Imaging prices at Coralvita Richardson
Richardson, TX · every code in this section with a posted price and a Medicare benchmark.
383 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) | $139.39 | $139.39 | 1.6× |
| Abdomen 2 views (74019) | $171.20 | $171.20 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $236.45 | $236.45 | 0.6× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $4,898.30 | $4,898.30 | 3.8× |
| Adrenal Cortex & Medulla Img (78075) | $4,898.30 | $4,898.30 | 3.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$137.41–$271.52 | $137.41–$271.52 | varies |
| Arthrogram ankle (73615) | $422.56 | $422.56 | 1.2× |
| Bone Imaging 3 Phase (78315) | $1,420.05 | $1,420.05 | 3.5× |
| Bone Imaging Limited Area (78300) | $849.02 | $849.02 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,416.80 | $1,416.80 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,220.42 | $1,220.42 | 3.0× |
| Bone marrow imaging limited area (78102) | $1,416.80 | $1,416.80 | 3.5× |
| Bone marrow imaging; multiple areas (78103) | $1,416.80 | $1,416.80 | 3.5× |
| Bone marrow imaging; whole body (78104) | $1,416.80 | $1,416.80 | 3.5× |
| Brain Flow Imaging Only (78610) | $1,817.20 | $1,817.20 | 3.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,416.80 | $1,416.80 | 3.5× |
| Brain imaging < 4 static views (78600) | $1,416.80 | $1,416.80 | 3.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,817.20 | $1,817.20 | 3.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,817.20 | $1,817.20 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,922.06 | $4,922.06 | 3.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,416.80 | $1,416.80 | 3.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,817.20 | $1,817.20 | 3.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,469.60 | $1,469.60 | 4.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,621.30 | $2,621.30 | 3.3× |
| Cardiac Shunt Detection (78428) | $1,416.80 | $1,416.80 | 3.5× |
| Cardiovasc nucl exam unlisted (78499) | $1,416.80 | $1,416.80 | 3.5× |
| Cat Scan Follow-Up Study (76380) | $780.86 | $780.86 | 8.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,817.20 | $1,817.20 | 3.3× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $1,817.20 | $1,817.20 | 3.3× |
| Cerebrospinal Fluid Scan (78630) | $1,817.20 | $1,817.20 | 3.3× |
| Chest 1 view (71045) | $114.57 | $114.57 | 1.3× |
| Chest 2 views (71046) | $149.99 | $149.99 | 1.7× |
| Chest 3 views (71047) | $184.97 | $184.97 | 2.1× |
| Chest 4 or more views (71048) | $224.31 | $224.31 | 2.1× |
| Cholecystography Oral Contrast (74290) | $701.80 | $701.80 | 4.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$122.15–$139.04 | $122.15–$139.04 | varies |
| Contrast X-Ray Bladder (74430) | $294.58 | $294.58 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$637.95–$1,275.91 | $637.95–$1,275.91 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,499.19 | $1,499.19 | 4.3× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$969.01–$1,237.50 | $969.01–$1,237.50 | varies |
| CT abdomen w contrast (74160) | $1,614.84 | $1,614.84 | 9.2× |
| CT abdomen w wo contrast (74170) | $1,946.86 | $1,946.86 | 11.0× |
| CT abdomen w/o contrast (74150) | $1,194.55 | $1,194.55 | 11.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,674.59 | $1,674.59 | 4.8× |
| CT Angio Chest (71275) | $1,476.42 | $1,476.42 | 8.4× |
| CT Angio Head (70496) | $2,053.48 | $2,053.48 | 11.7× |
| CT angio hrt w/3d image (75574) | $2,643.85 | $2,643.85 | 7.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,089.64 | $2,089.64 | 11.9× |
| CT Angio Neck (70498) | $2,053.48 | $2,053.48 | 11.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$701.80–$2,089.64 | $701.80–$2,089.64 | varies |
| CT bone density (77078) | $306.90 | $306.90 | 3.5× |
| CT cervical spine w/ contrast (72126) | $1,117.55 | $1,117.55 | 3.2× |
| CT cervical spine w/o contrast (72125) | $1,179.72 | $1,179.72 | 11.2× |
| CT cervical spine w/wo cont (72127) | $1,318.50 | $1,318.50 | 7.5× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$431.20–$1,503.70 | $431.20–$1,503.70 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$431.20–$1,354.98 | $431.20–$1,354.98 | varies |
| CT colonography screening (74263) | $369.60 | $369.60 | 1.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,031.39 | $2,031.39 | 11.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,493.58 | $1,493.58 | 14.2× |
| CT head/brain with contrast (70460) | $1,238.77 | $1,238.77 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,498.77 | $1,498.77 | 8.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $701.80 | $701.80 | 2.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $357.10 | $357.10 | 4.1× |
| CT hrt w/3d image congen (75573) | $701.80 | $701.80 | 2.0× |
| CT iac w contrast (70481) | $1,766.99 | $1,766.99 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $1,049.86 | $1,049.86 | 6.0× |
| CT lower ext w/o (73700) | $1,179.64 | $1,179.64 | 11.2× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,328.20–$1,461.02 | $1,328.20–$1,461.02 | varies |
| CT lumbar spine w contrast (72132) | $1,500.35 | $1,500.35 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,179.72 | $1,179.72 | 11.2× |
| CT maxillofacial w contrast (70487) | $821.52 | $821.52 | 4.7× |
| CT maxillofacial wo contrast (70486) | $1,207.71 | $1,207.71 | 11.5× |
| CT neck tissue combo (70492) | $701.80 | $701.80 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,967.76 | $1,967.76 | 11.2× |
| CT orbits w/o contrast (70480) | $1,242.12 | $1,242.12 | 11.8× |
| CT pelvis w&w/o contrast (72194) | $1,822.39 | $1,822.39 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,174.96 | $1,174.96 | 11.2× |
| CT scan of leg combo (73702) | $1,861.68 | $1,861.68 | 10.6× |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$999.50–$1,788.88 | $999.50–$1,788.88 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,242.12–$1,497.32 | $1,242.12–$1,497.32 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,242.12 | $1,242.12 | 11.8× |
| CT thoracic spine w contrast (72129) | $1,503.61 | $1,503.61 | 8.5× |
| CT thoracic spine w/o contrast (72128) | $1,179.72 | $1,179.72 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $1,320.22 | $1,320.22 | 7.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$431.20–$780.86 | $431.20–$780.86 | varies |
| CT upper ext wo (73200) | $1,179.64 | $1,179.64 | 11.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,851.87 | $1,851.87 | 10.5× |
| CT upper extremity with contrast (73201) | $1,447.95 | $1,447.95 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,211.13 | $2,211.13 | 12.5× |
| Cta Abdomen (74175) | $2,091.18 | $2,091.18 | 11.9× |
| CTA pelvis (72191) | $701.80 | $701.80 | 4.0× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $1,817.20 | $1,817.20 | 3.3× |
| Dilation ureters/urethra rs&i (74485) | $6,820 | $6,820 | 3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $431.20 | $431.20 | 4.1× |
| Echo Guide For Artery Repair (76936) | $974.60 | $974.60 | 4.5× |
| Echograp Trans R Pros Study (76873) | $431.20 | $431.20 | 4.1× |
| Esophageal Motility Study (78258) | $1,416.80 | $1,416.80 | 3.5× |
| Esophagram (74220) | $436.92 | $436.92 | 2.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$306.90–$613.80 | $306.90–$613.80 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$135.82–$271.65 | $135.82–$271.65 | varies |
| Gastric emptying imaging study (78264) | $1,336.36 | $1,336.36 | 3.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,416.80 | $1,416.80 | 3.5× |
| Gastric Mucosa Imaging (78261) | $1,416.80 | $1,416.80 | 3.5× |
| Gastroesophageal Reflux Exam (78262) | $1,416.80 | $1,416.80 | 3.5× |
| Gastrointestinal Protein Loss (78282) | $1,416.80 | $1,416.80 | 3.5× |
| Gated Heart Planar Single (78472) | $1,416.80 | $1,416.80 | 3.5× |
| Gated Heart, Multiple (78473) | $1,416.80 | $1,416.80 | 3.5× |
| GI Endoscopic US S&I (76975) | $535.34 | $535.34 | 2.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,817.20 | $1,817.20 | 3.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$134.15–$268.31 | $134.15–$268.31 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,851.20 | $2,851.20 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,851.20 | $2,851.20 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,851.20 | $2,851.20 | 4.1× |
| Heart first pass single,planar (78481) | $1,817.20 | $1,817.20 | 3.3× |
| Heart Image (Pet) Multiple (78492) | $5,840.23 | $5,840.23 | 4.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,920.27 | $1,920.27 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,402.36 | $1,402.36 | 3.5× |
| Ht Musc Image Planar Mult (78454) | $4,898.30 | $4,898.30 | 3.8× |
| Ht Muscle Image Spect Sing (78451) | $1,642.78 | $1,642.78 | 1.3× |
| Infusion Ivp (74410) | $701.80 | $701.80 | 4.0× |
| Interstitial radiation source applic complex (77778) | $2,851.20 | $2,851.20 | 4.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,851.20 | $2,851.20 | 4.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,074.60 | $2,074.60 | 3.7× |
| Intracavitary radiation source applic simple (77761) | $2,074.60 | $2,074.60 | 3.7× |
| Joint Survey Single View (77077) | $165 | $165 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $1,765.36 | $1,765.36 | 3.2× |
| K Flow/Funct Image W/Drug (78708) | $1,817.20 | $1,817.20 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,817.20 | $1,817.20 | 3.3× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,416.80 | $1,416.80 | 3.5× |
| Kidney Imaging Morphol (78700) | $1,416.80 | $1,416.80 | 3.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,416.80 | $1,416.80 | 3.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$129.14–$258.28 | $129.14–$258.28 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,416.80 | $1,416.80 | 3.5× |
| Leveen/Shunt Patency Exam (78291) | $1,416.80 | $1,416.80 | 3.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,416.80 | $1,416.80 | 3.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,416.80 | $1,416.80 | 3.5× |
| Liver imaging static only (78201) | $4,898.30 | $4,898.30 | 9.0× |
| Liver imaging w/vascular flow (78202) | $4,898.30 | $4,898.30 | 9.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,817.20 | $1,817.20 | 3.3× |
| Lung perfusion differential (78597) | $1,416.80 | $1,416.80 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,817.20 | $1,817.20 | 3.3× |
| Lung Ventilation Imaging (78579) | $1,416.80 | $1,416.80 | 3.5× |
| Lymph System Imaging (78195) | $1,817.20 | $1,817.20 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $1,562.39 | $1,562.39 | 6.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $701.80 | $701.80 | 4.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,854.60 | $1,854.60 | 3.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $701.80 | $701.80 | 4.0× |
| Magnetic Resonance Elastography (76391) | $897.60 | $897.60 | 3.7× |
| Meckels Divert Exam (78290) | $1,416.80 | $1,416.80 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,970.35 | $2,970.35 | 8.5× |
| MRA head w/o contrast (70544) | $1,940.09 | $1,940.09 | 8.1× |
| MRA head with contrast (70545) | $2,391.35 | $2,391.35 | 6.8× |
| MRA neck w contrast (70548) | $2,391.35 | $2,391.35 | 6.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,001.81 | $3,001.81 | 8.6× |
| MRA neck w/o contrast (70547) | $1,923.15 | $1,923.15 | 8.0× |
| MRI abdomen w contrast (74182) | $2,519.39 | $2,519.39 | 7.2× |
| MRI abdomen w/o contrast (74181) | $5,300.94 | $5,300.94 | 22.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,862.87–$2,201.32 | $1,862.87–$2,201.32 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,085.54 | $3,085.54 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,847.60 | $1,847.60 | 2.3× |
| MRI bone marrow blood supply (77084) | $897.60 | $897.60 | 3.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $897.60 | $897.60 | 3.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $897.60 | $897.60 | 3.7× |
| MRI cardiac w/o cont stress (75559) | $1,854.60 | $1,854.60 | 3.4× |
| MRI cardiac w/o contrast (75557) | $897.60 | $897.60 | 3.7× |
| MRI cervical spine w contrast (72142) | $2,565.37 | $2,565.37 | 7.3× |
| MRI cervical spine w/o cont (72141) | $2,036.89 | $2,036.89 | 8.5× |
| MRI chest w/o contrast (71550) | $897.60 | $897.60 | 3.7× |
| MRI chest with contrast (71551) | $2,219.58 | $2,219.58 | 2.8× |
| MRI chest wo w contrast (71552) | $1,469.60 | $1,469.60 | 4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,974.41 | $1,974.41 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,453.30 | $2,453.30 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,976.17–$2,230.28 | $1,976.17–$2,230.28 | varies |
| MRI lumbar spine w contrast (72149) | $2,534.09 | $2,534.09 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,190.48 | $3,190.48 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,330.89 | $1,330.89 | 5.6× |
| MRI orbit face neck w contrast (70542) | $1,965.70 | $1,965.70 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,469.60 | $1,469.60 | 4.2× |
| MRI pelvis w contrast (72196) | $2,521.02 | $2,521.02 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,111.81 | $3,111.81 | 8.9× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,005.69–$2,669.92 | $2,005.69–$2,669.92 | varies |
| MRI spectroscopy (76390) | $224.40 | $224.40 | 2.6× |
| MRI thoracic spine w/o contrast (72146) | $2,036.89 | $2,036.89 | 8.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,970.10 | $1,970.10 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,776.58 | $1,776.58 | 7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,437.64 | $2,437.64 | 7.0× |
| MRI, abdomen, combo (74183) | $3,110.18 | $3,110.18 | 8.9× |
| MRI, dorsal spine combo (72157) | $3,190.48 | $3,190.48 | 9.1× |
| MRI, dorsal spine contrast (72147) | $2,545.75 | $2,545.75 | 7.3× |
| MRI, joint upper extrem (73221) | $1,982.64 | $1,982.64 | 8.3× |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,289.49–$4,460.56 | $2,289.49–$4,460.56 | varies |
| MRI, lumbar spine combo (72158) | $3,141.20 | $3,141.20 | 9.0× |
| Musculoskeletal Nuclear Exam (78399) | $1,416.80 | $1,416.80 | 3.5× |
| Myelogram cervical (72240) | $700.61 | $700.61 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,039.45 | $1,039.45 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,416.80 | $1,416.80 | 3.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$4,913.80–$5,405.18 | $4,913.80–$5,405.18 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,817.20 | $1,817.20 | 3.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,898.30 | $4,898.30 | 3.8× |
| Myocardial Spect Multiple Studies (78452) | $2,300.27 | $2,300.27 | 1.8× |
| Neck soft tissue (70360) | $134.15 | $134.15 | 1.5× |
| Nervous system nuclear exam (78699) | $1,416.80 | $1,416.80 | 3.5× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $909.70 | $909.70 | 2.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,416.80 | $1,416.80 | 3.5× |
| Nm csf leak detection (78650) | $4,898.30 | $4,898.30 | 3.8× |
| Nm myocard infarct spect (78469) | $4,898.30 | $4,898.30 | 9.0× |
| Nm red cell survival study (78130) | $1,416.80 | $1,416.80 | 3.5× |
| Nm unlisted gi procedure (78299) | $1,416.80 | $1,416.80 | 3.5× |
| Nm whole blood volume (78122) | $1,817.20 | $1,817.20 | 3.3× |
| Nuclear medicine study of endocrine organs (78099) | $1,416.80 | $1,416.80 | 3.5× |
| Nuclear Rx Intra-Arterial (79445) | $914.10 | $914.10 | 3.9× |
| Nuclear Rx Oral Admin (79005) | $914.10 | $914.10 | 3.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $431.20 | $431.20 | 4.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $431.20 | $431.20 | 4.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $420.20 | $420.20 | 3.1× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $431.20 | $431.20 | 4.1× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $306.90 | $306.90 | 3.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $431.20 | $431.20 | 4.1× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $88 | $88 | 3.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $431.20 | $431.20 | 4.1× |
| Optic foramina (70190) | $150.20 | $150.20 | 1.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,817.20 | $1,817.20 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,416.80 | $1,416.80 | 3.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,416.80 | $1,416.80 | 3.5× |
| Pelvis 1 or 2 views (72170) | $132.44 | $132.44 | 1.3× |
| Pet Image Skull-Thigh (78812) | $5,024.58 | $5,024.58 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $589.33 | $589.33 | 0.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $5,405.18 | $5,405.18 | 4.2× |
| PET whole body (78813) | $5,405.18 | $5,405.18 | 3.8× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $4,898.30 | $4,898.30 | 3.8× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $4,898.30 | $4,898.30 | 3.8× |
| Platelet survival study Non-Facility (78191) | $1,416.80 | $1,416.80 | 3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,024.10 | $1,024.10 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$212.84–$234.12 | $212.84–$234.12 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$157.08–$314.17 | $157.08–$314.17 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$116.49–$271.66 | $116.49–$271.66 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$165.22–$330.44 | $165.22–$330.44 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $207.85 | $207.85 | 2.0× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$114.80–$152.10 | $114.80–$152.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$139.05–$613.80 | $139.05–$613.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$155.40–$282.56 | $155.40–$282.56 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $160.29 | $160.29 | 1.8× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $394.32 | $394.32 | 4.5× |
| Radex Ribs Unilateral 2 Views (71100) | $157.16 | $157.16 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$150.43–$300.87 | $150.43–$300.87 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $150.48 | $150.48 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $701.80 | $701.80 | 4.0× |
| Radex Spine 1 View Specify Level (72020) | $116.16 | $116.16 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $297 | $297 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $297 | $297 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $142.29 | $142.29 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$176.70–$353.40 | $176.70–$353.40 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $393.62 | $393.62 | 3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $198.17 | $198.17 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $197.12 | $197.12 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $701.80 | $701.80 | 4.0× |
| Radiologic exam colon single contrast study (74270) | $701.80 | $701.80 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $701.80 | $701.80 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$204.42–$408.84 | $204.42–$408.84 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $204.42 | $204.42 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $132.66 | $132.66 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $443.56 | $443.56 | 2.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $187.22 | $187.22 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $672.18 | $672.18 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$134.90–$269.80 | $134.90–$269.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$187.30–$374.61 | $187.30–$374.61 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$102.96–$205.92 | $102.96–$205.92 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$134.15–$268.31 | $134.15–$268.31 | varies |
| Radiopharm Dacryocystography (78660) | $1,416.80 | $1,416.80 | 3.5× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $914.10 | $914.10 | 3.9× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $914.10 | $914.10 | 3.9× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $914.10 | $914.10 | 3.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,416.80 | $1,416.80 | 3.5× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,817.20 | $1,817.20 | 3.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $909.70 | $909.70 | 2.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $909.70 | $909.70 | 2.3× |
| Renal Cyst Study (74470) | $1,854.60 | $1,854.60 | 3.4× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$198.04–$396.08 | $198.04–$396.08 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,416.80 | $1,416.80 | 3.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,416.80 | $1,416.80 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,898.30 | $4,898.30 | 9.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,898.30 | $4,898.30 | 9.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,898.30 | $4,898.30 | 9.0× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $914.10 | $914.10 | 3.9× |
| Rp Therapy Intravenous Administration (79101) | $914.10 | $914.10 | 3.9× |
| Rp Therapy Unlisted Procedure (79999) | $914.10 | $914.10 | 3.9× |
| Salivary Gland Function Study (78232) | $1,416.80 | $1,416.80 | 3.5× |
| Salivary Gland Imaging (78230) | $1,416.80 | $1,416.80 | 3.5× |
| Salivary Gland Imaging Serial Images (78231) | $1,416.80 | $1,416.80 | 3.5× |
| Scapula (73010) range across 3 matching MRF lines |
$36.95–$148.76 | $36.95–$148.76 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$114.57–$229.15 | $114.57–$229.15 | varies |
| Skull less than 4 views (70250) | $180.04 | $180.04 | 1.7× |
| Speech evaluation, complex (70371) | $457.02 | $457.02 | 1.9× |
| Spleen Imaging (78185) | $1,416.80 | $1,416.80 | 3.5× |
| Sternoclavicular joints (71130) | $158.67 | $158.67 | 1.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $471.90 | $471.90 | 4.6× |
| Testicular Imaging W/Flow (78761) | $1,416.80 | $1,416.80 | 3.5× |
| Thoracic spine 2 views (72070) | $165.30 | $165.30 | 1.6× |
| Thoracic spine 3 views (72072) | $183.26 | $183.26 | 1.7× |
| Thoracolumbar 2 views (72080) | $148.85 | $148.85 | 1.7× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,416.80 | $1,416.80 | 3.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,416.80 | $1,416.80 | 3.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,416.80 | $1,416.80 | 3.5× |
| Thyroid Met Imaging Body (78018) | $1,817.20 | $1,817.20 | 3.3× |
| Thyroid Uptake Measurement (78012) | $1,416.80 | $1,416.80 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,416.80 | $1,416.80 | 3.5× |
| Ultrasound Breast Limited (76642) | $306.90 | $306.90 | 3.5× |
| Ultrasound elastography first target lesion (76982) | $431.20 | $431.20 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $431.20 | $431.20 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $431.20 | $431.20 | 4.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $701.80 | $701.80 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$431.20–$517.17 | $431.20–$517.17 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,416.80 | $1,416.80 | 3.5× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $1,416.80 | $1,416.80 | 3.5× |
| Unlisted magnetic resonance procedure (76498) | $306.90 | $306.90 | 3.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,416.80 | $1,416.80 | 3.5× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $471.90 | $471.90 | 4.6× |
| Unlisted respiratory px dx nuclear medicine (78599) | $1,416.80 | $1,416.80 | 3.5× |
| Unlisted us procedure (76999) | $306.90 | $306.90 | 3.5× |
| Upper gi w/o kub (74240) | $541.77 | $541.77 | 3.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $36.49 | $36.49 | 3.3× |
| Urea breath test c-14 isotopic analysis (78268) | $311.55 | $311.55 | 3.3× |
| Ureteral Reflux Study (78740) | $1,416.80 | $1,416.80 | 3.5× |
| Urethrocystogram voiding (74455) | $897.60 | $897.60 | 3.7× |
| Urethrocystography retrograde (74450) | $897.60 | $897.60 | 3.7× |
| Us bone density measurement (76977) | $431.20 | $431.20 | 4.1× |
| Us breast unilateral complete (76641) | $431.20 | $431.20 | 4.1× |
| Us chest (76604) range across 2 matching MRF lines |
$365.03–$425.56 | $365.03–$425.56 | varies |
| Us complete joint (76881) | $431.20 | $431.20 | 4.1× |
| Us exam, pelvic, limited (76857) | $394.28 | $394.28 | 3.8× |
| Us head (76506) | $431.20 | $431.20 | 4.1× |
| Us kidney transplant (76776) | $431.20 | $431.20 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $431.20 | $431.20 | 4.1× |
| Us pelvic non ob complete (76856) | $603.94 | $603.94 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $460.51 | $460.51 | 4.4× |
| Us retroperitoneal complete (76770) range across 6 matching MRF lines |
$427.90–$639.93 | $427.90–$639.93 | varies |
| Us retroperitoneal limited (76775) range across 10 matching MRF lines |
$420.20–$540.05 | $420.20–$540.05 | varies |
| Us scrotum and contents (76870) | $600.55 | $600.55 | 5.7× |
| Us spinal canal and contents (76800) | $431.20 | $431.20 | 4.1× |
| Us thyroid (76536) | $572.74 | $572.74 | 5.5× |
| Us transrectal (76872) | $431.20 | $431.20 | 4.1× |
| Vascular Flow Imaging (78445) | $1,416.80 | $1,416.80 | 3.5× |
| Venous thrombosis imaging (78457) | $4,898.30 | $4,898.30 | 9.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,416.80 | $1,416.80 | 3.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$150.43–$300.88 | $150.43–$300.88 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$155.76–$297 | $155.76–$297 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,469.60 | $1,469.60 | 4.2× |
| X-Ray Bend Only L-S Spine (72120) | $250.22 | $250.22 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$137.41–$271.52 | $137.41–$271.52 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $188.45 | $188.45 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $303.16 | $303.16 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $329.25 | $329.25 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $144.49 | $144.49 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $201.05 | $201.05 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $431.20 | $431.20 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $192.28 | $192.28 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $237.16 | $237.16 | 2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $275.39 | $275.39 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $361.54 | $361.54 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $189.77 | $189.77 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $325.60 | $325.60 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$167.09–$297 | $167.09–$297 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$122.15–$136.18 | $122.15–$136.18 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$142.34–$284.68 | $142.34–$284.68 | varies |
| X-ray IV pyelogram (ivp) (74400) | $541.55 | $541.55 | 3.1× |
| X-ray IV pyelogram+tomography (74415) | $701.80 | $701.80 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $306.90 | $306.90 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $165.08 | $165.08 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $197.91 | $197.91 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $297 | $297 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $143.96 | $143.96 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $142.34 | $142.34 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $188.23 | $188.23 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $229.28 | $229.28 | 2.2× |
| X-Ray Stress View (77071) | $237.21 | $237.21 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $215.95 | $215.95 | 2.1× |
| X-Ray Tmj Unilat (70328) | $297 | $297 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,469.60 | $1,469.60 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $431.20 | $431.20 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $256.91 | $256.91 | 2.4× |
| Xr facial bones less than 3 views (70140) | $147.31 | $147.31 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $143.16 | $143.16 | 1.4× |
| Xr orbits complete 4 views (70200) | $297 | $297 | 2.8× |
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.