Imaging prices at Tucson Medical Center

Tucson, AZ · every code in this section with a posted price and a Medicare benchmark.

328 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $204.68 $731 2.2×
Abdomen 2 views (74019) $331.24 $1,183 3.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $908.60 $3,245 2.1×
Angio internal mammary (75756) $751.52 $2,684 0.2×
Angio pulmonary bilat (75743) $2,200.52 $7,859 0.7×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $2,125.76 $7,592 0.6×
Angiography extremity bilateral rs&i (75716) $1,202.88 $4,296 0.4×
Angiography extremity unilateral rs&i (75710) $1,019.76 $3,642 0.3×
Angiography pulmonary unilateral slctv rs&i (75741) $1,930.32 $6,894 0.6×
Ankle 2 views (73600) $119.28 $426 1.3×
Aortography thoracic serialography rs&i (75605)
likely a partial charge, not the full procedure
$1,019.76 $3,642 0.2×
Artery X-Rays Abdomen (75726)
range across 6 matching MRF lines
$1,510.32–$1,846.88 $5,394–$6,596 varies
Artery X-Rays Pelvis (75736) $3,664.36 $13,087 0.6×
Artery X-Rays Spine (75705)
likely a partial charge, not the full procedure
$999.32 $3,569 0.2×
Arthrogram ankle (73615) $192.64 $688 0.5×
Arthrogram hip (73525) $309.40 $1,105 0.8×
Arthrogram Wrist (73115) $284.20 $1,015 0.8×
Basic radiation dosimetry calculation (77300) $99.96 $357 0.7×
Bone age studies (77072) $83.16 $297 0.7×
Bone Imaging 3 Phase (78315) $1,559.04 $5,568 3.7×
Bone Imaging Whole Body (78306) $1,130.36 $4,037 2.6×
Bone survey infant (77076) $550.48 $1,966 4.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $422.24 $1,508 0.7×
Cardiac Shunt Detection (78428) $598.08 $2,136 1.4×
Cat Scan Follow-Up Study (76380) $352.24 $1,258 3.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $375.20 $1,340 0.6×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $594.72 $2,124 1.0×
Cerebrospinal Fluid Scan (78630) $375.20 $1,340 0.6×
Chest 1 view (71045) $162.96 $582 1.8×
Chest 2 views (71046) $162.96 $582 1.8×
Chest 3 views (71047) $162.96 $582 1.8×
Chest 4 or more views (71048) $162.96 $582 1.5×
Clavicle complete (73000) $164.08 $586 1.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $59.36 $212 0.5×
Contrast Exam Abdominl Aorta (75625) $2,071.72 $7,399 0.6×
Contrast X-Ray Bladder (74430) $340.48 $1,216 0.9×
Contrast X-Ray Of Elbow (73085) $192.64 $688 0.5×
Contrast X-Ray Of Knee Joint (73580) $309.40 $1,105 0.8×
CT abdomen and pelvis without and with contrast (74178) $1,721.16 $6,147 4.6×
CT abdomen and pelvis without contrast (74176) $851.20 $3,040 3.3×
CT abdomen w contrast (74160) $1,194.20 $4,265 6.4×
CT abdomen w wo contrast (74170) $1,589 $5,675 8.5×
CT abdomen w/o contrast (74150) $878.08 $3,136 7.9×
CT Angio Abdomen and Pelvis (74174) $598.36 $2,137 1.6×
CT Angio Chest (71275) $1,230.04 $4,393 6.6×
CT Angio Head (70496) $519.96 $1,857 2.8×
CT angio hrt w/3d image (75574) $989.24 $3,533 2.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $736.12 $2,629 3.9×
CT Angio Neck (70498) $519.96 $1,857 2.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $276.64 $988 1.5×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $307.16 $1,097 1.6×
CT cervical spine w/ contrast (72126) $713.72 $2,549 1.9×
CT cervical spine w/o contrast (72125) $585.20 $2,090 5.2×
CT cervical spine w/wo cont (72127) $859.32 $3,069 4.6×
CT chest w contrast (71260) $651.56 $2,327 3.5×
CT chest w/wo contrast (71270) $798.84 $2,853 4.3×
CT head/brain with contrast (70460) $780.92 $2,789 4.2×
CT head/brain without and with contrast (70470) $834.40 $2,980 4.5×
CT heart contrast eval cardiac structure&morph (75572) $162.96 $582 0.4×
CT heart no contrast quant eval coronry calcium (75571) $57.96 $207 0.6×
CT hrt w/3d image congen (75573) $127.68 $456 0.3×
CT iac w contrast (70481) $922.04 $3,293 4.9×
CT l-spine w&w/o contrast (72133) $841.12 $3,004 4.5×
CT lower ext w/o (73700) $794.64 $2,838 7.1×
CT lower extremity w/contrast material (73701) $868.56 $3,102 4.6×
CT lumbar spine w contrast (72132) $694.68 $2,481 1.9×
CT lumbar spine w/o contrast (72131) $560.28 $2,001 5.0×
CT maxillofacial w contrast (70487) $932.96 $3,332 5.0×
CT maxillofacial wo contrast (70486) $777.28 $2,776 7.0×
CT neck tissue combo (70492) $787.08 $2,811 4.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,033.48 $3,691 5.5×
CT orbits w/o contrast (70480) $794.64 $2,838 7.1×
CT pelvis w&w/o contrast (72194) $962.36 $3,437 5.1×
CT pelvis w/o contrast (72192) $616.84 $2,203 5.5×
CT scan of leg combo (73702) $1,009.68 $3,606 5.4×
CT scans face/jaw combo (70488) $1,134.84 $4,053 6.1×
CT soft tissue neck w contrast (70491) $656.04 $2,343 3.5×
CT soft tissue neck w/o contrast (70490) $544.60 $1,945 4.9×
CT thoracic spine w contrast (72129) $739.48 $2,641 4.0×
CT thoracic spine w/o contrast (72128) $595.84 $2,128 5.3×
CT thoracic spine w/wo cont (72130) $893.48 $3,191 4.8×
CT thorax w/o contrast (71250) $526.40 $1,880 4.7×
CT upper ext wo (73200) $699.72 $2,499 6.3×
CT upper extremity w/o & w/contrast material (73202) $1,009.68 $3,606 5.4×
CT upper extremity with contrast (73201) $804.72 $2,874 2.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $827.96 $2,957 4.4×
Cta Abdomen (74175) $519.96 $1,857 2.8×
CTA pelvis (72191) $519.96 $1,857 2.8×
Dilation ureters/urethra rs&i (74485) $585.76 $2,092 0.3×
Discography Cerv/Thor Spine (72285) $1,296.68 $4,631 0.6×
Diskography lumbar (72295)
range across 2 matching MRF lines
$133.56–$1,296.68 $477–$4,631 varies
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $89.88 $321 0.8×
Doppler Echo Fetal Spectral Display Complete (76827) $89.88 $321 0.8×
Doppler Fetal Mid Cerebral Artery (76821) $74.48 $266 0.7×
Dxa Bone Density Axial (77080) $285.88 $1,021 2.6×
Dxa bone density study (77085) $285.88 $1,021 2.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $231 $825 2.5×
Echo exam of fetal heart (76825) $106.68 $381 0.2×
Echo exam uterus (76831) $152.60 $545 0.6×
Echo Guide For Artery Repair (76936) $187.60 $670 0.8×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826)
range across 2 matching MRF lines
$179.76–$201.88 $642–$721 varies
Esophagram (74220) $257.04 $918 1.4×
Fetal Biophys Profile W/Nst (76818) $112 $400 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $112 $400 1.0×
Fluoroscopy up to 1 hr (76000) $310.24 $1,108 1.2×
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$85.96–$928.76 $307–$3,317 varies
Foot 2 views (73620) $97.72 $349 1.1×
Forearm 2 views (73090) $143.36 $512 1.5×
Gastric emptying imaging study (78264) $945 $3,375 2.2×
Gated Heart Planar Single (78472) $841.12 $3,004 2.0×
Hand 2 views (73120) $121.52 $434 1.1×
Heart first pass single,planar (78481) $657.16 $2,347 1.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $999.32 $3,569 0.3×
Hepatobil Syst Image W/Drug (78227) $1,326.08 $4,736 2.3×
Hepatobiliary System Imaging (78226) $967.96 $3,457 2.3×
Ht Muscle Image Spect Sing (78451) $1,580.60 $5,645 1.1×
Hysterosalpingogram (74740) $323.96 $1,157 1.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $251.72 $899 2.7×
Interstitial radiation source applic complex (77778) $1,197.28 $4,276 1.6×
K Flow/Funct Image Multiple (78709) $2,158.52 $7,709 3.7×
K Flow/Funct Image W/Drug (78708) $1,003.52 $3,584 1.7×
K Flow/Funct Image W/O Drug (78707) $1,375.36 $4,912 2.4×
Kidney Imaging Morphol (78700) $1,034.04 $3,693 2.4×
Knee 3 Views (73562) $211.40 $755 2.3×
Liver & Spleen Imaging Static Only (78215) $892.36 $3,187 2.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $571.48 $2,041 1.3×
Lung perfusion differential (78597) $1,066.80 $3,810 2.5×
Lung Ventilat&Perfus Imaging (78582) $524.72 $1,874 0.9×
Lung Ventilation Imaging (78579) $297.92 $1,064 0.7×
Lymph System Imaging (78195) $885.64 $3,163 1.5×
Magnetic Image Jaw Joint (70336) $638.68 $2,281 2.5×
Mammary ductogram or galactogram single (77053) $627.20 $2,240 2.5×
Meckels Divert Exam (78290) $755.72 $2,699 1.8×
Mra Head W/O & W/Contrast Material (70546) $844.48 $3,016 2.3×
MRA head w/o contrast (70544) $548.52 $1,959 2.2×
MRA head with contrast (70545) $537.04 $1,918 1.4×
MRA neck w contrast (70548) $581 $2,075 1.6×
Mra Neck W/O &W/Contrast Material (70549) $844.48 $3,016 2.3×
MRA neck w/o contrast (70547)
range across 3 matching MRF lines
$548.52–$1,389.36 $1,959–$4,962 varies
MRI abdomen w contrast (74182) $1,539.72 $5,499 4.1×
MRI abdomen w/o contrast (74181) $1,132.88 $4,046 4.4×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,596.84–$1,627.64 $5,703–$5,813 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$1,665.72–$1,696.80 $5,949–$6,060 varies
MRI any jt upper extremity w/contrast matrl (73222) $2,350.32 $8,394 2.8×
MRI cardiac w/o contrast (75557) $1,080.52 $3,859 4.2×
MRI cervical spine w contrast (72142) $1,725.92 $6,164 4.6×
MRI cervical spine w/o cont (72141) $1,358.84 $4,853 5.3×
MRI chest w/o contrast (71550) $1,455.72 $5,199 5.7×
MRI chest with contrast (71551)
range across 2 matching MRF lines
$1,621.48–$1,811.88 $5,791–$6,471 varies
MRI chest wo w contrast (71552) $2,078.72 $7,424 5.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,660.12–$1,691.20 $5,929–$6,040 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$1,811.88–$1,842.68 $6,471–$6,581 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,510.04–$1,540.84 $5,393–$5,503 varies
MRI lumbar spine w contrast (72149) $1,832.60 $6,545 4.9×
Mri Neck Spine W/O & W/Dye (72156) $1,804.32 $6,444 4.8×
MRI orbit face &/neck w/o contrast (70540) $951.44 $3,398 3.7×
MRI orbit face neck w contrast (70542) $1,073.52 $3,834 2.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,358.84 $4,853 3.7×
MRI pelvis w contrast (72196) $1,431.08 $5,111 3.8×
MRI pelvis w/o & w contrast (72197) $1,811.88 $6,471 4.9×
MRI pelvis w/o contrast (72195) $1,286.60 $4,595 5.1×
MRI spectroscopy (76390) $1,330.28 $4,751 14.3×
MRI thoracic spine w/o contrast (72146) $1,510.04 $5,393 5.9×
MRI upper extremity oth than jt w/contr matrl (73219) $1,341.48 $4,791 3.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,205.68 $4,306 4.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,725.92 $6,164 4.6×
MRI, abdomen, combo (74183) $1,788.36 $6,387 4.8×
MRI, dorsal spine combo (72157) $1,358.84 $4,853 3.7×
MRI, dorsal spine contrast (72147) $1,690.64 $6,038 4.5×
MRI, joint upper extrem (73221) $1,382.08 $4,936 5.4×
MRI, joint upper extrem combo (73223) $3,025.40 $10,805 8.1×
MRI, lumbar spine combo (72158) $1,132.88 $4,046 3.0×
Myelogram cervical (72240) $237.16 $847 0.3×
Myelogram Lumbar (72265) $237.16 $847 0.3×
Myelography thoracic (72255) $237.16 $847 0.3×
Myelograpy 2/more regions rs&i (72270) $237.16 $847 0.3×
Myocardial Spect Multiple Studies (78452) $2,195.20 $7,840 1.6×
Neck soft tissue (70360) $199.36 $712 2.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $420 $1,500 1.0×
Nm csf leak detection (78650) $594.72 $2,124 0.4×
Nonvascular Shunt X-Ray (75809) $91.56 $327 0.8×
Nuclear Rx Intra-Arterial (79445) $197.68 $706 0.8×
Nuclear Rx Oral Admin (79005) $1,066.52 $3,809 4.3×
Ob us nuchal meas 1 gest (76813) $165.20 $590 1.5×
Parathyroid imaging w/tomographic spect & CT (78072) $1,100.96 $3,932 1.9×
Parathyroid Planar Imaging (78070) $803.60 $2,870 1.9×
Parathyroid planar imaging w/wo subtraction (78071) $1,100.96 $3,932 2.6×
Pelvis 1 or 2 views (72170) $162.68 $581 1.5×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $999.32 $3,569 0.3×
Pulmonary Perfusion Imaging Particulate (78580) $366.80 $1,310 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $399 $1,425 3.6×
Radex abscess/fistula/sinus tract rs&i (76080) $113.12 $404 0.2×
Radex Ankle Complete Minimum 3 Views (73610) $136.92 $489 1.5×
Radex Calcaneus Minimum 2 Views (73650) $164.92 $589 1.8×
Radex elbow complete minimum 3 views (73080) $192.64 $688 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $29.96 $107 0.3×
Radex fingr minimum 2 views (73140) $127.12 $454 1.4×
Radex foot complete minimum 3 views (73630) $122.36 $437 1.3×
Radex Hand Minimum 3 Views (73130) $133.28 $476 1.4×
Radex lower extremity infant minimum 2 views (73592) $211.40 $755 2.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $144.76 $517 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $171.36 $612 1.8×
Radex shoulder complete minimum 2 views (73030) $192.08 $686 2.1×
Radex Spine 1 View Specify Level (72020) $174.44 $623 1.9×
Radex Sternum Minimum 2 Views (71120) $162.96 $582 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $34.72 $124 0.4×
Radex Toe Minimum 2 Views (73660) $127.12 $454 1.4×
Radex upper extremity infant minimum 2 views (73092) $221.76 $792 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $133.28 $476 1.4×
Radiolog exam mandible compl minimum 4 views (70110) $28.56 $102 0.3×
Radiologic exam colon double contrast study (74280) $458.36 $1,637 2.4×
Radiologic exam colon single contrast study (74270) $332.64 $1,188 1.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $140.28 $501 0.7×
Radiologic exam knee complete 4/more views (73564) $254.52 $909 2.3×
Radiologic exam pelvis compl minimum 3 views (72190) $199.36 $712 1.8×
Radiologic Exam Small Int Single Contrast Study (74250) $298.20 $1,065 1.6×
Radiologic exam swallow function contrast study (74230) $286.44 $1,023 1.5×
Radiologic exam upr gi trc double contrast study (74246) $290.64 $1,038 1.6×
Radiologic examination femur 1 view (73551) $57.12 $204 0.6×
Radiologic examination femur minimum 2 views (73552) $180.88 $646 1.9×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$155.12–$354.20 $554–$1,265 varies
Radiologic Examination Osseous Survey Limited (77074) $358.40 $1,280 3.2×
Radiologic Examination Salivary Gland Calculus (70380) $162.96 $582 1.8×
Radiologic examination tibia & fibula 2 views (73590) $143.08 $511 1.5×
Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) $1,800.96 $6,432 7.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,470.84 $5,253 3.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,228.08 $4,386 2.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 3 matching MRF lines
$691.88–$2,764.44 $2,471–$9,873 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $959.84 $3,428 1.7×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830)
range across 2 matching MRF lines
$747.60–$959.84 $2,670–$3,428 varies
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $299.88 $1,071 1.2×
Rp Therapy Intravenous Administration (79101)
range across 7 matching MRF lines
$51.52–$565.32 $184–$2,019 varies
Salivary Gland Function Study (78232) $197.68 $706 0.5×
Scapula (73010) $171.64 $613 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $14 $50 0.6×
Sella turcica (70240) $63.84 $228 0.7×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$164.92–$299.04 $589–$1,068 varies
Shoulder Arthrography (73040) $320.60 $1,145 0.9×
Skull less than 4 views (70250) $223.72 $799 2.0×
Special treatment procedure (77470) $449.40 $1,605 0.8×
Sternoclavicular joints (71130) $162.96 $582 1.8×
Testicular Imaging W/Flow (78761) $675.08 $2,411 1.6×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $239.68 $856 1.3×
Thoracic spine 2 views (72070) $207.76 $742 1.9×
Thoracic spine 3 views (72072) $230.72 $824 2.1×
Thoracolumbar 2 views (72080) $207.76 $742 2.2×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $623.84 $2,228 1.5×
Thyroid Imaging With Vascular Flow (78013) $349.44 $1,248 0.8×
Thyroid Met Imaging Body (78018) $904.96 $3,232 1.6×
Thyroid Uptake Measurement (78012) $70.56 $252 0.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $479.36 $1,712 1.1×
Ultrasound Breast Limited (76642) $90.44 $323 1.0×
Ultrasound Exam Aaa Screen (76706) $100.80 $360 0.9×
Ultrasound, abdomen limited (76705) $381.08 $1,361 3.4×
Umbilical-artery Doppler (OB) (76820) $74.48 $266 0.7×
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines
$154.28–$192.64 $551–$688 varies
Unlisted fluoroscopic procedure (76496) $112 $400 1.2×
Unlisted us procedure (76999) $89.88 $321 1.0×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $156.24 $558 14.1×
Urea breath test c-14 isotopic analysis (78268) $1,332.52 $4,759 14.1×
Ureteral Reflux Study (78740) $218.40 $780 0.5×
Urethrocystogram voiding (74455) $355.88 $1,271 1.4×
Urethrocystography retrograde (74450) $64.68 $231 0.3×
Us breast unilateral complete (76641) $90.44 $323 0.8×
Us chest (76604) $212.80 $760 1.9×
Us complete joint (76881) $150.08 $536 1.3×
Us exam, pelvic, limited (76857) $321.16 $1,147 2.9×
Us head (76506) $320.60 $1,145 2.9×
Us kidney transplant (76776) $242.76 $867 2.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $51.24 $183 0.5×
Us ob detailed single fetus (76811) $198.52 $709 0.8×
Us ob limited 1 or more fetuses (76815) $309.12 $1,104 2.8×
Us ob transvaginal (76817) $349.16 $1,247 3.1×
Us pelvic non ob complete (76856) $406.28 $1,451 3.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$107.52–$361.76 $384–$1,292 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $74.48 $266 0.7×
Us retroperitoneal complete (76770) $386.12 $1,379 3.5×
Us retroperitoneal limited (76775) $320.60 $1,145 2.9×
Us scrotum and contents (76870) $331.52 $1,184 3.0×
Us spinal canal and contents (76800) $264.04 $943 2.4×
Us thyroid (76536) $331.52 $1,184 3.0×
Vein X-Ray Chest (75827) $1,019.48 $3,641 0.6×
Vein X-Ray Liver W/O Hemodyn (75887) $999.32 $3,569 0.3×
Vein X-Ray Spleen/Liver (75810) $999.32 $3,569 0.3×
Venogram Sinus/Jugular (75860) $903 $3,225 0.3×
Venography caval inferior serialography rs&i (75825) $999.32 $3,569 0.3×
Venography extremity bilateral rs&i (75822) $991.76 $3,542 0.6×
Venography extremity unilateral rs&i (75820) $805.56 $2,877 0.5×
Venous sampling by catheter (75893)
likely a partial charge, not the full procedure
$1,019.76 $3,642 0.2×
Venous Thrombosis Imaging Venogram Bilateral (78458) $847.84 $3,028 2.0×
Vertebral fracture assessment via dxa (77086) $58.80 $210 0.6×
Wrist 2 views (73100) $166.04 $593 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $253.96 $907 2.7×
X-ray antegrade pyelogram tube (74425) $88.48 $316 0.2×
X-Ray Aorta Leg Arteries (75630) $2,437.96 $8,707 0.7×
X-Ray Bend Only L-S Spine (72120) $74.48 $266 0.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $322.84 $1,153 3.5×
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$93.24–$186.48 $333–$666 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$199.36–$569.80 $712–$2,035 varies
X-Ray Exam Hip Uni 1 View (73501) $182 $650 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$57.12–$213.64 $204–$763 varies
X-Ray Exam Hip Uni 4/> Views (73503) $94.64 $338 0.8×
X-Ray Exam Hips Bi 2 Views (73521) $213.64 $763 1.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $94.64 $338 0.8×
X-Ray Exam Hips Bi 5/> Views (73523) $180.04 $643 1.6×
X-Ray Exam L-S Spine Bending (72114) $414.68 $1,481 3.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $176.68 $631 1.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $306.32 $1,094 2.7×
X-Ray Exam Unilat Ribs/Chest (71101) $197.12 $704 1.8×
X-ray eye for foreign body (70030) $20.72 $74 0.2×
X-ray humerus (73060) $183.96 $657 2.0×
X-ray IV pyelogram (ivp) (74400) $106.68 $381 0.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $24.08 $86 0.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $404.60 $1,445 4.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $231.28 $826 2.1×
X-ray nose-rectum child f.b. (76010) $113.68 $406 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $265.44 $948 2.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $188.72 $674 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $157.36 $562 1.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $201.60 $720 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $286.16 $1,022 2.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $89.88 $321 0.2×
X-Rays Bone Length Studies (77073) $261.80 $935 2.3×
X-Rays Bone Survey Complete (77075) $534.80 $1,910 4.8×
Xr c-spine 4 or 5 views (72050) $238.28 $851 2.1×
Xr facial bones less than 3 views (70140) $21.84 $78 0.2×
Xr orbits complete 4 views (70200) $299.60 $1,070 2.7×
Xr Tomogram Single Plane (76100) $254.80 $910 2.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.