Imaging prices at The Hospitals of Providence East Campus
El Paso, TX · every code in this section with a posted price and a Medicare benchmark.
318 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) | $930 | $1,240 | 10.6× |
| Abdomen 2 views (74019) | $1,241.25 | $1,655 | 11.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,877.50 | $9,170 | 17.1× |
| Angio internal mammary (75756) | $4,258.50 | $5,678 | 1.3× |
| Angio pulmonary bilat (75743) | $7,356.75 | $9,809 | 2.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$11,256–$12,749.25 | $15,008–$16,999 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$7,299–$7,800.75 | $9,732–$10,401 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,109.25 | $5,479 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,894 | $5,192 | 1.2× |
| Ankle 2 views (73600) | $1,068.75 | $1,425 | 12.2× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,452.50–$9,429.75 | $11,270–$12,573 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,286.75–$24,876.75 | $7,049–$33,169 | varies |
| Artery X-Rays Pelvis (75736) | $22,491.75 | $29,989 | 4.0× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$24,143.25–$24,504.75 | $32,191–$32,673 | varies |
| Arthrogram ankle (73615) | $1,566 | $2,088 | 4.5× |
| Arthrogram hip (73525) | $1,991.25 | $2,655 | 5.7× |
| Arthrogram Wrist (73115) | $1,774.50 | $2,366 | 5.1× |
| Bone age studies (77072) | $1,130.25 | $1,507 | 10.8× |
| Bone Imaging 3 Phase (78315) | $2,824.50 | $3,766 | 7.0× |
| Bone Imaging Limited Area (78300) | $2,847 | $3,796 | 7.1× |
| Bone Imaging Whole Body (78306) | $4,951.50 | $6,602 | 12.3× |
| Bone survey infant (77076) | $2,685.75 | $3,581 | 25.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,297.25 | $3,063 | 4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,901.25 | $10,535 | 5.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $8,037.75 | $10,717 | 14.7× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$1,148.25–$4,493.25 | $1,531–$5,991 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,070.75 | $2,761 | 3.8× |
| Cerebrospinal Fluid Scan (78630) | $1,724.25 | $2,299 | 3.2× |
| Chest 1 view (71045) | $1,074 | $1,432 | 12.3× |
| Chest 2 views (71046) | $1,161 | $1,548 | 13.3× |
| Chest 3 views (71047) | $372 | $496 | 4.3× |
| Chest 4 or more views (71048) | $1,179.75 | $1,573 | 11.2× |
| Clavicle complete (73000) | $1,347 | $1,796 | 15.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $418.50 | $558 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$9,968.25–$10,653 | $13,291–$14,204 | varies |
| Contrast X-Ray Bladder (74430) | $1,833 | $2,444 | 5.2× |
| Contrast X-Ray Of Elbow (73085) | $3,207.75 | $4,277 | 9.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,227.75 | $1,637 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $18,750 | $25,000 | 53.5× |
| CT abdomen and pelvis without contrast (74176) | $14,796.75 | $19,729 | 61.7× |
| CT abdomen w contrast (74160) | $9,084 | $12,112 | 51.6× |
| CT abdomen w wo contrast (74170) | $9,992.25 | $13,323 | 56.7× |
| CT abdomen w/o contrast (74150) | $6,950.25 | $9,267 | 66.2× |
| CT Angio Abdomen and Pelvis (74174) | $9,801.75 | $13,069 | 28.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$846–$7,083 | $1,128–$9,444 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$11,045.25–$12,179.25 | $14,727–$16,239 | varies |
| CT angio hrt w/3d image (75574) | $1,888.50 | $2,518 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,582.25 | $7,443 | 31.7× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$6,574.50–$6,613.50 | $8,766–$8,818 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,405.75–$4,448.25 | $4,541–$5,931 | varies |
| CT cervical spine w/ contrast (72126) | $7,527.75 | $10,037 | 21.5× |
| CT cervical spine w/o contrast (72125) | $9,087 | $12,116 | 86.5× |
| CT cervical spine w/wo cont (72127) | $9,207 | $12,276 | 52.3× |
| CT chest w contrast (71260) | $3,800.25 | $5,067 | 21.6× |
| CT chest w/wo contrast (71270) | $3,651.75 | $4,869 | 20.7× |
| CT head/brain with contrast (70460) | $6,837.75 | $9,117 | 38.8× |
| CT head/brain without and with contrast (70470) | $8,465.25 | $11,287 | 48.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $308.25 | $411 | 3.5× |
| CT iac w contrast (70481) | $6,558 | $8,744 | 37.2× |
| CT l-spine w&w/o contrast (72133) | $8,077.50 | $10,770 | 45.8× |
| CT lower ext w/o (73700) | $3,828 | $5,104 | 36.5× |
| CT lower extremity w/contrast material (73701) | $3,072.75 | $4,097 | 17.4× |
| CT lumbar spine w contrast (72132) | $6,122.25 | $8,163 | 17.5× |
| CT lumbar spine w/o contrast (72131) | $6,302.25 | $8,403 | 60.0× |
| CT maxillofacial w contrast (70487) | $6,166.50 | $8,222 | 35.0× |
| CT maxillofacial wo contrast (70486) | $6,609 | $8,812 | 62.9× |
| CT neck tissue combo (70492) | $3,778.50 | $5,038 | 21.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,593.25 | $8,791 | 37.4× |
| CT orbits w/o contrast (70480) | $5,812.50 | $7,750 | 55.3× |
| CT pelvis w&w/o contrast (72194) | $8,387.25 | $11,183 | 47.6× |
| CT pelvis w/o contrast (72192) | $7,338 | $9,784 | 69.9× |
| CT scan of leg combo (73702) | $3,366 | $4,488 | 19.1× |
| CT scans face/jaw combo (70488) | $6,500.25 | $8,667 | 36.9× |
| CT soft tissue neck w contrast (70491) | $3,420.75 | $4,561 | 19.4× |
| CT soft tissue neck w/o contrast (70490) | $2,483.25 | $3,311 | 23.6× |
| CT thoracic spine w contrast (72129) | $3,798 | $5,064 | 21.6× |
| CT thoracic spine w/o contrast (72128) | $4,043.25 | $5,391 | 38.5× |
| CT thoracic spine w/wo cont (72130) | $4,647 | $6,196 | 26.4× |
| CT thorax w/o contrast (71250) | $3,236.25 | $4,315 | 30.8× |
| CT upper ext wo (73200) | $2,591.25 | $3,455 | 24.7× |
| CT upper extremity w/o & w/contrast material (73202) | $3,054.75 | $4,073 | 17.3× |
| CT upper extremity with contrast (73201) | $3,063 | $4,084 | 8.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$7,151.25–$11,296.50 | $9,535–$15,062 | varies |
| Cta Abdomen (74175) | $8,913 | $11,884 | 50.6× |
| CTA pelvis (72191) | $9,202.50 | $12,270 | 52.2× |
| Discography Cerv/Thor Spine (72285) | $5,121.75 | $6,829 | 2.6× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$4,876.50–$5,121.75 | $6,502–$6,829 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$562.50–$1,008 | $750–$1,344 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$559.50–$916.50 | $746–$1,222 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$688.50–$871.50 | $918–$1,162 | varies |
| Dxa Bone Density Axial (77080) | $1,146 | $1,528 | 10.9× |
| Dxa bone density study (77085) | $799.50 | $1,066 | 7.6× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$636–$3,042 | $848–$4,056 | varies |
| Echo exam uterus (76831) | $1,445.25 | $1,927 | 6.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,428.50 | $3,238 | 10.1× |
| Esophagram (74220) | $1,437.75 | $1,917 | 8.2× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$1,360.50–$2,391.75 | $1,814–$3,189 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$1,096.50–$1,267.50 | $1,462–$1,690 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,816.50 | $2,422 | 7.6× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,113.75–$1,610.25 | $1,485–$2,147 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$7,725–$14,202.75 | $10,300–$18,937 | varies |
| Foot 2 views (73620) | $957.75 | $1,277 | 11.0× |
| Forearm 2 views (73090) | $1,300.50 | $1,734 | 14.9× |
| Gastric emptying imaging study (78264) | $3,483 | $4,644 | 8.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,208 | $2,944 | 5.5× |
| Gated Heart Planar Single (78472) | $4,108.50 | $5,478 | 10.2× |
| Gated Heart, Multiple (78473) | $4,118.25 | $5,491 | 10.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,928 | $3,904 | 5.4× |
| Hand 2 views (73120) | $952.50 | $1,270 | 9.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,181.75 | $18,909 | 4.5× |
| Hepatobil Syst Image W/Drug (78227) | $4,095 | $5,460 | 7.5× |
| Hepatobiliary System Imaging (78226) | $3,986.25 | $5,315 | 9.9× |
| Ht Musc Image Planar Mult (78454) | $21,910.50 | $29,214 | 16.8× |
| Ht Muscle Image Spect Sing (78451) | $4,299 | $5,732 | 3.3× |
| Hysterosalpingogram (74740) | $3,003 | $4,004 | 12.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $368.25 | $491 | 4.2× |
| Infant hip ultrasound, limited static exam (76886) | $514.50 | $686 | 5.9× |
| Joint Survey Single View (77077) | $892.50 | $1,190 | 8.5× |
| K Flow/Funct Image Multiple (78709) | $5,625 | $7,500 | 10.3× |
| K Flow/Funct Image W/Drug (78708) | $4,211.25 | $5,615 | 7.7× |
| K Flow/Funct Image W/O Drug (78707) | $3,540.75 | $4,721 | 6.5× |
| Kidney Imaging Morphol (78700) | $3,236.25 | $4,315 | 8.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,023.50 | $2,698 | 5.0× |
| Knee 3 Views (73562) | $1,419 | $1,892 | 16.2× |
| Liver & Spleen Imaging Static Only (78215) | $3,463.50 | $4,618 | 8.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,871.25 | $2,495 | 4.7× |
| Liver imaging w/vascular flow (78202) | $2,990.25 | $3,987 | 5.5× |
| Lung Ventilat&Perfus Imaging (78582) | $5,421 | $7,228 | 9.9× |
| Lymph System Imaging (78195) | $3,408.75 | $4,545 | 6.2× |
| Magnetic Image Jaw Joint (70336) | $6,046.50 | $8,062 | 25.2× |
| Mammary ductogram or galactogram multiple (77054) | $3,114.75 | $4,153 | 13.0× |
| Mammary ductogram or galactogram single (77053) | $2,145.75 | $2,861 | 9.0× |
| Meckels Divert Exam (78290) | $5,986.50 | $7,982 | 14.9× |
| Mr safety determination physician/other qhp (76016) | $338.25 | $451 | 3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $93.75 | $125 | 3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $352.50 | $470 | 3.7× |
| Mr safety implt pos&/immoblj (76019) | $228 | $304 | 3.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $927.75 | $1,237 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,551.50 | $3,402 | 7.3× |
| MRA head w/o contrast (70544) | $2,007 | $2,676 | 8.4× |
| MRA head with contrast (70545) | $3,435.75 | $4,581 | 9.8× |
| MRA neck w contrast (70548) | $2,999.25 | $3,999 | 8.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,303 | $4,404 | 9.4× |
| MRA neck w/o contrast (70547) | $2,436 | $3,248 | 10.2× |
| MRI abdomen w contrast (74182) | $5,242.50 | $6,990 | 15.0× |
| MRI abdomen w/o contrast (74181) | $6,002.25 | $8,003 | 25.0× |
| MRI any jt lower extrem w/contrast material (73722) | $7,398 | $9,864 | 9.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,589.75 | $11,453 | 24.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,911.75 | $6,549 | 6.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,824.75 | $2,433 | 7.6× |
| MRI cervical spine w contrast (72142) | $12,486 | $16,648 | 35.6× |
| MRI cervical spine w/o cont (72141) | $11,148 | $14,864 | 46.5× |
| MRI chest w/o contrast (71550) | $3,031.50 | $4,042 | 12.6× |
| MRI chest with contrast (71551) | $2,781.94 | $3,709.25 | 3.5× |
| MRI chest wo w contrast (71552) | $3,981 | $5,308 | 11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,978.75 | $9,305 | 19.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,561 | $12,748 | 27.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,878.50 | $7,838 | 24.5× |
| MRI lumbar spine w contrast (72149) | $4,490.25 | $5,987 | 12.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $15,367.50 | $20,490 | 43.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,338.50 | $3,118 | 9.8× |
| MRI orbit face neck w contrast (70542) | $3,131.25 | $4,175 | 8.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,684 | $4,912 | 10.5× |
| MRI pelvis w contrast (72196) | $4,946.25 | $6,595 | 14.1× |
| MRI pelvis w/o & w contrast (72197) | $5,742 | $7,656 | 16.4× |
| MRI pelvis w/o contrast (72195) | $3,624 | $4,832 | 15.1× |
| MRI thoracic spine w/o contrast (72146) | $4,776 | $6,368 | 19.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,911.75 | $6,549 | 14.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,778.50 | $5,038 | 15.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,145.50 | $8,194 | 17.5× |
| MRI, abdomen, combo (74183) | $8,105.25 | $10,807 | 23.1× |
| MRI, dorsal spine combo (72157) | $7,181.25 | $9,575 | 20.5× |
| MRI, dorsal spine contrast (72147) | $6,177 | $8,236 | 17.6× |
| MRI, joint upper extrem (73221) | $3,779.25 | $5,039 | 15.8× |
| MRI, joint upper extrem combo (73223) | $6,145.50 | $8,194 | 17.5× |
| MRI, lumbar spine combo (72158) | $6,294 | $8,392 | 18.0× |
| Myocardial Spect Multiple Studies (78452) | $10,074 | $13,432 | 7.7× |
| Neck soft tissue (70360) | $1,351.50 | $1,802 | 15.5× |
| Nonvascular Shunt X-Ray (75809) | $1,138.50 | $1,518 | 10.8× |
| Ob us nuchal meas 1 gest (76813) range across 5 matching MRF lines |
$879.75–$1,050 | $1,173–$1,400 | varies |
| Parathyroid Planar Imaging (78070) | $3,754.50 | $5,006 | 9.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,179 | $5,572 | 10.4× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$1,545–$1,702.50 | $2,060–$2,270 | varies |
| Pet Image Skull-Thigh (78812) | $8,364.75 | $11,153 | 5.8× |
| PET image w/CT, full body (78816) | $7,901.25 | $10,535 | 5.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,901.25 | $10,535 | 5.5× |
| PET whole body (78813) | $8,364.75 | $11,153 | 5.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $16,364.25 | $21,819 | 5.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,749 | $2,332 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,018.25 | $2,691 | 19.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,835 | $3,780 | 5.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,251 | $1,668 | 14.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,300.50 | $1,734 | 14.9× |
| Radex elbow complete minimum 3 views (73080) | $1,167.75 | $1,557 | 13.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,394 | $3,192 | 22.8× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$1,180.50–$1,239 | $1,574–$1,652 | varies |
| Radex foot complete minimum 3 views (73630) | $1,248 | $1,664 | 14.3× |
| Radex Hand Minimum 3 Views (73130) | $1,305.75 | $1,741 | 14.9× |
| Radex lower extremity infant minimum 2 views (73592) | $528.75 | $705 | 6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,350 | $1,800 | 15.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,620 | $2,160 | 18.5× |
| Radex shoulder complete minimum 2 views (73030) | $1,457.25 | $1,943 | 16.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $867 | $1,156 | 9.9× |
| Radex Spine 1 View Specify Level (72020) | $909.75 | $1,213 | 10.4× |
| Radex Sternum Minimum 2 Views (71120) | $1,450.50 | $1,934 | 16.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $972.75 | $1,297 | 11.1× |
| Radex Toe Minimum 2 Views (73660) | $1,121.25 | $1,495 | 12.8× |
| Radex upper extremity infant minimum 2 views (73092) | $569.25 | $759 | 5.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,344 | $1,792 | 15.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,155.75 | $1,541 | 11.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,986 | $2,648 | 18.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $657 | $876 | 6.3× |
| Radiologic exam colon double contrast study (74280) | $2,315.25 | $3,087 | 13.1× |
| Radiologic exam colon single contrast study (74270) | $1,938 | $2,584 | 11.0× |
| Radiologic exam knee complete 4/more views (73564) | $1,564.50 | $2,086 | 14.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,324.25 | $3,099 | 22.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,090.25 | $2,787 | 11.9× |
| Radiologic exam swallow function contrast study (74230) | $1,971.75 | $2,629 | 11.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,730 | $3,640 | 15.5× |
| Radiologic examination femur 1 view (73551) | $410.25 | $547 | 4.7× |
| Radiologic examination femur minimum 2 views (73552) | $1,121.25 | $1,495 | 12.8× |
| Radiologic examination knee 1/2 views (73560) | $982.50 | $1,310 | 11.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $842.25 | $1,123 | 8.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,287.75 | $1,717 | 14.7× |
| Renal Cyst Study (74470) | $2,333.25 | $3,111 | 4.3× |
| Ribs bilateral 3 views (71110) | $1,398.75 | $1,865 | 13.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,538 | $3,384 | 6.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,920 | $10,560 | 14.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,511.50 | $4,682 | 6.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,915.25 | $7,887 | 10.8× |
| Salivary Gland Function Study (78232) | $1,983 | $2,644 | 4.9× |
| Scapula (73010) | $1,159.50 | $1,546 | 11.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $175.50 | $234 | 7.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$935.25–$1,008.75 | $1,247–$1,345 | varies |
| Shoulder Arthrography (73040) | $2,798.25 | $3,731 | 8.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,346.25–$1,500 | $1,795–$2,000 | varies |
| Sternoclavicular joints (71130) | $393.75 | $525 | 4.5× |
| Testicular Imaging W/Flow (78761) | $2,208 | $2,944 | 5.5× |
| Thoracic spine 2 views (72070) | $1,599 | $2,132 | 15.2× |
| Thoracic spine 3 views (72072) | $3,105.75 | $4,141 | 29.6× |
| Thoracolumbar 2 views (72080) | $1,200.75 | $1,601 | 13.7× |
| Thyroid Met Imaging Body (78018) | $6,695.25 | $8,927 | 12.3× |
| Thyroid Uptake Measurement (78012) | $2,583.75 | $3,445 | 6.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,583.75 | $3,445 | 6.4× |
| Ultrasound Breast Limited (76642) | $559.50 | $746 | 6.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$515.25–$1,071 | $687–$1,428 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,697.25–$2,151 | $2,263–$2,868 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$648.75–$718.50 | $865–$958 | varies |
| Upper gi w/o kub (74240) | $2,280.75 | $3,041 | 12.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $4,170 | $5,560 | 377.0× |
| Ureteral Reflux Study (78740) | $2,599.50 | $3,466 | 6.5× |
| Urethrocystogram voiding (74455) | $1,988.25 | $2,651 | 8.3× |
| Urethrocystography retrograde (74450) | $882 | $1,176 | 3.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$876–$974.25 | $1,168–$1,299 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,096.50–$1,393.50 | $1,462–$1,858 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,434.75–$1,733.25 | $1,913–$2,311 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$1,245–$1,906.50 | $1,660–$2,542 | varies |
| Us head (76506) | $2,705.25 | $3,607 | 25.8× |
| Us kidney transplant (76776) | $1,316.25 | $1,755 | 12.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $836.25 | $1,115 | 8.0× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,486.50–$1,654.50 | $1,982–$2,206 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$905.25–$1,115.25 | $1,207–$1,487 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,019.25–$2,486.25 | $1,359–$3,315 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$1,670.25–$2,790 | $2,227–$3,720 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$2,798.25–$3,171 | $3,731–$4,228 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$878.25–$966 | $1,171–$1,288 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,790.25–$2,160.75 | $2,387–$2,881 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$1,934.25–$2,050.50 | $2,579–$2,734 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,971.75–$2,136 | $2,629–$2,848 | varies |
| Us spinal canal and contents (76800) | $981.75 | $1,309 | 9.3× |
| Us thyroid (76536) range across 3 matching MRF lines |
$984.75–$1,338 | $1,313–$1,784 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$1,738.50–$1,886.25 | $2,318–$2,515 | varies |
| Vascular Flow Imaging (78445) | $1,575 | $2,100 | 3.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,875.50–$6,170.25 | $7,834–$8,227 | varies |
| Venogram Sinus/Jugular (75860) | $14,202.75 | $18,937 | 4.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,367.75–$5,875.50 | $7,157–$7,834 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,885.25–$3,182.25 | $3,847–$4,243 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,918.50–$2,083.50 | $2,558–$2,778 | varies |
| Venography Renal Bilateral (75833) | $13,939.50 | $18,586 | 4.4× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$8,407.50–$17,051.25 | $11,210–$22,735 | varies |
| Wrist 2 views (73100) | $1,147.50 | $1,530 | 13.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $966 | $1,288 | 11.1× |
| X-ray antegrade pyelogram tube (74425) | $1,681.50 | $2,242 | 4.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,023.25–$6,534 | $8,031–$8,712 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,069.50 | $1,426 | 12.2× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$821.25–$1,100.25 | $1,095–$1,467 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $410.25 | $547 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$527.25–$636 | $703–$848 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,214.25 | $1,619 | 11.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $747 | $996 | 8.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$363–$873.75 | $484–$1,165 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $669.75 | $893 | 6.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $950.25 | $1,267 | 9.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $636 | $848 | 6.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,145.25 | $1,527 | 10.9× |
| X-Ray Exam L-S Spine Bending (72114) | $3,697.50 | $4,930 | 35.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,773 | $2,364 | 20.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,419.75 | $1,893 | 13.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,740 | $2,320 | 16.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$1,112.25–$1,238.25 | $1,483–$1,651 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,657.25 | $3,543 | 15.1× |
| X-ray IV pyelogram+tomography (74415) | $3,321.75 | $4,429 | 18.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,200.75–$1,335 | $1,601–$1,780 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $982.50 | $1,310 | 11.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$1,552.50–$1,645.50 | $2,070–$2,194 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,205.25 | $1,607 | 13.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,607.25 | $2,143 | 15.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,044 | $1,392 | 9.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,422.75 | $1,897 | 16.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,204.25 | $2,939 | 25.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,093.25 | $2,791 | 19.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,790.75 | $3,721 | 8.0× |
| X-Rays Bone Length Studies (77073) | $763.50 | $1,018 | 7.3× |
| X-Rays Bone Survey Complete (77075) | $1,997.25 | $2,663 | 19.0× |
| Xr c-spine 4 or 5 views (72050) | $2,503.50 | $3,338 | 23.8× |
| Xr facial bones less than 3 views (70140) | $1,707 | $2,276 | 19.5× |
| Xr orbits complete 4 views (70200) | $2,283 | $3,044 | 21.7× |
| Xr Tomogram Single Plane (76100) | $3,105.75 | $4,141 | 29.6× |
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.