Imaging prices at TriState Health
Clarkston, WA · every code in this section with a posted price and a Medicare benchmark.
249 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) range across 2 matching MRF lines |
$19.80–$309.01 | $20–$312.13 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$28.71–$335.61 | $29–$339 | varies |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$61.38–$1,319.67 | $62–$1,333 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$55.44–$231.66 | $56–$234 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$20.79–$245.76 | $21–$248.24 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$95.04–$506.88 | $96–$512 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19.80–$311.85 | $20–$315 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$23.76–$335.61 | $24–$339 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$45.54–$346.39 | $46–$349.89 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$33.66–$353.43 | $34–$357 | varies |
| Cholecystography Oral Contrast (74290) | $31.68 | $32 | 0.2× |
| Cisternography Positive Contrast Rs&I (70015) range across 3 matching MRF lines |
$116.82–$511.83 | $118–$517 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$108.90–$1,262.25 | $110–$1,275 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$34.65–$1,146.72 | $35–$1,158.30 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$55.44–$339.57 | $56–$343 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$60.39–$1,319.67 | $61–$1,333 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$214.83–$2,974.95 | $217–$3,005 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$187.11–$2,193.84 | $189–$2,216 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$136.62–$1,576.95 | $138–$1,592.88 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$149.49–$1,795.86 | $151–$1,814 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$126.72–$992.99 | $128–$1,003.02 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$234.63–$2,973.96 | $237–$3,004 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$195.03–$1,949.31 | $197–$1,969 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$187.11–$1,949.31 | $189–$1,969 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$252.45–$1,045.53 | $255–$1,056.09 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$201.96–$1,432.48 | $204–$1,446.95 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$187.11–$1,949.31 | $189–$1,969 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$174.24–$1,891.46 | $176–$1,910.57 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$27.72–$483.12 | $28–$488 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$130.68–$1,348.28 | $132–$1,361.90 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$114.84–$1,263.24 | $116–$1,276 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$123.75–$1,728.54 | $125–$1,746 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$133.65–$1,714.68 | $135–$1,732 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$133.65–$1,862.44 | $135–$1,881.25 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$234.63–$831.60 | $237–$840 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$120.78–$1,348.28 | $122–$1,361.90 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$136.62–$1,651.53 | $138–$1,668.21 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$62.37–$297.22 | $63–$300.22 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$147.51–$1,348.28 | $149–$1,361.90 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$123.75–$1,858.18 | $125–$1,876.95 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$106.92–$1,263.24 | $108–$1,276 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$123.75–$1,449.40 | $125–$1,464.04 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$130.68–$1,348.28 | $132–$1,361.90 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$106.92–$1,263.24 | $108–$1,276 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$120.78–$1,348.28 | $122–$1,361.90 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$91.08–$1,180.08 | $92–$1,192 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$140.58–$1,891.46 | $142–$1,910.57 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$155.43–$1,517.95 | $157–$1,533.28 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$136.62–$992.99 | $138–$1,003.02 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$130.68–$1,412.05 | $132–$1,426.31 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$116.82–$1,080.38 | $118–$1,091.29 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$117.81–$1,767.72 | $119–$1,785.58 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$135.63–$1,319.67 | $137–$1,333 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$148.50–$1,714.68 | $150–$1,732 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$136.62–$992.99 | $138–$1,003.02 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$130.68–$1,348.28 | $132–$1,361.90 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$106.92–$1,175.13 | $108–$1,187 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$123.75–$1,858.18 | $125–$1,876.95 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$108.90–$1,263.24 | $110–$1,276 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$106.92–$1,175.13 | $108–$1,187 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$118.80–$1,644.39 | $120–$1,661 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$123.75–$1,466.92 | $125–$1,481.74 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$254.43–$1,667.64 | $257–$1,684.48 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$194.04–$1,532.76 | $196–$1,548.24 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$281.16–$2,923.47 | $284–$2,953 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$193.05–$1,333.53 | $195–$1,347 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$50.49–$384.12 | $51–$388 | varies |
| Discography Cerv/Thor Spine (72285) range across 4 matching MRF lines |
$118.80–$1,418.67 | $120–$1,433 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$1,418.67–$2,077.49 | $1,433–$2,098.47 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$21.78–$538.56 | $22–$544 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$205.92–$710.92 | $208–$718.10 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$176.22–$548.73 | $178–$554.27 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$104.94–$481.14 | $106–$486 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$77.22–$490.05 | $78–$495 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$18.81–$759.48 | $19–$767.15 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$16.83–$264.19 | $17–$266.86 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$41.58–$1,414.32 | $42–$1,428.61 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$20.79–$335.61 | $21–$339 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$122.76–$1,249.38 | $124–$1,262 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$157.41–$1,797.63 | $159–$1,815.79 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$193.05–$2,796.76 | $195–$2,825.01 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$128.70–$2,102.51 | $130–$2,123.75 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$116.82–$2,001.78 | $118–$2,022 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$128.70–$1,979.01 | $130–$1,999 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$193.05–$2,796.76 | $195–$2,825.01 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$116.82–$2,151.91 | $118–$2,173.65 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$168.30–$2,125.53 | $170–$2,147 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$155.43–$2,260.20 | $157–$2,283.03 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$174.24–$2,276.36 | $176–$2,299.35 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$230.67–$2,796.76 | $233–$2,825.01 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$174.24–$2,447.08 | $176–$2,471.80 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$174.24–$2,284.95 | $176–$2,308.03 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$158.40–$2,458.17 | $160–$2,483 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$155.43–$1,932.45 | $157–$1,951.97 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$168.30–$2,125.53 | $170–$2,147 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$242.55–$2,601.64 | $245–$2,627.92 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$158.40–$2,125.53 | $160–$2,147 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$230.67–$2,796.76 | $233–$2,825.01 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$143.55–$2,458.17 | $145–$2,483 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$191.07–$2,276.36 | $193–$2,299.35 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$244.53–$3,557.07 | $247–$3,593 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$130.68–$2,130.60 | $132–$2,152.12 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$157.41–$2,125.53 | $159–$2,147 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$228.69–$3,042.88 | $231–$3,073.62 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$169.29–$2,274.32 | $171–$2,297.29 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$242.55–$3,557.07 | $245–$3,593 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$156.42–$2,458.17 | $158–$2,483 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$136.62–$1,852.29 | $138–$1,871 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$158.40–$2,458.17 | $160–$2,483 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$158.40–$2,125.53 | $160–$2,147 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$143.55–$2,101.77 | $145–$2,123 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$230.67–$2,796.76 | $233–$2,825.01 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$242.55–$3,557.07 | $245–$3,593 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$245.52–$3,271.08 | $248–$3,304.12 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$173.25–$2,444.89 | $175–$2,469.59 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$145.53–$2,458.17 | $147–$2,483 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$230.67–$2,796.76 | $233–$2,825.01 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$245.52–$3,557.07 | $248–$3,593 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$89.10–$977.13 | $90–$987 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$81.18–$977.13 | $82–$987 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$208.89–$2,070.09 | $211–$2,091 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$129.69–$1,455.30 | $131–$1,470 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$18.81–$245.76 | $19–$248.24 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$170.28–$247.50 | $172–$250 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$21.78–$249.48 | $22–$252 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$19.80–$264.19 | $20–$266.86 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$34.65–$353.43 | $35–$357 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$51.48–$362.34 | $52–$366 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$19.80–$287.45 | $20–$290.35 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$17.82–$264.19 | $18–$266.86 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$19.80–$308.91 | $20–$312.03 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$28.71–$406.53 | $29–$410.64 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$14.85–$308.82 | $15–$311.94 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$18.81–$335.61 | $19–$339 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$18.81–$335.61 | $19–$339 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$17.82–$245.76 | $18–$248.24 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $33.66 | $34 | 0.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$24.75–$264.19 | $25–$266.86 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$20.79–$335.61 | $21–$339 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$18.81–$245.76 | $19–$248.24 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$67.32–$3,097.71 | $68–$3,129 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$16.83–$229.68 | $17–$232 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$21.78–$264.19 | $22–$266.86 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$27.72–$229.68 | $28–$232 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$14.85–$264.19 | $15–$266.86 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$17.82–$229.68 | $18–$232 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$19.80–$309.01 | $20–$312.13 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $128.70 | $130 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$27.72–$406.53 | $28–$410.64 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$34.65–$378.17 | $35–$381.99 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$97.02–$801.68 | $98–$809.78 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$74.25–$688.94 | $75–$695.90 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$198.99–$620.93 | $201–$627.20 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$25.74–$474.46 | $26–$479.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$23.76–$264.19 | $24–$266.86 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$51.48–$469.16 | $52–$473.90 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$57.42–$469.16 | $58–$473.90 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$75.24–$688.94 | $76–$695.90 | varies |
| Radiologic examination femur 1 view (73551) | $15.84 | $16 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$17.82–$286.96 | $18–$289.86 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$19.80–$287.45 | $20–$290.35 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$49.50–$498.96 | $50–$504 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$29.70–$378.17 | $30–$381.99 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$19.80–$245.76 | $20–$248.24 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$51.48–$94.05 | $52–$95 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$19.80–$219.78 | $20–$222 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$16.83–$344.52 | $17–$348 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$59.40–$1,319.67 | $60–$1,333 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$27.72–$245.76 | $28–$248.24 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$24.75–$245.76 | $25–$248.24 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$24.75–$229.68 | $25–$232 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$23.76–$516.78 | $24–$522 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$25.74–$264.19 | $26–$266.86 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$73.26–$445.50 | $74–$450 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$183.15–$502.33 | $185–$507.40 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$53.46–$294.87 | $54–$297.85 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$63.36–$762.30 | $64–$770 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$75.24–$688.94 | $76–$695.90 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$35.64–$1,066.72 | $36–$1,077.49 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$35.64–$1,071.70 | $36–$1,082.53 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$79.20–$479.76 | $80–$484.61 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$58.41–$598.98 | $59–$605.03 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$68.31–$702.20 | $69–$709.29 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$52.47–$401.98 | $53–$406.04 | varies |
| Us head (76506) range across 2 matching MRF lines |
$62.37–$490.05 | $63–$495 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$81.18–$598.98 | $82–$605.03 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$51.48–$336.30 | $52–$339.70 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$189.09–$971.19 | $191–$981 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$71.28–$598.98 | $72–$605.03 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$82.17–$598.98 | $83–$605.03 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$73.26–$762.30 | $74–$770 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$108.90–$598.98 | $110–$605.03 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$93.06–$401.98 | $94–$406.04 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$74.25–$751.41 | $75–$759 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$61.38–$557.19 | $62–$562.82 | varies |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$67.32–$762.30 | $68–$770 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$116.82–$332.64 | $118–$336 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$60.39–$762.30 | $61–$770 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$65.34–$570.24 | $66–$576 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$100.98–$1,098.90 | $102–$1,110 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$67.32–$739.53 | $68–$747 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$23.76–$245.76 | $24–$248.24 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$34.65–$279.18 | $35–$282 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$25.74–$406.53 | $26–$410.64 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$17.82–$264.19 | $18–$266.86 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,746.84 | $1,764.48 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $113.85 | $115 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$29.70–$673 | $30–$679.80 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$123.75–$653.40 | $125–$660 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$17.82–$187.89 | $18–$189.79 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$22.77–$316.99 | $23–$320.19 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 6 matching MRF lines |
$112.91–$369.27 | $114.05–$373 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$23.76–$255.42 | $24–$258 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$94.05–$594.99 | $95–$601 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$117.81–$574.20 | $119–$580 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$35.64–$406.53 | $36–$410.64 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$22.77–$309.01 | $23–$312.13 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$39.60–$406.53 | $40–$410.64 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$28.71–$475.51 | $29–$480.31 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$18.81–$245.76 | $19–$248.24 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$19.80–$264.19 | $20–$266.86 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$36.63–$996.93 | $37–$1,007 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$47.52–$669.24 | $48–$676 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$19.80–$245.76 | $20–$248.24 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$18.81–$396.29 | $19–$400.29 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$24.75–$314.82 | $25–$318 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$76.23–$246.91 | $77–$249.40 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$34.65–$406.53 | $35–$410.64 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$20.79–$264.19 | $21–$266.86 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$18.81–$287.45 | $19–$290.35 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$18.81–$264.19 | $19–$266.86 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$27.72–$378.17 | $28–$381.99 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$37.62–$378.17 | $38–$381.99 | varies |
| X-ray thoracic spine 4 vw (72074) | $21.78 | $22 | 0.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$38.61–$1,340.46 | $39–$1,354 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$31.68–$379.17 | $32–$383 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$58.41–$353.43 | $59–$357 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$33.66–$437.04 | $34–$441.45 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$22.77–$245.76 | $23–$248.24 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$17.82–$330.66 | $18–$334 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$30.69–$353.43 | $31–$357 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$61.38–$529.65 | $62–$535 | 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.