Imaging prices at Usc Verdugo Hills Hospital
Glendale, CA · every code in this section with a posted price and a Medicare benchmark.
271 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) | $591.25 | $591.25 | 5.3× |
| Abdomen 2 views (74019) | $724 | $724 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,819.75 | $2,819.75 | 5.5× |
| Angio pulmonary bilat (75743) | $7,943.25 | $7,943.25 | 2.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $9,961 | $9,961 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $14,588.50 | $14,588.50 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $5,236.75 | $5,236.75 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,943.25 | $7,943.25 | 2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,918.75 | $6,918.75 | 1.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$784–$1,176 | $784–$1,176 | varies |
| Aortography thoracic serialography rs&i (75605) | $10,920.50 | $10,920.50 | 1.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,694 | $4,694 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $6,865.25 | $6,865.25 | 1.7× |
| Artery X-Rays Pelvis (75736) | $7,426.25 | $7,426.25 | 1.0× |
| Arthrogram ankle (73615) | $1,020 | $1,020 | 2.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,455.50–$2,183.25 | $1,455.50–$2,183.25 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,020–$1,530 | $1,020–$1,530 | varies |
| Bone age studies (77072) | $221 | $221 | 1.6× |
| Bone Imaging 3 Phase (78315) | $3,075.25 | $3,075.25 | 6.0× |
| Bone Imaging Limited Area (78300) | $1,654.25 | $1,654.25 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $2,494 | $2,494 | 4.9× |
| Bone Imaging Whole Body (78306) | $2,709 | $2,709 | 5.3× |
| Cardiac Shunt Detection (78428) | $974 | $974 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $1,899 | $1,899 | 17.0× |
| Chest 1 view (71045) | $571.50 | $571.50 | 5.1× |
| Chest 2 views (71046) | $719.25 | $719.25 | 6.4× |
| Chest 3 views (71047) | $882.50 | $882.50 | 7.9× |
| Chest 4 or more views (71048) | $1,013.25 | $1,013.25 | 7.5× |
| Cholecystography Oral Contrast (74290) | $563.50 | $563.50 | 2.5× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $695.50 | $695.50 | 5.2× |
| Cisternography Positive Contrast Rs&I (70015) | $3,137.75 | $3,137.75 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$797–$1,195.50 | $797–$1,195.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $450 | $450 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) | $14,588.50 | $14,588.50 | 3.6× |
| Contrast X-Ray Bladder (74430) | $1,785.75 | $1,785.75 | 4.0× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$917.75–$1,376.75 | $917.75–$1,376.75 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,469.25–$2,204 | $1,469.25–$2,204 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $8,947.75 | $8,947.75 | 19.9× |
| CT abdomen and pelvis without contrast (74176) | $6,488 | $6,488 | 21.1× |
| CT abdomen w contrast (74160) | $3,926.75 | $3,926.75 | 17.4× |
| CT abdomen w wo contrast (74170) | $4,501 | $4,501 | 20.0× |
| CT abdomen w/o contrast (74150) | $2,724.25 | $2,724.25 | 20.3× |
| CT Angio Abdomen and Pelvis (74174) | $6,466.50 | $6,466.50 | 14.4× |
| CT Angio Chest (71275) | $8,589.50 | $8,589.50 | 38.1× |
| CT Angio Head (70496) | $5,056.25 | $5,056.25 | 22.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$6,310.75–$9,466.25 | $6,310.75–$9,466.25 | varies |
| CT Angio Neck (70498) | $4,824 | $4,824 | 21.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,863.50 | $4,863.50 | 21.6× |
| CT cervical spine w/ contrast (72126) | $5,700.50 | $5,700.50 | 12.7× |
| CT cervical spine w/o contrast (72125) | $5,076 | $5,076 | 37.8× |
| CT cervical spine w/wo cont (72127) | $7,764.25 | $7,764.25 | 34.4× |
| CT chest w contrast (71260) | $5,838.25 | $5,838.25 | 25.9× |
| CT chest w/wo contrast (71270) | $6,113.75 | $6,113.75 | 27.1× |
| CT head/brain with contrast (70460) | $5,788 | $5,788 | 25.7× |
| CT head/brain without and with contrast (70470) | $6,930 | $6,930 | 30.7× |
| CT iac w contrast (70481) | $4,752 | $4,752 | 21.1× |
| CT l-spine w&w/o contrast (72133) | $7,155 | $7,155 | 31.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$3,448.75–$5,173.25 | $3,448.75–$5,173.25 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$4,957.25–$9,914.50 | $4,957.25–$9,914.50 | varies |
| CT lumbar spine w contrast (72132) | $5,800.50 | $5,800.50 | 12.9× |
| CT lumbar spine w/o contrast (72131) | $4,507.25 | $4,507.25 | 33.5× |
| CT maxillofacial w contrast (70487) | $4,798.75 | $4,798.75 | 21.3× |
| CT maxillofacial wo contrast (70486) | $4,166 | $4,166 | 31.0× |
| CT neck tissue combo (70492) | $4,101.25 | $4,101.25 | 18.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,245.25 | $5,245.25 | 23.3× |
| CT orbits w/o contrast (70480) | $3,882.50 | $3,882.50 | 28.9× |
| CT pelvis w&w/o contrast (72194) | $10,465.25 | $10,465.25 | 46.4× |
| CT pelvis w/o contrast (72192) | $4,868.50 | $4,868.50 | 36.2× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$5,140–$7,710 | $5,140–$7,710 | varies |
| CT scans face/jaw combo (70488) | $6,064.25 | $6,064.25 | 26.9× |
| CT soft tissue neck w contrast (70491) | $3,895.25 | $3,895.25 | 17.3× |
| CT soft tissue neck w/o contrast (70490) | $3,243.50 | $3,243.50 | 24.1× |
| CT thoracic spine w contrast (72129) | $5,228 | $5,228 | 23.2× |
| CT thoracic spine w/o contrast (72128) | $4,059 | $4,059 | 30.2× |
| CT thoracic spine w/wo cont (72130) | $6,485.50 | $6,485.50 | 28.7× |
| CT thorax w/o contrast (71250) | $3,503.75 | $3,503.75 | 26.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$3,969.50–$7,939 | $3,969.50–$7,939 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$5,455.75–$8,183.75 | $5,455.75–$8,183.75 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$4,529.25–$9,058.50 | $4,529.25–$9,058.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,399.25 | $3,399.25 | 15.1× |
| Cta Abdomen (74175) | $5,328 | $5,328 | 23.6× |
| CTA pelvis (72191) | $5,682.50 | $5,682.50 | 25.2× |
| Echo exam uterus (76831) | $804 | $804 | 2.6× |
| Esophagram (74220) | $1,607.75 | $1,607.75 | 7.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $498 | $498 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $322.50 | $322.50 | 1.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$697.25–$1,046 | $697.25–$1,046 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$793.75–$1,190.75 | $793.75–$1,190.75 | varies |
| Gastric emptying imaging study (78264) | $2,475 | $2,475 | 4.8× |
| Gated Heart Planar Single (78472) | $2,456 | $2,456 | 4.8× |
| GI Endoscopic US S&I (76975) | $12,509 | $12,509 | 40.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$745.50–$1,118.25 | $745.50–$1,118.25 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,375 | $5,375 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,375 | $5,375 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $3,239.25 | $3,239.25 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,815.50 | $2,815.50 | 5.5× |
| Ht Muscle Image Spect Sing (78451) | $5,523.25 | $5,523.25 | 3.3× |
| Hysterosalpingogram (74740) | $1,628.25 | $1,628.25 | 5.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $804 | $804 | 7.2× |
| K Flow/Funct Image W/Drug (78708) | $2,972.50 | $2,972.50 | 4.3× |
| K Flow/Funct Image W/O Drug (78707) | $2,290.50 | $2,290.50 | 3.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$874–$1,311 | $874–$1,311 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,898.75 | $1,898.75 | 3.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,276.25 | $1,276.25 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,718 | $2,718 | 3.9× |
| Lymph System Imaging (78195) | $3,113 | $3,113 | 4.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,877 | $2,877 | 1.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,918.75 | $6,918.75 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $2,080 | $2,080 | 6.8× |
| Mr safety determination physician/other qhp (76016) | $302.50 | $302.50 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $90 | $90 | 2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $315 | $315 | 2.6× |
| Mr safety implt pos&/immoblj (76019) | $160.25 | $160.25 | 2.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $829 | $829 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $15,429.50 | $15,429.50 | 34.4× |
| MRA head w/o contrast (70544) | $10,285.25 | $10,285.25 | 33.5× |
| MRA neck w contrast (70548) | $10,430 | $10,430 | 23.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $15,199.25 | $15,199.25 | 33.9× |
| MRA neck w/o contrast (70547) | $10,285.25 | $10,285.25 | 33.5× |
| MRI abdomen w/o contrast (74181) | $7,119 | $7,119 | 23.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$8,385.25–$12,578 | $8,385.25–$12,578 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,144.75–$15,217.25 | $10,144.75–$15,217.25 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$6,836.50–$10,254.75 | $6,836.50–$10,254.75 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,377.75 | $3,377.75 | 11.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,911.50 | $2,911.50 | 9.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,940.50 | $1,940.50 | 6.3× |
| MRI cervical spine w/o cont (72141) | $3,835.75 | $3,835.75 | 12.5× |
| MRI chest w/o contrast (71550) | $6,490 | $6,490 | 21.1× |
| MRI chest wo w contrast (71552) | $8,850.50 | $8,850.50 | 19.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$11,855.75–$17,783.75 | $11,855.75–$17,783.75 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$5,362.25–$8,043.50 | $5,362.25–$8,043.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $21,498.25 | $21,498.25 | 47.9× |
| MRI orbit face &/neck w/o contrast (70540) | $11,063.75 | $11,063.75 | 36.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $16,136 | $16,136 | 36.0× |
| MRI pelvis w/o & w contrast (72197) | $12,098.75 | $12,098.75 | 27.0× |
| MRI pelvis w/o contrast (72195) | $7,257.50 | $7,257.50 | 23.6× |
| MRI thoracic spine w/o contrast (72146) | $5,530 | $5,530 | 18.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$5,619.50–$8,429.25 | $5,619.50–$8,429.25 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$7,372.75–$11,059.25 | $7,372.75–$11,059.25 | varies |
| MRI, abdomen, combo (74183) | $10,890 | $10,890 | 24.3× |
| MRI, dorsal spine combo (72157) | $12,406.50 | $12,406.50 | 27.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$5,482–$8,223 | $5,482–$8,223 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$8,824.50–$13,236.75 | $8,824.50–$13,236.75 | varies |
| MRI, lumbar spine combo (72158) | $8,627.50 | $8,627.50 | 19.2× |
| Myelogram cervical (72240) | $4,773 | $4,773 | 4.7× |
| Myelogram Lumbar (72265) | $2,246 | $2,246 | 2.2× |
| Myelography thoracic (72255) | $2,246 | $2,246 | 2.2× |
| Myelograpy 2/more regions rs&i (72270) | $2,575.50 | $2,575.50 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $7,756.25 | $7,756.25 | 4.7× |
| Neck soft tissue (70360) | $1,076 | $1,076 | 9.6× |
| Nonvascular Shunt X-Ray (75809) | $2,055.75 | $2,055.75 | 15.3× |
| Parathyroid Planar Imaging (78070) | $1,925 | $1,925 | 3.7× |
| Pelvis 1 or 2 views (72170) | $753 | $753 | 5.6× |
| Peritoneogram Rs&I (74190) | $3,307.25 | $3,307.25 | 4.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,489 | $12,489 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,467.75 | $2,467.75 | 4.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,861.50 | $1,861.50 | 13.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $975.25 | $975.25 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$998.50–$1,497.75 | $998.50–$1,497.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$674.50–$1,011.75 | $674.50–$1,011.75 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$912.25–$1,824.50 | $912.25–$1,824.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,909 | $1,909 | 14.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$655.25–$983 | $655.25–$983 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$876.50–$1,753 | $876.50–$1,753 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$983.50–$1,475.25 | $983.50–$1,475.25 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$623.25–$935 | $623.25–$935 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $921.25 | $921.25 | 6.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,257 | $1,257 | 11.2× |
| Radex Ribs Unilateral 2 Views (71100) | $949.25 | $949.25 | 8.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$961–$1,441.50 | $961–$1,441.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,109 | $1,109 | 9.9× |
| Radex Spine 1 View Specify Level (72020) | $568.50 | $568.50 | 5.1× |
| Radex Sternum Minimum 2 Views (71120) | $852.75 | $852.75 | 7.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,302 | $1,302 | 11.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$789.25–$1,184 | $789.25–$1,184 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$887–$1,330.50 | $887–$1,330.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$948.25–$1,896.50 | $948.25–$1,896.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,313.75 | $1,313.75 | 9.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $823.25 | $823.25 | 6.1× |
| Radiologic exam colon single contrast study (74270) | $2,842.25 | $2,842.25 | 12.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,259.25–$1,889 | $1,259.25–$1,889 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,567 | $1,567 | 11.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,896.25 | $1,896.25 | 8.4× |
| Radiologic exam swallow function contrast study (74230) | $1,903.25 | $1,903.25 | 8.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,828.75 | $1,828.75 | 8.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$867.75–$1,301.75 | $867.75–$1,301.75 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$733.50–$1,100.25 | $733.50–$1,100.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $590 | $590 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$827–$1,240.50 | $827–$1,240.50 | varies |
| Renal Cyst Study (74470) | $2,484.25 | $2,484.25 | 3.5× |
| Ribs bilateral 3 views (71110) | $1,124 | $1,124 | 8.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,172.75 | $1,172.75 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,202.25 | $2,202.25 | 3.2× |
| Scapula (73010) range across 3 matching MRF lines |
$993.25–$1,490 | $993.25–$1,490 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $751.75 | $751.75 | 32.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$588.75–$883.25 | $588.75–$883.25 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,464.50–$2,196.75 | $1,464.50–$2,196.75 | varies |
| Sialogram (70390) | $1,875.75 | $1,875.75 | 6.1× |
| Skull less than 4 views (70250) | $1,031.75 | $1,031.75 | 7.7× |
| Sternoclavicular joints (71130) | $1,068.25 | $1,068.25 | 9.5× |
| Thoracic spine 2 views (72070) | $881.50 | $881.50 | 6.6× |
| Thoracic spine 3 views (72072) | $990 | $990 | 7.4× |
| Thoracolumbar 2 views (72080) | $836.50 | $836.50 | 7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,446.25 | $1,446.25 | 2.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$815.25–$1,630.50 | $815.25–$1,630.50 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,516 | $1,516 | 11.3× |
| Ultrasound, abdomen limited (76705) | $1,917.25 | $1,917.25 | 14.3× |
| Unlisted us procedure (76999) | $804 | $804 | 7.2× |
| Upper gi w/o kub (74240) | $1,282.50 | $1,282.50 | 5.7× |
| Urethrocystogram voiding (74455) | $2,133.50 | $2,133.50 | 7.0× |
| Urethrocystography retrograde (74450) | $1,274.25 | $1,274.25 | 4.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,199.25–$1,799 | $1,199.25–$1,799 | varies |
| Us chest (76604) | $1,433.75 | $1,433.75 | 10.7× |
| Us complete joint (76881) | $1,261.75 | $1,261.75 | 9.4× |
| Us exam, pelvic, limited (76857) | $1,093.25 | $1,093.25 | 8.1× |
| Us head (76506) | $804 | $804 | 6.0× |
| Us kidney transplant (76776) | $2,501.50 | $2,501.50 | 18.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$1,110.75–$1,666.25 | $1,110.75–$1,666.25 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,451.25 | $1,451.25 | 10.8× |
| Us ob transvaginal (76817) | $1,824.25 | $1,824.25 | 13.6× |
| Us pelvic non ob complete (76856) | $2,507.50 | $2,507.50 | 18.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,229.75 | $2,229.75 | 16.6× |
| Us retroperitoneal complete (76770) | $1,953.25 | $1,953.25 | 14.5× |
| Us retroperitoneal limited (76775) | $1,653.50 | $1,653.50 | 12.3× |
| Us scrotum and contents (76870) | $2,325 | $2,325 | 17.3× |
| Us spinal canal and contents (76800) | $565.75 | $565.75 | 4.2× |
| Us thyroid (76536) | $1,571 | $1,571 | 11.7× |
| Us transrectal (76872) | $1,397.75 | $1,397.75 | 10.4× |
| Vein X-Ray Chest (75827) | $5,286.25 | $5,286.25 | 2.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,198.50 | $4,198.50 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,930.25 | $1,930.25 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $5,000.25 | $5,000.25 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $7,078.50 | $7,078.50 | 3.5× |
| Venography extremity unilateral rs&i (75820) | $2,072.25 | $2,072.25 | 1.0× |
| Venography Renal Unilateral (75831) | $6,918.75 | $6,918.75 | 1.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$612.50–$918.75 | $612.50–$918.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,244 | $1,244 | 11.1× |
| X-ray antegrade pyelogram tube (74425) | $1,560.75 | $1,560.75 | 3.5× |
| X-Ray Aorta Leg Arteries (75630) | $11,034.75 | $11,034.75 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$710–$1,065 | $710–$1,065 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,787 | $1,787 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $648.75 | $648.75 | 5.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,188.25 | $1,188.25 | 8.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $449.50 | $449.50 | 4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $667.50 | $667.50 | 6.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $569.50 | $569.50 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $972.75 | $972.75 | 7.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,019 | $1,019 | 7.6× |
| X-Ray Exam L-S Spine Bending (72114) | $2,060.25 | $2,060.25 | 15.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $869.75 | $869.75 | 7.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,562.75 | $1,562.75 | 11.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,399.75 | $1,399.75 | 10.4× |
| X-ray humerus (73060) | $791.50 | $791.50 | 7.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $904.25 | $904.25 | 8.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $921.25 | $921.25 | 8.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,226 | $1,226 | 9.1× |
| X-ray nose-rectum child f.b. (76010) | $376.25 | $376.25 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,383.50 | $1,383.50 | 10.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $969.50 | $969.50 | 7.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $555.50 | $555.50 | 4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,047.50 | $1,047.50 | 9.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,404 | $1,404 | 12.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,808.25 | $1,808.25 | 13.4× |
| X-ray thoracic spine 4 vw (72074) | $1,031.75 | $1,031.75 | 7.7× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$645–$691.75 | $645–$691.75 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,640.75 | $2,640.75 | 5.9× |
| X-Rays Bone Length Studies (77073) | $905.25 | $905.25 | 6.7× |
| X-Rays Bone Survey Complete (77075) | $2,175 | $2,175 | 16.2× |
| Xr c-spine 4 or 5 views (72050) | $1,508 | $1,508 | 11.2× |
| Xr facial bones less than 3 views (70140) | $917 | $917 | 8.2× |
| Xr orbits complete 4 views (70200) | $1,094 | $1,094 | 8.1× |
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.