Imaging prices at Valley Presbyterian Hospital
Van Nuys, CA · every code in this section with a posted price and a Medicare benchmark.
336 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) | $4,406 | $4,406 | 2.5× |
| Abdomen 1 View (74018) | $430 | $430 | 3.8× |
| Abdomen 2 views (74019) | $470 | $470 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,512 | $1,512 | 2.9× |
| Angio internal mammary (75756) | $3,154 | $3,154 | 0.8× |
| Angio pulmonary bilat (75743) | $12,117 | $12,117 | 3.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $12,117 | $12,117 | 3.0× |
| Angiography extremity bilateral rs&i (75716) | $12,123 | $12,123 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $12,123 | $12,123 | 3.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $12,117 | $12,117 | 3.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,696 | $4,696 | 1.2× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$190–$660 | $190–$660 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,117 | $12,117 | 1.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $11,909 | $11,909 | 2.9× |
| Artery X-Rays Abdomen (75726) | $21,239 | $21,239 | 3.0× |
| Artery X-Rays Adrenal Gland (75731) | $12,117 | $12,117 | 3.0× |
| Artery X-Rays Pelvis (75736) | $12,123 | $12,123 | 1.7× |
| Artery X-Rays Spine (75705) | $21,228 | $21,228 | 3.0× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,460–$1,793 | $1,460–$1,793 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,477–$3,586 | $1,477–$3,586 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,460–$1,793 | $1,460–$1,793 | varies |
| Basic radiation dosimetry calculation (77300) | $478 | $478 | 2.8× |
| Bone age studies (77072) | $379 | $379 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,835 | $1,835 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,174 | $1,174 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,687 | $1,687 | 3.3× |
| Bone Imaging Whole Body (78306) | $1,747 | $1,747 | 3.4× |
| Bone marrow imaging; whole body (78104) | $1,705 | $1,705 | 3.3× |
| Bone survey infant (77076) | $736 | $736 | 5.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,629 | $2,629 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $1,836 | $1,836 | 16.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,381 | $1,381 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $2,812 | $2,812 | 4.0× |
| Chest 1 view (71045) | $371 | $371 | 3.3× |
| Chest 2 views (71046) | $501 | $501 | 4.5× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$528–$649 | $528–$649 | varies |
| Chest 4 or more views (71048) | $768 | $768 | 5.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$360–$926 | $360–$926 | varies |
| Continuing medical physics consltj pr wk (77336) | $538 | $538 | 3.1× |
| Contrast Exam Abdominl Aorta (75625) | $12,123 | $12,123 | 3.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,016–$1,246 | $1,016–$1,246 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,553–$1,905 | $1,553–$1,905 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$4,699–$5,850 | $4,699–$5,850 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,890–$4,084 | $3,890–$4,084 | varies |
| CT abdomen w contrast (74160) | $4,256 | $4,256 | 18.9× |
| CT abdomen w wo contrast (74170) | $4,980 | $4,980 | 22.1× |
| CT abdomen w/o contrast (74150) | $3,959 | $3,959 | 29.4× |
| CT Angio Abdomen and Pelvis (74174) | $10,005 | $10,005 | 22.3× |
| CT Angio Chest (71275) | $6,424 | $6,424 | 28.5× |
| CT Angio Head (70496) | $5,572 | $5,572 | 24.7× |
| CT angio hrt w/3d image (75574) | $10,005 | $10,005 | 22.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,445 | $5,445 | 24.1× |
| CT Angio Neck (70498) | $5,572 | $5,572 | 24.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,445 | $5,445 | 24.1× |
| CT cervical spine w/ contrast (72126) | $5,329 | $5,329 | 11.9× |
| CT cervical spine w/o contrast (72125) | $4,682 | $4,682 | 34.8× |
| CT cervical spine w/wo cont (72127) | $5,566 | $5,566 | 24.7× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$4,077–$4,453 | $4,077–$4,453 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$4,310–$4,963 | $4,310–$4,963 | varies |
| CT head/brain with contrast (70460) | $3,943 | $3,943 | 17.5× |
| CT head/brain without and with contrast (70470) | $4,453 | $4,453 | 19.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,493 | $1,493 | 3.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $289 | $289 | 2.6× |
| CT iac w contrast (70481) | $4,748 | $4,748 | 21.0× |
| CT l-spine w&w/o contrast (72133) | $5,566 | $5,566 | 24.7× |
| CT lower ext w/o (73700) range across 17 matching MRF lines |
$3,903–$4,483 | $3,903–$4,483 | varies |
| CT lower extremity w/contrast material (73701) range across 15 matching MRF lines |
$4,200–$4,835 | $4,200–$4,835 | varies |
| CT lumbar spine w contrast (72132) | $5,325 | $5,325 | 11.9× |
| CT lumbar spine w/o contrast (72131) | $4,682 | $4,682 | 34.8× |
| CT maxillofacial w contrast (70487) | $4,489 | $4,489 | 19.9× |
| CT maxillofacial wo contrast (70486) | $4,348 | $4,348 | 32.3× |
| CT neck tissue combo (70492) | $4,830 | $4,830 | 21.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,250 | $5,250 | 23.3× |
| CT orbits w/o contrast (70480) | $4,347 | $4,347 | 32.3× |
| CT pelvis w&w/o contrast (72194) | $4,754 | $4,754 | 21.1× |
| CT pelvis w/o contrast (72192) | $3,977 | $3,977 | 29.6× |
| CT scan of leg combo (73702) range across 17 matching MRF lines |
$4,426–$5,767 | $4,426–$5,767 | varies |
| CT scans face/jaw combo (70488) | $4,845 | $4,845 | 21.5× |
| CT soft tissue neck w contrast (70491) | $4,320 | $4,320 | 19.1× |
| CT soft tissue neck w/o contrast (70490) | $3,811 | $3,811 | 28.3× |
| CT thoracic spine w contrast (72129) | $5,325 | $5,325 | 23.6× |
| CT thoracic spine w/o contrast (72128) | $4,682 | $4,682 | 34.8× |
| CT thoracic spine w/wo cont (72130) | $5,301 | $5,301 | 23.5× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$3,844–$4,077 | $3,844–$4,077 | varies |
| CT upper ext wo (73200) range across 19 matching MRF lines |
$3,527–$4,077 | $3,527–$4,077 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 17 matching MRF lines |
$4,156–$5,767 | $4,156–$5,767 | varies |
| CT upper extremity with contrast (73201) range across 19 matching MRF lines |
$3,916–$4,835 | $3,916–$4,835 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,424 | $6,424 | 28.5× |
| Cta Abdomen (74175) | $4,764 | $4,764 | 21.1× |
| CTA pelvis (72191) | $6,424 | $6,424 | 28.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $256 | $256 | 1.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $256 | $256 | 1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$542–$582 | $542–$582 | varies |
| Echo exam of fetal heart (76825) | $1,048 | $1,048 | 1.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $844 | $844 | 2.8× |
| Esophagram (74220) | $580 | $580 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$582–$744 | $582–$744 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $466 | $466 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $1,687 | $1,687 | 5.5× |
| Follow-Up Angiography (75898) | $3,320 | $3,320 | 0.8× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$190–$660 | $190–$660 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$491–$983 | $491–$983 | varies |
| Gastric emptying imaging study (78264) | $1,611 | $1,611 | 3.1× |
| Gastroesophageal Reflux Exam (78262) | $1,223 | $1,223 | 2.4× |
| Gated Heart Planar Single (78472) | $2,421 | $2,421 | 4.7× |
| Gated Heart, Multiple (78473) | $2,823 | $2,823 | 5.5× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$190–$472 | $190–$472 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,918 | $8,918 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,773 | $1,773 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,590 | $1,590 | 3.1× |
| Ht Musc Image Planar Mult (78454) | $3,191 | $3,191 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $3,669 | $3,669 | 2.2× |
| Hysterosalpingogram (74740) | $1,453 | $1,453 | 4.7× |
| Image fusion (77399) | $478 | $478 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $912 | $912 | 8.1× |
| Infusion Ivp (74410) | $1,780 | $1,780 | 7.9× |
| Joint Survey Single View (77077) | $190 | $190 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $2,392 | $2,392 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,659 | $1,659 | 2.4× |
| Kidney Imaging Morphol (78700) | $1,590 | $1,590 | 3.1× |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$190–$1,022 | $190–$1,022 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,957 | $1,957 | 3.8× |
| Leveen/Shunt Patency Exam (78291) | $1,515 | $1,515 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,691 | $1,691 | 3.3× |
| Liver imaging static only (78201) | $2,134 | $2,134 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,201 | $2,201 | 3.2× |
| Lung perfusion differential (78597) | $1,559 | $1,559 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,201 | $2,201 | 3.2× |
| Lymph System Imaging (78195) | $1,506 | $1,506 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $3,103 | $3,103 | 10.1× |
| Meckels Divert Exam (78290) | $1,835 | $1,835 | 3.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,390 | $1,390 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,981 | $3,981 | 8.9× |
| MRA head w/o contrast (70544) | $2,751 | $2,751 | 9.0× |
| MRA head with contrast (70545) | $3,775 | $3,775 | 8.4× |
| MRA neck w contrast (70548) | $3,398 | $3,398 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,889 | $2,889 | 6.4× |
| MRI abdomen w contrast (74182) | $3,222 | $3,222 | 7.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,407–$4,136 | $2,407–$4,136 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$2,252–$4,260 | $2,252–$4,260 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$3,075–$5,192 | $3,075–$5,192 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 10 matching MRF lines |
$2,625–$4,341 | $2,625–$4,341 | varies |
| MRI bone marrow blood supply (77084) | $4,137 | $4,137 | 13.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,155 | $2,155 | 7.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,155 | $2,155 | 7.0× |
| MRI cervical spine w contrast (72142) | $4,445 | $4,445 | 9.9× |
| MRI cervical spine w/o cont (72141) | $4,137 | $4,137 | 13.5× |
| MRI chest w/o contrast (71550) | $2,407 | $2,407 | 7.8× |
| MRI chest with contrast (71551) | $3,196 | $3,196 | 3.2× |
| MRI chest wo w contrast (71552) | $4,137 | $4,137 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$2,252–$4,205 | $2,252–$4,205 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$1,516–$5,137 | $1,516–$5,137 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
$961–$3,273 | $961–$3,273 | varies |
| MRI lumbar spine w contrast (72149) | $4,891 | $4,891 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,445 | $4,445 | 9.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,532 | $3,532 | 11.5× |
| MRI orbit face neck w contrast (70542) | $4,446 | $4,446 | 9.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,562 | $4,562 | 10.2× |
| MRI pelvis w contrast (72196) | $4,040 | $4,040 | 9.0× |
| MRI pelvis w/o & w contrast (72197) | $3,941 | $3,941 | 8.8× |
| MRI pelvis w/o contrast (72195) | $2,322 | $2,322 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $1,698 | $1,698 | 5.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 16 matching MRF lines |
$1,516–$3,817 | $1,516–$3,817 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 18 matching MRF lines |
$961–$3,163 | $961–$3,163 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 16 matching MRF lines |
$1,516–$4,749 | $1,516–$4,749 | varies |
| MRI, abdomen, combo (74183) | $4,137 | $4,137 | 9.2× |
| MRI, dorsal spine combo (72157) | $4,651 | $4,651 | 10.4× |
| MRI, dorsal spine contrast (72147) | $4,445 | $4,445 | 9.9× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,625–$3,409 | $2,625–$3,409 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$3,229–$5,273 | $3,229–$5,273 | varies |
| MRI, lumbar spine combo (72158) | $4,704 | $4,704 | 10.5× |
| Myelogram cervical (72240) | $3,157 | $3,157 | 3.1× |
| Myelogram Lumbar (72265) | $3,157 | $3,157 | 3.1× |
| Myelography thoracic (72255) | $3,157 | $3,157 | 3.1× |
| Myelograpy 2/more regions rs&i (72270) | $3,356 | $3,356 | 3.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,643 | $1,643 | 3.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,191 | $3,191 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $4,281 | $4,281 | 2.6× |
| Neck soft tissue (70360) | $259 | $259 | 2.3× |
| Nm red cell survival study (78130) | $1,957 | $1,957 | 3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,406 | $4,406 | 2.5× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,033–$1,593 | $1,033–$1,593 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$357–$542 | $357–$542 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $421 | $421 | 3.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $421 | $421 | 3.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $511 | $511 | 3.0× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $421 | $421 | 3.1× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $349 | $349 | 3.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $421 | $421 | 3.1× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $97 | $97 | 2.6× |
| Ophthalmic us dx quantitative a-scan only (76511) | $421 | $421 | 3.1× |
| Parathyroid Planar Imaging (78070) | $963 | $963 | 1.9× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$190–$445 | $190–$445 | varies |
| Perineogram (74775) | $1,124 | $1,124 | 3.7× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $1,957 | $1,957 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,117 | $12,117 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,557 | $1,557 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,668 | $1,668 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$190–$1,114 | $190–$1,114 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$396–$986 | $396–$986 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$190–$1,013 | $190–$1,013 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $440 | $440 | 3.3× |
| Radex fingr minimum 2 views (73140) range across 12 matching MRF lines |
$190–$440 | $190–$440 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$190–$1,111 | $190–$1,111 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$190–$1,114 | $190–$1,114 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$307–$623 | $307–$623 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $785 | $785 | 5.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $562 | $562 | 5.0× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$546–$747 | $546–$747 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$190–$833 | $190–$833 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $307 | $307 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $398 | $398 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $474 | $474 | 4.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $754 | $754 | 6.7× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$190–$293 | $190–$293 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$250–$922 | $250–$922 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$190–$478 | $190–$478 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $979 | $979 | 7.3× |
| Radiation treatment delivery level 1 (77402) | $503 | $503 | 3.8× |
| Radiation treatment delivery level 2 (77407) | $693 | $693 | 1.4× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$882–$1,008 | $882–$1,008 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $792 | $792 | 5.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $672 | $672 | 5.0× |
| Radiologic exam colon double contrast study (74280) | $1,502 | $1,502 | 6.7× |
| Radiologic exam colon single contrast study (74270) | $1,707 | $1,707 | 7.6× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$190–$291 | $190–$291 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $496 | $496 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $925 | $925 | 4.1× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$608–$671 | $608–$671 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$252–$574 | $252–$574 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$252–$991 | $252–$991 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$190–$520 | $190–$520 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,423 | $1,423 | 10.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$190–$574 | $190–$574 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,864 | $1,864 | 2.7× |
| Ribs bilateral 3 views (71110) | $1,118 | $1,118 | 8.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,186 | $3,186 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,861–$2,796 | $1,861–$2,796 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,445 | $2,445 | 3.5× |
| Rp Therapy Intravenous Administration (79101) | $1,134 | $1,134 | 3.8× |
| Salivary Gland Imaging (78230) | $1,369 | $1,369 | 2.7× |
| Scapula (73010) range across 2 matching MRF lines |
$399–$491 | $399–$491 | varies |
| Sella turcica (70240) | $340 | $340 | 3.0× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$329–$660 | $329–$660 | varies |
| Shoulder Arthrography (73040) | $1,793 | $1,793 | 4.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$389–$603 | $389–$603 | varies |
| Special dosimetry (77331) | $478 | $478 | 2.8× |
| Superior sagittal sinus venogram (75870) | $2,926 | $2,926 | 0.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $447 | $447 | 3.4× |
| Testicular Imaging W/Flow (78761) | $1,514 | $1,514 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,889 | $1,889 | 3.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,259 | $1,259 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $629 | $629 | 3.6× |
| Thoracic spine 2 views (72070) | $389 | $389 | 2.9× |
| Thoracic spine 3 views (72072) | $648 | $648 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $672 | $672 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,644 | $1,644 | 2.4× |
| Thyroid Uptake Measurement (78012) | $514 | $514 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,039 | $1,039 | 2.0× |
| Tx Devices Design & Construction Complex (77334) | $1,410 | $1,410 | 2.9× |
| Tx devices design & construction intermediate (77333) | $1,158 | $1,158 | 6.7× |
| Tx devices design & construction simple (77332) | $906 | $906 | 5.2× |
| Ultrasound Breast Limited (76642) | $590 | $590 | 5.3× |
| Ultrasound Exam Aaa Screen (76706) | $643 | $643 | 4.8× |
| Ultrasound, abdomen limited (76705) | $1,013 | $1,013 | 7.5× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$600–$912 | $600–$912 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,069 | $1,069 | 9.6× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$1,177–$1,623 | $1,177–$1,623 | varies |
| Upper gi w/o kub (74240) | $1,279 | $1,279 | 5.7× |
| Ureteral Reflux Study (78740) | $1,590 | $1,590 | 3.1× |
| Urethrocystogram voiding (74455) | $1,246 | $1,246 | 4.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$590–$1,177 | $590–$1,177 | varies |
| Us chest (76604) | $744 | $744 | 5.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$523–$1,065 | $523–$1,065 | varies |
| Us exam, pelvic, limited (76857) | $441 | $441 | 3.3× |
| Us head (76506) | $912 | $912 | 6.8× |
| Us kidney transplant (76776) | $1,084 | $1,084 | 8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$240–$687 | $240–$687 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$600–$744 | $600–$744 | varies |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$360–$547 | $360–$547 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$464–$912 | $464–$912 | varies |
| Us pelvic non ob complete (76856) | $891 | $891 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$479–$729 | $479–$729 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 7 matching MRF lines |
$262–$547 | $262–$547 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,084–$1,449 | $1,084–$1,449 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$891–$1,349 | $891–$1,349 | varies |
| Us scrotum and contents (76870) | $547 | $547 | 4.1× |
| Us spinal canal and contents (76800) | $1,094 | $1,094 | 8.1× |
| Us thyroid (76536) | $912 | $912 | 6.8× |
| Vascular Flow Imaging (78445) | $979 | $979 | 1.9× |
| Vein X-Ray Chest (75827) | $3,155 | $3,155 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,692 | $2,692 | 0.7× |
| Vein X-Ray Skull Epidural (75872) | $2,926 | $2,926 | 3.6× |
| Vein X-Ray Spleen/Liver (75810) | $12,117 | $12,117 | 3.0× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$13,240–$14,978 | $13,240–$14,978 | varies |
| Venography Adrenal Unilateral (75840) | $11,909 | $11,909 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $12,123 | $12,123 | 3.0× |
| Venography extremity bilateral rs&i (75822) | $4,696 | $4,696 | 2.3× |
| Venography extremity unilateral rs&i (75820) | $3,155 | $3,155 | 1.6× |
| Venography Orbital Rs&I (75880) | $2,926 | $2,926 | 3.6× |
| Venography Renal Bilateral (75833) | $11,909 | $11,909 | 2.9× |
| Venography Renal Unilateral (75831) | $11,909 | $11,909 | 2.9× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$190–$428 | $190–$428 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $567 | $567 | 5.1× |
| X-ray antegrade pyelogram tube (74425) | $1,246 | $1,246 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $12,478 | $12,478 | 3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$190–$470 | $190–$470 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,693–$2,079 | $1,693–$2,079 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $380 | $380 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $892 | $892 | 6.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,201 | $1,201 | 8.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 10 matching MRF lines |
$251–$385 | $251–$385 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 14 matching MRF lines |
$251–$385 | $251–$385 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $630 | $630 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$416–$638 | $416–$638 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$416–$638 | $416–$638 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$792–$1,215 | $792–$1,215 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $1,231 | $1,231 | 9.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$389–$511 | $389–$511 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $950 | $950 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $847 | $847 | 6.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$441–$938 | $441–$938 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $190 | $190 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$190–$511 | $190–$511 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,164 | $1,164 | 8.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $567 | $567 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $473 | $473 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $807 | $807 | 7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $823 | $823 | 6.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,230–$1,246 | $1,230–$1,246 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$282–$427 | $282–$427 | varies |
| X-Rays Bone Survey Complete (77075) | $2,027 | $2,027 | 15.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$389–$706 | $389–$706 | varies |
| Xr facial bones less than 3 views (70140) | $886 | $886 | 7.9× |
| Xr orbits complete 4 views (70200) | $848 | $848 | 6.3× |
| Xr Tomogram Single Plane (76100) | $1,513 | $1,513 | 11.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.