Imaging prices at Baylor Scott & White Emergency Hospital

Aubrey, TX · every code in this section with a posted price and a Medicare benchmark.

145 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $215.95 $359.92 2.5×
Abdomen 2 views (74019) $269.94 $449.90 2.6×
Ankle 2 views (73600) $277.66 $462.76 3.2×
Bone age studies (77072) $152.32 $253.87 1.5×
Chest 1 view (71045) $196.63 $327.71 2.2×
Chest 2 views (71046) $351.91 $586.52 4.0×
Chest 3 views (71047) $286.66 $477.76 3.3×
Chest 4 or more views (71048) $371.76 $619.60 3.5×
Clavicle complete (73000) $359.28 $598.80 4.1×
CT abdomen and pelvis without and with contrast (74178) $4,084.28 $6,807.13 11.7×
CT abdomen and pelvis without contrast (74176) $3,162.15 $5,270.25 13.2×
CT abdomen w contrast (74160) $2,001.20 $3,335.33 11.4×
CT abdomen w wo contrast (74170) $2,036.66 $3,394.43 11.6×
CT abdomen w/o contrast (74150) $1,586 $2,643.34 15.1×
CT Angio Abdomen and Pelvis (74174) $4,767.68 $7,946.13 13.6×
CT Angio Chest (71275) $3,372.89 $5,621.49 19.1×
CT Angio Head (70496) $3,199.39 $5,332.31 18.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,366.80 $2,278 7.8×
CT Angio Neck (70498) $3,165.28 $5,275.47 18.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,175.92 $3,626.53 12.3×
CT cervical spine w/ contrast (72126) $1,973.48 $3,289.13 5.6×
CT cervical spine w/o contrast (72125) $1,570.01 $2,616.68 14.9×
CT cervical spine w/wo cont (72127) $2,103.71 $3,506.18 11.9×
CT chest w contrast (71260) $1,792.10 $2,986.83 10.2×
CT chest w/wo contrast (71270) $2,221.05 $3,701.75 12.6×
CT head/brain with contrast (70460) $1,773.62 $2,956.03 10.1×
CT head/brain without and with contrast (70470) $2,153.35 $3,588.92 12.2×
CT iac w contrast (70481) $1,905.78 $3,176.30 10.8×
CT l-spine w&w/o contrast (72133) $2,210.74 $3,684.56 12.5×
CT lower ext w/o (73700) $1,495.74 $2,492.90 14.2×
CT lower extremity w/contrast material (73701) $1,792.31 $2,987.19 10.2×
CT lumbar spine w contrast (72132) $1,905.78 $3,176.30 5.4×
CT lumbar spine w/o contrast (72131) $1,745.25 $2,908.75 16.6×
CT maxillofacial w contrast (70487) $1,731.07 $2,885.11 9.8×
CT maxillofacial wo contrast (70486) $1,371.31 $2,285.52 13.1×
CT neck tissue combo (70492) $1,656.92 $2,761.54 9.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,117.25 $3,528.75 12.0×
CT orbits w/o contrast (70480) $1,736.22 $2,893.70 16.5×
CT pelvis w&w/o contrast (72194) $2,048.27 $3,413.78 11.6×
CT pelvis w/o contrast (72192) $1,544.74 $2,574.57 14.7×
CT scan of leg combo (73702) $1,947.69 $3,246.15 11.1×
CT scans face/jaw combo (70488) $2,093.39 $3,488.99 11.9×
CT soft tissue neck w contrast (70491) $1,795.54 $2,992.56 10.2×
CT soft tissue neck w/o contrast (70490) $1,519.60 $2,532.66 14.5×
CT thoracic spine w contrast (72129) $1,947.69 $3,246.15 11.1×
CT thoracic spine w/o contrast (72128) $1,801.99 $3,003.31 17.2×
CT thoracic spine w/wo cont (72130) $2,210.74 $3,684.56 12.5×
CT thorax w/o contrast (71250) $1,502.93 $2,504.89 14.3×
CT upper ext wo (73200) $1,617.59 $2,695.99 15.4×
CT upper extremity w/o & w/contrast material (73202) $1,947.69 $3,246.15 11.1×
CT upper extremity with contrast (73201) $1,856.14 $3,093.57 5.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,387.39 $3,978.98 13.5×
Cta Abdomen (74175) $2,577.58 $4,295.96 14.6×
CTA pelvis (72191) $2,190.75 $3,651.25 12.4×
Foot 2 views (73620) $384.99 $641.65 4.4×
Forearm 2 views (73090) $406.84 $678.07 4.7×
Hand 2 views (73120) $422.91 $704.85 4.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $556.01 $926.69 6.4×
Infant hip ultrasound, limited static exam (76886) $242.25 $403.75 2.8×
Knee 3 Views (73562) $405.56 $675.93 4.6×
Neck soft tissue (70360) $152.32 $253.87 1.7×
Ob us nuchal meas 1 gest (76813) $456.79 $761.32 4.3×
Pelvis 1 or 2 views (72170) $260.95 $434.91 2.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $462.76 $771.26 4.4×
Radex Ankle Complete Minimum 3 Views (73610) $374.71 $624.51 4.3×
Radex Calcaneus Minimum 2 Views (73650) $151.68 $252.80 1.7×
Radex elbow complete minimum 3 views (73080) $413.27 $688.78 4.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $255.80 $426.34 2.4×
Radex fingr minimum 2 views (73140) $188.96 $314.93 2.2×
Radex foot complete minimum 3 views (73630) $480.76 $801.26 5.5×
Radex Hand Minimum 3 Views (73130) $422.91 $704.85 4.8×
Radex lower extremity infant minimum 2 views (73592) $105.41 $175.68 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $214.67 $357.78 2.5×
Radex Ribs Unilateral 2 Views (71100) $268.01 $446.69 3.1×
Radex shoulder complete minimum 2 views (73030) $261.59 $435.98 3.0×
Radex Sinuses Paransl < 3 Views (70210) $131.76 $219.60 1.5×
Radex Spine 1 View Specify Level (72020)
range across 4 matching MRF lines
$257.09–$422.32 $428.48–$703.86 varies
Radex Sternum Minimum 2 Views (71120) $200.53 $334.21 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $210.17 $350.28 2.4×
Radex Toe Minimum 2 Views (73660) $169.68 $282.80 1.9×
Radex upper extremity infant minimum 2 views (73092) $105.41 $175.68 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $398.48 $664.14 4.6×
Radiolog exam mandible compl minimum 4 views (70110) $157.46 $262.44 1.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $298.22 $497.04 2.8×
Radiologic exam knee complete 4/more views (73564) $316.22 $527.03 3.0×
Radiologic exam pelvis compl minimum 3 views (72190) $324.58 $540.96 3.1×
Radiologic examination femur 1 view (73551) $161.32 $268.87 1.8×
Radiologic examination femur minimum 2 views (73552) $273.80 $456.33 3.1×
Radiologic examination knee 1/2 views (73560) $357.35 $595.59 4.1×
Radiologic examination tibia & fibula 2 views (73590) $391.42 $652.36 4.5×
Ribs bilateral 3 views (71110) $359.93 $599.89 3.4×
Scapula (73010) $182.53 $304.22 1.7×
Shoulder 1 view (73020) $203.10 $338.50 2.3×
Skull less than 4 views (70250) $241.02 $401.70 2.3×
Sternoclavicular joints (71130) $250.02 $416.70 2.9×
Thoracic spine 2 views (72070) $271.87 $453.12 2.6×
Thoracic spine 3 views (72072) $345.14 $575.23 3.3×
Thoracolumbar 2 views (72080) $284.76 $474.60 3.3×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$311.19–$604.33 $518.65–$1,007.22 varies
Ultrasound Exam Aaa Screen (76706) $490.30 $817.16 4.7×
Ultrasound, abdomen limited (76705) $518.65 $864.41 4.9×
Unlisted Dx Radiographic Procedure (76499) $270.59 $450.98 3.1×
Unlisted us procedure (76999) $887.60 $1,479.33 10.2×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$334.38–$650.08 $557.30–$1,083.46 varies
Us chest (76604) $362.09 $603.48 3.4×
Us complete joint (76881) $556.01 $926.69 5.3×
Us exam, pelvic, limited (76857) $481.92 $803.20 4.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $262.87 $438.11 2.5×
Us ob detailed single fetus (76811) $653.83 $1,089.71 2.7×
Us ob limited 1 or more fetuses (76815) $145.61 $242.68 1.4×
Us ob transvaginal (76817) $240.32 $400.53 2.3×
Us pelvic non ob complete (76856) $613.36 $1,022.26 5.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $403.96 $673.27 3.8×
Us retroperitoneal complete (76770) $490.30 $817.16 4.7×
Us retroperitoneal limited (76775) $490.30 $817.16 4.7×
Us scrotum and contents (76870) $463.88 $773.14 4.4×
Us thyroid (76536) $489.65 $816.09 4.7×
Wrist 2 views (73100) $398.48 $664.14 4.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $390.13 $650.22 4.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $422.32 $703.86 4.0×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$161.32–$323.93 $268.87–$539.88 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$271.87–$545.67 $453.12–$909.45 varies
X-Ray Exam Hip Uni 4/> Views (73503)
range across 2 matching MRF lines
$383.71–$767.41 $639.51–$1,279.01 varies
X-Ray Exam Hips Bi 2 Views (73521) $647.86 $1,079.77 6.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $415.96 $693.27 4.0×
X-Ray Exam L-S Spine Bending (72114) $514.18 $856.96 4.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $273.80 $456.33 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $414.55 $690.92 3.9×
X-Ray Exam Unilat Ribs/Chest (71101) $401.70 $669.50 3.8×
X-ray humerus (73060) $390.13 $650.22 4.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $105.41 $175.68 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $283.18 $471.97 3.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $308.51 $514.18 2.9×
X-ray nose-rectum child f.b. (76010) $105.41 $175.68 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $520.01 $866.68 5.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $149.11 $248.52 1.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $105.41 $175.68 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $265.45 $442.41 3.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $284.72 $474.54 3.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $344.50 $574.16 3.3×
X-ray thoracic spine 4 vw (72074) $412.21 $687.02 3.9×
X-Rays Bone Survey Complete (77075) $820.75 $1,367.92 7.8×
Xr c-spine 4 or 5 views (72050) $397.20 $662 3.8×
Xr facial bones less than 3 views (70140) $114.41 $190.69 1.3×
Xr orbits complete 4 views (70200) $105.41 $175.68 1.0×

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.