Imaging prices at Baylor Scott and White Surgical Hospital Las Colin
Irving, TX · every code in this section with a posted price and a Medicare benchmark.
222 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) | $259.20 | $432 | 3.0× |
| Abdomen 2 views (74019) | $260.40 | $434 | 2.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$205.80–$411.60 | $343–$686 | varies |
| Arthrogram ankle (73615) | $228 | $380 | 0.7× |
| Arthrogram hip (73525) range across 7 matching MRF lines |
$371.40–$745.20 | $619–$1,242 | varies |
| Arthrogram Wrist (73115) | $228 | $380 | 0.7× |
| Bone age studies (77072) | $156 | $260 | 1.5× |
| Bone survey infant (77076) | $275.40 | $459 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $1,465.80 | $2,443 | 16.8× |
| Chest 1 view (71045) | $238.20 | $397 | 2.7× |
| Chest 2 views (71046) | $228 | $380 | 2.6× |
| Chest 3 views (71047) | $228 | $380 | 2.6× |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$331.20–$701.40 | $552–$1,169 | varies |
| Cholecystography Oral Contrast (74290) | $246.60 | $411 | 1.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$208.20–$416.40 | $347–$694 | varies |
| Contrast X-Ray Bladder (74430) | $382.80 | $638 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $261.60 | $436 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $412.20 | $687 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,791.40 | $6,319 | 10.8× |
| CT abdomen and pelvis without contrast (74176) | $2,907 | $4,845 | 12.1× |
| CT abdomen w contrast (74160) | $1,857 | $3,095 | 10.5× |
| CT abdomen w wo contrast (74170) | $1,934.40 | $3,224 | 11.0× |
| CT abdomen w/o contrast (74150) | $1,510.20 | $2,517 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) | $4,425.60 | $7,376 | 12.6× |
| CT Angio Chest (71275) | $1,934.40 | $3,224 | 11.0× |
| CT Angio Head (70496) | $2,100.60 | $3,501 | 11.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,934.40 | $3,224 | 11.0× |
| CT Angio Neck (70498) | $2,101.20 | $3,502 | 11.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,308.60 | $7,181 | 24.5× |
| CT cervical spine w/ contrast (72126) | $1,831.80 | $3,053 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,758.60 | $2,931 | 16.7× |
| CT cervical spine w/wo cont (72127) | $1,952.40 | $3,254 | 11.1× |
| CT chest w contrast (71260) | $1,821 | $3,035 | 10.3× |
| CT chest w/wo contrast (71270) | $2,062.20 | $3,437 | 11.7× |
| CT head/brain with contrast (70460) | $1,726.20 | $2,877 | 9.8× |
| CT head/brain without and with contrast (70470) | $1,934.40 | $3,224 | 11.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,465.80 | $2,443 | 16.8× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,726.20–$3,451.80 | $2,877–$5,753 | varies |
| CT l-spine w&w/o contrast (72133) | $2,053.20 | $3,422 | 11.7× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$1,590–$3,179.40 | $2,650–$5,299 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,908–$1,908.60 | $3,180–$3,181 | varies |
| CT lumbar spine w contrast (72132) | $1,770 | $2,950 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,620 | $2,700 | 15.4× |
| CT maxillofacial w contrast (70487) | $1,726.20 | $2,877 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,510.20 | $2,517 | 14.4× |
| CT neck tissue combo (70492) | $1,934.40 | $3,224 | 11.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$1,934.40–$3,868.20 | $3,224–$6,447 | varies |
| CT orbits w/o contrast (70480) | $1,525.20 | $2,542 | 14.5× |
| CT pelvis w&w/o contrast (72194) | $1,934.40 | $3,224 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,510.20 | $2,517 | 14.4× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,077.80–$3,866.40 | $3,463–$6,444 | varies |
| CT scans face/jaw combo (70488) | $1,934.40 | $3,224 | 11.0× |
| CT soft tissue neck w contrast (70491) | $1,726.20 | $2,877 | 9.8× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,509.60–$1,510.20 | $2,516–$2,517 | varies |
| CT thoracic spine w contrast (72129) | $1,808.40 | $3,014 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,672.80 | $2,788 | 15.9× |
| CT thoracic spine w/wo cont (72130) | $2,053.20 | $3,422 | 11.7× |
| CT thorax w/o contrast (71250) | $1,527 | $2,545 | 14.5× |
| CT unlisted procedure (76497) | $1,465.80 | $2,443 | 16.8× |
| CT upper ext wo (73200) range across 23 matching MRF lines |
$1,679.40–$3,358.20 | $2,799–$5,597 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 7 matching MRF lines |
$2,043.60–$4,086 | $3,406–$6,810 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,945.20–$3,453 | $3,242–$5,755 | varies |
| Cta Abdomen (74175) | $2,392.80 | $3,988 | 13.6× |
| CTA pelvis (72191) | $2,032.80 | $3,388 | 11.5× |
| Dilation ureters/urethra rs&i (74485) | $1,255.20 | $2,092 | 0.6× |
| Diskography lumbar (72295) | $1,158.60 | $1,931 | 0.6× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$187.80–$479.40 | $313–$799 | varies |
| Esophagram (74220) | $428.40 | $714 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $805.80 | $1,343 | 3.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$187.80–$533.40 | $313–$889 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$165.60–$589.80 | $276–$983 | varies |
| Hysterosalpingogram (74740) | $474.60 | $791 | 2.0× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$353.40–$546.60 | $589–$911 | varies |
| Interstitial radiation source applic complex (77778) | $3,773.40 | $6,289 | 5.4× |
| Joint Survey Single View (77077) | $165.60 | $276 | 1.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$282.60–$565.20 | $471–$942 | varies |
| Magnetic Image Jaw Joint (70336) | $1,815.60 | $3,026 | 7.6× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $2,263.20 | $3,772 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,697 | $4,495 | 7.7× |
| MRA head w/o contrast (70544) | $1,815.60 | $3,026 | 7.6× |
| MRA head with contrast (70545) | $2,263.20 | $3,772 | 6.5× |
| MRA neck w contrast (70548) | $2,263.20 | $3,772 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,697 | $4,495 | 7.7× |
| MRA neck w/o contrast (70547) | $1,815.60 | $3,026 | 7.6× |
| MRI abdomen w contrast (74182) | $2,263.20 | $3,772 | 6.5× |
| MRI abdomen w/o contrast (74181) | $1,846.20 | $3,077 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$2,295.60–$4,590.60 | $3,826–$7,651 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$2,170.80–$5,395.80 | $3,618–$8,993 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$2,263.20–$4,527.60 | $3,772–$7,546 | varies |
| MRI cervical spine w contrast (72142) | $2,263.20 | $3,772 | 6.5× |
| MRI cervical spine w/o cont (72141) | $1,966.20 | $3,277 | 8.2× |
| MRI chest w/o contrast (71550) | $1,815.60 | $3,026 | 7.6× |
| MRI chest with contrast (71551) | $2,263.20 | $3,772 | 2.9× |
| MRI chest wo w contrast (71552) | $2,697 | $4,495 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 7 matching MRF lines |
$2,263.20–$4,528.80 | $3,772–$7,548 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$1,768.80–$5,395.80 | $2,948–$8,993 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$1,675.80–$3,669.60 | $2,793–$6,116 | varies |
| MRI lumbar spine w contrast (72149) | $2,263.20 | $3,772 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,697 | $4,495 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,815–$1,815.60 | $3,025–$3,026 | varies |
| MRI orbit face neck w contrast (70542) | $2,263.20 | $3,772 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,697 | $4,495 | 7.7× |
| MRI pelvis w contrast (72196) | $2,263.20 | $3,772 | 6.5× |
| MRI pelvis w/o & w contrast (72197) | $2,697 | $4,495 | 7.7× |
| MRI pelvis w/o contrast (72195) | $1,815.60 | $3,026 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $1,815.60 | $3,026 | 7.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,815.60–$3,632.40 | $3,026–$6,054 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,893.60–$3,787.80 | $3,156–$6,313 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,880–$5,758.80 | $4,800–$9,598 | varies |
| MRI, abdomen, combo (74183) | $2,697 | $4,495 | 7.7× |
| MRI, dorsal spine combo (72157) | $2,848.80 | $4,748 | 8.1× |
| MRI, dorsal spine contrast (72147) | $2,263.20 | $3,772 | 6.5× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,109.60–$4,218 | $3,516–$7,030 | varies |
| MRI, joint upper extrem combo (73223) | $2,697 | $4,495 | 7.7× |
| MRI, lumbar spine combo (72158) | $2,772.60 | $4,621 | 7.9× |
| Neck soft tissue (70360) | $228 | $380 | 2.6× |
| Optic foramina (70190) | $156 | $260 | 1.8× |
| Pelvis 1 or 2 views (72170) | $237.60 | $396 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $423 | $705 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$262.20–$525 | $437–$875 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$107.40–$214.80 | $179–$358 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$260.40–$576.60 | $434–$961 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $321.60 | $536 | 3.1× |
| Radex fingr minimum 2 views (73140) | $197.40 | $329 | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$339–$676.80 | $565–$1,128 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$294.60–$589.80 | $491–$983 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $112.80 | $188 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $238.20 | $397 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $244.20 | $407 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$271.80–$543.60 | $453–$906 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $165.60 | $276 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $693.60 | $1,156 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $250.20 | $417 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $238.20 | $397 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $192.60 | $321 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $169.20 | $282 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$274.20–$547.20 | $457–$912 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $598.20 | $997 | 5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $340.80 | $568 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $279.60 | $466 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $625.20 | $1,042 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $549.60 | $916 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$330.60–$661.20 | $551–$1,102 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $298.20 | $497 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $481.80 | $803 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $468 | $780 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $459.60 | $766 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$205.80–$414 | $343–$690 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$241.20–$483 | $402–$805 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $228 | $380 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$271.20–$393.60 | $452–$656 | varies |
| Ribs bilateral 3 views (71110) | $363.60 | $606 | 3.5× |
| Scapula (73010) range across 3 matching MRF lines |
$207.60–$415.20 | $346–$692 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$237.60–$476.40 | $396–$794 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$528–$1,055.40 | $880–$1,759 | varies |
| Skull less than 4 views (70250) | $219.60 | $366 | 2.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$229.20–$244.20 | $382–$407 | varies |
| Thoracic spine 2 views (72070) | $269.40 | $449 | 2.6× |
| Thoracic spine 3 views (72072) | $316.20 | $527 | 3.0× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$232.20–$248.40 | $387–$414 | varies |
| Ultrasound Breast Limited (76642) | $281.40 | $469 | 3.2× |
| Ultrasound, abdomen limited (76705) | $473.40 | $789 | 4.5× |
| Unlisted fluoroscopic procedure (76496) | $805.80 | $1,343 | 9.2× |
| Unlisted us procedure (76999) | $517.20 | $862 | 5.9× |
| Upper gi w/o kub (74240) | $490.80 | $818 | 2.8× |
| Urethrocystogram voiding (74455) | $382.80 | $638 | 1.6× |
| Urethrocystography retrograde (74450) | $353.40 | $589 | 1.5× |
| Us bone density measurement (76977) | $197.40 | $329 | 1.9× |
| Us breast unilateral complete (76641) | $281.40 | $469 | 2.7× |
| Us chest (76604) | $330.60 | $551 | 3.1× |
| Us complete joint (76881) range across 5 matching MRF lines |
$216.60–$591.60 | $361–$986 | varies |
| Us exam, pelvic, limited (76857) | $439.20 | $732 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$296.40–$393.60 | $494–$656 | varies |
| Us ob detailed single fetus (76811) | $466.20 | $777 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $490.20 | $817 | 4.7× |
| Us ob transvaginal (76817) | $465.60 | $776 | 4.4× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$398.40–$560.40 | $664–$934 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $465.60 | $776 | 4.4× |
| Us retroperitoneal complete (76770) | $558 | $930 | 5.3× |
| Us retroperitoneal limited (76775) | $448.20 | $747 | 4.3× |
| Us scrotum and contents (76870) | $424.20 | $707 | 4.0× |
| Us spinal canal and contents (76800) | $465.60 | $776 | 4.4× |
| Us thyroid (76536) | $447.60 | $746 | 4.3× |
| Us transrectal (76872) | $363.60 | $606 | 3.5× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$271.20–$542.40 | $452–$904 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $528 | $880 | 6.0× |
| X-ray antegrade pyelogram tube (74425) | $509.40 | $849 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $423.60 | $706 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$197.40–$541.20 | $329–$902 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $156 | $260 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $302.40 | $504 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $450.60 | $751 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $165.60 | $276 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$216.60–$282.60 | $361–$471 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 7 matching MRF lines |
$216.60–$283.20 | $361–$472 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $300 | $500 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $381 | $635 | 3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $451.80 | $753 | 4.3× |
| X-Ray Exam L-S Spine Bending (72114) | $570.60 | $951 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $270.60 | $451 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $412.20 | $687 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $374.40 | $624 | 3.6× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$274.20–$547.20 | $457–$912 | varies |
| X-ray IV pyelogram (ivp) (74400) | $546.60 | $911 | 3.1× |
| X-ray IV pyelogram+tomography (74415) | $765.60 | $1,276 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $134.40 | $224 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $278.40 | $464 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $282 | $470 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $459 | $765 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$216.60–$433.20 | $361–$722 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$125.40–$250.20 | $209–$417 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $241.20 | $402 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$271.80–$290.40 | $453–$484 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $353.40 | $589 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $394.80 | $658 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $571.80 | $953 | 1.6× |
| X-Rays Bone Length Studies (77073) | $252 | $420 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $751.20 | $1,252 | 7.2× |
| Xr c-spine 4 or 5 views (72050) | $363.60 | $606 | 3.5× |
| Xr facial bones less than 3 views (70140) | $331.20 | $552 | 3.8× |
| Xr orbits complete 4 views (70200) | $260.40 | $434 | 2.5× |
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.