Imaging prices at Sunrise Hospital and Medical Center

Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.

347 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $1,753 $1,753 18.4×
Abdomen 2 views (74019) $2,228 $2,228 19.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $9,175 $9,175 21.0×
Angio internal mammary (75756) $6,422 $6,422 1.9×
Angio pulmonary bilat (75743) $6,776 $6,776 2.0×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines
$6,776–$15,421 $6,776–$15,421 varies
Angiography extremity unilateral rs&i (75710)
range across 4 matching MRF lines
$6,776–$13,481 $6,776–$13,481 varies
Angiography pulmonary unilateral slctv rs&i (75741) $12,633 $12,633 3.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $12,730 $12,730 3.7×
Ankle 2 views (73600)
range across 3 matching MRF lines
$1,875–$3,743 $1,875–$3,743 varies
Aortography thoracic serialography rs&i (75605)
range across 2 matching MRF lines
$12,541–$14,802 $12,541–$14,802 varies
Aortography thoracic w/o serialography rs&i (75600) $6,776 $6,776 2.0×
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines
$16,129–$16,663 $16,129–$16,663 varies
Artery X-Rays Pelvis (75736) $12,730 $12,730 2.1×
Artery X-Rays Spine (75705) $6,776 $6,776 1.1×
Arthrogram hip (73525)
range across 3 matching MRF lines
$5,602–$11,200 $5,602–$11,200 varies
Arthrogram Wrist (73115)
range across 3 matching MRF lines
$5,813–$11,612 $5,813–$11,612 varies
Bone age studies (77072) $960 $960 8.4×
Bone Imaging 3 Phase (78315) $3,984 $3,984 9.1×
Bone Imaging Limited Area (78300) $6,864 $6,864 15.7×
Bone Imaging Whole Body (78306) $8,974 $8,974 20.5×
Bone marrow imaging limited area (78102) $5,381 $5,381 12.3×
Bone marrow imaging; whole body (78104) $11,425 $11,425 26.1×
Brain Flow Imaging Only (78610) $6,651 $6,651 11.2×
Brain Image W/Flow < 4 Views (78601) $2,817 $2,817 6.4×
Brain Imaging Pet Metabolic Evaluation (78608) $28,925 $28,925 18.5×
Cardiac MRI w/w/o contrast & further seq (75561) $5,838 $5,838 15.3×
Cardiac Shunt Detection (78428) $3,667 $3,667 8.4×
Cat Scan Follow-Up Study (76380) $3,658 $3,658 38.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $9,260 $9,260 15.6×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $9,260 $9,260 15.6×
Cerebrospinal Fluid Scan (78630)
range across 2 matching MRF lines
$5,030–$11,425 $5,030–$11,425 varies
Chest 1 view (71045) $1,477 $1,477 15.5×
Chest 2 views (71046) $1,861 $1,861 19.6×
Chest 3 views (71047) $2,298 $2,298 24.2×
Chest 4 or more views (71048) $2,793 $2,793 24.4×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $1,367 $1,367 12.0×
Cholecystography Oral Contrast (74290) $2,031 $2,031 10.6×
Clavicle complete (73000)
range across 3 matching MRF lines
$687–$1,368 $687–$1,368 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $384 $384 3.4×
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$6,776–$12,730 $6,776–$12,730 varies
Contrast X-Ray Bladder (74430)
range across 3 matching MRF lines
$1,875–$9,208 $1,875–$9,208 varies
Contrast X-Ray Of Elbow (73085)
range across 3 matching MRF lines
$5,381–$10,750 $5,381–$10,750 varies
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$5,381–$10,750 $5,381–$10,750 varies
CT abdomen and pelvis without and with contrast (74178) $25,312 $25,312 66.4×
CT abdomen and pelvis without contrast (74176) $18,842 $18,842 72.2×
CT abdomen w contrast (74160) $10,742 $10,742 56.0×
CT abdomen w wo contrast (74170) $14,496 $14,496 75.6×
CT abdomen w/o contrast (74150) $9,806 $9,806 85.8×
CT Angio Abdomen and Pelvis (74174) $28,473 $28,473 74.7×
CT Angio Chest (71275) $13,456 $13,456 70.2×
CT Angio Head (70496) $11,845 $11,845 61.8×
CT angio hrt w/3d image (75574) $14,496 $14,496 38.0×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$13,646–$27,279 $13,646–$27,279 varies
CT Angio Neck (70498) $12,434 $12,434 64.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $13,456 $13,456 70.2×
CT cervical spine w/ contrast (72126) $11,159 $11,159 29.3×
CT cervical spine w/o contrast (72125) $8,724 $8,724 76.3×
CT cervical spine w/wo cont (72127) $14,226 $14,226 74.2×
CT chest w contrast (71260) $11,203 $11,203 58.4×
CT chest w/wo contrast (71270) $13,456 $13,456 70.2×
CT head/brain with contrast (70460) $10,146 $10,146 52.9×
CT head/brain without and with contrast (70470) $11,845 $11,845 61.8×
CT heart contrast eval cardiac structure&morph (75572) $13,456 $13,456 35.3×
CT heart no contrast quant eval coronry calcium (75571) $11,203 $11,203 117.8×
CT iac w contrast (70481) $9,317 $9,317 48.6×
CT l-spine w&w/o contrast (72133) $19,072 $19,072 99.5×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$9,753–$19,502 $9,753–$19,502 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$11,108–$22,208 $11,108–$22,208 varies
CT lumbar spine w contrast (72132) $13,003 $13,003 34.1×
CT lumbar spine w/o contrast (72131) $9,490 $9,490 83.0×
CT maxillofacial w contrast (70487) $11,581 $11,581 60.4×
CT maxillofacial wo contrast (70486) $8,909 $8,909 78.0×
CT neck tissue combo (70492) $12,434 $12,434 64.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $11,845 $11,845 61.8×
CT orbits w/o contrast (70480) $8,158 $8,158 71.4×
CT pelvis w&w/o contrast (72194) $10,821 $10,821 56.4×
CT pelvis w/o contrast (72192) $9,043 $9,043 79.1×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$13,646–$27,279 $13,646–$27,279 varies
CT scans face/jaw combo (70488) $13,767 $13,767 71.8×
CT soft tissue neck w contrast (70491) $11,278 $11,278 58.8×
CT soft tissue neck w/o contrast (70490) $10,175 $10,175 89.0×
CT thoracic spine w contrast (72129) $12,302 $12,302 64.2×
CT thoracic spine w/o contrast (72128) $11,094 $11,094 97.1×
CT thoracic spine w/wo cont (72130) $13,456 $13,456 70.2×
CT thorax w/o contrast (71250) $10,717 $10,717 93.8×
CT unlisted procedure (76497) $13,456 $13,456 141.5×
CT upper ext wo (73200)
range across 3 matching MRF lines
$10,492–$20,980 $10,492–$20,980 varies
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines
$13,456–$26,906 $13,456–$26,906 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$11,904–$23,801 $11,904–$23,801 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $14,496 $14,496 75.6×
Cta Abdomen (74175) $14,496 $14,496 75.6×
CTA pelvis (72191) $10,821 $10,821 56.4×
Dilation ureters/urethra rs&i (74485) $21,251 $21,251 9.3×
Discography Cerv/Thor Spine (72285) $5,934 $5,934 2.8×
Diskography lumbar (72295) $6,141 $6,141 2.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $667 $667 5.8×
Doppler Echo Fetal Spectral Display Complete (76827) $1,034 $1,034 9.0×
Dxa Bone Density Axial (77080) $2,252 $2,252 19.7×
Dxa bone density study (77085) $2,252 $2,252 19.7×
Echo Guide For Artery Repair (76936) $6,848 $6,848 29.0×
Esophageal Motility Study (78258) $3,589 $3,589 8.2×
Esophagram (74220) $2,564 $2,564 13.4×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$1,024–$1,406 $1,024–$1,406 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$1,024–$1,348 $1,024–$1,348 varies
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$2,259–$2,400 $2,259–$2,400 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$4,670–$4,722 $4,670–$4,722 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$1,679–$3,351 $1,679–$3,351 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,494–$2,978 $1,494–$2,978 varies
Gastric emptying imaging study (78264) $9,502 $9,502 21.7×
Gastric Mucosa Imaging (78261) $5,308 $5,308 12.1×
Gastroesophageal Reflux Exam (78262) $6,159 $6,159 14.1×
Gated Heart, Multiple (78473) $4,597 $4,597 10.5×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,439–$2,870 $1,439–$2,870 varies
Heart Image (Pet) Multiple (78492) $28,925 $28,925 18.5×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $15,862 $15,862 4.6×
Hepatobil Syst Image W/Drug (78227) $11,274 $11,274 19.0×
Hepatobiliary System Imaging (78226) $11,274 $11,274 25.8×
Ht Musc Image Planar Mult (78454) $7,733 $7,733 5.5×
Ht Muscle Image Spect Sing (78451) $7,733 $7,733 5.5×
Hysterosalpingogram (74740) $5,712 $5,712 21.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,345 $1,345 14.1×
Infusion Ivp (74410) $1,795 $1,795 9.4×
Interstitial radiation source applic complex (77778) $21,494 $21,494 28.2×
Intracavitary radiation source applic simple (77761)
range across 2 matching MRF lines
$12,254–$22,118 $12,254–$22,118 varies
K Flow/Funct Image Multiple (78709) $3,919 $3,919 6.6×
K Flow/Funct Image W/Drug (78708) $2,937 $2,937 4.9×
K Flow/Funct Image W/O Drug (78707) $1,962 $1,962 3.3×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $3,724 $3,724 8.5×
Kidney Imaging Morphol (78700) $6,494 $6,494 14.9×
Knee 3 Views (73562) $1,960 $1,960 20.6×
Leveen/Shunt Patency Exam (78291) $4,758 $4,758 10.9×
Liver & Spleen Imaging Static Only (78215) $9,925 $9,925 22.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $11,987 $11,987 27.4×
Liver imaging w/vascular flow (78202) $2,891 $2,891 4.9×
Lung Perf&Ventilat Diferentl (78598) $2,817 $2,817 4.7×
Lung perfusion differential (78597) $2,817 $2,817 6.4×
Lung Ventilat&Perfus Imaging (78582) $2,108 $2,108 3.6×
Lung Ventilation Imaging (78579) $2,108 $2,108 4.8×
Lymph System Imaging (78195)
range across 2 matching MRF lines
$11,512–$11,601 $11,512–$11,601 varies
Lymphangiography Extremity Only Bilateral Rs&I (75803) $7,492 $7,492 4.4×
Lymphangiography extremity only unilateral rs&i (75801) $4,995 $4,995 7.3×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $7,492 $7,492 2.2×
Lymphangiography, pelvic/abdominal, unilateral (75805) $4,995 $4,995 1.4×
Magnetic Image Jaw Joint (70336) $9,502 $9,502 36.4×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) $16,064 $16,064 83.8×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $15,293 $15,293 25.6×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $18,208 $18,208 95.0×
Mammary ductogram or galactogram multiple (77054) $3,745 $3,745 14.4×
Mammary ductogram or galactogram single (77053) $2,501 $2,501 9.6×
Meckels Divert Exam (78290) $7,468 $7,468 17.1×
Mra Head W/O & W/Contrast Material (70546) $11,969 $11,969 31.4×
MRA head w/o contrast (70544) $9,822 $9,822 37.7×
MRA head with contrast (70545) $10,258 $10,258 26.9×
MRA neck w contrast (70548) $10,258 $10,258 26.9×
Mra Neck W/O &W/Contrast Material (70549) $11,969 $11,969 31.4×
MRA neck w/o contrast (70547) $9,822 $9,822 37.7×
MRI abdomen w contrast (74182) $10,245 $10,245 26.9×
MRI abdomen w/o contrast (74181) $8,967 $8,967 34.4×
MRI any jt lower extrem w/contrast material (73722)
range across 4 matching MRF lines
$10,245–$20,490 $10,245–$20,490 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 4 matching MRF lines
$11,578–$23,156 $11,578–$23,156 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines
$10,245–$20,490 $10,245–$20,490 varies
MRI brain functional w/o physician admnistration (70554) $9,045 $9,045 34.7×
MRI brain functional w/physician admnistration (70555) $9,045 $9,045 34.7×
MRI Breast W/O Contrast Bilateral (77047) $10,258 $10,258 39.3×
MRI Breast Without Contrast Material Unilateral (77046) $8,949 $8,949 34.3×
MRI cardiac w/o contrast (75557) $3,818 $3,818 14.6×
MRI cervical spine w contrast (72142) $10,077 $10,077 26.4×
MRI cervical spine w/o cont (72141) $8,148 $8,148 31.2×
MRI chest w/o contrast (71550) $8,967 $8,967 34.4×
MRI chest with contrast (71551) $10,258 $10,258 12.0×
MRI chest wo w contrast (71552) $11,969 $11,969 31.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 4 matching MRF lines
$9,502–$19,005 $9,502–$19,005 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 4 matching MRF lines
$9,667–$19,320 $9,667–$19,320 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 4 matching MRF lines
$8,967–$17,938 $8,967–$17,938 varies
MRI lumbar spine w contrast (72149) $10,245 $10,245 26.9×
Mri Neck Spine W/O & W/Dye (72156) $11,578 $11,578 30.4×
MRI orbit face &/neck w/o contrast (70540) $9,367 $9,367 35.9×
MRI orbit face neck w contrast (70542) $10,258 $10,258 26.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $11,969 $11,969 31.4×
MRI pelvis w contrast (72196) $10,245 $10,245 26.9×
MRI pelvis w/o & w contrast (72197) $11,969 $11,969 31.4×
MRI pelvis w/o contrast (72195) $8,967 $8,967 34.4×
MRI spectroscopy (76390) $9,045 $9,045 95.1×
MRI thoracic spine w/o contrast (72146) $8,580 $8,580 32.9×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 4 matching MRF lines
$9,502–$19,005 $9,502–$19,005 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines
$8,967–$17,938 $8,967–$17,938 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$11,578–$23,154 $11,578–$23,154 varies
MRI, abdomen, combo (74183) $11,969 $11,969 31.4×
MRI, dorsal spine combo (72157) $11,578 $11,578 30.4×
MRI, dorsal spine contrast (72147) $9,667 $9,667 25.4×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$9,502–$18,992 $9,502–$18,992 varies
MRI, joint upper extrem combo (73223)
range across 4 matching MRF lines
$11,578–$23,156 $11,578–$23,156 varies
MRI, lumbar spine combo (72158) $11,578 $11,578 30.4×
Myelogram cervical (72240)
range across 2 matching MRF lines
$8,047–$10,114 $8,047–$10,114 varies
Myelogram Lumbar (72265)
range across 2 matching MRF lines
$7,743–$9,813 $7,743–$9,813 varies
Myelography thoracic (72255)
range across 2 matching MRF lines
$8,197–$10,265 $8,197–$10,265 varies
Myelograpy 2/more regions rs&i (72270)
range across 2 matching MRF lines
$8,528–$10,596 $8,528–$10,596 varies
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $9,417 $9,417 21.6×
Myocardial Imaging Pet Metabolic Evaluation (78459) $28,925 $28,925 20.4×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $13,994 $13,994 9.9×
Myocardial Spect Multiple Studies (78452) $33,602 $33,602 23.7×
Neck soft tissue (70360) $2,427 $2,427 25.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,698 $1,698 3.9×
Nm csf leak detection (78650) $13,317 $13,317 9.4×
Nuclear Rx Intra-Arterial (79445) $3,396 $3,396 13.3×
Nuclear Rx Oral Admin (79005)
range across 2 matching MRF lines
$9,534–$14,132 $9,534–$14,132 varies
Optic foramina (70190)
range across 5 matching MRF lines
$2,201–$4,393 $2,201–$4,393 varies
Panoramic X-ray of jaws (70355) $1,575 $1,575 16.6×
Parathyroid Planar Imaging (78070) $3,269 $3,269 7.5×
Pelvis 1 or 2 views (72170) $1,565 $1,565 13.7×
Peritoneogram Rs&I (74190) $6,532 $6,532 10.9×
Pet Image W/Ct Lmtd (78814) $28,925 $28,925 18.5×
PET image w/CT, full body (78816) $28,925 $28,925 18.5×
PET imaging CT attenuation skull base mid-thigh (78815) $28,925 $28,925 18.5×
Pet Myocardial Sngl Study (78491) $28,925 $28,925 18.5×
Pulmonary Perfusion Imaging Particulate (78580) $10,021 $10,021 22.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$3,082–$3,537 $3,082–$3,537 varies
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$2,281–$6,532 $2,281–$6,532 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,129–$4,249 $2,129–$4,249 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$1,030–$2,055 $1,030–$2,055 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$1,935–$3,863 $1,935–$3,863 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $1,030 $1,030 9.0×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$1,178–$2,348 $1,178–$2,348 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$1,898–$3,794 $1,898–$3,794 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$1,677–$3,340 $1,677–$3,340 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 5 matching MRF lines
$1,790–$3,574 $1,790–$3,574 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $891 $891 9.4×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$1,882–$3,749 $1,882–$3,749 varies
Radex Sinuses Paransl < 3 Views (70210) $910 $910 9.6×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $3,837 $3,837 20.0×
Radex Spine 1 View Specify Level (72020) $1,679 $1,679 17.7×
Radex Sternum Minimum 2 Views (71120) $2,172 $2,172 22.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,368 $2,368 24.9×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$1,155–$2,305 $1,155–$2,305 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$1,947–$3,893 $1,947–$3,893 varies
Radiolog exam mandible compl minimum 4 views (70110) $2,832 $2,832 24.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $2,699 $2,699 23.6×
Radiologic exam colon double contrast study (74280) $4,301 $4,301 22.4×
Radiologic exam colon single contrast study (74270) $3,434 $3,434 17.9×
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines
$2,183–$4,360 $2,183–$4,360 varies
Radiologic exam pelvis compl minimum 3 views (72190) $1,565 $1,565 13.7×
Radiologic Exam Small Int Single Contrast Study (74250) $2,254 $2,254 11.8×
Radiologic exam swallow function contrast study (74230) $2,070 $2,070 10.8×
Radiologic exam teeth complete full mouth (70320) $1,575 $1,575 6.0×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $1,312 $1,312 5.0×
Radiologic exam upr gi trc double contrast study (74246) $4,301 $4,301 22.4×
Radiologic examination femur 1 view (73551) $2,524 $2,524 26.5×
Radiologic examination femur minimum 2 views (73552) $5,041 $5,041 53.0×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,704–$3,400 $1,704–$3,400 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$1,549–$3,087 $1,549–$3,087 varies
Radiologic examination, teeth; single view Non-Facility (70300) $1,045 $1,045 11.0×
Radiopharm Dacryocystography (78660) $1,962 $1,962 4.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $9,049 $9,049 20.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $9,813 $9,813 22.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804)
range across 2 matching MRF lines
$13,620–$16,755 $13,620–$16,755 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 2 matching MRF lines
$5,705–$14,329 $5,705–$14,329 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,625 $5,625 9.5×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $11,386 $11,386 8.0×
Rp Therapy Intravenous Administration (79101) $8,081 $8,081 31.7×
Salivary Gland Function Study (78232) $2,729 $2,729 6.2×
Salivary Gland Imaging Serial Images (78231) $11,425 $11,425 26.1×
Scapula (73010)
range across 3 matching MRF lines
$2,430–$4,860 $2,430–$4,860 varies
Screening Digital Breast Tomosynthesis Bi (77063) $123 $123 5.3×
Shoulder 1 view (73020)
range across 6 matching MRF lines
$1,332–$2,870 $1,332–$2,870 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$5,602–$11,200 $5,602–$11,200 varies
Sialogram (70390) $3,925 $3,925 15.0×
Skull less than 4 views (70250) $2,151 $2,151 18.8×
Spleen Imaging (78185) $2,692 $2,692 6.2×
Sternoclavicular joints (71130) $951 $951 10.0×
Superior sagittal sinus venogram (75870) $7,492 $7,492 2.2×
Testicular Imaging W/Flow (78761) $7,873 $7,873 18.0×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $3,434 $3,434 17.9×
Thoracic spine 3 views (72072) $1,980 $1,980 17.3×
Thoracolumbar 2 views (72080) $2,338 $2,338 24.6×
Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) $5,381 $5,381 12.3×
Thyroid Imaging With Vascular Flow (78013) $2,652 $2,652 6.1×
Thyroid Met Imaging Body (78018) $6,003 $6,003 10.1×
Thyroid Uptake Measurement (78012) $2,652 $2,652 6.1×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$1,360–$1,799 $1,360–$1,799 varies
Ultrasound Elastography Parenchyma (76981) $206 $206 1.8×
Ultrasound Exam Aaa Screen (76706) $1,177 $1,177 10.3×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$2,319–$2,474 $2,319–$2,474 varies
Upper gi w/o kub (74240) $1,836 $1,836 9.6×
Ureteral Reflux Study (78740) $3,667 $3,667 8.4×
Urethrocystogram voiding (74455) $4,517 $4,517 17.3×
Urethrocystography retrograde (74450) $3,322 $3,322 12.7×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$1,360–$1,799 $1,360–$1,799 varies
Us chest (76604)
range across 2 matching MRF lines
$1,152–$2,857 $1,152–$2,857 varies
Us complete joint (76881) $1,367 $1,367 12.0×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$586–$635 $586–$635 varies
Us head (76506) $1,152 $1,152 10.1×
Us kidney transplant (76776) $1,166 $1,166 10.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,367 $1,367 12.0×
Us ob limited 1 or more fetuses (76815) $1,211 $1,211 10.6×
Us ob transvaginal (76817) $484 $484 4.2×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$2,476–$2,594 $2,476–$2,594 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$1,211–$1,341 $1,211–$1,341 varies
Us retroperitoneal complete (76770) $4,445 $4,445 38.9×
Us retroperitoneal limited (76775) $2,895 $2,895 25.3×
Us scrotum and contents (76870) $4,784 $4,784 41.9×
Us spinal canal and contents (76800) $3,633 $3,633 31.8×
Us thyroid (76536) $1,333 $1,333 11.7×
Us transrectal (76872)
range across 2 matching MRF lines
$7,219–$9,428 $7,219–$9,428 varies
Vascular Flow Imaging (78445) $2,358 $2,358 5.4×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines
$5,345–$8,135 $5,345–$8,135 varies
Vein X-Ray Liver W/O Hemodyn (75887) $8,418 $8,418 2.4×
Vein X-Ray Spleen/Liver (75810) $7,344 $7,344 2.1×
Venogram Sinus/Jugular (75860) $4,991 $4,991 1.4×
Venography caval inferior serialography rs&i (75825)
range across 2 matching MRF lines
$6,776–$8,135 $6,776–$8,135 varies
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$4,991–$7,492 $4,991–$7,492 varies
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
$4,995–$6,422 $4,995–$6,422 varies
Venography Renal Unilateral (75831) $6,875 $6,875 2.0×
Venous sampling by catheter (75893) $6,776 $6,776 1.1×
Venous thrombosis imaging (78457) $5,732 $5,732 9.7×
Venous Thrombosis Imaging Venogram Bilateral (78458) $10,021 $10,021 22.9×
Wrist 2 views (73100)
range across 3 matching MRF lines
$1,724–$3,441 $1,724–$3,441 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,021 $2,021 21.2×
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines
$2,378–$6,537 $2,378–$6,537 varies
X-Ray Aorta Leg Arteries (75630)
range across 2 matching MRF lines
$6,776–$12,730 $6,776–$12,730 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$2,068–$4,130 $2,068–$4,130 varies
X-Ray Exam Breast Specimen (76098) $1,155 $1,155 1.9×
X-Ray Exam Hip Uni 1 View (73501) $1,727 $1,727 18.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,765 $2,765 29.1×
X-Ray Exam Hip Uni 4/> Views (73503) $4,422 $4,422 38.7×
X-Ray Exam Hips Bi 2 Views (73521) $2,337 $2,337 20.4×
X-Ray Exam Hips Bi 5/> Views (73523) $7,075 $7,075 61.9×
X-Ray Exam L-S Spine Bending (72114) $5,485 $5,485 48.0×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$2,368–$2,598 $2,368–$2,598 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$2,694–$3,089 $2,694–$3,089 varies
X-Ray Exam Unilat Ribs/Chest (71101) $2,402 $2,402 21.0×
X-ray eye for foreign body (70030)
range across 5 matching MRF lines
$1,082–$2,157 $1,082–$2,157 varies
X-ray humerus (73060)
range across 3 matching MRF lines
$1,594–$3,180 $1,594–$3,180 varies
X-ray IV pyelogram (ivp) (74400) $4,332 $4,332 22.6×
X-ray IV pyelogram+tomography (74415) $3,959 $3,959 20.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,598 $2,598 22.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,240 $2,240 19.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,790 $1,790 15.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $2,604 $2,604 27.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,960 $1,960 20.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $3,362 $3,362 29.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $5,395 $5,395 14.1×
X-Rays Bone Length Studies (77073) $4,117 $4,117 36.0×
X-Rays Bone Survey Complete (77075) $4,267 $4,267 37.3×
Xr c-spine 4 or 5 views (72050) $2,694 $2,694 23.6×
Xr orbits complete 4 views (70200) $3,124 $3,124 27.3×
Xr Tomogram Single Plane (76100) $3,893 $3,893 34.1×

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.