Imaging prices at Belton Regional Medical Center
Belton, MO · every code in this section with a posted price and a Medicare benchmark.
341 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $3,927.28 | $3,927.28 | 37.5× |
| Acute gastrointestinal blood loss imaging (78278) | $5,445.40 | $5,445.40 | 13.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $29,300.16 | $29,300.16 | 9.3× |
| Angiography extremity bilateral rs&i (75716) | $19,017.71 | $19,017.71 | 6.0× |
| Angiography extremity unilateral rs&i (75710) | $18,911.66 | $18,911.66 | 6.0× |
| Angiography internal mammary rs&i (75756) | $6,456.50 | $6,456.50 | 2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $18,911.66 | $18,911.66 | 3.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $19,939.71 | $19,939.71 | 6.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,484.06 | $13,484.06 | 4.3× |
| Angiography Spinal Selective Rs&I (75705) | $12,471.79 | $12,471.79 | 2.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $21,417.37 | $21,417.37 | 3.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $5,339.80 | $5,339.80 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $13,484.06 | $13,484.06 | 4.3× |
| Ankle 2 views (73600) | $1,793.40 | $1,793.40 | 20.6× |
| Antegrade urography radiological supvj & interpj (74425) | $3,352.35 | $3,352.35 | 9.6× |
| Aortogram thoracic (75605) | $17,948.61 | $17,948.61 | 3.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $29,023.31 | $29,023.31 | 9.2× |
| Aortography abdominal serialography rs&i (75625) | $16,618.14 | $16,618.14 | 5.3× |
| Artery X-Rays Adrenal Gland (75731) | $28,693.31 | $28,693.31 | 9.1× |
| Arthrogram elbow (73085) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrogram hip (73525) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrogram shoulder (73040) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrogram wrist (73115) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrography knee lt (73580) | $4,924.45 | $4,924.45 | 14.1× |
| Basic radiation dosimetry calculation (77300) | $2,362.32 | $2,362.32 | 17.5× |
| Bone &/Joint Imaging Limited Area (78300) | $4,676.90 | $4,676.90 | 11.7× |
| Bone &/Joint Imaging Multiple Areas (78305) | $8,968.94 | $8,968.94 | 22.4× |
| Bone &/joint imaging whole body (78306) | $8,968.94 | $8,968.94 | 22.4× |
| Bone age studies (77072) | $4,051.37 | $4,051.37 | 38.7× |
| Bone Imaging 3 Phase (78315) | $7,521.89 | $7,521.89 | 18.8× |
| Bone Marrow Imaging Limited Area (78102) | $3,373.70 | $3,373.70 | 8.4× |
| Bone survey complete (77075) | $15,230.28 | $15,230.28 | 145.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,963.21 | $6,963.21 | 12.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,198.41 | $7,198.41 | 5.0× |
| Brain Imaging Vascular Flow Only (78610) | $5,148.06 | $5,148.06 | 9.5× |
| Cervical spine 2 or 3 views (72040) | $2,221.72 | $2,221.72 | 25.5× |
| Chest 1 view (71045) | $2,051.50 | $2,051.50 | 23.5× |
| Chest 3 views (71047) | $3,576.94 | $3,576.94 | 41.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,745.07 | $1,745.07 | 9.9× |
| Clavicle complete (73000) | $2,876.25 | $2,876.25 | 33.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $702.84 | $702.84 | 6.7× |
| Continuing medical physics consltj pr wk (77336) | $3,169.25 | $3,169.25 | 23.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) | $2,706.05 | $2,706.05 | 15.4× |
| CT abdomen and pelvis without and with contrast (74178) | $14,135.72 | $14,135.72 | 40.5× |
| CT abdomen and pelvis without contrast (74176) | $11,344.98 | $11,344.98 | 47.5× |
| CT abdomen w contrast (74160) | $12,469.13 | $12,469.13 | 71.0× |
| CT abdomen w wo contrast (74170) | $15,373.48 | $15,373.48 | 87.5× |
| CT abdomen w/o contrast (74150) | $12,469.13 | $12,469.13 | 119.1× |
| CT angiography upper extremity lt (73206) | $29,316.64 | $29,316.64 | 166.9× |
| CT c-spine w/o contrast (72125) | $14,886.62 | $14,886.62 | 142.2× |
| CT cervical spine w&w/o contrast (72127) | $15,373.48 | $15,373.48 | 87.5× |
| CT cervical spine with contrast (72126) | $14,886.62 | $14,886.62 | 42.6× |
| CT chest w/wo contrast (71270) | $15,373.48 | $15,373.48 | 87.5× |
| CT chest with contrast (71260) | $14,128 | $14,128 | 80.4× |
| CT head/brain with contrast (70460) | $12,469.13 | $12,469.13 | 71.0× |
| CT head/brain without and with contrast (70470) | $15,373.48 | $15,373.48 | 87.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $302.96 | $302.96 | 3.5× |
| CT iac w contrast (70481) | $12,258.80 | $12,258.80 | 69.8× |
| CT limited/localized follow up study (76380) | $6,462.64 | $6,462.64 | 74.1× |
| CT lower ext w/o (73700) | $9,716.82 | $9,716.82 | 92.8× |
| CT lower extremity w wo contrast (73702) | $10,263.55 | $10,263.55 | 58.4× |
| CT lower extremity with contrast (73701) | $9,716.82 | $9,716.82 | 55.3× |
| CT lumbar spine w & w/o contrast (72133) | $15,373.48 | $15,373.48 | 87.5× |
| CT lumbar spine w/o contrast (72131) | $14,836.11 | $14,836.11 | 141.7× |
| CT lumbar spine with contrast (72132) | $14,836.11 | $14,836.11 | 42.5× |
| CT maxillofacial w contrast (70487) | $12,258.80 | $12,258.80 | 69.8× |
| CT maxillofacial w/o contrast (70486) | $12,426.43 | $12,426.43 | 118.7× |
| CT maxillofacial w/wo contrast (70488) | $15,373.48 | $15,373.48 | 87.5× |
| CT neck soft tissue w contrast (70491) | $10,263.55 | $10,263.55 | 58.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $15,373.48 | $15,373.48 | 87.5× |
| CT orbits w/o contrast (70480) | $12,258.80 | $12,258.80 | 117.1× |
| CT pelvis w & w/o contrast (72194) | $11,954.67 | $11,954.67 | 68.0× |
| CT pelvis w/o contrast (72192) | $9,195.14 | $9,195.14 | 87.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $13,671.14 | $13,671.14 | 77.8× |
| CT soft tissue neck w/o contrast (70490) | $10,263.55 | $10,263.55 | 98.0× |
| CT thoracic spine w/contrast (72129) | $14,836.11 | $14,836.11 | 84.4× |
| CT thoracic spine w/o contrast (72128) | $14,836.11 | $14,836.11 | 141.7× |
| CT thoracic spine w/wo contrast (72130) | $15,373.48 | $15,373.48 | 87.5× |
| CT thorax w/o contrast (71250) | $14,128 | $14,128 | 134.9× |
| CT upper extremity w/o & w/contrast material (73202) | $10,263.55 | $10,263.55 | 58.4× |
| CT upper extremity w/o contrast rt (73200) | $9,716.82 | $9,716.82 | 92.8× |
| CT upper extremity with contrast (73201) | $9,716.82 | $9,716.82 | 27.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $19,031.74 | $19,031.74 | 108.3× |
| Cta Abdomen (74175) | $19,031.74 | $19,031.74 | 108.3× |
| CTA abdomen pelvis (74174) | $38,063.46 | $38,063.46 | 108.9× |
| CTA chest (71275) | $19,031.74 | $19,031.74 | 108.3× |
| Cta Head (70496) | $19,031.74 | $19,031.74 | 108.3× |
| CTA lwr ext w&w/o contrast (73706) | $19,792.94 | $19,792.94 | 112.7× |
| Cta Neck (70498) | $19,031.74 | $19,031.74 | 108.3× |
| Cta Pelvis (72191) | $19,031.74 | $19,031.74 | 108.3× |
| Cystography minimum 3 views rs&i (74430) | $3,152.46 | $3,152.46 | 9.0× |
| Diskogram cervical (72285) | $5,413.69 | $5,413.69 | 2.8× |
| Diskography lumbar (72295) | $5,557.03 | $5,557.03 | 2.8× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,597.94 | $1,597.94 | 15.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,754.96 | $1,754.96 | 20.1× |
| Echoencephalography real time imaging (76506) | $4,344.52 | $4,344.52 | 41.5× |
| Esophagus (74220) | $2,643.44 | $2,643.44 | 15.0× |
| Fetal biophysical profile non-stress testing (76818) | $3,248.33 | $3,248.33 | 31.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,255.02 | $3,255.02 | 31.1× |
| Fluoroscopy up to 1 hr (76000) | $1,513.08 | $1,513.08 | 6.3× |
| Foot 2 views (73620) | $2,667.60 | $2,667.60 | 30.6× |
| Forearm 2 views (73090) | $1,793.40 | $1,793.40 | 20.6× |
| Gated Heart Planar Single (78472) | $5,950.13 | $5,950.13 | 14.9× |
| Hand 2 views (73120) | $2,444.66 | $2,444.66 | 23.3× |
| Hand 3 views (73130) | $2,643.44 | $2,643.44 | 30.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,496.50 | $10,496.50 | 3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,739.50 | $2,739.50 | 5.0× |
| Hepatobiliary syst imaging including gallbladder (78226) | $2,739.50 | $2,739.50 | 6.8× |
| Ht muscle image spect sing (78451) | $18,717.19 | $18,717.19 | 14.4× |
| Humerus Min 2 Views Left (73060) | $1,806.60 | $1,806.60 | 20.7× |
| Hysterosalpingogram (74740) | $4,077.71 | $4,077.71 | 17.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $7,854.78 | $7,854.78 | 14.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,854.78 | $7,854.78 | 14.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $13,154.31 | $13,154.31 | 24.2× |
| Knee 3 views (73562) | $2,328.24 | $2,328.24 | 26.7× |
| Liver & spleen imaging static only (78215) | $8,471.41 | $8,471.41 | 21.2× |
| Liver imaging static only (78201) | $1,511.42 | $1,511.42 | 2.8× |
| Lung perf&ventilat diferentl (78598) | $2,952.90 | $2,952.90 | 5.4× |
| Lung perfusion differential (78597) | $1,889.46 | $1,889.46 | 4.7× |
| Lung Ventilation Imaging (78579) | $1,889.46 | $1,889.46 | 4.7× |
| Lymphoscintigraphy (78195) | $9,045.68 | $9,045.68 | 16.6× |
| Mammary ductogram or galactogram multiple (77054) | $5,266 | $5,266 | 22.0× |
| Mammary ductogram or galactogram single (77053) | $3,518.74 | $3,518.74 | 14.7× |
| Meckels Diverticulum (78290) | $6,525.59 | $6,525.59 | 16.3× |
| MRA head w & w/o contrast (70546) | $14,295.68 | $14,295.68 | 40.9× |
| MRA head w/o contrast (70544) | $16,546.83 | $16,546.83 | 69.2× |
| MRA head with contrast (70545) | $15,721.64 | $15,721.64 | 45.0× |
| MRA neck w contrast (70548) | $18,388.89 | $18,388.89 | 52.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,438.56 | $20,438.56 | 58.5× |
| MRA neck w/o contrast (70547) | $16,546.83 | $16,546.83 | 69.2× |
| MRI abdomen w contrast (74182) | $14,354.01 | $14,354.01 | 41.1× |
| MRI abdomen w/o & w/contrast material (74183) | $15,781.69 | $15,781.69 | 45.2× |
| MRI abdomen w/o contrast (74181) | $14,069.53 | $14,069.53 | 58.9× |
| MRI any jnt lwr ext with con lt (73722) | $16,867.52 | $16,867.52 | 21.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,354.01 | $14,354.01 | 18.3× |
| MRI breast w/o contrast bilateral (77047) | $8,473.52 | $8,473.52 | 35.5× |
| MRI breast w/o contrast unilat (77046) | $6,435.31 | $6,435.31 | 26.9× |
| MRI c-spine with contrast (72142) | $19,118.66 | $19,118.66 | 54.7× |
| MRI cervical spine w/o contrast (72141) | $12,716.91 | $12,716.91 | 53.2× |
| MRI chest w/o & w/contrast material (71552) | $17,027.43 | $17,027.43 | 48.7× |
| MRI chest w/o contrast (71550) | $14,069.53 | $14,069.53 | 58.9× |
| MRI chest with contrast (71551) | $15,479.55 | $15,479.55 | 19.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $14,354.01 | $14,354.01 | 41.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $14,354.01 | $14,354.01 | 41.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,917.57 | $13,917.57 | 58.2× |
| MRI orbit face &/neck w/o contrast (70540) | $12,716.91 | $12,716.91 | 53.2× |
| MRI orbit/face/neck w&w/o cont (70543) | $17,439.14 | $17,439.14 | 49.9× |
| MRI orbit/face/neck w/contrast (70542) | $12,716.91 | $12,716.91 | 36.4× |
| MRI pelvis w contrast (72196) | $12,716.91 | $12,716.91 | 36.4× |
| MRI pelvis w/o & w/contrast material (72197) | $15,781.69 | $15,781.69 | 45.2× |
| MRI pelvis w/o contrast (72195) | $13,050.06 | $13,050.06 | 54.6× |
| MRI scan of arm joint before and after contrast (73223) | $15,781.69 | $15,781.69 | 45.2× |
| MRI scan of leg joint before and after contrast (73723) | $15,781.69 | $15,781.69 | 45.2× |
| MRI spectroscopy (76390) | $5,989.16 | $5,989.16 | 68.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,087.73 | $19,087.73 | 54.6× |
| MRI spinal canal lumbar w/contrast material (72149) | $19,279.10 | $19,279.10 | 55.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $19,279.10 | $19,279.10 | 55.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $19,279.10 | $19,279.10 | 55.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $19,279.10 | $19,279.10 | 55.2× |
| MRI thoracic spine w/o contrast (72146) | $12,716.91 | $12,716.91 | 53.2× |
| MRI tmj (70336) | $13,178.96 | $13,178.96 | 55.1× |
| MRI upper ext joint w/o contrast (73221) | $12,716.91 | $12,716.91 | 53.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $13,178.96 | $13,178.96 | 37.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $19,055.03 | $19,055.03 | 79.7× |
| Myelogram Cervical (72240) | $8,238.93 | $8,238.93 | 10.5× |
| Myelogram Lumbar (72265) | $8,238.93 | $8,238.93 | 10.5× |
| Myelogram thoracic (72255) | $8,238.93 | $8,238.93 | 10.5× |
| Myelography 2 or more regions (72270) | $10,998.77 | $10,998.77 | 14.0× |
| Myocardial infarct spect (78469) | $2,701.11 | $2,701.11 | 5.0× |
| Myocardial Spect Multiple Studies (78452) | $19,126 | $19,126 | 14.7× |
| Neck soft tissue (70360) | $1,010.37 | $1,010.37 | 11.6× |
| Nm cisternogram (78630) | $7,394.81 | $7,394.81 | 13.6× |
| Nm gastric emptying study (78264) | $8,322.74 | $8,322.74 | 20.8× |
| Nuclear medicine study from skull base to mid-thigh (78812) | $7,232.21 | $7,232.21 | 5.0× |
| Nuclear medicine study of kidney and blood flow (78701) | $3,697.40 | $3,697.40 | 9.2× |
| Nuclear Rx Oral Admin (79005) | $10,927.98 | $10,927.98 | 46.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,248.33 | $3,248.33 | 31.0× |
| Orthopantogram (70355) | $2,264.57 | $2,264.57 | 26.0× |
| Osseous survey infant (77076) | $4,867.37 | $4,867.37 | 46.5× |
| Osseous survey limited (77074) | $8,325.68 | $8,325.68 | 79.5× |
| Parathyrd planar w/wo subtrj (78071) | $4,399.97 | $4,399.97 | 11.0× |
| Parathyroid imaging (78070) | $4,751.24 | $4,751.24 | 11.9× |
| Pelvis 1 or 2 views (72170) | $2,300.78 | $2,300.78 | 22.0× |
| Peritoneogram rs&i (74190) | $656.77 | $656.77 | 1.2× |
| PET image w/CT, skull-thigh (78815) | $7,273.67 | $7,273.67 | 5.1× |
| PET imaging CT for attenuation limited area (78814) | $7,256.78 | $7,256.78 | 5.1× |
| PET imaging for CT attenuation whole body (78816) | $7,269.92 | $7,269.92 | 5.1× |
| PET imaging limited area chest head/neck (78811) | $6,315.71 | $6,315.71 | 4.9× |
| PET whole body (78813) | $7,235.90 | $7,235.90 | 5.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $13,178.96 | $13,178.96 | 37.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,774.54 | $13,774.54 | 4.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $13,774.54 | $13,774.54 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,593.83 | $7,593.83 | 19.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $2,952.90 | $2,952.90 | 5.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,313.68 | $2,313.68 | 4.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $400.64 | $400.64 | 4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $663.49 | $663.49 | 6.3× |
| Radex hips bilateral with pelvis 2 views (73521) | $663.49 | $663.49 | 6.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,264.96 | $1,264.96 | 12.1× |
| Radiation treatment delivery 1 mev >= complex (77412) | $2,102.24 | $2,102.24 | 3.8× |
| Radiation treatment delivery 1 mev >= simple (77402) | $1,631.89 | $1,631.89 | 16.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $1,788.26 | $1,788.26 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,125.55 | $3,125.55 | 29.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,643.44 | $2,643.44 | 30.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,927.28 | $3,927.28 | 37.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $3,471.51 | $3,471.51 | 39.8× |
| Radiologic exam colon single contrast study (74270) | $5,320.91 | $5,320.91 | 30.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,393.41 | $5,393.41 | 30.7× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,590.63 | $4,590.63 | 26.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $400.64 | $400.64 | 4.6× |
| Radiological examination surgical specimen (76098) | $2,162.97 | $2,162.97 | 4.0× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $3,754.94 | $3,754.94 | 6.9× |
| Review by radiologist of adrenal gland vein image (75840) | $10,496.50 | $10,496.50 | 3.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $13,218.83 | $13,218.83 | 4.2× |
| Ribs bilateral 3 views (71110) | $3,562.66 | $3,562.66 | 34.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $8,968.94 | $8,968.94 | 16.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $9,447.02 | $9,447.02 | 17.4× |
| Rp Therapy Intravenous Administration (79101) | $3,101.54 | $3,101.54 | 13.3× |
| Sacroiliac Joints < 3 Views (72200) | $1,985.61 | $1,985.61 | 19.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $5,790.81 | $5,790.81 | 24.2× |
| Scanogram (77073) | $3,049.24 | $3,049.24 | 29.1× |
| Scapula complete (73010) | $3,326.55 | $3,326.55 | 31.8× |
| Screening digital breast tomosynthesis (77063) | $67.10 | $67.10 | 2.9× |
| Simulation intermediate (77285) | $3,415.20 | $3,415.20 | 9.1× |
| Small bowel series (74250) | $4,514.81 | $4,514.81 | 25.7× |
| Spec medical radj physics consltj (77370) | $5,143.38 | $5,143.38 | 38.2× |
| Special dosimetry (77331) | $1,435.28 | $1,435.28 | 10.7× |
| Spine thoracic 3 views (72072) | $3,217.83 | $3,217.83 | 30.7× |
| Splenoportograpy rs&i (75810) | $10,496.50 | $10,496.50 | 3.3× |
| Ther rad simulaj-aided field setting complex (77290) | $4,388.32 | $4,388.32 | 11.7× |
| Ther rad simulaj-aided field setting simple (77280) | $2,507.04 | $2,507.04 | 18.6× |
| Thoracolumbar 2 views (72080) | $2,407.32 | $2,407.32 | 27.6× |
| Thyroid carcinoma metastases img whole body (78018) | $9,372.99 | $9,372.99 | 17.2× |
| Thyroid Imaging With Vascular Flow (78013) | $4,676.90 | $4,676.90 | 11.7× |
| Thyroid uptake measurement (78012) | $2,996.04 | $2,996.04 | 7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,130.93 | $8,130.93 | 20.3× |
| Tmj unilateral (70328) | $2,808.17 | $2,808.17 | 32.2× |
| Tomogram (76100) | $6,455.41 | $6,455.41 | 61.7× |
| Treatment device intermediate (77333) | $1,170.31 | $1,170.31 | 8.7× |
| Treatment devices simple (77332) | $845.92 | $845.92 | 6.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $6,767.78 | $6,767.78 | 16.9× |
| Tx devices design & construction complex (77334) | $4,057.67 | $4,057.67 | 10.8× |
| Ultrasound, abdomen limited (76705) | $3,505.57 | $3,505.57 | 33.5× |
| Upper Extremity Infant (73092) | $2,667.60 | $2,667.60 | 25.5× |
| Urethrocystography retrograde rs&i (74450) | $6,239.96 | $6,239.96 | 26.1× |
| Urethrocystography voiding (74455) | $6,143.49 | $6,143.49 | 25.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $13,832.21 | $13,832.21 | 78.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $11,736.80 | $11,736.80 | 66.8× |
| Us abdl aorta screen aaa (76706) | $567.66 | $567.66 | 5.4× |
| Us breast unilateral complete (76641) | $1,527.96 | $1,527.96 | 14.6× |
| Us breast unilateral limited (76642) | $689.04 | $689.04 | 7.9× |
| Us chest (76604) | $2,383.68 | $2,383.68 | 22.8× |
| Us compl joint r-t w/image documentation (76881) | $912.48 | $912.48 | 8.7× |
| Us guided compression repair (76936) | $7,238.25 | $7,238.25 | 33.5× |
| Us infant hips dynamic (76885) | $3,087.24 | $3,087.24 | 35.4× |
| Us infant hips limited static (76886) | $2,488.83 | $2,488.83 | 28.6× |
| Us kidney transplant (76776) | $3,250.55 | $3,250.55 | 31.0× |
| Us ob detailed single fetus (76811) | $3,425.05 | $3,425.05 | 14.3× |
| Us ob transvaginal (76817) | $2,846.76 | $2,846.76 | 27.2× |
| Us pelvic non ob complete (76856) | $6,817.67 | $6,817.67 | 65.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,248.33 | $3,248.33 | 31.0× |
| Us pregnancy ltd (76815) | $3,248.33 | $3,248.33 | 31.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,789.73 | $2,789.73 | 26.6× |
| Us retroperitoneal complete (76770) | $3,991.04 | $3,991.04 | 38.1× |
| Us retroperitoneal limited (76775) | $3,248.33 | $3,248.33 | 31.0× |
| Us scrotum and contents (76870) | $4,214.76 | $4,214.76 | 40.3× |
| Us soft tissue head/neck (76536) | $3,248.33 | $3,248.33 | 31.0× |
| Us spinal canal and contents (76800) | $6,516.77 | $6,516.77 | 62.2× |
| Us transrectal (76872) | $5,051.47 | $5,051.47 | 48.2× |
| Us xtr non-vasc lmtd (76882) | $589.77 | $589.77 | 5.6× |
| Vascular flow imaging (78445) | $3,697.40 | $3,697.40 | 9.2× |
| Venogram extremity bilateral (75822) | $5,537.48 | $5,537.48 | 3.5× |
| Venography caval inferior serialography rs&i (75825) | $20,017.45 | $20,017.45 | 6.3× |
| Venography caval superior serialography rs&i (75827) | $6,456.50 | $6,456.50 | 4.1× |
| Venography epidural rs&i (75872) | $16,813.88 | $16,813.88 | 26.8× |
| Venography extremity unilateral rs&i (75820) | $4,472.80 | $4,472.80 | 2.8× |
| Venography Renal Bilateral (75833) | $12,639.11 | $12,639.11 | 4.0× |
| Venography renal unilateral selective rs&i (75831) | $10,496.50 | $10,496.50 | 3.3× |
| Venography venous sinus/jugular cath rs&i (75860) | $4,511.95 | $4,511.95 | 1.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $6,155.04 | $6,155.04 | 1.1× |
| Wrist 2 views (73100) | $1,793.40 | $1,793.40 | 20.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $6,035.87 | $6,035.87 | 57.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,217.83 | $3,217.83 | 36.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,038.71 | $3,038.71 | 34.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,342.28 | $6,342.28 | 36.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,793.40 | $1,793.40 | 20.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,985.61 | $1,985.61 | 22.8× |
| X-ray exam entire spi 4/5 vw (72083) | $1,264.96 | $1,264.96 | 12.1× |
| X-ray exam hip uni 1 view (73501) | $400.64 | $400.64 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $400.64 | $400.64 | 4.6× |
| X-ray exam hip uni 4/> views (73503) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,264.96 | $1,264.96 | 12.1× |
| X-ray exam of femur 1 (73551) | $400.64 | $400.64 | 4.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $5,854.20 | $5,854.20 | 33.3× |
| X-ray eye for foreign body (70030) | $3,344.11 | $3,344.11 | 38.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,834.52 | $2,834.52 | 27.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,834.52 | $2,834.52 | 32.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,643.44 | $2,643.44 | 30.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $10,201.47 | $10,201.47 | 4.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,793.40 | $1,793.40 | 20.6× |
| X-ray IV pyelogram+drip infusn (74410) | $4,817.93 | $4,817.93 | 27.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,221.72 | $2,221.72 | 25.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,881.74 | $2,881.74 | 27.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,051.50 | $2,051.50 | 23.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,806.60 | $1,806.60 | 20.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,276.46 | $3,276.46 | 31.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $5,005.75 | $5,005.75 | 47.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $3,238.66 | $3,238.66 | 30.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,239.30 | $2,239.30 | 25.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,401.33 | $1,401.33 | 16.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,970.72 | $2,970.72 | 28.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,407.32 | $2,407.32 | 23.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $4,289.66 | $4,289.66 | 7.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $4,767.41 | $4,767.41 | 13.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,287.60 | $2,287.60 | 26.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,865.26 | $2,865.26 | 27.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,151.35 | $4,151.35 | 39.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,609.88 | $3,609.88 | 34.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,413.92 | $2,413.92 | 27.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,326.55 | $3,326.55 | 38.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,834.52 | $2,834.52 | 32.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,523.25 | $1,523.25 | 17.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,367.65 | $4,367.65 | 41.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,637.46 | $1,637.46 | 15.6× |
| X-Ray Spine One View - Xr Spine (72020) | $2,221.72 | $2,221.72 | 25.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,326.55 | $3,326.55 | 38.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,433.68 | $2,433.68 | 27.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,667.60 | $2,667.60 | 25.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $4,130.46 | $4,130.46 | 39.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,793.40 | $1,793.40 | 20.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,643.44 | $2,643.44 | 30.3× |
| Xr arthrogram ankle (73615) | $4,924.45 | $4,924.45 | 14.1× |
| Xr c-spine 6 or more views (72052) | $5,025.52 | $5,025.52 | 48.0× |
| Xr chest 4+ views (71048) | $6,255.53 | $6,255.53 | 59.7× |
| Xr finger(s) 2+ views (73140) | $1,793.40 | $1,793.40 | 20.6× |
| Xr shoulder 1 view (73020) | $1,662.71 | $1,662.71 | 19.1× |
| Xr spine cervical 4 or 5 views (72050) | $4,077.71 | $4,077.71 | 38.9× |
| Xr tibia/fibula 2 views (73590) | $1,793.40 | $1,793.40 | 20.6× |
| Xr tmj bilateral (70330) | $2,996.24 | $2,996.24 | 34.4× |
| Xray knee 1 or 2 views rt (73560) | $1,793.40 | $1,793.40 | 20.6× |