Imaging prices at Christus Health-palestine
Palestine, TX · every code in this section with a posted price and a Medicare benchmark.
363 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) range across 3 matching MRF lines |
$1,400–$1,984 | $7,000–$9,920 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$51.80–$122 | $259–$610 | varies |
| Abdomen 2 views (74019) | $167 | $835 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $515.40 | $2,577 | 1.3× |
| Adrenal Cortex & Medulla Img (78075) | $1,059 | $5,295 | 0.8× |
| Angio internal mammary (75756) | $1,132.20 | $5,661 | 0.4× |
| Angio pulmonary bilat (75743) | $3,198.60 | $15,993 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,198.60 | $15,993 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$52.40–$112.20 | $262–$561 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,237.20 | $16,186 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,604.20 | $18,021 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $3,198.60 | $15,993 | 1.0× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| Artery X-Rays Spine (75705) | $3,198.60 | $15,993 | 0.6× |
| Arthrogram ankle (73615) | $372 | $1,860 | 1.1× |
| Arthrogram hip (73525) | $536.40 | $2,682 | 1.5× |
| Arthrogram Wrist (73115) | $355.20 | $1,776 | 1.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$170.20–$191 | $851–$955 | varies |
| Bone age studies (77072) | $157.40 | $787 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,219 | $6,095 | 3.0× |
| Bone Imaging Limited Area (78300) | $291.20 | $1,456 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $447.40 | $2,237 | 1.1× |
| Bone Imaging Whole Body (78306) | $594.60 | $2,973 | 1.5× |
| Bone marrow imaging limited area (78102) | $228.40 | $1,142 | 0.6× |
| Bone marrow imaging; multiple areas (78103) | $228.40 | $1,142 | 0.6× |
| Bone marrow imaging; whole body (78104) | $228.40 | $1,142 | 0.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $643.20 | $3,216 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,472.40 | $7,362 | 1.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $518.20 | $2,591 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,288.60 | $6,443 | 3.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,160.20 | $5,801 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $495.20 | $2,476 | 5.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $399 | $1,995 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $637.40 | $3,187 | 1.2× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$49–$190 | $245–$950 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$90.40–$205.20 | $452–$1,026 | varies |
| Chest 3 views (71047) | $240.60 | $1,203 | 2.8× |
| Chest 4 or more views (71048) | $278.40 | $1,392 | 2.7× |
| Cholecystography Oral Contrast (74290) | $205.40 | $1,027 | 1.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$67.40–$155.40 | $337–$777 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $157.80 | $789 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $156.40 | $782 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| Contrast X-Ray Bladder (74430) | $264 | $1,320 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $536.40 | $2,682 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $372 | $1,860 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,738.80 | $13,694 | 7.8× |
| CT abdomen and pelvis without contrast (74176) | $1,731.80 | $8,659 | 7.2× |
| CT abdomen w contrast (74160) | $1,378.80 | $6,894 | 7.8× |
| CT abdomen w wo contrast (74170) | $1,588.20 | $7,941 | 9.0× |
| CT abdomen w/o contrast (74150) | $922 | $4,610 | 8.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,276 | $11,380 | 6.5× |
| CT Angio Chest (71275) | $1,759.40 | $8,797 | 10.0× |
| CT Angio Head (70496) | $1,633.80 | $8,169 | 9.3× |
| CT angio hrt w/3d image (75574) | $435.40 | $2,177 | 1.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,391.80 | $6,959 | 7.9× |
| CT Angio Neck (70498) | $1,633.80 | $8,169 | 9.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,388.80 | $6,944 | 7.9× |
| CT cervical spine w/ contrast (72126) | $1,367.60 | $6,838 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,197.60 | $5,988 | 11.4× |
| CT cervical spine w/wo cont (72127) | $1,455 | $7,275 | 8.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,460.80–$1,738.40 | $7,304–$8,692 | varies |
| CT chest w/wo contrast (71270) | $1,662.40 | $8,312 | 9.4× |
| CT head/brain with contrast (70460) | $1,051.40 | $5,257 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,382.80 | $6,914 | 7.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $432 | $2,160 | 1.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $79.40 | $397 | 0.9× |
| CT hrt w/3d image congen (75573) | $407 | $2,035 | 1.2× |
| CT iac w contrast (70481) | $1,011.40 | $5,057 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,397.60 | $6,988 | 7.9× |
| CT lower ext w/o (73700) | $814.80 | $4,074 | 7.8× |
| CT lower extremity w/contrast material (73701) | $1,171.80 | $5,859 | 6.7× |
| CT lumbar spine w contrast (72132) | $1,367.60 | $6,838 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,138.80 | $5,694 | 10.8× |
| CT maxillofacial w contrast (70487) | $1,229.40 | $6,147 | 7.0× |
| CT maxillofacial wo contrast (70486) | $997 | $4,985 | 9.5× |
| CT neck tissue combo (70492) | $1,332.40 | $6,662 | 7.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,493 | $7,465 | 8.5× |
| CT orbits w/o contrast (70480) | $889.40 | $4,447 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,654.60 | $8,273 | 9.4× |
| CT pelvis w/o contrast (72192) | $1,129.80 | $5,649 | 10.8× |
| CT scan of leg combo (73702) | $1,268.80 | $6,344 | 7.2× |
| CT scans face/jaw combo (70488) | $1,321.20 | $6,606 | 7.5× |
| CT soft tissue neck w contrast (70491) | $1,257 | $6,285 | 7.1× |
| CT soft tissue neck w/o contrast (70490) | $1,038 | $5,190 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,254.80 | $6,274 | 7.1× |
| CT thoracic spine w/o contrast (72128) | $1,129.80 | $5,649 | 10.8× |
| CT thoracic spine w/wo cont (72130) | $1,305 | $6,525 | 7.4× |
| CT thorax w/o contrast (71250) | $1,129.80 | $5,649 | 10.8× |
| CT upper ext wo (73200) | $933 | $4,665 | 8.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,174.60 | $5,873 | 6.7× |
| CT upper extremity with contrast (73201) | $1,133.80 | $5,669 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,689.80 | $8,449 | 9.6× |
| Cta Abdomen (74175) | $1,548.20 | $7,741 | 8.8× |
| CTA pelvis (72191) | $1,455.60 | $7,278 | 8.3× |
| Dilation ureters/urethra rs&i (74485) | $270.60 | $1,353 | 0.1× |
| Discography Cerv/Thor Spine (72285) | $1,762 | $8,810 | 0.9× |
| Diskography lumbar (72295) | $1,762 | $8,810 | 0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $194 | $970 | 1.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $214.40 | $1,072 | 2.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$30.80–$235.20 | $154–$1,176 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$6–$166.40 | $30–$832 | varies |
| Echo exam of fetal heart (76825) | $393.60 | $1,968 | 0.7× |
| Echo Guide For Artery Repair (76936) | $441 | $2,205 | 2.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $182.80 | $914 | 0.8× |
| Echograp Trans R Pros Study (76873) | $313.40 | $1,567 | 3.0× |
| Esophagram (74220) | $256 | $1,280 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $226 | $1,130 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $165.20 | $826 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $161.60 | $808 | 0.7× |
| Follow-Up Angiography (75898) | $123.80 | $619 | 0.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$42.40–$112.20 | $212–$561 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$52.40–$148.60 | $262–$743 | varies |
| Gastric emptying imaging study (78264) | $490.40 | $2,452 | 1.2× |
| Gastroesophageal Reflux Exam (78262) | $331 | $1,655 | 0.8× |
| Gated Heart Planar Single (78472) | $564.20 | $2,821 | 1.4× |
| Gated Heart, Multiple (78473) | $716.80 | $3,584 | 1.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$45.40–$157.40 | $227–$787 | varies |
| Heart first pass single,planar (78481) | $399 | $1,995 | 0.7× |
| Heart Image (Pet) Multiple (78492) | $1,887 | $9,435 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,198.60 | $15,993 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,466 | $7,330 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $587.40 | $2,937 | 1.1× |
| Hepatobiliary System Imaging (78226) | $493.20 | $2,466 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $1,147.20 | $5,736 | 0.9× |
| Hysterosalpingogram (74740) | $323.40 | $1,617 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $311.80 | $1,559 | 3.6× |
| Infant hip ultrasound, limited static exam (76886) | $241.20 | $1,206 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $600.20 | $3,001 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $593.20 | $2,966 | 1.1× |
| Kidney Imaging Morphol (78700) | $242.80 | $1,214 | 0.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$74.20–$170 | $371–$850 | varies |
| Liver & Spleen Imaging Static Only (78215) | $462 | $2,310 | 1.2× |
| Liver imaging static only (78201) | $393.60 | $1,968 | 0.7× |
| Lung perfusion differential (78597) | $657.40 | $3,287 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,225 | $6,125 | 2.2× |
| Lymph System Imaging (78195) | $551.60 | $2,758 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $1,105 | $5,525 | 4.6× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$13–$206.80 | $65–$1,034 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$10.40–$206.80 | $52–$1,034 | varies |
| Meckels Divert Exam (78290) | $421.80 | $2,109 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $315 | $1,575 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,289.60 | $6,448 | 3.7× |
| MRA head w/o contrast (70544) | $1,037.20 | $5,186 | 4.3× |
| MRA head with contrast (70545) | $1,163.40 | $5,817 | 3.3× |
| MRA neck w contrast (70548) | $1,547.40 | $7,737 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,645.60 | $8,228 | 4.7× |
| MRA neck w/o contrast (70547) | $1,463.60 | $7,318 | 6.1× |
| MRI abdomen w contrast (74182) | $1,658.40 | $8,292 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,579.40 | $7,897 | 6.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,569.20 | $7,846 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,066.20 | $10,331 | 5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,569.20 | $7,846 | 2.0× |
| MRI brain functional w/o physician admnistration (70554) | $1,398.40 | $6,992 | 5.8× |
| MRI brain functional w/physician admnistration (70555) | $1,398.40 | $6,992 | 5.8× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$40.60–$1,502.80 | $203–$7,514 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$40.60–$1,215.20 | $203–$6,076 | varies |
| MRI cardiac w/o cont stress (75559) | $454.60 | $2,273 | 0.8× |
| MRI cardiac w/o contrast (75557) | $1,176.20 | $5,881 | 4.9× |
| MRI cervical spine w contrast (72142) | $1,202.80 | $6,014 | 3.4× |
| MRI cervical spine w/o cont (72141) | $1,133.40 | $5,667 | 4.7× |
| MRI chest w/o contrast (71550) | $1,329 | $6,645 | 5.5× |
| MRI chest with contrast (71551) | $1,407.80 | $7,039 | 1.8× |
| MRI chest wo w contrast (71552) | $1,692 | $8,460 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,375.40 | $6,877 | 3.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,150 | $10,750 | 6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,293.80 | $6,469 | 5.4× |
| MRI lumbar spine w contrast (72149) | $1,606.60 | $8,033 | 4.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,276.60 | $6,383 | 3.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,342.20 | $6,711 | 5.6× |
| MRI orbit face neck w contrast (70542) | $1,373.60 | $6,868 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,756.20 | $8,781 | 5.0× |
| MRI pelvis w contrast (72196) | $1,419.80 | $7,099 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $1,692 | $8,460 | 4.8× |
| MRI pelvis w/o contrast (72195) | $1,293.80 | $6,469 | 5.4× |
| MRI spectroscopy (76390) | $1,176.20 | $5,881 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $1,367.40 | $6,837 | 5.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,450.40 | $7,252 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,293.80 | $6,469 | 5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,692 | $8,460 | 4.8× |
| MRI, abdomen, combo (74183) | $1,741.20 | $8,706 | 5.0× |
| MRI, dorsal spine combo (72157) | $1,795.20 | $8,976 | 5.1× |
| MRI, dorsal spine contrast (72147) | $1,394.20 | $6,971 | 4.0× |
| MRI, joint upper extrem (73221) | $1,293.80 | $6,469 | 5.4× |
| MRI, joint upper extrem combo (73223) | $1,692 | $8,460 | 4.8× |
| MRI, lumbar spine combo (72158) | $1,823 | $9,115 | 5.2× |
| Myelogram cervical (72240) | $794.60 | $3,973 | 1.0× |
| Myelogram Lumbar (72265) | $794.60 | $3,973 | 1.0× |
| Myelography thoracic (72255) | $794.60 | $3,973 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,066.40 | $5,332 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $315.60 | $1,578 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,521 | $7,605 | 1.2× |
| N-invas est c ffr sw aly CTA (75580) | $771.60 | $3,858 | 0.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$39–$143.80 | $195–$719 | varies |
| Nm csf leak detection (78650) | $677.80 | $3,389 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $326.80 | $1,634 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,771.40 | $8,857 | 1.3× |
| Nuclear Rx Intra-Arterial (79445) | $329.20 | $1,646 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $173.60 | $868 | 0.7× |
| Ob us nuchal meas 1 gest (76813) | $226 | $1,130 | 2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $30.20 | $151 | 0.3× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $78.60 | $393 | 2.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $628 | $3,140 | 1.2× |
| Parathyroid Planar Imaging (78070) | $447.60 | $2,238 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$63.80–$157.40 | $319–$787 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,245.40 | $11,227 | 1.6× |
| PET image w/CT, full body (78816) | $2,562.80 | $12,814 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,325.60 | $11,628 | 1.6× |
| Pet Myocardial Sngl Study (78491) | $1,887 | $9,435 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,198.60 | $15,993 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $459 | $2,295 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$103.40–$186.80 | $517–$934 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $676.60 | $3,383 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$75–$166.40 | $375–$832 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$65.40–$130.40 | $327–$652 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$67.40–$173.60 | $337–$868 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$75–$187.20 | $375–$936 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$44.60–$112.60 | $223–$563 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$65.80–$155.40 | $329–$777 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$55.60–$158.20 | $278–$791 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$60.60–$135.40 | $303–$677 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $132.80 | $664 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$55.40–$147 | $277–$735 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$70.20–$112.20 | $351–$561 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$83.80–$159.60 | $419–$798 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$99.20–$112.20 | $496–$561 | varies |
| Radex Spine 1 View Specify Level (72020) | $132.80 | $664 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$74–$162 | $370–$810 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $164.60 | $823 | 1.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$57–$133.60 | $285–$668 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$49.40–$139.80 | $247–$699 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$65.40–$162 | $327–$810 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $166.60 | $833 | 1.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 3 matching MRF lines |
$7,478–$11,216.80 | $37,390–$56,084 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$117.80–$184.80 | $589–$924 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $186.80 | $934 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $310 | $1,550 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $254.20 | $1,271 | 1.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $268.80 | $1,344 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$87.40–$177 | $437–$885 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$79.40–$184 | $397–$920 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $256 | $1,280 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $256 | $1,280 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $252.40 | $1,262 | 1.4× |
| Radiologic examination femur 1 view (73551) | $128.20 | $641 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $170.20 | $851 | 1.9× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$57–$163.80 | $285–$819 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $75.80 | $379 | 0.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$65.40–$160.20 | $327–$801 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $163.20 | $816 | 0.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$80.20–$171 | $401–$855 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $213.20 | $1,066 | 0.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $468.80 | $2,344 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $721.40 | $3,607 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $710.60 | $3,553 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $822.80 | $4,114 | 1.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $805.20 | $4,026 | 0.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $913.20 | $4,566 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $983 | $4,915 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $450.60 | $2,253 | 1.1× |
| Scapula (73010) range across 2 matching MRF lines |
$66–$157.40 | $330–$787 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$15.20–$26.40 | $76–$132 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$67.20–$112.20 | $336–$561 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$413.80–$536.40 | $2,069–$2,682 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$81–$162.40 | $405–$812 | varies |
| Special Physics Consult (77370) | $191 | $955 | 1.4× |
| Special treatment procedure (77470) | $566.20 | $2,831 | 1.0× |
| Stereotactic Body Radiation Delivery (77373) range across 3 matching MRF lines |
$5,463.60–$8,195 | $27,318–$40,975 | varies |
| Sternoclavicular joints (71130) | $75.60 | $378 | 0.9× |
| Superior sagittal sinus venogram (75870) | $1,132.20 | $5,661 | 0.4× |
| Testicular Imaging W/Flow (78761) | $609.20 | $3,046 | 1.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $349.80 | $1,749 | 2.0× |
| Thoracic spine 2 views (72070) | $180.80 | $904 | 1.7× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$78.60–$218.20 | $393–$1,091 | varies |
| Thoracolumbar 2 views (72080) | $72 | $360 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $353.80 | $1,769 | 0.9× |
| Thyroid Met Imaging Body (78018) | $587.60 | $2,938 | 1.1× |
| Thyroid Uptake Measurement (78012) | $242.20 | $1,211 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $601.40 | $3,007 | 1.5× |
| Tx Devices Design & Construction Complex (77334) | $352.80 | $1,764 | 0.9× |
| Tx devices design & construction simple (77332) | $352.80 | $1,764 | 2.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$13.60–$138.80 | $68–$694 | varies |
| Ultrasound Exam Aaa Screen (76706) | $138.40 | $692 | 1.3× |
| Ultrasound, abdomen limited (76705) | $248.80 | $1,244 | 2.4× |
| Umbilical-artery Doppler (OB) (76820) | $176 | $880 | 1.7× |
| Unlisted us procedure (76999) | $226.60 | $1,133 | 2.6× |
| Upper gi w/o kub (74240) | $252.40 | $1,262 | 1.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $144.20 | $721 | 13.0× |
| Ureteral Reflux Study (78740) | $225.80 | $1,129 | 0.6× |
| Urethrocystogram voiding (74455) | $327.40 | $1,637 | 1.4× |
| Urethrocystography retrograde (74450) | $264 | $1,320 | 1.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$13.60–$157.40 | $68–$787 | varies |
| Us chest (76604) | $214.20 | $1,071 | 2.0× |
| Us complete joint (76881) | $244 | $1,220 | 2.3× |
| Us exam, pelvic, limited (76857) | $157.40 | $787 | 1.5× |
| Us head (76506) | $275.40 | $1,377 | 2.6× |
| Us kidney transplant (76776) | $362.80 | $1,814 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$16.80–$237.80 | $84–$1,189 | varies |
| Us ob detailed single fetus (76811) | $250.20 | $1,251 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $226 | $1,130 | 2.2× |
| Us ob transvaginal (76817) | $288.60 | $1,443 | 2.7× |
| Us pelvic non ob complete (76856) | $317.60 | $1,588 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $200.60 | $1,003 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $150.80 | $754 | 1.4× |
| Us retroperitoneal complete (76770) | $288.60 | $1,443 | 2.7× |
| Us retroperitoneal limited (76775) | $157.40 | $787 | 1.5× |
| Us scrotum and contents (76870) | $260.20 | $1,301 | 2.5× |
| Us spinal canal and contents (76800) | $200.60 | $1,003 | 1.9× |
| Us thyroid (76536) range across 3 matching MRF lines |
$45–$167 | $225–$835 | varies |
| Us transrectal (76872) | $211.20 | $1,056 | 2.0× |
| Vascular Flow Imaging (78445) | $375.40 | $1,877 | 0.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,132.20–$1,145.80 | $5,661–$5,729 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,132.20 | $5,661 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,132.20 | $5,661 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| Venography extremity bilateral rs&i (75822) | $1,145.80 | $5,729 | 0.7× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,132.20–$1,145.80 | $5,661–$5,729 | varies |
| Venography Renal Bilateral (75833) | $5,133.20 | $25,666 | 1.6× |
| Venography Renal Unilateral (75831) | $2,566.60 | $12,833 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $320.20 | $1,601 | 0.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$49.80–$143 | $249–$715 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $130.20 | $651 | 1.5× |
| X-ray antegrade pyelogram tube (74425) | $264 | $1,320 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$3,198.60–$3,237.20 | $15,993–$16,186 | varies |
| X-Ray Bend Only L-S Spine (72120) | $269.60 | $1,348 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$55.40–$155.40 | $277–$777 | varies |
| X-Ray Exam Breast Specimen (76098) | $493.40 | $2,467 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $112.20 | $561 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $166.60 | $833 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $166.60 | $833 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $131.80 | $659 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $173.80 | $869 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $180.60 | $903 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $180.80 | $904 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $184.80 | $924 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $187 | $935 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $351 | $1,755 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$72.20–$162 | $361–$810 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $263.20 | $1,316 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$62–$164.80 | $310–$824 | varies |
| X-ray eye for foreign body (70030) | $92.40 | $462 | 1.1× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$63.60–$152 | $318–$760 | varies |
| X-ray IV pyelogram (ivp) (74400) | $303.80 | $1,519 | 1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$51–$179.40 | $255–$897 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $178 | $890 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$72.20–$190.40 | $361–$952 | varies |
| X-ray nose-rectum child f.b. (76010) | $124.40 | $622 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $264.60 | $1,323 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$71–$179 | $355–$895 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $164.80 | $824 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$75–$112.20 | $375–$561 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$99.20–$194.80 | $496–$974 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$103.60–$214.40 | $518–$1,072 | varies |
| X-Ray Stress View (77071) | $127.40 | $637 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $229.20 | $1,146 | 2.2× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$30.80–$121.20 | $154–$606 | varies |
| X-Rays Bone Length Studies (77073) | $223.20 | $1,116 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $176.40 | $882 | 1.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$79–$250.80 | $395–$1,254 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$49.60–$178.40 | $248–$892 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$32–$185.40 | $160–$927 | 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.