Price Transparency
Know your out-of-pocket cost for care.
|
|
|---|
|
CPT 72190 X-ray pelvis, 3 or more views
$327.00 Standard Charge See All Rates |
|
CPT 72197 MRI scan of pelvis with and without contrast
$1,156.53 Standard Charge See All Rates |
|
CPT 77066 Mammography of both breasts
$502.90 Standard Charge See All Rates |
|
CPT 73080 X-ray Elbow, 3 Views
$241.73 Standard Charge See All Rates |
|
CPT 74176 CT scan of abdomen & pelvis without contrast material
$705.83 Standard Charge See All Rates |
|
CPT 70496 CTA scan of head
$551.90 Standard Charge See All Rates |
|
CPT 73140 X-ray Fingers, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 76816 Ultrasound, pregnancy, transabdominal (pelvis)
$339.45 Standard Charge See All Rates |
|
CPT 73060 X-ray humerus, 1 view
$241.73 Standard Charge See All Rates |
|
CPT 71270 CT scan of chest with and without contrast
$551.90 Standard Charge See All Rates |
|
CPT 73560 X-ray Knee, 1-2 Views
$241.73 Standard Charge See All Rates |
|
CPT 73110 X-ray Wrist, 3+ Views
$241.73 Standard Charge See All Rates |
|
CPT 74183 MRI of abdomen without & with contrast material
$1,156.53 Standard Charge See All Rates |
|
CPT 72040 X-ray Lower Sacral Spine, 2-3 Views
$241.73 Standard Charge See All Rates |
|
CPT 70487 CT scan of face with contrast
$551.90 Standard Charge See All Rates |
|
CPT 76000 Flouroscopy, or x-ray "movie" that takes less than an hour
$705.83 Standard Charge See All Rates |
|
CPT 76817 Ultrasound, pregnancy, transvaginal
$339.45 Standard Charge See All Rates |
|
CPT 71250 CT Scan of thorax, without contrast material
$339.45 Standard Charge See All Rates |
|
CPT 71260 CT Scan of thorax, with contrast material
$551.90 Standard Charge See All Rates |
|
CPT 78815 Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation
$4,370.75 Standard Charge See All Rates |
|
CPT 74018 X-ray abdomen, 1 view
$241.73 Standard Charge See All Rates |
|
CPT 74021 X-ray abdomen, 3 or more views
$339.45 Standard Charge See All Rates |
|
CPT 77080 Scan to measure bone mineral density (BMD) at the spine and hip
$339.45 Standard Charge See All Rates |
|
CPT 72070 X-ray thoracic spine, 2 views
$327.00 Standard Charge See All Rates |
|
CPT 72050 X-ray cervical spine, 4 or more views
$327.00 Standard Charge See All Rates |
|
CPT 76642 Ultrasound of breast (single)
$241.73 Standard Charge See All Rates |
|
CPT 71045 X-ray of chest; Single View
$241.73 Standard Charge See All Rates |
|
CPT 74177 CT scan of abdomen & pelvis with contrast material
$1,156.53 Standard Charge See All Rates |
|
CPT 73221 MRI of upper extremity joint; without contrast material
$705.83 Standard Charge See All Rates |
|
CPT 73130 X-ray Hand, 3 Views
$241.73 Standard Charge See All Rates |
|
CPT 76706 Ultrasound, aortic aneurisum screening
$339.45 Standard Charge See All Rates |
|
CPT 76604 Ultrasound of chest
$339.45 Standard Charge See All Rates |
|
CPT 73020 X-ray shoulder, 1 view
$241.73 Standard Charge See All Rates |
|
CPT 76700 Ultrasound of abdomen, complete
$335.13 Standard Charge See All Rates |
|
CPT 72193 CT scan, pelvis, with contrast
$551.90 Standard Charge See All Rates |
|
CPT 73521 X-ray hip and pelvis, 2 views
$339.45 Standard Charge See All Rates |
|
CPT 73100 X-ray Wrist, 3 Views
$241.73 Standard Charge See All Rates |
|
CPT 73630 X-ray exam of foot
$241.73 Standard Charge See All Rates |
|
CPT 76882 Ultrasound, shoulder joint/soft tissue
$339.45 Standard Charge See All Rates |
|
CPT 70551 MRI scan of brain (including brain stem); without contrast material
$705.83 Standard Charge See All Rates |
|
CPT 73620 X-ray Foot, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 72131 CT scan of lumbar spine without contrast
$339.45 Standard Charge See All Rates |
|
CPT 70450 CT scan, head or brain, without contrast
$339.45 Standard Charge See All Rates |
|
CPT 77065 Diagnostic mammography, unilateral
$399.85 Standard Charge See All Rates |
|
CPT 71046 X-ray of chest; 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 72191 CTA scan of pelvis
$551.90 Standard Charge See All Rates |
|
CPT 73070 X-ray elbow, 2 views
$241.73 Standard Charge See All Rates |
|
CPT 76857 Ultrasound of pelvis
$339.45 Standard Charge See All Rates |
|
CPT 73030 X-ray Shoulder, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 73562 X-ray exam of knee, 3 views
$241.73 Standard Charge See All Rates |
|
CPT 76942 Ultrasound guidance for biopsy
$1,144.39 Standard Charge See All Rates |
|
CPT 73120 X-ray Hand, 2 Views
$327.00 Standard Charge See All Rates |
|
CPT 71100 X-ray Ribs One Side, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 70553 MRI scan of brain before and after contrast
$1,156.53 Standard Charge See All Rates |
|
CPT 76641 Ultrasound of breasts (both)
$339.45 Standard Charge See All Rates |
|
CPT 72125 CT scan of cervical spine without contrast
$339.45 Standard Charge See All Rates |
|
CPT 70360 X-ray of neck soft tissue
$248.98 Standard Charge See All Rates |
|
CPT 76514 A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen
$69.63 Standard Charge See All Rates |
|
CPT 73090 X-ray Forearm, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 72128 CT scan of thoracic spine without contrast
$339.45 Standard Charge See All Rates |
|
CPT 76805 Abdominal ultrasound of pregnant uterus, first trimester
$339.45 Standard Charge See All Rates |
|
CPT 74170 CT scan of abdomen without & with contrast material
$551.90 Standard Charge See All Rates |
|
CPT 76770 Ultrasound exam of abdomenal back wall, complete
$339.45 Standard Charge See All Rates |
|
CPT 73590 X-ray Lower Leg, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 76818 Fetal biophysical profile with non- stress test
$339.45 Standard Charge See All Rates |
|
CPT 76881 Ultrasound Joint Soft Tissue - Complete
$339.45 Standard Charge See All Rates |
|
CPT 76815 Ultrasound, pregnancy
$339.45 Standard Charge See All Rates |
|
CPT 72110 X-ray, lower back, minimum four views
$327.00 Standard Charge See All Rates |
|
CPT 71275 CT Angiogram Chest with and without Contrast
$551.90 Standard Charge See All Rates |
|
CPT 73200 CT scan of shoulder, arm, or hand without contrast
$339.45 Standard Charge See All Rates |
|
CPT 70498 CTA scan of neck
$551.90 Standard Charge See All Rates |
|
CPT 73721 MRI scan of leg joint
$705.83 Standard Charge See All Rates |
|
CPT 76856 Ultrasound, pelvic, complete
$335.13 Standard Charge See All Rates |
|
CPT 72170 X-ray Pelvis, 1-2 Views
$327.00 Standard Charge See All Rates |
|
CPT 72192 CT scan of pelvis without contrast
$339.45 Standard Charge See All Rates |
|
CPT 73552 X-ray Femur, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 74178 CT scan of abdomen & pelvis with and without contrast material
$1,156.53 Standard Charge See All Rates |
|
CPT 73522 X-ray Both Hips and Pelvis, 3-4 Views
$339.45 Standard Charge See All Rates |
|
CPT 72148 MRI lumbar spine without contrast material
$705.83 Standard Charge See All Rates |
|
CPT 73600 X-ray Ankle, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 76536 Ultrasound exam of head and neck
$339.45 Standard Charge See All Rates |
|
CPT 73610 X-ray Ankle, 3 Views
$248.98 Standard Charge See All Rates |
|
CPT 70491 CT scan, soft tissue neck; with contrast material(s)
$551.90 Standard Charge See All Rates |
|
CPT 77067 Mammogram Screening
$402.90 Standard Charge See All Rates |
|
CPT 76830 Ultrasound, transvaginal
$339.45 Standard Charge See All Rates |
|
CPT 73502 X-ray Hip and Pelvis, 2 Views
$241.73 Standard Charge See All Rates |
|
CPT 73700 CT scan of hip, knee, ankle, or foot without contrast
$339.45 Standard Charge See All Rates |
|
CPT 74175 CT angiography scan of abdomen
$551.90 Standard Charge See All Rates |
|
CPT 77063 3D Mammogram Screening (Tomosynthesis)
$160.93 Standard Charge See All Rates |
|
CPT 72141 MRI neck spine without contrast material
$705.83 Standard Charge See All Rates |
|
CPT 76512 Ultrasound of the eye
$339.45 Standard Charge See All Rates |
|
CPT 76870 Ultrasound, testical
$339.45 Standard Charge See All Rates |
|
CPT 70486 CT scan, maxillofacial area; without contrast material
$339.45 Standard Charge See All Rates |
|
CPT 73000 X-ray clavicle, 1 view
$241.73 Standard Charge See All Rates |
|
CPT 76705 Ultrasound of abdomen, limited
$339.45 Standard Charge See All Rates |
|
CPT 78452 Image of the heart to assess perfusion
$3,853.15 Standard Charge See All Rates |