Imaging prices at Cook Childrens Medical Center
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
289 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) | $27.24 | $36.32 | 0.3× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$39.53–$366.52 | $52.70–$488.69 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,131.10 | $2,841.46 | 5.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$69–$416.29 | $92–$555.05 | varies |
| Arthrogram ankle (73615) | $1,118.69 | $1,491.59 | 3.2× |
| Arthrogram Wrist (73115) | $1,118.69 | $1,491.59 | 3.2× |
| Basic radiation dosimetry calculation (77300) | $75.67 | $100.89 | 0.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$44.15–$316.99 | $58.87–$422.65 | varies |
| Bone Imaging 3 Phase (78315) | $3,138.70 | $4,184.93 | 7.8× |
| Bone Imaging Limited Area (78300) | $1,866.17 | $2,488.22 | 4.6× |
| Bone Imaging Whole Body (78306) | $2,658.91 | $3,545.21 | 6.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$83.17–$596.76 | $110.89–$795.68 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,160.26 | $2,880.34 | 4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,297.85 | $9,730.46 | 5.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$5,442.61–$5,987.22 | $7,256.81–$7,982.96 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$5,502.99–$5,828.16 | $7,337.32–$7,770.88 | varies |
| Cat Scan Follow-Up Study (76380) | $2,081.42 | $2,775.23 | 23.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,090.55 | $1,454.06 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,672.83 | $2,230.44 | 3.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$68.21–$426.99 | $90.94–$569.32 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$53.78–$500.51 | $71.70–$667.35 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$110.18–$790.61 | $146.91–$1,054.15 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$69.66–$499.81 | $92.88–$666.41 | varies |
| Continuing medical physics consltj pr wk (77336) | $95.58 | $127.44 | 0.7× |
| Contrast X-Ray Bladder (74430) | $469.88 | $626.50 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $1,118.99 | $1,491.98 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,118.69 | $1,491.59 | 3.2× |
| 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 Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$7,097.69–$8,486.71 | $9,463.59–$11,315.61 | varies |
| CT Angio Chest (71275) | $5,888.05 | $7,850.73 | 33.4× |
| CT Angio Head (70496) | $5,392.63 | $7,190.17 | 30.6× |
| CT angio hrt w/3d image (75574) | $5,802.89 | $7,737.18 | 16.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,795.56 | $6,394.08 | 27.2× |
| CT Angio Neck (70498) | $5,018.33 | $6,691.10 | 28.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,795.56 | $6,394.08 | 27.2× |
| CT cervical spine w/ contrast (72126) | $4,159.31 | $5,545.74 | 11.9× |
| CT cervical spine w/o contrast (72125) | $4,000.94 | $5,334.59 | 38.1× |
| CT cervical spine w/wo cont (72127) | $4,415.02 | $5,886.69 | 25.1× |
| CT chest w contrast (71260) | $4,086.17 | $5,448.23 | 23.2× |
| CT chest w/wo contrast (71270) | $4,891.19 | $6,521.59 | 27.8× |
| 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) range across 4 matching MRF lines |
$3,854.36–$4,564.55 | $5,139.14–$6,086.06 | varies |
| CT l-spine w&w/o contrast (72133) | $4,415.72 | $5,887.63 | 25.1× |
| CT lower ext w/o (73700) | $2,464.08 | $3,285.44 | 23.5× |
| CT lower extremity w/contrast material (73701) | $2,913.16 | $3,884.21 | 16.5× |
| CT lumbar spine w contrast (72132) | $4,159.31 | $5,545.74 | 11.9× |
| CT lumbar spine w/o contrast (72131) | $3,265.05 | $4,353.40 | 31.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,471.32–$4,247.14 | $4,628.43–$5,662.85 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$1,572.82–$2,340.92 | $2,097.09–$3,121.23 | varies |
| CT neck tissue combo (70492) | $5,045.75 | $6,727.67 | 28.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$4,597.10–$4,627.61 | $6,129.46–$6,170.14 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$2,256.17–$3,538.72 | $3,008.22–$4,718.29 | varies |
| 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 scan of leg combo (73702) | $3,644.75 | $4,859.67 | 20.7× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,570.82–$4,626.26 | $6,094.43–$6,168.34 | varies |
| CT soft tissue neck w contrast (70491) | $4,295.43 | $5,727.24 | 24.4× |
| 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 cont (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 ext wo (73200) | $2,464.08 | $3,285.44 | 23.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,918.09 | $5,224.12 | 22.2× |
| CT upper extremity with contrast (73201) | $3,131.53 | $4,175.37 | 8.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 6 matching MRF lines |
$4,086.66–$8,484.42 | $5,448.88–$11,312.56 | varies |
| Cta Abdomen (74175) | $5,939.71 | $7,919.61 | 33.7× |
| CTA pelvis (72191) | $5,798.17 | $7,730.89 | 32.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $911.63 | $1,215.51 | 8.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$478.47–$911.63 | $637.96–$1,215.51 | varies |
| Dxa Bone Density Axial (77080) | $911.39 | $1,215.19 | 8.7× |
| Dxa bone density study (77085) | $514.01 | $685.35 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $911.14 | $1,214.85 | 10.4× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$1,575.47–$2,296.65 | $2,100.63–$3,062.20 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,296.65 | $3,062.20 | 9.6× |
| Esophagram (74220) | $726.90 | $969.20 | 4.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,034.98 | $4,046.64 | 12.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$996.25–$6,738.66 | $1,328.33–$8,984.88 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$57.38–$411.89 | $76.51–$549.19 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$43.31–$463.55 | $57.75–$618.07 | varies |
| Gastric emptying imaging study (78264) | $3,443.90 | $4,591.86 | 8.6× |
| Gated Heart Planar Single (78472) | $2,975.36 | $3,967.14 | 7.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$51.06–$366.67 | $68.08–$488.89 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,047.90 | $4,063.87 | 5.6× |
| Hepatobiliary System Imaging (78226) | $3,889.23 | $5,185.64 | 9.7× |
| Ht Muscle Image Spect Sing (78451) | $5,402.89 | $7,203.85 | 4.2× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $57 | $76 | 0.1× |
| Infant hip ultrasound, limited static exam (76886) | $972.74 | $1,296.98 | 11.1× |
| Joint Survey Single View (77077) range across 5 matching MRF lines |
$45.93–$644.03 | $61.24–$858.71 | varies |
| K Flow/Funct Image Multiple (78709) | $3,755.44 | $5,007.25 | 6.9× |
| K Flow/Funct Image W/Drug (78708) | $3,337.60 | $4,450.13 | 6.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,766.84 | $3,689.12 | 5.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $22,807.65 | $30,410.20 | 56.8× |
| Kidney Imaging Morphol (78700) | $2,870.15 | $3,826.87 | 7.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$61.13–$438.39 | $81.50–$584.52 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,546.63 | $3,395.51 | 6.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,438.26 | $1,917.68 | 3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,090.84 | $2,787.79 | 5.2× |
| Lung Ventilat&Perfus Imaging (78582) | $4,145.44 | $5,527.25 | 7.6× |
| Lung Ventilation Imaging (78579) | $1,519.09 | $2,025.45 | 3.8× |
| Lymph System Imaging (78195) | $5,686.24 | $7,581.65 | 10.4× |
| Magnetic Image Jaw Joint (70336) | $3,309.86 | $4,413.14 | 13.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $40,089.02 | $53,452.03 | 227.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $39,987.75 | $53,317 | 72.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $40,601.45 | $54,135.26 | 230.4× |
| Meckels Divert Exam (78290) | $1,760.19 | $2,346.92 | 4.4× |
| Mra Head W/O & W/Contrast Material (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) range across 4 matching MRF lines |
$2,816.87–$3,750.73 | $3,755.82–$5,000.97 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$1,812.23–$2,362.04 | $2,416.30–$3,149.38 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,027.81 | $4,037.08 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,255.57 | $4,340.76 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,816.87–$3,027.81 | $3,755.82–$4,037.08 | varies |
| MRI bone marrow blood supply (77084) | $3,743.45 | $4,991.27 | 15.6× |
| MRI brain functional w/o physician admnistration (70554) | $2,807.02 | $3,742.69 | 11.7× |
| MRI brain functional w/physician admnistration (70555) | $3,017.54 | $4,023.39 | 12.6× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$4,531.89–$5,025.25 | $6,042.52–$6,700.33 | varies |
| MRI cervical spine w contrast (72142) | $3,238.12 | $4,317.49 | 9.2× |
| MRI cervical spine w/o cont (72141) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest w/o contrast (71550) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$3,238.80–$3,750.73 | $4,318.40–$5,000.97 | varies |
| MRI chest wo w contrast (71552) | $3,743.45 | $4,991.27 | 10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,027.81–$3,145.60 | $4,037.08–$4,194.13 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,255.57–$3,373.35 | $4,340.76–$4,497.80 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,244.05–$3,034.98 | $2,992.06–$4,046.64 | varies |
| MRI lumbar spine w contrast (72149) | $3,238.12 | $4,317.49 | 9.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,743.45 | $4,991.27 | 10.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$3,034.98–$3,035.87 | $4,046.64–$4,047.83 | varies |
| MRI orbit face neck w contrast (70542) | $3,218.47 | $4,291.29 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,255.57–$3,723.76 | $4,340.76–$4,965.01 | varies |
| MRI pelvis w contrast (72196) | $3,238.80 | $4,318.40 | 9.2× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$2,869.58–$3,518.38 | $3,826.11–$4,691.17 | varies |
| MRI pelvis w/o contrast (72195) | $3,034.98 | $4,046.64 | 12.7× |
| MRI spectroscopy (76390) | $2,442.98 | $3,257.31 | 27.9× |
| MRI thoracic spine w/o contrast (72146) | $3,034.98 | $4,046.64 | 12.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,816.87–$3,145.60 | $3,755.82–$4,194.13 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,244.05–$3,034.98 | $2,992.06–$4,046.64 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,255.57–$3,373.56 | $4,340.76–$4,498.08 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,255.57–$4,762.36 | $4,340.76–$6,349.81 | varies |
| MRI, dorsal spine combo (72157) | $3,743.45 | $4,991.27 | 10.7× |
| MRI, dorsal spine contrast (72147) | $3,238.12 | $4,317.49 | 9.2× |
| MRI, joint upper extrem (73221) | $2,244.05 | $2,992.06 | 9.4× |
| MRI, joint upper extrem combo (73223) | $3,255.57 | $4,340.76 | 9.3× |
| MRI, lumbar spine combo (72158) | $3,741.42 | $4,988.56 | 10.7× |
| Myelogram Lumbar (72265) | $3,122.28 | $4,163.04 | 4.0× |
| Myelograpy 2/more regions rs&i (72270) | $3,481.79 | $4,642.38 | 4.4× |
| Myocardial Spect Multiple Studies (78452) | $6,685.89 | $8,914.52 | 5.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$60.03–$430.69 | $80.04–$574.25 | varies |
| Nm csf leak detection (78650) | $2,860.68 | $3,814.24 | 2.2× |
| Nm unlisted gi procedure (78299) | $1,592.18 | $2,122.91 | 4.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,139.44 | $2,852.58 | 1.5× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,075.04–$16,893.75 | $2,766.72–$22,525 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$89.25–$640.71 | $119–$854.28 | varies |
| Panoramic X-ray of jaws (70355) | $503.03 | $670.71 | 5.8× |
| Parathyroid Planar Imaging (78070) | $2,076.08 | $2,768.10 | 5.2× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$71.80–$515.22 | $95.73–$686.96 | varies |
| Perineogram (74775) | $953.62 | $1,271.49 | 4.0× |
| Pet Image W/Ct Lmtd (78814) | $7,297.85 | $9,730.46 | 5.1× |
| PET image w/CT, full body (78816) | $7,297.85 | $9,730.46 | 5.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,297.85 | $9,730.46 | 5.1× |
| Proton trmt simple w/comp (77522) | $1,022.52 | $1,363.36 | 0.8× |
| Proton tx delivery complex (77525) | $1,325.74 | $1,767.65 | 1.1× |
| Proton tx delivery intermediate (77523) | $1,174.14 | $1,565.52 | 0.9× |
| Proton tx delivery simple w/o compensation (77520) | $1,022.52 | $1,363.36 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,626.70 | $3,502.26 | 6.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$88.31–$633.64 | $117.74–$844.85 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,133.79 | $1,511.72 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$51.15–$438.39 | $68.20–$584.52 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$66–$473.62 | $88–$631.49 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$64.65–$463.94 | $86.20–$618.59 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$76.10–$546.13 | $101.47–$728.17 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$36.75–$398.51 | $49–$531.35 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$45.90–$438.39 | $61.20–$584.52 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$61.13–$438.39 | $81.50–$584.52 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$88.54–$635.12 | $118.05–$846.83 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$67.77–$486.36 | $90.36–$648.48 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $497.64 | $663.52 | 5.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$82.54–$592.04 | $110.05–$789.39 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$57.38–$411.89 | $76.50–$549.19 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$53.79–$386.10 | $71.72–$514.80 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$57.23–$410.56 | $76.30–$547.41 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$64.13–$460.24 | $85.51–$613.65 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$81.79–$586.70 | $109.05–$782.26 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$45.53–$326.73 | $60.70–$435.64 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$45.93–$342.47 | $61.24–$456.62 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$63.26–$453.88 | $84.35–$605.17 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$56.32–$403.88 | $75.09–$538.50 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$79.70–$571.76 | $106.26–$762.35 | varies |
| Radiologic exam colon double contrast study (74280) | $1,238.11 | $1,650.81 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $962.03 | $1,282.71 | 5.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$65.24–$468.27 | $86.99–$624.36 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $105 | $140 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $672.89 | $897.18 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $1,178.05 | $1,570.73 | 6.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,276.63 | $1,702.17 | 7.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$320.60–$368.65 | $427.47–$491.53 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$68.84–$494.08 | $91.78–$658.77 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$58.76–$421.64 | $78.35–$562.19 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $749.83 | $999.77 | 7.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$68.85–$526.31 | $91.80–$701.74 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $584.18 | $778.91 | 1.1× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $61.58 | $82.11 | 0.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$100.98–$724.55 | $134.64–$966.06 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$4,251.35–$5,403.21 | $5,668.47–$7,204.28 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$4,270.14–$4,928.06 | $5,693.52–$6,570.74 | varies |
| Rp Therapy Intravenous Administration (79101) | $31,605.47 | $42,140.62 | 134.8× |
| Salivary Gland Imaging Serial Images (78231) | $998 | $1,330.67 | 2.5× |
| Scapula (73010) range across 2 matching MRF lines |
$73.34–$526.31 | $97.78–$701.74 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$51.06–$366.57 | $68.08–$488.76 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$31.76–$227.80 | $42.35–$303.73 | varies |
| Shoulder Arthrography (73040) | $1,118.69 | $1,491.59 | 3.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$45.18–$247.93 | $60.24–$330.57 | varies |
| Special treatment procedure (77470) | $156.89 | $209.18 | 0.3× |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$139.33–$999.62 | $185.77–$1,332.82 | varies |
| Stereotactic Body Radiation Delivery (77373) | $1,196.51 | $1,595.34 | 0.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$65.68–$471.13 | $87.57–$628.17 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,627.53 | $2,170.04 | 9.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$67.73–$486.05 | $90.30–$648.07 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$76.10–$546.13 | $101.47–$728.17 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$67.73–$486.05 | $90.30–$648.07 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,917.11 | $2,556.14 | 4.8× |
| Thyroid Met Imaging Body (78018) | $4,891.50 | $6,522 | 9.0× |
| Thyroid Uptake Measurement (78012) | $2,406.72 | $3,208.96 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,697.11 | $3,596.15 | 6.7× |
| Tx Devices Design & Construction Complex (77334) | $144.34 | $192.45 | 0.4× |
| Ultrasound Breast Limited (76642) | $957.64 | $1,276.85 | 11.0× |
| Ultrasound elastography first target lesion (76982) | $493.26 | $657.68 | 4.7× |
| Ultrasound Elastography Parenchyma (76981) | $546.35 | $728.47 | 5.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,647.36 | $2,196.48 | 4.7× |
| Ultrasound, abdomen limited (76705) | $328.77 | $438.36 | 3.1× |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$845.42–$1,239.05 | $1,127.22–$1,652.07 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$3,743.45–$39,987.75 | $4,991.27–$53,317 | varies |
| Upper gi w/o kub (74240) | $2,118.35 | $2,824.46 | 12.0× |
| Ureteral Reflux Study (78740) | $2,217.58 | $2,956.77 | 5.5× |
| Urethrocystogram voiding (74455) | $541.70 | $722.26 | 2.3× |
| Urethrocystography retrograde (74450) | $815.87 | $1,087.82 | 3.4× |
| Us chest (76604) range across 2 matching MRF lines |
$662.13–$893.93 | $882.84–$1,191.90 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$312.57–$893.93 | $416.76–$1,191.90 | varies |
| Us head (76506) | $1,072.36 | $1,429.81 | 10.2× |
| Us kidney transplant (76776) | $583.01 | $777.35 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $328.77 | $438.36 | 3.1× |
| Us pelvic non ob complete (76856) | $713.46 | $951.28 | 6.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$490.31–$1,401.07 | $653.74–$1,868.09 | varies |
| Us retroperitoneal limited (76775) | $328.77 | $438.36 | 3.1× |
| Us scrotum and contents (76870) | $308.17 | $410.89 | 2.9× |
| Us spinal canal and contents (76800) | $676.58 | $902.10 | 6.4× |
| Us thyroid (76536) range across 5 matching MRF lines |
$179.60–$905.40 | $239.47–$1,207.20 | varies |
| Venography extremity unilateral rs&i (75820) | $4,528.37 | $6,037.83 | 2.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,900.67 | $2,534.22 | 4.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$58.76–$421.64 | $78.35–$562.19 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$48.93–$351.09 | $65.24–$468.12 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$932.61–$1,422.92 | $1,243.48–$1,897.22 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$57.38–$411.89 | $76.51–$549.19 | varies |
| X-Ray Exam Breast Specimen (76098) | $359.99 | $479.99 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$73.34–$526.31 | $97.78–$701.74 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $568.22 | $757.62 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$49.05–$351.89 | $65.40–$469.19 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$90.79–$617.53 | $121.05–$823.37 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$78.23–$561.22 | $104.30–$748.29 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $175.50 | $234 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$93.12–$668.18 | $124.16–$890.90 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $180 | $240 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$84.98–$609.82 | $113.31–$813.09 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$69.66–$499.81 | $92.88–$666.41 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,206.53 | $1,608.70 | 6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $114 | $152 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$60.19–$606.13 | $80.25–$808.17 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$81.79–$586.70 | $109.05–$782.26 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$63.11–$452.85 | $84.14–$603.80 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$77.99–$559.50 | $103.99–$746 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$90.99–$652.77 | $121.32–$870.36 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$109.39–$784.94 | $145.85–$1,046.58 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $994.89 | $1,326.52 | 2.8× |
| X-Rays Bone Length Studies (77073) | $583.64 | $778.19 | 5.6× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$129.92–$932.15 | $173.23–$1,242.87 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$132.85–$953 | $177.13–$1,270.66 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$74.05–$531.03 | $98.73–$708.04 | 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.