Imaging prices at Baytown Medical Center Lp
Baytown, TX · every code in this section with a posted price and a Medicare benchmark.
356 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,049 | $5,049 | 3.6× |
| Abdomen 1 View (74018) | $995 | $995 | 11.4× |
| Abdomen 2 views (74019) | $730 | $730 | 7.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $7,069 | $7,069 | 17.6× |
| Angio internal mammary (75756) | $17,585 | $17,585 | 5.5× |
| Angio pulmonary bilat (75743) | $54,409 | $54,409 | 17.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $54,409 | $54,409 | 17.2× |
| Angiography extremity bilateral rs&i (75716) | $19,648 | $19,648 | 6.2× |
| Angiography extremity unilateral rs&i (75710) | $23,495 | $23,495 | 7.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $54,409 | $54,409 | 17.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $17,585 | $17,585 | 5.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$602–$1,262 | $602–$1,262 | varies |
| Aortography thoracic serialography rs&i (75605) | $31,690 | $31,690 | 5.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $54,409 | $54,409 | 17.2× |
| Artery X-Rays Abdomen (75726) | $32,262 | $32,262 | 5.8× |
| Artery X-Rays Adrenal Gland (75731) | $54,409 | $54,409 | 17.2× |
| Artery X-Rays Pelvis (75736) | $18,426 | $18,426 | 3.3× |
| Artery X-Rays Spine (75705) | $28,941 | $28,941 | 5.2× |
| Arthrogram ankle (73615) | $1,589 | $1,589 | 4.5× |
| Arthrogram Wrist (73115) | $1,643 | $1,643 | 4.7× |
| Basic radiation dosimetry calculation (77300) | $646 | $646 | 4.8× |
| Bone age studies (77072) | $2,495 | $2,495 | 23.8× |
| Bone Imaging 3 Phase (78315) | $3,940 | $3,940 | 9.8× |
| Bone Imaging Limited Area (78300) | $7,069 | $7,069 | 17.6× |
| Bone Imaging Multiple Areas (78305) | $7,069 | $7,069 | 17.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,889–$3,235 | $1,889–$3,235 | varies |
| Bone marrow imaging; whole body (78104) | $1,179 | $1,179 | 2.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,671 | $15,671 | 10.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $10,265 | $10,265 | 29.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $24,236 | $24,236 | 30.8× |
| Cat Scan Follow-Up Study (76380) | $2,227 | $2,227 | 25.5× |
| Chest 1 view (71045) | $660 | $660 | 7.5× |
| Chest 2 views (71046) | $839 | $839 | 9.6× |
| Chest 3 views (71047) | $841 | $841 | 9.6× |
| Chest 4 or more views (71048) | $831 | $831 | 7.9× |
| Cholecystography Oral Contrast (74290) | $2,161 | $2,161 | 12.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $3,390 | $3,390 | 32.3× |
| Cisternography Positive Contrast Rs&I (70015) | $13,053 | $13,053 | 16.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$722–$2,019 | $722–$2,019 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $5,501 | $5,501 | 52.4× |
| Continuing medical physics consltj pr wk (77336) | $667 | $667 | 4.9× |
| Contrast Exam Abdominl Aorta (75625) | $7,812 | $7,812 | 2.5× |
| Contrast X-Ray Bladder (74430) | $5,637 | $5,637 | 16.1× |
| Corpora cavernosography (74445) | $5,637 | $5,637 | 53.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,518–$12,555 | $6,518–$12,555 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$8,159–$10,697 | $8,159–$10,697 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,295–$6,581 | $3,295–$6,581 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,598–$7,262 | $4,598–$7,262 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$4,258–$5,966 | $4,258–$5,966 | varies |
| CT Angio Abdomen and Pelvis (74174) | $10,369 | $10,369 | 29.6× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,573–$6,080 | $4,573–$6,080 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,038–$7,000 | $4,038–$7,000 | varies |
| CT angio hrt w/3d image (75574) | $2,164 | $2,164 | 6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$5,441–$5,991 | $5,441–$5,991 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$4,055–$7,010 | $4,055–$7,010 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $7,115 | $7,115 | 40.4× |
| CT bone density (77078) | $1,262 | $1,262 | 14.4× |
| CT cervical spine w/ contrast (72126) | $5,862 | $5,862 | 16.7× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$4,231–$8,000 | $4,231–$8,000 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$5,292–$6,824 | $5,292–$6,824 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,636–$6,090 | $3,636–$6,090 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$4,498–$6,209 | $4,498–$6,209 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$3,540–$5,120 | $3,540–$5,120 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,319–$6,101 | $3,319–$6,101 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $1,281 | $1,281 | 14.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$4,306–$5,120 | $4,306–$5,120 | varies |
| CT l-spine w&w/o contrast (72133) | $7,366 | $7,366 | 41.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$3,341–$4,309 | $3,341–$4,309 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,942–$5,120 | $3,942–$5,120 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$5,486–$5,947 | $5,486–$5,947 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$4,732–$6,490 | $4,732–$6,490 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$4,611–$5,120 | $4,611–$5,120 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,779–$4,886 | $3,779–$4,886 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,082–$6,650 | $3,082–$6,650 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,042–$6,502 | $5,042–$6,502 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,920–$4,777 | $2,920–$4,777 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$4,509–$6,484 | $4,509–$6,484 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$4,085–$4,702 | $4,085–$4,702 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,052–$6,408 | $3,052–$6,408 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,275–$6,250 | $4,275–$6,250 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,019–$5,120 | $3,019–$5,120 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,679–$5,140 | $2,679–$5,140 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$5,251–$5,910 | $5,251–$5,910 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$4,498–$6,343 | $4,498–$6,343 | varies |
| CT thoracic spine w/wo cont (72130) | $6,659 | $6,659 | 37.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,355–$4,594 | $3,355–$4,594 | varies |
| CT unlisted procedure (76497) | $1,262 | $1,262 | 14.4× |
| CT upper ext wo (73200) | $3,344 | $3,344 | 31.8× |
| CT upper extremity w/o & w/contrast material (73202) | $6,044 | $6,044 | 34.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,633–$5,120 | $3,633–$5,120 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,987–$7,069 | $3,987–$7,069 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$5,230–$6,043 | $5,230–$6,043 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,446–$5,991 | $3,446–$5,991 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $7,162 | $7,162 | 29.9× |
| Dilation ureters/urethra rs&i (74485) | $26,073 | $26,073 | 12.4× |
| Discography Cerv/Thor Spine (72285) | $7,212 | $7,212 | 3.7× |
| Diskography lumbar (72295) | $7,212 | $7,212 | 3.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,589 | $1,589 | 15.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,948 | $1,948 | 18.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,948 | $1,948 | 18.5× |
| Dxa Bone Density Axial (77080) | $2,019 | $2,019 | 19.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,262 | $1,262 | 14.4× |
| Echo exam of fetal heart (76825) | $8,983 | $8,983 | 16.4× |
| Echo exam uterus (76831) | $2,481 | $2,481 | 10.4× |
| Echo Guide For Artery Repair (76936) | $7,008 | $7,008 | 32.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $7,099 | $7,099 | 29.6× |
| Echograp Trans R Pros Study (76873) | $4,029 | $4,029 | 38.4× |
| Fetal Biophys Profile W/Nst (76818) | $2,866 | $2,866 | 27.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,866 | $2,866 | 27.3× |
| Fluoroscopy up to 1 hr (76000) | $1,201 | $1,201 | 5.0× |
| Follow-Up Angiography (75898) | $6,484 | $6,484 | 2.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$695–$1,262 | $695–$1,262 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$778–$2,019 | $778–$2,019 | varies |
| Gastric emptying imaging study (78264) | $2,836 | $2,836 | 7.1× |
| GI Endoscopic US S&I (76975) | $4,029 | $4,029 | 16.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$946–$1,642 | $946–$1,642 | varies |
| Heart Image (Pet) Multiple (78492) | $13,726 | $13,726 | 9.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $36,915 | $36,915 | 11.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $44,270 | $44,270 | 14.0× |
| Hepatobil Syst Image W/Drug (78227) | $7,069 | $7,069 | 13.0× |
| Hepatobiliary System Imaging (78226) | $7,069 | $7,069 | 17.6× |
| Hysterosalpingogram (74740) | $7,162 | $7,162 | 29.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,948 | $1,948 | 22.3× |
| Infant hip ultrasound, limited static exam (76886) | $1,948 | $1,948 | 22.3× |
| Infusion Ivp (74410) | $5,637 | $5,637 | 32.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $14,591 | $14,591 | 2.0× |
| Joint Survey Single View (77077) | $2,019 | $2,019 | 19.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$759–$2,019 | $759–$2,019 | varies |
| Lymph System Imaging (78195) | $7,069 | $7,069 | 13.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $17,281 | $17,281 | 10.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $7,162 | $7,162 | 11.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $17,281 | $17,281 | 5.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $17,281 | $17,281 | 5.4× |
| Magnetic Image Jaw Joint (70336) | $6,536 | $6,536 | 27.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $9,075 | $9,075 | 51.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $6,086 | $6,086 | 11.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $10,265 | $10,265 | 58.3× |
| Mammary ductogram or galactogram multiple (77054) | $7,162 | $7,162 | 29.9× |
| Mammary ductogram or galactogram single (77053) | $7,162 | $7,162 | 29.9× |
| Meckels Divert Exam (78290) | $7,069 | $7,069 | 17.6× |
| Mra Head W/O & W/Contrast Material (70546) | $10,265 | $10,265 | 29.3× |
| MRA head w/o contrast (70544) | $6,383 | $6,383 | 26.6× |
| MRA head with contrast (70545) | $9,075 | $9,075 | 25.9× |
| MRA neck w contrast (70548) | $9,075 | $9,075 | 25.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,265 | $10,265 | 29.3× |
| MRA neck w/o contrast (70547) | $6,367 | $6,367 | 26.6× |
| MRI abdomen w contrast (74182) | $9,075 | $9,075 | 25.9× |
| MRI abdomen w/o contrast (74181) | $6,668 | $6,668 | 27.8× |
| MRI any jt lower extrem w/contrast material (73722) | $9,075 | $9,075 | 11.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$10,265–$10,266 | $10,265–$10,266 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,075 | $9,075 | 11.5× |
| MRI bone marrow blood supply (77084) | $5,213 | $5,213 | 21.7× |
| MRI brain functional w/o physician admnistration (70554) | $7,091 | $7,091 | 29.6× |
| MRI brain functional w/physician admnistration (70555) | $7,549 | $7,549 | 31.5× |
| MRI cardiac w/o cont stress (75559) | $6,604 | $6,604 | 12.0× |
| MRI cardiac w/o contrast (75557) | $6,086 | $6,086 | 25.4× |
| MRI cervical spine w contrast (72142) | $9,075 | $9,075 | 25.9× |
| MRI cervical spine w/o cont (72141) | $8,786 | $8,786 | 36.7× |
| MRI chest w/o contrast (71550) | $6,086 | $6,086 | 25.4× |
| MRI chest with contrast (71551) | $9,075 | $9,075 | 11.5× |
| MRI chest wo w contrast (71552) | $10,383 | $10,383 | 29.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,075 | $9,075 | 25.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$10,265–$10,266 | $10,265–$10,266 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,916 | $6,916 | 28.9× |
| MRI lumbar spine w contrast (72149) | $9,075 | $9,075 | 25.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,265 | $10,265 | 29.3× |
| MRI orbit face &/neck w/o contrast (70540) | $6,086 | $6,086 | 25.4× |
| MRI orbit face neck w contrast (70542) | $9,075 | $9,075 | 25.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,265 | $10,265 | 29.3× |
| MRI pelvis w contrast (72196) | $9,075 | $9,075 | 25.9× |
| MRI pelvis w/o & w contrast (72197) | $10,265 | $10,265 | 29.3× |
| MRI pelvis w/o contrast (72195) | $8,080 | $8,080 | 33.7× |
| MRI spectroscopy (76390) | $5,759 | $5,759 | 65.9× |
| MRI thoracic spine w/o contrast (72146) | $3,209 | $3,209 | 13.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $9,188 | $9,188 | 26.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,490 | $7,490 | 31.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$10,265–$10,266 | $10,265–$10,266 | varies |
| MRI, abdomen, combo (74183) | $10,265 | $10,265 | 29.3× |
| MRI, dorsal spine combo (72157) | $10,265 | $10,265 | 29.3× |
| MRI, dorsal spine contrast (72147) | $9,075 | $9,075 | 25.9× |
| MRI, joint upper extrem (73221) | $6,086 | $6,086 | 25.4× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$10,265–$10,266 | $10,265–$10,266 | varies |
| MRI, lumbar spine combo (72158) | $12,204 | $12,204 | 34.8× |
| Myelogram cervical (72240) | $13,053 | $13,053 | 16.6× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$3,940–$7,196 | $3,940–$7,196 | varies |
| Myelography thoracic (72255) | $3,181 | $3,181 | 4.0× |
| Myelograpy 2/more regions rs&i (72270) | $13,053 | $13,053 | 16.6× |
| Myocardial Spect Multiple Studies (78452) | $15,927 | $15,927 | 12.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$544–$2,019 | $544–$2,019 | varies |
| Nonvascular Shunt X-Ray (75809) | $2,019 | $2,019 | 19.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,049 | $5,049 | 3.6× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$735–$2,866 | $735–$2,866 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $1,948 | $1,948 | 18.5× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $1,774 | $1,774 | 16.9× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $2,143 | $2,143 | 16.0× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $1,948 | $1,948 | 18.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $2,866 | $2,866 | 32.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$1,320–$3,141 | $1,320–$3,141 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $621 | $621 | 21.4× |
| Ophthalmic us dx quantitative a-scan only (76511) | $2,866 | $2,866 | 27.3× |
| Panoramic X-ray of jaws (70355) | $1,262 | $1,262 | 14.4× |
| Parathyroid Planar Imaging (78070) | $7,069 | $7,069 | 17.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,262–$1,453 | $1,262–$1,453 | varies |
| Perineogram (74775) | $5,637 | $5,637 | 23.5× |
| Peritoneogram Rs&I (74190) | $7,162 | $7,162 | 13.0× |
| Pet Image W/Ct Lmtd (78814) | $15,819 | $15,819 | 11.0× |
| PET image w/CT, full body (78816) | $27,332 | $27,332 | 19.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $27,332 | $27,332 | 19.0× |
| Pet Myocardial Sngl Study (78491) | $12,581 | $12,581 | 8.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $54,409 | $54,409 | 17.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,058 | $1,058 | 10.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$739–$1,262 | $739–$1,262 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$930–$2,019 | $930–$2,019 | varies |
| Radex elbow complete minimum 3 views (73080) | $1,172 | $1,172 | 13.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,050–$2,019 | $1,050–$2,019 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$572–$1,642 | $572–$1,642 | varies |
| Radex foot complete minimum 3 views (73630) | $1,009 | $1,009 | 11.5× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,090–$2,019 | $1,090–$2,019 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $657 | $657 | 7.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$671–$2,019 | $671–$2,019 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$711–$1,262 | $711–$1,262 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$915–$1,262 | $915–$1,262 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$550–$1,262 | $550–$1,262 | varies |
| Radex Spine 1 View Specify Level (72020) | $655 | $655 | 7.5× |
| Radex Sternum Minimum 2 Views (71120) | $619 | $619 | 7.1× |
| Radex Toe Minimum 2 Views (73660) | $944 | $944 | 10.8× |
| Radex upper extremity infant minimum 2 views (73092) | $657 | $657 | 6.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$803–$1,368 | $803–$1,368 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $40,040 | $40,040 | 5.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$967–$2,019 | $967–$2,019 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $882 | $882 | 8.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,114–$2,019 | $1,114–$2,019 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$928–$1,262 | $928–$1,262 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,161 | $2,161 | 12.3× |
| Radiologic exam swallow function contrast study (74230) | $2,161 | $2,161 | 12.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $70,369 | $70,369 | 399.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$659–$1,262 | $659–$1,262 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$881–$1,262 | $881–$1,262 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$876–$2,019 | $876–$2,019 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$877–$1,262 | $877–$1,262 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $21 | $21 | 0.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$669–$2,019 | $669–$2,019 | varies |
| Scapula (73010) | $692 | $692 | 6.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $657 | $657 | 28.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$669–$1,262 | $669–$1,262 | varies |
| Shoulder Arthrography (73040) | $4,222 | $4,222 | 12.0× |
| Sialogram (70390) | $7,162 | $7,162 | 29.9× |
| Skull less than 4 views (70250) | $662 | $662 | 6.3× |
| Special dosimetry (77331) | $1,093 | $1,093 | 8.1× |
| Special Physics Consult (77370) | $646 | $646 | 4.8× |
| Special teletherapy port plan (77321) | $1,260 | $1,260 | 3.3× |
| Speech evaluation, complex (70371) | $3,390 | $3,390 | 14.1× |
| Srs Multisource (77371) | $36,043 | $36,043 | 4.9× |
| Stereotactic Body Radiation Delivery (77373) | $24,376 | $24,376 | 13.6× |
| Superior sagittal sinus venogram (75870) | $7,162 | $7,162 | 2.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $7,196 | $7,196 | 30.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,147 | $3,147 | 8.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $4,012 | $4,012 | 10.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,567 | $1,567 | 11.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,209 | $3,209 | 18.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$884–$2,019 | $884–$2,019 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,026–$2,019 | $1,026–$2,019 | varies |
| Thoracolumbar 2 views (72080) | $755 | $755 | 8.6× |
| Thyroid Uptake Measurement (78012) | $4,664 | $4,664 | 11.6× |
| Tx Devices Design & Construction Complex (77334) | $2,518 | $2,518 | 6.7× |
| Tx devices design & construction intermediate (77333) | $2,093 | $2,093 | 15.5× |
| Tx devices design & construction simple (77332) | $1,623 | $1,623 | 12.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,044–$1,941 | $1,044–$1,941 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,657 | $1,657 | 15.8× |
| Ultrasound Exam Aaa Screen (76706) | $618 | $618 | 5.9× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$150–$1,594 | $150–$1,594 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,948 | $1,948 | 18.5× |
| Unlisted Dx Radiographic Procedure (76499) | $1,262 | $1,262 | 14.4× |
| Unlisted magnetic resonance procedure (76498) | $6,086 | $6,086 | 69.6× |
| Unlisted us procedure (76999) | $1,948 | $1,948 | 22.3× |
| Urethrocystogram voiding (74455) | $5,637 | $5,637 | 23.5× |
| Urethrocystography retrograde (74450) | $5,637 | $5,637 | 23.5× |
| Us bone density measurement (76977) | $1,113 | $1,113 | 10.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$1,861–$2,866 | $1,861–$2,866 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$902–$2,866 | $902–$2,866 | varies |
| Us complete joint (76881) | $2,009 | $2,009 | 19.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$943–$2,550 | $943–$2,550 | varies |
| Us head (76506) | $2,866 | $2,866 | 27.3× |
| Us kidney transplant (76776) | $2,866 | $2,866 | 27.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$466–$1,521 | $466–$1,521 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$964–$2,866 | $964–$2,866 | varies |
| Us ob limited 1 or more fetuses (76815) | $2,300 | $2,300 | 21.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$923–$2,866 | $923–$2,866 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,515–$2,044 | $1,515–$2,044 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,624–$2,866 | $1,624–$2,866 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,105–$2,866 | $1,105–$2,866 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,737–$2,866 | $1,737–$2,866 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,494–$1,755 | $1,494–$1,755 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,302–$1,590 | $1,302–$1,590 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$982–$3,223 | $982–$3,223 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,309–$2,866 | $1,309–$2,866 | varies |
| Us transrectal (76872) | $2,866 | $2,866 | 27.3× |
| Vasogram (74440) | $5,637 | $5,637 | 23.5× |
| Vein X-Ray Chest (75827) | $17,585 | $17,585 | 11.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $17,585 | $17,585 | 5.5× |
| Vein X-Ray Skull Epidural (75872) | $17,585 | $17,585 | 27.9× |
| Vein X-Ray Spleen/Liver (75810) | $54,409 | $54,409 | 17.2× |
| Venogram Sinus/Jugular (75860) | $17,585 | $17,585 | 5.5× |
| Venography Adrenal Unilateral (75840) | $54,409 | $54,409 | 17.2× |
| Venography caval inferior serialography rs&i (75825) | $18,770 | $18,770 | 5.9× |
| Venography extremity bilateral rs&i (75822) | $17,281 | $17,281 | 10.9× |
| Venography extremity unilateral rs&i (75820) | $11,282 | $11,282 | 7.1× |
| Venography Orbital Rs&I (75880) | $17,585 | $17,585 | 27.9× |
| Venography Renal Bilateral (75833) | $54,409 | $54,409 | 17.2× |
| Venography Renal Unilateral (75831) | $41,698 | $41,698 | 13.1× |
| Venous sampling by catheter (75893) | $23,005 | $23,005 | 4.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$589–$1,262 | $589–$1,262 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $685 | $685 | 7.8× |
| X-ray antegrade pyelogram tube (74425) | $5,637 | $5,637 | 16.1× |
| X-Ray Aorta Leg Arteries (75630) | $36,915 | $36,915 | 11.6× |
| X-Ray Bend Only L-S Spine (72120) | $918 | $918 | 8.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$675–$1,262 | $675–$1,262 | varies |
| X-Ray Exam Breast Specimen (76098) | $7,162 | $7,162 | 13.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,677 | $1,677 | 16.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $534 | $534 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$498–$2,572 | $498–$2,572 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$750–$1,155 | $750–$1,155 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,691 | $1,691 | 16.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,318 | $1,318 | 12.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$1,985–$2,019 | $1,985–$2,019 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,939 | $2,939 | 28.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$1,160–$1,262 | $1,160–$1,262 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$762–$2,019 | $762–$2,019 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,138–$2,019 | $1,138–$2,019 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$47–$2,019 | $47–$2,019 | varies |
| X-ray eye for foreign body (70030) | $551 | $551 | 6.3× |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$283–$2,019 | $283–$2,019 | varies |
| X-ray humerus (73060) | $818 | $818 | 9.4× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$2,419–$7,069 | $2,419–$7,069 | varies |
| X-ray IV pyelogram+tomography (74415) | $5,637 | $5,637 | 32.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $477 | $477 | 5.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$601–$750 | $601–$750 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$840–$2,019 | $840–$2,019 | varies |
| X-ray nose-rectum child f.b. (76010) | $645 | $645 | 7.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,619 | $1,619 | 15.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$579–$1,262 | $579–$1,262 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,262 | $1,262 | 12.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$673–$1,262 | $673–$1,262 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$935–$1,262 | $935–$1,262 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,001–$1,262 | $1,001–$1,262 | varies |
| X-Ray Stress View (77071) | $581 | $581 | 6.6× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$833–$2,019 | $833–$2,019 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$260–$576 | $260–$576 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,637 | $5,637 | 16.1× |
| X-Rays Bone Length Studies (77073) | $2,019 | $2,019 | 19.2× |
| X-Rays Bone Survey Complete (77075) | $3,390 | $3,390 | 32.3× |
| Xr c-spine 4 or 5 views (72050) | $1,327 | $1,327 | 12.6× |
| Xr facial bones less than 3 views (70140) | $795 | $795 | 9.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $370 | $370 | 3.5× |
| Xr myelogram posterior fossa (70010) | $13,053 | $13,053 | 37.2× |
| Xr orbits complete 4 views (70200) | $758 | $758 | 7.2× |
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.