740) | $743.40 | $1,239 | 1.6× |
| Urethrocystogram voiding (74455) | $549 | $915 | 1.9× |
| Urethrocystography retrograde (74450) | $804 | $1,340 | 2.9× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$57–$643.20 | $95–$1,072 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$48–$393.60 | $80–$656 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$17.40–$577.80 | $29–$963 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$41.40–$353.40 | $69–$589 | varies |
| Us kidney transplant (76776) | $340.20 | $567 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$21–$376.20 | $35–$627 | varies |
| Us ob detailed single fetus (76811) | $562.80 | $938 | 2.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$83.40–$403.80 | $139–$673 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$93.60–$403.80 | $156–$673 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$120.60–$471 | $201–$785 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$117–$445.20 | $195–$742 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $403.80 | $673 | 3.3× |
| Us retroperitoneal complete (76770) | $447.60 | $746 | 3.6× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$52.80–$487.20 | $88–$812 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$116.40–$385.20 | $194–$642 | varies |
| Us spinal canal and contents (76800) | $361.80 | $603 | 2.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$140.40–$420.60 | $234–$701 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$261.60–$280.80 | $436–$468 | varies |
| Vascular Flow Imaging (78445) | $743.40 | $1,239 | 1.6× |
| Vasogram (74440) | $457.20 | $762 | 1.6× |
| Vein X-Ray Chest (75827) | $831 | $1,385 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,889.40 | $3,149 | 0.5× |
| Venogram Sinus/Jugular (75860) | $1,979.40 | $3,299 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,872.20 | $4,787 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,784 | $4,640 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $831.60 | $1,386 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $726 | $1,210 | 0.4× |
| Venography Orbital Rs&I (75880) | $831 | $1,385 | 1.1× |
| Venography Renal Bilateral (75833) | $2,872.20 | $4,787 | 0.8× |
| Venography Renal Unilateral (75831) | $2,872.20 | $4,787 | 0.8× |
| Venous sampling by catheter (75893) | $4,769.40 | $7,949 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,696.80 | $2,828 | 3.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$128.40–$174.60 | $214–$291 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$255.60–$340.80 | $426–$568 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$181.80–$557.40 | $303–$929 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,699.60 | $170–$6,166 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $211.80 | $353 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$126–$170.40 | $210–$284 | varies |
| X-Ray Exam Breast Specimen (76098) | $497.40 | $829 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$50.40–$206.40 | $84–$344 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$92.40–$353.40 | $154–$589 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$101.40–$382.80 | $169–$638 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$40.20–$203.40 | $67–$339 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$61.20–$289.80 | $102–$483 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$78.60–$318.60 | $131–$531 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$51.60–$317.40 | $86–$529 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$65.40–$502.20 | $109–$837 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$78–$604.20 | $130–$1,007 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $377.40 | $629 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $255 | $425 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $306 | $510 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $245.40 | $409 | 2.0× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$126–$172.80 | $210–$288 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$135–$225.60 | $225–$376 | varies |
| X-ray IV pyelogram (ivp) (74400) | $564 | $940 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $595.20 | $992 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $239.40 | $399 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $229.80 | $383 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $259.80 | $433 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $183.60 | $306 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $428.40 | $714 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $211.20 | $352 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $186 | $310 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$148.20–$231.60 | $247–$386 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $301.80 | $503 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $327.60 | $546 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $421.20 | $702 | 3.4× |
| X-Ray Tmj Unilat (70328) | $240.60 | $401 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$90–$879.60 | $150–$1,466 | varies |
| X-Rays Bone Length Studies (77073) | $247.80 | $413 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $409.20 | $682 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $294.60 | $491 | 2.4× |
| Xr facial bones less than 3 views (70140) | $255.60 | $426 | 2.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $169.20 | $282 | 1.4× |
| Xr orbits complete 4 views (70200) | $255.60 | $426 | 2.1× |
| Xr Tomogram Single Plane (76100) | $355.20 | $592 | 2.9× |
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.