Imaging prices at Valley View Hospital
Glenwood Springs, CO · every code in this section with a posted price and a Medicare benchmark.
324 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 |
$7,181.65–$7,737.55 | $8,449–$9,103 | varies |
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$97.75–$289 | $115–$340 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$121.55–$386.75 | $143–$455 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,737.85 | $3,221 | 6.5× |
| Angio pulmonary bilat (75743) | $5,506.30 | $6,478 | 1.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,392.80–$4,732.80 | $5,168–$5,568 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,346.90–$4,683.50 | $5,114–$5,510 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,664.05 | $10,193 | 2.6× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$107.10–$551.65 | $126–$649 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,794.85 | $5,641 | 0.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,770.30 | $10,318 | 2.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$17,716.55–$19,086.75 | $20,843–$22,455 | varies |
| Artery X-Rays Pelvis (75736) | $4,683.50 | $5,510 | 0.8× |
| Arthrogram hip (73525) | $1,319.20 | $1,552 | 3.6× |
| Arthrogram Wrist (73115) | $1,319.20 | $1,552 | 3.6× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$853.40–$2,376.60 | $1,004–$2,796 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$83.30–$386.75 | $98–$455 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$3,691.55–$3,977.15 | $4,343–$4,679 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$2,524.50–$2,720 | $2,970–$3,200 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$3,058.30–$3,294.60 | $3,598–$3,876 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$345.95–$391 | $407–$460 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$2,100.35–$2,262.70 | $2,471–$2,662 | varies |
| Brachytx Isodose Plan Simple (77316) | $853.40 | $1,004 | 2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,247.05 | $6,173 | 3.5× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$70.55–$276.25 | $83–$325 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$90.10–$276.25 | $106–$325 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$124.10–$316.20 | $146–$372 | varies |
| Cholecystography Oral Contrast (74290) | $629 | $740 | 3.4× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$106.25–$551.65 | $125–$649 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$21.25–$249.90 | $25–$294 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$792.20–$853.40 | $932–$1,004 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,453.15–$4,797.40 | $5,239–$5,644 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,224.85–$1,319.20 | $1,441–$1,552 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $752.25 | $885 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $752.25 | $885 | 3.0× |
| CT abdomen w contrast (74160) | $752.25 | $885 | 4.1× |
| CT abdomen w wo contrast (74170) | $752.25 | $885 | 4.1× |
| CT abdomen w/o contrast (74150) | $752.25 | $885 | 6.8× |
| CT Angio Abdomen and Pelvis (74174) | $752.25 | $885 | 2.0× |
| CT Angio Chest (71275) | $752.25 | $885 | 4.1× |
| CT Angio Head (70496) | $752.25 | $885 | 4.1× |
| CT angio hrt w/3d image (75574) | $752.25 | $885 | 2.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $752.25 | $885 | 4.1× |
| CT Angio Neck (70498) | $752.25 | $885 | 4.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $752.25 | $885 | 4.1× |
| CT cervical spine w/ contrast (72126) | $752.25 | $885 | 2.0× |
| CT cervical spine w/o contrast (72125) | $752.25 | $885 | 6.8× |
| CT cervical spine w/wo cont (72127) | $404.60 | $476 | 2.2× |
| CT chest w contrast (71260) | $752.25 | $885 | 4.1× |
| CT chest w/wo contrast (71270) | $752.25 | $885 | 4.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $752.25 | $885 | 6.8× |
| CT head/brain with contrast (70460) | $752.25 | $885 | 4.1× |
| CT head/brain without and with contrast (70470) | $752.25 | $885 | 4.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $752.25 | $885 | 2.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$21.25–$181.05 | $25–$213 | varies |
| CT iac w contrast (70481) | $752.25 | $885 | 4.1× |
| CT l-spine w&w/o contrast (72133) | $404.60 | $476 | 2.2× |
| CT lower ext w/o (73700) | $752.25 | $885 | 6.8× |
| CT lower extremity w/contrast material (73701) | $752.25 | $885 | 4.1× |
| CT lumbar spine w contrast (72132) | $752.25 | $885 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $752.25 | $885 | 6.8× |
| CT maxillofacial w contrast (70487) | $752.25 | $885 | 4.1× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$548.25–$752.25 | $645–$885 | varies |
| CT neck tissue combo (70492) | $752.25 | $885 | 4.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $752.25 | $885 | 4.1× |
| CT orbits w/o contrast (70480) | $752.25 | $885 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $752.25 | $885 | 4.1× |
| CT pelvis w/o contrast (72192) | $752.25 | $885 | 6.8× |
| CT scan of leg combo (73702) | $752.25 | $885 | 4.1× |
| CT scans face/jaw combo (70488) | $752.25 | $885 | 4.1× |
| CT soft tissue neck w contrast (70491) | $752.25 | $885 | 4.1× |
| CT soft tissue neck w/o contrast (70490) | $752.25 | $885 | 6.8× |
| CT thoracic spine w contrast (72129) | $752.25 | $885 | 4.1× |
| CT thoracic spine w/o contrast (72128) | $752.25 | $885 | 6.8× |
| CT thoracic spine w/wo cont (72130) | $752.25 | $885 | 4.1× |
| CT thorax w/o contrast (71250) | $752.25 | $885 | 6.8× |
| CT upper ext wo (73200) | $752.25 | $885 | 6.8× |
| CT upper extremity w/o & w/contrast material (73202) | $413.95 | $487 | 2.2× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$752.25–$1,504.50 | $885–$1,770 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $752.25 | $885 | 4.1× |
| Cta Abdomen (74175) | $752.25 | $885 | 4.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $837.25 | $985 | 2.3× |
| CTA pelvis (72191) | $752.25 | $885 | 4.1× |
| Diskography lumbar (72295) | $5,936.40 | $6,984 | 2.9× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$150.45–$329.80 | $177–$388 | varies |
| Dxa bone density study (77085) | $329.80 | $388 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$123.25–$177.65 | $145–$209 | varies |
| Echo Guide For Artery Repair (76936) | $774.35 | $911 | 3.4× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$736.95–$793.90 | $867–$934 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $358.70 | $422 | 3.3× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$746.30–$821.95 | $878–$967 | varies |
| Foot 2 views (73620) range across 8 matching MRF lines |
$93.50–$551.65 | $110–$649 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$96.90–$551.65 | $114–$649 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,602.70–$2,804.15 | $3,062–$3,299 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$4,006.90–$4,317.15 | $4,714–$5,079 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$102–$773.50 | $120–$910 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$4,977.60–$5,362.65 | $5,856–$6,309 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$4,977.60–$5,362.65 | $5,856–$6,309 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,362.65 | $6,309 | 7.3× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,602.70–$2,804.15 | $3,062–$3,299 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,602.70–$2,804.15 | $3,062–$3,299 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,744.65 | $3,229 | 2.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$746.30–$804.10 | $878–$946 | varies |
| Image fusion (77399) | $853.40 | $1,004 | 6.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $190.40 | $224 | 2.1× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$4,977.60–$5,362.65 | $5,856–$6,309 | varies |
| Joint Survey Single View (77077) | $174.25 | $205 | 1.6× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,286.50–$2,463.30 | $2,690–$2,898 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,989.85–$2,143.70 | $2,341–$2,522 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$131.75–$551.65 | $155–$649 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,411.45 | $2,837 | 5.7× |
| Liver imaging static only (78201) | $2,119.05 | $2,493 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$4,872.20–$5,248.75 | $5,732–$6,175 | varies |
| Lung Ventilation Imaging (78579) | $3,029.40 | $3,564 | 7.2× |
| Lymph System Imaging (78195) | $2,368.95 | $2,787 | 4.1× |
| Magnetic Image Jaw Joint (70336) | $752.25 | $885 | 3.0× |
| Meckels Divert Exam (78290) | $2,791.40 | $3,284 | 6.6× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$2,100.35–$2,262.70 | $2,471–$2,662 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $752.25 | $885 | 2.0× |
| MRA head w/o contrast (70544) | $752.25 | $885 | 3.0× |
| MRA head with contrast (70545) | $752.25 | $885 | 2.0× |
| MRA neck w contrast (70548) | $752.25 | $885 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $752.25 | $885 | 2.0× |
| MRA neck w/o contrast (70547) | $752.25 | $885 | 3.0× |
| MRI abdomen w/o contrast (74181) | $752.25 | $885 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) | $752.25 | $885 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $752.25 | $885 | 2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $752.25 | $885 | 0.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $752.25 | $885 | 3.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $752.25 | $885 | 3.0× |
| MRI cervical spine w/o cont (72141) | $752.25 | $885 | 3.0× |
| MRI chest w/o contrast (71550) | $752.25 | $885 | 3.0× |
| MRI chest with contrast (71551) | $752.25 | $885 | 0.9× |
| MRI chest wo w contrast (71552) | $752.25 | $885 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $752.25 | $885 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $752.25 | $885 | 2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $752.25 | $885 | 3.0× |
| MRI lumbar spine w contrast (72149) | $752.25 | $885 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $752.25 | $885 | 2.0× |
| MRI orbit face &/neck w/o contrast (70540) | $752.25 | $885 | 3.0× |
| MRI orbit face neck w contrast (70542) | $752.25 | $885 | 2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $752.25 | $885 | 2.0× |
| MRI pelvis w contrast (72196) | $752.25 | $885 | 2.0× |
| MRI pelvis w/o & w contrast (72197) | $752.25 | $885 | 2.0× |
| MRI pelvis w/o contrast (72195) | $752.25 | $885 | 3.0× |
| MRI thoracic spine w/o contrast (72146) | $752.25 | $885 | 3.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $752.25 | $885 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $752.25 | $885 | 3.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $752.25 | $885 | 2.0× |
| MRI, abdomen, combo (74183) | $752.25 | $885 | 2.0× |
| MRI, dorsal spine combo (72157) | $752.25 | $885 | 2.0× |
| MRI, joint upper extrem (73221) | $752.25 | $885 | 3.0× |
| MRI, joint upper extrem combo (73223) | $752.25 | $885 | 2.0× |
| MRI, lumbar spine combo (72158) | $752.25 | $885 | 2.0× |
| Myelogram cervical (72240) | $2,351.10 | $2,766 | 2.8× |
| Myelography thoracic (72255) | $2,351.10 | $2,766 | 2.8× |
| Myelograpy 2/more regions rs&i (72270) | $2,351.10 | $2,766 | 2.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$5,089.80–$5,483.35 | $5,988–$6,451 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$103.70–$276.25 | $122–$325 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,484.10 | $1,746 | 3.6× |
| Nm csf leak detection (78650) | $2,202.35 | $2,591 | 1.6× |
| Nm myocard infarct spect (78469) | $1,802.85 | $2,121 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$7,181.65–$7,737.55 | $8,449–$9,103 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,291.60–$2,469.25 | $2,696–$2,905 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $311.10 | $366 | 2.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$350.20–$377.40 | $412–$444 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $402.90 | $474 | 3.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,413.55 | $1,663 | 2.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,088.45–$2,249.95 | $2,457–$2,647 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$1,027.65–$1,107.55 | $1,209–$1,303 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$96.05–$386.75 | $113–$455 | varies |
| Pet Image W/Ct Lmtd (78814) | $7,864.20 | $9,252 | 5.2× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$9,738.45–$10,491.55 | $11,457–$12,343 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$9,738.45–$10,613.95 | $11,457–$12,487 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $5,099.15 | $5,999 | 3.7× |
| PET whole body (78813) | $4,236.40 | $4,984 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,952.45–$2,103.75 | $2,297–$2,475 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,020.45 | $2,377 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$163.20–$386.75 | $192–$455 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$117.30–$551.65 | $138–$649 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$95.20–$551.65 | $112–$649 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$104.55–$551.65 | $123–$649 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$154.70–$386.75 | $182–$455 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$120.70–$276.25 | $142–$325 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$109.65–$551.65 | $129–$649 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$117.30–$551.65 | $138–$649 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$102–$551.65 | $120–$649 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$122.40–$276.25 | $144–$325 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$120.70–$276.25 | $142–$325 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$110.50–$551.65 | $130–$649 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$104.55–$276.25 | $123–$325 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $629 | $740 | 3.4× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$80.75–$276.25 | $95–$325 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$109.65–$276.25 | $129–$325 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$173.40–$276.25 | $204–$325 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$95.20–$276.25 | $112–$325 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$102–$386.75 | $120–$455 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$147.05–$551.65 | $173–$649 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$17,640.05–$19,004.30 | $20,753–$22,358 | varies |
| Radiation treatment delivery level 1 (77402) | $828.75 | $975 | 7.7× |
| Radiation treatment delivery level 2 (77407) | $828.75 | $975 | 2.0× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,377.85–$1,484.10 | $1,621–$1,746 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$141.95–$386.75 | $167–$455 | varies |
| Radiologic exam colon double contrast study (74280) | $629 | $740 | 3.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$147.05–$773.50 | $173–$910 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$136.85–$386.75 | $161–$455 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Radiologic examination femur 1 view (73551) | $209.10 | $246 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$116.45–$551.65 | $137–$649 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$111.35–$551.65 | $131–$649 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$103.70–$551.65 | $122–$649 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$1,377.85–$1,484.10 | $1,621–$1,746 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 2 matching MRF lines |
$1,377.85–$1,484.10 | $1,621–$1,746 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$143.65–$386.75 | $169–$455 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,100.80 | $3,648 | 7.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,603.55 | $3,063 | 6.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,014.25 | $10,605 | 15.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,603.55 | $3,063 | 4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$2,727.65–$3,977.15 | $3,209–$4,679 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,452.70–$3,719.60 | $4,062–$4,376 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$498.95–$537.20 | $587–$632 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$93.50–$386.75 | $110–$455 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$66.30–$71.40 | $78–$84 | varies |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$72.25–$551.65 | $85–$649 | varies |
| Shoulder Arthrography (73040) | $1,319.20 | $1,552 | 3.6× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$120.70–$386.75 | $142–$455 | varies |
| Special dosimetry (77331) | $853.40 | $1,004 | 6.0× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$792.20–$853.40 | $932–$1,004 | varies |
| Special teletherapy port plan (77321) | $2,262.70 | $2,662 | 5.7× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,333.70–$3,591.25 | $3,922–$4,225 | varies |
| Spleen Imaging (78185) | $2,270.35 | $2,671 | 5.4× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$6,255.15–$6,738.80 | $7,359–$7,928 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$134.30–$276.25 | $158–$325 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $769.25 | $905 | 7.1× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $769.25 | $905 | 7.1× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $769.25 | $905 | 19.5× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $242.25 | $285 | 2.6× |
| Tbs technical calculation only (77091) range across 2 matching MRF lines |
$225.25–$242.25 | $265–$285 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$2,100.35–$2,262.70 | $2,471–$2,662 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $939.25 | $1,105 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$2,100.35–$2,262.70 | $2,471–$2,662 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,262.70 | $2,662 | 5.7× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$792.20–$853.40 | $932–$1,004 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $629 | $740 | 3.4× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$107.10–$386.75 | $126–$455 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,174.70 | $1,382 | 2.8× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,354.50–$2,536.40 | $2,770–$2,984 | varies |
| Thyroid Uptake Measurement (78012) | $733.55 | $863 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,755.25–$1,891.25 | $2,065–$2,225 | varies |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$2,100.35–$6,301.05 | $2,471–$7,413 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$792.20–$853.40 | $932–$1,004 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$792.20–$853.40 | $932–$1,004 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$190.40–$1,075.25 | $224–$1,265 | varies |
| Ultrasound elastography first target lesion (76982) | $255 | $300 | 2.3× |
| Ultrasound Elastography Parenchyma (76981) | $255 | $300 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$259.25–$339.15 | $305–$399 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$345.95–$776.05 | $407–$913 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$50.15–$54.40 | $59–$64 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$335.75–$752.25 | $395–$885 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$186.15–$242.25 | $219–$285 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$583.95–$629 | $687–$740 | varies |
| Urethrocystogram voiding (74455) | $804.10 | $946 | 3.2× |
| Urethrocystography retrograde (74450) | $804.10 | $946 | 3.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$358.70–$382.50 | $422–$450 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$358.70–$696.15 | $422–$819 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$358.70–$849.15 | $422–$999 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$277.10–$776.05 | $326–$913 | varies |
| Us head (76506) | $358.70 | $422 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$217.60–$259.25 | $256–$305 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$358.70–$788.80 | $422–$928 | varies |
| Us ob transvaginal (76817) | $358.70 | $422 | 3.3× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$358.70–$438.60 | $422–$516 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$317.05–$358.70 | $373–$422 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $358.70 | $422 | 3.3× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$358.70–$1,021.70 | $422–$1,202 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$350.20–$377.40 | $412–$444 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$341.70–$358.70 | $402–$422 | varies |
| Us spinal canal and contents (76800) | $190.40 | $224 | 1.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$358.70–$852.55 | $422–$1,003 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$257.55–$5,141.65 | $303–$6,049 | varies |
| Vein X-Ray Chest (75827) | $2,222.75 | $2,615 | 1.3× |
| Venogram Sinus/Jugular (75860) | $2,211.70 | $2,602 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $4,718.35 | $5,551 | 1.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,537.65–$1,656.65 | $1,809–$1,949 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,931.65–$3,158.60 | $3,449–$3,716 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$201.45–$216.75 | $237–$255 | varies |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$109.65–$551.65 | $129–$649 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$106.25–$276.25 | $125–$325 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,319.20 | $1,552 | 3.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$8,140.45–$8,770.30 | $9,577–$10,318 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$89.25–$551.65 | $105–$649 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$998.75–$1,997.50 | $1,175–$2,350 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$140.25–$158.10 | $165–$186 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$227.80–$386.75 | $268–$455 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$358.70–$386.75 | $422–$455 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$256.70–$276.25 | $302–$325 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$141.95–$513.40 | $167–$604 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$134.30–$386.75 | $158–$455 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$128.35–$276.25 | $151–$325 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$199.75–$386.75 | $235–$455 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$137.70–$386.75 | $162–$455 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$208.25–$551.65 | $245–$649 | varies |
| X-ray humerus (73060) range across 7 matching MRF lines |
$106.25–$551.65 | $125–$649 | varies |
| X-ray IV pyelogram (ivp) (74400) | $629 | $740 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$114.75–$276.25 | $135–$325 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$256.70–$276.25 | $302–$325 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$128.35–$386.75 | $151–$455 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$96.90–$276.25 | $114–$325 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $386.75 | $455 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$107.95–$386.75 | $127–$455 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$106.25–$276.25 | $125–$325 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$123.25–$276.25 | $145–$325 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$147.05–$386.75 | $173–$455 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$111.35–$276.25 | $131–$325 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,319.20–$4,731.95 | $1,552–$5,567 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$147.05–$386.75 | $173–$455 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$319.60–$386.75 | $376–$455 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$170–$386.75 | $200–$455 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$105.40–$276.25 | $124–$325 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$157.25–$386.75 | $185–$455 | varies |
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.