Imaging prices at The Hospitals of Providence Transmountain Campus
El Paso, TX · every code in this section with a posted price and a Medicare benchmark.
343 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) | $948 | $1,264 | 10.8× |
| Abdomen 2 views (74019) | $1,227 | $1,636 | 11.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $7,213.50 | $9,618 | 18.0× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$4,205.25–$4,430.25 | $5,607–$5,907 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,113.50–$8,321.25 | $10,818–$11,095 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$11,712–$11,755.50 | $15,616–$15,674 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$8,257.50–$8,872.50 | $11,010–$11,830 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$3,962.25–$4,161 | $5,283–$5,548 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,858.75 | $5,145 | 1.2× |
| Ankle 2 views (73600) | $1,120.50 | $1,494 | 12.8× |
| Aortography thoracic serialography rs&i (75605) | $6,834 | $9,112 | 1.2× |
| Artery X-Rays Abdomen (75726) | $27,371.25 | $36,495 | 4.9× |
| Artery X-Rays Pelvis (75736) | $8,137.50 | $10,850 | 1.5× |
| Artery X-Rays Spine (75705) | $27,371.25 | $36,495 | 4.9× |
| Arthrogram ankle (73615) | $1,564.50 | $2,086 | 4.5× |
| Arthrogram hip (73525) | $2,044.50 | $2,726 | 5.8× |
| Arthrogram Wrist (73115) | $1,922.25 | $2,563 | 5.5× |
| Bone age studies (77072) | $1,151.25 | $1,535 | 11.0× |
| Bone Imaging 3 Phase (78315) | $2,972.25 | $3,963 | 7.4× |
| Bone Imaging Limited Area (78300) | $3,240.75 | $4,321 | 8.1× |
| Bone Imaging Whole Body (78306) | $5,192.25 | $6,923 | 12.9× |
| Bone survey infant (77076) | $2,988.75 | $3,985 | 28.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,552.25 | $3,403 | 4.7× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $8,024.25 | $10,699 | 14.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,450.25 | $7,267 | 15.6× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$1,706.25–$4,487.25 | $2,275–$5,983 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,494.50 | $3,326 | 4.6× |
| Cerebrospinal Fluid Scan (78630) | $2,079 | $2,772 | 3.8× |
| Chest 1 view (71045) | $1,013.25 | $1,351 | 11.6× |
| Chest 2 views (71046) | $1,160.25 | $1,547 | 13.3× |
| Chest 3 views (71047) | $646.50 | $862 | 7.4× |
| Chest 4 or more views (71048) | $1,167.75 | $1,557 | 11.1× |
| Clavicle complete (73000) | $1,413.75 | $1,885 | 16.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $397.50 | $530 | 3.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$14,028–$16,378.50 | $18,704–$21,838 | varies |
| Contrast X-Ray Bladder (74430) | $1,862.25 | $2,483 | 5.3× |
| Contrast X-Ray Of Elbow (73085) | $3,203.25 | $4,271 | 9.1× |
| Contrast X-Ray Of Knee Joint (73580) | $1,398 | $1,864 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $18,547.50 | $24,730 | 52.9× |
| CT abdomen and pelvis without contrast (74176) | $14,775.75 | $19,701 | 61.6× |
| CT abdomen w contrast (74160) | $9,223.50 | $12,298 | 52.3× |
| CT abdomen w wo contrast (74170) | $10,476.75 | $13,969 | 59.5× |
| CT abdomen w/o contrast (74150) | $6,728.25 | $8,971 | 64.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,575–$9,341.25 | $2,100–$12,455 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,972.25–$5,264.25 | $3,963–$7,019 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,972.25–$12,048 | $3,963–$16,064 | varies |
| CT angio hrt w/3d image (75574) | $1,886.25 | $2,515 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,972.25–$5,728.50 | $3,963–$7,638 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,972.25–$7,137.75 | $3,963–$9,517 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,972.25–$5,361.75 | $3,963–$7,149 | varies |
| CT cervical spine w/ contrast (72126) | $8,559.75 | $11,413 | 24.4× |
| CT cervical spine w/o contrast (72125) | $8,562 | $11,416 | 81.5× |
| CT cervical spine w/wo cont (72127) | $10,233.75 | $13,645 | 58.1× |
| CT chest w contrast (71260) | $4,330.50 | $5,774 | 24.6× |
| CT chest w/wo contrast (71270) | $4,290.75 | $5,721 | 24.4× |
| CT colonography screening (74263) | $932.25 | $1,243 | 3.9× |
| CT head/brain with contrast (70460) | $6,772.50 | $9,030 | 38.4× |
| CT head/brain without and with contrast (70470) | $8,196.75 | $10,929 | 46.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,780.75 | $5,041 | 10.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $324 | $432 | 3.7× |
| CT hrt w/3d image congen (75573) | $3,780.75 | $5,041 | 10.8× |
| CT iac w contrast (70481) | $5,988 | $7,984 | 34.0× |
| CT l-spine w&w/o contrast (72133) | $9,736.50 | $12,982 | 55.3× |
| CT lower ext w/o (73700) | $3,806.25 | $5,075 | 36.2× |
| CT lower extremity w/contrast material (73701) | $3,223.50 | $4,298 | 18.3× |
| CT lumbar spine w contrast (72132) | $6,418.50 | $8,558 | 18.3× |
| CT lumbar spine w/o contrast (72131) | $6,110.25 | $8,147 | 58.2× |
| CT maxillofacial w contrast (70487) | $6,687 | $8,916 | 38.0× |
| CT maxillofacial wo contrast (70486) | $6,987.75 | $9,317 | 66.5× |
| CT neck tissue combo (70492) | $3,475.50 | $4,634 | 19.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $7,338 | $9,784 | 41.6× |
| CT orbits w/o contrast (70480) | $5,626.50 | $7,502 | 53.6× |
| CT pelvis w&w/o contrast (72194) | $8,119.50 | $10,826 | 46.1× |
| CT pelvis w/o contrast (72192) | $6,767.25 | $9,023 | 64.4× |
| CT scan of leg combo (73702) | $3,155.25 | $4,207 | 17.9× |
| CT scans face/jaw combo (70488) | $7,391.25 | $9,855 | 41.9× |
| CT soft tissue neck w contrast (70491) | $3,586.50 | $4,782 | 20.4× |
| CT soft tissue neck w/o contrast (70490) | $2,605.50 | $3,474 | 24.8× |
| CT thoracic spine w contrast (72129) | $4,579.50 | $6,106 | 26.0× |
| CT thoracic spine w/o contrast (72128) | $4,116 | $5,488 | 39.2× |
| CT thoracic spine w/wo cont (72130) | $5,163 | $6,884 | 29.3× |
| CT thorax w/o contrast (71250) | $3,459 | $4,612 | 32.9× |
| CT upper ext wo (73200) | $2,429.25 | $3,239 | 23.1× |
| CT upper extremity w/o & w/contrast material (73202) | $3,132 | $4,176 | 17.8× |
| CT upper extremity with contrast (73201) | $2,571.75 | $3,429 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,280.75 | $15,041 | 64.0× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,972.25–$10,743 | $3,963–$14,324 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,976–$10,563.75 | $3,968–$14,085 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,698 | $2,264 | 7.1× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$5,113.50–$5,781 | $6,818–$7,708 | varies |
| Diskography lumbar (72295) | $5,113.50 | $6,818 | 2.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$561.75–$1,008 | $749–$1,344 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$606–$916.50 | $808–$1,222 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$784.50–$870.75 | $1,046–$1,161 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$635.25–$2,111.25 | $847–$2,815 | varies |
| Echo exam uterus (76831) | $1,320.75 | $1,761 | 5.5× |
| Echo Guide For Artery Repair (76936) | $1,911 | $2,548 | 8.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$1,215–$2,428.50 | $1,620–$3,238 | varies |
| Esophagram (74220) | $1,392.75 | $1,857 | 7.9× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,360.50–$2,314.50 | $1,814–$3,086 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,063.50–$1,096.50 | $1,418–$1,462 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,812.75 | $2,417 | 7.6× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,337.25–$1,580.25 | $1,783–$2,107 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$7,714.50–$8,100 | $10,286–$10,800 | varies |
| Foot 2 views (73620) | $1,004.25 | $1,339 | 11.5× |
| Forearm 2 views (73090) | $1,372.50 | $1,830 | 15.7× |
| Gastric emptying imaging study (78264) | $3,544.50 | $4,726 | 8.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,204.25 | $2,939 | 5.5× |
| Gastroesophageal Reflux Exam (78262) | $2,336.25 | $3,115 | 5.8× |
| Gated Heart Planar Single (78472) | $3,753.75 | $5,005 | 9.3× |
| Gated Heart, Multiple (78473) | $4,577.25 | $6,103 | 11.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,924.25 | $3,899 | 5.4× |
| Hand 2 views (73120) | $1,034.25 | $1,379 | 9.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,202.75 | $18,937 | 4.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,202.75 | $18,937 | 4.5× |
| Hepatobil Syst Image W/Drug (78227) | $4,050.75 | $5,401 | 7.4× |
| Hepatobiliary System Imaging (78226) | $4,389.75 | $5,853 | 10.9× |
| Ht Musc Image Planar Mult (78454) | $22,973.25 | $30,631 | 17.7× |
| Ht Muscle Image Spect Sing (78451) | $3,611.25 | $4,815 | 2.8× |
| Hysterosalpingogram (74740) | $3,000 | $4,000 | 12.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $274.50 | $366 | 3.1× |
| Infant hip ultrasound, limited static exam (76886) | $582.75 | $777 | 6.7× |
| Interstitial radiation source applic complex (77778) | $8,068.50 | $10,758 | 11.5× |
| Joint Survey Single View (77077) | $891.75 | $1,189 | 8.5× |
| K Flow/Funct Image Multiple (78709) | $5,298.75 | $7,065 | 9.7× |
| K Flow/Funct Image W/Drug (78708) | $4,114.50 | $5,486 | 7.5× |
| K Flow/Funct Image W/O Drug (78707) | $3,717 | $4,956 | 6.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,909.50 | $2,546 | 4.8× |
| Kidney Imaging Morphol (78700) | $3,231 | $4,308 | 8.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,142 | $2,856 | 5.3× |
| Knee 3 Views (73562) | $1,487.25 | $1,983 | 17.0× |
| Liver & Spleen Imaging Static Only (78215) | $3,635.25 | $4,847 | 9.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,868.25 | $2,491 | 4.7× |
| Liver imaging static only (78201) | $2,144.25 | $2,859 | 3.9× |
| Liver imaging w/vascular flow (78202) | $2,817 | $3,756 | 5.2× |
| Lung perfusion differential (78597) | $2,552.25 | $3,403 | 6.4× |
| Lung Ventilat&Perfus Imaging (78582) | $5,877.75 | $7,837 | 10.8× |
| Lung Ventilation Imaging (78579) | $2,398.50 | $3,198 | 6.0× |
| Lymph System Imaging (78195) | $3,487.50 | $4,650 | 6.4× |
| Magnetic Image Jaw Joint (70336) | $6,039.75 | $8,053 | 25.2× |
| Mammary ductogram or galactogram multiple (77054) | $3,266.25 | $4,355 | 13.6× |
| Mammary ductogram or galactogram single (77053) | $2,251.50 | $3,002 | 9.4× |
| Meckels Divert Exam (78290) | $6,278.25 | $8,371 | 15.6× |
| 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) | $2,537.25 | $3,383 | 7.2× |
| MRA head w/o contrast (70544) | $2,126.25 | $2,835 | 8.9× |
| MRA head with contrast (70545) | $4,744.50 | $6,326 | 13.5× |
| MRA neck w contrast (70548) | $2,964.75 | $3,953 | 8.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,369.75 | $4,493 | 9.6× |
| MRA neck w/o contrast (70547) | $2,606.25 | $3,475 | 10.9× |
| MRI abdomen w contrast (74182) | $5,558.25 | $7,411 | 15.9× |
| MRI abdomen w/o contrast (74181) | $5,242.50 | $6,990 | 21.9× |
| MRI any jt lower extrem w/contrast material (73722) | $6,437.25 | $8,583 | 8.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,579.75 | $12,773 | 27.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,782.50 | $7,710 | 7.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,851.75 | $2,469 | 7.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,943.25 | $2,591 | 8.1× |
| MRI cardiac w/o contrast (75557) | $3,693 | $4,924 | 15.4× |
| MRI cervical spine w contrast (72142) | $13,218 | $17,624 | 37.7× |
| MRI cervical spine w/o cont (72141) | $11,690.25 | $15,587 | 48.8× |
| MRI chest w/o contrast (71550) | $3,447.75 | $4,597 | 14.4× |
| MRI chest with contrast (71551) | $3,711.75 | $4,949 | 4.7× |
| MRI chest wo w contrast (71552) | $4,799.25 | $6,399 | 13.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,968.25 | $9,291 | 19.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,579.75 | $12,773 | 27.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,376.50 | $8,502 | 26.6× |
| MRI lumbar spine w contrast (72149) | $5,156.25 | $6,875 | 14.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $16,664.25 | $22,219 | 47.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,659.50 | $3,546 | 11.1× |
| MRI orbit face neck w contrast (70542) | $3,125.25 | $4,167 | 8.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,862.50 | $5,150 | 11.0× |
| MRI pelvis w contrast (72196) | $4,560.75 | $6,081 | 13.0× |
| MRI pelvis w/o & w contrast (72197) | $6,021 | $8,028 | 17.2× |
| MRI pelvis w/o contrast (72195) | $3,805.50 | $5,074 | 15.9× |
| MRI thoracic spine w/o contrast (72146) | $6,257.25 | $8,343 | 26.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,903.50 | $6,538 | 14.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,966 | $5,288 | 16.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,654.75 | $8,873 | 19.0× |
| MRI, abdomen, combo (74183) | $7,340.25 | $9,787 | 20.9× |
| MRI, dorsal spine combo (72157) | $7,560.75 | $10,081 | 21.6× |
| MRI, dorsal spine contrast (72147) | $6,339 | $8,452 | 18.1× |
| MRI, joint upper extrem (73221) | $4,444.50 | $5,926 | 18.5× |
| MRI, joint upper extrem combo (73223) | $6,591.75 | $8,789 | 18.8× |
| MRI, lumbar spine combo (72158) | $6,825 | $9,100 | 19.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,156.25 | $2,875 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $9,359.25 | $12,479 | 7.2× |
| N-invas est c ffr sw aly CTA (75580) | $4,848.75 | $6,465 | 5.6× |
| Neck soft tissue (70360) | $1,383 | $1,844 | 15.8× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$999.75–$1,476.75 | $1,333–$1,969 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$1,886.25–$1,953.75 | $2,515–$2,605 | varies |
| Nuclear Rx Oral Admin (79005) | $2,572.50 | $3,430 | 11.0× |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$922.50–$1,050 | $1,230–$1,400 | varies |
| Parathyroid Planar Imaging (78070) | $3,634.50 | $4,846 | 9.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,132.50 | $5,510 | 10.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,581–$1,606.50 | $2,108–$2,142 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $17,159.25 | $22,879 | 5.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,796.25 | $2,395 | 4.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,016 | $2,688 | 19.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,555.25 | $3,407 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,237.50 | $1,650 | 14.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,372.50 | $1,830 | 15.7× |
| Radex elbow complete minimum 3 views (73080) | $1,182.75 | $1,577 | 13.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,184 | $2,912 | 20.8× |
| Radex fingr minimum 2 views (73140) | $1,215 | $1,620 | 13.9× |
| Radex foot complete minimum 3 views (73630) | $1,236 | $1,648 | 14.1× |
| Radex Hand Minimum 3 Views (73130) | $1,229.25 | $1,639 | 14.1× |
| Radex lower extremity infant minimum 2 views (73592) | $514.50 | $686 | 5.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $462.75 | $617 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,243.50 | $1,658 | 14.2× |
| Radex Ribs Unilateral 2 Views (71100) | $1,602 | $2,136 | 18.3× |
| Radex shoulder complete minimum 2 views (73030) | $1,504.50 | $2,006 | 17.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $839.25 | $1,119 | 9.6× |
| Radex Spine 1 View Specify Level (72020) | $1,035.75 | $1,381 | 11.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,405.50 | $1,874 | 16.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,082.25 | $1,443 | 12.4× |
| Radex Toe Minimum 2 Views (73660) | $1,215 | $1,620 | 13.9× |
| Radex upper extremity infant minimum 2 views (73092) | $597 | $796 | 5.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,342.50 | $1,790 | 15.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,212 | $1,616 | 11.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,813.50 | $2,418 | 17.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,329 | $1,772 | 12.7× |
| Radiologic exam colon double contrast study (74280) | $2,432.25 | $3,243 | 13.8× |
| Radiologic exam colon single contrast study (74270) | $2,121.75 | $2,829 | 12.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,866.50 | $3,822 | 16.3× |
| Radiologic exam knee complete 4/more views (73564) | $1,641 | $2,188 | 15.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,440.50 | $3,254 | 23.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,088 | $2,784 | 11.9× |
| Radiologic exam swallow function contrast study (74230) | $2,067 | $2,756 | 11.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,866.50 | $3,822 | 16.3× |
| Radiologic examination femur 1 view (73551) | $368.25 | $491 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) | $1,215 | $1,620 | 13.9× |
| Radiologic examination knee 1/2 views (73560) | $1,129.50 | $1,506 | 12.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,100.25 | $1,467 | 10.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,275 | $1,700 | 14.6× |
| Renal Cyst Study (74470) | $2,331.75 | $3,109 | 4.2× |
| Ribs bilateral 3 views (71110) | $1,688.25 | $2,251 | 16.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,532 | $3,376 | 6.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,585.25 | $3,447 | 6.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,502.50 | $8,670 | 11.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,806.25 | $5,075 | 7.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,909.25 | $7,879 | 10.8× |
| Rp Therapy Intravenous Administration (79101) | $2,051.25 | $2,735 | 8.8× |
| Salivary Gland Function Study (78232) | $2,097.75 | $2,797 | 5.2× |
| Salivary Gland Imaging (78230) | $1,050 | $1,400 | 2.6× |
| Scapula (73010) | $1,290.75 | $1,721 | 12.3× |
| Shoulder 1 view (73020) | $951 | $1,268 | 10.9× |
| Shoulder Arthrography (73040) | $2,785.50 | $3,714 | 7.9× |
| Sialogram (70390) | $1,183.50 | $1,578 | 4.9× |
| Skull less than 4 views (70250) | $1,302.75 | $1,737 | 12.4× |
| Sternoclavicular joints (71130) | $588.75 | $785 | 6.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $686.25 | $915 | 2.9× |
| Thoracic spine 2 views (72070) | $1,596.75 | $2,129 | 15.2× |
| Thoracic spine 3 views (72072) | $3,099.75 | $4,133 | 29.5× |
| Thoracolumbar 2 views (72080) | $1,095.75 | $1,461 | 12.5× |
| Thyroid Met Imaging Body (78018) | $6,685.50 | $8,914 | 12.3× |
| Thyroid Uptake Measurement (78012) | $2,610.75 | $3,481 | 6.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,373.50 | $4,498 | 8.4× |
| Ultrasound Breast Limited (76642) | $591.75 | $789 | 6.8× |
| Ultrasound elastography first target lesion (76982) | $462.75 | $617 | 4.4× |
| Ultrasound Elastography Parenchyma (76981) | $462.75 | $617 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) | $664.50 | $886 | 6.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,148.75–$2,151 | $2,865–$2,868 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$628.50–$701.25 | $838–$935 | varies |
| Upper gi w/o kub (74240) | $2,209.50 | $2,946 | 12.5× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $4,162.50 | $5,550 | 376.4× |
| Ureteral Reflux Study (78740) | $2,814.75 | $3,753 | 7.0× |
| Urethrocystogram voiding (74455) | $2,396.25 | $3,195 | 10.0× |
| Urethrocystography retrograde (74450) | $1,002 | $1,336 | 4.2× |
| Us breast unilateral complete (76641) | $917.25 | $1,223 | 8.7× |
| Us chest (76604) range across 2 matching MRF lines |
$870–$1,221 | $1,160–$1,628 | varies |
| Us complete joint (76881) | $963 | $1,284 | 9.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,333.50–$1,906.50 | $1,778–$2,542 | varies |
| Us head (76506) | $3,261.75 | $4,349 | 31.1× |
| Us kidney transplant (76776) | $1,381.50 | $1,842 | 13.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$354–$760.50 | $472–$1,014 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,437.75–$1,654.50 | $1,917–$2,206 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$909–$919.50 | $1,212–$1,226 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,218–$2,543.25 | $1,624–$3,391 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,906.50–$2,880.75 | $2,542–$3,841 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$3,019.50–$3,090 | $4,026–$4,120 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$801.75–$919.50 | $1,069–$1,226 | varies |
| Us retroperitoneal complete (76770) | $2,265 | $3,020 | 21.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,872–$1,934.25 | $2,496–$2,579 | varies |
| Us scrotum and contents (76870) | $2,067 | $2,756 | 19.7× |
| Us spinal canal and contents (76800) | $1,092 | $1,456 | 10.4× |
| Us thyroid (76536) | $1,251 | $1,668 | 11.9× |
| Us transrectal (76872) | $1,986 | $2,648 | 18.9× |
| Vascular Flow Imaging (78445) | $1,574.25 | $2,099 | 3.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,535.75–$6,161.25 | $7,381–$8,215 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $15,558 | $20,744 | 4.9× |
| Venogram Sinus/Jugular (75860) | $3,708.75 | $4,945 | 1.2× |
| Venography Adrenal Unilateral (75840) | $15,652.50 | $20,870 | 4.9× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,690.25–$15,066 | $7,587–$20,088 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,880.75–$4,766.25 | $3,841–$6,355 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,825.50–$4,494.75 | $2,434–$5,993 | varies |
| Venography Renal Unilateral (75831) | $17,028.75 | $22,705 | 5.4× |
| Venous sampling by catheter (75893) | $25,935 | $34,580 | 4.6× |
| Venous thrombosis imaging (78457) | $7,719 | $10,292 | 14.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,733.25 | $2,311 | 4.3× |
| Wrist 2 views (73100) | $1,118.25 | $1,491 | 12.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $892.50 | $1,190 | 10.2× |
| X-ray antegrade pyelogram tube (74425) | $3,738.75 | $4,985 | 10.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,268.50–$6,527.25 | $8,358–$8,703 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,690.50 | $2,254 | 16.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,034.25 | $1,379 | 11.8× |
| X-Ray Exam Breast Specimen (76098) | $819.75 | $1,093 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $368.25 | $491 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $600 | $800 | 5.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,272 | $1,696 | 12.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $783 | $1,044 | 9.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$354–$854.25 | $472–$1,139 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $654 | $872 | 6.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $996 | $1,328 | 9.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $654 | $872 | 6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,272 | $1,696 | 12.1× |
| X-Ray Exam L-S Spine Bending (72114) | $3,659.25 | $4,879 | 34.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,798.50–$1,887.75 | $2,398–$2,517 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,338.75 | $1,785 | 12.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,737 | $2,316 | 16.5× |
| X-ray humerus (73060) | $1,206.75 | $1,609 | 13.8× |
| X-ray IV pyelogram (ivp) (74400) | $2,651.25 | $3,535 | 15.0× |
| X-ray IV pyelogram+tomography (74415) | $3,318 | $4,424 | 18.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,334.25 | $1,779 | 15.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,092 | $1,456 | 12.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,564.50–$1,643.25 | $2,086–$2,191 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,453.50 | $1,938 | 16.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,591.50 | $2,122 | 15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $978 | $1,304 | 9.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,506 | $2,008 | 17.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,181 | $2,908 | 24.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,072.25 | $2,763 | 19.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,701.50 | $3,602 | 7.7× |
| X-Rays Bone Length Studies (77073) | $592.50 | $790 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $1,932 | $2,576 | 18.4× |
| Xr c-spine 4 or 5 views (72050) | $2,476.50 | $3,302 | 23.6× |
| Xr facial bones less than 3 views (70140) | $1,600.50 | $2,134 | 18.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $462.75 | $617 | 4.4× |
| Xr orbits complete 4 views (70200) | $2,396.25 | $3,195 | 22.8× |
| Xr Tomogram Single Plane (76100) | $3,099.75 | $4,133 | 29.5× |
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.