Imaging prices at Tahoe Forest Hospital
Truckee, CA · every code in this section with a posted price and a Medicare benchmark.
298 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) range across 2 matching MRF lines |
$1,046–$7,681 | $1,046–$7,681 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$54–$300 | $54–$300 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$69–$570 | $69–$570 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$287–$1,801 | $287–$1,801 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$175–$5,717 | $175–$5,717 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$169–$6,775 | $169–$6,775 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$131–$754 | $131–$754 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$56–$476 | $56–$476 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$295–$1,839 | $295–$1,839 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$184–$1,839 | $184–$1,839 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$240–$1,839 | $240–$1,839 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$249–$1,839 | $249–$1,839 | varies |
| Bone survey infant (77076) | $295 | $295 | 2.2× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$525–$2,243 | $525–$2,243 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$373–$1,876 | $373–$1,876 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$353–$1,216 | $353–$1,216 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$189–$1,710 | $189–$1,710 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$280–$1,322 | $280–$1,322 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$54–$476 | $54–$476 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$65–$516 | $65–$516 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$82–$563 | $82–$563 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$93–$609 | $93–$609 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 2 matching MRF lines |
$95–$360 | $95–$360 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $317 | $317 | 2.4× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$179–$237 | $179–$237 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$92–$516 | $92–$516 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$171–$5,855 | $171–$5,855 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$171–$5,855 | $171–$5,855 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$589–$3,620 | $589–$3,620 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$513–$2,380 | $513–$2,380 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$372–$3,620 | $372–$3,620 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$411–$4,069 | $411–$4,069 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$348–$2,380 | $348–$2,380 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$642–$4,154 | $642–$4,154 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$533–$4,154 | $533–$4,154 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$508–$4,154 | $508–$4,154 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$552–$5,835 | $552–$5,835 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$513–$4,154 | $513–$4,154 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,254–$4,512 | $2,254–$4,512 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$357–$3,481 | $357–$3,481 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$295–$2,380 | $295–$2,380 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$370–$4,069 | $370–$4,069 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$343–$3,620 | $343–$3,620 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$366–$4,069 | $366–$4,069 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$332–$3,620 | $332–$3,620 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$372–$4,069 | $372–$4,069 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$469–$2,528 | $469–$2,528 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$331–$3,620 | $331–$3,620 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$370–$4,069 | $370–$4,069 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$295–$6,144 | $295–$6,144 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$34–$3,620 | $34–$3,620 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$357–$3,620 | $357–$3,620 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$295–$2,380 | $295–$2,380 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$256–$3,620 | $256–$3,620 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$250–$2,380 | $250–$2,380 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$403–$4,069 | $403–$4,069 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$357–$1,038 | $357–$1,038 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$374–$2,380 | $374–$2,380 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$357–$4,069 | $357–$4,069 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$320–$2,380 | $320–$2,380 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$355–$4,069 | $355–$4,069 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$372–$4,069 | $372–$4,069 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$374–$3,620 | $374–$3,620 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$374–$2,380 | $374–$2,380 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$357–$3,620 | $357–$3,620 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$295–$2,380 | $295–$2,380 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$370–$4,069 | $370–$4,069 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$317–$2,380 | $317–$2,380 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$295–$2,380 | $295–$2,380 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$357–$4,069 | $357–$4,069 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$340–$3,620 | $340–$3,620 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$700–$4,154 | $700–$4,154 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$533–$4,154 | $533–$4,154 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$529–$4,154 | $529–$4,154 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$59–$820 | $59–$820 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$48–$476 | $48–$476 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$215–$1,677 | $215–$1,677 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$180–$614 | $180–$614 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$310–$436 | $310–$436 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$229–$1,188 | $229–$1,188 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$261–$575 | $261–$575 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$46–$1,036 | $46–$1,036 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$101–$1,036 | $101–$1,036 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$229–$1,801 | $229–$1,801 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$282–$1,575 | $282–$1,575 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$261–$1,992 | $261–$1,992 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$215–$1,992 | $215–$1,992 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$397–$4,879 | $397–$4,879 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$113–$1,561 | $113–$1,561 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$221–$768 | $221–$768 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,735 | $1,735 | 15.5× |
| Interstitial radiation source applic complex (77778) | $6,304 | $6,304 | 7.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,672 | $3,672 | 4.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,906 | $3,906 | 5.5× |
| Intracavitary radiation source applic simple (77761) | $1,882 | $1,882 | 2.6× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$102–$210 | $102–$210 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$348–$2,417 | $348–$2,417 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$56–$1,129 | $56–$1,129 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$212–$1,680 | $212–$1,680 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$308–$1,481 | $308–$1,481 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$343–$1,936 | $343–$1,936 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$434–$4,311 | $434–$4,311 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$198–$1,801 | $198–$1,801 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$614–$907 | $614–$907 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$434–$6,272 | $434–$6,272 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$351–$4,311 | $351–$4,311 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$348–$5,133 | $348–$5,133 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$439–$5,135 | $439–$5,135 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$531–$6,272 | $531–$6,272 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$354–$4,311 | $354–$4,311 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$510–$6,272 | $510–$6,272 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$426–$4,311 | $426–$4,311 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$483–$5,135 | $483–$5,135 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$633–$6,272 | $633–$6,272 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$483–$5,135 | $483–$5,135 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,988 | $3,988 | 13.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,012 | $4,012 | 13.1× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$527–$5,135 | $527–$5,135 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$436–$4,311 | $436–$4,311 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$431–$4,311 | $431–$4,311 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$510–$5,135 | $510–$5,135 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$663–$6,272 | $663–$6,272 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$633–$6,272 | $633–$6,272 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$395–$4,311 | $395–$4,311 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$527–$5,135 | $527–$5,135 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$676–$6,272 | $676–$6,272 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$393–$4,311 | $393–$4,311 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$482–$5,135 | $482–$5,135 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$631–$6,272 | $631–$6,272 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$511–$5,135 | $511–$5,135 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$646–$6,272 | $646–$6,272 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$431–$4,311 | $431–$4,311 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$436–$4,311 | $436–$4,311 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$397–$5,135 | $397–$5,135 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$397–$4,311 | $397–$4,311 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$633–$6,272 | $633–$6,272 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$646–$6,272 | $646–$6,272 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$698–$6,272 | $698–$6,272 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$527–$5,135 | $527–$5,135 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$401–$8,623 | $401–$8,623 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$635–$6,272 | $635–$6,272 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$676–$6,272 | $676–$6,272 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$302–$2,753 | $302–$2,753 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$244–$2,753 | $244–$2,753 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$287–$2,753 | $287–$2,753 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$399–$2,753 | $399–$2,753 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$466–$4,879 | $466–$4,879 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$54–$565 | $54–$565 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$266–$3,945 | $266–$3,945 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,482–$12,801 | $2,482–$12,801 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$186–$1,188 | $186–$1,188 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $17 | $17 | 0.5× |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$215–$515 | $215–$515 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$233–$1,309 | $233–$1,309 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$345–$1,652 | $345–$1,652 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$79–$516 | $79–$516 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$705–$6,342 | $705–$6,342 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$700–$6,342 | $700–$6,342 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,763 | $4,763 | 9.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$93–$813 | $93–$813 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$154–$1,667 | $154–$1,667 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$51–$1,129 | $51–$1,129 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$48–$1,036 | $48–$1,036 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$51–$1,129 | $51–$1,129 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$78–$565 | $78–$565 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$42–$1,036 | $42–$1,036 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$49–$1,129 | $49–$1,129 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$51–$1,129 | $51–$1,129 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$48–$1,036 | $48–$1,036 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$51–$516 | $51–$516 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$72–$516 | $72–$516 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$56–$1,129 | $56–$1,129 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$51–$516 | $51–$516 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$48–$509 | $48–$509 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$59–$509 | $59–$509 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$70–$565 | $70–$565 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$41–$1,036 | $41–$1,036 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$192–$1,036 | $192–$1,036 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$51–$1,129 | $51–$1,129 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,684 | $1,684 | 12.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,801 | $12,801 | 1.4× |
| Radiation treatment delivery level 1 (77402) | $812 | $812 | 6.2× |
| Radiation treatment delivery level 2 (77407) | $1,158 | $1,158 | 2.3× |
| Radiation treatment delivery level 3 (77412) | $1,262 | $1,262 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$72–$614 | $72–$614 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$79–$570 | $79–$570 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$369–$516 | $369–$516 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$306–$516 | $306–$516 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$207–$1,717 | $207–$1,717 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$67–$1,229 | $67–$1,229 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$75–$565 | $75–$565 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$238–$516 | $238–$516 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$160–$565 | $160–$565 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$264–$2,927 | $264–$2,927 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$51–$1,036 | $51–$1,036 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$130–$813 | $130–$813 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$48–$1,036 | $48–$1,036 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$87–$565 | $87–$565 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$288–$5,771 | $288–$5,771 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$233–$3,571 | $233–$3,571 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$308–$3,571 | $308–$3,571 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$522–$3,623 | $522–$3,623 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$54–$1,036 | $54–$1,036 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$168–$185 | $168–$185 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$46–$1,036 | $46–$1,036 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$168–$5,855 | $168–$5,855 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$54–$565 | $54–$565 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$261–$878 | $261–$878 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$542–$737 | $542–$737 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$277–$1,848 | $277–$1,848 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$443–$3,107 | $443–$3,107 | varies |
| Srs Multisource (77371) | $76,101 | $76,101 | 8.0× |
| Stereotactic Body Radiation Delivery (77373) | $6,314 | $6,314 | 2.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$65–$614 | $65–$614 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$244–$708 | $244–$708 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$711–$2,160 | $711–$2,160 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$229–$1,073 | $229–$1,073 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$410–$2,599 | $410–$2,599 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$301–$1,960 | $301–$1,960 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$194–$1,566 | $194–$1,566 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$62–$516 | $62–$516 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$67–$558 | $67–$558 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$64–$516 | $64–$516 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$197–$2,181 | $197–$2,181 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$107–$1,000 | $107–$1,000 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$145–$1,652 | $145–$1,652 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$349–$1,709 | $349–$1,709 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$177–$1,037 | $177–$1,037 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$116–$800 | $116–$800 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$203–$1,531 | $203–$1,531 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$154–$552 | $154–$552 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$175–$1,188 | $175–$1,188 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$148–$541 | $148–$541 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$771–$2,785 | $771–$2,785 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$93–$2,380 | $93–$2,380 | varies |
| Urethrocystography retrograde (74450) | $428 | $428 | 1.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$215–$2,051 | $215–$2,051 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$171–$768 | $171–$768 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$186–$2,376 | $186–$2,376 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$107–$768 | $107–$768 | varies |
| Us head (76506) range across 2 matching MRF lines |
$191–$768 | $191–$768 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$224–$1,188 | $224–$1,188 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$142–$1,531 | $142–$1,531 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$560–$1,677 | $560–$1,677 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$135–$768 | $135–$768 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$224–$768 | $224–$768 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$205–$1,188 | $205–$1,188 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$208–$1,188 | $208–$1,188 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$252–$768 | $252–$768 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$217–$1,373 | $217–$1,373 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$174–$1,188 | $174–$1,188 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$191–$1,188 | $191–$1,188 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$354–$1,188 | $354–$1,188 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$169–$1,188 | $169–$1,188 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$198–$1,188 | $198–$1,188 | varies |
| Venography extremity unilateral rs&i (75820) | $350 | $350 | 0.2× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$49–$1,131 | $49–$1,131 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$56–$658 | $56–$658 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$148–$1,205 | $148–$1,205 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$67–$565 | $67–$565 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$93–$2,731 | $93–$2,731 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$78–$565 | $78–$565 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$92–$658 | $92–$658 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$51–$516 | $51–$516 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$51–$565 | $51–$565 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$84–$813 | $84–$813 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$92–$1,027 | $92–$1,027 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$92–$1,088 | $92–$1,088 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$90–$942 | $90–$942 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$67–$565 | $67–$565 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$88–$942 | $88–$942 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$79–$516 | $79–$516 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$54–$1,036 | $54–$1,036 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$49–$1,036 | $49–$1,036 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$145–$432 | $145–$432 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$51–$565 | $51–$565 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$67–$565 | $67–$565 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$54–$565 | $54–$565 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$93–$658 | $93–$658 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$67–$565 | $67–$565 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$49–$516 | $49–$516 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$51–$516 | $51–$516 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$65–$565 | $65–$565 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$84–$813 | $84–$813 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$288–$669 | $288–$669 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$72–$658 | $72–$658 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$54–$425 | $54–$425 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$76–$516 | $76–$516 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$82–$516 | $82–$516 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$128–$1,073 | $128–$1,073 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$82–$942 | $82–$942 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$62–$516 | $62–$516 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$84–$614 | $84–$614 | varies |
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.