Imaging prices at CHRISTUS Southeast Texas- St. Elizabeth
Beaumont, TX · every code in this section with a posted price and a Medicare benchmark.
364 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$375.87–$406.89 | $1,139–$1,233 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$436.59–$472.89 | $1,323–$1,433 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,152.59 | $6,523 | 5.4× |
| Angio internal mammary (75756) | $939.18 | $2,846 | 0.3× |
| Angio pulmonary bilat (75743) | $3,707.88 | $11,236 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,542.65 | $7,705 | 0.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,719.10–$4,052.40 | $11,270–$12,280 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,719.10–$4,052.40 | $11,270–$12,280 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$3,010.26–$3,168.99 | $9,122–$9,603 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,067.88 | $3,236 | 0.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$153.12–$710.16 | $464–$2,152 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,305.61 | $10,017 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,542.65 | $7,705 | 0.8× |
| Artery X-Rays Abdomen (75726) | $2,975.28 | $9,016 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $2,477.97 | $7,509 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,480.18 | $10,546 | 0.6× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,542.65 | $7,705 | 0.5× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$333.96–$555.72 | $1,012–$1,684 | varies |
| Arthrogram hip (73525) | $542.52 | $1,644 | 1.5× |
| Arthrogram Wrist (73115) | $1,334.19 | $4,043 | 3.8× |
| Basic radiation dosimetry calculation (77300) | $176.55 | $535 | 1.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$489.72–$1,496.55 | $1,484–$4,535 | varies |
| Bone Imaging 3 Phase (78315) | $2,919.18 | $8,846 | 7.3× |
| Bone Imaging Limited Area (78300) | $1,058.97 | $3,209 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,688.94 | $5,118 | 4.2× |
| Bone Imaging Whole Body (78306) | $2,055.90 | $6,230 | 5.1× |
| Bone marrow imaging; whole body (78104) | $1,286.67 | $3,899 | 3.2× |
| Bone survey infant (77076) | $1,145.43 | $3,471 | 10.9× |
| Brain Flow Imaging Only (78610) | $867.57 | $2,629 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,077.45 | $3,265 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$4,417.71–$5,301.12 | $13,387–$16,064 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,905.09 | $5,773 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $344.52 | $1,044 | 3.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $972.18 | $2,946 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $1,507.11 | $4,567 | 2.8× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$74.58–$323.73 | $226–$981 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$344.19–$361.68 | $1,043–$1,096 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$397.32–$612.81 | $1,204–$1,857 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$662.31–$695.97 | $2,007–$2,109 | varies |
| Cholecystography Oral Contrast (74290) | $374.55 | $1,135 | 2.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$153.12–$1,083.06 | $464–$3,282 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$126.06–$151.14 | $382–$458 | varies |
| Contrast Exam Abdominl Aorta (75625) | $3,719.10 | $11,270 | 1.2× |
| Contrast X-Ray Bladder (74430) | $784.41 | $2,377 | 2.2× |
| Contrast X-Ray Of Elbow (73085) | $511.83 | $1,551 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,430.55 | $4,335 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$749.43–$768.57 | $2,271–$2,329 | varies |
| CT abdomen and pelvis without contrast (74176) | $597.63 | $1,811 | 2.5× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$460.35–$498.96 | $1,395–$1,512 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$557.37–$603.57 | $1,689–$1,829 | varies |
| CT abdomen w/o contrast (74150) | $402.27 | $1,219 | 3.8× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$1,469.49–$1,591.26 | $4,453–$4,822 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$655.38–$672.54 | $1,986–$2,038 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$628.32–$646.47 | $1,904–$1,959 | varies |
| CT angio hrt w/3d image (75574) | $491.70 | $1,490 | 1.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $747.78 | $2,266 | 4.2× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$677.82–$697.29 | $2,054–$2,113 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $633.93 | $1,921 | 3.6× |
| CT cervical spine w/ contrast (72126) | $565.62 | $1,714 | 1.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$479.49–$518.43 | $1,453–$1,571 | varies |
| CT cervical spine w/wo cont (72127) | $656.70 | $1,990 | 3.7× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$458.37–$470.25 | $1,389–$1,425 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$515.46–$602.91 | $1,562–$1,827 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$443.52–$506.88 | $1,344–$1,536 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$466.62–$533.28 | $1,414–$1,616 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $515.13 | $1,561 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$169.29–$183.48 | $513–$556 | varies |
| CT hrt w/3d image congen (75573) | $387.42 | $1,174 | 1.1× |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$317.13–$391.71 | $961–$1,187 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$533.28–$863.28 | $1,616–$2,616 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$381.48–$391.38 | $1,156–$1,186 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$693.66–$751.41 | $2,102–$2,277 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$462–$686.73 | $1,400–$2,081 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$423.72–$434.94 | $1,284–$1,318 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$554.73–$570.90 | $1,681–$1,730 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$406.56–$464.64 | $1,232–$1,408 | varies |
| CT neck tissue combo (70492) | $617.43 | $1,871 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 7 matching MRF lines |
$372.90–$426.36 | $1,130–$1,292 | varies |
| CT orbits w/o contrast (70480) range across 7 matching MRF lines |
$290.07–$331.32 | $879–$1,004 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$431.64–$467.28 | $1,308–$1,416 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$341.88–$350.79 | $1,036–$1,063 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$837.54–$906.84 | $2,538–$2,748 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$598.62–$684.09 | $1,814–$2,073 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$532.62–$608.52 | $1,614–$1,844 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$412.83–$471.90 | $1,251–$1,430 | varies |
| CT thoracic spine w contrast (72129) | $495.66 | $1,502 | 2.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$462–$527.01 | $1,400–$1,597 | varies |
| CT thoracic spine w/wo cont (72130) | $582.45 | $1,765 | 3.3× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$375.54–$385.11 | $1,138–$1,167 | varies |
| CT unlisted procedure (76497) | $220.77 | $669 | 2.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$309.54–$400.62 | $938–$1,214 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$518.43–$863.28 | $1,571–$2,616 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$448.47–$686.73 | $1,359–$2,081 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$648.45–$701.91 | $1,965–$2,127 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$622.38–$673.86 | $1,886–$2,042 | varies |
| CTA pelvis (72191) | $680.46 | $2,062 | 3.9× |
| Dilation ureters/urethra rs&i (74485) | $2,331.45 | $7,065 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $2,098.14 | $6,358 | 1.1× |
| Diskography lumbar (72295) | $4,365.24 | $13,228 | 2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $220.11 | $667 | 2.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $275.55 | $835 | 2.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $159.39 | $483 | 1.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$507.54–$1,139.49 | $1,538–$3,453 | varies |
| Dxa bone density study (77085) | $527.67 | $1,599 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$94.38–$301.29 | $286–$913 | varies |
| Echo exam of fetal heart (76825) | $396 | $1,200 | 0.7× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$620.07–$755.37 | $1,879–$2,289 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$469.92–$507.54 | $1,424–$1,538 | varies |
| Esophagram (74220) | $470.58 | $1,426 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$519.09–$632.61 | $1,573–$1,917 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$533.94–$698.61 | $1,618–$2,117 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$421.41–$542.19 | $1,277–$1,643 | varies |
| Follow-Up Angiography (75898) | $939.18 | $2,846 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$110.88–$767.58 | $336–$2,326 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$153.12–$1,229.91 | $464–$3,727 | varies |
| Gastric emptying imaging study (78264) | $1,934.79 | $5,863 | 4.8× |
| Gastroesophageal Reflux Exam (78262) | $877.14 | $2,658 | 2.2× |
| Gated Heart Planar Single (78472) | $1,915.98 | $5,806 | 4.8× |
| Gated Heart, Multiple (78473) | $2,018.94 | $6,118 | 5.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$215.16–$761.97 | $652–$2,309 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,975.28 | $9,016 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,542.65 | $7,705 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $3,692.04 | $11,188 | 6.8× |
| Hepatobiliary System Imaging (78226) | $2,304.06 | $6,982 | 5.7× |
| Ht Musc Image Planar Mult (78454) | $1,562.55 | $4,735 | 1.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,449.26–$2,938.98 | $7,422–$8,906 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$813.12–$815.10 | $2,464–$2,470 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $491.37 | $1,489 | 5.6× |
| Infant hip ultrasound, limited static exam (76886) | $356.40 | $1,080 | 4.1× |
| Infusion Ivp (74410) | $855.69 | $2,593 | 4.9× |
| K Flow/Funct Image W/Drug (78708) | $2,352.24 | $7,128 | 4.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,665.84 | $5,048 | 3.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,335.18 | $4,046 | 3.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$110.88–$1,101.87 | $336–$3,339 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,595.22 | $4,834 | 4.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,695.54 | $5,138 | 4.2× |
| Liver imaging static only (78201) | $1,023.99 | $3,103 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $5,052.63 | $15,311 | 9.3× |
| Lung perfusion differential (78597) | $3,453.12 | $10,464 | 8.6× |
| Lung Ventilat&Perfus Imaging (78582) | $4,328.94 | $13,118 | 7.9× |
| Lung Ventilation Imaging (78579) | $1,920.27 | $5,819 | 4.8× |
| Lymph System Imaging (78195) | $2,281.62 | $6,914 | 4.2× |
| Magnetic Image Jaw Joint (70336) | $1,372.47 | $4,159 | 5.7× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$746.13–$1,074.48 | $2,261–$3,256 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$675.84–$973.50 | $2,048–$2,950 | varies |
| Meckels Divert Exam (78290) | $1,886.28 | $5,716 | 4.7× |
| Mra Head W/O & W/Contrast Material (70546) | $703.23 | $2,131 | 2.0× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$564.30–$826.65 | $1,710–$2,505 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$698.94–$1,023 | $2,118–$3,100 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$705.87–$1,033.89 | $2,139–$3,133 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$641.85–$940.17 | $1,945–$2,849 | varies |
| MRI abdomen w contrast (74182) | $2,033.79 | $6,163 | 5.8× |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$1,382.04–$2,156.22 | $4,188–$6,534 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,021.48 | $9,156 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,419.56–$3,774.21 | $7,332–$11,437 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,116.85 | $9,445 | 4.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,871.10 | $5,670 | 7.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $517.44 | $1,568 | 2.2× |
| MRI cardiac w/o contrast (75557) | $1,583.67 | $4,799 | 6.6× |
| MRI cervical spine w contrast (72142) | $2,157.21 | $6,537 | 6.2× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,905.09–$2,162.49 | $5,773–$6,553 | varies |
| MRI chest w/o contrast (71550) | $2,471.04 | $7,488 | 10.3× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$733.92–$2,182.29 | $2,224–$6,613 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,813.58–$4,389 | $8,526–$13,300 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,395.57–$2,779.92 | $4,229–$8,424 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,771.90 | $11,430 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$825.33–$2,193.18 | $2,501–$6,646 | varies |
| MRI lumbar spine w contrast (72149) | $2,980.23 | $9,031 | 8.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,306.37 | $6,989 | 6.6× |
| MRI orbit face &/neck w/o contrast (70540) range across 5 matching MRF lines |
$523.05–$675.18 | $1,585–$2,046 | varies |
| MRI orbit face neck w contrast (70542) | $801.24 | $2,428 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$802.56–$910.80 | $2,432–$2,760 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$642.51–$1,980.66 | $1,947–$6,002 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,417.91–$3,771.90 | $7,327–$11,430 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,490.61–$2,325.18 | $4,517–$7,046 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,143.78–$1,304.16 | $3,466–$3,952 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,693.23–$2,641.32 | $5,131–$8,004 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$815.76–$1,978.68 | $2,472–$5,996 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$825.33–$2,054.58 | $2,501–$6,226 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,621.52–$4,089.69 | $7,944–$12,393 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,427.81–$3,787.08 | $7,357–$11,476 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,073.06–$3,233.67 | $6,282–$9,799 | varies |
| MRI, dorsal spine contrast (72147) | $2,971.98 | $9,006 | 8.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$825.33–$1,316.70 | $2,501–$3,990 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$857.01–$4,232.25 | $2,597–$12,825 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,073.06–$3,233.67 | $6,282–$9,799 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$502.92–$755.37 | $1,524–$2,289 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$502.92–$755.37 | $1,524–$2,289 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$502.92–$755.37 | $1,524–$2,289 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$683.76–$1,026.30 | $2,072–$3,110 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,280.73 | $3,881 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $3,959.34 | $11,998 | 3.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$244.20–$265.32 | $740–$804 | varies |
| Nervous system nuclear exam (78699) | $1,215.72 | $3,684 | 3.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $467.61 | $1,417 | 1.2× |
| Nm csf leak detection (78650) | $1,455.30 | $4,410 | 1.1× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$1,916.31–$2,299.44 | $5,807–$6,968 | varies |
| Nm unlisted gi procedure (78299) | $1,732.50 | $5,250 | 4.3× |
| Nuclear Rx Intra-Arterial (79445) | $991.65 | $3,005 | 4.2× |
| Nuclear Rx Oral Admin (79005) | $2,513.94 | $7,618 | 10.7× |
| Optic foramina (70190) range across 2 matching MRF lines |
$178.53–$257.07 | $541–$779 | varies |
| Panoramic X-ray of jaws (70355) | $376.20 | $1,140 | 4.3× |
| Parathyroid Planar Imaging (78070) | $1,149.06 | $3,482 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $957.66 | $2,902 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$110.88–$1,287.99 | $336–$3,903 | varies |
| Peritoneogram Rs&I (74190) | $303.27 | $919 | 0.6× |
| Pet Image W/Ct Lmtd (78814) | $2,747.91 | $8,327 | 1.9× |
| PET image w/CT, full body (78816) | $3,466.32 | $10,504 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,367.65 | $10,205 | 2.3× |
| PET whole body (78813) range across 2 matching MRF lines |
$2,754.84–$3,305.94 | $8,348–$10,018 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,542.65 | $7,705 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,409.33 | $7,301 | 6.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$481.47–$483.45 | $1,459–$1,465 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$504.24–$519.42 | $1,528–$1,574 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$110.88–$1,126.62 | $336–$3,414 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$144.21–$997.59 | $437–$3,023 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$110.88–$1,258.95 | $336–$3,815 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,446.39 | $4,383 | 13.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$153.12–$889.68 | $464–$2,696 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$110.88–$1,304.49 | $336–$3,953 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$110.88–$1,075.14 | $336–$3,258 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$366.30–$476.19 | $1,110–$1,443 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,100.55 | $3,335 | 10.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $996.60 | $3,020 | 11.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$110.88–$1,140.81 | $336–$3,457 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$110.88–$1,475.43 | $336–$4,471 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,712.37 | $5,189 | 19.6× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$157.74–$832.59 | $478–$2,523 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$519.75–$1,167.54 | $1,575–$3,538 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $961.95 | $2,915 | 11.0× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$113.52–$905.85 | $344–$2,745 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $1,117.71 | $3,387 | 10.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$110.88–$1,090.98 | $336–$3,306 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,662.21 | $5,037 | 15.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,354.65 | $4,105 | 12.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $538.23 | $1,631 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $857.67 | $2,599 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $784.08 | $2,376 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$215.16–$1,263.90 | $652–$3,830 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$215.16–$1,756.92 | $652–$5,324 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $825 | $2,500 | 4.7× |
| Radiologic exam swallow function contrast study (74230) | $621.06 | $1,882 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$808.83–$815.10 | $2,451–$2,470 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$453.09–$1,017.39 | $1,373–$3,083 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$153.12–$1,131.57 | $464–$3,429 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$153.12–$1,087.02 | $464–$3,294 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,596.44 | $7,868 | 24.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$153.12–$1,162.92 | $464–$3,524 | varies |
| Renal Cyst Study (74470) | $443.19 | $1,343 | 0.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$806.85–$1,812.69 | $2,445–$5,493 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,472.46 | $4,462 | 3.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,649.34 | $4,998 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,082 | $15,400 | 9.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,263.47 | $6,859 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,082 | $15,400 | 9.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,176.78–$1,209.12 | $3,566–$3,664 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,428.90 | $4,330 | 1.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $714.45 | $2,165 | 0.5× |
| Rp Therapy Intravenous Administration (79101) | $193.38 | $586 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $586.74 | $1,778 | 1.5× |
| Scapula (73010) range across 3 matching MRF lines |
$215.16–$1,470.48 | $652–$4,456 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$49.17–$231 | $149–$700 | varies |
| Sella turcica (70240) | $331.98 | $1,006 | 3.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$153.12–$820.71 | $464–$2,487 | varies |
| Shoulder Arthrography (73040) | $542.52 | $1,644 | 1.5× |
| Sialogram (70390) range across 2 matching MRF lines |
$442.20–$443.19 | $1,340–$1,343 | varies |
| Skull less than 4 views (70250) | $1,216.71 | $3,687 | 11.6× |
| Special dosimetry (77331) | $186.12 | $564 | 1.4× |
| Special Physics Consult (77370) | $337.26 | $1,022 | 2.5× |
| Sternoclavicular joints (71130) | $157.74 | $478 | 1.8× |
| Superior sagittal sinus venogram (75870) | $939.18 | $2,846 | 0.3× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$1,090.98–$1,262.58 | $3,306–$3,826 | varies |
| Testicular Imaging W/Flow (78761) | $1,005.51 | $3,047 | 2.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$279.84–$302.28 | $848–$916 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$110.88–$1,115.07 | $336–$3,379 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$78.21–$1,458.27 | $237–$4,419 | varies |
| Thoracolumbar 2 views (72080) | $1,546.05 | $4,685 | 17.7× |
| Thyroid Imaging With Vascular Flow (78013) | $609.51 | $1,847 | 1.5× |
| Thyroid Met Imaging Body (78018) | $2,261.16 | $6,852 | 4.1× |
| Thyroid Uptake Measurement (78012) | $406.23 | $1,231 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,523.94 | $4,618 | 3.8× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$245.85–$277.86 | $745–$842 | varies |
| Ultrasound Elastography Parenchyma (76981) | $215.49 | $653 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $133.65 | $405 | 1.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$553.41–$1,778.37 | $1,677–$5,389 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$159.39–$164.01 | $483–$497 | varies |
| Unlisted fluoroscopic procedure (76496) | $349.14 | $1,058 | 4.0× |
| Upper gi w/o kub (74240) | $1,131.90 | $3,430 | 6.4× |
| Ureteral Reflux Study (78740) | $1,352.67 | $4,099 | 3.4× |
| Urethrocystogram voiding (74455) | $774.51 | $2,347 | 3.2× |
| Urethrocystography retrograde (74450) | $905.85 | $2,745 | 3.8× |
| Us breast unilateral complete (76641) | $416.13 | $1,261 | 4.0× |
| Us chest (76604) range across 2 matching MRF lines |
$414.15–$527.34 | $1,255–$1,598 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$509.52–$758.34 | $1,544–$2,298 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$232.32–$738.87 | $704–$2,239 | varies |
| Us head (76506) | $491.37 | $1,489 | 4.7× |
| Us kidney transplant (76776) | $543.84 | $1,648 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$335.94–$543.84 | $1,018–$1,648 | varies |
| Us ob detailed single fetus (76811) | $1,037.85 | $3,145 | 4.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$491.37–$707.85 | $1,489–$2,145 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$410.85–$559.02 | $1,245–$1,694 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$615.78–$1,789.26 | $1,866–$5,422 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$566.94–$742.50 | $1,718–$2,250 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $425.04 | $1,288 | 4.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$605.88–$1,440.45 | $1,836–$4,365 | varies |
| Us retroperitoneal limited (76775) | $906.18 | $2,746 | 8.6× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$541.20–$1,360.59 | $1,640–$4,123 | varies |
| Us spinal canal and contents (76800) | $681.78 | $2,066 | 6.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$493.02–$758.34 | $1,494–$2,298 | varies |
| Us transrectal (76872) | $655.71 | $1,987 | 6.2× |
| Vascular Flow Imaging (78445) | $795.96 | $2,412 | 2.0× |
| Vein X-Ray Chest (75827) | $1,156.65 | $3,505 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $939.18 | $2,846 | 0.3× |
| Venogram Sinus/Jugular (75860) | $1,680.69 | $5,093 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,542.65 | $7,705 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,975.28 | $9,016 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,812.69 | $5,493 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $905.52 | $2,744 | 0.6× |
| Venography Renal Bilateral (75833) | $2,542.65 | $7,705 | 0.8× |
| Venography Renal Unilateral (75831) | $2,975.28 | $9,016 | 0.9× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,542.65 | $7,705 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,338.81 | $4,057 | 3.3× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$69.96–$99.99 | $212–$303 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$113.52–$615.78 | $344–$1,866 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $144.21 | $437 | 1.6× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,136.85–$1,268.52 | $3,445–$3,844 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,719.10 | $11,270 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$221.43–$1,500.51 | $671–$4,547 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$153.12–$761.97 | $464–$2,309 | varies |
| X-Ray Exam Breast Specimen (76098) | $386.10 | $1,170 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $181.17 | $549 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$585.42–$1,347.72 | $1,774–$4,084 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,512.06 | $4,582 | 14.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$153.12–$1,483.02 | $464–$4,494 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$110.88–$1,705.77 | $336–$5,169 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,876.38 | $5,686 | 17.9× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$139.59–$1,500.51 | $423–$4,547 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$215.16–$1,725.90 | $652–$5,230 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$233.31–$1,896.84 | $707–$5,748 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$215.16–$1,787.28 | $652–$5,416 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$110.88–$1,375.77 | $336–$4,169 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$139.59–$2,019.60 | $423–$6,120 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$459.36–$661.32 | $1,392–$2,004 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$138.60–$138.93 | $420–$421 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$153.12–$1,092.30 | $464–$3,310 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,127.94 | $3,418 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $962.61 | $2,917 | 11.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$113.52–$1,469.16 | $344–$4,452 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$110.88–$1,556.61 | $336–$4,717 | varies |
| X-ray nose-rectum child f.b. (76010) | $508.20 | $1,540 | 5.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$490.71–$706.53 | $1,487–$2,141 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$110.88–$1,271.49 | $336–$3,853 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$110.88–$1,152.36 | $336–$3,492 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$153.12–$1,210.11 | $464–$3,667 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,087.02–$2,035.11 | $3,294–$6,167 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,546.05 | $4,685 | 14.7× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$78.21–$1,542.42 | $237–$4,674 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,046.43 | $3,171 | 3.0× |
| X-Rays Bone Length Studies (77073) | $1,279.41 | $3,877 | 12.2× |
| X-Rays Bone Survey Complete (77075) | $5,148.99 | $15,603 | 49.0× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$215.16–$1,421.31 | $652–$4,307 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$392.04–$880.44 | $1,188–$2,668 | varies |
| Xr orbits complete 4 views (70200) | $986.04 | $2,988 | 9.4× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$765.93–$767.91 | $2,321–$2,327 | 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.