Imaging prices at Verde Valley Medical Center
Cottonwood, AZ · every code in this section with a posted price and a Medicare benchmark.
339 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) | $5,853.59 | $11,707.18 | 4.0× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$58.19–$245.63 | $116.38–$491.25 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$58.19–$310.50 | $116.38–$621 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,223.13 | $2,446.25 | 2.9× |
| Angio internal mammary (75756) | $1,677.34 | $3,354.67 | 0.5× |
| Angio pulmonary bilat (75743) | $2,912.46 | $5,824.92 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,011.49 | $6,022.98 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $3,277.30 | $6,554.59 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,109.42 | $4,218.83 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,766.82 | $5,533.63 | 0.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$58.19–$250.89 | $116.38–$501.78 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,418.98 | $6,837.96 | 0.6× |
| Artery X-Rays Abdomen (75726) | $4,320.32 | $8,640.63 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,249.45 | $6,498.90 | 0.5× |
| Arthrogram ankle (73615) | $714.93 | $1,429.85 | 1.9× |
| Arthrogram Wrist (73115) | $946.25 | $1,892.50 | 2.5× |
| Basic radiation dosimetry calculation (77300) | $445.52 | $891.04 | 3.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$58.19–$271.42 | $116.38–$542.84 | varies |
| Bone Imaging 3 Phase (78315) | $2,528.53 | $5,057.05 | 5.9× |
| Bone Imaging Limited Area (78300) | $989.49 | $1,978.98 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,389.20 | $2,778.40 | 3.3× |
| Bone Imaging Whole Body (78306) | $1,561.81 | $3,123.62 | 3.7× |
| Bone marrow imaging limited area (78102) | $1,252.93 | $2,505.85 | 2.9× |
| Bone marrow imaging; multiple areas (78103) | $1,018.33 | $2,036.65 | 2.4× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$86.18–$395.31 | $172.36–$790.61 | varies |
| Brachytx isodose complex (77318) | $1,647.46 | $3,294.92 | 4.1× |
| Brachytx isodose intermed (77317) | $1,004.64 | $2,009.28 | 2.5× |
| Brachytx Isodose Plan Simple (77316) | $781.86 | $1,563.71 | 2.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $922.30 | $1,844.60 | 1.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,153.68 | $2,307.36 | 1.4× |
| Cardiac Shunt Detection (78428) | $580.75 | $1,161.50 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $651.68 | $1,303.36 | 7.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $757.85 | $1,515.70 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $1,606.25 | $3,212.50 | 2.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$58.19–$193.17 | $116.38–$386.34 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$50.60–$283.64 | $101.20–$567.27 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$58.19–$291.92 | $116.38–$583.83 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$58.19–$395.31 | $116.38–$790.61 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$58.19–$243.64 | $116.38–$487.28 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $97.75 | $195.50 | 0.9× |
| Continuing medical physics consltj pr wk (77336) | $815.06 | $1,630.11 | 5.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,198.92 | $6,397.84 | 0.9× |
| Contrast X-Ray Bladder (74430) | $643.91 | $1,287.81 | 1.7× |
| Contrast X-Ray Of Elbow (73085) | $748.65 | $1,497.30 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $985.95 | $1,971.90 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$434.61–$5,231.24 | $869.22–$10,462.47 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$251.86–$4,651.56 | $503.71–$9,303.12 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$354.06–$2,337.64 | $708.11–$4,675.28 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$434.61–$2,614.84 | $869.22–$5,229.68 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$251.86–$2,209.89 | $503.71–$4,419.77 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,316.83–$4,188.56 | $6,633.66–$8,377.12 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$440.07–$1,840.23 | $880.13–$3,680.46 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$440.07–$1,916.43 | $880.13–$3,832.85 | varies |
| CT angio hrt w/3d image (75574) | $2,142.21 | $4,284.42 | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$440.07–$1,544.03 | $880.13–$3,088.06 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$440.07–$1,836.74 | $880.13–$3,673.48 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$440.07–$1,460.59 | $880.13–$2,921.18 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$390.06–$2,004.84 | $780.11–$4,009.68 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$251.86–$1,694.73 | $503.71–$3,389.45 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$390.06–$1,830.57 | $780.11–$3,661.14 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$377.92–$1,939.25 | $755.84–$3,878.49 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$390.06–$1,424.30 | $780.11–$2,848.60 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$434.61–$1,631.50 | $869.22–$3,262.99 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,211 | $2,422 | 3.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$40.48–$135.18 | $80.96–$270.36 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$390.06–$1,927.63 | $780.11–$3,855.25 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$302.34–$1,889.70 | $604.67–$3,779.40 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$251.86–$1,292.24 | $503.71–$2,584.48 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$390.06–$1,404.72 | $780.11–$2,809.44 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$390.06–$1,846.90 | $780.11–$3,693.80 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$251.86–$1,609.99 | $503.71–$3,219.98 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$390.06–$1,831.24 | $780.11–$3,662.48 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$251.86–$1,744.53 | $503.71–$3,489.05 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$434.61–$2,527.23 | $869.22–$5,054.46 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$347.69–$2,139.35 | $695.37–$4,278.69 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$251.86–$1,452.98 | $503.71–$2,905.96 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$302.34–$1,788.25 | $604.67–$3,576.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$251.86–$1,636.95 | $503.71–$3,273.90 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$377.92–$1,663.94 | $755.84–$3,327.87 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$302.34–$2,139.35 | $604.67–$4,278.69 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$390.06–$2,347.71 | $780.11–$4,695.41 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$251.86–$2,231.57 | $503.71–$4,463.13 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$390.06–$1,785.90 | $780.11–$3,571.79 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$251.86–$1,622.45 | $503.71–$3,244.90 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$251.86–$1,653.01 | $503.71–$3,306.02 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$251.86–$1,292.24 | $503.71–$2,584.48 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$302.34–$1,584.70 | $604.67–$3,169.40 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$339.18–$1,427.87 | $678.36–$2,855.74 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$440.07–$1,720.69 | $880.13–$3,441.38 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$440.07–$2,552.90 | $880.13–$5,105.79 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$880.13–$3,251.17 | $1,760.26–$6,502.34 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$440.07–$1,973.19 | $880.13–$3,946.37 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,384.60 | $2,769.20 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,825.63 | $3,651.25 | 0.9× |
| Diskography lumbar (72295) | $1,825.63 | $3,651.25 | 0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$658.38 | $1,316.75–$1,316.76 | 5.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $511.75 | $1,023.50 | 4.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$90.28–$367.99 | $180.56–$735.97 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$214.11–$235.52 | $428.21–$471.03 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$58.19–$121.45 | $116.38–$242.89 | varies |
| Echo exam of fetal heart (76825) | $969.63 | $1,939.25 | 1.7× |
| Echo exam uterus (76831) | $181.70 | $363.40 | 0.7× |
| Echo Guide For Artery Repair (76936) | $410.55 | $821.10 | 1.8× |
| Echograp Trans R Pros Study (76873) | $381.23 | $762.46 | 3.4× |
| Esophagram (74220) | $442.55 | $885.10 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $716.55 | $1,433.09 | 6.4× |
| Fluoroscopy up to 1 hr (76000) | $395.31 | $790.61 | 1.6× |
| Follow-Up Angiography (75898) | $1,677.34 | $3,354.67 | 0.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$58.19–$201.11 | $116.38–$402.22 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$58.19–$184.86 | $116.38–$369.71 | varies |
| Gastric emptying imaging study (78264) | $1,429.34 | $2,858.67 | 3.4× |
| Gated Heart Planar Single (78472) | $1,225.58 | $2,451.16 | 2.9× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$58.19–$243.41 | $116.38–$486.82 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,803.21 | $5,606.42 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,697.38 | $5,394.75 | 3.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,353.39 | $4,706.77 | 3.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,229.13 | $8,458.25 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,731.25 | $5,462.50 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,857.53 | $3,715.05 | 3.2× |
| Hepatobiliary System Imaging (78226) | $883.86 | $1,767.72 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $1,701.85 | $3,403.70 | 1.2× |
| Hysterosalpingogram (74740) | $243.31 | $486.62 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $581.96 | $1,163.92 | 6.3× |
| Infant hip ultrasound, limited static exam (76886) | $554.25 | $1,108.49 | 6.0× |
| Interstitial radiation source applic complex (77778) | $1,317.08 | $2,634.15 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $1,986.11 | $3,972.21 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,167.25 | $2,334.50 | 2.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $746.93 | $1,493.85 | 1.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,167.25 | $2,334.50 | 2.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$58.19–$328.15 | $116.38–$656.30 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,247.75 | $2,495.50 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,235.28 | $2,470.55 | 2.1× |
| Lung perfusion differential (78597) | $729.68 | $1,459.35 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,435.62 | $2,871.23 | 2.5× |
| Lymph System Imaging (78195) | $1,782.63 | $3,565.26 | 3.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$388.20–$2,251.99 | $776.39–$4,503.98 | varies |
| Mammary ductogram or galactogram multiple (77054) | $400.78 | $801.55 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $388.70 | $777.40 | 1.5× |
| Meckels Divert Exam (78290) | $656.65 | $1,313.30 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,928.44 | $5,856.88 | 7.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$552.08–$1,928.98 | $1,104.16–$3,857.96 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$416.43–$1,913.38 | $832.85–$3,826.76 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$450.25–$1,477.76 | $900.50–$2,955.51 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$690.10–$1,500.32 | $1,380.20–$3,000.64 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$416.43–$1,281.68 | $832.85–$2,563.35 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$395.32–$2,339.68 | $790.63–$4,679.35 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$446.43–$2,143.41 | $892.85–$4,286.81 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$494.14–$1,956.15 | $988.28–$3,912.30 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$693.56–$3,040.32 | $1,387.11–$6,080.64 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$494.14–$2,735.64 | $988.28–$5,471.28 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,644.50–$2,220.08 | $3,289–$4,440.15 | varies |
| MRI cardiac w/o cont stress (75559) | $685.40 | $1,370.80 | 1.2× |
| MRI cardiac w/o contrast (75557) | $1,936.03 | $3,872.05 | 7.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$395.32–$3,179.83 | $790.63–$6,359.66 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$395.93–$2,854.27 | $791.86–$5,708.54 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$357.15–$1,317.90 | $714.29–$2,635.80 | varies |
| MRI chest wo w contrast (71552) | $1,516.02 | $3,032.03 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$693.56–$2,508.77 | $1,387.11–$5,017.53 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$455.32–$2,136.98 | $910.64–$4,273.95 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$494.14–$3,514.55 | $988.28–$7,029.10 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$693.56–$3,108.95 | $1,387.11–$6,217.89 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$446.43–$1,932.91 | $892.85–$3,865.82 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$395.32–$2,384.53 | $790.63–$4,769.05 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$693.73–$2,770.31 | $1,387.46–$5,540.62 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$693.73–$3,564.92 | $1,387.46–$7,129.84 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$446.43–$2,143.41 | $892.85–$4,286.81 | varies |
| MRI spectroscopy (76390) | $1,330.50 | $2,661 | 14.3× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$455.32–$3,071.75 | $910.64–$6,143.50 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$494.14–$1,752.09 | $988.28–$3,504.17 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$455.32–$1,672.39 | $910.64–$3,344.78 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$693.56–$1,858.35 | $1,387.11–$3,716.69 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$693.73–$2,640.68 | $1,387.46–$5,281.36 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$693.56–$3,739.92 | $1,387.11–$7,479.84 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$494.14–$3,514.55 | $988.28–$7,029.10 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$455.32–$2,518.06 | $910.64–$5,036.12 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$693.56–$3,101.32 | $1,387.11–$6,202.63 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$693.56–$3,739.92 | $1,387.11–$7,479.84 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,016.60 | $2,033.20 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $2,637.54 | $5,275.08 | 1.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,355.44 | $2,710.87 | 1.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$58.19–$268.48 | $116.38–$536.96 | varies |
| Nonvascular Shunt X-Ray (75809) | $359.23 | $718.46 | 3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,202.97 | $8,405.93 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $721.05 | $1,442.10 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $721.05 | $1,442.10 | 2.9× |
| Ophthalmic us dx quantitative a-scan only (76511) | $489.19 | $978.37 | 4.4× |
| Parathyroid Planar Imaging (78070) | $945.54 | $1,891.07 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $621.31 | $1,242.62 | 1.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$58.19–$189.79 | $116.38–$379.57 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,703.58 | $7,407.15 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $918.80 | $1,837.60 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$99.11–$561.44 | $198.21–$1,122.88 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $309.73 | $619.45 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$58.19–$329.10 | $116.38–$658.19 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$58.19–$268.48 | $116.38–$536.96 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$58.19–$298.64 | $116.38–$597.28 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$58.19–$295.87 | $116.38–$591.73 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$58.19–$184.86 | $116.38–$369.71 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$58.19–$283.89 | $116.38–$567.78 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$58.19–$283.89 | $116.38–$567.78 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$58.19–$147.32 | $116.38–$294.63 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$46.55–$421.48 | $93.10–$842.95 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$58.19–$300.76 | $116.38–$601.52 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$58.19–$289.44 | $116.38–$578.87 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$58.19–$292.09 | $116.38–$584.17 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$58.19–$281.07 | $116.38–$562.14 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$58.19–$163.83 | $116.38–$327.66 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$58.19–$257.20 | $116.38–$514.40 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$58.19–$496.38 | $116.38–$992.75 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$58.19–$215.82 | $116.38–$431.64 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$50.60–$143.70 | $101.20–$287.39 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$58.19–$299.55 | $116.38–$599.09 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,918.67 | $27,837.33 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $284.96 | $569.92 | 2.6× |
| Radiation treatment delivery level 2 (77407) | $241.50 | $483 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $705.34 | $1,410.68 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$58.19–$468.75 | $116.38–$937.49 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$50.60–$284.49 | $101.20–$568.97 | varies |
| Radiologic exam colon double contrast study (74280) | $900.66 | $1,801.31 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $799.07 | $1,598.13 | 4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $246.73 | $493.45 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$58.17–$425.87 | $116.33–$851.74 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$58.19–$369.84 | $116.38–$739.67 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $279.99 | $559.98 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $405.91 | $811.81 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $552.34 | $1,104.68 | 3.0× |
| Radiologic examination femur 1 view (73551) | $91.77 | $183.54 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$58.19–$354.55 | $116.38–$709.10 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$58.19–$235.48 | $116.38–$470.95 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$79.29–$618.67 | $158.57–$1,237.34 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$58.19–$235.48 | $116.38–$470.95 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,072.25 | $2,144.50 | 2.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,158.28 | $2,316.56 | 2.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$58.19–$414.26 | $116.38–$828.51 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,684.26 | $3,368.52 | 3.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,369.08 | $2,738.15 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,736.36 | $3,472.72 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,581.25 | $3,162.50 | 2.7× |
| Rp Therapy Intravenous Administration (79101) | $711.22 | $1,422.44 | 2.9× |
| Scapula (73010) range across 4 matching MRF lines |
$58.19–$281.07 | $116.38–$562.14 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$9.49–$11.65 | $18.98–$23.29 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$58.19–$198.88 | $116.38–$397.75 | varies |
| Shoulder Arthrography (73040) | $915.92 | $1,831.84 | 2.5× |
| Sialogram (70390) | $487.03 | $974.05 | 1.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$58.19–$347.71 | $116.38–$695.41 | varies |
| Special dosimetry (77331) | $444.99 | $889.97 | 3.1× |
| Special Physics Consult (77370) | $1,272.78 | $2,545.55 | 8.9× |
| Special teletherapy port plan (77321) | $726.92 | $1,453.83 | 1.8× |
| Special treatment procedure (77470) | $2,837.21 | $5,674.41 | 4.8× |
| Stereotactic Body Radiation Delivery (77373) | $3,246.32 | $6,492.64 | 1.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$58.19–$295.87 | $116.38–$591.73 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,212.72 | $2,425.43 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,020.93 | $2,041.86 | 2.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,602.57 | $3,205.14 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,040.26 | $2,080.52 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $797.26 | $1,594.51 | 5.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$58.19–$326.02 | $116.38–$652.04 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$58.19–$337.86 | $116.38–$675.72 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$58.19–$198.46 | $116.38–$396.91 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $402.50 | $805 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,096.53 | $2,193.05 | 1.9× |
| Thyroid Uptake Measurement (78012) | $813.03 | $1,626.06 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $975.77 | $1,951.54 | 2.4× |
| Tx devices design & construction intermediate (77333) | $607.33 | $1,214.66 | 4.2× |
| Tx devices design & construction simple (77332) | $559.46 | $1,118.92 | 3.9× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$79.07–$261.64 | $158.13–$523.27 | varies |
| Ultrasound Exam Aaa Screen (76706) | $425.01 | $850.02 | 3.8× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$125.48–$439.92 | $250.95–$879.84 | varies |
| Umbilical-artery Doppler (OB) (76820) | $511.75 | $1,023.50 | 4.6× |
| Unlisted us procedure (76999) | $436.53 | $873.05 | 4.7× |
| Upper gi w/o kub (74240) | $396.13 | $792.25 | 2.1× |
| Ureteral Reflux Study (78740) | $534.75 | $1,069.50 | 1.3× |
| Urethrocystogram voiding (74455) | $568.74 | $1,137.47 | 2.2× |
| Urethrocystography retrograde (74450) | $487.03 | $974.05 | 1.9× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$79.07–$261.64 | $158.13–$523.27 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$80.92–$437.66 | $161.84–$875.32 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$125.48–$519.64 | $250.95–$1,039.28 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$80.92–$342.33 | $161.84–$684.65 | varies |
| Us head (76506) | $410.55 | $821.10 | 3.7× |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$125.48–$665.94 | $250.95–$1,331.87 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$125.48–$387.87 | $250.95–$775.73 | varies |
| Us ob detailed single fetus (76811) | $726.88 | $1,453.76 | 2.9× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$80.92–$672.07 | $161.84–$1,344.14 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$80.92–$445.64 | $161.84–$891.27 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$125.48–$593.89 | $250.95–$1,187.78 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$125.48–$726.88 | $250.95–$1,453.76 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$70.37–$832.39 | $140.73–$1,664.77 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$125.48–$638.83 | $250.95–$1,277.65 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$125.48–$509.42 | $250.95–$1,018.83 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$125.48–$552.86 | $250.95–$1,105.72 | varies |
| Us spinal canal and contents (76800) | $398.48 | $796.95 | 3.6× |
| Us thyroid (76536) range across 5 matching MRF lines |
$125.48–$552.86 | $250.95–$1,105.72 | varies |
| Vascular Flow Imaging (78445) | $1,065.48 | $2,130.95 | 2.5× |
| Vein X-Ray Chest (75827) | $1,880.29 | $3,760.57 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,677.34 | $3,354.67 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,731.25 | $5,462.50 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,807.48 | $5,614.95 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $827.85 | $1,655.69 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $811.22 | $1,622.43 | 0.5× |
| Venography Renal Unilateral (75831) | $2,731.25 | $5,462.50 | 0.8× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,880.75 | $5,761.50 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$58.19–$241.49 | $116.38–$482.97 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$58.19–$395.31 | $116.38–$790.61 | varies |
| X-ray antegrade pyelogram tube (74425) | $510.78 | $1,021.55 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $4,211.50 | $8,423 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$86.18–$254.59 | $172.36–$509.17 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$58.19–$182.82 | $116.38–$365.63 | varies |
| X-Ray Exam Breast Specimen (76098) | $292.19 | $584.38 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$100.95–$123.89 | $201.89–$247.78 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$86.18–$365.94 | $172.36–$731.87 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$58.19–$346.96 | $116.38–$693.92 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$58.19–$380.50 | $116.38–$761 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$58.19–$396.45 | $116.38–$792.90 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$116.38–$814.90 | $232.76–$1,629.79 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$86.18–$360.84 | $172.36–$721.67 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$58.19–$300.14 | $116.38–$600.28 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$99.11–$327.66 | $198.21–$655.32 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$58.19–$396.90 | $116.38–$793.80 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$50.60–$134.49 | $101.20–$268.97 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$58.19–$355.10 | $116.38–$710.19 | varies |
| X-ray IV pyelogram (ivp) (74400) | $397.33 | $794.65 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $724.50 | $1,449 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$50.60–$257.56 | $101.20–$515.12 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$58.19–$204 | $116.38–$408 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$58.19–$387.19 | $116.38–$774.37 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50.60–$129.21 | $101.20–$258.41 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$99.11–$342.26 | $198.21–$684.51 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$58.19–$241.36 | $116.38–$482.71 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$58.19–$280.73 | $116.38–$561.45 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$58.19–$349.30 | $116.38–$698.60 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$98.73–$597.45 | $197.46–$1,194.89 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$58.19–$437.69 | $116.38–$875.38 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$58.19–$295.87 | $116.38–$591.73 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $476.44 | $952.88 | 1.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$156.39–$474.66 | $312.78–$949.31 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$99.11–$847.10 | $198.21–$1,694.20 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$99.11–$316.06 | $198.21–$632.11 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$50.60–$262.99 | $101.20–$525.98 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$58.19–$471.56 | $116.38–$943.11 | 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.