Imaging prices at VHC Health
Arlington, VA · every code in this section with a posted price and a Medicare benchmark.
340 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 4 matching MRF lines |
$2,322.40–$3,208.48 | $2,903–$4,010.60 | varies |
| Abdomen 1 View (74018) | $109.92 | $137.40 | 1.2× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$210–$262.48 | $262.50–$328.10 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,038.64 | $1,298.30 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $5,512.64 | $6,890.80 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $5,389.28 | $6,736.60 | 1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,901.36 | $6,126.70 | 1.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$152.80–$191.04 | $191–$238.80 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,711.60 | $10,889.50 | 1.5× |
| Artery X-Rays Abdomen (75726) | $8,406.16 | $10,507.70 | 1.5× |
| Artery X-Rays Spine (75705) | $5,307.60 | $6,634.50 | 0.9× |
| Arthrogram ankle (73615) | $367.52 | $459.40 | 1.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$211.34–$259.20 | $264.18–$324 | varies |
| Bone age studies (77072) | $252.88 | $316.10 | 2.3× |
| Bone Imaging 3 Phase (78315) | $981.84 | $1,227.30 | 2.4× |
| Bone Imaging Limited Area (78300) | $668.50 | $835.63 | 1.6× |
| Bone Imaging Whole Body (78306) | $1,999.49 | $2,499.36 | 4.8× |
| Bone marrow imaging limited area (78102) | $742.88 | $928.60 | 1.8× |
| Bone survey infant (77076) | $161.16 | $201.45 | 1.5× |
| Brachytx isodose complex (77318) | $2,314.40 | $2,893 | 6.0× |
| Brachytx isodose intermed (77317) | $1,268.16 | $1,585.20 | 3.3× |
| Brachytx Isodose Plan Simple (77316) | $689.65 | $862.06 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $909.26 | $1,136.58 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,304.48 | $6,630.60 | 3.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,966.44 | $2,458.05 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $1,249.60 | $1,562 | 13.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,236.16 | $1,545.20 | 2.2× |
| Cerebrospinal Fluid Scan (78630) | $1,112.40 | $1,390.50 | 2.0× |
| Chest 1 view (71045) | $109.92 | $137.40 | 1.2× |
| Chest 2 views (71046) | $154.40 | $193 | 1.7× |
| Chest 3 views (71047) | $154.40 | $193 | 1.7× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$210–$275.31 | $262.50–$344.14 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$278.48–$289.60 | $348.10–$362 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,249.60 | $1,562 | 11.6× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$215.52–$233.27 | $269.40–$291.59 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,141.76 | $6,427.20 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $850.48 | $1,063.10 | 2.4× |
| Contrast X-Ray Of Knee Joint (73580) | $550.72 | $688.40 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $3,416.32 | $4,270.40 | 9.5× |
| CT abdomen and pelvis without contrast (74176) | $1,721.68 | $2,152.10 | 7.0× |
| CT abdomen w contrast (74160) | $1,891.92 | $2,364.90 | 10.4× |
| CT abdomen w wo contrast (74170) | $1,980.72 | $2,475.90 | 10.9× |
| CT abdomen w/o contrast (74150) | $1,249.60 | $1,562 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,049.76 | $2,562.20 | 5.7× |
| CT Angio Chest (71275) | $1,249.60 | $1,562 | 6.9× |
| CT Angio Head (70496) | $1,249.60 | $1,562 | 6.9× |
| CT angio hrt w/3d image (75574) | $1,249.60 | $1,562 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,249.60 | $1,562 | 6.9× |
| CT Angio Neck (70498) | $1,249.60 | $1,562 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,249.60 | $1,562 | 6.9× |
| CT cervical spine w/ contrast (72126) | $1,967.68 | $2,459.60 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,816.80 | $2,271 | 16.8× |
| CT cervical spine w/wo cont (72127) | $1,827.82 | $2,284.78 | 10.1× |
| CT chest w contrast (71260) | $1,916.08 | $2,395.10 | 10.6× |
| CT chest w/wo contrast (71270) | $1,967.68 | $2,459.60 | 10.8× |
| CT colonography screening (74263) | $1,249.60 | $1,562 | 5.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,249.60 | $1,562 | 11.6× |
| CT head/brain with contrast (70460) | $1,624.40 | $2,030.50 | 9.0× |
| CT head/brain without and with contrast (70470) | $2,062 | $2,577.50 | 11.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,249.60 | $1,562 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $280 | $350 | 3.1× |
| CT iac w contrast (70481) | $2,151.36 | $2,689.20 | 11.9× |
| CT lower ext w/o (73700) | $1,738.16 | $2,172.70 | 16.1× |
| CT lower extremity w/contrast material (73701) | $1,802.16 | $2,252.70 | 9.9× |
| CT lumbar spine w contrast (72132) | $1,916.08 | $2,395.10 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,696.08 | $2,120.10 | 15.7× |
| CT maxillofacial w contrast (70487) | $1,479.04 | $1,848.80 | 8.2× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,249.60–$1,354 | $1,562–$1,692.50 | varies |
| CT neck tissue combo (70492) | $1,719.76 | $2,149.70 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,735.92 | $3,419.90 | 15.1× |
| CT orbits w/o contrast (70480) | $1,480 | $1,850 | 13.7× |
| CT pelvis w&w/o contrast (72194) | $2,331.04 | $2,913.80 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,249.60 | $1,562 | 11.6× |
| CT scan of leg combo (73702) | $1,610.72 | $2,013.40 | 8.9× |
| CT scans face/jaw combo (70488) | $1,413.98 | $1,767.48 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,624.40 | $2,030.50 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,397.52 | $1,746.90 | 12.9× |
| CT thoracic spine w contrast (72129) | $1,916.08 | $2,395.10 | 10.6× |
| CT thoracic spine w/o contrast (72128) | $1,249.60 | $1,562 | 11.6× |
| CT thorax w/o contrast (71250) | $1,394.56 | $1,743.20 | 12.9× |
| CT unlisted procedure (76497) | $1,249.60 | $1,562 | 13.9× |
| CT upper ext wo (73200) | $1,540.48 | $1,925.60 | 14.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,789.92 | $2,237.40 | 9.9× |
| CT upper extremity with contrast (73201) | $1,742.16 | $2,177.70 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,071.60 | $2,589.50 | 11.4× |
| Cta Abdomen (74175) | $1,249.60 | $1,562 | 6.9× |
| CTA pelvis (72191) | $1,249.60 | $1,562 | 6.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $130.80 | $163.50 | 1.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $228.96 | $286.20 | 2.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $133.04 | $166.30 | 1.2× |
| Dxa Bone Density Axial (77080) | $199.60 | $249.50 | 1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $73.44 | $91.80 | 0.8× |
| Echo exam of fetal heart (76825) | $793.41 | $991.76 | 1.4× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$700.56–$728.56 | $875.70–$910.70 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $764 | $955 | 3.1× |
| Esophagram (74220) | $412.72 | $515.90 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$476.56–$495.60 | $595.70–$619.50 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$165.12–$206.40 | $206.40–$258 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$289.68–$362.08 | $362.10–$452.60 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$193.04–$202.70 | $241.30–$253.37 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$243.12–$303.92 | $303.90–$379.90 | varies |
| Gastric emptying imaging study (78264) | $1,560.72 | $1,950.90 | 3.8× |
| Gated Heart Planar Single (78472) | $1,137.68 | $1,422.10 | 2.8× |
| Hand 2 views (73120) | $112.90 | $141.12 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,595.12 | $1,993.90 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,595.12 | $1,993.90 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,429.21 | $1,786.51 | 2.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,307.68 | $6,634.60 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,600.80 | $2,001 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,600.80 | $2,001 | 3.9× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,752.80–$3,247.60 | $3,441–$4,059.50 | varies |
| Hysterosalpingogram (74740) | $470 | $587.50 | 1.9× |
| Image fusion (77399) range across 2 matching MRF lines |
$211.82–$236.40 | $264.77–$295.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $577.68 | $722.10 | 6.4× |
| Infant hip ultrasound, limited static exam (76886) | $383.84 | $479.80 | 4.3× |
| Interstitial radiation source applic complex (77778) | $1,829.54 | $2,286.93 | 2.5× |
| Intraop radiaj tx deliver xray single tx session (77424) | $14,636.80 | $18,296 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,878.08 | $2,347.60 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,020.46 | $1,275.57 | 1.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $839.91 | $1,049.89 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$186.64–$195.98 | $233.30–$244.97 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,210.88 | $1,513.60 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,277.44 | $1,596.80 | 3.1× |
| Liver imaging static only (78201) | $2,712.64 | $3,390.80 | 4.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,543.04 | $1,928.80 | 2.7× |
| Lung perfusion differential (78597) | $943.28 | $1,179.10 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,636.96 | $2,046.20 | 2.9× |
| Lymph System Imaging (78195) | $1,115.12 | $1,393.90 | 2.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,462.48 | $5,578.10 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,260.24 | $2,825.30 | 9.2× |
| Meckels Divert Exam (78290) | $1,075.44 | $1,344.30 | 2.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,618.82 | $2,023.53 | 4.2× |
| Mr safety determination physician/other qhp (76016) | $141.84 | $177.30 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $39.44 | $49.30 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $147.84 | $184.80 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $95.68 | $119.60 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $389.44 | $486.80 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,218 | $4,022.50 | 8.9× |
| MRA head w/o contrast (70544) | $1,849.52 | $2,311.90 | 7.5× |
| MRA neck w contrast (70548) | $1,910.42 | $2,388.02 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,789.20 | $3,486.50 | 7.7× |
| MRA neck w/o contrast (70547) | $1,923.52 | $2,404.40 | 7.8× |
| MRI abdomen w contrast (74182) | $2,242.16 | $2,802.70 | 6.2× |
| MRI abdomen w/o contrast (74181) | $2,413.82 | $3,017.28 | 9.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,942.88–$2,234.08 | $2,428.60–$2,792.60 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,428–$3,595.76 | $1,785–$4,494.70 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,942.88–$2,234.08 | $2,428.60–$2,792.60 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,947.68 | $2,434.60 | 7.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,947.68 | $2,434.60 | 7.9× |
| MRI cardiac w/o contrast (75557) | $1,947.68 | $2,434.60 | 7.9× |
| MRI cervical spine w contrast (72142) | $2,592.48 | $3,240.60 | 7.2× |
| MRI cervical spine w/o cont (72141) | $2,012.16 | $2,515.20 | 8.2× |
| MRI chest w/o contrast (71550) | $2,945.68 | $3,682.10 | 11.9× |
| MRI chest with contrast (71551) | $1,510.34 | $1,887.93 | 1.9× |
| MRI chest wo w contrast (71552) | $5,298.16 | $6,622.70 | 14.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,942.88 | $2,428.60 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,026.76–$2,533.20 | $2,533.45–$3,166.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,935.02–$2,239.60 | $2,418.77–$2,799.50 | varies |
| MRI lumbar spine w contrast (72149) | $2,592.48 | $3,240.60 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,763.38 | $4,704.23 | 10.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,260.24 | $2,825.30 | 9.2× |
| MRI orbit face neck w contrast (70542) | $2,801.68 | $3,502.10 | 7.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,065.68 | $5,082.10 | 11.3× |
| MRI pelvis w contrast (72196) | $2,507.52 | $3,134.40 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $3,794 | $4,742.50 | 10.5× |
| MRI pelvis w/o contrast (72195) | $2,431.12 | $3,038.90 | 9.8× |
| MRI thoracic spine w/o contrast (72146) | $2,112.77 | $2,640.96 | 8.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,619.84 | $2,024.80 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,863.36–$1,947.68 | $2,329.20–$2,434.60 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,915.36 | $2,394.20 | 5.3× |
| MRI, abdomen, combo (74183) | $4,385.74 | $5,482.18 | 12.2× |
| MRI, dorsal spine combo (72157) | $3,763.38 | $4,704.23 | 10.4× |
| MRI, dorsal spine contrast (72147) | $2,592.48 | $3,240.60 | 7.2× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$2,287.10–$2,647.12 | $2,858.87–$3,308.90 | varies |
| MRI, joint upper extrem combo (73223) | $3,595.76 | $4,494.70 | 10.0× |
| MRI, lumbar spine combo (72158) | $3,618.64 | $4,523.30 | 10.0× |
| Myelogram cervical (72240) | $1,304.08 | $1,630.10 | 1.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,304.48 | $6,630.60 | 4.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,752.80–$3,028.08 | $3,441–$3,785.10 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,639.04 | $2,048.80 | 1.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$213.04–$221.60 | $266.30–$277 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,409.71 | $3,012.14 | 1.7× |
| Nuclear Rx Intra-Arterial (79445) | $568.96 | $711.20 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $728.72 | $910.90 | 3.0× |
| Ob us nuchal meas 1 gest (76813) | $246.04 | $307.55 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,396.48 | $1,745.60 | 2.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$261.44–$274.51 | $326.80–$343.14 | varies |
| Perineogram (74775) | $416.08 | $520.10 | 1.7× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,220.56–$4,202.80 | $2,775.70–$5,253.50 | varies |
| PET image w/CT, full body (78816) | $5,136.88 | $6,421.10 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,109.78 | $5,137.22 | 2.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,309.76 | $6,637.20 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $889.82 | $1,112.27 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$539.04–$560.64 | $673.80–$700.80 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $676.80 | $846 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$289.68–$301.26 | $362.10–$376.58 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$215.28–$223.92 | $269.10–$279.90 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$295.92–$307.76 | $369.90–$384.70 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$384.72–$400.08 | $480.90–$500.10 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$121.36–$151.68 | $151.70–$189.60 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$308.32–$385.44 | $385.40–$481.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$239.68–$251.66 | $299.60–$314.58 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $200.80 | $251 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$278.48–$289.60 | $348.10–$362 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$283.28–$354.08 | $354.10–$442.60 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$340.96–$426.24 | $426.20–$532.80 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $288.16 | $360.20 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $164.96 | $206.20 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$264.64–$275.20 | $330.80–$344 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $83.42 | $104.27 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$105.68–$132.08 | $132.10–$165.10 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $260.48 | $325.60 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$236.64–$248.47 | $295.80–$310.59 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $450.40 | $563 | 4.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $19,156.80 | $23,946 | 2.5× |
| Radiation treatment delivery level 1 (77402) | $251.34 | $314.17 | 2.4× |
| Radiation treatment delivery level 2 (77407) | $245.06 | $306.32 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $363.68 | $454.60 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$376.80–$391.84 | $471–$489.80 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $218.40 | $273 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $746.40 | $933 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $563.68 | $704.60 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $313.84 | $392.30 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $323.28 | $404.10 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $532.80 | $666 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $369.78 | $462.22 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $623.11 | $778.89 | 3.4× |
| Radiologic examination femur 1 view (73551) | $118.64 | $148.30 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$114.08–$125.49 | $142.60–$156.86 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$165.12–$206.40 | $206.40–$258 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$229.12–$286.40 | $286.40–$358 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $445.44 | $556.80 | 1.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $445.44 | $556.80 | 1.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$266.40–$277.04 | $333–$346.30 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $943.28 | $1,179.10 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $943.28 | $1,179.10 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,944.88 | $3,681.10 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,812.40 | $2,265.50 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,275.12 | $2,843.90 | 4.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,247.60 | $4,059.50 | 2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,285.74 | $4,107.18 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,843.77 | $3,554.71 | 2.1× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$689.47–$769.52 | $861.84–$961.90 | varies |
| Scapula (73010) | $247.60 | $309.50 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$115–$125.04 | $143.75–$156.30 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$112.32–$125.80 | $140.40–$157.25 | varies |
| Sialogram (70390) | $374.72 | $468.40 | 1.5× |
| Skull less than 4 views (70250) | $323.28 | $404.10 | 3.0× |
| Special dosimetry (77331) | $168.45 | $210.56 | 1.2× |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$369.20–$425.87 | $461.50–$532.34 | varies |
| Special teletherapy port plan (77321) | $535.27 | $669.09 | 1.4× |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$812–$1,077.04 | $1,015–$1,346.30 | varies |
| Stereotactic Body Radiation Delivery (77373) | $3,948.34 | $4,935.42 | 2.1× |
| Sternoclavicular joints (71130) | $265.76 | $332.20 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,268.16 | $1,585.20 | 3.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $769.68 | $962.10 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$685.92–$859.20 | $857.40–$1,074 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $570.32 | $712.90 | 1.5× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$233.84–$310.08 | $292.30–$387.60 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$281.84–$352.32 | $352.30–$440.40 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$333.44–$416.80 | $416.80–$521 | varies |
| Thoracolumbar 2 views (72080) | $137.42 | $171.78 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $367.52 | $459.40 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,109.78 | $1,387.23 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $943.28 | $1,179.10 | 2.3× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$541.92–$677.44 | $677.40–$846.80 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$376.96–$386.32 | $471.20–$482.90 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$389.94–$446 | $487.42–$557.50 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$159.04–$174.94 | $198.80–$218.68 | varies |
| Ultrasound elastography first target lesion (76982) | $180.52 | $225.65 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $214.88 | $268.60 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $224 | $280 | 2.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$520.38–$619.52 | $650.48–$774.40 | varies |
| Umbilical-artery Doppler (OB) (76820) | $133.04 | $166.30 | 1.2× |
| Unlisted magnetic resonance procedure (76498) | $1,639.68 | $2,049.60 | 18.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $583.28 | $729.10 | 5.5× |
| Unlisted us procedure (76999) | $437.12 | $546.40 | 4.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$710.88–$835.20 | $888.60–$1,044 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $66.80 | $83.50 | 6.0× |
| Urea breath test c-14 isotopic analysis (78268) | $578.72 | $723.40 | 6.1× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$353.36–$367.52 | $441.70–$459.40 | varies |
| Urethrocystography retrograde (74450) | $532.56 | $665.70 | 2.2× |
| Us breast unilateral complete (76641) | $314.41 | $393.01 | 2.9× |
| Us chest (76604) | $253.44 | $316.80 | 2.3× |
| Us head (76506) | $357.04 | $446.30 | 3.3× |
| Us kidney transplant (76776) | $189.42 | $236.78 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $199.92 | $249.90 | 1.8× |
| Us ob detailed single fetus (76811) | $505.01 | $631.26 | 2.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$183.20–$220.64 | $229–$275.80 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$183.20–$201.52 | $229–$251.90 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$183.20–$205.18 | $229–$256.48 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$254.48–$267.21 | $318.10–$334.01 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$245.60–$270.16 | $307–$337.70 | varies |
| Us retroperitoneal complete (76770) | $509.38 | $636.72 | 4.7× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$214.89–$322.08 | $268.61–$402.60 | varies |
| Us scrotum and contents (76870) | $538 | $672.50 | 5.0× |
| Us spinal canal and contents (76800) | $550.80 | $688.50 | 5.1× |
| Us thyroid (76536) range across 3 matching MRF lines |
$420.32–$483.37 | $525.40–$604.21 | varies |
| Vein X-Ray Chest (75827) | $1,085.76 | $1,357.20 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,822.56 | $2,278.20 | 0.6× |
| Venogram Sinus/Jugular (75860) | $4,662.64 | $5,828.30 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $4,772.24 | $5,965.30 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $1,930.40 | $2,413 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,094.40 | $1,368 | 0.7× |
| Venography Renal Bilateral (75833) | $5,307.68 | $6,634.60 | 1.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$182.24–$227.84 | $227.80–$284.80 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $307.76 | $384.70 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $686.64 | $858.30 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,024.64 | $2,530.80 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $485.76 | $607.20 | 4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$95.12–$118.88 | $118.90–$148.60 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$712.16–$722.49 | $890.20–$903.11 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $118.64 | $148.30 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $236.32 | $295.40 | 2.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $378.34 | $472.92 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $142.64 | $178.30 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $114.08 | $142.60 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $196.80 | $246 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$189.04–$236.32 | $236.30–$295.40 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $236.32 | $295.40 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $374.72 | $468.40 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $582.96 | $728.70 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$249.20–$311.52 | $311.50–$389.40 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $625.12 | $781.40 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$367.52–$459.44 | $459.40–$574.30 | varies |
| X-ray eye for foreign body (70030) | $135.28 | $169.10 | 1.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$213.04–$266.32 | $266.30–$332.90 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $223.92 | $279.90 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $174.88 | $218.60 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$299.20–$314.16 | $374–$392.70 | varies |
| X-ray nose-rectum child f.b. (76010) | $167.68 | $209.60 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$442.32–$460 | $552.90–$575 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $221.60 | $277 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$249.20–$311.52 | $311.50–$389.40 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $479.60 | $599.50 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $485.76 | $607.20 | 4.5× |
| X-Rays Bone Length Studies (77073) | $190.80 | $238.50 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $688.88 | $861.10 | 6.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$470.24–$493.75 | $587.80–$617.19 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $207.52 | $259.40 | 1.9× |
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.