Imaging prices at Vail Health Hospital
Vail, CO · every code in this section with a posted price and a Medicare benchmark.
318 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) | $6,975.75 | $9,301 | 4.8× |
| Abdomen 1 View (74018) | $213 | $284 | 2.3× |
| Abdomen 2 views (74019) | $301.50 | $402 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,534.50 | $2,046 | 3.6× |
| Ankle 2 views (73600) | $306.75 | $409 | 3.3× |
| Arthrogram ankle (73615) | $917.25 | $1,223 | 2.5× |
| Arthrogram hip (73525) | $744.75 | $993 | 2.0× |
| Arthrogram Wrist (73115) | $754.50 | $1,006 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $470.25 | $627 | 3.3× |
| Bone age studies (77072) | $266.25 | $355 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,762.50 | $2,350 | 4.2× |
| Bone Imaging Limited Area (78300) | $1,149 | $1,532 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $1,350 | $1,800 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,580.25 | $2,107 | 3.7× |
| Brachytx isodose complex (77318) | $2,100.75 | $2,801 | 5.3× |
| Brachytx isodose intermed (77317) | $885 | $1,180 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $319.50 | $426 | 0.8× |
| Brain Image W/Flow < 4 Views (78601) | $1,905 | $2,540 | 4.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,239 | $5,652 | 2.8× |
| Cardiac Shunt Detection (78428) | $684 | $912 | 1.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$125.25–$200.25 | $167–$267 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$213.75–$248.25 | $285–$331 | varies |
| Chest 3 views (71047) | $308.25 | $411 | 3.4× |
| Chest 4 or more views (71048) | $346.50 | $462 | 3.1× |
| Clavicle complete (73000) | $243.75 | $325 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $224.25 | $299 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $850.50 | $1,134 | 6.0× |
| Contrast X-Ray Bladder (74430) | $549.75 | $733 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $785.25 | $1,047 | 2.1× |
| Contrast X-Ray Of Knee Joint (73580) | $1,074.75 | $1,433 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,206.75 | $5,609 | 11.4× |
| CT abdomen and pelvis without contrast (74176) | $3,003.75 | $4,005 | 11.9× |
| CT abdomen w contrast (74160) | $1,699.50 | $2,266 | 9.2× |
| CT abdomen w wo contrast (74170) | $2,106.75 | $2,809 | 11.4× |
| CT abdomen w/o contrast (74150) | $1,404.75 | $1,873 | 12.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,122.75 | $1,497 | 3.1× |
| CT Angio Chest (71275) | $2,798.25 | $3,731 | 15.1× |
| CT Angio Head (70496) | $2,691.75 | $3,589 | 14.5× |
| CT angio hrt w/3d image (75574) | $2,207.25 | $2,943 | 6.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,297 | $4,396 | 17.8× |
| CT Angio Neck (70498) | $2,514.75 | $3,353 | 13.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,272.25 | $4,363 | 17.7× |
| CT cervical spine w/ contrast (72126) | $2,154 | $2,872 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,842 | $2,456 | 16.7× |
| CT cervical spine w/wo cont (72127) | $2,613 | $3,484 | 14.1× |
| CT chest w contrast (71260) | $1,665 | $2,220 | 9.0× |
| CT chest w/wo contrast (71270) | $2,037.75 | $2,717 | 11.0× |
| CT colonography screening (74263) | $1,101.75 | $1,469 | 4.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $891 | $1,188 | 8.1× |
| CT head/brain with contrast (70460) | $1,803.75 | $2,405 | 9.7× |
| CT head/brain without and with contrast (70470) | $2,204.25 | $2,939 | 11.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,306.50 | $1,742 | 3.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $212.25 | $283 | 2.3× |
| CT hrt w/3d image congen (75573) | $1,538.25 | $2,051 | 4.2× |
| CT iac w contrast (70481) | $1,860 | $2,480 | 10.1× |
| CT l-spine w&w/o contrast (72133) | $2,618.25 | $3,491 | 14.2× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$168.83–$2,373.75 | $225.11–$3,165 | varies |
| CT lower extremity w/contrast material (73701) | $1,230.75 | $1,641 | 6.7× |
| CT lumbar spine w contrast (72132) | $2,157.75 | $2,877 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,842 | $2,456 | 16.7× |
| CT maxillofacial w contrast (70487) | $1,833.75 | $2,445 | 9.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$764.25–$1,164 | $1,019–$1,552 | varies |
| CT neck tissue combo (70492) | $1,868.25 | $2,491 | 10.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,232 | $2,976 | 12.1× |
| CT orbits w/o contrast (70480) | $1,590.75 | $2,121 | 14.4× |
| CT pelvis w&w/o contrast (72194) | $2,154.75 | $2,873 | 11.6× |
| CT pelvis w/o contrast (72192) | $2,094.75 | $2,793 | 19.0× |
| CT scans face/jaw combo (70488) | $2,212.50 | $2,950 | 12.0× |
| CT soft tissue neck w contrast (70491) | $1,557 | $2,076 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,370.25 | $1,827 | 12.4× |
| CT thoracic spine w contrast (72129) | $2,220 | $2,960 | 12.0× |
| CT thoracic spine w/o contrast (72128) | $1,842 | $2,456 | 16.7× |
| CT thoracic spine w/wo cont (72130) | $2,611.50 | $3,482 | 14.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$180–$1,419 | $240–$1,892 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$168.83–$1,589.25 | $225.11–$2,119 | varies |
| CT upper extremity with contrast (73201) | $1,722.75 | $2,297 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,516 | $4,688 | 19.0× |
| Cta Abdomen (74175) | $2,920.50 | $3,894 | 15.8× |
| CTA pelvis (72191) | $3,027 | $4,036 | 16.4× |
| Discography Cerv/Thor Spine (72285) | $2,933.25 | $3,911 | 1.4× |
| Diskography lumbar (72295) | $2,933.25 | $3,911 | 1.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $377.25 | $503 | 3.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $624.75 | $833 | 5.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $391.50 | $522 | 3.6× |
| Dxa Bone Density Axial (77080) | $469.50 | $626 | 4.3× |
| Dxa bone density study (77085) | $296.25 | $395 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $135 | $180 | 1.5× |
| Echo exam of fetal heart (76825) | $807 | $1,076 | 1.4× |
| Echo exam uterus (76831) | $435.75 | $581 | 1.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $562.50 | $750 | 2.2× |
| Esophagram (74220) | $430.50 | $574 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $531 | $708 | 4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $487.50 | $650 | 4.4× |
| Fluoroscopy up to 1 hr (76000) | $528 | $704 | 2.1× |
| Foot 2 views (73620) | $465.75 | $621 | 5.1× |
| Forearm 2 views (73090) | $272.25 | $363 | 3.0× |
| Gastric emptying imaging study (78264) | $1,271.25 | $1,695 | 3.0× |
| Gated Heart Planar Single (78472) | $1,645.50 | $2,194 | 3.9× |
| Hand 2 views (73120) | $222.75 | $297 | 2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,816.50 | $6,422 | 6.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,557 | $6,076 | 6.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,458.75 | $5,945 | 6.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,545 | $2,060 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,112.25 | $1,483 | 2.6× |
| Hysterosalpingogram (74740) | $645.75 | $861 | 2.6× |
| Image fusion (77399) range across 2 matching MRF lines |
$279.75–$529.50 | $373–$706 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $449.25 | $599 | 4.9× |
| Interstitial radiation source applic complex (77778) | $1,688.25 | $2,251 | 2.3× |
| Joint Survey Single View (77077) | $222 | $296 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,271.25 | $1,695 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,062.75 | $1,417 | 2.5× |
| Knee 3 Views (73562) | $541.50 | $722 | 5.9× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $822 | $1,096 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,157.25 | $1,543 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $758.25 | $1,011 | 1.3× |
| Lung perfusion differential (78597) | $469.50 | $626 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $783.75 | $1,045 | 1.4× |
| Lung Ventilation Imaging (78579) | $437.25 | $583 | 1.0× |
| Lymph System Imaging (78195) | $1,878 | $2,504 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $1,098 | $1,464 | 4.4× |
| Mammary ductogram or galactogram multiple (77054) | $612 | $816 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $738.75 | $985 | 2.9× |
| Meckels Divert Exam (78290) | $1,100.25 | $1,467 | 2.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,004.25 | $1,339 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,195.50 | $1,594 | 3.2× |
| MRA head w/o contrast (70544) | $1,217.25 | $1,623 | 4.8× |
| MRA head with contrast (70545) | $1,012.50 | $1,350 | 2.8× |
| MRA neck w contrast (70548) | $998.25 | $1,331 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,628.25 | $2,171 | 4.4× |
| MRA neck w/o contrast (70547) | $934.50 | $1,246 | 3.7× |
| MRI abdomen w contrast (74182) | $1,503.75 | $2,005 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,281 | $1,708 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,038–$1,395.75 | $1,384–$1,861 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,186.50–$1,677 | $1,582–$2,236 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,059.75–$1,436.25 | $1,413–$1,915 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,179 | $1,572 | 4.7× |
| MRI cervical spine w contrast (72142) | $1,407 | $1,876 | 3.8× |
| MRI cervical spine w/o cont (72141) | $1,248.75 | $1,665 | 5.0× |
| MRI chest w/o contrast (71550) | $1,161.75 | $1,549 | 4.6× |
| MRI chest with contrast (71551) | $954 | $1,272 | 1.2× |
| MRI chest wo w contrast (71552) | $1,710.75 | $2,281 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,083–$1,481.25 | $1,444–$1,975 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,172.25–$1,650 | $1,563–$2,200 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,199.25 | $1,599 | 4.8× |
| MRI lumbar spine w contrast (72149) | $1,347.75 | $1,797 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,228.50–$1,758 | $1,638–$2,344 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $926.25 | $1,235 | 3.7× |
| MRI orbit face neck w contrast (70542) | $1,074 | $1,432 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,678.50 | $2,238 | 4.6× |
| MRI pelvis w contrast (72196) | $1,079.25 | $1,439 | 2.9× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,705.50–$1,711.50 | $2,274–$2,282 | varies |
| MRI pelvis w/o contrast (72195) | $1,233.75 | $1,645 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $1,265.25 | $1,687 | 5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $978.75 | $1,305 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$936–$1,200 | $1,248–$1,600 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,158–$1,623.75 | $1,544–$2,165 | varies |
| MRI, abdomen, combo (74183) | $1,730.25 | $2,307 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,779.75 | $2,373 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,485 | $1,980 | 4.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$937.50–$1,203.75 | $1,250–$1,605 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,161.75–$1,630.50 | $1,549–$2,174 | varies |
| MRI, lumbar spine combo (72158) | $1,767.75 | $2,357 | 4.8× |
| Myelogram cervical (72240) | $1,488.75 | $1,985 | 1.8× |
| Myelogram Lumbar (72265) | $1,215 | $1,620 | 1.5× |
| Myelography thoracic (72255) | $1,408.50 | $1,878 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,117.25 | $2,823 | 2.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,013.25 | $5,351 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $3,077.25 | $4,103 | 2.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,850.75 | $3,801 | 3.1× |
| Neck soft tissue (70360) | $222 | $296 | 2.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,842.25 | $9,123 | 4.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$893.25–$1,194 | $1,191–$1,592 | varies |
| Ob us nuchal meas 1 gest (76813) | $391.50 | $522 | 3.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $285.75 | $381 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,389.75 | $1,853 | 2.4× |
| Parathyroid Planar Imaging (78070) | $1,221 | $1,628 | 2.9× |
| Pelvis 1 or 2 views (72170) | $257.25 | $343 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $4,013.25 | $5,351 | 2.7× |
| PET image w/CT, full body (78816) | $5,939.25 | $7,919 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,739 | $7,652 | 3.8× |
| PET whole body (78813) | $11,042.25 | $14,723 | 7.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $686.25 | $915 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $399 | $532 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $540.75 | $721 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $247.50 | $330 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $216.75 | $289 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $259.50 | $346 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $378 | $504 | 3.4× |
| Radex fingr minimum 2 views (73140) | $193.50 | $258 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $258 | $344 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $255.75 | $341 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $303.75 | $405 | 3.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $228.75 | $305 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $313.50 | $418 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $351.75 | $469 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $287.25 | $383 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $161.25 | $215 | 1.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $523.50 | $698 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $262.50 | $350 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $312.75 | $417 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $321.75 | $429 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $196.50 | $262 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $195.75 | $261 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $248.25 | $331 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $588.75 | $785 | 5.3× |
| Radiation treatment delivery level 3 (77412) | $3,826.51 | $5,102.01 | 6.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $393.75 | $525 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $298.50 | $398 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $528.75 | $705 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $382.50 | $510 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) | $322.50 | $430 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $283.50 | $378 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $446.25 | $595 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $477 | $636 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $579.75 | $773 | 3.1× |
| Radiologic examination femur 1 view (73551) | $257.25 | $343 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $257.25 | $343 | 2.8× |
| Radiologic examination knee 1/2 views (73560) | $206.25 | $275 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $282.75 | $377 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $275.25 | $367 | 3.0× |
| Ribs bilateral 3 views (71110) | $401.25 | $535 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,034.25 | $1,379 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,347.75 | $1,797 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,396 | $4,528 | 5.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,687.50 | $2,250 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,176.50 | $2,902 | 3.8× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$1,272–$26,196.75 | $1,696–$34,929 | varies |
| Scapula (73010) | $315 | $420 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42 | $56 | 1.8× |
| Sella turcica (70240) | $126 | $168 | 1.4× |
| Shoulder 1 view (73020) | $192 | $256 | 2.1× |
| Shoulder Arthrography (73040) | $922.50 | $1,230 | 2.5× |
| Sialogram (70390) | $426.75 | $569 | 1.7× |
| Skull less than 4 views (70250) | $282.75 | $377 | 2.6× |
| Special dosimetry (77331) | $336.75 | $449 | 2.4× |
| Special Physics Consult (77370) | $996 | $1,328 | 7.0× |
| Special teletherapy port plan (77321) | $830.25 | $1,107 | 2.1× |
| Special treatment procedure (77470) | $4,079.25 | $5,439 | 7.0× |
| Stereotactic Body Radiation Delivery (77373) | $6,594.75 | $8,793 | 3.5× |
| Sternoclavicular joints (71130) | $279.75 | $373 | 3.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $348.75 | $465 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,423.50 | $1,898 | 3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $967.50 | $1,290 | 2.4× |
| Testicular Imaging W/Flow (78761) | $423 | $564 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,370 | $3,160 | 6.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,320 | $1,760 | 9.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $570 | $760 | 3.1× |
| Thoracic spine 2 views (72070) | $309.75 | $413 | 2.8× |
| Thoracic spine 3 views (72072) | $291 | $388 | 2.6× |
| Thoracolumbar 2 views (72080) | $300.75 | $401 | 3.3× |
| Thyroid Met Imaging Body (78018) | $2,022.75 | $2,697 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,685.25 | $2,247 | 4.0× |
| Tx Devices Design & Construction Complex (77334) | $1,079.25 | $1,439 | 2.7× |
| Tx devices design & construction intermediate (77333) | $564 | $752 | 4.0× |
| Tx devices design & construction simple (77332) | $484.50 | $646 | 3.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$309.75–$445.50 | $413–$594 | varies |
| Ultrasound elastography first target lesion (76982) | $282 | $376 | 2.6× |
| Ultrasound Elastography Parenchyma (76981) | $282 | $376 | 2.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$442.50–$458.25 | $590–$611 | varies |
| Umbilical-artery Doppler (OB) (76820) | $463.50 | $618 | 4.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$745.50–$1,185 | $994–$1,580 | varies |
| Upper gi w/o kub (74240) | $565.50 | $754 | 3.1× |
| Urethrocystogram voiding (74455) | $361.50 | $482 | 1.4× |
| Urethrocystography retrograde (74450) | $314.25 | $419 | 1.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$297–$444.75 | $396–$593 | varies |
| Us chest (76604) | $427.50 | $570 | 3.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$82.50–$576.75 | $110–$769 | varies |
| Us exam, pelvic, limited (76857) | $374.25 | $499 | 3.4× |
| Us head (76506) | $264 | $352 | 2.4× |
| Us kidney transplant (76776) | $501 | $668 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $373.50 | $498 | 3.4× |
| Us ob detailed single fetus (76811) | $735 | $980 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $402.75 | $537 | 3.7× |
| Us ob transvaginal (76817) | $477 | $636 | 4.3× |
| Us pelvic non ob complete (76856) | $494.25 | $659 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $726.75 | $969 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $484.50 | $646 | 4.4× |
| Us retroperitoneal complete (76770) | $641.25 | $855 | 5.8× |
| Us retroperitoneal limited (76775) | $428.25 | $571 | 3.9× |
| Us scrotum and contents (76870) | $459.75 | $613 | 4.2× |
| Us spinal canal and contents (76800) | $375.75 | $501 | 3.4× |
| Us thyroid (76536) | $423 | $564 | 3.8× |
| Venography extremity unilateral rs&i (75820) | $1,312.50 | $1,750 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $132 | $176 | 1.4× |
| Wrist 2 views (73100) | $242.25 | $323 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $312.75 | $417 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $758.25 | $1,011 | 6.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $396 | $528 | 4.3× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$450.75–$526.50 | $601–$702 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $336.75 | $449 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $554.25 | $739 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.50 | $226 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $278.25 | $371 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $460.50 | $614 | 4.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $354.75 | $473 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $354.75 | $473 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $672.75 | $897 | 6.1× |
| X-Ray Exam L-S Spine Bending (72114) | $696.75 | $929 | 6.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $286.50 | $382 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$432–$528 | $576–$704 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $342.75 | $457 | 3.1× |
| X-ray eye for foreign body (70030) | $162.75 | $217 | 1.8× |
| X-ray humerus (73060) | $279.75 | $373 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $368.25 | $491 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $147 | $196 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $152.25 | $203 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $330 | $440 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $198 | $264 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $595.50 | $794 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $345 | $460 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $266.25 | $355 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $210 | $280 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $475.50 | $634 | 4.3× |
| X-Ray Stress View (77071) | $138.75 | $185 | 1.5× |
| X-Rays Bone Length Studies (77073) | $240.75 | $321 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $582 | $776 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $501.75 | $669 | 4.5× |
| Xr orbits complete 4 views (70200) | $271.50 | $362 | 2.5× |
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.