Imaging prices at Temecula Valley Hospital
Temecula, CA · every code in this section with a posted price and a Medicare benchmark.
404 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) | — | $17,569 | — |
| Abdomen 1 View (74018) | — | $686 | — |
| Abdomen 2 views (74019) | — | $981 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
— | $3,025–$4,688 | — |
| Adrenal Cortex & Medulla Img (78075) | — | $4,093 | — |
| Angio internal mammary (75756) range across 2 matching MRF lines |
— | $6,523–$7,906 | — |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
— | $8,334–$10,103 | — |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | — | $8,419 | — |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
— | $7,316–$14,572 | — |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
— | $6,523–$8,847 | — |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
— | $8,426–$9,487 | — |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
— | $9,487–$12,796 | — |
| Ankle 2 views (73600) range across 5 matching MRF lines |
— | $640–$1,140 | — |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
— | $7,006–$10,190 | — |
| Aortography thoracic w/o serialography rs&i (75600) | — | $7,906 | — |
| Artery X-Rays Abdomen (75726) range across 5 matching MRF lines |
— | $8,034–$18,352 | — |
| Artery X-Rays Adrenal Gland (75731) | — | $7,906 | — |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
— | $8,034–$9,737 | — |
| Artery X-Rays Spine (75705) range across 4 matching MRF lines |
— | $8,034–$11,684 | — |
| Arthrogram ankle (73615) | — | $1,582 | — |
| Arthrogram hip (73525) range across 2 matching MRF lines |
— | $1,582–$1,685 | — |
| Arthrogram Wrist (73115) | — | $1,000 | — |
| Basic radiation dosimetry calculation (77300) | — | $1,013 | — |
| Bone age studies (77072) range across 2 matching MRF lines |
— | $257–$373 | — |
| Bone Imaging 3 Phase (78315) | — | $4,029 | — |
| Bone Imaging Limited Area (78300) | — | $2,006 | — |
| Bone Imaging Multiple Areas (78305) | — | $2,760 | — |
| Bone Imaging Whole Body (78306) | — | $3,600 | — |
| Bone marrow imaging limited area (78102) | — | $1,806 | — |
| Bone marrow imaging; whole body (78104) | — | $3,686 | — |
| Bone survey infant (77076) | — | $1,534 | — |
| Brain Flow Imaging Only (78610) | — | $2,310 | — |
| Brain Image W/Flow < 4 Views (78601) | — | $2,560 | — |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | — | $3,106 | — |
| Brain Imaging Minimum 4 Static Views (78605) | — | $2,560 | — |
| Brain Imaging Pet Metabolic Evaluation (78608) | — | $23,426 | — |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | — | $5,918 | — |
| Cardiac MRI w/w/o contrast & further seq (75561) | — | $12,170 | — |
| Cardiac Shunt Detection (78428) | — | $1,806 | — |
| Cat Scan Follow-Up Study (76380) | — | $2,633 | — |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | — | $3,301 | — |
| Cerebrospinal Fluid Scan (78630) | — | $4,550 | — |
| Chest 1 view (71045) range across 4 matching MRF lines |
— | $855–$898 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $977–$1,093 | — |
| Chest 3 views (71047) | — | $1,069 | — |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
— | $1,158–$1,234 | — |
| Cisternography Positive Contrast Rs&I (70015) | — | $1,858 | — |
| Clavicle complete (73000) range across 3 matching MRF lines |
— | $737–$1,106 | — |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
— | $1,852–$2,246 | — |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
— | $6,523–$11,065 | — |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
— | $660–$1,575 | — |
| Contrast X-Ray Of Elbow (73085) | — | $1,582 | — |
| Contrast X-Ray Of Knee Joint (73580) | — | $1,968 | — |
| Contrast Xray Throat/Cerv Esopha (74210) | — | $1,135 | — |
| CT abdomen and pelvis without and with contrast (74178) | — | $7,506 | — |
| CT abdomen and pelvis without contrast (74176) | — | $7,182 | — |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
— | $4,208–$6,521 | — |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
— | $5,455–$7,401 | — |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
— | $2,960–$4,951 | — |
| CT Angio Abdomen and Pelvis (74174) | — | $9,830 | — |
| CT Angio Chest (71275) range across 2 matching MRF lines |
— | $7,164–$8,685 | — |
| CT Angio Head (70496) range across 3 matching MRF lines |
— | $9,762–$11,834 | — |
| CT angio hrt w/3d image (75574) | — | $8,271 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
— | $10,352–$15,528 | — |
| CT Angio Neck (70498) range across 2 matching MRF lines |
— | $9,762–$11,834 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | — | $8,708 | — |
| CT cervical spine w/ contrast (72126) | — | $8,271 | — |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
— | $3,994–$8,071 | — |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
— | $6,855–$10,627 | — |
| CT chest w contrast (71260) range across 2 matching MRF lines |
— | $4,949–$6,298 | — |
| CT chest w/wo contrast (71270) | — | $6,846 | — |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | — | $9,370 | — |
| CT colonogrphy dx image postprocess w/o contrast (74261) | — | $1,707 | — |
| CT head/brain with contrast (70460) | — | $6,620 | — |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
— | $5,154–$6,990 | — |
| CT heart contrast eval cardiac structure&morph (75572) | — | $2,552 | — |
| CT heart no contrast quant eval coronry calcium (75571) | — | $2,069 | — |
| CT hrt w/3d image congen (75573) | — | $3,616 | — |
| CT iac w contrast (70481) range across 2 matching MRF lines |
— | $5,308–$5,573 | — |
| CT l-spine w&w/o contrast (72133) | — | $7,295 | — |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
— | $3,632–$7,394 | — |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
— | $3,936–$8,007 | — |
| CT lumbar spine w contrast (72132) | — | $8,053 | — |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
— | $4,745–$6,437 | — |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
— | $4,267–$5,788 | — |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
— | $3,995–$5,419 | — |
| CT neck tissue combo (70492) | — | $5,496 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $5,501 | — |
| CT orbits w/o contrast (70480) | — | $5,419 | — |
| CT pelvis w&w/o contrast (72194) | — | $7,495 | — |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
— | $3,671–$4,979 | — |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
— | $6,574–$9,861 | — |
| CT scans face/jaw combo (70488) | — | $7,037 | — |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
— | $3,812–$4,979 | — |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
— | $3,574–$4,572 | — |
| CT thoracic spine w contrast (72129) | — | $8,053 | — |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
— | $4,745–$6,437 | — |
| CT thoracic spine w/wo cont (72130) | — | $7,295 | — |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
— | $4,762–$5,752 | — |
| CT upper ext wo (73200) range across 5 matching MRF lines |
— | $3,495–$7,107 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
— | $4,673–$7,472 | — |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
— | $4,984–$7,119 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
— | $8,499–$10,979 | — |
| Cta Abdomen (74175) | — | $9,011 | — |
| CTA pelvis (72191) | — | $8,357 | — |
| Diskography lumbar (72295) range across 2 matching MRF lines |
— | $4,873–$5,906 | — |
| Doppler Echo Fetal Spectral Display Complete (76827) | — | $682 | — |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
— | $1,180–$1,428 | — |
| Dxa bone density study 1/>sites appendiclr skel (77081) | — | $760 | — |
| Echo exam of fetal heart (76825) | — | $1,489 | — |
| Echo exam uterus (76831) | — | $1,713 | — |
| Echo Guide For Artery Repair (76936) | — | $5,059 | — |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | — | $954 | — |
| Esophagram (74220) range across 2 matching MRF lines |
— | $879–$1,169 | — |
| Fetal Biophys Profile W/Nst (76818) | — | $1,262 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | — | $1,224 | — |
| Fluoroscopy up to 1 hr (76000) | — | $1,476 | — |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
— | $2,859–$6,515 | — |
| Foot 2 views (73620) range across 5 matching MRF lines |
— | $594–$1,026 | — |
| Forearm 2 views (73090) range across 5 matching MRF lines |
— | $570–$1,160 | — |
| Gastric emptying imaging study (78264) | — | $4,240 | — |
| Gastroesophageal Reflux Exam (78262) | — | $3,203 | — |
| Gated Heart Planar Single (78472) | — | $5,315 | — |
| Gated Heart, Multiple (78473) | — | $6,212 | — |
| Hand 2 views (73120) range across 5 matching MRF lines |
— | $782–$1,304 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | — | $10,834 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | — | $6,882 | — |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | — | $3,807 | — |
| Heart first pass single,planar (78481) | — | $3,935 | — |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
— | $6,523–$7,906 | — |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
— | $6,040–$7,321 | — |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
— | $7,135–$11,062 | — |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
— | $4,637–$6,291 | — |
| Ht Musc Image Planar Mult (78454) | — | $6,776 | — |
| Ht Muscle Image Spect Sing (78451) | — | $11,373 | — |
| Hyperthermia external generated superficial (77600) range across 2 matching MRF lines |
— | $1,894–$2,297 | — |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | — | $2,297 | — |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | — | $3,064 | — |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | — | $2,297 | — |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | — | $3,064 | — |
| Hysterosalpingogram (74740) | — | $983 | — |
| Image fusion (77399) | — | $2,585 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) | — | $1,153 | — |
| Infant hip ultrasound, limited static exam (76886) | — | $1,077 | — |
| Infusion Ivp (74410) range across 2 matching MRF lines |
— | $1,217–$1,475 | — |
| Interstitial radiation source applic complex (77778) | — | $2,585 | — |
| Intracavitary Radiation Source Applic Complex (77763) | — | $3,373 | — |
| Intracavitary Radiation Source Applic Intermed (77762) | — | $2,717 | — |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
— | $1,564–$1,898 | — |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | — | $36,748 | — |
| Intraop radiaj tx deliver xray single tx session (77424) | — | $36,748 | — |
| K Flow/Funct Image Multiple (78709) | — | $3,944 | — |
| K Flow/Funct Image W/Drug (78708) | — | $5,983 | — |
| K Flow/Funct Image W/O Drug (78707) | — | $3,579 | — |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
— | $1,491–$1,806 | — |
| Kidney Imaging Morphol (78700) | — | $2,297 | — |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
— | $2,209–$2,675 | — |
| Knee 3 Views (73562) range across 3 matching MRF lines |
— | $880–$1,320 | — |
| Leveen/Shunt Patency Exam (78291) | — | $2,169 | — |
| Liver & Spleen Imaging Static Only (78215) | — | $2,207 | — |
| Liver & Spleen Imaging W/Vascular Flow (78216) | — | $2,618 | — |
| Liver imaging static only (78201) | — | $3,281 | — |
| Liver imaging w/vascular flow (78202) | — | $3,881 | — |
| Lung Perf&Ventilat Diferentl (78598) | — | $5,585 | — |
| Lung perfusion differential (78597) | — | $3,671 | — |
| Lung Ventilat&Perfus Imaging (78582) | — | $6,171 | — |
| Lung Ventilation Imaging (78579) | — | $4,110 | — |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
— | $2,533–$3,725 | — |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
— | $4,986–$6,042 | — |
| Lymphangiography extremity only unilateral rs&i (75801) | — | $4,085 | — |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines |
— | $5,611–$6,799 | — |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | — | $4,597 | — |
| Magnetic Image Jaw Joint (70336) | — | $7,028 | — |
| Mammary ductogram or galactogram multiple (77054) | — | $1,239 | — |
| Mammary ductogram or galactogram single (77053) | — | $867 | — |
| Meckels Divert Exam (78290) | — | $2,938 | — |
| Mra Head W/O & W/Contrast Material (70546) | — | $9,664 | — |
| MRA head w/o contrast (70544) | — | $7,373 | — |
| MRA head with contrast (70545) range across 2 matching MRF lines |
— | $7,321–$8,785 | — |
| MRA neck w contrast (70548) | — | $7,321 | — |
| Mra Neck W/O &W/Contrast Material (70549) | — | $10,298 | — |
| MRA neck w/o contrast (70547) | — | $7,373 | — |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
— | $6,945–$8,973 | — |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
— | $5,798–$7,865 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
— | $8,346–$12,519 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
— | $12,452–$14,605 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
— | $8,346–$12,519 | — |
| MRI bone marrow blood supply (77084) | — | $8,346 | — |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
— | $5,496–$7,996 | — |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
— | $7,006–$10,861 | — |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
— | $6,040–$8,192 | — |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
— | $5,798–$8,434 | — |
| MRI chest with contrast (71551) | — | $8,492 | — |
| MRI chest wo w contrast (71552) | — | $12,733 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
— | $8,346–$12,519 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
— | $10,896–$14,605 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
— | $5,738–$11,676 | — |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
— | $7,006–$10,190 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
— | $10,738–$11,931 | — |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
— | $5,738–$8,896 | — |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
— | $6,885–$8,346 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
— | $8,034–$10,896 | — |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
— | $7,006–$10,190 | — |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
— | $8,335–$12,355 | — |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
— | $6,088–$7,865 | — |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
— | $5,738–$6,955 | — |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
— | $6,523–$8,847 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
— | $8,346–$12,519 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
— | $5,738–$10,432 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
— | $11,684–$14,605 | — |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
— | $8,094–$10,979 | — |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
— | $8,819–$13,669 | — |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
— | $7,006–$10,861 | — |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
— | $5,738–$10,432 | — |
| MRI, joint upper extrem combo (73223) | — | $11,684 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
— | $8,819–$11,961 | — |
| Myelogram cervical (72240) | — | $3,581 | — |
| Myelogram Lumbar (72265) | — | $3,581 | — |
| Myelography thoracic (72255) | — | $3,581 | — |
| Myelograpy 2/more regions rs&i (72270) | — | $4,597 | — |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | — | $1,968 | — |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | — | $2,760 | — |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | — | $3,281 | — |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
— | $8,160–$8,568 | — |
| Neck soft tissue (70360) range across 2 matching MRF lines |
— | $614–$796 | — |
| Nm csf leak detection (78650) | — | $3,496 | — |
| Nm myocard infarct spect (78469) | — | $3,935 | — |
| Nonvascular Shunt X-Ray (75809) | — | $784 | — |
| Ntsty modul radthx pln dose-vol histos (77301) | — | $10,350 | — |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | — | $770 | — |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
— | $767–$1,151 | — |
| Panoramic X-ray of jaws (70355) | — | $733 | — |
| Parathyroid Planar Imaging (78070) | — | $3,732 | — |
| Pelvis 1 or 2 views (72170) | — | $815 | — |
| Perineogram (74775) | — | $1,133 | — |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
— | $1,480–$3,076 | — |
| Proton tx delivery complex (77525) | — | $12,445 | — |
| Proton tx delivery simple w/o compensation (77520) range across 2 matching MRF lines |
— | $6,764–$8,199 | — |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | — | $7,906 | — |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
— | $2,131–$2,964 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
— | $1,279–$1,431 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
— | $1,610–$2,161 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
— | $947–$1,421 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
— | $665–$998 | — |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
— | $982–$1,473 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) | — | $1,232 | — |
| Radex fingr minimum 2 views (73140) | — | $627 | — |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
— | $893–$1,340 | — |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
— | $854–$1,281 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
— | $1,080–$1,348 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
— | $717–$1,077 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
— | $563–$655 | — |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | — | $580 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $1,159 | — |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
— | $968–$1,452 | — |
| Radex Sinuses Paransl < 3 Views (70210) | — | $601 | — |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | — | $1,392 | — |
| Radex Spine 1 View Specify Level (72020) | — | $623 | — |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
— | $855–$1,325 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
— | $608–$736 | — |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
— | $633–$665 | — |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
— | $758–$1,066 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
— | $885–$1,328 | — |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | — | $1,253 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $1,031 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
— | $848–$904 | — |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
— | $1,393–$1,689 | — |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
— | $1,067–$1,412 | — |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
— | $1,201–$1,610 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $1,133 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
— | $1,088–$1,532 | — |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
— | $1,263–$1,605 | — |
| Radiologic exam teeth complete full mouth (70320) | — | $959 | — |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | — | $843 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
— | $1,027–$2,074 | — |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
— | $1,159–$1,739 | — |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
— | $740–$1,110 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $906 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
— | $584–$1,190 | — |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | — | $1,968 | — |
| Renal Cyst Study (74470) | — | $1,480 | — |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
— | $967–$1,499 | — |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
— | $2,662–$3,194 | — |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
— | $3,860–$4,632 | — |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | — | $5,125 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | — | $5,003 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
— | $4,450–$5,052 | — |
| Salivary Gland Imaging (78230) | — | $1,806 | — |
| Scapula (73010) range across 3 matching MRF lines |
— | $1,044–$1,566 | — |
| Sella turcica (70240) | — | $433 | — |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
— | $709–$950 | — |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
— | $1,685–$1,898 | — |
| Sialogram (70390) | — | $1,352 | — |
| Skull less than 4 views (70250) | — | $1,132 | — |
| Special dosimetry (77331) | — | $2,585 | — |
| Special Physics Consult (77370) range across 2 matching MRF lines |
— | $2,166–$2,625 | — |
| Special teletherapy port plan (77321) | — | $2,585 | — |
| Special treatment procedure (77470) | — | $7,321 | — |
| Speech evaluation, complex (70371) | — | $1,582 | — |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
— | $864–$1,048 | — |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
— | $6,523–$9,487 | — |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
— | $1,491–$1,806 | — |
| Telethx isodose pln cplx w/basic dosimetry (77307) | — | $2,710 | — |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | — | $1,481 | — |
| Testicular Imaging W/Flow (78761) | — | $2,410 | — |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | — | $4,903 | — |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | — | $2,585 | — |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
— | $2,154–$2,610 | — |
| Thoracic spine 2 views (72070) | — | $1,059 | — |
| Thoracic spine 3 views (72072) | — | $1,147 | — |
| Thoracolumbar 2 views (72080) | — | $1,230 | — |
| Thyroid Imaging With Vascular Flow (78013) | — | $4,096 | — |
| Thyroid Met Imaging Body (78018) | — | $4,093 | — |
| Thyroid Uptake Measurement (78012) | — | $1,806 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
— | $4,673–$4,759 | — |
| Tx Devices Design & Construction Complex (77334) | — | $2,446 | — |
| Tx devices design & construction intermediate (77333) | — | $1,432 | — |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
— | $836–$2,585 | — |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
— | $1,106–$1,658 | — |
| Ultrasound Exam Aaa Screen (76706) | — | $1,352 | — |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
— | $1,912–$2,138 | — |
| Unlis px ther radiol clinical tx planning (77299) | — | $2,585 | — |
| Unlisted magnetic resonance procedure (76498) | — | $6,955 | — |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | — | $2,197 | — |
| Unlisted Procedure Clinical Brachytherapy (77799) | — | $1,806 | — |
| Unlisted us procedure (76999) | — | $735 | — |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
— | $1,130–$2,298 | — |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | — | $1,806 | — |
| Ureteral Reflux Study (78740) | — | $1,806 | — |
| Urethrocystogram voiding (74455) | — | $1,274 | — |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
— | $934–$1,133 | — |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
— | $1,617–$2,310 | — |
| Us chest (76604) range across 2 matching MRF lines |
— | $983–$1,219 | — |
| Us complete joint (76881) | — | $2,348 | — |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
— | $1,871–$2,093 | — |
| Us head (76506) range across 2 matching MRF lines |
— | $888–$1,077 | — |
| Us kidney transplant (76776) | — | $2,475 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
— | $943–$1,218 | — |
| Us ob detailed single fetus (76811) | — | $2,783 | — |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
— | $1,077–$1,376 | — |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
— | $1,464–$1,872 | — |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
— | $1,934–$2,164 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | — | $2,689 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | — | $843 | — |
| Us retroperitoneal complete (76770) | — | $1,691 | — |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
— | $1,198–$1,383 | — |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
— | $1,843–$2,319 | — |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
— | $888–$1,077 | — |
| Us thyroid (76536) range across 4 matching MRF lines |
— | $1,822–$2,426 | — |
| Us transrectal (76872) range across 3 matching MRF lines |
— | $1,154–$1,786 | — |
| Vascular Flow Imaging (78445) | — | $1,806 | — |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
— | $6,523–$9,487 | — |
| Vein X-Ray Liver W/O Hemodyn (75887) | — | $7,321 | — |
| Vein X-Ray Spleen/Liver (75810) | — | $10,909 | — |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
— | $6,523–$7,906 | — |
| Venography Adrenal Unilateral (75840) | — | $7,906 | — |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
— | $6,523–$9,487 | — |
| Venography extremity bilateral rs&i (75822) range across 5 matching MRF lines |
— | $2,212–$4,353 | — |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
— | $1,382–$2,896 | — |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
— | $6,945–$9,221 | — |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
— | $6,523–$9,487 | — |
| Venous sampling by catheter (75893) | — | $8,492 | — |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | — | $3,032 | — |
| Vertebral fracture assessment via dxa (77086) | — | $677 | — |
| Wrist 2 views (73100) range across 5 matching MRF lines |
— | $626–$1,151 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
— | $600–$844 | — |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
— | $934–$1,360 | — |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
— | $6,826–$18,649 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $1,063 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
— | $585–$1,022 | — |
| X-Ray Exam Breast Specimen (76098) | — | $1,382 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | — | $1,209 | — |
| X-Ray Exam Hip Uni 1 View (73501) | — | $778 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
— | $1,056–$1,182 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $953 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $1,266 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $1,798 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | — | $1,147 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) | — | $1,349 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
— | $1,096–$1,226 | — |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
— | $307–$462 | — |
| X-ray humerus (73060) range across 3 matching MRF lines |
— | $729–$1,094 | — |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
— | $1,055–$1,279 | — |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
— | $1,317–$1,596 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $616 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $713 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | — | $1,076 | — |
| X-ray nose-rectum child f.b. (76010) | — | $844 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $1,607 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $869 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | — | $418 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
— | $325–$597 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | — | $717 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $1,404 | — |
| X-ray thoracic spine 4 vw (72074) | — | $1,173 | — |
| X-Ray Tmj Unilat (70328) | — | $492 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
— | $1,624–$2,157 | — |
| X-Rays Bone Length Studies (77073) | — | $425 | — |
| X-Rays Bone Survey Complete (77075) | — | $2,135 | — |
| Xr c-spine 4 or 5 views (72050) | — | $1,239 | — |
| Xr facial bones less than 3 views (70140) | — | $768 | — |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
— | $601–$902 | — |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
— | $664–$1,058 | — |
| Xr Tomogram Single Plane (76100) | — | $942 | — |
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.