Imaging prices at Cook Childrens Medical Center Prosper
Prosper, TX · every code in this section with a posted price and a Medicare benchmark.
226 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) | $366.52 | $488.69 | 3.5× |
| Ankle 2 views (73600) | $400.36 | $533.82 | 4.6× |
| Antegrade urography radiological supvj & interpj (74425) | $1,117.98 | $1,490.64 | 3.2× |
| Arthrogram elbow (73085) | $1,118.99 | $1,491.98 | 3.2× |
| Arthrogram shoulder (73040) | $1,118.69 | $1,491.59 | 3.2× |
| Arthrogram wrist (73115) | $1,118.69 | $1,491.59 | 3.2× |
| Arthrography knee lt (73580) | $1,118.69 | $1,491.59 | 3.2× |
| Bone age studies (77072) | $316.99 | $422.65 | 3.0× |
| Bone survey complete (77075) | $932.15 | $1,242.87 | 8.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,714.92 | $7,619.88 | 16.3× |
| Cervical spine 2 or 3 views (72040) | $588.03 | $784.04 | 6.7× |
| Chest 1 view (71045) | $458.20 | $610.94 | 5.2× |
| Chest 3 views (71047) | $790.61 | $1,054.15 | 9.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,178.05 | $1,570.73 | 6.7× |
| Clavicle complete (73000) | $415.78 | $554.38 | 4.8× |
| CT abdomen and pelvis without and with contrast (74178) | $8,937.41 | $11,916.55 | 25.5× |
| CT abdomen and pelvis without contrast (74176) | $5,377.79 | $7,170.38 | 22.4× |
| CT abdomen w contrast (74160) | $4,304.87 | $5,739.82 | 24.4× |
| CT abdomen w wo contrast (74170) | $5,377.22 | $7,169.63 | 30.5× |
| CT abdomen w/o contrast (74150) | $4,000.94 | $5,334.59 | 38.1× |
| CT angio hrt w/3d image (75574) | $5,802.89 | $7,737.18 | 16.6× |
| CT angiography upper extremity lt (73206) | $4,795.56 | $6,394.08 | 27.2× |
| CT c-spine w/o contrast (72125) | $4,000.94 | $5,334.59 | 38.1× |
| CT cervical spine w&w/o contrast (72127) | $4,415.02 | $5,886.69 | 25.1× |
| CT cervical spine with contrast (72126) | $4,159.31 | $5,545.74 | 11.9× |
| CT chest w/wo contrast (71270) | $4,891.19 | $6,521.59 | 27.8× |
| CT chest with contrast (71260) | $4,086.17 | $5,448.23 | 23.2× |
| CT head/brain with contrast (70460) | $3,312.33 | $4,416.44 | 18.8× |
| CT head/brain without and with contrast (70470) | $4,416.21 | $5,888.28 | 25.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,235.30 | $6,980.40 | 14.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,178.95 | $4,238.60 | 36.4× |
| CT hrt w/3d image congen (75573) | $5,802.89 | $7,737.18 | 16.6× |
| CT iac w contrast (70481) | $3,854.36 | $5,139.14 | 21.9× |
| CT limited/localized follow up study (76380) | $2,081.42 | $2,775.23 | 23.8× |
| CT lower ext w/o (73700) | $2,464.08 | $3,285.44 | 23.5× |
| CT lower extremity w wo contrast (73702) | $3,644.75 | $4,859.67 | 20.7× |
| CT lower extremity with contrast (73701) | $2,913.16 | $3,884.21 | 16.5× |
| CT lumbar spine w & w/o contrast (72133) | $4,415.72 | $5,887.63 | 25.1× |
| CT lumbar spine w/o contrast (72131) | $3,265.05 | $4,353.40 | 31.1× |
| CT lumbar spine with contrast (72132) | $4,159.31 | $5,545.74 | 11.9× |
| CT maxillofacial w contrast (70487) | $3,859.23 | $5,145.64 | 21.9× |
| CT maxillofacial w/o contrast (70486) | $1,829.08 | $2,438.77 | 17.4× |
| CT maxillofacial w/wo contrast (70488) | $4,598.54 | $6,131.38 | 26.1× |
| CT neck soft tissue w contrast (70491) | $4,295.43 | $5,727.24 | 24.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $4,597.10 | $6,129.46 | 26.1× |
| CT orbits w/o contrast (70480) | $3,537.77 | $4,717.02 | 33.7× |
| CT pelvis w & w/o contrast (72194) | $3,560.88 | $4,747.84 | 20.2× |
| CT pelvis w/o contrast (72192) | $2,226.26 | $2,968.35 | 21.2× |
| CT soft tissue neck w/o & w/contrast material (70492) | $5,045.75 | $6,727.67 | 28.6× |
| CT soft tissue neck w/o contrast (70490) | $3,990.55 | $5,320.73 | 38.0× |
| CT thoracic spine w/contrast (72129) | $4,470.87 | $5,961.16 | 25.4× |
| CT thoracic spine w/o contrast (72128) | $2,959.16 | $3,945.54 | 28.2× |
| CT thoracic spine w/wo contrast (72130) | $3,703.46 | $4,937.95 | 21.0× |
| CT thorax w/o contrast (71250) | $3,847.67 | $5,130.23 | 36.6× |
| CT upper extremity w/o & w/contrast material (73202) | $3,918.09 | $5,224.12 | 22.2× |
| CT upper extremity w/o contrast rt (73200) | $2,464.08 | $3,285.44 | 23.5× |
| CT upper extremity with contrast (73201) | $3,131.53 | $4,175.37 | 8.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,095.78 | $9,461.04 | 40.3× |
| Cta Abdomen (74175) | $5,939.71 | $7,919.61 | 33.7× |
| CTA chest (71275) | $5,888.05 | $7,850.73 | 33.4× |
| Cta Head (70496) | $5,392.63 | $7,190.17 | 30.6× |
| CTA lwr ext w&w/o contrast (73706) | $4,795.56 | $6,394.08 | 27.2× |
| Cta Neck (70498) | $5,018.33 | $6,691.10 | 28.5× |
| Cta Pelvis (72191) | $5,798.17 | $7,730.89 | 32.9× |
| Cystography minimum 3 views rs&i (74430) | $852.12 | $1,136.16 | 2.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $911.39 | $1,215.19 | 8.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $686.04 | $914.71 | 7.8× |
| Dxa bone density study axial skeleton (77085) | $514.01 | $685.35 | 4.9× |
| Echoencephalography real time imaging (76506) | $1,072.36 | $1,429.81 | 10.2× |
| Esophagus (74220) | $726.90 | $969.20 | 4.1× |
| Fluoroscopy up to 1 hr (76000) | $903.25 | $1,204.33 | 3.8× |
| Foot 2 views (73620) | $411.89 | $549.19 | 4.7× |
| Forearm 2 views (73090) | $375.36 | $500.49 | 4.3× |
| Functional MRI brain by phys/psych (70555) | $3,017.54 | $4,023.39 | 12.6× |
| Functional MRI brain by tech (70554) | $2,807.02 | $3,742.69 | 11.7× |
| Hand 2 views (73120) | $336.80 | $449.06 | 3.2× |
| Hand 3 views (73130) | $438.39 | $584.52 | 5.0× |
| Humerus Min 2 Views Left (73060) | $480.86 | $641.14 | 5.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $329.72 | $439.62 | 3.1× |
| Knee 3 views (73562) | $438.39 | $584.52 | 5.0× |
| Mr elastography (76391) | $2,442.98 | $3,257.31 | 10.2× |
| MRA head w & w/o contrast (70546) | $3,502.67 | $4,670.23 | 10.0× |
| MRA head w/o contrast (70544) | $4,046.25 | $5,395 | 16.9× |
| MRA head with contrast (70545) | $3,672.44 | $4,896.59 | 10.5× |
| MRA neck w contrast (70548) | $3,562.40 | $4,749.86 | 10.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,134.53 | $5,512.71 | 11.8× |
| MRA neck w/o contrast (70547) | $2,990.30 | $3,987.06 | 12.5× |
| MRI abdomen w contrast (74182) | $2,816.87 | $3,755.82 | 8.0× |
| MRI abdomen w/o & w/contrast material (74183) | $3,888.96 | $5,185.29 | 11.1× |
| MRI abdomen w/o contrast (74181) | $2,244.05 | $2,992.06 | 9.4× |
| MRI any jnt lwr ext with con lt (73722) | $3,027.81 | $4,037.08 | 3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,027.81 | $4,037.08 | 3.8× |
| MRI bone marrow blood supply (77084) | $3,743.45 | $4,991.27 | 15.6× |
| MRI c-spine with contrast (72142) | $3,238.12 | $4,317.49 | 9.2× |
| MRI cardiac w/o contrast (75557) | $4,778.57 | $6,371.42 | 19.9× |
| MRI cervical spine w/o contrast (72141) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest w/o & w/contrast material (71552) | $3,743.45 | $4,991.27 | 10.7× |
| MRI chest w/o contrast (71550) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest with contrast (71551) | $3,494.76 | $4,659.68 | 4.4× |
| MRI fetal sngl/1st gestation (74712) | $3,034.98 | $4,046.64 | 12.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $3,145.60 | $4,194.13 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,145.60 | $4,194.13 | 9.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,639.52 | $3,519.35 | 11.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,034.98 | $4,046.64 | 12.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $3,723.76 | $4,965.01 | 10.6× |
| MRI orbit/face/neck w/contrast (70542) | $3,218.47 | $4,291.29 | 9.2× |
| MRI pelvis w contrast (72196) | $3,238.80 | $4,318.40 | 9.2× |
| MRI pelvis w/o & w/contrast material (72197) | $3,518.38 | $4,691.17 | 10.0× |
| MRI pelvis w/o contrast (72195) | $3,034.98 | $4,046.64 | 12.7× |
| MRI scan of arm joint before and after contrast (73223) | $3,255.57 | $4,340.76 | 9.3× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $5,665.58 | $7,554.10 | 7.2× |
| MRI scan of leg joint before and after contrast (73723) | $3,255.57 | $4,340.76 | 9.3× |
| MRI spectroscopy (76390) | $2,442.98 | $3,257.31 | 27.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $3,743.45 | $4,991.27 | 10.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $3,238.12 | $4,317.49 | 9.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $3,741.42 | $4,988.56 | 10.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $3,238.12 | $4,317.49 | 9.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $3,743.45 | $4,991.27 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $3,034.98 | $4,046.64 | 12.7× |
| MRI tmj (70336) | $3,309.86 | $4,413.14 | 13.8× |
| MRI upper ext joint w/o contrast (73221) | $2,244.05 | $2,992.06 | 9.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $3,373.56 | $4,498.08 | 9.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,795.47 | $3,727.30 | 11.7× |
| Myelogram Lumbar (72265) | $3,122.28 | $4,163.04 | 4.0× |
| Myelography 2 or more regions (72270) | $3,481.79 | $4,642.38 | 4.4× |
| Neck soft tissue (70360) | $430.69 | $574.25 | 4.9× |
| Orthopantogram (70355) | $503.03 | $670.71 | 5.8× |
| Osseous survey infant (77076) | $596.76 | $795.68 | 5.7× |
| Osseous survey limited (77074) | $749.92 | $999.90 | 7.1× |
| Pelvis 1 or 2 views (72170) | $474.64 | $632.86 | 4.5× |
| Perineogram (74775) | $953.62 | $1,271.49 | 4.0× |
| Pr MRI brain w/ dye (70558) | $40,089.02 | $53,452.03 | 227.5× |
| Pr MRI brain w/o & w/ dye (70559) | $40,601.45 | $54,135.26 | 230.4× |
| Pr MRI brain w/o dye (70557) | $39,987.75 | $53,317 | 72.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $3,373.35 | $4,497.80 | 9.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $787.94 | $1,050.59 | 1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $526.31 | $701.74 | 6.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $568.22 | $757.62 | 5.4× |
| Radex hips bilateral with pelvis 2 views (73521) | $561.22 | $748.29 | 5.3× |
| Radex mastoids compl minimum 3 views pr side (70130) | $635.12 | $846.83 | 6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $403.88 | $538.50 | 3.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $421.64 | $562.19 | 4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $571.76 | $762.35 | 5.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $500.51 | $667.35 | 5.7× |
| Radiologic exam colon single contrast study (74270) | $962.03 | $1,282.71 | 5.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,276.63 | $1,702.17 | 7.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,685.27 | $2,247.02 | 9.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $494.08 | $658.77 | 5.7× |
| Radiological examination surgical specimen (76098) | $359.99 | $479.99 | 0.7× |
| Ribs bilateral 3 views (71110) | $724.55 | $966.06 | 6.9× |
| Sacroiliac Joints < 3 Views (72200) | $452.85 | $603.80 | 4.3× |
| Scanogram (77073) | $583.64 | $778.19 | 5.6× |
| Scapula complete (73010) | $526.31 | $701.74 | 5.0× |
| Sella turcica (70240) | $366.57 | $488.76 | 4.2× |
| Small bowel series (74250) | $672.89 | $897.18 | 3.8× |
| Speech evaluation complex (70371) | $999.62 | $1,332.82 | 4.2× |
| Spine thoracic 3 views (72072) | $546.13 | $728.17 | 5.2× |
| Therapeutic Enema (74283) | $1,627.53 | $2,170.04 | 9.2× |
| Thoracolumbar 2 views (72080) | $486.05 | $648.07 | 5.6× |
| Ultrasound elastography first target lesion (76982) | $493.26 | $657.68 | 4.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,647.36 | $2,196.48 | 4.7× |
| Ultrasound, abdomen limited (76705) | $871.13 | $1,161.51 | 8.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $983.22 | $1,310.96 | 11.2× |
| Unlisted magnetic resonance procedure (76498) | $21,865.60 | $29,154.14 | 250.1× |
| Upper Extremity Infant (73092) | $336.10 | $448.12 | 3.2× |
| Urethrocystography retrograde rs&i (74450) | $567.68 | $756.91 | 2.4× |
| Urethrocystography voiding (74455) | $993.04 | $1,324.05 | 4.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $1,206.53 | $1,608.70 | 6.8× |
| Us breast unilateral limited (76642) | $957.64 | $1,276.85 | 11.0× |
| Us chest (76604) | $778.03 | $1,037.37 | 7.4× |
| Us elastography parenchyma (76981) | $546.35 | $728.47 | 5.2× |
| Us infant hips limited static (76886) | $972.74 | $1,296.98 | 11.1× |
| Us kidney transplant (76776) | $583.01 | $777.35 | 5.6× |
| Us pelvic non ob complete (76856) | $713.46 | $951.28 | 6.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $461.90 | $615.86 | 4.4× |
| Us retroperitoneal complete (76770) | $945.69 | $1,260.92 | 9.0× |
| Us retroperitoneal limited (76775) | $546.60 | $728.80 | 5.2× |
| Us scrotum and contents (76870) | $493.55 | $658.06 | 4.7× |
| Us soft tissue head/neck (76536) | $624.22 | $832.29 | 5.9× |
| Us spinal canal and contents (76800) | $676.58 | $902.10 | 6.4× |
| Us xtr non-vasc lmtd (76882) | $525.32 | $700.43 | 5.0× |
| Venography extremity unilateral rs&i (75820) | $1,545.35 | $2,060.47 | 1.0× |
| Wrist 2 views (73100) | $408.07 | $544.10 | 4.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $633.64 | $844.85 | 6.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $351.09 | $468.12 | 4.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $438.39 | $584.52 | 5.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,238.11 | $1,650.81 | 7.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $398.16 | $530.89 | 4.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $463.94 | $618.59 | 5.3× |
| X-ray exam hip uni 1 view (73501) | $351.89 | $469.19 | 4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $538.38 | $717.84 | 6.2× |
| X-ray exam of femur 1 (73551) | $368.65 | $491.53 | 4.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $546.13 | $728.17 | 5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $531.03 | $708.04 | 6.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $438.39 | $584.52 | 5.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $473.62 | $631.49 | 5.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $468.27 | $624.36 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $518.76 | $691.68 | 4.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $486.36 | $648.48 | 5.6× |
| X-ray of voice box or throat (70370) | $497.64 | $663.52 | 5.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $994.89 | $1,326.52 | 2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $592.04 | $789.39 | 6.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $609.82 | $813.09 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $586.70 | $782.26 | 5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $389.09 | $518.79 | 4.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $411.89 | $549.19 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $652.77 | $870.36 | 7.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $386.10 | $514.80 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $784.94 | $1,046.58 | 7.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $286.16 | $381.54 | 2.7× |
| X-Ray Spine One View - Xr Spine (72020) | $410.56 | $547.41 | 4.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $471.13 | $628.17 | 5.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $460.24 | $613.65 | 5.3× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) | $61.58 | $82.11 | 0.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $486.05 | $648.07 | 4.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $326.73 | $435.64 | 3.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $453.88 | $605.17 | 5.2× |
| Xr arthrogram ankle (73615) | $1,118.69 | $1,491.59 | 3.2× |
| Xr finger(s) 2+ views (73140) | $398.51 | $531.35 | 4.6× |
| Xr internal auditory meati complete (70134) | $584.18 | $778.91 | 1.1× |
| Xr optic foramina (70190) | $640.71 | $854.28 | 7.3× |
| Xr shoulder 1 view (73020) | $227.80 | $303.73 | 2.6× |
| Xr spine cervical 4 or 5 views (72050) | $953 | $1,270.66 | 9.1× |
| Xr tibia/fibula 2 views (73590) | $494.08 | $658.77 | 5.7× |
| Xr tmj bilateral (70330) | $586.70 | $782.26 | 6.7× |
| Xray knee 1 or 2 views rt (73560) | $421.64 | $562.19 | 4.8× |