Imaging prices at West Boca Medical Center
Boca Raton, FL · every code in this section with a posted price and a Medicare benchmark.
331 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,017.75 | $1,357 | 11.2× |
| Abdomen 2 views (74019) | $1,250.25 | $1,667 | 11.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,058.50 | $4,078 | 7.3× |
| Adrenal Cortex & Medulla Img (78075) | $3,962.25 | $5,283 | 2.9× |
| Angio internal mammary (75756) | $7,317 | $9,756 | 2.2× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$11,949.75–$17,330.25 | $15,933–$23,107 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$12,731.25–$13,095.75 | $16,975–$17,461 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$10,251.75–$12,660.75 | $13,669–$16,881 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$6,650.25–$17,330.25 | $8,867–$23,107 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$4,423.13–$5,459.25 | $5,897.50–$7,279 | varies |
| Ankle 2 views (73600) | $705.75 | $941 | 7.8× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$9,646.50–$11,206.50 | $12,862–$14,942 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,967.37–$11,691.75 | $13,289.83–$15,589 | varies |
| Artery X-Rays Adrenal Gland (75731) | $6,121.79 | $8,162.39 | 1.9× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$8,681.06–$12,660.75 | $11,574.75–$16,881 | varies |
| Arthrogram ankle (73615) | $4,288.50 | $5,718 | 11.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$2,328.75–$3,027.75 | $3,105–$4,037 | varies |
| Arthrogram Wrist (73115) | $2,147.25 | $2,863 | 5.9× |
| Bone age studies (77072) | $678 | $904 | 6.2× |
| Bone Imaging 3 Phase (78315) | $4,280.25 | $5,707 | 10.3× |
| Bone Imaging Limited Area (78300) | $2,412 | $3,216 | 5.8× |
| Bone Imaging Whole Body (78306) | $4,280.25 | $5,707 | 10.3× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$1,109.25–$1,209 | $1,479–$1,612 | varies |
| Brain Flow Imaging Only (78610) | $3,478.50 | $4,638 | 6.1× |
| Brain Image W/Flow < 4 Views (78601) | $4,702.50 | $6,270 | 11.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,059.75 | $5,413 | 7.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,042.25 | $10,723 | 5.4× |
| Cardiac Shunt Detection (78428) | $5,247 | $6,996 | 12.6× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,065.75–$2,405.25 | $1,421–$3,207 | varies |
| Cerebrospinal Fluid Scan (78630) | $4,134.75 | $5,513 | 7.3× |
| Chest 1 view (71045) | $762 | $1,016 | 8.4× |
| Chest 2 views (71046) | $1,164 | $1,552 | 12.8× |
| Chest 3 views (71047) | $1,261.50 | $1,682 | 13.9× |
| Chest 4 or more views (71048) | $1,165.50 | $1,554 | 10.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$957.75–$1,131.75 | $1,277–$1,509 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $446.25 | $595 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$8,670.75–$11,820.75 | $11,561–$15,761 | varies |
| Contrast X-Ray Bladder (74430) | $2,313.75 | $3,085 | 6.4× |
| Contrast X-Ray Of Knee Joint (73580) | $3,543.75 | $4,725 | 9.7× |
| CT abdomen and pelvis without and with contrast (74178) | $9,279.75 | $12,373 | 25.5× |
| CT abdomen and pelvis without contrast (74176) | $10,861.50 | $14,482 | 43.6× |
| CT abdomen w contrast (74160) | $5,874.75 | $7,833 | 32.1× |
| CT abdomen w wo contrast (74170) | $5,478 | $7,304 | 29.9× |
| CT abdomen w/o contrast (74150) | $4,712.25 | $6,283 | 43.2× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$8,955–$10,960.50 | $11,940–$14,614 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$6,083.25–$7,746.75 | $8,111–$10,329 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$5,904–$7,015.50 | $7,872–$9,354 | varies |
| CT angio hrt w/3d image (75574) | $7,284.75 | $9,713 | 20.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,050.50–$6,080.25 | $6,734–$8,107 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$6,345.75–$7,015.50 | $8,461–$9,354 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,326.75–$5,221.50 | $1,769–$6,962 | varies |
| CT cervical spine w/ contrast (72126) | $6,566.25 | $8,755 | 18.0× |
| CT cervical spine w/o contrast (72125) | $7,061.25 | $9,415 | 64.7× |
| CT cervical spine w/wo cont (72127) | $6,478.50 | $8,638 | 35.4× |
| CT chest w contrast (71260) | $7,434 | $9,912 | 40.6× |
| CT chest w/wo contrast (71270) | $6,540 | $8,720 | 35.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,095.25 | $4,127 | 28.4× |
| CT head/brain with contrast (70460) | $7,434 | $9,912 | 40.6× |
| CT head/brain without and with contrast (70470) | $8,784 | $11,712 | 48.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,119.75 | $1,493 | 12.3× |
| CT iac w contrast (70481) | $6,582.75 | $8,777 | 35.9× |
| CT l-spine w&w/o contrast (72133) | $7,547.25 | $10,063 | 41.2× |
| CT lower ext w/o (73700) | $4,902 | $6,536 | 44.9× |
| CT lower extremity w/contrast material (73701) | $5,050.50 | $6,734 | 27.6× |
| CT lumbar spine w contrast (72132) | $6,582.75 | $8,777 | 18.1× |
| CT lumbar spine w/o contrast (72131) | $6,960.75 | $9,281 | 63.8× |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$2,783.25–$6,582.75 | $3,711–$8,777 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$2,540.25–$6,620.25 | $3,387–$8,827 | varies |
| CT neck tissue combo (70492) | $9,583.50 | $12,778 | 52.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,296.25 | $8,395 | 34.4× |
| CT orbits w/o contrast (70480) | $6,620.25 | $8,827 | 60.6× |
| CT pelvis w&w/o contrast (72194) | $6,837.75 | $9,117 | 37.3× |
| CT pelvis w/o contrast (72192) | $7,061.25 | $9,415 | 64.7× |
| CT scan of leg combo (73702) | $4,954.50 | $6,606 | 27.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,900–$6,018.75 | $5,200–$8,025 | varies |
| CT soft tissue neck w contrast (70491) | $7,015.50 | $9,354 | 38.3× |
| CT soft tissue neck w/o contrast (70490) | $5,610.75 | $7,481 | 51.4× |
| CT thoracic spine w contrast (72129) | $5,214 | $6,952 | 28.5× |
| CT thoracic spine w/o contrast (72128) | $6,194.25 | $8,259 | 56.7× |
| CT thoracic spine w/wo cont (72130) | $6,527.25 | $8,703 | 35.6× |
| CT thorax w/o contrast (71250) | $7,061.25 | $9,415 | 64.7× |
| CT upper ext wo (73200) | $5,017.50 | $6,690 | 46.0× |
| CT upper extremity w/o & w/contrast material (73202) | $8,145.75 | $10,861 | 44.5× |
| CT upper extremity with contrast (73201) | $4,815.75 | $6,421 | 13.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,393.25 | $7,191 | 29.4× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$5,393.25–$7,284.75 | $7,191–$9,713 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$5,718.75–$8,373 | $7,625–$11,164 | varies |
| Dilation ureters/urethra rs&i (74485) | $10,327.50 | $13,770 | 4.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,026 | $1,368 | 9.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,396.50–$1,487.25 | $1,862–$1,983 | varies |
| Dxa bone density study (77085) | $1,356 | $1,808 | 12.4× |
| Echo exam of fetal heart (76825) | $1,750.50 | $2,334 | 3.1× |
| Echo exam uterus (76831) | $1,585.50 | $2,114 | 6.4× |
| Echo Guide For Artery Repair (76936) | $1,901.25 | $2,535 | 8.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $982.50 | $1,310 | 3.9× |
| Esophagram (74220) | $1,416 | $1,888 | 7.7× |
| Fetal Biophys Profile W/Nst (76818) | $2,343 | $3,124 | 21.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,136 | $2,848 | 19.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,426.75 | $4,569 | 13.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,377.75–$1,807.50 | $1,837–$2,410 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,216–$4,184.48 | $4,288–$5,579.31 | varies |
| Foot 2 views (73620) | $666.75 | $889 | 7.3× |
| Forearm 2 views (73090) | $1,144.50 | $1,526 | 12.6× |
| Gastric emptying imaging study (78264) | $3,152.25 | $4,203 | 7.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $4,167.75 | $5,557 | 10.0× |
| Gastroesophageal Reflux Exam (78262) | $3,923.25 | $5,231 | 9.4× |
| Gated Heart Planar Single (78472) | $4,280.25 | $5,707 | 10.3× |
| Hand 2 views (73120) | $710.25 | $947 | 6.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,821.44 | $9,095.25 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $4,280.25 | $5,707 | 7.5× |
| Hepatobiliary System Imaging (78226) | $4,280.25 | $5,707 | 10.3× |
| Ht Musc Image Planar Mult (78454) | $16,300.50 | $21,734 | 12.1× |
| Ht Muscle Image Spect Sing (78451) | $13,010.25 | $17,347 | 9.6× |
| Hysterosalpingogram (74740) | $2,513.25 | $3,351 | 10.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,941 | $2,588 | 21.4× |
| Infant hip ultrasound, limited static exam (76886) | $1,941 | $2,588 | 21.4× |
| Interstitial radiation source applic complex (77778) | $17,652.75 | $23,537 | 24.3× |
| K Flow/Funct Image Multiple (78709) | $6,637.50 | $8,850 | 11.7× |
| K Flow/Funct Image W/Drug (78708) | $4,650.75 | $6,201 | 8.2× |
| K Flow/Funct Image W/O Drug (78707) | $3,497.25 | $4,663 | 6.2× |
| Kidney Imaging Morphol (78700) | $3,132 | $4,176 | 7.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,603.75 | $4,805 | 8.6× |
| Knee 3 Views (73562) | $1,108.50 | $1,478 | 12.2× |
| Liver & Spleen Imaging Static Only (78215) | $4,280.25 | $5,707 | 10.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,963.50 | $6,618 | 11.9× |
| Liver imaging w/vascular flow (78202) | $2,868.75 | $3,825 | 5.1× |
| Lung perfusion differential (78597) | $2,946.75 | $3,929 | 7.1× |
| Lung Ventilat&Perfus Imaging (78582) | $3,798 | $5,064 | 6.7× |
| Lung Ventilation Imaging (78579) | $6,637.50 | $8,850 | 15.9× |
| Lymph System Imaging (78195) | $2,536.50 | $3,382 | 4.5× |
| Magnetic Image Jaw Joint (70336) | $6,267.75 | $8,357 | 25.2× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$900.75–$3,186.75 | $1,201–$4,249 | varies |
| Mammary ductogram or galactogram single (77053) | $3,186.75 | $4,249 | 12.8× |
| Meckels Divert Exam (78290) | $3,152.25 | $4,203 | 7.6× |
| Mr safety determination physician/other qhp (76016) | $360 | $480 | 4.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $99.75 | $133 | 3.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $375 | $500 | 3.8× |
| Mr safety implt pos&/immoblj (76019) | $243 | $324 | 3.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $987.75 | $1,317 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $7,068.75 | $9,425 | 19.4× |
| MRA head w/o contrast (70544) | $9,189 | $12,252 | 36.9× |
| MRA head with contrast (70545) | $9,207.75 | $12,277 | 25.3× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$5,067.75–$5,492.25 | $6,757–$7,323 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $9,189 | $12,252 | 25.2× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$7,068.75–$7,663.50 | $9,425–$10,218 | varies |
| MRI abdomen w contrast (74182) | $7,821.75 | $10,429 | 21.5× |
| MRI abdomen w/o contrast (74181) | $7,531.50 | $10,042 | 30.2× |
| MRI any jt lower extrem w/contrast material (73722) | $5,118 | $6,824 | 6.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,769.50 | $9,026 | 18.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,680.25 | $8,907 | 8.2× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$6,033.75–$7,236.75 | $8,045–$9,649 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$4,530.75–$5,400.75 | $6,041–$7,201 | varies |
| MRI cervical spine w contrast (72142) | $2,301 | $3,068 | 6.3× |
| MRI cervical spine w/o cont (72141) | $7,682.25 | $10,243 | 30.8× |
| MRI chest w/o contrast (71550) | $6,129 | $8,172 | 24.6× |
| MRI chest with contrast (71551) | $8,900.25 | $11,867 | 10.9× |
| MRI chest wo w contrast (71552) | $5,788.50 | $7,718 | 15.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,721.25 | $6,295 | 13.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,059.75 | $9,413 | 19.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,769.50 | $9,026 | 27.2× |
| MRI lumbar spine w contrast (72149) | $2,041.50 | $2,722 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,672 | $12,896 | 26.5× |
| MRI orbit face &/neck w/o contrast (70540) | $4,942.50 | $6,590 | 19.8× |
| MRI orbit face neck w contrast (70542) | $7,823.25 | $10,431 | 21.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,189 | $12,252 | 25.2× |
| MRI pelvis w contrast (72196) | $7,182.75 | $9,577 | 19.7× |
| MRI pelvis w/o & w contrast (72197) | $5,788.50 | $7,718 | 15.9× |
| MRI pelvis w/o contrast (72195) | $4,723.50 | $6,298 | 19.0× |
| MRI thoracic spine w/o contrast (72146) | $7,734 | $10,312 | 31.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,998.50 | $11,998 | 24.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,436.50 | $8,582 | 25.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,946.50 | $9,262 | 19.1× |
| MRI, abdomen, combo (74183) | $8,415 | $11,220 | 23.1× |
| MRI, dorsal spine combo (72157) | $11,565.75 | $15,421 | 31.7× |
| MRI, dorsal spine contrast (72147) | $2,403.75 | $3,205 | 6.6× |
| MRI, joint upper extrem (73221) | $6,436.50 | $8,582 | 25.8× |
| MRI, joint upper extrem combo (73223) | $6,769.50 | $9,026 | 18.6× |
| MRI, lumbar spine combo (72158) | $9,672 | $12,896 | 26.5× |
| Myelogram cervical (72240) | $5,258.25 | $7,011 | 6.4× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$3,613.50–$4,331.25 | $4,818–$5,775 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$6,348–$6,982.50 | $8,464–$9,310 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,426.75 | $4,569 | 8.2× |
| Myocardial Spect Multiple Studies (78452) | $19,750.50 | $26,334 | 14.6× |
| Neck soft tissue (70360) | $1,137 | $1,516 | 12.5× |
| Nm myocard infarct spect (78469) | $7,439.25 | $9,919 | 13.1× |
| Nonvascular Shunt X-Ray (75809) | $1,188.75 | $1,585 | 10.9× |
| Nuclear Rx Intra-Arterial (79445) | $919.50 | $1,226 | 3.8× |
| Nuclear Rx Oral Admin (79005) | $1,224 | $1,632 | 5.0× |
| Panoramic X-ray of jaws (70355) | $1,077 | $1,436 | 11.9× |
| Parathyroid Planar Imaging (78070) | $3,831.75 | $5,109 | 9.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,829 | $3,772 | 6.8× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$681.75–$975.75 | $909–$1,301 | varies |
| Perineogram (74775) | $892.50 | $1,190 | 3.6× |
| Pet Image W/Ct Lmtd (78814) | $8,042.25 | $10,723 | 5.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$6,270.75–$6,636 | $8,361–$8,848 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$7,835.25–$8,985.75 | $10,447–$11,981 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$6,796.50–$13,407.75 | $9,062–$17,877 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,083.75 | $5,445 | 9.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,683.75 | $2,245 | 15.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,147.50–$1,230 | $1,530–$1,640 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,241.25 | $1,655 | 13.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $799.50 | $1,066 | 8.8× |
| Radex elbow complete minimum 3 views (73080) | $1,224.75 | $1,633 | 13.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$1,167.75–$1,849.50 | $1,557–$2,466 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$744–$997.50 | $992–$1,330 | varies |
| Radex foot complete minimum 3 views (73630) | $1,235.25 | $1,647 | 13.6× |
| Radex Hand Minimum 3 Views (73130) | $1,077 | $1,436 | 11.9× |
| Radex lower extremity infant minimum 2 views (73592) | $695.25 | $927 | 7.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,217.25 | $1,623 | 13.4× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,174.50 | $1,566 | 12.9× |
| Radex Ribs Unilateral 2 Views (71100) | $1,264.50 | $1,686 | 13.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$784.50–$1,170 | $1,046–$1,560 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $394.50 | $526 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $621.75 | $829 | 6.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,179.75 | $1,573 | 13.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,610.25 | $2,147 | 17.7× |
| Radex Toe Minimum 2 Views (73660) | $712.50 | $950 | 7.8× |
| Radex upper extremity infant minimum 2 views (73092) | $746.25 | $995 | 6.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,290.75 | $1,721 | 14.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,851.75 | $2,469 | 17.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,038.75 | $1,385 | 9.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,432.50 | $1,910 | 13.1× |
| Radiologic exam colon double contrast study (74280) | $2,837.25 | $3,783 | 15.5× |
| Radiologic exam colon single contrast study (74270) | $1,602.75 | $2,137 | 8.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,088.25 | $1,451 | 5.9× |
| Radiologic exam knee complete 4/more views (73564) | $1,379.25 | $1,839 | 12.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$755.25–$981 | $1,007–$1,308 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,390.50 | $1,854 | 7.6× |
| Radiologic exam swallow function contrast study (74230) | $1,484.25 | $1,979 | 8.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$2,598–$2,859 | $3,464–$3,812 | varies |
| Radiologic examination femur 1 view (73551) | $651 | $868 | 7.2× |
| Radiologic examination femur minimum 2 views (73552) | $945 | $1,260 | 10.4× |
| Radiologic examination knee 1/2 views (73560) | $755.25 | $1,007 | 8.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,989 | $2,652 | 18.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,242 | $1,656 | 13.7× |
| Ribs bilateral 3 views (71110) | $1,251 | $1,668 | 11.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,221 | $1,628 | 2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,308.75 | $5,745 | 10.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,439.25 | $9,919 | 13.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,493.25 | $5,991 | 7.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,436.75 | $7,249 | 9.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,593.75 | $10,125 | 5.6× |
| Scapula (73010) | $1,007.25 | $1,343 | 9.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $373.50 | $498 | 16.0× |
| Shoulder 1 view (73020) | $741 | $988 | 8.2× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,858.25–$3,141.75 | $3,811–$4,189 | varies |
| Sialogram (70390) | $2,495.25 | $3,327 | 10.0× |
| Skull less than 4 views (70250) | $909 | $1,212 | 8.3× |
| Sternoclavicular joints (71130) | $719.25 | $959 | 7.9× |
| Testicular Imaging W/Flow (78761) | $5,612.25 | $7,483 | 13.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,583.25 | $2,111 | 8.6× |
| Thoracic spine 2 views (72070) | $1,464.75 | $1,953 | 13.4× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,377.75–$1,658.25 | $1,837–$2,211 | varies |
| Thoracolumbar 2 views (72080) | $562.50 | $750 | 6.2× |
| Thyroid Imaging With Vascular Flow (78013) | $2,156.25 | $2,875 | 5.2× |
| Thyroid Met Imaging Body (78018) | $4,280.25 | $5,707 | 7.5× |
| Thyroid Uptake Measurement (78012) | $3,003 | $4,004 | 7.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,418.25–$1,701.75 | $1,891–$2,269 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$832.50–$1,043.25 | $1,110–$1,391 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,677–$2,138.25 | $2,236–$2,851 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,214.25 | $1,619 | 11.1× |
| Unlisted us procedure (76999) | $8,520.75 | $11,361 | 93.8× |
| Upper gi w/o kub (74240) | $1,296 | $1,728 | 7.1× |
| Ureteral Reflux Study (78740) | $2,536.50 | $3,382 | 6.1× |
| Urethrocystogram voiding (74455) | $2,269.50 | $3,026 | 9.1× |
| Urethrocystography retrograde (74450) | $2,100 | $2,800 | 8.4× |
| Us breast unilateral complete (76641) | $1,598.25 | $2,131 | 14.6× |
| Us chest (76604) range across 3 matching MRF lines |
$805.50–$1,122.75 | $1,074–$1,497 | varies |
| Us complete joint (76881) | $4,552.50 | $6,070 | 41.7× |
| Us exam, pelvic, limited (76857) | $2,673.75 | $3,565 | 24.5× |
| Us head (76506) | $1,710 | $2,280 | 15.7× |
| Us kidney transplant (76776) | $1,542.75 | $2,057 | 14.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,026.25 | $4,035 | 27.7× |
| Us ob detailed single fetus (76811) | $597.75 | $797 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$564–$996.75 | $752–$1,329 | varies |
| Us ob transvaginal (76817) | $2,496.75 | $3,329 | 22.9× |
| Us pelvic non ob complete (76856) | $2,607.75 | $3,477 | 23.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $950.25 | $1,267 | 8.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,266 | $1,688 | 11.6× |
| Us retroperitoneal complete (76770) | $2,347.50 | $3,130 | 21.5× |
| Us retroperitoneal limited (76775) | $1,488.75 | $1,985 | 13.6× |
| Us scrotum and contents (76870) | $1,855.50 | $2,474 | 17.0× |
| Us spinal canal and contents (76800) | $1,986 | $2,648 | 18.2× |
| Us thyroid (76536) | $2,147.25 | $2,863 | 19.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,735.50–$6,841.50 | $6,314–$9,122 | varies |
| Venogram Sinus/Jugular (75860) | $5,013.15 | $6,684.20 | 1.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$6,048.92–$6,841.50 | $8,065.23–$9,122 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$5,204.25–$7,698.75 | $6,939–$10,265 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$4,017.75–$5,204.25 | $5,357–$6,939 | varies |
| Venography Renal Bilateral (75833) | $7,115.57 | $9,487.43 | 2.2× |
| Venography Renal Unilateral (75831) | $5,955.52 | $7,940.69 | 1.8× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$8,936.54–$9,393 | $11,915.38–$12,524 | varies |
| Venous thrombosis imaging (78457) | $4,632.75 | $6,177 | 8.2× |
| Wrist 2 views (73100) | $960 | $1,280 | 10.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,004.25–$1,102.50 | $1,339–$1,470 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,372.50 | $1,830 | 3.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,026.25–$10,997.25 | $12,035–$14,663 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,374 | $1,832 | 12.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $666.75 | $889 | 7.3× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$757.50–$852 | $1,010–$1,136 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $510.75 | $681 | 5.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $916.50 | $1,222 | 8.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,219.25 | $2,959 | 20.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$417.75–$762.75 | $557–$1,017 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$663–$920.25 | $884–$1,227 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,164.75 | $1,553 | 10.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$738–$752.25 | $984–$1,003 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $929.25 | $1,239 | 8.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,405.25 | $3,207 | 22.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$909.75–$987 | $1,213–$1,316 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$1,113.75–$1,454.25 | $1,485–$1,939 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $894 | $1,192 | 8.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,406.25 | $1,875 | 12.9× |
| X-ray humerus (73060) | $971.25 | $1,295 | 10.7× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$2,388.75–$2,626.50 | $3,185–$3,502 | varies |
| X-ray IV pyelogram+tomography (74415) | $3,196.50 | $4,262 | 17.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $873 | $1,164 | 9.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$1,484.25–$1,929 | $1,979–$2,572 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$519–$677.25 | $692–$903 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,443–$1,467.75 | $1,924–$1,957 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$1,071–$1,550.25 | $1,428–$2,067 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$993.75–$1,021.50 | $1,325–$1,362 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $903 | $1,204 | 9.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,243.50 | $1,658 | 11.4× |
| X-Ray Tmj Unilat (70328) | $763.50 | $1,018 | 8.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,019 | $2,692 | 5.5× |
| X-Rays Bone Length Studies (77073) | $894 | $1,192 | 8.2× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$1,111.50–$1,509 | $1,482–$2,012 | varies |
| Xr c-spine 4 or 5 views (72050) | $1,315.50 | $1,754 | 12.1× |
| Xr facial bones less than 3 views (70140) | $1,059.75 | $1,413 | 11.7× |
| Xr orbits complete 4 views (70200) | $936.75 | $1,249 | 8.6× |
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.