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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $203.02 | $270.70 | 1.9× |
| Acute gastrointestinal blood loss imaging (78278) | $2,131.10 | $2,841.46 | 5.3× |
| Ankle 2 views (73600) | $384.44 | $512.59 | 4.4× |
| Antegrade urography radiological supvj & interpj (74425) | $1,177.76 | $1,570.35 | 3.4× |
| 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× |
| Basic radiation dosimetry calculation (77300) | $75.67 | $100.89 | 0.6× |
| Bone &/Joint Imaging Limited Area (78300) | $1,866.17 | $2,488.22 | 4.6× |
| Bone &/joint imaging whole body (78306) | $2,658.91 | $3,545.21 | 6.6× |
| Bone age studies (77072) | $180.57 | $240.76 | 1.7× |
| Bone Imaging 3 Phase (78315) | $3,138.70 | $4,184.93 | 7.8× |
| Bone survey complete (77075) | $531.04 | $708.05 | 5.1× |
| Brain image w/flow 4 + views (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) | $5,714.92 | $7,619.88 | 16.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,090.55 | $1,454.06 | 2.0× |
| Cervical spine 2 or 3 views (72040) | $226.20 | $301.60 | 2.6× |
| Chest 1 view (71045) | $68.21 | $90.95 | 0.8× |
| Chest 3 views (71047) | $110.21 | $146.95 | 1.3× |
| 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) | $331.76 | $442.34 | 3.8× |
| Continuing medical physics consltj pr wk (77336) | $95.58 | $127.44 | 0.7× |
| 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 abdomen pelvis (74174) | $7,792.20 | $10,389.60 | 22.2× |
| 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) | $469.88 | $626.50 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $911.63 | $1,215.51 | 8.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $695.05 | $926.74 | 6.6× |
| 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) | $911.14 | $1,214.85 | 10.4× |
| Dxa bone density study axial skeleton (77085) | $514.01 | $685.35 | 4.9× |
| Echo exam of fetal heart (76825) | $1,936.06 | $2,581.42 | 3.5× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $2,296.65 | $3,062.20 | 9.6× |
| 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) | $3,867.46 | $5,156.60 | 16.1× |
| Foot 2 views (73620) | $384.44 | $512.59 | 4.4× |
| Forearm 2 views (73090) | $287.18 | $382.91 | 3.3× |
| 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× |
| Gated Heart Planar Single (78472) | $2,975.36 | $3,967.14 | 7.4× |
| Hand 2 views (73120) | $306.92 | $409.23 | 2.9× |
| Hand 3 views (73130) | $249.76 | $333.01 | 2.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $3,047.90 | $4,063.87 | 5.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $3,889.23 | $5,185.64 | 9.7× |
| Ht muscle image spect sing (78451) | $5,402.89 | $7,203.85 | 4.2× |
| Humerus Min 2 Views Left (73060) | $461.90 | $615.86 | 5.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $308.63 | $411.51 | 2.9× |
| Kidney funcj study non-img radioisotopic study (78725) | $22,807.65 | $30,410.20 | 56.8× |
| Kidney imaging morphology (78700) | $2,870.15 | $3,826.87 | 7.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $2,766.84 | $3,689.12 | 5.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $3,337.60 | $4,450.13 | 6.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $3,755.44 | $5,007.25 | 6.9× |
| Knee 3 views (73562) | $249.76 | $333.01 | 2.9× |
| 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 Ventilation Imaging (78579) | $1,519.09 | $2,025.45 | 3.8× |
| Lymphoscintigraphy (78195) | $5,686.24 | $7,581.65 | 10.4× |
| Meckels Diverticulum (78290) | $1,760.19 | $2,346.92 | 4.4× |
| 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) | $2,922.34 | $3,896.45 | 8.3× |
| 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) | $3,034.98 | $4,046.64 | 12.7× |
| 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) | $2,555.96 | $3,407.95 | 10.7× |
| 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× |
| Myocardial Spect Multiple Studies (78452) | $6,685.89 | $8,914.52 | 5.1× |
| Neck soft tissue (70360) | $245.36 | $327.14 | 2.8× |
| Nm cisternogram (78630) | $1,672.83 | $2,230.44 | 3.1× |
| Nm csf leak detection (78650) | $2,860.68 | $3,814.24 | 2.2× |
| Nm gastric emptying study (78264) | $3,443.90 | $4,591.86 | 8.6× |
| Nm red cell sequestration (78140) | $2,546.63 | $3,395.51 | 6.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,139.44 | $2,852.58 | 1.5× |
| Nuclear medicine study of digestive tracts (78299) | $1,592.18 | $2,122.91 | 4.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $1,900.67 | $2,534.22 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $9,484.40 | $12,645.86 | 40.5× |
| Orthopantogram (70355) | $503.03 | $670.71 | 5.8× |
| Osseous survey infant (77076) | $339.96 | $453.28 | 3.2× |
| Osseous survey limited (77074) | $749.83 | $999.77 | 7.1× |
| Parathyroid imaging (78070) | $2,076.08 | $2,768.10 | 5.2× |
| Pelvis 1 or 2 views (72170) | $252.93 | $337.24 | 2.4× |
| Perineogram (74775) | $953.62 | $1,271.49 | 4.0× |
| PET image w/CT, skull-thigh (78815) | $7,297.85 | $9,730.46 | 5.1× |
| PET imaging CT for attenuation limited area (78814) | $7,297.85 | $9,730.46 | 5.1× |
| PET imaging for CT attenuation whole body (78816) | $7,297.85 | $9,730.46 | 5.1× |
| 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× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $4,145.44 | $5,527.25 | 7.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,133.79 | $1,511.72 | 2.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $299.82 | $399.76 | 3.4× |
| 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) | $319.72 | $426.30 | 3.0× |
| Radex mastoids compl minimum 3 views pr side (70130) | $361.83 | $482.44 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $230.10 | $306.80 | 2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $27.24 | $36.32 | 0.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $325.73 | $434.30 | 3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $277.14 | $369.52 | 3.2× |
| 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) | $2,118.35 | $2,824.46 | 12.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $281.46 | $375.28 | 3.2× |
| Radiological examination surgical specimen (76098) | $359.99 | $479.99 | 0.7× |
| Ribs bilateral 3 views (71110) | $412.76 | $550.35 | 3.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $4,827.28 | $6,436.38 | 8.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,628.62 | $6,171.49 | 8.5× |
| Rp Therapy Intravenous Administration (79101) | $31,605.47 | $42,140.62 | 134.8× |
| Sacroiliac Joints < 3 Views (72200) | $257.98 | $343.97 | 2.5× |
| Salivary gland imaging serial images (78231) | $998 | $1,330.67 | 2.5× |
| Scanogram (77073) | $583.64 | $778.19 | 5.6× |
| Scapula complete (73010) | $299.82 | $399.76 | 2.9× |
| Sella turcica (70240) | $208.82 | $278.42 | 2.4× |
| Small bowel series (74250) | $672.89 | $897.18 | 3.8× |
| Special treatment procedure (77470) | $156.89 | $209.18 | 0.3× |
| Speech evaluation complex (70371) | $569.48 | $759.30 | 2.4× |
| Spine thoracic 3 views (72072) | $311.12 | $414.82 | 3.0× |
| Stereotactic body radiation delivery (77373) | $1,196.51 | $1,595.34 | 0.7× |
| Therapeutic Enema (74283) | $1,627.53 | $2,170.04 | 9.2× |
| Thoracolumbar 2 views (72080) | $276.89 | $369.18 | 3.2× |
| Thyroid carcinoma metastases img whole body (78018) | $4,891.50 | $6,522 | 9.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,917.11 | $2,556.14 | 4.8× |
| 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 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) | $328.77 | $438.36 | 3.1× |
| 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) | $329.72 | $439.62 | 3.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $2,217.58 | $2,956.77 | 5.5× |
| Urethrocystography retrograde rs&i (74450) | $815.87 | $1,087.82 | 3.4× |
| Urethrocystography voiding (74455) | $541.70 | $722.26 | 2.3× |
| 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) | $328.77 | $438.36 | 3.1× |
| Us scrotum and contents (76870) | $308.17 | $410.89 | 2.9× |
| 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) | $328.77 | $438.36 | 3.1× |
| Use of body cavity probe generated heat to increase temperature of cancer cell (77620) | $57 | $76 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $4,528.37 | $6,037.83 | 2.9× |
| Wrist 2 views (73100) | $394.50 | $526 | 4.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $360.98 | $481.30 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.01 | $266.68 | 2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $244.77 | $326.36 | 2.8× |
| 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) | $384.44 | $512.59 | 4.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $264.30 | $352.40 | 3.0× |
| X-ray exam hip uni 1 view (73501) | $200.47 | $267.30 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $354.16 | $472.21 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $175.50 | $234 | 1.7× |
| X-ray exam of femur 1 (73551) | $344.62 | $459.50 | 3.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $311.12 | $414.82 | 3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $302.54 | $403.38 | 3.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $242.14 | $322.86 | 2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $269.81 | $359.74 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $114 | $152 | 1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $266.76 | $355.68 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $257.95 | $343.94 | 2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $277.06 | $369.42 | 3.2× |
| X-ray of voice box or throat (70370) | $497.64 | $663.52 | 5.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $105 | $140 | 1.0× |
| 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) | $337.29 | $449.72 | 3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $347.40 | $463.20 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $334.24 | $445.66 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.22 | $308.29 | 2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $234.64 | $312.84 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $371.88 | $495.84 | 4.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $219.94 | $293.26 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $447.16 | $596.22 | 4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $146.56 | $195.40 | 1.4× |
| X-Ray Spine One View - Xr Spine (72020) | $229.06 | $305.40 | 2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $268.40 | $357.87 | 3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $262.18 | $349.58 | 3.0× |
| 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) | $276.89 | $369.18 | 2.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $186.13 | $248.17 | 2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $268.41 | $357.88 | 3.1× |
| Xr arthrogram ankle (73615) | $1,118.69 | $1,491.59 | 3.2× |
| Xr c-spine 6 or more views (72052) | $180 | $240 | 1.7× |
| Xr finger(s) 2+ views (73140) | $217.63 | $290.18 | 2.5× |
| Xr internal auditory meati complete (70134) | $584.18 | $778.91 | 1.1× |
| Xr optic foramina (70190) | $364.98 | $486.64 | 4.2× |
| Xr shoulder 1 view (73020) | $129.78 | $173.04 | 1.5× |
| Xr spine cervical 4 or 5 views (72050) | $542.92 | $723.90 | 5.2× |
| Xr tibia/fibula 2 views (73590) | $461.90 | $615.86 | 5.3× |
| Xr tmj bilateral (70330) | $334.24 | $445.66 | 3.8× |
| Xray knee 1 or 2 views rt (73560) | $240.20 | $320.27 | 2.7× |