Imaging prices at Baylor Scott & White Texas Spine & Joint Hospital
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
210 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 |
$75–$499.20 | $125–$832 | varies |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Arthrogram ankle (73615) | $2,076 | $3,460 | 5.9× |
| Arthrogram hip (73525) | $2,074.80 | $3,458 | 5.9× |
| Arthrogram Wrist (73115) | $2,074.80 | $3,458 | 5.9× |
| Bone age studies (77072) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Cat Scan Follow-Up Study (76380) | $1,069.80 | $1,783 | 12.2× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$64.80–$499.20 | $108–$832 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$105–$499.20 | $175–$832 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,276.40 | $3,794 | 2.9× |
| Clavicle complete (73000) range across 9 matching MRF lines |
$54–$499.20 | $90–$832 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,074.80 | $3,458 | 5.9× |
| Contrast X-Ray Of Knee Joint (73580) | $2,074.80 | $3,458 | 5.9× |
| CT abdomen and pelvis without and with contrast (74178) | $7,291.80 | $12,153 | 20.8× |
| CT abdomen and pelvis without contrast (74176) | $6,326.40 | $10,544 | 26.4× |
| CT abdomen w contrast (74160) | $3,164.40 | $5,274 | 18.0× |
| CT abdomen w wo contrast (74170) | $3,648.60 | $6,081 | 20.7× |
| CT abdomen w/o contrast (74150) | $2,365.20 | $3,942 | 22.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,076 | $3,460 | 5.9× |
| CT Angio Chest (71275) | $1,801.20 | $3,002 | 10.2× |
| CT Angio Head (70496) | $1,925.40 | $3,209 | 10.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,715.60 | $9,526 | 32.4× |
| CT Angio Neck (70498) | $1,915.80 | $3,193 | 10.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,715.60 | $9,526 | 32.4× |
| CT cervical spine w/ contrast (72126) | $4,107.60 | $6,846 | 11.7× |
| CT cervical spine w/o contrast (72125) | $3,308.40 | $5,514 | 31.5× |
| CT cervical spine w/wo cont (72127) | $4,591.20 | $7,652 | 26.1× |
| CT chest w contrast (71260) | $3,164.40 | $5,274 | 18.0× |
| CT chest w/wo contrast (71270) | $3,648.60 | $6,081 | 20.7× |
| CT head/brain with contrast (70460) | $3,164.40 | $5,274 | 18.0× |
| CT head/brain without and with contrast (70470) | $3,648.60 | $6,081 | 20.7× |
| CT iac w contrast (70481) | $3,164.40 | $5,274 | 18.0× |
| CT l-spine w&w/o contrast (72133) | $4,591.20 | $7,652 | 26.1× |
| CT lower ext w/o (73700) | $3,308.40 | $5,514 | 31.5× |
| CT lower extremity w/contrast material (73701) | $4,107.60 | $6,846 | 23.3× |
| CT lumbar spine w contrast (72132) | $4,107.60 | $6,846 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $3,308.40 | $5,514 | 31.5× |
| CT maxillofacial w contrast (70487) | $3,164.40 | $5,274 | 18.0× |
| CT maxillofacial wo contrast (70486) | $2,365.20 | $3,942 | 22.5× |
| CT neck tissue combo (70492) | $3,648.60 | $6,081 | 20.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,648.60 | $6,081 | 20.7× |
| CT orbits w/o contrast (70480) | $2,365.20 | $3,942 | 22.5× |
| CT pelvis w&w/o contrast (72194) | $3,648.60 | $6,081 | 20.7× |
| CT pelvis w/o contrast (72192) | $2,365.20 | $3,942 | 22.5× |
| CT scan of leg combo (73702) | $4,591.20 | $7,652 | 26.1× |
| CT scans face/jaw combo (70488) | $3,648.60 | $6,081 | 20.7× |
| CT soft tissue neck w contrast (70491) | $3,648.60 | $6,081 | 20.7× |
| CT soft tissue neck w/o contrast (70490) | $2,365.20 | $3,942 | 22.5× |
| CT thoracic spine w contrast (72129) | $4,107.60 | $6,846 | 23.3× |
| CT thoracic spine w/o contrast (72128) | $3,308.40 | $5,514 | 31.5× |
| CT thoracic spine w/wo cont (72130) | $4,591.20 | $7,652 | 26.1× |
| CT thorax w/o contrast (71250) | $2,365.20 | $3,942 | 22.5× |
| CT unlisted procedure (76497) | $2,947.80 | $4,913 | 33.7× |
| CT upper ext wo (73200) | $3,308.40 | $5,514 | 31.5× |
| CT upper extremity w/o & w/contrast material (73202) | $4,591.20 | $7,652 | 26.1× |
| CT upper extremity with contrast (73201) | $4,107.60 | $6,846 | 11.7× |
| Cta Abdomen (74175) | $2,475 | $4,125 | 14.0× |
| CTA pelvis (72191) | $1,925.40 | $3,209 | 10.9× |
| Discography Cerv/Thor Spine (72285) | $1,283.40 | $2,139 | 0.7× |
| Diskography lumbar (72295) | $937.80 | $1,563 | 0.5× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$130.20–$374.40 | $217–$624 | varies |
| Esophagram (74220) | $1,811.40 | $3,019 | 10.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$903–$1,213.20 | $1,505–$2,022 | varies |
| Foot 2 views (73620) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$75–$1,294.80 | $125–$2,158 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Magnetic Image Jaw Joint (70336) | $6,763.80 | $11,273 | 28.2× |
| Mra Head W/O & W/Contrast Material (70546) | $5,823 | $9,705 | 16.6× |
| MRA head w/o contrast (70544) | $4,039.80 | $6,733 | 16.9× |
| MRA head with contrast (70545) | $5,798.40 | $9,664 | 16.5× |
| MRA neck w contrast (70548) | $4,502.40 | $7,504 | 12.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,823 | $9,705 | 16.6× |
| MRA neck w/o contrast (70547) | $4,039.80 | $6,733 | 16.9× |
| MRI abdomen w contrast (74182) | $5,798.40 | $9,664 | 16.5× |
| MRI abdomen w/o contrast (74181) | $4,834.20 | $8,057 | 20.2× |
| MRI any jt lower extrem w/contrast material (73722) | $5,798.40 | $9,664 | 7.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,763.80 | $11,273 | 19.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,798.40 | $9,664 | 7.4× |
| MRI brain functional w/o physician admnistration (70554) | $6,763.80 | $11,273 | 28.2× |
| MRI cervical spine w contrast (72142) range across 7 matching MRF lines |
$340.80–$5,798.40 | $568–$9,664 | varies |
| MRI cervical spine w/o cont (72141) | $4,834.20 | $8,057 | 20.2× |
| MRI chest w/o contrast (71550) | $4,834.20 | $8,057 | 20.2× |
| MRI chest with contrast (71551) | $5,798.40 | $9,664 | 7.4× |
| MRI chest wo w contrast (71552) | $6,763.80 | $11,273 | 19.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,798.40 | $9,664 | 16.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,763.80 | $11,273 | 19.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,834.20 | $8,057 | 20.2× |
| MRI lumbar spine w contrast (72149) | $5,798.40 | $9,664 | 16.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,763.80 | $11,273 | 19.3× |
| MRI orbit face &/neck w/o contrast (70540) | $4,834.20 | $8,057 | 20.2× |
| MRI orbit face neck w contrast (70542) | $5,798.40 | $9,664 | 16.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,763.80 | $11,273 | 19.3× |
| MRI pelvis w contrast (72196) | $5,798.40 | $9,664 | 16.5× |
| MRI pelvis w/o & w contrast (72197) | $6,763.80 | $11,273 | 19.3× |
| MRI pelvis w/o contrast (72195) | $4,834.20 | $8,057 | 20.2× |
| MRI spectroscopy (76390) | $1,091.40 | $1,819 | 12.5× |
| MRI thoracic spine w/o contrast (72146) | $4,834.20 | $8,057 | 20.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,798.40 | $9,664 | 16.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,834.20 | $8,057 | 20.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,763.80 | $11,273 | 19.3× |
| MRI, abdomen, combo (74183) | $6,763.80 | $11,273 | 19.3× |
| MRI, dorsal spine combo (72157) | $6,763.80 | $11,273 | 19.3× |
| MRI, dorsal spine contrast (72147) | $5,798.40 | $9,664 | 16.5× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$2,418–$4,834.20 | $4,030–$8,057 | varies |
| MRI, joint upper extrem combo (73223) | $6,763.80 | $11,273 | 19.3× |
| MRI, lumbar spine combo (72158) | $6,763.80 | $11,273 | 19.3× |
| Myelogram cervical (72240) | $2,276.40 | $3,794 | 2.9× |
| Myelogram Lumbar (72265) | $2,276.40 | $3,794 | 2.9× |
| Myelography thoracic (72255) | $2,276.40 | $3,794 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,505.80 | $5,843 | 4.5× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$237–$1,252.20 | $395–$2,087 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 6 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$75–$642.60 | $125–$1,071 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $959.40 | $1,599 | 5.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$75–$105 | $125–$175 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $829.20 | $1,382 | 4.7× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Shoulder 1 view (73020) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Shoulder Arthrography (73040) | $2,074.80 | $3,458 | 5.9× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 6 matching MRF lines |
$75–$531.60 | $125–$886 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Ultrasound Breast Limited (76642) | $337.80 | $563 | 3.9× |
| Ultrasound, abdomen limited (76705) | $504 | $840 | 4.8× |
| Unlisted fluoroscopic procedure (76496) | $199.80 | $333 | 2.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$75–$105 | $125–$175 | varies |
| Us breast unilateral complete (76641) | $337.80 | $563 | 3.2× |
| Us complete joint (76881) range across 2 matching MRF lines |
$298.20–$525 | $497–$875 | varies |
| Us exam, pelvic, limited (76857) | $442.80 | $738 | 4.2× |
| Us kidney transplant (76776) | $789 | $1,315 | 7.5× |
| Us ob limited 1 or more fetuses (76815) | $267.60 | $446 | 2.5× |
| Us ob transvaginal (76817) | $646.20 | $1,077 | 6.2× |
| Us pelvic non ob complete (76856) | $829.20 | $1,382 | 7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $578.40 | $964 | 5.5× |
| Us retroperitoneal complete (76770) | $622.20 | $1,037 | 5.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$424.80–$789 | $708–$1,315 | varies |
| Us scrotum and contents (76870) | $475.80 | $793 | 4.5× |
| Us thyroid (76536) | $165.60 | $276 | 1.6× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$237–$1,043.40 | $395–$1,739 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 11 matching MRF lines |
$75–$627.60 | $125–$1,046 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$139.80–$627.60 | $233–$1,046 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$75–$627.60 | $125–$1,046 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$247.80–$835.20 | $413–$1,392 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$75–$1,294.80 | $125–$2,158 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$75–$552.60 | $125–$921 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$75–$736.80 | $125–$1,228 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| X-Rays Bone Length Studies (77073) range across 6 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| X-Rays Bone Survey Complete (77075) range across 5 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$75–$838.20 | $125–$1,397 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 6 matching MRF lines |
$75–$499.20 | $125–$832 | varies |
| Xr myelogram posterior fossa (70010) | $2,276.40 | $3,794 | 6.5× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$75–$499.20 | $125–$832 | 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.