Imaging prices at Carrollton Regional Medical Center
Carrollton, TX · every code in this section with a posted price and a Medicare benchmark.
279 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) | $189.07 | $315.12 | 2.2× |
| Abdomen 2 views (74019) | $241.49 | $402.48 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $905.06 | $1,508.44 | 2.3× |
| Angio pulmonary bilat (75743) | $1,582.34 | $2,637.23 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,885.40 | $4,809 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,515.38 | $4,192.30 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,344.80 | $3,908 | 0.7× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$155.10–$232.65 | $258.50–$387.75 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,587.55 | $4,312.58 | 0.5× |
| Artery X-Rays Abdomen (75726) | $3,726.49 | $6,210.82 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,530.36 | $5,883.93 | 0.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$209.29–$363.41 | $348.81–$605.68 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$495.58–$743.36 | $825.96–$1,238.94 | varies |
| Arthrogram Wrist (73115) | $209.29 | $348.81 | 0.6× |
| Bone age studies (77072) | $133.64 | $222.74 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,211.69 | $2,019.48 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,157.02 | $1,928.37 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $974.27 | $1,623.79 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $601.30 | $1,002.17 | 6.9× |
| Cerebrospinal Fluid Scan (78630) | $1,010.46 | $1,684.10 | 1.9× |
| Chest 1 view (71045) | $168 | $280 | 1.9× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$210–$315 | $350–$525 | varies |
| Chest 3 views (71047) | $219.24 | $365.40 | 2.5× |
| Chest 4 or more views (71048) | $314.78 | $524.64 | 3.0× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$180.41–$270.62 | $300.68–$451.03 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $210 | $350 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,587.55 | $4,312.58 | 0.8× |
| Contrast X-Ray Bladder (74430) | $248.96 | $414.93 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $495.58 | $825.96 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,127.90 | $5,213.16 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,106.05 | $3,510.08 | 8.8× |
| CT abdomen w contrast (74160) | $1,567.23 | $2,612.05 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,815.25 | $3,025.41 | 10.3× |
| CT abdomen w/o contrast (74150) | $1,296.68 | $2,161.14 | 12.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,745.61 | $4,576.02 | 7.8× |
| CT Angio Chest (71275) | $1,739.48 | $2,899.14 | 9.9× |
| CT Angio Head (70496) | $1,672.28 | $2,787.14 | 9.5× |
| CT angio hrt w/3d image (75574) | $2,400 | $4,000 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,149.13–$1,723.70 | $1,915.22–$2,872.83 | varies |
| CT Angio Neck (70498) | $1,671.64 | $2,786.07 | 9.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,484.71–$2,340 | $2,474.51–$3,900 | varies |
| CT cervical spine w/ contrast (72126) | $1,569.94 | $2,616.57 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,385.99 | $2,309.99 | 13.2× |
| CT cervical spine w/wo cont (72127) | $1,796.31 | $2,993.85 | 10.2× |
| CT chest w contrast (71260) | $1,548.14 | $2,580.23 | 8.8× |
| CT chest w/wo contrast (71270) | $1,792.80 | $2,988 | 10.2× |
| CT head/brain with contrast (70460) | $1,378.57 | $2,297.61 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,633.20 | $2,722 | 9.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,400 | $4,000 | 6.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,200 | $2,000 | 13.7× |
| CT hrt w/3d image congen (75573) | $2,400 | $4,000 | 6.8× |
| CT iac w contrast (70481) | $1,455.26 | $2,425.43 | 8.3× |
| CT l-spine w&w/o contrast (72133) | $1,805.40 | $3,009 | 10.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,186.65–$1,779.98 | $1,977.75–$2,966.63 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,366.33–$2,049.49 | $2,277.21–$3,415.82 | varies |
| CT lumbar spine w contrast (72132) | $1,537.20 | $2,562 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,335.76 | $2,226.26 | 12.7× |
| CT maxillofacial w contrast (70487) | $1,404.68 | $2,341.14 | 8.0× |
| CT maxillofacial wo contrast (70486) | $1,156.88 | $1,928.13 | 11.0× |
| CT neck tissue combo (70492) | $1,681.80 | $2,803 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,697.40 | $2,829 | 9.6× |
| CT orbits w/o contrast (70480) | $1,219.97 | $2,033.29 | 11.6× |
| CT pelvis w&w/o contrast (72194) | $1,819.79 | $3,032.98 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,235.45 | $2,059.08 | 11.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,496.25–$2,244.38 | $2,493.75–$3,740.63 | varies |
| CT scans face/jaw combo (70488) | $1,662.65 | $2,771.09 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,422.54 | $2,370.90 | 8.1× |
| CT soft tissue neck w/o contrast (70490) | $1,138.65 | $1,897.75 | 10.8× |
| CT thoracic spine w contrast (72129) | $1,497.41 | $2,495.69 | 8.5× |
| CT thoracic spine w/o contrast (72128) | $1,315.60 | $2,192.66 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $1,770.68 | $2,951.14 | 10.0× |
| CT thorax w/o contrast (71250) | $1,225.51 | $2,042.52 | 11.7× |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$1,343.95–$1,702.55 | $2,239.91–$2,837.59 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,171.47–$1,757.21 | $1,952.45–$2,928.68 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,500–$2,250 | $2,500–$3,750 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,354.27–$1,432.40 | $2,257.11–$2,387.33 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,854.60 | $3,091 | 10.5× |
| Cta Abdomen (74175) | $1,791.42 | $2,985.70 | 10.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,343.80 | $5,573 | 9.5× |
| CTA pelvis (72191) | $1,668.19 | $2,780.31 | 9.5× |
| Dilation ureters/urethra rs&i (74485) | $1,525.03 | $2,541.71 | 0.7× |
| Discography Cerv/Thor Spine (72285) | $2,050.91 | $3,418.19 | 1.0× |
| Diskography lumbar (72295) | $1,886.23 | $3,143.71 | 1.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$88.14–$263.94 | $146.90–$439.90 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $75 | $125 | 0.9× |
| Esophagram (74220) | $372.87 | $621.45 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $426.01 | $710.01 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $270 | $450 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $370.97 | $618.29 | 1.5× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$201.60–$302.40 | $336–$504 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$217.01–$325.51 | $361.68–$542.52 | varies |
| Gastric emptying imaging study (78264) | $1,073.80 | $1,789.67 | 2.7× |
| Gated Heart Planar Single (78472) | $1,232.70 | $2,054.50 | 3.1× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$200.40–$320.94 | $334–$534.90 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,477.58 | $4,129.30 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,169.53 | $1,949.22 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,053.91 | $1,756.52 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,800 | $3,000 | 1.4× |
| Hysterosalpingogram (74740) | $572.67 | $954.45 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $1,102.84 | $1,838.06 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,103.44 | $1,839.06 | 2.0× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$237.71–$356.56 | $396.18–$594.26 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,210.83 | $2,018.05 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,148.67 | $1,914.45 | 2.1× |
| Mammary ductogram or galactogram multiple (77054) | $301.41 | $502.35 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $260.81 | $434.68 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,233.93 | $3,723.22 | 6.4× |
| MRA head w/o contrast (70544) | $1,483.74 | $2,472.90 | 6.2× |
| MRA neck w contrast (70548) | $1,709.72 | $2,849.53 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,133.67 | $3,556.12 | 6.1× |
| MRA neck w/o contrast (70547) | $1,565.68 | $2,609.47 | 6.5× |
| MRI abdomen w contrast (74182) | $1,826.35 | $3,043.92 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,703.60 | $2,839.33 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,019.89 | $3,366.48 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,363.92–$3,545.87 | $3,939.86–$5,909.79 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,359.16 | $2,265.26 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,818.91 | $3,031.52 | 7.6× |
| MRI cervical spine w contrast (72142) | $1,944.19 | $3,240.32 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,817.70 | $3,029.50 | 7.6× |
| MRI chest w/o contrast (71550) | $1,535.03 | $2,558.38 | 6.4× |
| MRI chest with contrast (71551) | $1,670.90 | $2,784.84 | 2.1× |
| MRI chest wo w contrast (71552) | $2,086.57 | $3,477.62 | 6.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,541.64 | $2,569.40 | 4.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,210.26–$3,315.39 | $3,683.77–$5,525.65 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,496.73–$2,245.09 | $2,494.55–$3,741.82 | varies |
| MRI lumbar spine w contrast (72149) | $1,900.81 | $3,168.01 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,585.95 | $4,309.92 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,355.09 | $2,258.49 | 5.7× |
| MRI orbit face neck w contrast (70542) | $1,375.42 | $2,292.36 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,229.54 | $3,715.90 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,189.39 | $3,648.98 | 6.2× |
| MRI pelvis w/o contrast (72195) | $1,549.42 | $2,582.37 | 6.5× |
| MRI thoracic spine w/o contrast (72146) | $1,689.76 | $2,816.27 | 7.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,447.90 | $2,413.16 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,405.72–$2,108.58 | $2,342.87–$3,514.30 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,279.94–$3,419.91 | $3,799.90–$5,699.85 | varies |
| MRI, abdomen, combo (74183) | $2,448.67 | $4,081.11 | 7.0× |
| MRI, dorsal spine combo (72157) | $2,617.04 | $4,361.74 | 7.5× |
| MRI, dorsal spine contrast (72147) | $1,972.92 | $3,288.20 | 5.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,703.15–$2,554.73 | $2,838.59–$4,257.89 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,958.03–$2,937.05 | $3,263.39–$4,895.08 | varies |
| MRI, lumbar spine combo (72158) | $2,557.26 | $4,262.10 | 7.3× |
| Myelogram cervical (72240) | $875.35 | $1,458.91 | 1.1× |
| Myelogram Lumbar (72265) | $1,075.88 | $1,793.13 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,271.34 | $2,118.90 | 1.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $840.74 | $1,401.23 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $2,662.06 | $4,436.76 | 2.0× |
| Neck soft tissue (70360) | $153.20 | $255.34 | 1.8× |
| Nm csf leak detection (78650) | $378.62 | $631.03 | 0.3× |
| Parathyroid Planar Imaging (78070) | $876.45 | $1,460.75 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,224.38 | $2,040.63 | 3.0× |
| Pelvis 1 or 2 views (72170) | $206.78 | $344.64 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $801.80 | $1,336.33 | 2.0× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,710 | $2,850 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $342.20 | $570.33 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $452.42 | $754.04 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$180–$270 | $300–$450 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$88.80–$133.20 | $148–$222 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$233.51–$350.26 | $389.18–$583.77 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $225.40 | $375.66 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$166.46–$249.70 | $277.44–$416.16 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$253.59–$380.38 | $422.65–$633.97 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$228.22–$342.32 | $380.36–$570.54 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$92.48–$138.71 | $154.13–$231.19 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $206.27 | $343.79 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $226.24 | $377.06 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$229.04–$343.55 | $381.73–$572.59 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $115.91 | $193.19 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $206.40 | $344 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $176.08 | $293.46 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $474.01 | $790.02 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$141.61–$212.42 | $236.02–$354.03 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$92.48–$138.71 | $154.13–$231.19 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$227.67–$341.50 | $379.45–$569.17 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $577.37 | $962.28 | 5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $138.37 | $230.61 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $186.68 | $311.14 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $600.10 | $1,000.16 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $506.75 | $844.59 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $372.87 | $621.45 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$278.30–$417.46 | $463.84–$695.76 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $284.65 | $474.41 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $428.83 | $714.72 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $386.17 | $643.61 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$480–$594.18 | $800–$990.30 | varies |
| Radiologic examination femur 1 view (73551) | $140.53 | $234.21 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$228.96–$343.44 | $381.60–$572.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$202.12–$303.19 | $336.87–$505.31 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $271.21 | $452.01 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$229.14–$343.70 | $381.90–$572.84 | varies |
| Ribs bilateral 3 views (71110) | $304.77 | $507.95 | 2.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,098 | $1,830 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,710 | $2,850 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$931.59–$1,457.72 | $1,552.65–$2,429.53 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,406.65 | $2,344.41 | 2.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,513.45 | $4,189.09 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,810.13 | $3,016.89 | 1.4× |
| Scapula (73010) | $160.19 | $266.99 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$121.06–$128.70 | $201.76–$214.50 | varies |
| Sella turcica (70240) | $92.48 | $154.13 | 1.1× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$175.80–$263.70 | $293–$439.50 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$242.27–$363.41 | $403.79–$605.68 | varies |
| Skull less than 4 views (70250) | $211.90 | $353.16 | 2.0× |
| Sternoclavicular joints (71130) | $176.15 | $293.58 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $186.25 | $310.41 | 1.1× |
| Thoracic spine 2 views (72070) | $238.82 | $398.04 | 2.3× |
| Thoracic spine 3 views (72072) | $302.30 | $503.84 | 2.9× |
| Thoracolumbar 2 views (72080) | $238.82 | $398.04 | 2.7× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$212.94–$319.41 | $354.90–$532.35 | varies |
| Ultrasound Exam Aaa Screen (76706) | $489.60 | $816 | 4.7× |
| Ultrasound, abdomen limited (76705) | $447.83 | $746.39 | 4.3× |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$1,500–$1,920 | $2,500–$3,200 | varies |
| Unlisted us procedure (76999) | $214.50 | $357.50 | 2.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$231.32–$500.34 | $385.54–$833.90 | varies |
| Urethrocystogram voiding (74455) | $562.26 | $937.10 | 2.3× |
| Urethrocystography retrograde (74450) | $489.60 | $816 | 2.0× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$229.32–$343.98 | $382.20–$573.30 | varies |
| Us chest (76604) | $317.48 | $529.13 | 3.0× |
| Us complete joint (76881) | $376.44 | $627.40 | 3.6× |
| Us exam, pelvic, limited (76857) | $404.72 | $674.54 | 3.9× |
| Us head (76506) | $317.52 | $529.20 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$241.46–$362.20 | $402.44–$603.66 | varies |
| Us ob limited 1 or more fetuses (76815) | $225 | $375 | 2.1× |
| Us ob transvaginal (76817) | $380 | $633.33 | 3.6× |
| Us pelvic non ob complete (76856) | $517.96 | $863.26 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $387.97 | $646.62 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $318.11 | $530.19 | 3.0× |
| Us retroperitoneal complete (76770) | $470.68 | $784.46 | 4.5× |
| Us retroperitoneal limited (76775) | $470.68 | $784.46 | 4.5× |
| Us scrotum and contents (76870) | $404.72 | $674.54 | 3.9× |
| Us spinal canal and contents (76800) | $282.33 | $470.55 | 2.7× |
| Us thyroid (76536) | $429.10 | $715.17 | 4.1× |
| Vein X-Ray Chest (75827) | $1,547.40 | $2,579 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,359.60 | $3,932.67 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,150.20 | $1,917 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $940.20 | $1,567 | 0.6× |
| Venography Renal Bilateral (75833) | $2,453.40 | $4,089 | 0.8× |
| Venography Renal Unilateral (75831) | $2,453.40 | $4,089 | 0.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$207.08–$310.63 | $345.14–$517.71 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $176.15 | $293.58 | 2.0× |
| X-ray antegrade pyelogram tube (74425) | $538.64 | $897.74 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $2,601.46 | $4,335.77 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $301.72 | $502.87 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$205.34–$308 | $342.23–$513.34 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $183.40 | $305.67 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $354.99 | $591.65 | 3.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $457.85 | $763.08 | 4.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $150 | $250 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $236.80 | $394.66 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $300 | $500 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $266.57 | $444.29 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $333 | $555 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $436.43 | $727.38 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $428.65 | $714.42 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $260.59 | $434.31 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $364.67 | $607.78 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $280.20 | $467 | 2.7× |
| X-ray eye for foreign body (70030) | $92.48 | $154.13 | 1.1× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$215.67–$323.50 | $359.45–$539.17 | varies |
| X-ray IV pyelogram (ivp) (74400) | $525.13 | $875.22 | 3.0× |
| X-ray IV pyelogram+tomography (74415) | $673.90 | $1,123.16 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92.48 | $154.13 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $212.46 | $354.10 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $270.59 | $450.99 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $92.48 | $154.13 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $420.30 | $700.50 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $130.50 | $217.50 | 1.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $124.24 | $207.07 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $232.43 | $387.39 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $250.46 | $417.43 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $302.85 | $504.75 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $330 | $550 | 3.1× |
| X-Ray Tmj Unilat (70328) | $92.48 | $154.13 | 1.1× |
| X-Rays Bone Length Studies (77073) | $238.90 | $398.17 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $562.62 | $937.70 | 5.4× |
| Xr c-spine 4 or 5 views (72050) | $345.89 | $576.49 | 3.3× |
| Xr facial bones less than 3 views (70140) | $92.48 | $154.13 | 1.1× |
| Xr orbits complete 4 views (70200) | $124.24 | $207.07 | 1.2× |
| Xr Tomogram Single Plane (76100) | $300 | $500 | 2.9× |
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.