Imaging prices at WhidbeyHealth Medical Center
Coupeville, WA · every code in this section with a posted price and a Medicare benchmark.
276 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$13,568–$14,967 | $13,568–$14,967 | varies |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$25–$374 | $25–$374 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$32–$686 | $32–$686 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$122–$2,085 | $122–$2,085 | varies |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$2,469–$2,725 | $2,469–$2,725 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$75–$2,725 | $75–$2,725 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,368–$1,510 | $1,368–$1,510 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$25–$686 | $25–$686 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$126–$2,465 | $126–$2,465 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$78–$2,085 | $78–$2,085 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$78–$2,085 | $78–$2,085 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$106–$2,085 | $106–$2,085 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$87–$686 | $87–$686 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$25–$374 | $25–$374 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$29–$410 | $29–$410 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$36–$528 | $36–$528 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$41–$686 | $41–$686 | varies |
| Clavicle complete (73000) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$127–$639 | $127–$639 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$40–$1,510 | $40–$1,510 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$2,469–$2,725 | $2,469–$2,725 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$2,469–$2,725 | $2,469–$2,725 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$247–$5,080 | $247–$5,080 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$215–$4,512 | $215–$4,512 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$156–$2,455 | $156–$2,455 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$173–$2,749 | $173–$2,749 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$148–$1,965 | $148–$1,965 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$269–$4,899 | $269–$4,899 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$225–$4,449 | $225–$4,449 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$215–$3,819 | $215–$3,819 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$230–$4,269 | $230–$4,269 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$215–$3,819 | $215–$3,819 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$221–$4,327 | $221–$4,327 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$151–$3,703 | $151–$3,703 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$125–$2,323 | $125–$2,323 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$158–$3,248 | $158–$3,248 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$153–$2,665 | $153–$2,665 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$170–$2,665 | $170–$2,665 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$140–$2,724 | $140–$2,724 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$158–$3,027 | $158–$3,027 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$214–$1,510 | $214–$1,510 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$53–$338 | $53–$338 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$140–$3,126 | $140–$3,126 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$156–$3,010 | $156–$3,010 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$125–$2,072 | $125–$2,072 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$144–$3,107 | $144–$3,107 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$151–$3,703 | $151–$3,703 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$125–$2,150 | $125–$2,150 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$140–$2,487 | $140–$2,487 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$107–$1,991 | $107–$1,991 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$201–$2,884 | $201–$2,884 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$156–$3,501 | $156–$3,501 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$103–$2,501 | $103–$2,501 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$151–$2,850 | $151–$2,850 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$135–$2,036 | $135–$2,036 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$150–$2,264 | $150–$2,264 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$158–$2,787 | $158–$2,787 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$171–$2,576 | $171–$2,576 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$159–$2,062 | $159–$2,062 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$151–$2,766 | $151–$2,766 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$125–$2,213 | $125–$2,213 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$158–$3,098 | $158–$3,098 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$144–$2,165 | $144–$2,165 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$125–$3,091 | $125–$3,091 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$151–$4,327 | $151–$4,327 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$144–$3,863 | $144–$3,863 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$291–$3,996 | $291–$3,996 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$224–$6,123 | $224–$6,123 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$282–$5,000 | $282–$5,000 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$221–$3,010 | $221–$3,010 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$33–$686 | $33–$686 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$28–$374 | $28–$374 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$90–$1,387 | $90–$1,387 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$1,005–$1,110 | $1,005–$1,110 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$76–$1,510 | $76–$1,510 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$130–$686 | $130–$686 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$98–$686 | $98–$686 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$39–$1,387 | $39–$1,387 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$21–$744 | $21–$744 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$98–$2,085 | $98–$2,085 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 3 matching MRF lines |
$121–$2,085 | $121–$2,085 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$84–$2,085 | $84–$2,085 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$121–$2,085 | $121–$2,085 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 3 matching MRF lines |
$124–$2,704 | $124–$2,704 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$22–$1,366 | $22–$1,366 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$110–$2,775 | $110–$2,775 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$91–$2,361 | $91–$2,361 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$50–$1,387 | $50–$1,387 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$93–$374 | $93–$374 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$6,019–$6,641 | $6,019–$6,641 | varies |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$44–$686 | $44–$686 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$169–$2,704 | $169–$2,704 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$146–$2,704 | $146–$2,704 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$117–$2,704 | $117–$2,704 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$25–$744 | $25–$744 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$61–$2,085 | $61–$2,085 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$88–$2,085 | $88–$2,085 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$130–$2,704 | $130–$2,704 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$145–$2,704 | $145–$2,704 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$189–$1,979 | $189–$1,979 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$84–$2,085 | $84–$2,085 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$184–$4,458 | $184–$4,458 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$148–$3,185 | $148–$3,185 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$148–$3,981 | $148–$3,981 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$185–$3,791 | $185–$3,791 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$223–$4,246 | $223–$4,246 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$149–$3,033 | $149–$3,033 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$214–$4,086 | $214–$4,086 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$182–$2,658 | $182–$2,658 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$203–$5,520 | $203–$5,520 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$264–$4,086 | $264–$4,086 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$203–$5,520 | $203–$5,520 | varies |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$197–$2,065 | $197–$2,065 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$196–$3,969 | $196–$3,969 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$180–$3,249 | $180–$3,249 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$221–$3,703 | $221–$3,703 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$184–$2,960 | $184–$2,960 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$182–$2,598 | $182–$2,598 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$213–$5,520 | $213–$5,520 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$275–$4,642 | $275–$4,642 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$201–$5,190 | $201–$5,190 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$263–$7,265 | $263–$7,265 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$168–$4,153 | $168–$4,153 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$219–$3,903 | $219–$3,903 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$282–$4,371 | $282–$4,371 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$167–$3,056 | $167–$3,056 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$201–$4,086 | $201–$4,086 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$263–$4,277 | $263–$4,277 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$214–$3,920 | $214–$3,920 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$269–$4,390 | $269–$4,390 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$182–$3,136 | $182–$3,136 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$184–$3,210 | $184–$3,210 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$203–$4,972 | $203–$4,972 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$168–$3,977 | $168–$3,977 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$264–$6,124 | $264–$6,124 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$269–$4,254 | $269–$4,254 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$282–$4,493 | $282–$4,493 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$219–$4,011 | $219–$4,011 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$170–$4,044 | $170–$4,044 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$264–$5,660 | $264–$5,660 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$282–$4,532 | $282–$4,532 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$124–$6,504 | $124–$6,504 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$194–$6,504 | $194–$6,504 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$25–$374 | $25–$374 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$60–$686 | $60–$686 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$503–$1,821 | $503–$1,821 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$146–$686 | $146–$686 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$98–$2,546 | $98–$2,546 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$146–$2,461 | $146–$2,461 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$24–$686 | $24–$686 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$215–$8,489 | $215–$8,489 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$6,500–$12,764 | $6,500–$12,764 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$272–$11,618 | $272–$11,618 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$91–$2,085 | $91–$2,085 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 5 matching MRF lines |
$40–$686 | $40–$686 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$65–$1,387 | $65–$1,387 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$24–$744 | $24–$744 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$24–$744 | $24–$744 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$35–$686 | $35–$686 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$19–$748 | $19–$748 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$87–$744 | $87–$744 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$44–$686 | $44–$686 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$24–$444 | $24–$444 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$30–$406 | $30–$406 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$25–$744 | $25–$744 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$24–$374 | $24–$374 | varies |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$22–$374 | $22–$374 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$28–$393 | $28–$393 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$33–$374 | $33–$374 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$19–$395 | $19–$395 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$22–$686 | $22–$686 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$24–$744 | $24–$744 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$54–$686 | $54–$686 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$34–$686 | $34–$686 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$35–$686 | $35–$686 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$154–$1,510 | $154–$1,510 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$129–$1,510 | $129–$1,510 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$30–$1,366 | $30–$1,366 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$34–$686 | $34–$686 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$102–$1,033 | $102–$1,033 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$66–$755 | $66–$755 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$112–$1,510 | $112–$1,510 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$22–$374 | $22–$374 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$25–$560 | $25–$560 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$22–$378 | $22–$378 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$57–$686 | $57–$686 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| Ribs bilateral 3 views (71110) range across 5 matching MRF lines |
$38–$686 | $38–$686 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$130–$2,704 | $130–$2,704 | varies |
| Scapula (73010) range across 7 matching MRF lines |
$25–$1,366 | $25–$1,366 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$83–$122 | $83–$122 | varies |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$21–$744 | $21–$744 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,469–$2,725 | $2,469–$2,725 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$28–$686 | $28–$686 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$387–$428 | $387–$428 | varies |
| Special Physics Consult (77370) | $1,519 | $1,519 | 10.1× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,295–$3,635 | $3,295–$3,635 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$30–$374 | $30–$374 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,142–$2,876 | $1,142–$2,876 | varies |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$28–$686 | $28–$686 | varies |
| Thoracic spine 3 views (72072) range across 5 matching MRF lines |
$32–$686 | $32–$686 | varies |
| Thoracolumbar 2 views (72080) range across 5 matching MRF lines |
$29–$428 | $29–$428 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$47–$2,085 | $47–$2,085 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$25–$2,085 | $25–$2,085 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$62–$2,085 | $62–$2,085 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$1,174–$1,296 | $1,174–$1,296 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$85–$686 | $85–$686 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$69–$686 | $69–$686 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$75–$686 | $75–$686 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$338–$374 | $338–$374 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$102–$1,510 | $102–$1,510 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$41–$1,387 | $41–$1,387 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$41–$1,387 | $41–$1,387 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$91–$903 | $91–$903 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$74–$732 | $74–$732 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$62–$686 | $62–$686 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$97–$1,178 | $97–$1,178 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$62–$686 | $62–$686 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$232–$1,072 | $232–$1,072 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$81–$686 | $81–$686 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$93–$686 | $93–$686 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$86–$796 | $86–$796 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$124–$686 | $124–$686 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$106–$727 | $106–$727 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$92–$768 | $92–$768 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$74–$811 | $74–$811 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$80–$733 | $80–$733 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$145–$686 | $145–$686 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$71–$727 | $71–$727 | varies |
| Vascular Flow Imaging (78445) range across 3 matching MRF lines |
$56–$1,668 | $56–$1,668 | varies |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$25–$374 | $25–$374 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 5 matching MRF lines |
$30–$686 | $30–$686 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$40–$691 | $40–$691 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$35–$548 | $35–$548 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$41–$686 | $41–$686 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$47–$686 | $47–$686 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$25–$374 | $25–$374 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$30–$404 | $30–$404 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$36–$686 | $36–$686 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$30–$686 | $30–$686 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 5 matching MRF lines |
$38–$686 | $38–$686 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$40–$686 | $40–$686 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 5 matching MRF lines |
$39–$762 | $39–$762 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$30–$480 | $30–$480 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 5 matching MRF lines |
$34–$772 | $34–$772 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$35–$686 | $35–$686 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$22–$374 | $22–$374 | varies |
| X-ray humerus (73060) range across 7 matching MRF lines |
$22–$744 | $22–$744 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$62–$1,510 | $62–$1,510 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$62–$1,510 | $62–$1,510 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $64 | $64 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$24–$566 | $24–$566 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$30–$686 | $30–$686 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$25–$374 | $25–$374 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 5 matching MRF lines |
$41–$686 | $41–$686 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 5 matching MRF lines |
$32–$686 | $32–$686 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $53 | $53 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$24–$426 | $24–$426 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$30–$470 | $30–$470 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$38–$686 | $38–$686 | varies |
| X-ray thoracic spine 4 vw (72074) | $83 | $83 | 0.7× |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$25–$516 | $25–$516 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$36–$686 | $36–$686 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$70–$686 | $70–$686 | varies |
| Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines |
$36–$686 | $36–$686 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$28–$374 | $28–$374 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$25–$686 | $25–$686 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$37–$686 | $37–$686 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$78–$686 | $78–$686 | 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.