Imaging prices at Westchester Medical Center
Valhalla, NY · every code in this section with a posted price and a Medicare benchmark.
398 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) | $17,493 | $17,493 | 10.1× |
| Abdomen 1 View (74018) | $1,099 | $1,099 | 10.1× |
| Abdomen 2 views (74019) | $1,542 | $1,542 | 11.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,060 | $5,060 | 10.1× |
| Angio pulmonary bilat (75743) | $15,233 | $15,233 | 3.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$10,904–$15,233 | $10,904–$15,233 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$4,192–$15,233 | $4,192–$15,233 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $15,233 | $15,233 | 3.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,059 | $11,059 | 2.8× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$879–$1,647 | $879–$1,647 | varies |
| Aortography thoracic serialography rs&i (75605) | $25,260 | $25,260 | 3.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$12,265–$25,260 | $12,265–$25,260 | varies |
| Artery X-Rays Pelvis (75736) | $25,260 | $25,260 | 3.6× |
| Artery X-Rays Spine (75705) | $25,260 | $25,260 | 3.6× |
| Arthrogram ankle (73615) | $1,240 | $1,240 | 2.8× |
| Arthrogram hip (73525) | $5,247 | $5,247 | 12.0× |
| Arthrogram Wrist (73115) | $1,335 | $1,335 | 3.1× |
| Basic radiation dosimetry calculation (77300) | $2,992 | $2,992 | 17.8× |
| Bone age studies (77072) | $1,542 | $1,542 | 11.8× |
| Bone Imaging 3 Phase (78315) | $5,060 | $5,060 | 10.1× |
| Bone Imaging Limited Area (78300) | $5,060 | $5,060 | 10.1× |
| Bone Imaging Multiple Areas (78305) | $5,060 | $5,060 | 10.1× |
| Bone Imaging Whole Body (78306) | $5,060 | $5,060 | 10.1× |
| Bone marrow imaging limited area (78102) | $5,060 | $5,060 | 10.1× |
| Bone marrow imaging; multiple areas (78103) | $5,060 | $5,060 | 10.1× |
| Bone survey infant (77076) | $1,542 | $1,542 | 11.8× |
| Brachytx isodose complex (77318) | $7,070 | $7,070 | 15.1× |
| Brachytx isodose intermed (77317) | $2,484 | $2,484 | 5.3× |
| Brachytx Isodose Plan Simple (77316) | $2,484 | $2,484 | 5.3× |
| Brain Flow Imaging Only (78610) | $6,487 | $6,487 | 9.6× |
| Brain Image W/Flow < 4 Views (78601) | $5,060 | $5,060 | 10.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $6,487 | $6,487 | 9.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,934 | $7,934 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,871 | $7,871 | 18.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $8,327 | $8,327 | 8.5× |
| Cat Scan Follow-Up Study (76380) | $1,646 | $1,646 | 15.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,925 | $1,925 | 2.8× |
| Cerebrospinal Fluid Scan (78630) | $3,125 | $3,125 | 4.6× |
| Chest 1 view (71045) | $1,099 | $1,099 | 10.1× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$392–$1,099 | $392–$1,099 | varies |
| Chest 3 views (71047) | $1,099 | $1,099 | 10.1× |
| Chest 4 or more views (71048) | $1,542 | $1,542 | 11.8× |
| Cholecystography Oral Contrast (74290) | $2,505 | $2,505 | 11.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,646 | $1,646 | 12.6× |
| Continuing medical physics consltj pr wk (77336) | $2,211 | $2,211 | 13.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,110–$15,233 | $7,110–$15,233 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$889–$5,247 | $889–$5,247 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$1,004–$1,226 | $1,004–$1,226 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $5,247 | $5,247 | 12.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,505 | $2,505 | 11.4× |
| CT abdomen and pelvis without and with contrast (74178) | $11,018 | $11,018 | 25.3× |
| CT abdomen and pelvis without contrast (74176) | $6,726 | $6,726 | 22.6× |
| CT abdomen w contrast (74160) | $5,260 | $5,260 | 24.0× |
| CT abdomen w wo contrast (74170) | $5,260 | $5,260 | 24.0× |
| CT abdomen w/o contrast (74150) | $3,236 | $3,236 | 24.8× |
| CT Angio Abdomen and Pelvis (74174) | $7,871 | $7,871 | 18.1× |
| CT Angio Chest (71275) | $3,756 | $3,756 | 17.2× |
| CT Angio Head (70496) | $5,260 | $5,260 | 24.0× |
| CT angio hrt w/3d image (75574) | $3,756 | $3,756 | 8.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$2,448–$3,756 | $2,448–$3,756 | varies |
| CT Angio Neck (70498) | $5,260 | $5,260 | 24.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$3,500–$3,756 | $3,500–$3,756 | varies |
| CT bone density (77078) | $369 | $369 | 3.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,076 | $1,076 | 4.9× |
| CT cervical spine w/ contrast (72126) | $11,018 | $11,018 | 25.3× |
| CT cervical spine w/o contrast (72125) | $3,236 | $3,236 | 24.8× |
| CT cervical spine w/wo cont (72127) | $5,260 | $5,260 | 24.0× |
| CT chest w contrast (71260) | $3,756 | $3,756 | 17.2× |
| CT chest w/wo contrast (71270) | $3,756 | $3,756 | 17.2× |
| CT colonography screening (74263) | $2,280 | $2,280 | 7.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $3,756 | $3,756 | 17.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,260 | $1,260 | 9.7× |
| CT head/brain with contrast (70460) | $3,756 | $3,756 | 17.2× |
| CT head/brain without and with contrast (70470) | $3,756 | $3,756 | 17.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,756 | $3,756 | 8.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,646 | $1,646 | 15.2× |
| CT hrt w/3d image congen (75573) | $3,756 | $3,756 | 8.6× |
| CT iac w contrast (70481) | $3,756 | $3,756 | 17.2× |
| CT l-spine w&w/o contrast (72133) | $5,260 | $5,260 | 24.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,311–$3,467 | $2,311–$3,467 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,756–$5,635 | $3,756–$5,635 | varies |
| CT lumbar spine w contrast (72132) | $11,018 | $11,018 | 25.3× |
| CT lumbar spine w/o contrast (72131) | $3,236 | $3,236 | 24.8× |
| CT maxillofacial w contrast (70487) | $3,756 | $3,756 | 17.2× |
| CT maxillofacial wo contrast (70486) | $2,311 | $2,311 | 17.7× |
| CT neck tissue combo (70492) | $3,756 | $3,756 | 17.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,756 | $3,756 | 17.2× |
| CT orbits w/o contrast (70480) | $2,311 | $2,311 | 17.7× |
| CT pelvis w&w/o contrast (72194) | $3,756 | $3,756 | 17.2× |
| CT pelvis w/o contrast (72192) | $2,311 | $2,311 | 17.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,756–$5,635 | $3,756–$5,635 | varies |
| CT scans face/jaw combo (70488) | $3,756 | $3,756 | 17.2× |
| CT soft tissue neck w contrast (70491) | $3,756 | $3,756 | 17.2× |
| CT soft tissue neck w/o contrast (70490) | $2,311 | $2,311 | 17.7× |
| CT thoracic spine w contrast (72129) | $5,260 | $5,260 | 24.0× |
| CT thoracic spine w/o contrast (72128) | $3,236 | $3,236 | 24.8× |
| CT thoracic spine w/wo cont (72130) | $5,260 | $5,260 | 24.0× |
| CT thorax w/o contrast (71250) | $3,236 | $3,236 | 24.8× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$2,263–$3,467 | $2,263–$3,467 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$3,346–$5,551 | $3,346–$5,551 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$2,713–$11,806 | $2,713–$11,806 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,260 | $5,260 | 24.0× |
| Cta Abdomen (74175) | $5,260 | $5,260 | 24.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,260 | $5,260 | 12.1× |
| CTA pelvis (72191) | $3,756 | $3,756 | 17.2× |
| Dilation ureters/urethra rs&i (74485) | $9,738 | $9,738 | 3.7× |
| Discography Cerv/Thor Spine (72285) | $3,171 | $3,171 | 1.3× |
| Diskography lumbar (72295) | $9,450 | $9,450 | 3.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,542 | $1,542 | 11.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,542 | $1,542 | 11.8× |
| Dxa Bone Density Axial (77080) | $3,082 | $3,082 | 23.6× |
| Dxa bone density study (77085) | $3,082 | $3,082 | 23.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $559 | $559 | 5.1× |
| Echo exam of fetal heart (76825) | $4,634 | $4,634 | 6.8× |
| Echo exam uterus (76831) | $3,204 | $3,204 | 10.8× |
| Echo Guide For Artery Repair (76936) | $1,653 | $1,653 | 6.1× |
| Echograp Trans R Pros Study (76873) | $1,542 | $1,542 | 11.8× |
| Esophagram (74220) | $2,505 | $2,505 | 11.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,542 | $1,542 | 11.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,542 | $1,542 | 11.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,204 | $3,204 | 10.8× |
| Follow-Up Angiography (75898) | $11,059 | $11,059 | 2.8× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$879–$1,647 | $879–$1,647 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$879–$1,647 | $879–$1,647 | varies |
| Gastric emptying imaging study (78264) | $5,060 | $5,060 | 10.1× |
| Gastroesophageal Reflux Exam (78262) | $5,060 | $5,060 | 10.1× |
| Gated Heart Planar Single (78472) | $5,060 | $5,060 | 10.1× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$1,234–$2,311 | $1,234–$2,311 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,106 | $4,106 | 4.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $6,793 | $6,793 | 7.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $9,174 | $9,174 | 10.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $15,233 | $15,233 | 3.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $15,233 | $15,233 | 3.9× |
| Hepatobil Syst Image W/Drug (78227) | $6,487 | $6,487 | 9.6× |
| Hepatobiliary System Imaging (78226) | $5,060 | $5,060 | 10.1× |
| Ht Muscle Image Spect Sing (78451) | $6,993 | $6,993 | 4.3× |
| Hysterosalpingogram (74740) | $3,204 | $3,204 | 10.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,195 | $2,195 | 20.2× |
| Infant hip ultrasound, limited static exam (76886) | $2,195 | $2,195 | 20.2× |
| Interstitial radiation source applic complex (77778) | $10,176 | $10,176 | 11.7× |
| Joint Survey Single View (77077) | $382 | $382 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $2,116 | $2,116 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $6,487 | $6,487 | 9.6× |
| K Flow/Funct Image W/O Drug (78707) | $6,487 | $6,487 | 9.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $5,060 | $5,060 | 10.1× |
| Kidney Imaging Morphol (78700) | $5,060 | $5,060 | 10.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,431 | $1,431 | 2.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,431 | $1,431 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $5,060 | $5,060 | 10.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $5,060 | $5,060 | 10.1× |
| Liver imaging static only (78201) | $3,590 | $3,590 | 5.3× |
| Liver imaging w/vascular flow (78202) | $6,993 | $6,993 | 10.3× |
| Lung Perf&Ventilat Diferentl (78598) | $3,590 | $3,590 | 5.3× |
| Lung perfusion differential (78597) | $5,060 | $5,060 | 10.1× |
| Lung Ventilat&Perfus Imaging (78582) | $6,487 | $6,487 | 9.6× |
| Lung Ventilation Imaging (78579) | $5,060 | $5,060 | 10.1× |
| Lymph System Imaging (78195) | $6,487 | $6,487 | 9.6× |
| Magnetic Image Jaw Joint (70336) | $6,405 | $6,405 | 21.5× |
| Magnetic Resonance Elastography (76391) | $4,804 | $4,804 | 16.1× |
| Mammary ductogram or galactogram single (77053) | $3,204 | $3,204 | 10.8× |
| Meckels Divert Exam (78290) | $5,060 | $5,060 | 10.1× |
| Mlc imrt design & construction per imrt plan (77338) | $2,277 | $2,277 | 4.9× |
| Mr safety determination physician/other qhp (76016) | $321 | $321 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $90 | $90 | 2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $335 | $335 | 2.8× |
| Mr safety implt pos&/immoblj (76019) | $217 | $217 | 2.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $881 | $881 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $7,871 | $7,871 | 18.1× |
| MRA head w/o contrast (70544) | $4,804 | $4,804 | 16.1× |
| MRA head with contrast (70545) | $7,871 | $7,871 | 18.1× |
| MRA neck w contrast (70548) | $7,871 | $7,871 | 18.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,871 | $7,871 | 18.1× |
| MRA neck w/o contrast (70547) | $4,804 | $4,804 | 16.1× |
| MRI abdomen w contrast (74182) | $10,494 | $10,494 | 24.1× |
| MRI abdomen w/o contrast (74181) | $6,405 | $6,405 | 21.5× |
| MRI any jt lower extrem w/contrast material (73722) | $14,033 | $14,033 | 14.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,871 | $7,871 | 18.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,356 | $9,356 | 9.6× |
| MRI brain functional w/o physician admnistration (70554) | $6,405 | $6,405 | 21.5× |
| MRI brain functional w/physician admnistration (70555) | $6,405 | $6,405 | 21.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,405 | $6,405 | 21.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,405 | $6,405 | 21.5× |
| MRI cardiac w/o contrast (75557) | $4,804 | $4,804 | 16.1× |
| MRI cervical spine w contrast (72142) | $10,494 | $10,494 | 24.1× |
| MRI cervical spine w/o cont (72141) | $6,405 | $6,405 | 21.5× |
| MRI chest w/o contrast (71550) | $6,405 | $6,405 | 21.5× |
| MRI chest with contrast (71551) | $3,654 | $3,654 | 3.7× |
| MRI chest wo w contrast (71552) | $7,871 | $7,871 | 18.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,356 | $7,356 | 16.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,871 | $7,871 | 18.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,804 | $4,804 | 16.1× |
| MRI lumbar spine w contrast (72149) | $10,494 | $10,494 | 24.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,494 | $10,494 | 24.1× |
| MRI orbit face &/neck w/o contrast (70540) | $6,405 | $6,405 | 21.5× |
| MRI orbit face neck w contrast (70542) | $7,871 | $7,871 | 18.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,871 | $7,871 | 18.1× |
| MRI pelvis w contrast (72196) | $7,871 | $7,871 | 18.1× |
| MRI pelvis w/o & w contrast (72197) | $7,871 | $7,871 | 18.1× |
| MRI pelvis w/o contrast (72195) | $4,804 | $4,804 | 16.1× |
| MRI thoracic spine w/o contrast (72146) | $6,405 | $6,405 | 21.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,972–$7,005 | $1,972–$7,005 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,804 | $4,804 | 16.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,871 | $7,871 | 18.1× |
| MRI, abdomen, combo (74183) | $10,494 | $10,494 | 24.1× |
| MRI, dorsal spine combo (72157) | $10,494 | $10,494 | 24.1× |
| MRI, dorsal spine contrast (72147) | $10,494 | $10,494 | 24.1× |
| MRI, joint upper extrem (73221) | $6,405 | $6,405 | 21.5× |
| MRI, joint upper extrem combo (73223) | $7,871 | $7,871 | 18.1× |
| MRI, lumbar spine combo (72158) | $10,494 | $10,494 | 24.1× |
| Myelogram cervical (72240) | $2,828 | $2,828 | 2.9× |
| Myelogram Lumbar (72265) | $2,828 | $2,828 | 2.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,993 | $6,993 | 4.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,120 | $3,120 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $6,993 | $6,993 | 4.3× |
| N-invas est c ffr sw aly CTA (75580) | $6,409 | $6,409 | 6.0× |
| Neck soft tissue (70360) | $1,099 | $1,099 | 10.1× |
| Nm csf leak detection (78650) | $2,895 | $2,895 | 1.8× |
| Nm whole blood volume (78122) | $6,487 | $6,487 | 9.6× |
| Nonvascular Shunt X-Ray (75809) | $3,082 | $3,082 | 23.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,091 | $14,091 | 8.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,717 | $1,717 | 5.9× |
| Nuclear Rx Oral Admin (79005) | $3,263 | $3,263 | 11.2× |
| Ob us nuchal meas 1 gest (76813) | $1,542 | $1,542 | 11.8× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $829 | $829 | 5.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $800 | $800 | 6.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $800 | $800 | 6.1× |
| Optic foramina (70190) range across 2 matching MRF lines |
$236–$247 | $236–$247 | varies |
| Panoramic X-ray of jaws (70355) | $316 | $316 | 2.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $6,487 | $6,487 | 9.6× |
| Parathyroid Planar Imaging (78070) | $5,060 | $5,060 | 10.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,766 | $2,766 | 5.5× |
| Pelvis 1 or 2 views (72170) | $1,542 | $1,542 | 11.8× |
| Pet Image Skull-Thigh (78812) | $6,686 | $6,686 | 3.7× |
| Pet Image W/Ct Lmtd (78814) | $7,901 | $7,901 | 4.4× |
| PET image w/CT, full body (78816) | $7,934 | $7,934 | 4.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,934 | $7,934 | 4.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $7,901 | $7,901 | 4.9× |
| PET whole body (78813) | $6,309 | $6,309 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $15,233 | $15,233 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,060 | $5,060 | 10.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,542 | $1,542 | 11.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $6,618 | $6,618 | 9.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,542 | $1,542 | 11.8× |
| Radex fingr minimum 2 views (73140) range across 9 matching MRF lines |
$368–$1,099 | $368–$1,099 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$212–$1,099 | $212–$1,099 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $300 | $300 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,099 | $1,099 | 10.1× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$464–$1,099 | $464–$1,099 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,099 | $1,099 | 10.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$544–$3,626 | $544–$3,626 | varies |
| Radex Spine 1 View Specify Level (72020) | $1,099 | $1,099 | 10.1× |
| Radex Sternum Minimum 2 Views (71120) | $1,099 | $1,099 | 10.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,195 | $2,195 | 20.2× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$245–$1,099 | $245–$1,099 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,542–$2,311 | $1,542–$2,311 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,542 | $1,542 | 11.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $75,690 | $75,690 | 8.2× |
| Radiation treatment delivery level 1 (77402) | $4,372 | $4,372 | 34.3× |
| Radiation treatment delivery level 2 (77407) | $5,143 | $5,143 | 10.7× |
| Radiation treatment delivery level 3 (77412) | $5,914 | $5,914 | 8.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,542 | $1,542 | 11.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$433–$1,542 | $433–$1,542 | varies |
| Radiologic exam colon double contrast study (74280) | $2,505 | $2,505 | 11.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,084–$2,505 | $1,084–$2,505 | varies |
| Radiologic exam knee complete 4/more views (73564) | $1,542 | $1,542 | 11.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,542 | $1,542 | 11.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,505 | $2,505 | 11.4× |
| Radiologic exam swallow function contrast study (74230) | $3,756 | $3,756 | 17.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,505 | $2,505 | 11.4× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$2,195–$3,292 | $2,195–$3,292 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$2,195–$3,292 | $2,195–$3,292 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$879–$1,647 | $879–$1,647 | varies |
| Radiopharm Dacryocystography (78660) | $2,472 | $2,472 | 5.0× |
| Ribs bilateral 3 views (71110) | $1,542 | $1,542 | 11.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,060 | $5,060 | 10.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,993 | $6,993 | 14.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,993 | $6,993 | 10.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,993 | $6,993 | 10.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,993 | $6,993 | 10.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,993 | $6,993 | 4.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,934 | $7,934 | 4.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,993 | $6,993 | 4.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,263 | $3,263 | 11.2× |
| Rp Therapy Intravenous Administration (79101) | $3,263 | $3,263 | 11.2× |
| Scapula (73010) range across 3 matching MRF lines |
$1,542–$2,311 | $1,542–$2,311 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$337–$361 | $337–$361 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$245–$1,099 | $245–$1,099 | varies |
| Shoulder Arthrography (73040) | $5,247 | $5,247 | 12.0× |
| Skull less than 4 views (70250) | $1,542 | $1,542 | 11.8× |
| Special dosimetry (77331) | $1,991 | $1,991 | 11.9× |
| Special Physics Consult (77370) | $3,455 | $3,455 | 20.6× |
| Special teletherapy port plan (77321) | $5,562 | $5,562 | 11.9× |
| Special treatment procedure (77470) | $4,794 | $4,794 | 7.0× |
| Stereotactic Body Radiation Delivery (77373) | $33,176 | $33,176 | 14.9× |
| Sternoclavicular joints (71130) | $1,099 | $1,099 | 10.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,666 | $4,666 | 10.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,151 | $3,151 | 6.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $655 | $655 | 2.2× |
| Testicular Imaging W/Flow (78761) | $2,213 | $2,213 | 4.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $13,899 | $13,899 | 29.7× |
| Ther rad simulaj-aided field setting simple (77280) | $7,412 | $7,412 | 44.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,756 | $3,756 | 17.2× |
| Thoracic spine 2 views (72070) | $1,542 | $1,542 | 11.8× |
| Thoracic spine 3 views (72072) | $153 | $153 | 1.2× |
| Thoracolumbar 2 views (72080) | $1,099 | $1,099 | 10.1× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $5,060 | $5,060 | 10.1× |
| Thyroid Met Imaging Body (78018) | $6,487 | $6,487 | 9.6× |
| Thyroid Uptake Measurement (78012) | $5,060 | $5,060 | 10.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,060 | $5,060 | 10.1× |
| Tx Devices Design & Construction Complex (77334) | $6,298 | $6,298 | 13.5× |
| Tx devices design & construction intermediate (77333) | $2,381 | $2,381 | 14.2× |
| Tx devices design & construction simple (77332) | $3,034 | $3,034 | 18.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,099–$1,648 | $1,099–$1,648 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,080 | $1,080 | 8.3× |
| Ultrasound Exam Aaa Screen (76706) | $681 | $681 | 5.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,755 | $1,755 | 4.0× |
| Ultrasound, abdomen limited (76705) | $1,542 | $1,542 | 11.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,542 | $1,542 | 11.8× |
| Unlisted magnetic resonance procedure (76498) | $582 | $582 | 5.4× |
| Upper gi w/o kub (74240) | $5,009 | $5,009 | 22.9× |
| Urethrocystogram voiding (74455) | $3,204 | $3,204 | 10.8× |
| Urethrocystography retrograde (74450) | $3,204 | $3,204 | 10.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,542–$3,467 | $1,542–$3,467 | varies |
| Us chest (76604) | $1,542 | $1,542 | 11.8× |
| Us complete joint (76881) | $1,080 | $1,080 | 8.3× |
| Us exam, pelvic, limited (76857) | $1,542 | $1,542 | 11.8× |
| Us head (76506) | $1,542 | $1,542 | 11.8× |
| Us kidney transplant (76776) | $1,542 | $1,542 | 11.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$292–$1,080 | $292–$1,080 | varies |
| Us ob detailed single fetus (76811) | $3,204 | $3,204 | 10.8× |
| Us ob limited 1 or more fetuses (76815) | $1,542 | $1,542 | 11.8× |
| Us ob transvaginal (76817) | $1,542 | $1,542 | 11.8× |
| Us pelvic non ob complete (76856) | $1,542 | $1,542 | 11.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,542 | $1,542 | 11.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,542 | $1,542 | 11.8× |
| Us retroperitoneal complete (76770) | $1,542 | $1,542 | 11.8× |
| Us retroperitoneal limited (76775) | $1,542 | $1,542 | 11.8× |
| Us scrotum and contents (76870) | $1,542 | $1,542 | 11.8× |
| Us spinal canal and contents (76800) | $1,542 | $1,542 | 11.8× |
| Us thyroid (76536) | $1,542 | $1,542 | 11.8× |
| Us transrectal (76872) range across 2 matching MRF lines |
$747–$1,542 | $747–$1,542 | varies |
| Vein X-Ray Chest (75827) | $8,665 | $8,665 | 4.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $11,059 | $11,059 | 2.8× |
| Venogram Sinus/Jugular (75860) | $15,233 | $15,233 | 3.9× |
| Venography caval inferior serialography rs&i (75825) | $15,233 | $15,233 | 3.9× |
| Venography extremity bilateral rs&i (75822) | $8,965 | $8,965 | 4.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$3,868–$8,665 | $3,868–$8,665 | varies |
| Venography Renal Unilateral (75831) | $8,523 | $8,523 | 2.2× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$879–$1,647 | $879–$1,647 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,099 | $1,099 | 10.1× |
| X-ray antegrade pyelogram tube (74425) | $5,247 | $5,247 | 12.0× |
| X-Ray Aorta Leg Arteries (75630) | $15,233 | $15,233 | 3.9× |
| X-Ray Bend Only L-S Spine (72120) | $1,542 | $1,542 | 11.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,955–$6,618 | $1,955–$6,618 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,099 | $1,099 | 10.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,099 | $1,099 | 10.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,099 | $1,099 | 10.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$416–$1,542 | $416–$1,542 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,099 | $1,099 | 10.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,542 | $1,542 | 11.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$261–$1,542 | $261–$1,542 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$247–$1,646 | $247–$1,646 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$1,099–$1,647 | $1,099–$1,647 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,099 | $1,099 | 10.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,099 | $1,099 | 10.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,542 | $1,542 | 11.8× |
| X-ray nose-rectum child f.b. (76010) | $1,099 | $1,099 | 10.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $581 | $581 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,542 | $1,542 | 11.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,542 | $1,542 | 11.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,099 | $1,099 | 10.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,099 | $1,099 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,542 | $1,542 | 11.8× |
| X-ray thoracic spine 4 vw (72074) | $1,542 | $1,542 | 11.8× |
| X-Ray Tmj Unilat (70328) | $722 | $722 | 6.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,247 | $5,247 | 12.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$257–$1,542 | $257–$1,542 | varies |
| X-Rays Bone Survey Complete (77075) | $3,082 | $3,082 | 23.6× |
| Xr c-spine 4 or 5 views (72050) | $1,542 | $1,542 | 11.8× |
| Xr facial bones less than 3 views (70140) | $1,099 | $1,099 | 10.1× |
| Xr orbits complete 4 views (70200) | $1,542 | $1,542 | 11.8× |
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.