Imaging prices at Ucsf Benioff Children's Hospital Oakland
Oakland, CA · every code in this section with a posted price and a Medicare benchmark.
279 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) | $218.40 | $728 | 1.8× |
| Abdomen 2 views (74019) | $265.80 | $886 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $828.30 | $2,761 | 0.2× |
| Ankle 2 views (73600) | $244.80 | $816 | 2.0× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,921.25 | $9,737.50 | 0.4× |
| Arthrogram hip (73525) | $387 | $1,290 | 0.8× |
| Bone age studies (77072) | $215.40 | $718 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,829.40 | $6,098 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,812.90 | $6,043 | 3.2× |
| Bone survey infant (77076) | $405.90 | $1,353 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,586.30 | $8,621 | 5.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,428.10 | $11,427 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $322.80 | $1,076 | 2.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,066.50 | $3,555 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $963.30 | $3,211 | 1.3× |
| Chest 1 view (71045) | $228.60 | $762 | 1.9× |
| Chest 2 views (71046) | $241.80 | $806 | 2.0× |
| Chest 3 views (71047) | $260.40 | $868 | 2.1× |
| Chest 4 or more views (71048) | $415.50 | $1,385 | 2.8× |
| Clavicle complete (73000) | $244.80 | $816 | 2.0× |
| Contrast X-Ray Bladder (74430) | $279.30 | $931 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $305.70 | $1,019 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $3,290.70 | $10,969 | 6.7× |
| CT abdomen and pelvis without contrast (74176) | $2,439.30 | $8,131 | 7.2× |
| CT abdomen w contrast (74160) | $1,579.20 | $5,264 | 6.4× |
| CT abdomen w wo contrast (74170) | $2,350.80 | $7,836 | 9.5× |
| CT abdomen w/o contrast (74150) | $1,403.70 | $4,679 | 9.5× |
| CT Angio Chest (71275) | $1,481.70 | $4,939 | 6.0× |
| CT Angio Head (70496) | $1,770.30 | $5,901 | 7.1× |
| CT angio hrt w/3d image (75574) | $1,636.20 | $5,454 | 3.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,927.70 | $9,759 | 11.8× |
| CT Angio Neck (70498) | $1,416.90 | $4,723 | 5.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,567.10 | $8,557 | 10.4× |
| CT cervical spine w/ contrast (72126) | $1,725.90 | $5,753 | 3.5× |
| CT cervical spine w/o contrast (72125) | $1,642.20 | $5,474 | 11.1× |
| CT cervical spine w/wo cont (72127) | $1,892.40 | $6,308 | 7.6× |
| CT chest w contrast (71260) | $1,623.30 | $5,411 | 6.6× |
| CT chest w/wo contrast (71270) | $1,955.40 | $6,518 | 7.9× |
| CT head/brain with contrast (70460) | $1,547.10 | $5,157 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,932 | $6,440 | 7.8× |
| CT hrt w/3d image congen (75573) | $1,573.50 | $5,245 | 3.2× |
| CT iac w contrast (70481) | $1,365.60 | $4,552 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,892.40 | $6,308 | 7.6× |
| CT lower ext w/o (73700) | $1,104 | $3,680 | 7.5× |
| CT lower extremity w/contrast material (73701) | $1,157.10 | $3,857 | 4.7× |
| CT lumbar spine w contrast (72132) | $1,630.80 | $5,436 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,472.40 | $4,908 | 10.0× |
| CT maxillofacial w contrast (70487) | $1,583.10 | $5,277 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,428.60 | $4,762 | 9.7× |
| CT neck tissue combo (70492) | $1,317.60 | $4,392 | 5.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,961.10 | $6,537 | 7.9× |
| CT orbits w/o contrast (70480) | $1,176.60 | $3,922 | 8.0× |
| CT pelvis w/o contrast (72192) | $1,298.70 | $4,329 | 8.8× |
| CT scan of leg combo (73702) | $1,732.80 | $5,776 | 7.0× |
| CT scans face/jaw combo (70488) | $2,475 | $8,250 | 10.0× |
| CT soft tissue neck w contrast (70491) | $1,241.40 | $4,138 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $882.30 | $2,941 | 6.0× |
| CT thoracic spine w contrast (72129) | $1,630.80 | $5,436 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,472.40 | $4,908 | 10.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,135.80–$1,390.50 | $3,786–$4,635 | varies |
| CT upper ext wo (73200) | $991.20 | $3,304 | 6.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,410 | $4,700 | 5.7× |
| CT upper extremity with contrast (73201) | $1,200.60 | $4,002 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $227.10 | $757 | 0.9× |
| Cta Abdomen (74175) | $1,690.20 | $5,634 | 6.8× |
| CTA pelvis (72191) | $1,334.70 | $4,449 | 5.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $297.60 | $992 | 2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $408.60 | $1,362 | 2.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $159.30 | $531 | 1.1× |
| Dxa Bone Density Axial (77080) | $445.80 | $1,486 | 3.0× |
| Dxa bone density study (77085) | $115.80 | $386 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $190.20 | $634 | 1.5× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$692.10–$713.40 | $2,307–$2,378 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $430.50 | $1,435 | 1.3× |
| Esophagram (74220) | $235.20 | $784 | 0.9× |
| Fetal Biophys Profile W/Nst (76818) | $563.70 | $1,879 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $359.70 | $1,199 | 2.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,673.40 | $5,578 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $362.70 | $1,209 | 1.1× |
| Foot 2 views (73620) | $256.50 | $855 | 2.1× |
| Forearm 2 views (73090) | $254.10 | $847 | 2.1× |
| Gastric emptying imaging study (78264) | $1,026.90 | $3,423 | 1.8× |
| Gastroesophageal Reflux Exam (78262) | $1,050 | $3,500 | 1.9× |
| Hand 2 views (73120) | $250.50 | $835 | 1.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,240 | $10,800 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,299.20 | $7,664 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,366.10 | $7,887 | 3.1× |
| Hepatobiliary System Imaging (78226) | $382.50 | $1,275 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $400.80 | $1,336 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$371.70–$394.80 | $1,239–$1,316 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,245.90 | $4,153 | 1.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $816.60 | $2,722 | 1.4× |
| Kidney Imaging Morphol (78700) | $957.60 | $3,192 | 1.7× |
| Knee 3 Views (73562) | $273.90 | $913 | 2.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,359.60 | $4,532 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,575.90 | $5,253 | 2.1× |
| Lymph System Imaging (78195) | $1,069.20 | $3,564 | 1.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,276.20 | $4,254 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $930 | $3,100 | 2.8× |
| Magnetic Resonance Elastography (76391) | $605.70 | $2,019 | 1.8× |
| Meckels Divert Exam (78290) | $603.60 | $2,012 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,516.40 | $8,388 | 5.1× |
| MRA head w/o contrast (70544) | $1,584 | $5,280 | 4.7× |
| MRA head with contrast (70545) | $1,648.50 | $5,495 | 3.3× |
| MRA neck w contrast (70548) | $1,066.80 | $3,556 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,772.40 | $5,908 | 3.6× |
| MRA neck w/o contrast (70547) | $1,056 | $3,520 | 3.1× |
| MRI abdomen w contrast (74182) | $1,733.70 | $5,779 | 3.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,528.80–$1,578.60 | $5,096–$5,262 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,760.70 | $5,869 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,887.90 | $6,293 | 3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,412.70 | $4,709 | 1.3× |
| MRI brain functional w/o physician admnistration (70554) | $1,460.70 | $4,869 | 4.3× |
| MRI brain functional w/physician admnistration (70555) | $2,021.70 | $6,739 | 6.0× |
| MRI cardiac w/o contrast (75557) | $1,617.30 | $5,391 | 4.8× |
| MRI cervical spine w contrast (72142) | $2,076.30 | $6,921 | 4.2× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,704.30–$1,759.80 | $5,681–$5,866 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,311–$1,353.60 | $4,370–$4,512 | varies |
| MRI chest with contrast (71551) | $1,478.70 | $4,929 | 1.3× |
| MRI chest wo w contrast (71552) | $2,719.50 | $9,065 | 5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,839.60 | $6,132 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,306.40 | $7,688 | 4.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,566–$1,617 | $5,220–$5,390 | varies |
| MRI lumbar spine w contrast (72149) | $2,076.30 | $6,921 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,041.40 | $10,138 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,254 | $4,180 | 3.7× |
| MRI orbit face neck w contrast (70542) | $1,680.60 | $5,602 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,793 | $9,310 | 5.7× |
| MRI pelvis w contrast (72196) | $1,871.10 | $6,237 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $2,934.30 | $9,781 | 6.0× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,583.70–$1,635 | $5,279–$5,450 | varies |
| MRI spectroscopy (76390) | $952.80 | $3,176 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $1,771.50 | $5,905 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,469.70 | $4,899 | 3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,376.70 | $4,589 | 4.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,408.10 | $8,027 | 4.9× |
| MRI, abdomen, combo (74183) | $2,911.80 | $9,706 | 5.9× |
| MRI, dorsal spine combo (72157) | $3,041.40 | $10,138 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,876.80 | $6,256 | 3.8× |
| MRI, joint upper extrem (73221) | $1,331.40 | $4,438 | 4.0× |
| MRI, joint upper extrem combo (73223) | $2,202.90 | $7,343 | 4.5× |
| MRI, lumbar spine combo (72158) | $3,041.40 | $10,138 | 6.2× |
| Myelogram cervical (72240) | $488.70 | $1,629 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $800.40 | $2,668 | 0.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,595.10 | $5,317 | 0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,595.10 | $5,317 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,487.90 | $8,293 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,040.50 | $10,135 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $3,040.50 | $10,135 | 1.4× |
| Neck soft tissue (70360) | $182.70 | $609 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $183 | $610 | 1.2× |
| Ob us nuchal meas 1 gest (76813) | $155.70 | $519 | 1.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $116.70 | $389 | 0.8× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $538.20 | $1,794 | 2.9× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $102.90 | $343 | 0.7× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $155.40 | $518 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $121.20 | $404 | 0.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $27 | $90 | 0.7× |
| Ophthalmic us dx quantitative a-scan only (76511) | $144.90 | $483 | 1.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $807.30 | $2,691 | 1.1× |
| Parathyroid Planar Imaging (78070) | $581.10 | $1,937 | 1.0× |
| Pelvis 1 or 2 views (72170) | $244.80 | $816 | 1.7× |
| PET image w/CT, full body (78816) | $3,852.60 | $12,842 | 1.9× |
| PET whole body (78813) | $2,895.60 | $9,652 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $382.50 | $1,275 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $283.80 | $946 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $322.50 | $1,075 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $261.90 | $873 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $256.50 | $855 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $254.10 | $847 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $333 | $1,110 | 2.3× |
| Radex fingr minimum 2 views (73140) | $230.70 | $769 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $261.90 | $873 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $261.90 | $873 | 2.1× |
| Radex lower extremity infant minimum 2 views (73592) | $244.50 | $815 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $233.40 | $778 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $268.50 | $895 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $345.90 | $1,153 | 2.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $201.30 | $671 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $232.80 | $776 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $160.20 | $534 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $240.90 | $803 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $223.50 | $745 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $100.50 | $335 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $261.90 | $873 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $400.20 | $1,334 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $385.20 | $1,284 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $468.90 | $1,563 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $317.40 | $1,058 | 1.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $201.30 | $671 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) | $385.50 | $1,285 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $272.10 | $907 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $348 | $1,160 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $320.70 | $1,069 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $342.30 | $1,141 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $258.60 | $862 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $254.10 | $847 | 2.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $346.20 | $1,154 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $256.50 | $855 | 2.1× |
| Ribs bilateral 3 views (71110) | $309.60 | $1,032 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $406.80 | $1,356 | 0.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,414.20 | $4,714 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,278.90 | $4,263 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,695.60 | $5,652 | 2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,406.10 | $4,687 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,717.70 | $9,059 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,527.50 | $8,425 | 1.4× |
| Salivary Gland Imaging (78230) | $305.10 | $1,017 | 0.5× |
| Salivary Gland Imaging Serial Images (78231) | $727.50 | $2,425 | 1.3× |
| Scapula (73010) | $212.10 | $707 | 1.4× |
| Shoulder 1 view (73020) | $314.40 | $1,048 | 2.6× |
| Shoulder Arthrography (73040) | $228.90 | $763 | 0.5× |
| Skull less than 4 views (70250) | $271.20 | $904 | 1.8× |
| Sternoclavicular joints (71130) | $172.80 | $576 | 1.4× |
| Superior sagittal sinus venogram (75870) | $903.90 | $3,013 | 0.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $410.70 | $1,369 | 1.7× |
| Thoracic spine 2 views (72070) | $377.70 | $1,259 | 2.6× |
| Thoracolumbar 2 views (72080) | $230.40 | $768 | 1.9× |
| Thyroid Uptake Measurement (78012) | $734.10 | $2,447 | 1.3× |
| Ultrasound Breast Limited (76642) | $173.70 | $579 | 1.4× |
| Ultrasound elastography first target lesion (76982) | $258.30 | $861 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $243 | $810 | 1.6× |
| Ultrasound, abdomen limited (76705) | $534 | $1,780 | 3.6× |
| Umbilical-artery Doppler (OB) (76820) | $105.30 | $351 | 0.7× |
| Unlisted Dx Radiographic Procedure (76499) | $2,554.50 | $8,515 | 20.8× |
| Unlisted magnetic resonance procedure (76498) range across 15 matching MRF lines |
$1,149–$4,979.40 | $3,830–$16,598 | varies |
| Upper gi w/o kub (74240) | $285.30 | $951 | 1.2× |
| Ureteral Reflux Study (78740) | $1,901.70 | $6,339 | 3.4× |
| Urethrocystogram voiding (74455) | $614.40 | $2,048 | 1.8× |
| Urethrocystography retrograde (74450) | $429.60 | $1,432 | 1.3× |
| Us breast unilateral complete (76641) | $305.70 | $1,019 | 2.1× |
| Us chest (76604) | $466.80 | $1,556 | 3.2× |
| Us complete joint (76881) | $383.10 | $1,277 | 2.6× |
| Us exam, pelvic, limited (76857) | $445.50 | $1,485 | 3.0× |
| Us head (76506) | $451.80 | $1,506 | 3.1× |
| Us kidney transplant (76776) | $597.60 | $1,992 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $383.10 | $1,277 | 2.6× |
| Us ob detailed single fetus (76811) | $276.90 | $923 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $121.20 | $404 | 0.8× |
| Us ob transvaginal (76817) | $121.20 | $404 | 0.8× |
| Us pelvic non ob complete (76856) | $572.70 | $1,909 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $274.50 | $915 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $151.20 | $504 | 1.0× |
| Us retroperitoneal complete (76770) | $558 | $1,860 | 3.8× |
| Us retroperitoneal limited (76775) | $121.20 | $404 | 0.8× |
| Us scrotum and contents (76870) | $500.70 | $1,669 | 3.4× |
| Us spinal canal and contents (76800) | $466.80 | $1,556 | 3.2× |
| Us thyroid (76536) | $450.60 | $1,502 | 3.1× |
| Us transrectal (76872) | $369.60 | $1,232 | 2.5× |
| Vascular Flow Imaging (78445) | $1,257.60 | $4,192 | 2.2× |
| Vein X-Ray Chest (75827) | $897 | $2,990 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $63.60 | $212 | 0.5× |
| Wrist 2 views (73100) | $247.20 | $824 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $225 | $750 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $239.10 | $797 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $298.80 | $996 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $235.20 | $784 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $238.80 | $796 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $383.70 | $1,279 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $247.20 | $824 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $285.60 | $952 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $309.60 | $1,032 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $471 | $1,570 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $349.80 | $1,166 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $455.70 | $1,519 | 3.1× |
| X-ray humerus (73060) | $331.20 | $1,104 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $274.50 | $915 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $327.60 | $1,092 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $277.80 | $926 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $240.90 | $803 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $154.80 | $516 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $410.70 | $1,369 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $338.70 | $1,129 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $385.20 | $1,284 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $254.10 | $847 | 0.5× |
| X-Rays Bone Length Studies (77073) | $426.90 | $1,423 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $476.70 | $1,589 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $402.90 | $1,343 | 2.7× |
| Xr facial bones less than 3 views (70140) | $257.10 | $857 | 2.1× |
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.