Imaging prices at Ucsf Medical Center
San Francisco, CA · every code in this section with a posted price and a Medicare benchmark.
421 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$4,478.40–$4,491.30 | $14,928–$14,971 | varies |
| Abdomen 1 View (74018) | $78.60 | $262 | 0.6× |
| Abdomen 2 views (74019) | $168 | $560 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,507.50 | $5,025 | 2.6× |
| Adrenal Cortex & Medulla Img (78075) | $974.70 | $3,249 | 0.5× |
| Angio internal mammary (75756) | $3,330.90 | $11,103 | 0.7× |
| Angio pulmonary bilat (75743) | $2,110.50 | $7,035 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $3,416.10 | $11,387 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,810.70 | $9,369 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,191 | $3,970 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,401.80 | $8,006 | 0.5× |
| Ankle 2 views (73600) | $299.10 | $997 | 2.3× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$3,084 | $10,280 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,939.20 | $6,464 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,125.10 | $10,417 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $1,650.60 | $5,502 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,475.20 | $11,584 | 0.4× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$2,384.10 | $7,947 | 0.3× |
| Arthrogram ankle (73615) | $368.10 | $1,227 | 0.7× |
| Arthrogram hip (73525) | $703.50 | $2,345 | 1.4× |
| Arthrogram Wrist (73115) | $363.90 | $1,213 | 0.7× |
| Basic radiation dosimetry calculation (77300) | $479.40 | $1,598 | 2.4× |
| Bone age studies (77072) | $133.50 | $445 | 0.9× |
| Bone Imaging 3 Phase (78315) | $1,516.50 | $5,055 | 2.6× |
| Bone Imaging Limited Area (78300) | $544.80 | $1,816 | 0.9× |
| Bone Imaging Whole Body (78306) | $1,449.60 | $4,832 | 2.5× |
| Bone marrow imaging limited area (78102) | $552 | $1,840 | 0.9× |
| Bone survey infant (77076) | $128.70 | $429 | 0.8× |
| Brachytx isodose complex (77318) | $790.20 | $2,634 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $375 | $1,250 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $434.70 | $1,449 | 0.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,331.60 | $7,772 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,601.40 | $5,338 | 3.1× |
| Cardiac Shunt Detection (78428) | $602.10 | $2,007 | 1.0× |
| Cat Scan Follow-Up Study (76380) | $293.40 | $978 | 2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $592.50 | $1,975 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $963.30 | $3,211 | 1.2× |
| Chest 1 view (71045) | $153.30 | $511 | 1.2× |
| Chest 2 views (71046) | $159.30 | $531 | 1.3× |
| Chest 3 views (71047) | $176.40 | $588 | 1.4× |
| Chest 4 or more views (71048) | $301.50 | $1,005 | 2.0× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $371.70 | $1,239 | 2.4× |
| Cisternography Positive Contrast Rs&I (70015) | $447.90 | $1,493 | 0.4× |
| Clavicle complete (73000) | $300.30 | $1,001 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $170.10 | $567 | 1.1× |
| Continuing medical physics consltj pr wk (77336) | $530.40 | $1,768 | 2.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,360.90 | $11,203 | 0.7× |
| Contrast X-Ray Bladder (74430) | $409.80 | $1,366 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $287.10 | $957 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $724.20 | $2,414 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,149.40 | $10,498 | 6.2× |
| CT abdomen and pelvis without contrast (74176) | $2,040.90 | $6,803 | 5.8× |
| CT abdomen w contrast (74160) | $1,450.80 | $4,836 | 5.7× |
| CT abdomen w wo contrast (74170) | $1,782 | $5,940 | 6.9× |
| CT abdomen w/o contrast (74150) | $1,311.60 | $4,372 | 8.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,767.10 | $12,557 | 7.4× |
| CT Angio Chest (71275) | $2,227.50 | $7,425 | 8.7× |
| CT Angio Head (70496) | $2,485.80 | $8,286 | 9.7× |
| CT angio hrt w/3d image (75574) | $1,654.20 | $5,514 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,499.60 | $8,332 | 9.7× |
| CT Angio Neck (70498) | $2,566.20 | $8,554 | 10.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,333.10 | $7,777 | 9.1× |
| CT bone density (77078) | $232.50 | $775 | 1.8× |
| CT cervical spine w/ contrast (72126) | $1,479 | $4,930 | 2.9× |
| CT cervical spine w/o contrast (72125) | $1,420.20 | $4,734 | 9.3× |
| CT cervical spine w/wo cont (72127) | $2,082.60 | $6,942 | 8.1× |
| CT chest w contrast (71260) | $1,733.70 | $5,779 | 6.8× |
| CT chest w/wo contrast (71270) | $2,102.70 | $7,009 | 8.2× |
| CT colonography screening (74263) | $751.50 | $2,505 | 2.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $548.70 | $1,829 | 3.6× |
| CT head/brain with contrast (70460) | $1,118.70 | $3,729 | 4.4× |
| CT head/brain without and with contrast (70470) | $1,311.90 | $4,373 | 5.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,145.70 | $3,819 | 2.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $153.60 | $512 | 1.2× |
| CT hrt w/3d image congen (75573) | $1,191.30 | $3,971 | 2.3× |
| CT iac w contrast (70481) | $1,442.10 | $4,807 | 5.6× |
| CT l-spine w&w/o contrast (72133) | $2,822.70 | $9,409 | 11.0× |
| CT lower ext w/o (73700) | $1,224.30 | $4,081 | 8.0× |
| CT lower extremity w/contrast material (73701) | $1,591.20 | $5,304 | 6.2× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$666.30–$1,537.50 | $2,221–$5,125 | varies |
| CT lumbar spine w/o contrast (72131) | $1,323.90 | $4,413 | 8.7× |
| CT maxillofacial w contrast (70487) | $1,042.50 | $3,475 | 4.1× |
| CT maxillofacial wo contrast (70486) | $960.60 | $3,202 | 6.3× |
| CT neck tissue combo (70492) | $1,129.50 | $3,765 | 4.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,538.70 | $5,129 | 6.0× |
| CT orbits w/o contrast (70480) | $1,359.60 | $4,532 | 8.9× |
| CT pelvis w&w/o contrast (72194) | $1,696.50 | $5,655 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,377.30 | $4,591 | 9.0× |
| CT scan of leg combo (73702) | $1,915.20 | $6,384 | 7.5× |
| CT scans face/jaw combo (70488) | $1,195.80 | $3,986 | 4.7× |
| CT soft tissue neck w contrast (70491) | $1,121.10 | $3,737 | 4.4× |
| CT soft tissue neck w/o contrast (70490) | $945.60 | $3,152 | 6.2× |
| CT thoracic spine w contrast (72129) | $1,461 | $4,870 | 5.7× |
| CT thoracic spine w/o contrast (72128) | $1,309.80 | $4,366 | 8.6× |
| CT thoracic spine w/wo cont (72130) | $2,209.50 | $7,365 | 8.6× |
| CT thorax w/o contrast (71250) | $1,173.60 | $3,912 | 7.7× |
| CT unlisted procedure (76497) | $2,566.20 | $8,554 | 20.2× |
| CT upper ext wo (73200) | $1,182 | $3,940 | 7.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,915.20 | $6,384 | 7.5× |
| CT upper extremity with contrast (73201) | $1,444.80 | $4,816 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,575.20 | $8,584 | 10.0× |
| Cta Abdomen (74175) | $2,175.30 | $7,251 | 8.5× |
| CTA pelvis (72191) | $1,794.90 | $5,983 | 7.0× |
| Diskography lumbar (72295) | $2,097.60 | $6,992 | 0.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$82.80–$276.90 | $276–$923 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$130.50–$341.10 | $435–$1,137 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$158.10–$230.40 | $527–$768 | varies |
| Dxa Bone Density Axial (77080) | $420.60 | $1,402 | 2.8× |
| Dxa bone density study (77085) | $161.40 | $538 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $208.20 | $694 | 1.6× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$391.80–$447.90 | $1,306–$1,493 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$291.60–$367.80 | $972–$1,226 | varies |
| Echo Guide For Artery Repair (76936) | $345.90 | $1,153 | 1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $176.40 | $588 | 0.5× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$308.10–$525.90 | $1,027–$1,753 | varies |
| Esophagram (74220) | $447.90 | $1,493 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$232.50–$728.40 | $775–$2,428 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $464.70 | $1,549 | 3.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $487.80 | $1,626 | 1.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$430.20–$1,035.60 | $1,434–$3,452 | varies |
| Follow-Up Angiography (75898) | $1,058.10 | $3,527 | 0.2× |
| Foot 2 views (73620) | $290.10 | $967 | 2.3× |
| Forearm 2 views (73090) | $326.40 | $1,088 | 2.6× |
| Gastric emptying imaging study (78264) | $1,492.80 | $4,976 | 2.6× |
| Gated Heart Planar Single (78472) | $1,439.70 | $4,799 | 2.5× |
| Gated Heart, Multiple (78473) | $1,806.90 | $6,023 | 3.1× |
| GI Endoscopic US S&I (76975) | $259.80 | $866 | 0.7× |
| Hand 2 views (73120) | $236.40 | $788 | 1.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,952.50 | $13,175 | 3.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,109.20 | $10,364 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,185.80 | $7,286 | 2.1× |
| Heart Image (Pet) Multiple (78492) | $2,960.70 | $9,869 | 1.4× |
| 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) | $2,920.20 | $9,734 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $942 | $3,140 | 1.2× |
| Hepatobiliary System Imaging (78226) | $737.10 | $2,457 | 1.3× |
| Ht Musc Image Planar Mult (78454) | $1,755 | $5,850 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $2,117.40 | $7,058 | 1.1× |
| Hyperthermia external generated superficial (77600) | $597.90 | $1,993 | 1.1× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $607.20 | $2,024 | 0.8× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $799.50 | $2,665 | 1.0× |
| Hysterosalpingogram (74740) | $217.50 | $725 | 0.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$200.70–$358.20 | $669–$1,194 | varies |
| Infant hip ultrasound, limited static exam (76886) | $358.20 | $1,194 | 2.8× |
| Interstitial radiation source applic complex (77778) | $1,042.20 | $3,474 | 1.0× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) unusually low: confirm this is the full procedure |
$3,707.10 | $12,357 | 0.3× |
| Intraop radiaj tx deliver xray single tx session (77424) unusually low: confirm this is the full procedure |
$3,696.30 | $12,321 | 0.3× |
| Joint Survey Single View (77077) | $224.70 | $749 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $1,810.50 | $6,035 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,188 | $3,960 | 1.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $292.20 | $974 | 0.5× |
| Kidney Imaging Morphol (78700) | $951.30 | $3,171 | 1.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$80.70–$345 | $269–$1,150 | varies |
| Leveen/Shunt Patency Exam (78291) | $425.70 | $1,419 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $651.30 | $2,171 | 1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $715.80 | $2,386 | 1.2× |
| Liver imaging static only (78201) | $425.70 | $1,419 | 0.5× |
| Liver imaging w/vascular flow (78202) | $688.50 | $2,295 | 0.9× |
| Lung perfusion differential (78597) | $592.50 | $1,975 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,002 | $3,340 | 1.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$808.80–$1,707.60 | $2,696–$5,692 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $875.40 | $2,918 | 0.4× |
| Lymphangiography extremity only unilateral rs&i (75801) | $832.80 | $2,776 | 0.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,411.50 | $4,705 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,411.50 | $4,705 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,875.30 | $6,251 | 5.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $722.70 | $2,409 | 2.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $739.20 | $2,464 | 0.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $1,040.10 | $3,467 | 4.1× |
| Magnetic Resonance Elastography (76391) | $729 | $2,430 | 2.1× |
| Meckels Divert Exam (78290) | $988.50 | $3,295 | 1.7× |
| Medical physics dose eval radiation expos w/rprt (76145) | $594.30 | $1,981 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,973.70 | $6,579 | 3.6× |
| Mr safety determination physician/other qhp (76016) | $66.30 | $221 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $27 | $90 | 0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $101.10 | $337 | 0.7× |
| Mr safety implt pos&/immoblj (76019) | $65.40 | $218 | 0.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $266.10 | $887 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,874 | $9,580 | 5.6× |
| MRA head w/o contrast (70544) | $2,006.70 | $6,689 | 5.7× |
| MRA head with contrast (70545) | $2,085.90 | $6,953 | 4.1× |
| MRA neck w contrast (70548) | $2,387.70 | $7,959 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,177 | $10,590 | 6.2× |
| MRA neck w/o contrast (70547) | $2,029.80 | $6,766 | 5.8× |
| MRI abdomen w contrast (74182) | $2,673 | $8,910 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,854 | $6,180 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,318.70 | $7,729 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,266.70 | $10,889 | 6.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,098.80 | $6,996 | 1.8× |
| MRI brain functional w/o physician admnistration (70554) | $1,486.50 | $4,955 | 4.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $838.20 | $2,794 | 2.4× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$291–$615.90 | $970–$2,053 | varies |
| MRI cardiac w/o contrast (75557) | $1,412.10 | $4,707 | 4.0× |
| MRI cervical spine w contrast (72142) | $2,706.30 | $9,021 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,993.50 | $6,645 | 5.7× |
| MRI chest w/o contrast (71550) | $1,297.80 | $4,326 | 3.7× |
| MRI chest with contrast (71551) | $2,455.80 | $8,186 | 2.1× |
| MRI chest wo w contrast (71552) | $3,878.40 | $12,928 | 7.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,871.40 | $6,238 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,608.50 | $8,695 | 5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,588.50 | $5,295 | 4.6× |
| MRI lumbar spine w contrast (72149) | $2,436 | $8,120 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,411.90 | $11,373 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,806.30 | $6,021 | 5.2× |
| MRI orbit face neck w contrast (70542) | $2,197.80 | $7,326 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,347.40 | $11,158 | 6.6× |
| MRI pelvis w contrast (72196) | $2,581.20 | $8,604 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,975.10 | $9,917 | 5.8× |
| MRI pelvis w/o contrast (72195) | $2,212.20 | $7,374 | 6.3× |
| MRI spectroscopy (76390) | $882.30 | $2,941 | 6.9× |
| MRI thoracic spine w/o contrast (72146) | $1,990.50 | $6,635 | 5.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,882.50 | $6,275 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,634.40 | $5,448 | 4.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,166.60 | $7,222 | 4.2× |
| MRI, abdomen, combo (74183) | $2,997.60 | $9,992 | 5.9× |
| MRI, dorsal spine combo (72157) | $3,595.80 | $11,986 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,191.20 | $7,304 | 4.3× |
| MRI, joint upper extrem (73221) | $1,389.30 | $4,631 | 4.0× |
| MRI, joint upper extrem combo (73223) | $2,895 | $9,650 | 5.7× |
| MRI, lumbar spine combo (72158) | $3,017.70 | $10,059 | 5.9× |
| Myelogram Lumbar (72265) | $538.80 | $1,796 | 0.5× |
| Myelography thoracic (72255) | $320.70 | $1,069 | 0.3× |
| Myelograpy 2/more regions rs&i (72270) | $529.50 | $1,765 | 0.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,727.70 | $5,759 | 0.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,229 | $7,430 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $3,130.50 | $10,435 | 1.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,288.40 | $7,628 | 1.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,679.40 | $5,598 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,594.90 | $11,983 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,040.50 | $10,135 | 0.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,123.20 | $3,744 | 0.9× |
| Neck soft tissue (70360) | $180.90 | $603 | 1.4× |
| Nm csf leak detection (78650) | $1,157.70 | $3,859 | 0.6× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$137.40–$235.20 | $458–$784 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,929 | $26,430 | 3.9× |
| Nuclear Rx Intra-Arterial (79445) | $451.50 | $1,505 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $662.10 | $2,207 | 1.9× |
| Ob us nuchal meas 1 gest (76813) | $207.60 | $692 | 1.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $507.90 | $1,693 | 3.3× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$178.50–$207.60 | $595–$692 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$231.30–$538.20 | $771–$1,794 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $137.40 | $458 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$147.60–$189 | $492–$630 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$15.90–$40.80 | $53–$136 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $166.50 | $555 | 1.1× |
| Panoramic X-ray of jaws (70355) | $108.90 | $363 | 0.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $807.30 | $2,691 | 1.0× |
| Parathyroid Planar Imaging (78070) | $629.70 | $2,099 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $675.90 | $2,253 | 1.2× |
| Pelvis 1 or 2 views (72170) | $249.30 | $831 | 1.6× |
| Peritoneogram Rs&I (74190) | $545.40 | $1,818 | 0.7× |
| Pet Image Skull-Thigh (78812) | $2,443.50 | $8,145 | 1.2× |
| Pet Image W/Ct Lmtd (78814) | $2,979.60 | $9,932 | 1.4× |
| PET image w/CT, full body (78816) | $4,172.40 | $13,908 | 2.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,836.70 | $12,789 | 1.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,286.90 | $7,623 | 1.2× |
| Pet Myocardial Sngl Study (78491) | $1,630.20 | $5,434 | 0.8× |
| PET whole body (78813) | $3,136.20 | $10,454 | 1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,731.40 | $12,438 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,320 | $4,400 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $252.90 | $843 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $415.50 | $1,385 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $345 | $1,150 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $213.30 | $711 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $304.50 | $1,015 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $363.60 | $1,212 | 2.4× |
| Radex fingr minimum 2 views (73140) | $175.80 | $586 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $323.40 | $1,078 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $265.20 | $884 | 2.1× |
| Radex lower extremity infant minimum 2 views (73592) | $238.80 | $796 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $226.50 | $755 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $288.30 | $961 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $501 | $1,670 | 3.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $114.90 | $383 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $204.60 | $682 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $270.30 | $901 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $303 | $1,010 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $240.60 | $802 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $313.80 | $1,046 | 2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $358.50 | $1,195 | 2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $21,083.10 | $70,277 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $395.40 | $1,318 | 2.6× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$648–$649.80 | $2,160–$2,166 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $303 | $1,010 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $193.20 | $644 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $480.60 | $1,602 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $396.30 | $1,321 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $249.30 | $831 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $455.40 | $1,518 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $285 | $950 | 1.1× |
| Radiologic exam teeth complete full mouth (70320) | $257.70 | $859 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $476.10 | $1,587 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $128.70 | $429 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $218.70 | $729 | 1.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $391.80 | $1,306 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $342.90 | $1,143 | 2.7× |
| Radiopharm Dacryocystography (78660) | $388.20 | $1,294 | 0.7× |
| Ribs bilateral 3 views (71110) | $279 | $930 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $422.40 | $1,408 | 0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $506.70 | $1,689 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,755.60 | $5,852 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,282.70 | $7,609 | 2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,003 | $10,010 | 1.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,494.40 | $11,648 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,511.30 | $8,371 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $553.80 | $1,846 | 1.6× |
| Salivary Gland Function Study (78232) | $468.30 | $1,561 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $566.10 | $1,887 | 1.0× |
| Scapula (73010) | $328.50 | $1,095 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $56.70 | $189 | 2.4× |
| Shoulder 1 view (73020) | $323.40 | $1,078 | 2.5× |
| Shoulder Arthrography (73040) | $702.90 | $2,343 | 1.4× |
| Skull less than 4 views (70250) | $348 | $1,160 | 2.3× |
| Special dosimetry (77331) | $678 | $2,260 | 3.4× |
| Special Physics Consult (77370) | $1,339.50 | $4,465 | 6.8× |
| Special teletherapy port plan (77321) | $920.70 | $3,069 | 1.7× |
| Special treatment procedure (77470) | $2,286.30 | $7,621 | 2.8× |
| Srs Multisource (77371) | $21,083.10 | $70,277 | 2.0× |
| Stereotactic Body Radiation Delivery (77373) | $5,812.80 | $19,376 | 2.2× |
| Sternoclavicular joints (71130) | $189.30 | $631 | 1.5× |
| Superior sagittal sinus venogram (75870) | $1,269.60 | $4,232 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $615.60 | $2,052 | 1.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $402.90 | $1,343 | 0.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,978.80 | $6,596 | 3.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,049.10 | $3,497 | 5.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $376.50 | $1,255 | 1.5× |
| Thoracic spine 2 views (72070) | $388.50 | $1,295 | 2.5× |
| Thoracolumbar 2 views (72080) | $380.40 | $1,268 | 3.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $442.20 | $1,474 | 0.8× |
| Thyroid Met Imaging Body (78018) | $1,707 | $5,690 | 2.1× |
| Thyroid Uptake Measurement (78012) | $426 | $1,420 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $713.70 | $2,379 | 1.2× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$736.80–$738.90 | $2,456–$2,463 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$595.80–$597.60 | $1,986–$1,992 | varies |
| Tx devices design & construction simple (77332) | $476.70 | $1,589 | 2.4× |
| Ultrasound Breast Limited (76642) | $198 | $660 | 1.6× |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$256.20–$426.90 | $854–$1,423 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$321.30–$535.20 | $1,071–$1,784 | varies |
| Ultrasound Exam Aaa Screen (76706) | $510 | $1,700 | 3.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$278.10–$463.80 | $927–$1,546 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$75.30–$236.70 | $251–$789 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$86.70–$6,783 | $289–$22,610 | varies |
| Unlisted fluoroscopic procedure (76496) | $3,462 | $11,540 | 27.2× |
| Unlisted magnetic resonance procedure (76498) range across 18 matching MRF lines |
$1,538.40–$14,997.60 | $5,128–$49,992 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,259.40 | $4,198 | 2.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$124.50–$197.40 | $415–$658 | varies |
| Upper gi w/o kub (74240) | $426.30 | $1,421 | 1.7× |
| Ureteral Reflux Study (78740) | $714.30 | $2,381 | 1.2× |
| Urethrocystogram voiding (74455) | $698.70 | $2,329 | 2.0× |
| Urethrocystography retrograde (74450) | $377.40 | $1,258 | 1.1× |
| Us breast unilateral complete (76641) | $242.10 | $807 | 1.6× |
| Us chest (76604) range across 2 matching MRF lines |
$485.40–$558.60 | $1,618–$1,862 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$138.90–$582 | $463–$1,940 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$219.90–$368.10 | $733–$1,227 | varies |
| Us head (76506) | $231.60 | $772 | 1.5× |
| Us kidney transplant (76776) | $796.50 | $2,655 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$94.80–$427.50 | $316–$1,425 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$388.50–$424.50 | $1,295–$1,415 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$215.70–$317.40 | $719–$1,058 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$225.30–$398.70 | $751–$1,329 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$324.30–$489.90 | $1,081–$1,633 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$285.90–$420.60 | $953–$1,402 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $231.60 | $772 | 1.5× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$354–$668.70 | $1,180–$2,229 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$303.90–$411.30 | $1,013–$1,371 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$329.10–$441.30 | $1,097–$1,471 | varies |
| Us spinal canal and contents (76800) | $106.20 | $354 | 0.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$314.10–$468.90 | $1,047–$1,563 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$345.60–$477.60 | $1,152–$1,592 | varies |
| Vein X-Ray Chest (75827) | $2,165.10 | $7,217 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,050.80 | $6,836 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $1,515.60 | $5,052 | 0.3× |
| Venogram Sinus/Jugular (75860) | $2,199.60 | $7,332 | 0.5× |
| Venography Adrenal Unilateral (75840) | $3,934.50 | $13,115 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,509.80 | $8,366 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,153.80 | $3,846 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $1,036.80 | $3,456 | 0.5× |
| Venography Renal Bilateral (75833) | $3,633.90 | $12,113 | 0.8× |
| Venography Renal Unilateral (75831) | $1,987.50 | $6,625 | 0.4× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$3,675.30 | $12,251 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $76.20 | $254 | 0.6× |
| Wrist 2 views (73100) | $236.40 | $788 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $328.50 | $1,095 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $229.20 | $764 | 0.4× |
| X-Ray Aorta Leg Arteries (75630) | $3,505.20 | $11,684 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $319.50 | $1,065 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $254.10 | $847 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $147.90 | $493 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $81.30 | $271 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $195 | $650 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $358.50 | $1,195 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $128.70 | $429 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $128.70 | $429 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $204.60 | $682 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $212.40 | $708 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $277.20 | $924 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $390.90 | $1,303 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $529.50 | $1,765 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $359.70 | $1,199 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $587.40 | $1,958 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $317.70 | $1,059 | 2.1× |
| X-ray eye for foreign body (70030) | $106.50 | $355 | 0.8× |
| X-ray head for orthodontia (70350) | $107.70 | $359 | 0.8× |
| X-ray humerus (73060) | $340.80 | $1,136 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $145.50 | $485 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $206.10 | $687 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $317.10 | $1,057 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $372.90 | $1,243 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $373.80 | $1,246 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $169.50 | $565 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $422.10 | $1,407 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $314.70 | $1,049 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $473.70 | $1,579 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $388.50 | $1,295 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $514.80 | $1,716 | 1.0× |
| X-Rays Bone Length Studies (77073) | $377.10 | $1,257 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $832.50 | $2,775 | 5.4× |
| Xr c-spine 4 or 5 views (72050) | $414.30 | $1,381 | 2.7× |
| Xr facial bones less than 3 views (70140) | $235.80 | $786 | 1.9× |
| Xr orbits complete 4 views (70200) | $264 | $880 | 1.7× |
| Xr Tomogram Single Plane (76100) | $219 | $730 | 1.4× |
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.