Imaging prices at Ascension Seton Highland Lakes
Burnet, TX · every code in this section with a posted price and a Medicare benchmark.
289 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) range across 3 matching MRF lines |
$159.48–$172.44 | $443–$479 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$241.65–$316.89 | $671.25–$880.25 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $534.78 | $1,485.50 | 1.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$126.18–$136.53 | $350.50–$379.25 | varies |
| Arthrogram ankle (73615) | $566.28 | $1,573 | 1.6× |
| Arthrogram hip (73525) | $566.28 | $1,573 | 1.6× |
| Arthrogram Wrist (73115) | $566.28 | $1,573 | 1.6× |
| Bone age studies (77072) range across 3 matching MRF lines |
$122.22–$360.81 | $339.50–$1,002.25 | varies |
| Bone Imaging 3 Phase (78315) | $646.65 | $1,796.25 | 1.6× |
| Bone Imaging Limited Area (78300) | $636.93 | $1,769.25 | 1.6× |
| Bone Imaging Whole Body (78306) | $597.51 | $1,659.75 | 1.5× |
| Bone marrow imaging limited area (78102) | $380.25 | $1,056.25 | 0.9× |
| Bone survey infant (77076) | $657.63 | $1,826.75 | 6.3× |
| Cat Scan Follow-Up Study (76380) | $277.29 | $770.25 | 3.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $312.66 | $868.50 | 0.6× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$33.57–$121.23 | $93.25–$336.75 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$176.22–$214.29 | $489.50–$595.25 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$176.22–$250.56 | $489.50–$696 | varies |
| Chest 4 or more views (71048) | $228.96 | $636 | 2.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$139.68–$167.31 | $388–$464.75 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120.42 | $334.50 | 1.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$301.59–$457.38 | $837.75–$1,270.50 | varies |
| Contrast X-Ray Of Elbow (73085) | $566.28 | $1,573 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $566.28 | $1,573 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,554.82–$5,188.32 | $9,874.50–$14,412 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,518.20–$3,675.24 | $6,995–$10,209 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,415.97–$2,066.76 | $3,933.25–$5,741 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,417.68–$2,069.19 | $3,938–$5,747.75 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,295.55–$1,890.99 | $3,598.75–$5,252.75 | varies |
| CT Angio Abdomen and Pelvis (74174) | $744.30 | $2,067.50 | 2.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$474.30–$692.64 | $1,317.50–$1,924 | varies |
| CT Angio Head (70496) | $468.45 | $1,301.25 | 2.7× |
| CT angio hrt w/3d image (75574) | $2,278.35 | $6,328.75 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$782.73–$1,565.37 | $2,174.25–$4,348.25 | varies |
| CT Angio Neck (70498) | $528.48 | $1,468 | 3.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $782.19 | $2,172.75 | 4.4× |
| CT cervical spine w/ contrast (72126) | $1,852.02 | $5,144.50 | 5.3× |
| CT cervical spine w/o contrast (72125) | $1,908.99 | $5,302.75 | 18.2× |
| CT cervical spine w/wo cont (72127) | $1,501.29 | $4,170.25 | 8.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,065.24–$1,554.84 | $2,959–$4,319 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,524.51–$2,225.34 | $4,234.75–$6,181.50 | varies |
| CT colonography screening (74263) | $391.68 | $1,088 | 1.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $574.56 | $1,596 | 3.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $352.35 | $978.75 | 3.4× |
| CT head/brain with contrast (70460) | $1,187.10 | $3,297.50 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,627.38 | $4,520.50 | 9.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $53.01 | $147.25 | 0.6× |
| CT hrt w/3d image congen (75573) | $2,665.71 | $7,404.75 | 7.6× |
| CT iac w contrast (70481) | $1,016.73 | $2,824.25 | 5.8× |
| CT l-spine w&w/o contrast (72133) | $858.87 | $2,385.75 | 4.9× |
| CT lower ext w/o (73700) | $698.13 | $1,939.25 | 6.6× |
| CT lower extremity w/contrast material (73701) | $844.29 | $2,345.25 | 4.8× |
| CT lumbar spine w contrast (72132) | $1,623.15 | $4,508.75 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,382.58 | $3,840.50 | 13.2× |
| CT maxillofacial w contrast (70487) | $1,103.40 | $3,065 | 6.3× |
| CT maxillofacial wo contrast (70486) | $1,213.65 | $3,371.25 | 11.6× |
| CT neck tissue combo (70492) | $1,679.31 | $4,664.75 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,545.38 | $7,070.50 | 14.4× |
| CT orbits w/o contrast (70480) | $898.38 | $2,495.50 | 8.6× |
| CT pelvis w&w/o contrast (72194) | $3,171.33 | $8,809.25 | 18.0× |
| CT pelvis w/o contrast (72192) | $1,909.89 | $5,305.25 | 18.2× |
| CT scan of leg combo (73702) | $1,008.09 | $2,800.25 | 5.7× |
| CT scans face/jaw combo (70488) | $1,348.11 | $3,744.75 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,844.10 | $5,122.50 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $1,186.65 | $3,296.25 | 11.3× |
| CT thoracic spine w contrast (72129) | $1,686.06 | $4,683.50 | 9.6× |
| CT thoracic spine w/o contrast (72128) | $1,670.40 | $4,640 | 15.9× |
| CT thoracic spine w/wo cont (72130) | $1,865.34 | $5,181.50 | 10.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$445.41–$696.24 | $1,237.25–$1,934 | varies |
| CT upper ext wo (73200) | $1,760.94 | $4,891.50 | 16.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,805.76 | $5,016 | 10.2× |
| CT upper extremity with contrast (73201) | $2,087.10 | $5,797.50 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,258.74–$1,837.53 | $3,496.50–$5,104.25 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$476.28–$744.30 | $1,323–$2,067.50 | varies |
| CTA pelvis (72191) | $610.29 | $1,695.25 | 3.5× |
| Dxa Bone Density Axial (77080) | $220.77 | $613.25 | 2.1× |
| Dxa bone density study (77085) | $171.09 | $475.25 | 1.6× |
| Echo Guide For Artery Repair (76936) | $181.80 | $505 | 0.8× |
| Esophagram (74220) | $142.65 | $396.25 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $147.15 | $408.75 | 1.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $443.70 | $1,232.50 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $297.99 | $827.75 | 1.2× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$147.42–$459 | $409.50–$1,275 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$150.48–$197.64 | $418–$549 | varies |
| Gastric emptying imaging study (78264) | $982.44 | $2,729 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $539.37 | $1,498.25 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $982.44 | $2,729 | 2.4× |
| Gated Heart Planar Single (78472) | $635.58 | $1,765.50 | 1.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $715.68 | $1,988 | 1.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$156.42–$512.73 | $434.50–$1,424.25 | varies |
| Hepatobil Syst Image W/Drug (78227) | $677.70 | $1,882.50 | 1.2× |
| Hepatobiliary System Imaging (78226) | $579.51 | $1,609.75 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $635.58 | $1,765.50 | 0.5× |
| Hysterosalpingogram (74740) | $629.46 | $1,748.50 | 2.6× |
| Infant hip ultrasound, limited static exam (76886) | $610.56 | $1,696 | 7.0× |
| Joint Survey Single View (77077) | $223.29 | $620.25 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $470.70 | $1,307.50 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $979.29 | $2,720.25 | 1.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$168.48–$210.60 | $468–$585 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $605.43 | $1,681.75 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $579.51 | $1,609.75 | 1.1× |
| Lymph System Imaging (78195) | $631.98 | $1,755.50 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $743.31 | $2,064.75 | 3.1× |
| Magnetic Resonance Elastography (76391) | $353.70 | $982.50 | 1.5× |
| Meckels Divert Exam (78290) | $982.44 | $2,729 | 2.4× |
| Mr safety determination physician/other qhp (76016) | $111.60 | $310 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30.96 | $86 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $115.92 | $322 | 1.2× |
| Mr safety implt pos&/immoblj (76019) | $75.60 | $210 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $304.92 | $847 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,086.48–$2,622.87 | $3,018–$7,285.75 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$786.96–$848.61 | $2,186–$2,357.25 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$930.15–$1,278.81 | $2,583.75–$3,552.25 | varies |
| MRA neck w contrast (70548) | $930.15 | $2,583.75 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,270.98 | $3,530.50 | 3.6× |
| MRA neck w/o contrast (70547) | $786.96 | $2,186 | 3.3× |
| MRI abdomen w contrast (74182) | $1,199.43 | $3,331.75 | 3.4× |
| MRI abdomen w/o contrast (74181) | $860.49 | $2,390.25 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,073.97 | $2,983.25 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,406.88 | $3,908 | 4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $795.06 | $2,208.50 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$353.70–$786.96 | $982.50–$2,186 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$353.70–$786.96 | $982.50–$2,186 | varies |
| MRI cervical spine w contrast (72142) | $1,670.58 | $4,640.50 | 4.8× |
| MRI cervical spine w/o cont (72141) | $1,706.40 | $4,740 | 7.1× |
| MRI chest w/o contrast (71550) | $786.96 | $2,186 | 3.3× |
| MRI chest with contrast (71551) | $1,225.98 | $3,405.50 | 1.6× |
| MRI chest wo w contrast (71552) | $1,086.48 | $3,018 | 3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $992.88 | $2,758 | 2.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,385.28 | $3,848 | 4.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $860.49 | $2,390.25 | 3.6× |
| MRI lumbar spine w contrast (72149) | $1,053.27 | $2,925.75 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,363.40 | $6,565 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $860.49 | $2,390.25 | 3.6× |
| MRI orbit face neck w contrast (70542) | $795.06 | $2,208.50 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,588.32 | $4,412 | 4.5× |
| MRI pelvis w contrast (72196) | $795.06 | $2,208.50 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $1,678.86 | $4,663.50 | 4.8× |
| MRI pelvis w/o contrast (72195) | $860.49 | $2,390.25 | 3.6× |
| MRI spectroscopy (76390) | $2,136.51 | $5,934.75 | 24.4× |
| MRI thoracic spine w/o contrast (72146) | $1,306.89 | $3,630.25 | 5.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $992.88 | $2,758 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $860.49 | $2,390.25 | 3.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,086.48 | $3,018 | 3.1× |
| MRI, abdomen, combo (74183) | $1,678.86 | $4,663.50 | 4.8× |
| MRI, dorsal spine combo (72157) | $2,669.13 | $7,414.25 | 7.6× |
| MRI, dorsal spine contrast (72147) | $1,561.41 | $4,337.25 | 4.5× |
| MRI, joint upper extrem (73221) | $860.49 | $2,390.25 | 3.6× |
| MRI, joint upper extrem combo (73223) | $1,629.09 | $4,525.25 | 4.6× |
| MRI, lumbar spine combo (72158) | $1,962.45 | $5,451.25 | 5.6× |
| Myocardial Spect Multiple Studies (78452) | $1,492.47 | $4,145.75 | 1.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,310.85 | $3,641.25 | 1.5× |
| Neck soft tissue (70360) | $137.16 | $381 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $342.54 | $951.50 | 3.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $169.47 | $470.75 | 1.6× |
| Ophthalmic us dx quantitative a-scan only (76511) | $314.82 | $874.50 | 3.0× |
| Optic foramina (70190) | $93.78 | $260.50 | 1.1× |
| Panoramic X-ray of jaws (70355) | $104.13 | $289.25 | 1.2× |
| Parathyroid Planar Imaging (78070) | $503.91 | $1,399.75 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $503.91 | $1,399.75 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$159.03–$179.82 | $441.75–$499.50 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $579.51 | $1,609.75 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$234.81–$316.89 | $652.25–$880.25 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $405.99 | $1,127.75 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$167.31–$197.64 | $464.75–$549 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$139.32–$192.06 | $387–$533.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$136.53–$197.64 | $379.25–$549 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$236.52–$303.30 | $657–$842.50 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$132.03–$183.33 | $366.75–$509.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$153.36–$184.32 | $426–$512 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$149.58–$514.98 | $415.50–$1,430.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $148.05 | $411.25 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$163.71–$178.29 | $454.75–$495.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$140.67–$169.02 | $390.75–$469.50 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$198.54–$237.60 | $551.50–$660 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$158.49–$199.71 | $440.25–$554.75 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $183.33 | $509.25 | 2.1× |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$180.27–$198.81 | $500.75–$552.25 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$150.48–$191.43 | $418–$531.75 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$157.95–$183.33 | $438.75–$509.25 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$123.48–$191.43 | $343–$531.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $230.40 | $640 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$165.24–$197.64 | $459–$549 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $328.41 | $912.25 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$171.45–$246.24 | $476.25–$684 | varies |
| Radiologic exam colon double contrast study (74280) | $348.93 | $969.25 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $257.67 | $715.75 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $302.13 | $839.25 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$248.13–$324.45 | $689.25–$901.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$227.70–$308.07 | $632.50–$855.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $268.83 | $746.75 | 1.5× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$299.79–$583.02 | $832.75–$1,619.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $302.13 | $839.25 | 1.7× |
| Radiologic examination femur 1 view (73551) | $111.42 | $309.50 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $111.42 | $309.50 | 1.3× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$132.84–$185.67 | $369–$515.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $238.59 | $662.75 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$172.44–$184.32 | $479–$512 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$277.74–$333.45 | $771.50–$926.25 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $363.78 | $1,010.50 | 0.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $699.57 | $1,943.25 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,880.82 | $5,224.50 | 1.4× |
| Salivary Gland Imaging Serial Images (78231) | $701.73 | $1,949.25 | 1.7× |
| Scapula (73010) range across 4 matching MRF lines |
$171.45–$210.60 | $476.25–$585 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $56.88 | $158 | 2.4× |
| Sella turcica (70240) | $96.30 | $267.50 | 1.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$92.07–$134.37 | $255.75–$373.25 | varies |
| Shoulder Arthrography (73040) | $566.28 | $1,573 | 1.6× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$188.82–$224.82 | $524.50–$624.50 | varies |
| Speech evaluation, complex (70371) | $583.02 | $1,619.50 | 2.4× |
| Sternoclavicular joints (71130) | $112.95 | $313.75 | 1.3× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $121.05 | $336.25 | 1.4× |
| Tbs technical calculation only (77091) | $121.05 | $336.25 | 1.4× |
| Testicular Imaging W/Flow (78761) | $333.72 | $927 | 0.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$180.27–$246.24 | $500.75–$684 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$248.67–$279.72 | $690.75–$777 | varies |
| Thoracolumbar 2 views (72080) | $253.71 | $704.75 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $552.60 | $1,535 | 1.4× |
| Thyroid Met Imaging Body (78018) | $376.20 | $1,045 | 0.7× |
| Thyroid Uptake Measurement (78012) | $552.60 | $1,535 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $552.60 | $1,535 | 1.4× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$160.74–$163.35 | $446.50–$453.75 | varies |
| Ultrasound elastography first target lesion (76982) | $189.72 | $527 | 1.8× |
| Ultrasound Elastography Parenchyma (76981) | $189.72 | $527 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$258.66–$266.67 | $718.50–$740.75 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$276.93–$340.47 | $769.25–$945.75 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,007.10 | $2,797.50 | 11.5× |
| Unlisted us procedure (76999) | $178.38 | $495.50 | 2.0× |
| Upper gi w/o kub (74240) | $302.13 | $839.25 | 1.7× |
| Urethrocystogram voiding (74455) | $482.22 | $1,339.50 | 2.0× |
| Urethrocystography retrograde (74450) | $475.92 | $1,322 | 2.0× |
| Us breast unilateral complete (76641) | $160.74 | $446.50 | 1.5× |
| Us chest (76604) range across 2 matching MRF lines |
$146.07–$213.12 | $405.75–$592 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$263.16–$348.66 | $731–$968.50 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$183.33–$348.66 | $509.25–$968.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$179.37–$263.16 | $498.25–$731 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$131.76–$232.20 | $366–$645 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$253.53–$314.82 | $704.25–$874.50 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$224.55–$315.99 | $623.75–$877.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$38.79–$202.14 | $107.75–$561.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $157.95 | $438.75 | 1.5× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$263.16–$340.47 | $731–$945.75 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$242.73–$300.78 | $674.25–$835.50 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$244.35–$611.91 | $678.75–$1,699.75 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$260.64–$395.01 | $724–$1,097.25 | varies |
| Us transrectal (76872) | $336.33 | $934.25 | 3.2× |
| Venography extremity bilateral rs&i (75822) | $345.51 | $959.75 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $242.46 | $673.50 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $114.48 | $318 | 1.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$157.23–$179.55 | $436.75–$498.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$185.40–$192.06 | $515–$533.50 | varies |
| X-ray antegrade pyelogram tube (74425) | $255.15 | $708.75 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $223.74 | $621.50 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$130.23–$175.05 | $361.75–$486.25 | varies |
| X-Ray Exam Breast Specimen (76098) | $163.08 | $453 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $111.42 | $309.50 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $184.41 | $512.25 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $328.41 | $912.25 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $111.42 | $309.50 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $111.42 | $309.50 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $184.41 | $512.25 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $184.41 | $512.25 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $184.41 | $512.25 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $328.41 | $912.25 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $468.09 | $1,300.25 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$189.18–$277.74 | $525.50–$771.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $435.42 | $1,209.50 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$137.16–$234.81 | $381–$652.25 | varies |
| X-ray eye for foreign body (70030) | $75.33 | $209.25 | 0.9× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$153.36–$183.33 | $426–$509.25 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$312.66–$377.73 | $868.50–$1,049.25 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$150.48–$166.41 | $418–$462.25 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$189.63–$336.15 | $526.75–$933.75 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$261.45–$320.94 | $726.25–$891.50 | varies |
| X-ray nose-rectum child f.b. (76010) | $112.50 | $312.50 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $270.81 | $752.25 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$110.34–$132.84 | $306.50–$369 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $114.48 | $318 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$147.96–$154.71 | $411–$429.75 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$223.74–$270.81 | $621.50–$752.25 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$296.64–$359.28 | $824–$998 | varies |
| X-Ray Tmj Unilat (70328) | $123.48 | $343 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$260.91–$336.15 | $724.75–$933.75 | varies |
| X-Rays Bone Length Studies (77073) | $190.08 | $528 | 1.8× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$280.80–$657.63 | $780–$1,826.75 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$277.56–$278.10 | $771–$772.50 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$134.37–$153.36 | $373.25–$426 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $123.48 | $343 | 1.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$223.74–$308.07 | $621.50–$855.75 | 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.