Imaging prices at Timpanogos Regional Hospital
Orem, UT · every code in this section with a posted price and a Medicare benchmark.
313 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) | $9,795.22 | $9,795.22 | 7.0× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,804.26 | $2,804.26 | 6.9× |
| Angio pulmonary bilat (75743) | $10,708.76 | $10,708.76 | 3.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,704.80 | $6,704.80 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $12,339.93 | $12,339.93 | 3.9× |
| Angiography extremity unilateral rs&i (75710) | $11,344.97 | $11,344.97 | 3.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,009.05 | $10,009.05 | 3.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,009.05 | $10,009.05 | 3.1× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Aortography thoracic serialography rs&i (75605) | $17,190.13 | $17,190.13 | 3.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $10,009.05 | $10,009.05 | 3.1× |
| Artery X-Rays Abdomen (75726) | $10,124.64 | $10,124.64 | 1.8× |
| Artery X-Rays Pelvis (75736) | $9,308.32 | $9,308.32 | 1.7× |
| Artery X-Rays Spine (75705) | $17,190.13 | $17,190.13 | 3.1× |
| Arthrogram ankle (73615) | $1,556.59 | $1,556.59 | 4.4× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,693.11–$3,047.60 | $1,693.11–$3,047.60 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$1,627.99–$2,018.18 | $1,627.99–$2,018.18 | varies |
| Basic radiation dosimetry calculation (77300) | $1,263.98 | $1,263.98 | 9.3× |
| Bone age studies (77072) | $847.68 | $847.68 | 8.0× |
| Bone Imaging 3 Phase (78315) | $2,804.26 | $2,804.26 | 6.9× |
| Bone Imaging Limited Area (78300) | $2,804.26 | $2,804.26 | 6.9× |
| Bone Imaging Whole Body (78306) | $2,804.26 | $2,804.26 | 6.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$770.61–$847.68 | $770.61–$847.68 | varies |
| Brachytx isodose complex (77318) | $3,403.11 | $3,403.11 | 9.0× |
| Brachytx isodose intermed (77317) | $2,722.97 | $2,722.97 | 7.2× |
| Brachytx Isodose Plan Simple (77316) | $2,246.39 | $2,246.39 | 5.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,952.75 | $2,952.75 | 5.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,092.83 | $6,092.83 | 17.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,407.36 | $2,407.36 | 4.4× |
| Cerebrospinal Fluid Scan (78630) | $3,845.87 | $3,845.87 | 7.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Chest 3 views (71047) | $483.74 | $483.74 | 5.5× |
| Chest 4 or more views (71048) | $483.74 | $483.74 | 4.6× |
| Cholecystography Oral Contrast (74290) | $729 | $729 | 4.1× |
| Cisternography Positive Contrast Rs&I (70015) | $1,972.98 | $1,972.98 | 2.5× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,404.75 | $1,404.75 | 10.3× |
| Contrast Exam Abdominl Aorta (75625) | $11,344.97 | $11,344.97 | 3.5× |
| Contrast X-Ray Bladder (74430) | $1,751.88 | $1,751.88 | 5.0× |
| Contrast X-Ray Of Elbow (73085) | $1,556.59 | $1,556.59 | 4.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,121.20–$2,018.18 | $1,121.20–$2,018.18 | varies |
| Corpora cavernosography (74445) | $1,161.62 | $1,161.62 | 11.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,885.06–$6,355.86 | $5,885.06–$6,355.86 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$5,780.51–$6,242.96 | $5,780.51–$6,242.96 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,084.40–$3,531.03 | $3,084.40–$3,531.03 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,885.06–$6,355.86 | $5,885.06–$6,355.86 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CT angio hrt w/3d image (75574) | $3,102.06 | $3,102.06 | 8.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,084.40–$3,531.03 | $3,084.40–$3,531.03 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT cervical spine w/wo cont (72127) | $3,531.03 | $3,531.03 | 19.9× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT chest w/wo contrast (71270) | $3,531.03 | $3,531.03 | 19.9× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $69 | $69 | 0.8× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT l-spine w&w/o contrast (72133) | $3,531.03 | $3,531.03 | 19.9× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,084.40–$3,531.03 | $3,084.40–$3,531.03 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,531.03 | $3,531.03 | 19.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT pelvis w&w/o contrast (72194) | $3,531.03 | $3,531.03 | 19.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT scan of leg combo (73702) | $3,531.03 | $3,531.03 | 19.9× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$3,211.39–$3,468.29 | $3,211.39–$3,468.29 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,395.24–$3,531.03 | $3,395.24–$3,531.03 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$3,029.61–$3,468.29 | $3,029.61–$3,468.29 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,531.03 | $3,531.03 | 19.9× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,269.47–$3,531.03 | $3,269.47–$3,531.03 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,084.40–$3,531.03 | $3,084.40–$3,531.03 | varies |
| Dilation ureters/urethra rs&i (74485) | $6,756.27 | $6,756.27 | 3.2× |
| Diskography lumbar (72295) | $12,657.85 | $12,657.85 | 6.4× |
| Dxa Bone Density Axial (77080) | $621.63 | $621.63 | 5.9× |
| Echo exam uterus (76831) | $1,133.44 | $1,133.44 | 4.7× |
| Esophagram (74220) | $1,100.84 | $1,100.84 | 6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,113.22 | $1,113.22 | 10.5× |
| Fluoroscopy up to 1 hr (76000) | $863.51 | $863.51 | 3.6× |
| Follow-Up Angiography (75898) | $10,009.05 | $10,009.05 | 3.1× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$439.76–$766.57 | $439.76–$766.57 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Gastric emptying imaging study (78264) | $2,804.26 | $2,804.26 | 6.9× |
| Gated Heart Planar Single (78472) | $4,677.72 | $4,677.72 | 11.6× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,983.36 | $3,983.36 | 5.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,983.36 | $3,983.36 | 5.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,983.36 | $3,983.36 | 5.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,009.05 | $10,009.05 | 3.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,009.05 | $10,009.05 | 3.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,804.26 | $2,804.26 | 5.1× |
| Hepatobiliary System Imaging (78226) | $2,804.26 | $2,804.26 | 6.9× |
| Hysterosalpingogram (74740) | $2,359.94 | $2,359.94 | 9.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,113.22 | $1,113.22 | 12.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,247.94 | $2,247.94 | 3.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,874.24 | $1,874.24 | 3.4× |
| Intracavitary radiation source applic simple (77761) | $1,874.24 | $1,874.24 | 3.4× |
| K Flow/Funct Image Multiple (78709) | $1,814.96 | $1,814.96 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $2,804.26 | $2,804.26 | 5.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,804.26 | $2,804.26 | 5.1× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,911.05 | $1,911.05 | 4.7× |
| Liver & Spleen Imaging Static Only (78215) | $2,116.97 | $2,116.97 | 5.2× |
| Lung Ventilat&Perfus Imaging (78582) | $4,180.50 | $4,180.50 | 7.6× |
| Lymph System Imaging (78195) | $2,804.26 | $2,804.26 | 5.1× |
| Magnetic Image Jaw Joint (70336) | $4,452.84 | $4,452.84 | 18.4× |
| Mammary ductogram or galactogram multiple (77054) | $947.65 | $947.65 | 3.9× |
| Meckels Divert Exam (78290) | $2,804.26 | $2,804.26 | 6.9× |
| Mlc imrt design & construction per imrt plan (77338) | $3,366.48 | $3,366.48 | 8.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $90.85 | $90.85 | 3.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $291.50 | $291.50 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,492.53 | $4,492.53 | 12.7× |
| MRA head w/o contrast (70544) | $4,492.53 | $4,492.53 | 18.6× |
| MRA neck w contrast (70548) | $4,492.53 | $4,492.53 | 12.7× |
| MRA neck w/o contrast (70547) | $827.62 | $827.62 | 3.4× |
| MRI abdomen w contrast (74182) | $4,452.84 | $4,452.84 | 12.6× |
| MRI abdomen w/o contrast (74181) | $4,452.84 | $4,452.84 | 18.4× |
| MRI any jt lower extrem w/contrast material (73722) | $4,452.84 | $4,452.84 | 5.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,452.84–$6,106.98 | $4,452.84–$6,106.98 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,452.84–$6,106.98 | $4,452.84–$6,106.98 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,452.84 | $4,452.84 | 18.4× |
| MRI cardiac w/o contrast (75557) | $5,468.01 | $5,468.01 | 22.6× |
| MRI cervical spine w contrast (72142) | $4,452.84 | $4,452.84 | 12.6× |
| MRI cervical spine w/o cont (72141) | $4,452.84 | $4,452.84 | 18.4× |
| MRI chest w/o contrast (71550) | $4,452.84 | $4,452.84 | 18.4× |
| MRI chest wo w contrast (71552) | $1,298.89 | $1,298.89 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,452.84 | $4,452.84 | 12.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,452.84 | $4,452.84 | 12.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,452.84 | $4,452.84 | 18.4× |
| MRI lumbar spine w contrast (72149) | $4,452.84 | $4,452.84 | 12.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,452.84 | $4,452.84 | 12.6× |
| MRI orbit face &/neck w/o contrast (70540) | $4,452.84 | $4,452.84 | 18.4× |
| MRI orbit face neck w contrast (70542) | $4,452.84 | $4,452.84 | 12.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,452.84 | $4,452.84 | 12.6× |
| MRI pelvis w contrast (72196) | $4,452.84 | $4,452.84 | 12.6× |
| MRI pelvis w/o & w contrast (72197) | $4,452.84 | $4,452.84 | 12.6× |
| MRI pelvis w/o contrast (72195) | $4,452.84 | $4,452.84 | 18.4× |
| MRI thoracic spine w/o contrast (72146) | $4,452.84 | $4,452.84 | 18.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,452.84 | $4,452.84 | 12.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,452.84 | $4,452.84 | 18.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,452.84–$6,106.98 | $4,452.84–$6,106.98 | varies |
| MRI, abdomen, combo (74183) | $4,452.84 | $4,452.84 | 12.6× |
| MRI, dorsal spine combo (72157) | $4,452.84 | $4,452.84 | 12.6× |
| MRI, dorsal spine contrast (72147) | $4,039.23 | $4,039.23 | 11.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,452.84–$8,987.05 | $4,452.84–$8,987.05 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$4,452.84–$8,478.35 | $4,452.84–$8,478.35 | varies |
| MRI, lumbar spine combo (72158) | $4,452.84 | $4,452.84 | 12.6× |
| Myelogram cervical (72240) | $2,978.77 | $2,978.77 | 3.8× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$2,738.59–$2,977.06 | $2,738.59–$2,977.06 | varies |
| Myelography thoracic (72255) | $1,972.63 | $1,972.63 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,512.39 | $2,512.39 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $14,030.82 | $14,030.82 | 10.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,366.84 | $1,366.84 | 3.4× |
| Nm csf leak detection (78650) | $4,229.76 | $4,229.76 | 3.2× |
| Nonvascular Shunt X-Ray (75809) | $2,590.53 | $2,590.53 | 24.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $24,010.47 | $24,010.47 | 17.1× |
| Parathyroid Planar Imaging (78070) | $2,804.26 | $2,804.26 | 6.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Peritoneogram Rs&I (74190) | $749.97 | $749.97 | 1.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,909.56 | $3,909.56 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,028.96 | $2,028.96 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$770.61–$847.68 | $770.61–$847.68 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,585.02–$1,743.59 | $1,585.02–$1,743.59 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$404.31–$891.54 | $404.31–$891.54 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $483.74 | $483.74 | 4.6× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $320.35 | $320.35 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $483.74 | $483.74 | 5.5× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $483.74 | $483.74 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,007.45 | $1,007.45 | 5.7× |
| Radex Spine 1 View Specify Level (72020) | $483.74 | $483.74 | 5.5× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $444.74 | $444.74 | 5.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$439.76–$930.28 | $439.76–$930.28 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $994.46 | $994.46 | 9.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $49,231.76 | $49,231.76 | 6.6× |
| Radiation treatment delivery level 3 (77412) | $1,878.97 | $1,878.97 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$404.31–$483.74 | $404.31–$483.74 | varies |
| Radiologic exam colon double contrast study (74280) | $1,095.81 | $1,095.81 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $1,100.84 | $1,100.84 | 6.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$444.74–$967.48 | $444.74–$967.48 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,100.84 | $1,100.84 | 6.2× |
| Radiologic exam swallow function contrast study (74230) | $1,100.84 | $1,100.84 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,100.84 | $1,100.84 | 6.2× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$300.98–$993.23 | $300.98–$993.23 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,501.71 | $2,501.71 | 23.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$439.76–$967.48 | $439.76–$967.48 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,630.91 | $1,630.91 | 4.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,630.91 | $1,630.91 | 4.2× |
| Ribs bilateral 3 views (71110) | $1,533.23 | $1,533.23 | 14.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,022.65 | $1,022.65 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,084.71 | $3,084.71 | 5.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,729.97 | $2,729.97 | 5.0× |
| Scapula (73010) range across 4 matching MRF lines |
$439.76–$891.54 | $439.76–$891.54 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91.91 | $91.91 | 3.9× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,693.11–$2,590.48 | $1,693.11–$2,590.48 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$404.31–$483.74 | $404.31–$483.74 | varies |
| Special dosimetry (77331) | $1,043.28 | $1,043.28 | 7.7× |
| Special Physics Consult (77370) | $1,262.33 | $1,262.33 | 9.3× |
| Special teletherapy port plan (77321) | $5,659.26 | $5,659.26 | 14.9× |
| Special treatment procedure (77470) | $3,870.11 | $3,870.11 | 6.9× |
| Stereotactic Body Radiation Delivery (77373) | $36,654.47 | $36,654.47 | 20.2× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$439.76–$444.74 | $439.76–$444.74 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $10,624.30 | $10,624.30 | 28.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,277.52 | $2,277.52 | 6.0× |
| Testicular Imaging W/Flow (78761) | $739.59 | $739.59 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,005.60 | $4,005.60 | 10.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,937.46 | $1,937.46 | 5.1× |
| Ther rad simulaj-aided field setting simple (77280) | $2,460.57 | $2,460.57 | 18.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $785.96 | $785.96 | 4.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,281.46–$1,533.23 | $1,281.46–$1,533.23 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $808.34 | $808.34 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,028.96 | $2,028.96 | 5.0× |
| Tx Devices Design & Construction Complex (77334) | $2,950.41 | $2,950.41 | 7.8× |
| Tx devices design & construction intermediate (77333) | $1,493.16 | $1,493.16 | 11.0× |
| Tx devices design & construction simple (77332) | $1,174.26 | $1,174.26 | 8.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$727.20–$1,047.40 | $727.20–$1,047.40 | varies |
| Ultrasound, abdomen limited (76705) | $1,113.22 | $1,113.22 | 10.5× |
| Umbilical-artery Doppler (OB) (76820) | $1,135.73 | $1,135.73 | 10.7× |
| Unlisted us procedure (76999) | $280 | $280 | 3.2× |
| Upper gi w/o kub (74240) | $1,100.84 | $1,100.84 | 6.2× |
| Urethrocystogram voiding (74455) | $1,684.51 | $1,684.51 | 7.0× |
| Urethrocystography retrograde (74450) | $1,754.11 | $1,754.11 | 7.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$727.20–$1,047.40 | $727.20–$1,047.40 | varies |
| Us chest (76604) | $1,113.22 | $1,113.22 | 10.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$661.10–$727.20 | $661.10–$727.20 | varies |
| Us head (76506) | $1,113.22 | $1,113.22 | 10.5× |
| Us kidney transplant (76776) | $1,113.22 | $1,113.22 | 10.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$608.34–$722.71 | $608.34–$722.71 | varies |
| Us ob detailed single fetus (76811) | $839.77 | $839.77 | 3.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$863.18–$1,025.45 | $863.18–$1,025.45 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,012.02–$1,113.22 | $1,012.02–$1,113.22 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,012.02–$1,113.22 | $1,012.02–$1,113.22 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,012.02–$1,113.22 | $1,012.02–$1,113.22 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$661.10–$727.20 | $661.10–$727.20 | varies |
| Us retroperitoneal complete (76770) | $1,113.22 | $1,113.22 | 10.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$937.06–$1,113.22 | $937.06–$1,113.22 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,012.02–$1,113.22 | $1,012.02–$1,113.22 | varies |
| Us spinal canal and contents (76800) | $1,113.22 | $1,113.22 | 10.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,012.02–$1,113.22 | $1,012.02–$1,113.22 | varies |
| Vein X-Ray Chest (75827) | $4,258.71 | $4,258.71 | 2.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,363.51 | $6,363.51 | 2.0× |
| Vein X-Ray Skull Epidural (75872) | $2,820.24 | $2,820.24 | 4.4× |
| Venogram Sinus/Jugular (75860) | $10,009.05 | $10,009.05 | 3.1× |
| Venography Adrenal Unilateral (75840) | $10,009.05 | $10,009.05 | 3.1× |
| Venography caval inferior serialography rs&i (75825) | $11,344.97 | $11,344.97 | 3.5× |
| Venography extremity bilateral rs&i (75822) | $2,438.96 | $2,438.96 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $4,123.03 | $4,123.03 | 2.6× |
| Venography Renal Bilateral (75833) | $8,171.81 | $8,171.81 | 2.6× |
| Venography Renal Unilateral (75831) | $13,051.85 | $13,051.85 | 4.1× |
| Venous sampling by catheter (75893) | $17,190.13 | $17,190.13 | 3.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $739.59 | $739.59 | 1.8× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $465.13 | $465.13 | 5.3× |
| X-Ray Aorta Leg Arteries (75630) | $12,339.93 | $12,339.93 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$439.76–$855.27 | $439.76–$855.27 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,743.59 | $1,743.59 | 3.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $331.08 | $331.08 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$458.26–$548.31 | $458.26–$548.31 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$276.71–$331.08 | $276.71–$331.08 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$300.98–$331.08 | $300.98–$331.08 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$458.26–$548.31 | $458.26–$548.31 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $847.68 | $847.68 | 8.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $847.68 | $847.68 | 8.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$439.76–$766.59 | $439.76–$766.59 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,751.88 | $1,751.88 | 9.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $483.74 | $483.74 | 5.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$708.48–$847.68 | $708.48–$847.68 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $483.74 | $483.74 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$439.76–$483.74 | $439.76–$483.74 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $483.74 | $483.74 | 5.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $847.68 | $847.68 | 8.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,161.62 | $1,161.62 | 3.3× |
| X-Rays Bone Length Studies (77073) | $483.74 | $483.74 | 4.6× |
| X-Rays Bone Survey Complete (77075) | $4,781.99 | $4,781.99 | 45.2× |
| Xr c-spine 4 or 5 views (72050) | $847.68 | $847.68 | 8.0× |
| Xr facial bones less than 3 views (70140) | $483.74 | $483.74 | 5.5× |
| Xr orbits complete 4 views (70200) | $483.74 | $483.74 | 4.6× |
| Xr Tomogram Single Plane (76100) | $562.85 | $562.85 | 5.3× |
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.