Imaging prices at Baylor Scott and White Orthopedic and Spine Hospi
Arlington, TX · every code in this section with a posted price and a Medicare benchmark.
217 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) | $264 | $440 | 3.0× |
| Abdomen 2 views (74019) | $264.60 | $441 | 2.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$221.40–$441 | $369–$735 | varies |
| Arthrogram ankle (73615) range across 7 matching MRF lines |
$266.40–$534 | $444–$890 | varies |
| Arthrogram hip (73525) range across 9 matching MRF lines |
$357.60–$715.80 | $596–$1,193 | varies |
| Arthrogram Wrist (73115) range across 8 matching MRF lines |
$266.40–$534 | $444–$890 | varies |
| Bone age studies (77072) | $111.60 | $186 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $1,141.80 | $1,903 | 13.0× |
| Chest 1 view (71045) | $221.40 | $369 | 2.5× |
| Chest 2 views (71046) | $252.60 | $421 | 2.9× |
| Chest 3 views (71047) | $191.40 | $319 | 2.2× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$234–$252.60 | $390–$421 | varies |
| Cholecystography Oral Contrast (74290) | $592.20 | $987 | 3.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$191.40–$381 | $319–$635 | varies |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$291–$580.20 | $485–$967 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 7 matching MRF lines |
$357.60–$715.80 | $596–$1,193 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $169.20 | $282 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,714.20 | $2,857 | 4.9× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,714.20–$2,907 | $2,857–$4,845 | varies |
| CT abdomen w contrast (74160) | $2,391.60 | $3,986 | 13.6× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,877.40–$2,443.20 | $3,129–$4,072 | varies |
| CT abdomen w/o contrast (74150) | $2,030.40 | $3,384 | 19.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,714.20 | $2,857 | 4.9× |
| CT Angio Chest (71275) | $1,714.20 | $2,857 | 9.7× |
| CT Angio Head (70496) | $1,714.20 | $2,857 | 9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 54 matching MRF lines |
$2,085.60–$4,168.80 | $3,476–$6,948 | varies |
| CT Angio Neck (70498) | $1,714.20 | $2,857 | 9.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 15 matching MRF lines |
$1,714.20–$4,308.60 | $2,857–$7,181 | varies |
| CT cervical spine w/ contrast (72126) | $1,884.60 | $3,141 | 5.4× |
| CT cervical spine w/o contrast (72125) | $2,116.20 | $3,527 | 20.1× |
| CT cervical spine w/wo cont (72127) | $2,116.20 | $3,527 | 12.0× |
| CT chest w contrast (71260) | $1,955.40 | $3,259 | 11.1× |
| CT chest w/wo contrast (71270) | $2,443.20 | $4,072 | 13.8× |
| CT head/brain with contrast (70460) | $1,884.60 | $3,141 | 10.7× |
| CT head/brain without and with contrast (70470) | $2,211.60 | $3,686 | 12.5× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,884.60–$3,764.40 | $3,141–$6,274 | varies |
| CT l-spine w&w/o contrast (72133) | $2,116.20 | $3,527 | 12.0× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$1,714.20–$3,428.40 | $2,857–$5,714 | varies |
| CT lower extremity w/contrast material (73701) range across 19 matching MRF lines |
$1,884.60–$3,817.20 | $3,141–$6,362 | varies |
| CT lumbar spine w contrast (72132) | $2,030.40 | $3,384 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $2,157.60 | $3,596 | 20.5× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,815–$1,884.60 | $3,025–$3,141 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$1,653.60–$1,714.20 | $2,756–$2,857 | varies |
| CT neck tissue combo (70492) | $2,116.20 | $3,527 | 12.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,116.20–$4,233.60 | $3,527–$7,056 | varies |
| CT orbits w/o contrast (70480) | $1,714.20 | $2,857 | 16.3× |
| CT pelvis w&w/o contrast (72194) | $2,116.20 | $3,527 | 12.0× |
| CT pelvis w/o contrast (72192) | $1,777.80 | $2,963 | 16.9× |
| CT scan of leg combo (73702) range across 19 matching MRF lines |
$2,116.20–$4,233.60 | $3,527–$7,056 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,040.60–$2,116.20 | $3,401–$3,527 | varies |
| CT soft tissue neck w contrast (70491) | $1,884.60 | $3,141 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,714.20 | $2,857 | 16.3× |
| CT thoracic spine w contrast (72129) | $1,884.60 | $3,141 | 10.7× |
| CT thoracic spine w/o contrast (72128) | $1,714.20 | $2,857 | 16.3× |
| CT thoracic spine w/wo cont (72130) | $2,116.20 | $3,527 | 12.0× |
| CT thorax w/o contrast (71250) | $2,020.80 | $3,368 | 19.2× |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$944.40–$1,465.80 | $1,574–$2,443 | varies |
| CT upper ext wo (73200) range across 23 matching MRF lines |
$1,663.80–$3,428.40 | $2,773–$5,714 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 22 matching MRF lines |
$2,055–$4,233.60 | $3,425–$7,056 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$1,883.40–$3,889.20 | $3,139–$6,482 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,714.20–$2,392.80 | $2,857–$3,988 | varies |
| CTA pelvis (72191) | $1,714.20 | $2,857 | 9.7× |
| Discography Cerv/Thor Spine (72285) | $1,733.40 | $2,889 | 0.9× |
| Diskography lumbar (72295) | $1,733.40 | $2,889 | 0.9× |
| Dxa Bone Density Axial (77080) | $497.40 | $829 | 4.7× |
| Esophagram (74220) | $307.20 | $512 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $972.60 | $1,621 | 4.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$221.40–$441 | $369–$735 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$214.20–$562.80 | $357–$938 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$212.40–$588.60 | $354–$981 | varies |
| Joint Survey Single View (77077) | $497.40 | $829 | 4.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$306.60–$613.20 | $511–$1,022 | varies |
| Magnetic Image Jaw Joint (70336) | $1,246.80 | $2,078 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,973.60 | $4,956 | 8.5× |
| MRA head w/o contrast (70544) | $2,169.60 | $3,616 | 9.0× |
| MRA head with contrast (70545) | $2,517 | $4,195 | 7.2× |
| MRA neck w contrast (70548) | $2,517 | $4,195 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,973.60 | $4,956 | 8.5× |
| MRA neck w/o contrast (70547) | $2,169.60 | $3,616 | 9.0× |
| MRI abdomen w contrast (74182) | $3,427.20 | $5,712 | 9.8× |
| MRI abdomen w/o contrast (74181) | $2,856 | $4,760 | 11.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 10 matching MRF lines |
$3,427.20–$6,853.20 | $5,712–$11,422 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$3,693–$7,383 | $6,155–$12,305 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 10 matching MRF lines |
$3,427.20–$6,853.20 | $5,712–$11,422 | varies |
| MRI cervical spine w contrast (72142) | $3,427.20 | $5,712 | 9.8× |
| MRI cervical spine w/o cont (72141) | $2,856 | $4,760 | 11.9× |
| MRI chest w/o contrast (71550) | $2,856 | $4,760 | 11.9× |
| MRI chest with contrast (71551) | $3,427.20 | $5,712 | 4.3× |
| MRI chest wo w contrast (71552) | $3,693 | $6,155 | 10.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 10 matching MRF lines |
$3,427.20–$6,853.20 | $5,712–$11,422 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$3,693–$7,383 | $6,155–$12,305 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 11 matching MRF lines |
$2,856–$5,710.80 | $4,760–$9,518 | varies |
| MRI lumbar spine w contrast (72149) | $3,427.20 | $5,712 | 9.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$3,692.40–$3,693 | $6,154–$6,155 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,856 | $4,760 | 11.9× |
| MRI orbit face neck w contrast (70542) | $3,427.20 | $5,712 | 9.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,693 | $6,155 | 10.5× |
| MRI pelvis w contrast (72196) | $3,427.20 | $5,712 | 9.8× |
| MRI pelvis w/o & w contrast (72197) | $3,693 | $6,155 | 10.5× |
| MRI pelvis w/o contrast (72195) | $2,856 | $4,760 | 11.9× |
| MRI spectroscopy (76390) | $2,517 | $4,195 | 28.7× |
| MRI thoracic spine w/o contrast (72146) | $2,856 | $4,760 | 11.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 11 matching MRF lines |
$2,564.70–$6,853.20 | $4,274.50–$11,422 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 16 matching MRF lines |
$2,773.80–$5,710.80 | $4,623–$9,518 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 19 matching MRF lines |
$3,414.45–$7,383 | $5,690.75–$12,305 | varies |
| MRI, abdomen, combo (74183) | $3,693 | $6,155 | 10.5× |
| MRI, dorsal spine combo (72157) | $3,693 | $6,155 | 10.5× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,168.49–$3,427.20 | $5,280.81–$5,712 | varies |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$2,754.60–$5,710.80 | $4,591–$9,518 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$3,693–$7,383 | $6,155–$12,305 | varies |
| MRI, lumbar spine combo (72158) | $3,693 | $6,155 | 10.5× |
| Myelogram Lumbar (72265) | $997.20 | $1,662 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,074 | $1,790 | 1.4× |
| Neck soft tissue (70360) | $201 | $335 | 2.3× |
| Optic foramina (70190) | $191.40 | $319 | 2.2× |
| Pelvis 1 or 2 views (72170) | $200.40 | $334 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $361.80 | $603 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$243.60–$486.60 | $406–$811 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$191.40–$381 | $319–$635 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$200.40–$402.60 | $334–$671 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $200.40 | $334 | 1.9× |
| Radex fingr minimum 2 views (73140) | $191.40 | $319 | 2.2× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$221.40–$441 | $369–$735 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$243.60–$486.60 | $406–$811 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$252.60–$506.40 | $421–$844 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $252.60 | $421 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $390.60 | $651 | 4.5× |
| Radex Ribs Unilateral 2 Views (71100) | $317.40 | $529 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$285–$568.80 | $475–$948 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $200.40 | $334 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $862.20 | $1,437 | 4.9× |
| Radex Spine 1 View Specify Level (72020) | $221.40 | $369 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $212.40 | $354 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $379.20 | $632 | 4.3× |
| Radex Toe Minimum 2 Views (73660) | $191.40 | $319 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$200.40–$402.60 | $334–$671 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$221.40–$441 | $369–$735 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $190.20 | $317 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $252.60 | $421 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $264.60 | $441 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $772.80 | $1,288 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $687.60 | $1,146 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$264.60–$529.80 | $441–$883 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $264.60 | $441 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $592.20 | $987 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $307.20 | $512 | 1.7× |
| Radiologic exam teeth complete full mouth (70320) | $379.20 | $632 | 1.6× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $307.20 | $512 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $665.40 | $1,109 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$236.40–$472.20 | $394–$787 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$233.40–$466.20 | $389–$777 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$243.60–$486.60 | $406–$811 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$200.40–$402.60 | $334–$671 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$252.60–$542.40 | $421–$904 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $243.60 | $406 | 0.4× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $276 | $460 | 3.2× |
| Ribs bilateral 3 views (71110) | $252.60 | $421 | 2.4× |
| Scapula (73010) range across 3 matching MRF lines |
$191.40–$381 | $319–$635 | varies |
| Sella turcica (70240) | $191.40 | $319 | 2.2× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$212.40–$423 | $354–$705 | varies |
| Shoulder Arthrography (73040) range across 7 matching MRF lines |
$357.60–$715.80 | $596–$1,193 | varies |
| Skull less than 4 views (70250) | $285 | $475 | 2.7× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$169.20–$339.60 | $282–$566 | varies |
| Thoracic spine 2 views (72070) | $243.60 | $406 | 2.3× |
| Thoracic spine 3 views (72072) | $348.60 | $581 | 3.3× |
| Thoracolumbar 2 views (72080) | $191.40 | $319 | 2.2× |
| Ultrasound, abdomen limited (76705) | $449.40 | $749 | 4.3× |
| Unlisted Dx Radiographic Procedure (76499) | $973.20 | $1,622 | 11.1× |
| Unlisted fluoroscopic procedure (76496) | $972.60 | $1,621 | 11.1× |
| Unlisted us procedure (76999) | $498 | $830 | 5.7× |
| Upper gi w/o kub (74240) | $307.20 | $512 | 1.7× |
| Us complete joint (76881) range across 7 matching MRF lines |
$339.60–$1,183.80 | $566–$1,973 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$339.60–$439.20 | $566–$732 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$327–$678 | $545–$1,130 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$714.41–$772.80 | $1,190.68–$1,288 | varies |
| Us retroperitoneal complete (76770) | $772.80 | $1,288 | 7.3× |
| Us retroperitoneal limited (76775) | $772.80 | $1,288 | 7.3× |
| Us scrotum and contents (76870) | $449.40 | $749 | 4.3× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$758.40–$772.80 | $1,264–$1,288 | varies |
| Us thyroid (76536) | $449.40 | $749 | 4.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$252.60–$542.40 | $421–$904 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $191.40 | $319 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $296.40 | $494 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$191.40–$381 | $319–$635 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.20 | $317 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $183 | $305 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $411 | $685 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $190.20 | $317 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $212.40 | $354 | 2.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $212.40 | $354 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $266.40 | $444 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $266.40 | $444 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $274.80 | $458 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $381 | $635 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $276 | $460 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $412.20 | $687 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $348.60 | $581 | 3.3× |
| X-ray head for orthodontia (70350) | $191.40 | $319 | 2.2× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$221.40–$547.20 | $369–$912 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $205.20 | $342 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $191.40 | $319 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $296.40 | $494 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $296.40 | $494 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$264.60–$529.80 | $441–$883 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$221.40–$441 | $369–$735 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $243.60 | $406 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $390.60 | $651 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $307.80 | $513 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $296.40 | $494 | 2.8× |
| X-Ray Tmj Unilat (70328) | $191.40 | $319 | 2.2× |
| X-Rays Bone Length Studies (77073) | $497.40 | $829 | 4.7× |
| X-Rays Bone Survey Complete (77075) | $498 | $830 | 4.7× |
| Xr c-spine 4 or 5 views (72050) | $370.20 | $617 | 3.5× |
| Xr facial bones less than 3 views (70140) | $390.60 | $651 | 4.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $221.40 | $369 | 2.1× |
| Xr myelogram posterior fossa (70010) | $858 | $1,430 | 2.4× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$360.91–$390.60 | $601.52–$651 | 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.