Imaging prices at Torrance Memorial Medical Center
Torrance, CA · every code in this section with a posted price and a Medicare benchmark.
544 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) | $5,620.28 | $6,854 | 3.2× |
| Abdomen 1 View (74018) | $433.78 | $529 | 3.9× |
| Abdomen 2 views (74019) | $531.36 | $648 | 4.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,399.32 | $2,926 | 4.7× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Angio internal mammary (75756) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Angio pulmonary bilat (75743) | $7,255.36 | $8,848 | 1.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$7,913–$8,840.01 | $9,650–$10,780.50 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$6,200.02–$6,460.78 | $7,561–$7,879 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,926.16 | $4,788 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,201.24 | $8,782 | 1.8× |
| Ankle 2 views (73600) | $405.08 | $494 | 3.6× |
| Aortography thoracic serialography rs&i (75605) | $6,877.34 | $8,387 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Artery X-Rays Abdomen (75726) | $6,877.34 | $8,387 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Artery X-Rays Pelvis (75736) | $4,762.56 | $5,808 | 0.7× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$2,007.36 | $2,448 | 0.3× |
| Arthrogram ankle (73615) | $672.40 | $820 | 1.5× |
| Arthrogram hip (73525) | $1,005.32 | $1,226 | 2.2× |
| Arthrogram Wrist (73115) | $1,005.32 | $1,226 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $1,915.52 | $2,336 | 11.1× |
| Bone age studies (77072) | $602.70 | $735 | 4.5× |
| Bone Imaging 3 Phase (78315) | $3,586.68 | $4,374 | 7.0× |
| Bone Imaging Limited Area (78300) | $2,029.50 | $2,475 | 3.9× |
| Bone Imaging Multiple Areas (78305) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Bone Imaging Whole Body (78306) | $3,554.70 | $4,335 | 6.9× |
| Bone marrow imaging limited area (78102) | $864.28 | $1,054 | 1.7× |
| Bone marrow imaging; multiple areas (78103) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Bone marrow imaging; whole body (78104) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Bone survey infant (77076) | $810.98 | $989 | 6.0× |
| Brachytx isodose complex (77318) | $3,221.78 | $3,929 | 6.7× |
| Brachytx isodose intermed (77317) | $1,994.24 | $2,432 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $1,840.08 | $2,244 | 3.8× |
| Brain Flow Imaging Only (78610) | $2,804.40 | $3,420 | 4.0× |
| Brain Image W/Flow < 4 Views (78601) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Brain imaging < 4 static views (78600) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,663.28 | $13,004 | 5.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,764.22 | $3,371 | 5.4× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $8,507.50 | $10,375 | 19.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cardiac Shunt Detection (78428) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cardiovasc nucl exam unlisted (78499) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cat Scan Follow-Up Study (76380) | $1,143.08 | $1,394 | 10.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,250.88 | $5,184 | 6.1× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cerebrospinal Fluid Scan (78630) | $3,094.68 | $3,774 | 4.4× |
| Chest 1 view (71045) range across 11 matching MRF lines |
$206.64–$481.34 | $252–$587 | varies |
| Chest 2 views (71046) | $706.84 | $862 | 6.3× |
| Chest 3 views (71047) | $870.84 | $1,062 | 7.8× |
| Chest 4 or more views (71048) | $1,075.84 | $1,312 | 8.0× |
| Cholecystography Oral Contrast (74290) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $554.32 | $676 | 4.1× |
| Cisternography Positive Contrast Rs&I (70015) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Clavicle complete (73000) | $435.42 | $531 | 3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $4,799.46 | $5,853 | 35.7× |
| Continuing medical physics consltj pr wk (77336) | $527.26 | $643 | 3.1× |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$3,685.90–$3,763.80 | $4,495–$4,590 | varies |
| Contrast X-Ray Bladder (74430) | $1,049.60 | $1,280 | 2.3× |
| Contrast X-Ray Of Elbow (73085) | $924.14 | $1,127 | 2.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Corpora cavernosography (74445) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $12,765.76 | $15,568 | 28.4× |
| CT abdomen and pelvis without contrast (74176) range across 10 matching MRF lines |
$9,532.50–$9,533.32 | $11,625–$11,626 | varies |
| CT abdomen w contrast (74160) | $5,708.84 | $6,962 | 25.3× |
| CT abdomen w wo contrast (74170) range across 9 matching MRF lines |
$6,366.48–$6,367.30 | $7,764–$7,765 | varies |
| CT abdomen w/o contrast (74150) | $4,734.68 | $5,774 | 35.2× |
| CT Angio Abdomen and Pelvis (74174) | $14,491.04 | $17,672 | 32.3× |
| CT Angio Chest (71275) | $5,120.08 | $6,244 | 22.7× |
| CT Angio Head (70496) | $6,133.60 | $7,480 | 27.2× |
| CT angio hrt w/3d image (75574) | $1,961.44 | $2,392 | 4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,088.52 | $4,986 | 18.1× |
| CT Angio Neck (70498) | $4,088.52 | $4,986 | 18.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,622.74 | $6,857 | 24.9× |
| CT bone density (77078) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT cervical spine w/ contrast (72126) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT cervical spine w/o contrast (72125) | $6,540.32 | $7,976 | 48.6× |
| CT cervical spine w/wo cont (72127) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT chest w contrast (71260) | $5,598.14 | $6,827 | 24.8× |
| CT chest w/wo contrast (71270) | $6,571.48 | $8,014 | 29.1× |
| CT colonography screening (74263) | $2,170.54 | $2,647 | 7.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,170.54 | $2,647 | 16.1× |
| CT head/brain with contrast (70460) | $4,336.16 | $5,288 | 19.2× |
| CT head/brain without and with contrast (70470) | $5,425.12 | $6,616 | 24.0× |
| CT heart contrast eval cardiac structure&morph (75572) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $1,058.62 | $1,291 | 9.5× |
| CT hrt w/3d image congen (75573) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT iac w contrast (70481) | $5,389.04 | $6,572 | 23.9× |
| CT l-spine w&w/o contrast (72133) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT lower ext w/o (73700) | $4,799.46 | $5,853 | 35.7× |
| CT lower extremity w/contrast material (73701) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT lumbar spine w contrast (72132) | $7,325.06 | $8,933 | 16.3× |
| CT lumbar spine w/o contrast (72131) | $6,540.32 | $7,976 | 48.6× |
| CT maxillofacial w contrast (70487) | $5,634.22 | $6,871 | 25.0× |
| CT maxillofacial wo contrast (70486) range across 10 matching MRF lines |
$1,985.22–$5,270.96 | $2,421–$6,428 | varies |
| CT neck tissue combo (70492) | $5,723.60 | $6,980 | 25.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,723.60 | $6,980 | 25.4× |
| CT orbits w/o contrast (70480) | $4,834.72 | $5,896 | 36.0× |
| CT pelvis w&w/o contrast (72194) | $6,399.28 | $7,804 | 28.4× |
| CT pelvis w/o contrast (72192) | $4,799.46 | $5,853 | 35.7× |
| CT scan of leg combo (73702) | $6,398.46 | $7,803 | 28.4× |
| CT scans face/jaw combo (70488) | $6,242.66 | $7,613 | 27.7× |
| CT soft tissue neck w contrast (70491) | $5,270.96 | $6,428 | 23.4× |
| CT soft tissue neck w/o contrast (70490) | $4,799.46 | $5,853 | 35.7× |
| CT thoracic spine w contrast (72129) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT thoracic spine w/o contrast (72128) | $6,540.32 | $7,976 | 48.6× |
| CT thoracic spine w/wo cont (72130) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| CT thorax w/o contrast (71250) range across 12 matching MRF lines |
$1,011.06–$4,799.46 | $1,233–$5,853 | varies |
| CT unlisted procedure (76497) | $484.62 | $591 | 4.3× |
| CT upper ext wo (73200) | $4,799.46 | $5,853 | 35.7× |
| CT upper extremity w/o & w/contrast material (73202) | $6,398.46 | $7,803 | 28.4× |
| CT upper extremity with contrast (73201) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,088.52 | $4,986 | 18.1× |
| Cta Abdomen (74175) range across 7 matching MRF lines |
$4,088.52–$7,247.16 | $4,986–$8,838 | varies |
| CTA pelvis (72191) | $7,247.16 | $8,838 | 32.1× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $761.78 | $929 | 2.5× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Dilation ureters/urethra rs&i (74485) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Discography Cerv/Thor Spine (72285) | $2,564.14 | $3,127 | 1.0× |
| Diskography lumbar (72295) | $13,476.70 | $16,435 | 5.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Dxa Bone Density Axial (77080) | $322.26 | $393 | 2.4× |
| Dxa bone density study (77085) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $236.98 | $289 | 2.1× |
| Echo exam of fetal heart (76825) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Echo exam uterus (76831) | $2,176.28 | $2,654 | 7.1× |
| Echo Guide For Artery Repair (76936) | $1,413.68 | $1,724 | 5.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Echograp Trans R Pros Study (76873) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Esophageal Motility Study (78258) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Esophagram (74220) | $1,116.02 | $1,361 | 4.9× |
| Fetal Biophys Profile W/Nst (76818) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,791.70 | $2,185 | 13.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Fluoroscopy up to 1 hr (76000) | $1,111.10 | $1,355 | 3.6× |
| Follow-Up Angiography (75898) | $1,587.52 | $1,936 | 0.4× |
| Foot 2 views (73620) | $420.66 | $513 | 3.8× |
| Forearm 2 views (73090) | $487.08 | $594 | 4.4× |
| Gastric emptying imaging study (78264) | $2,981.52 | $3,636 | 5.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Gastric Mucosa Imaging (78261) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Gastroesophageal Reflux Exam (78262) | $2,953.64 | $3,602 | 5.7× |
| Gastrointestinal Protein Loss (78282) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Gated Heart Planar Single (78472) | $2,619.90 | $3,195 | 5.1× |
| Gated Heart, Multiple (78473) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| GI Endoscopic US S&I (76975) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hand 2 views (73120) | $420.66 | $513 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $8,939.23 | $10,901.50 | 10.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 6 matching MRF lines |
$8,939.23–$9,309.46 | $10,901.50–$11,353 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 6 matching MRF lines |
$8,939.23–$9,309.46 | $10,901.50–$11,353 | varies |
| Heart first pass single,planar (78481) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Heart Image (Pet) Multiple (78492) | $14,663.24 | $17,882 | 8.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,576.84 | $4,362 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,859.34 | $3,487 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,802.76 | $3,418 | 5.5× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ht Musc Image Planar Mult (78454) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Ht Muscle Image Spect Sing (78451) | $4,506.72 | $5,496 | 2.7× |
| Hyperthermia external generated superficial (77600) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Hysterosalpingogram (74740) | $1,227.54 | $1,497 | 4.0× |
| Image fusion (77399) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,692.48 | $2,064 | 15.1× |
| Infusion Ivp (74410) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Interstitial radiation source applic complex (77778) | $20,438.50 | $24,925 | 22.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,550.60 | $4,330 | 4.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,550.60 | $4,330 | 5.0× |
| Intracavitary radiation source applic simple (77761) | $3,550.60 | $4,330 | 5.0× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) range across 17 matching MRF lines |
$366.54–$7,209.44 | $447–$8,792 | varies |
| Intraop radiaj tx deliver xray single tx session (77424) range across 17 matching MRF lines |
$366.54–$7,209.44 | $447–$8,792 | varies |
| Joint Survey Single View (77077) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| K Flow/Funct Image Multiple (78709) | $4,233.66 | $5,163 | 6.1× |
| K Flow/Funct Image W/Drug (78708) | $3,871.22 | $4,721 | 5.5× |
| K Flow/Funct Image W/O Drug (78707) | $3,477.62 | $4,241 | 5.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Kidney Imaging Morphol (78700) | $2,066.40 | $2,520 | 4.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Knee 3 Views (73562) | $848.70 | $1,035 | 7.6× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Leveen/Shunt Patency Exam (78291) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,465.74 | $3,007 | 4.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Liver imaging static only (78201) | $2,636.30 | $3,215 | 3.8× |
| Liver imaging w/vascular flow (78202) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Lung perfusion differential (78597) | $3,377.58 | $4,119 | 6.6× |
| Lung Ventilat&Perfus Imaging (78582) | $3,685.08 | $4,494 | 5.3× |
| Lung Ventilation Imaging (78579) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Lymph System Imaging (78195) | $2,879.84 | $3,512 | 4.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Magnetic Image Jaw Joint (70336) | $8,083.56 | $9,858 | 26.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Magnetic Resonance Elastography (76391) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Mammary ductogram or galactogram single (77053) | $261.58 | $319 | 0.9× |
| Meckels Divert Exam (78290) | $2,619.90 | $3,195 | 5.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,664.60 | $2,030 | 3.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $127.92 | $156 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $10,352.50 | $12,625 | 23.1× |
| MRA head w/o contrast (70544) | $8,083.56 | $9,858 | 26.3× |
| MRA head with contrast (70545) | $8,866.66 | $10,813 | 19.8× |
| MRA neck w contrast (70548) | $5,912.20 | $7,210 | 13.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,901.94 | $8,417 | 15.4× |
| MRA neck w/o contrast (70547) | $5,388.22 | $6,571 | 17.6× |
| MRI abdomen w contrast (74182) | $8,866.66 | $10,813 | 19.8× |
| MRI abdomen w/o contrast (74181) | $8,083.56 | $9,858 | 26.3× |
| MRI any jt lower extrem w/contrast material (73722) | $8,866.66 | $10,813 | 8.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,352.50 | $12,625 | 23.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,915.86 | $10,873 | 8.8× |
| MRI bone marrow blood supply (77084) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| MRI brain functional w/physician admnistration (70555) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $8,083.56 | $9,858 | 26.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,388.22 | $6,571 | 17.6× |
| MRI cardiac w/o cont stress (75559) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| MRI cardiac w/o contrast (75557) | $7,755.56 | $9,458 | 25.3× |
| MRI cervical spine w contrast (72142) | $8,866.66 | $10,813 | 19.8× |
| MRI cervical spine w/o cont (72141) | $8,083.56 | $9,858 | 26.3× |
| MRI chest w/o contrast (71550) range across 7 matching MRF lines |
$8,083.56–$8,156.54 | $9,858–$9,947 | varies |
| MRI chest with contrast (71551) | $8,866.66 | $10,813 | 8.8× |
| MRI chest wo w contrast (71552) | $10,352.50 | $12,625 | 23.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,866.66 | $10,813 | 19.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,352.50 | $12,625 | 23.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,083.56 | $9,858 | 26.3× |
| MRI lumbar spine w contrast (72149) | $8,866.66 | $10,813 | 19.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,352.50 | $12,625 | 23.1× |
| MRI orbit face &/neck w/o contrast (70540) | $8,083.56 | $9,858 | 26.3× |
| MRI orbit face neck w contrast (70542) | $8,866.66 | $10,813 | 19.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,352.50 | $12,625 | 23.1× |
| MRI pelvis w contrast (72196) | $8,866.66 | $10,813 | 19.8× |
| MRI pelvis w/o & w contrast (72197) | $10,352.50 | $12,625 | 23.1× |
| MRI pelvis w/o contrast (72195) range across 13 matching MRF lines |
$4,043.42–$8,083.56 | $4,931–$9,858 | varies |
| MRI spectroscopy (76390) | $3,224.24 | $3,932 | 28.8× |
| MRI thoracic spine w/o contrast (72146) | $8,083.56 | $9,858 | 26.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,083.56 | $9,858 | 26.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,352.50 | $12,625 | 23.1× |
| MRI, abdomen, combo (74183) | $10,352.50 | $12,625 | 23.1× |
| MRI, dorsal spine combo (72157) | $9,548.08 | $11,644 | 21.3× |
| MRI, dorsal spine contrast (72147) | $8,836.32 | $10,776 | 19.7× |
| MRI, joint upper extrem (73221) | $8,083.56 | $9,858 | 26.3× |
| MRI, joint upper extrem combo (73223) | $10,352.50 | $12,625 | 23.1× |
| MRI, lumbar spine combo (72158) | $10,352.50 | $12,625 | 23.1× |
| Musculoskeletal Nuclear Exam (78399) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Myelogram cervical (72240) | $1,781.86 | $2,173 | 1.8× |
| Myelogram Lumbar (72265) | $1,781.86 | $2,173 | 1.8× |
| Myelography thoracic (72255) | $1,189 | $1,450 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $2,047.54 | $2,497 | 2.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocardial Spect Multiple Studies (78452) | $7,512.02 | $9,161 | 4.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| N-invas est c ffr sw aly CTA (75580) | $5,927.78 | $7,229 | 5.4× |
| Neck soft tissue (70360) | $401.80 | $490 | 3.6× |
| Nervous system nuclear exam (78699) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nm csf leak detection (78650) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Nm myocard infarct spect (78469) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nm red cell survival study (78130) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nm unlisted gi procedure (78299) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nm whole blood volume (78122) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nonvascular Shunt X-Ray (75809) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,658.32 | $17,876 | 8.2× |
| Nuclear medicine study of endocrine organs (78099) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,812.20 | $2,210 | 6.0× |
| Nuclear Rx Oral Admin (79005) | $3,019.24 | $3,682 | 10.1× |
| Ob us nuchal meas 1 gest (76813) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Optic foramina (70190) | $562.52 | $686 | 5.0× |
| Panoramic X-ray of jaws (70355) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Parathyroid Planar Imaging (78070) | $2,322.24 | $2,832 | 4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Pelvis 1 or 2 views (72170) | $426.40 | $520 | 3.2× |
| Perineogram (74775) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Peritoneogram Rs&I (74190) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Pet Image Skull-Thigh (78812) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Pet Image W/Ct Lmtd (78814) | $13,331.56 | $16,258 | 7.2× |
| PET image w/CT, full body (78816) | $15,806.32 | $19,276 | 8.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 13 matching MRF lines |
$14,189.28–$14,544.34 | $17,304–$17,737 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Pet Myocardial Sngl Study (78491) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| PET whole body (78813) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Platelet survival study Non-Facility (78191) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Proton trmt simple w/comp (77522) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Proton tx delivery complex (77525) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Proton tx delivery intermediate (77523) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Proton tx delivery simple w/o compensation (77520) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,832.68 | $4,674 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,831.88 | $2,234 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,383.34 | $1,687 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $645.34 | $787 | 5.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $405.08 | $494 | 3.6× |
| Radex elbow complete minimum 3 views (73080) | $633.86 | $773 | 5.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $988.10 | $1,205 | 7.3× |
| Radex fingr minimum 2 views (73140) | $405.08 | $494 | 3.6× |
| Radex foot complete minimum 3 views (73630) | $630.58 | $769 | 5.6× |
| Radex Hand Minimum 3 Views (73130) | $635.50 | $775 | 5.7× |
| Radex lower extremity infant minimum 2 views (73592) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $614.18 | $749 | 5.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $602.70 | $735 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) | $848.70 | $1,035 | 7.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $615.82 | $751 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex Spine 1 View Specify Level (72020) | $360.80 | $440 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) | $592.86 | $723 | 5.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $670.76 | $818 | 6.0× |
| Radex Toe Minimum 2 Views (73660) | $405.08 | $494 | 3.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $651.90 | $795 | 5.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $22,556.56 | $27,508 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $1,337.42 | $1,631 | 10.2× |
| Radiation treatment delivery level 2 (77407) | $1,640.41 | $2,000.50 | 3.3× |
| Radiation treatment delivery level 3 (77412) range across 8 matching MRF lines |
$1,858.12–$2,016.38 | $2,266–$2,459 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,002.86 | $1,223 | 7.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic exam colon double contrast study (74280) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic exam colon single contrast study (74270) | $1,507.16 | $1,838 | 6.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,116.02 | $1,361 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$896.26–$1,022.54 | $1,093–$1,247 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $810.98 | $989 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,002.86 | $1,223 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $1,116.02 | $1,361 | 4.9× |
| Radiologic exam teeth complete full mouth (70320) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,544.88 | $1,884 | 6.8× |
| Radiologic examination femur 1 view (73551) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic examination femur minimum 2 views (73552) | $602.70 | $735 | 5.4× |
| Radiologic examination knee 1/2 views (73560) | $602.70 | $735 | 5.4× |
| Radiologic Examination Osseous Survey Limited (77074) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $602.70 | $735 | 5.4× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiopharm Dacryocystography (78660) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,376.78 | $1,679 | 2.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,376.78 | $1,679 | 2.8× |
| Renal Cyst Study (74470) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ribs bilateral 3 views (71110) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,082.80 | $2,540 | 4.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,082.80 | $2,540 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 7 matching MRF lines |
$4,389.46–$4,534.19 | $5,353–$5,529.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,950.76 | $4,818 | 5.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,528.42 | $9,181 | 4.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 20 matching MRF lines |
$133.45–$7,209.44 | $162.74–$8,792 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Rp Therapy Intravenous Administration (79101) | $3,019.24 | $3,682 | 10.1× |
| Rp Therapy Unlisted Procedure (79999) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Salivary Gland Function Study (78232) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Salivary Gland Imaging (78230) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Scapula (73010) | $602.70 | $735 | 4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $414.10 | $505 | 17.7× |
| Sella turcica (70240) | $752.76 | $918 | 6.7× |
| Shoulder 1 view (73020) | $602.70 | $735 | 5.4× |
| Shoulder Arthrography (73040) | $1,005.32 | $1,226 | 2.2× |
| Sialogram (70390) | $746.20 | $910 | 2.4× |
| Skull less than 4 views (70250) | $614.18 | $749 | 4.6× |
| Special dosimetry (77331) | $637.96 | $778 | 3.7× |
| Special Physics Consult (77370) | $957.76 | $1,168 | 5.5× |
| Special teletherapy port plan (77321) | $3,111.90 | $3,795 | 6.5× |
| Special treatment procedure (77470) range across 6 matching MRF lines |
$4,205.37–$5,267.68 | $5,128.50–$6,424 | varies |
| Speech evaluation, complex (70371) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Spleen Imaging (78185) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Srs Multisource (77371) range across 17 matching MRF lines |
$366.54–$7,209.44 | $447–$8,792 | varies |
| Stereotactic Body Radiation Delivery (77373) | $12,067.12 | $14,716 | 5.2× |
| Sternoclavicular joints (71130) | $847.88 | $1,034 | 7.6× |
| Superior sagittal sinus venogram (75870) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,169.32 | $1,426 | 8.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,269.76 | $2,768 | 4.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,133.24 | $1,382 | 2.4× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Testicular Imaging W/Flow (78761) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,564.52 | $6,786 | 11.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,948.31 | $3,595.50 | 6.1× |
| Ther rad simulaj-aided field setting simple (77280) range across 6 matching MRF lines |
$2,829–$4,116.40 | $3,450–$5,020 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Thoracic spine 2 views (72070) | $1,049.60 | $1,280 | 7.8× |
| Thoracic spine 3 views (72072) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Thoracolumbar 2 views (72080) | $578.10 | $705 | 5.2× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $933.16 | $1,138 | 1.8× |
| Thyroid Met Imaging Body (78018) | $3,273.44 | $3,992 | 4.7× |
| Thyroid Uptake Measurement (78012) | $876.58 | $1,069 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,890.92 | $2,306 | 3.7× |
| Tx Devices Design & Construction Complex (77334) | $2,393.58 | $2,919 | 5.0× |
| Tx devices design & construction intermediate (77333) range across 6 matching MRF lines |
$1,835.57–$1,915.52 | $2,238.50–$2,336 | varies |
| Tx devices design & construction simple (77332) | $1,435 | $1,750 | 8.3× |
| Ultrasound Breast Limited (76642) | $902 | $1,100 | 8.1× |
| Ultrasound elastography first target lesion (76982) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ultrasound Exam Aaa Screen (76706) | $663.38 | $809 | 4.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ultrasound, abdomen limited (76705) | $1,538.32 | $1,876 | 11.4× |
| Umbilical-artery Doppler (OB) (76820) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlis px ther radiol clinical tx planning (77299) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $484.62 | $591 | 4.3× |
| Unlisted fluoroscopic procedure (76496) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted magnetic resonance procedure (76498) | $4,043.42 | $4,931 | 36.1× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $2,872.46 | $3,503 | 21.9× |
| Unlisted respiratory px dx nuclear medicine (78599) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Unlisted us procedure (76999) | $275.52 | $336 | 2.5× |
| Upper gi w/o kub (74240) | $1,544.88 | $1,884 | 6.8× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Ureteral Reflux Study (78740) | $2,063.12 | $2,516 | 4.0× |
| Urethrocystogram voiding (74455) | $1,684.28 | $2,054 | 5.5× |
| Urethrocystography retrograde (74450) | $1,049.60 | $1,280 | 3.4× |
| Us bone density measurement (76977) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Us breast unilateral complete (76641) | $902 | $1,100 | 6.7× |
| Us chest (76604) | $1,631.80 | $1,990 | 12.1× |
| Us complete joint (76881) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Us exam, pelvic, limited (76857) | $858.54 | $1,047 | 6.4× |
| Us head (76506) | $1,489.94 | $1,817 | 11.1× |
| Us kidney transplant (76776) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,249.68 | $1,524 | 9.3× |
| Us ob detailed single fetus (76811) | $1,835.98 | $2,239 | 6.0× |
| Us ob limited 1 or more fetuses (76815) | $1,034.84 | $1,262 | 7.7× |
| Us ob transvaginal (76817) | $1,709.70 | $2,085 | 12.7× |
| Us pelvic non ob complete (76856) | $1,721.18 | $2,099 | 12.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,361.20 | $1,660 | 10.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,180.80 | $1,440 | 8.8× |
| Us retroperitoneal complete (76770) | $1,729.38 | $2,109 | 12.9× |
| Us retroperitoneal limited (76775) | $1,538.32 | $1,876 | 11.4× |
| Us scrotum and contents (76870) | $1,631.80 | $1,990 | 12.1× |
| Us spinal canal and contents (76800) | $1,438.28 | $1,754 | 10.7× |
| Us thyroid (76536) | $1,049.60 | $1,280 | 7.8× |
| Us transrectal (76872) | $1,710.52 | $2,086 | 12.7× |
| Vascular Flow Imaging (78445) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Vasogram (74440) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Vein X-Ray Chest (75827) | $2,669.10 | $3,255 | 1.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Vein X-Ray Skull Epidural (75872) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Venogram Sinus/Jugular (75860) range across 20 matching MRF lines |
$215.66–$7,209.44 | $162.74–$8,792 | varies |
| Venography Adrenal Unilateral (75840) | $3,674.42 | $4,481 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $4,150.02 | $5,061 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $4,251.70 | $5,185 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $3,530.10 | $4,305 | 1.7× |
| Venography Orbital Rs&I (75880) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Venography Renal Bilateral (75833) | $3,926.16 | $4,788 | 1.0× |
| Venography Renal Unilateral (75831) | $3,674.42 | $4,481 | 0.9× |
| Venous sampling by catheter (75893) range across 18 matching MRF lines |
$366.54–$7,209.44 | $298–$8,792 | varies |
| Venous thrombosis imaging (78457) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Vertebral fracture assessment via dxa (77086) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Wrist 2 views (73100) | $281.26 | $343 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $731.44 | $892 | 6.5× |
| X-ray antegrade pyelogram tube (74425) | $726.52 | $886 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $7,631.74 | $9,307 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $332.10 | $405 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $602.70 | $735 | 5.4× |
| X-Ray Exam Breast Specimen (76098) range across 10 matching MRF lines |
$781.46–$783.10 | $953–$955 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $810.98 | $989 | 7.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $282.90 | $345 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $401.80 | $490 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $810.98 | $989 | 6.0× |
| X-Ray Exam L-S Spine Bending (72114) | $997.12 | $1,216 | 7.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $870.84 | $1,062 | 7.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,366.12 | $1,666 | 10.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-ray eye for foreign body (70030) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-ray head for orthodontia (70350) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-ray humerus (73060) | $602.70 | $735 | 5.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,459.60 | $1,780 | 6.5× |
| X-ray IV pyelogram+tomography (74415) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $824.10 | $1,005 | 7.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $810.98 | $989 | 6.0× |
| X-ray nose-rectum child f.b. (76010) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $602.70 | $735 | 4.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $401.80 | $490 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,016.80 | $1,240 | 9.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,039.76 | $1,268 | 7.7× |
| X-Ray Stress View (77071) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-ray thoracic spine 4 vw (72074) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Tmj Unilat (70328) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,049.60 | $1,280 | 2.3× |
| X-Rays Bone Length Studies (77073) | $919.22 | $1,121 | 6.8× |
| X-Rays Bone Survey Complete (77075) | $1,202.94 | $1,467 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $1,025.82 | $1,251 | 7.6× |
| Xr facial bones less than 3 views (70140) | $578.10 | $705 | 5.2× |
| XR Mastoids < 3 Views Bilateral (70120) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Xr myelogram posterior fossa (70010) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
| Xr orbits complete 4 views (70200) | $614.18 | $749 | 4.6× |
| Xr Tomogram Single Plane (76100) range across 22 matching MRF lines |
$43.46–$7,209.44 | $53–$8,792 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.