Imaging prices at Tri-city Medical Center
Oceanside, CA · every code in this section with a posted price and a Medicare benchmark.
284 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) | $258.34 | $430.56 | 2.3× |
| Abdomen 2 views (74019) | $322.30 | $537.17 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $826.55 | $1,377.59 | 1.6× |
| Angio pulmonary bilat (75743) | $3,154.68 | $5,257.80 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $4,345.14 | $7,241.90 | 1.1× |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$2,826.79–$4,735.75 | $4,711.32–$7,892.91 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,826.79 | $4,711.32 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$299.32–$598.64 | $498.87–$997.74 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,471.01 | $9,118.35 | 0.8× |
| Artery X-Rays Abdomen (75726) | $4,687.93 | $7,813.22 | 0.7× |
| Artery X-Rays Pelvis (75736) | $4,687.93 | $7,813.22 | 0.7× |
| Artery X-Rays Spine (75705) | $4,699.11 | $7,831.85 | 0.7× |
| Arthrogram ankle (73615) | $716.63 | $1,194.39 | 1.6× |
| Arthrogram hip (73525) | $765.70 | $1,276.16 | 1.7× |
| Bone age studies (77072) | $287.53 | $479.21 | 2.1× |
| Bone Imaging 3 Phase (78315) | $721.60 | $1,202.67 | 1.4× |
| Bone Imaging Limited Area (78300) | $807.30 | $1,345.50 | 1.6× |
| Bone Imaging Whole Body (78306) | $783.08 | $1,305.14 | 1.5× |
| Bone marrow imaging limited area (78102) | $743.96 | $1,239.93 | 1.4× |
| Bone survey infant (77076) | $482.52 | $804.20 | 3.6× |
| Brain imaging < 4 static views (78600) | $842.70 | $1,404.50 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $958.82 | $1,598.04 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $810.41 | $1,350.68 | 7.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $721.60 | $1,202.67 | 1.0× |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$633.60–$721.60 | $1,056–$1,202.67 | varies |
| Chest 1 view (71045) | $307.40 | $512.33 | 2.7× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$337.21–$387.50 | $562.01–$645.84 | varies |
| Chest 3 views (71047) | $503.01 | $838.35 | 4.5× |
| Chest 4 or more views (71048) | $586.85 | $978.08 | 4.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,584.66 | $9,307.76 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$518.54–$732.78 | $864.23–$1,221.30 | varies |
| Contrast X-Ray Of Elbow (73085) | $716.63 | $1,194.39 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $716.63 | $1,194.39 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,579.25 | $7,632.09 | 10.2× |
| CT abdomen and pelvis without contrast (74176) | $2,752.27 | $4,587.12 | 9.0× |
| CT abdomen w contrast (74160) | $2,137.48 | $3,562.47 | 9.5× |
| CT abdomen w wo contrast (74170) | $2,459.78 | $4,099.64 | 10.9× |
| CT abdomen w/o contrast (74150) | $1,065.02 | $1,775.03 | 7.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,532.87 | $5,888.12 | 7.9× |
| CT Angio Chest (71275) | $2,695.76 | $4,492.94 | 11.9× |
| CT Angio Head (70496) | $3,281.36 | $5,468.94 | 14.5× |
| CT angio hrt w/3d image (75574) | $832.14 | $1,386.90 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $355.84 | $593.06 | 1.6× |
| CT Angio Neck (70498) | $3,281.36 | $5,468.94 | 14.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,662.85 | $4,438.08 | 11.8× |
| CT cervical spine w/ contrast (72126) | $2,046.82 | $3,411.36 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,686.64 | $2,811.06 | 12.5× |
| CT chest w contrast (71260) | $2,046.82 | $3,411.36 | 9.1× |
| CT chest w/wo contrast (71270) | $2,459.78 | $4,099.64 | 10.9× |
| CT head/brain with contrast (70460) | $2,501.39 | $4,168.98 | 11.1× |
| CT head/brain without and with contrast (70470) | $3,007.51 | $5,012.51 | 13.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $832.14 | $1,386.90 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$204.31–$511.70 | $340.52–$852.84 | varies |
| CT hrt w/3d image congen (75573) | $832.14 | $1,386.90 | 1.9× |
| CT iac w contrast (70481) | $2,501.39 | $4,168.98 | 11.1× |
| CT l-spine w&w/o contrast (72133) | $712.29 | $1,187.15 | 3.2× |
| CT lower ext w/o (73700) | $1,368.68 | $2,281.14 | 10.2× |
| CT lower extremity w/contrast material (73701) | $1,491.64 | $2,486.07 | 6.6× |
| CT lumbar spine w contrast (72132) | $2,046.82 | $3,411.36 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,686.64 | $2,811.06 | 12.5× |
| CT maxillofacial w contrast (70487) | $2,501.39 | $4,168.98 | 11.1× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,828.85–$2,061.72 | $3,048.08–$3,436.20 | varies |
| CT neck tissue combo (70492) | $2,398.93 | $3,998.21 | 10.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,007.51 | $5,012.51 | 13.3× |
| CT orbits w/o contrast (70480) | $2,061.72 | $3,436.20 | 15.3× |
| CT pelvis w&w/o contrast (72194) | $2,459.78 | $4,099.64 | 10.9× |
| CT pelvis w/o contrast (72192) | $1,686.64 | $2,811.06 | 12.5× |
| CT scan of leg combo (73702) | $1,696.57 | $2,827.62 | 7.5× |
| CT scans face/jaw combo (70488) | $3,007.51 | $5,012.51 | 13.3× |
| CT soft tissue neck w contrast (70491) | $2,170.40 | $3,617.33 | 9.6× |
| CT soft tissue neck w/o contrast (70490) | $2,112.64 | $3,521.07 | 15.7× |
| CT thoracic spine w contrast (72129) | $2,046.82 | $3,411.36 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $1,686.64 | $2,811.06 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $712.29 | $1,187.15 | 3.2× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,686.64–$1,860.52 | $2,811.06–$3,100.86 | varies |
| CT upper ext wo (73200) | $1,118.42 | $1,864.04 | 8.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,570.51 | $2,617.52 | 7.0× |
| CT upper extremity with contrast (73201) | $1,267.46 | $2,112.44 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,695.76 | $4,492.94 | 11.9× |
| Cta Abdomen (74175) | $1,840.03 | $3,066.71 | 8.2× |
| CTA pelvis (72191) | $2,046.82 | $3,411.36 | 9.1× |
| Dilation ureters/urethra rs&i (74485) | $1,964.84 | $3,274.74 | 0.7× |
| Diskography lumbar (72295) | $1,886.60 | $3,144.33 | 0.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $287.53 | $479.21 | 2.1× |
| Dxa Bone Density Axial (77080) | $530.96 | $884.93 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $281.93 | $469.89 | 2.5× |
| Echo exam uterus (76831) | $730.92 | $1,218.20 | 2.4× |
| Esophagram (74220) | $416.69 | $694.49 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $319.19 | $531.99 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $568.22 | $947.03 | 1.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$287.53–$575.05 | $479.21–$958.41 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Gastric emptying imaging study (78264) | $721.60 | $1,202.67 | 1.4× |
| Gated Heart Planar Single (78472) | $892.38 | $1,487.30 | 1.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$287.53–$575.05 | $479.21–$958.41 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,345.14 | $7,241.90 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $892.38 | $1,487.30 | 1.3× |
| Hepatobiliary System Imaging (78226) | $892.38 | $1,487.30 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $1,980.37 | $3,300.62 | 1.2× |
| Hysterosalpingogram (74740) | $670.68 | $1,117.80 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $366.39 | $610.65 | 3.3× |
| Intraop radiaj tx deliver xray single tx session (77424) | $9,875.14 | $16,458.57 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $893.62 | $1,489.37 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $719.12 | $1,198.53 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$398.68–$797.99 | $664.47–$1,329.98 | varies |
| Liver & Spleen Imaging Static Only (78215) | $721.60 | $1,202.67 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $721.60 | $1,202.67 | 1.0× |
| Lymph System Imaging (78195) | $743.96 | $1,239.93 | 1.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,826.79 | $4,711.32 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $1,155.06 | $1,925.10 | 3.8× |
| Mammary ductogram or galactogram single (77053) | $466.37 | $777.29 | 1.5× |
| Meckels Divert Exam (78290) | $714.77 | $1,191.29 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $953.24 | $1,588.73 | 2.1× |
| MRA head w/o contrast (70544) | $895.48 | $1,492.47 | 2.9× |
| MRA head with contrast (70545) | $953.24 | $1,588.73 | 2.1× |
| MRA neck w contrast (70548) | $953.24 | $1,588.73 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,408.86 | $4,014.77 | 5.4× |
| MRA neck w/o contrast (70547) | $895.48 | $1,492.47 | 2.9× |
| MRI abdomen w contrast (74182) | $2,408.86 | $4,014.77 | 5.4× |
| MRI abdomen w/o contrast (74181) | $2,169.16 | $3,615.26 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,329.37 | $3,882.29 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,408.86 | $4,014.77 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,561.19 | $2,601.99 | 1.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,643.17 | $2,738.61 | 5.4× |
| MRI cervical spine w contrast (72142) | $2,408.86 | $4,014.77 | 5.4× |
| MRI cervical spine w/o cont (72141) | $2,169.16 | $3,615.26 | 7.1× |
| MRI chest w/o contrast (71550) | $1,804.63 | $3,007.71 | 5.9× |
| MRI chest with contrast (71551) | $2,046.82 | $3,411.36 | 2.0× |
| MRI chest wo w contrast (71552) | $2,408.86 | $4,014.77 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,408.86 | $4,014.77 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,804.63 | $3,007.71 | 5.9× |
| MRI lumbar spine w contrast (72149) | $2,329.37 | $3,882.29 | 5.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,408.86 | $4,014.77 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,169.16 | $3,615.26 | 7.1× |
| MRI orbit face neck w contrast (70542) | $2,329.37 | $3,882.29 | 5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,703.83 | $4,506.39 | 6.0× |
| MRI pelvis w contrast (72196) | $2,300.81 | $3,834.68 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,408.86 | $4,014.77 | 5.4× |
| MRI pelvis w/o contrast (72195) | $2,169.16 | $3,615.26 | 7.1× |
| MRI spectroscopy (76390) | $930.26 | $1,550.43 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $2,169.16 | $3,615.26 | 7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,153.82–$2,169.16 | $1,923.03–$3,615.26 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$1,822.01–$2,408.86 | $3,036.69–$4,014.77 | varies |
| MRI, abdomen, combo (74183) | $2,408.86 | $4,014.77 | 5.4× |
| MRI, dorsal spine combo (72157) | $2,408.86 | $4,014.77 | 5.4× |
| MRI, dorsal spine contrast (72147) | $2,408.86 | $4,014.77 | 5.4× |
| MRI, joint upper extrem (73221) | $1,153.82 | $1,923.03 | 3.8× |
| MRI, joint upper extrem combo (73223) | $1,822.01 | $3,036.69 | 4.1× |
| MRI, lumbar spine combo (72158) | $2,408.86 | $4,014.77 | 5.4× |
| Myelogram Lumbar (72265) | $1,196.05 | $1,993.41 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,658.07 | $2,763.45 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $1,980.37 | $3,300.62 | 1.2× |
| Neck soft tissue (70360) | $345.90 | $576.50 | 3.1× |
| Nm csf leak detection (78650) | $1,814.56 | $3,024.27 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,834.43 | $3,057.39 | 1.0× |
| Nuclear Rx Intra-Arterial (79445) | $656.40 | $1,094 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $1,236.41 | $2,060.69 | 4.1× |
| Ob us nuchal meas 1 gest (76813) | $287.53 | $479.21 | 2.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $345.28 | $575.46 | 2.6× |
| Parathyroid Planar Imaging (78070) | $721.60 | $1,202.67 | 1.4× |
| Pelvis 1 or 2 views (72170) | $337.21 | $562.01 | 2.5× |
| Peritoneogram Rs&I (74190) | $717.88 | $1,196.46 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $696.14 | $1,160.24 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $574.43 | $957.38 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $958.21 | $1,597.01 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$353.97–$707.94 | $589.95–$1,179.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$398.68–$797.99 | $664.47–$1,329.98 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $511.09 | $851.81 | 3.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$339.07–$677.51 | $565.11–$1,129.19 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$339.07–$677.51 | $565.11–$1,129.19 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $457.06 | $761.76 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $553.93 | $923.22 | 4.9× |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$398.68–$797.99 | $664.47–$1,329.98 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $337.21 | $562.01 | 3.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $596.78 | $994.64 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $299.32 | $498.87 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $353.97 | $589.95 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $462.02 | $770.04 | 4.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$299.32–$598.64 | $498.87–$997.74 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $337.21 | $562.01 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$398.68–$797.99 | $664.47–$1,329.98 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $503.01 | $838.35 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $919.70 | $1,532.84 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $796.75 | $1,327.91 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $357.70 | $596.16 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$457.06–$914.11 | $761.76–$1,523.52 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $490.59 | $817.65 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $596.78 | $994.64 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $416.69 | $694.49 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $725.95 | $1,209.92 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$427.25–$853.88 | $712.08–$1,423.13 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$337.21–$675.03 | $562.01–$1,125.05 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$299.32–$598.64 | $498.87–$997.74 | varies |
| Ribs bilateral 3 views (71110) | $568.84 | $948.06 | 4.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $908.53 | $1,514.21 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,814.56 | $3,024.27 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$692.42–$908.53 | $1,154.03–$1,514.21 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,015.15 | $3,358.58 | 1.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,713.96 | $2,856.60 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,015.15 | $3,358.58 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $819.72 | $1,366.20 | 2.7× |
| Scapula (73010) | $337.21 | $562.01 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$76.39–$83.21 | $127.31–$138.69 | varies |
| Shoulder Arthrography (73040) | $663.23 | $1,105.38 | 1.5× |
| Skull less than 4 views (70250) | $511.09 | $851.81 | 3.8× |
| Sternoclavicular joints (71130) | $398.68 | $664.47 | 3.6× |
| Thoracic spine 2 views (72070) | $462.02 | $770.04 | 3.4× |
| Thoracic spine 3 views (72072) | $473.20 | $788.67 | 3.5× |
| Thoracolumbar 2 views (72080) | $520.40 | $867.33 | 4.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,236.41 | $2,060.69 | 2.4× |
| Thyroid Met Imaging Body (78018) | $721.60 | $1,202.67 | 1.0× |
| Thyroid Uptake Measurement (78012) | $695.52 | $1,159.20 | 1.4× |
| Ultrasound Breast Limited (76642) | $287.53 | $479.21 | 2.6× |
| Ultrasound, abdomen limited (76705) | $417.94 | $696.56 | 3.1× |
| Unlisted fluoroscopic procedure (76496) | $652.67 | $1,087.79 | 5.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $663.23 | $1,105.38 | 1.3× |
| Unlisted us procedure (76999) | $147.18 | $245.30 | 1.3× |
| Upper gi w/o kub (74240) | $558.90 | $931.50 | 2.5× |
| Urethrocystogram voiding (74455) | $588.09 | $980.15 | 1.9× |
| Urethrocystography retrograde (74450) | $450.23 | $750.38 | 1.5× |
| Us breast unilateral complete (76641) | $287.53 | $479.21 | 2.1× |
| Us chest (76604) | $493.07 | $821.79 | 3.7× |
| Us complete joint (76881) | $332.24 | $553.73 | 2.5× |
| Us exam, pelvic, limited (76857) | $175.12 | $291.87 | 1.3× |
| Us head (76506) | $400.55 | $667.58 | 3.0× |
| Us kidney transplant (76776) | $401.17 | $668.61 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$162–$167.67 | $270–$279.45 | varies |
| Us ob limited 1 or more fetuses (76815) | $287.53 | $479.21 | 2.1× |
| Us ob transvaginal (76817) | $568.84 | $948.06 | 4.2× |
| Us pelvic non ob complete (76856) | $486.86 | $811.44 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $517.91 | $863.19 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $479.41 | $799.02 | 3.6× |
| Us retroperitoneal complete (76770) | $401.17 | $668.61 | 3.0× |
| Us retroperitoneal limited (76775) | $451.47 | $752.45 | 3.4× |
| Us scrotum and contents (76870) | $360.80 | $601.34 | 2.7× |
| Us spinal canal and contents (76800) | $357.70 | $596.16 | 2.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$224.80–$360.80 | $374.67–$601.34 | varies |
| Us transrectal (76872) | $333.48 | $555.80 | 2.5× |
| Vascular Flow Imaging (78445) | $721.60 | $1,202.67 | 1.4× |
| Vein X-Ray Chest (75827) | $1,536.35 | $2,560.59 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,826.79 | $4,711.32 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,820.58 | $4,700.97 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $2,377.19 | $3,961.98 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,536.35 | $2,560.59 | 0.8× |
| Venography Renal Bilateral (75833) | $2,826.79 | $4,711.32 | 0.7× |
| Venography Renal Unilateral (75831) | $2,826.79 | $4,711.32 | 0.7× |
| Venous sampling by catheter (75893) | $4,637.63 | $7,729.38 | 0.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$299.32–$598.64 | $498.87–$997.74 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $398.68 | $664.47 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $1,441.34 | $2,402.24 | 3.2× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,694.14–$5,377.24 | $7,823.57–$8,962.07 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $337.21 | $562.01 | 3.0× |
| X-Ray Exam Breast Specimen (76098) | $772.52 | $1,287.54 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $803.57 | $1,339.29 | 6.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $337.21 | $562.01 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $418.55 | $697.59 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $669.44 | $1,115.73 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $669.44 | $1,115.73 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $687.45 | $1,145.75 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $418.55 | $697.59 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $687.45 | $1,145.75 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $568.84 | $948.06 | 4.2× |
| X-ray eye for foreign body (70030) | $457.06 | $761.76 | 4.1× |
| X-ray humerus (73060) | $337.21 | $562.01 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $342.79 | $571.32 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $398.68 | $664.47 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $441.53 | $735.89 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $264.55 | $440.91 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $584.98 | $974.97 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $427.25 | $712.08 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $427.25 | $712.08 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $457.06 | $761.76 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $687.45 | $1,145.75 | 5.1× |
| X-ray thoracic spine 4 vw (72074) | $498.67 | $831.11 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $935.85 | $1,559.75 | 2.1× |
| X-Rays Bone Length Studies (77073) | $378.19 | $630.32 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $815.38 | $1,358.96 | 6.1× |
| Xr c-spine 4 or 5 views (72050) | $518.54 | $864.23 | 3.9× |
| Xr facial bones less than 3 views (70140) | $372.60 | $621 | 3.3× |
| Xr orbits complete 4 views (70200) | $557.66 | $929.43 | 4.1× |
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.