Imaging prices at Dell Children's Medical Center
Austin, TX · every code in this section with a posted price and a Medicare benchmark.
393 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$315.18–$667.28 | $450.25–$953.25 | varies |
| Abdomen 2 views (74019) range across 6 matching MRF lines |
$136.50–$819.88 | $195–$1,171.25 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$520.10–$2,023 | $743–$2,890 | varies |
| Adrenal Cortex & Medulla Img (78075) | $2,570.93 | $3,672.75 | 2.0× |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$1,787.45–$3,574.90 | $2,553.50–$5,107 | varies |
| Angio pulmonary bilat (75743) | $4,746.35 | $6,780.50 | 1.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,843.80 | $2,634 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $5,531.23 | $7,901.75 | 1.7× |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$5,530.53–$5,897.33 | $7,900.75–$8,424.75 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,333.50 | $1,905 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,333.50 | $1,905 | 0.4× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$258.13–$577.85 | $368.75–$825.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,531.23 | $7,901.75 | 1.0× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,172.45 | $3,103.50 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $1,843.80 | $2,634 | 0.6× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,843.80 | $2,634 | 0.3× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$3,168.90–$11,108.13 | $4,527–$15,868.75 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$779.63–$1,045.63 | $1,113.75–$1,493.75 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$779.63–$1,639.93 | $1,113.75–$2,342.75 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$779.63–$1,076.60 | $1,113.75–$1,538 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$169.93–$795.55 | $242.75–$1,136.50 | varies |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$684.43–$2,475.90 | $977.75–$3,537 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$622.48–$715.93 | $889.25–$1,022.75 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$1,229.90–$2,163 | $1,757–$3,090 | varies |
| Bone marrow imaging limited area (78102) range across 3 matching MRF lines |
$586.08–$2,017.05 | $837.25–$2,881.50 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$322–$469 | $460–$670 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$886.20–$919.45 | $1,266–$1,313.50 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$725.55–$1,440.78 | $1,036.50–$2,058.25 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,314.15 | $4,734.50 | 9.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $9,462.95 | $13,518.50 | 12.0× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$270.73–$625.63 | $386.75–$893.75 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$492.28–$742.88 | $703.25–$1,061.25 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$886.20–$1,917.83 | $1,266–$2,739.75 | varies |
| Chest 1 view (71045) range across 11 matching MRF lines |
$74.20–$523.08 | $106–$747.25 | varies |
| Chest 2 views (71046) range across 11 matching MRF lines |
$260.40–$1,787.45 | $372–$2,553.50 | varies |
| Chest 3 views (71047) range across 6 matching MRF lines |
$136.50–$561.58 | $195–$802.25 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$310.28–$375.90 | $443.25–$537 | varies |
| Clavicle complete (73000) range across 7 matching MRF lines |
$264.95–$709.10 | $378.50–$1,013 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$220.33–$221.38 | $314.75–$316.25 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,897.33 | $8,424.75 | 1.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$250.60–$1,498.88 | $358–$2,141.25 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$664.83–$1,045.63 | $949.75–$1,493.75 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$779.63–$1,301.30 | $1,113.75–$1,859 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $481.78 | $688.25 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$4,202.98–$6,890.28 | $6,004.25–$9,843.25 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$4,027.80–$4,744.95 | $5,754–$6,778.50 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,355.85–$2,718.10 | $3,365.50–$3,883 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,448.25–$2,963.80 | $3,497.50–$4,234 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,954.75–$2,339.40 | $2,792.50–$3,342 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,105.73–$6,357.05 | $4,436.75–$9,081.50 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$948.15–$2,431.28 | $1,354.50–$3,473.25 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$758.80–$2,497.78 | $1,084–$3,568.25 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,275.05–$2,238.25 | $1,821.50–$3,197.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$2,304.05–$5,576.03 | $3,291.50–$7,965.75 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$708.93–$2,497.78 | $1,012.75–$3,568.25 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,825.43–$2,041.38 | $2,607.75–$2,916.25 | varies |
| CT bone density (77078) | $625.63 | $893.75 | 7.2× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,593.50–$3,295.95 | $3,705–$4,708.50 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,512.30–$3,184.30 | $3,589–$4,549 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,841.48–$3,996.13 | $4,059.25–$5,708.75 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$2,350.25–$4,123.53 | $3,357.50–$5,890.75 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$2,431.28–$4,313.93 | $3,473.25–$6,162.75 | varies |
| CT colonography screening (74263) | $761.60 | $1,088 | 3.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$624.23–$731.85 | $891.75–$1,045.50 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$364.70–$519.40 | $521–$742 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,539.83–$2,865.45 | $2,199.75–$4,093.50 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,688.93–$3,213.35 | $2,412.75–$4,590.50 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,760.33 | $2,514.75 | 5.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$86.98–$87.85 | $124.25–$125.50 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,563.28–$1,760.33 | $2,233.25–$2,514.75 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,533.35–$2,452.10 | $2,190.50–$3,503 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,687.83–$2,841.48 | $3,839.75–$4,059.25 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$802.38–$1,655.68 | $1,146.25–$2,365.25 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,223.78–$1,909.25 | $1,748.25–$2,727.50 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,611.93–$1,857.45 | $2,302.75–$2,653.50 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,065.23–$1,422.23 | $1,521.75–$2,031.75 | varies |
| CT maxillofacial w contrast (70487) range across 5 matching MRF lines |
$1,688.93–$2,701.30 | $2,412.75–$3,859 | varies |
| CT maxillofacial wo contrast (70486) range across 12 matching MRF lines |
$1,385.83–$2,512.30 | $1,979.75–$3,589 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,086.88–$2,701.30 | $2,981.25–$3,859 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,497.65–$4,262.65 | $2,139.50–$6,089.50 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$1,244.78–$2,180.33 | $1,778.25–$3,114.75 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$2,841.48–$2,922.85 | $4,059.25–$4,175.50 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$1,661.28–$2,296.18 | $2,373.25–$3,280.25 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$1,320.90–$2,046.10 | $1,887–$2,923 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,770.83–$2,968.70 | $2,529.75–$4,241 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,944.95–$2,515.98 | $2,778.50–$3,594.25 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,552.78–$1,863.93 | $2,218.25–$2,662.75 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,611.93–$6,303.50 | $2,302.75–$9,005 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,065.23–$6,222.48 | $1,521.75–$8,889.25 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,687.83–$6,975.50 | $3,839.75–$9,965 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$735.53–$982.28 | $1,050.75–$1,403.25 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$1,492.75–$2,730.70 | $2,132.50–$3,901 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$2,841.48–$3,101.88 | $4,059.25–$4,431.25 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$1,561.70–$2,829.93 | $2,231–$4,042.75 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,788.10–$2,970.28 | $3,983–$4,243.25 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,977.45–$3,368.58 | $4,253.50–$4,812.25 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,031.63–$2,970.28 | $1,473.75–$4,243.25 | varies |
| Dilation ureters/urethra rs&i (74485) | $967.23 | $1,381.75 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $7,676.55 | $10,966.50 | 3.9× |
| Diskography lumbar (72295) | $7,676.55 | $10,966.50 | 3.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$374.15–$400.23 | $534.50–$571.75 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$121.28–$400.23 | $173.25–$571.75 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $295.40 | $422 | 2.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$267.23–$584.50 | $381.75–$835 | varies |
| Dxa bone density study (77085) | $409.15 | $584.50 | 3.9× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$1,256.68–$1,344.88 | $1,795.25–$1,921.25 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$436.63–$1,707.65 | $623.75–$2,439.50 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$1,725.50–$1,846.08 | $2,465–$2,637.25 | varies |
| Echograp Trans R Pros Study (76873) | $251.30 | $359 | 2.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$234.15–$581.35 | $334.50–$830.50 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$484.93–$1,641.68 | $692.75–$2,345.25 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$286.13–$1,337.18 | $408.75–$1,910.25 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$790.48–$882.53 | $1,129.25–$1,260.75 | varies |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$293.48–$1,106.70 | $419.25–$1,581 | varies |
| Follow-Up Angiography (75898) | $625.10 | $893 | 0.2× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$243.08–$994.35 | $347.25–$1,420.50 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$258.13–$703.15 | $368.75–$1,004.50 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$525.35–$728.88 | $750.50–$1,041.25 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 3 matching MRF lines |
$873.78–$1,371.13 | $1,248.25–$1,958.75 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$520.10–$1,551.03 | $743–$2,215.75 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$593.60–$2,038.23 | $848–$2,911.75 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$593.60–$3,053.93 | $848–$4,362.75 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 3 matching MRF lines |
$1,159.38–$1,727.60 | $1,656.25–$2,468 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$246.05–$1,015.53 | $351.50–$1,450.75 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,897.33 | $8,424.75 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,050.73 | $5,786.75 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$2,095.80–$2,942.45 | $2,994–$4,203.50 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$632.63–$1,959.13 | $903.75–$2,798.75 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,813–$5,412.23 | $2,590–$7,731.75 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,285.20–$1,966.83 | $1,836–$2,809.75 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$776.65–$1,079.93 | $1,109.50–$1,542.75 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $405.65 | $579.50 | 4.6× |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$181.48–$517.65 | $259.25–$739.50 | varies |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$98.35–$507.85 | $140.50–$725.50 | varies |
| K Flow/Funct Image Multiple (78709) range across 17 matching MRF lines |
$668.68–$1,996.58 | $955.25–$2,852.25 | varies |
| K Flow/Funct Image W/Drug (78708) range across 7 matching MRF lines |
$668.68–$2,400.13 | $955.25–$3,428.75 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 14 matching MRF lines |
$427.70–$2,296 | $611–$3,280 | varies |
| Kidney Imaging Morphol (78700) range across 6 matching MRF lines |
$668.68–$1,996.58 | $955.25–$2,852.25 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 9 matching MRF lines |
$659.58–$1,996.58 | $942.25–$2,852.25 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$340.73–$763.88 | $486.75–$1,091.25 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$520.10–$596.93 | $743–$852.75 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$592.90–$1,407.88 | $847–$2,011.25 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,619.10 | $2,313 | 4.0× |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$592.90–$687.05 | $847–$981.50 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$400.05–$1,192.63 | $571.50–$1,703.75 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$286.65–$856.10 | $409.50–$1,223 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$400.05–$2,393.83 | $571.50–$3,419.75 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$286.65–$553 | $409.50–$790 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$758.80–$1,330.53 | $1,084–$1,900.75 | varies |
| Magnetic Image Jaw Joint (70336) range across 9 matching MRF lines |
$1,098.13–$2,353.40 | $1,568.75–$3,362 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $3,542.70 | $5,061 | 20.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $2,376.50 | $3,395 | 4.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $4,007.50 | $5,725 | 22.7× |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$470.05–$730.45 | $671.50–$1,043.50 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$742.88–$1,411.90 | $1,061.25–$2,017 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$217–$234.33 | $310–$334.75 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$60.20–$65.10 | $86–$93 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$225.40–$243.43 | $322–$347.75 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$147–$158.73 | $210–$226.75 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$592.90–$640.33 | $847–$914.75 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$2,673.65–$5,416.25 | $3,819.50–$7,737.50 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,752.10–$2,120.65 | $2,503–$3,029.50 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$2,323.65–$2,640.58 | $3,319.50–$3,772.25 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,967.35–$2,362.33 | $2,810.50–$3,374.75 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,396.45–$2,547.30 | $3,423.50–$3,639 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,630.65–$2,376.50 | $2,329.50–$3,395 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,542.70–$3,588.90 | $5,061–$5,127 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,021.90–$3,310.83 | $4,317–$4,729.75 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,648.15–$2,435.13 | $2,354.50–$3,478.75 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,311.58–$2,918.65 | $3,302.25–$4,169.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,506–$3,417.58 | $3,580–$4,882.25 | varies |
| MRI brain functional w/o physician admnistration (70554) | $2,376.50 | $3,395 | 9.9× |
| MRI brain functional w/physician admnistration (70555) | $2,163.53 | $3,090.75 | 9.0× |
| MRI Breast W/O Contrast Bilateral (77047) range across 4 matching MRF lines |
$470.05–$3,549.35 | $671.50–$5,070.50 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 7 matching MRF lines |
$470.05–$2,376.50 | $671.50–$3,395 | varies |
| MRI cardiac w/o cont stress (75559) | $2,376.50 | $3,395 | 4.3× |
| MRI cardiac w/o contrast (75557) | $2,376.50 | $3,395 | 9.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,648.10–$4,309.90 | $3,783–$6,157 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,416.93–$3,638.25 | $3,452.75–$5,197.50 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,635.90–$2,269.93 | $2,337–$3,242.75 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,888.43–$2,558.85 | $2,697.75–$3,655.50 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,426.20–$2,670.33 | $3,466–$3,814.75 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$2,435.13–$2,595.78 | $3,478.75–$3,708.25 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,494.45–$3,844.23 | $3,563.50–$5,491.75 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,153.95–$2,207.98 | $1,648.50–$3,154.25 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,029.60–$3,542.70 | $4,328–$5,061 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,029.60–$4,127.20 | $4,328–$5,896 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,919.23–$2,505.30 | $2,741.75–$3,579 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,057.13–$2,859.15 | $2,938.75–$4,084.50 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,308.38–$5,025.13 | $4,726.25–$7,178.75 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,260.08–$3,542.70 | $4,657.25–$5,061 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,428.08–$3,693.20 | $4,897.25–$5,276 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,626.93–$2,690.98 | $3,752.75–$3,844.25 | varies |
| MRI spectroscopy (76390) | $4,154.33 | $5,934.75 | 47.5× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,416.93–$2,472.05 | $3,452.75–$3,531.50 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$2,676.98–$3,097.15 | $3,824.25–$4,424.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,353.98–$2,146.20 | $1,934.25–$3,066 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,558.85–$3,969 | $3,655.50–$5,670 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,918.08–$4,871.83 | $5,597.25–$6,959.75 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,127.20–$4,970.18 | $5,896–$7,100.25 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,118.33–$3,542.70 | $4,454.75–$5,061 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,507.10–$2,146.20 | $2,153–$3,066 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,558.85–$3,969 | $3,655.50–$5,670 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,127.20–$4,970.18 | $5,896–$7,100.25 | varies |
| Myelogram cervical (72240) | $1,415.23 | $2,021.75 | 1.8× |
| Myelogram Lumbar (72265) | $1,275.75 | $1,822.50 | 1.6× |
| Myelography thoracic (72255) | $1,415.23 | $2,021.75 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,327.38 | $1,896.25 | 1.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,813–$3,489.33 | $2,590–$4,984.75 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,813–$3,496.85 | $2,590–$4,995.50 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$2,474.50–$2,498.30 | $3,535–$3,569 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$210.18–$601.30 | $300.25–$859 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$678.13–$1,022.18 | $968.75–$1,460.25 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$886.20–$2,644.60 | $1,266–$3,778 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$571.73–$600.43 | $816.75–$857.75 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,759.10 | $2,513 | 7.5× |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$492.28–$603.05 | $703.25–$861.50 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $178.85 | $255.50 | 2.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$178.85–$436.63 | $255.50–$623.75 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$487.73–$581.35 | $696.75–$830.50 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$219.10–$294 | $313–$420 | varies |
| Panoramic X-ray of jaws (70355) | $201.08 | $287.25 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,367.80 | $1,954 | 2.5× |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$787.50–$905.63 | $1,125–$1,293.75 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$754.95–$1,176.35 | $1,078.50–$1,680.50 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$288.23–$609.53 | $411.75–$870.75 | varies |
| Perineogram (74775) | $610.75 | $872.50 | 2.5× |
| PET image w/CT, full body (78816) | $3,617.25 | $5,167.50 | 2.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,897.33 | $8,424.75 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$831.43–$976.33 | $1,187.75–$1,394.75 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$324.98–$845.25 | $464.25–$1,207.50 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$293.48–$746.38 | $419.25–$1,066.25 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$279.13–$722.58 | $398.75–$1,032.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$248.33–$595.88 | $354.75–$851.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$285.08–$809.73 | $407.25–$1,156.75 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$356.48–$571.73 | $509.25–$816.75 | varies |
| Radex fingr minimum 2 views (73140) range across 32 matching MRF lines |
$136.50–$454.13 | $195–$648.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$266.35–$676.90 | $380.50–$967 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$273.88–$1,115.63 | $391.25–$1,593.75 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$268.63–$412.65 | $383.75–$589.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$219.10–$632.45 | $313–$903.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$294.88–$595.35 | $421.25–$850.50 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $210.18 | $300.25 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$291.20–$692.65 | $416–$989.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 12 matching MRF lines |
$279.13–$713.65 | $398.75–$1,019.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$169.93–$404.08 | $242.75–$577.25 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $347.38 | $496.25 | 2.0× |
| Radex Spine 1 View Specify Level (72020) range across 7 matching MRF lines |
$263.38–$452.90 | $376.25–$647 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$195.83–$612.15 | $279.75–$874.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$136.50–$348.78 | $195–$498.25 | varies |
| Radex Toe Minimum 2 Views (73660) range across 32 matching MRF lines |
$136.50–$437.50 | $195–$625 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 7 matching MRF lines |
$258.13–$534.80 | $368.75–$764 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$282.98–$763.88 | $404.25–$1,091.25 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$504.35–$798.70 | $720.50–$1,141 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$344.40–$497.88 | $492–$711.25 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$745.15–$993.65 | $1,064.50–$1,419.50 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$473.55–$665.70 | $676.50–$951 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$458.33–$665.88 | $654.75–$951.25 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$388.68–$898.28 | $555.25–$1,283.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$288.23–$974.23 | $411.75–$1,391.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$410.55–$798.70 | $586.50–$1,141 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$1,134.88–$1,538.25 | $1,621.25–$2,197.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$458.33–$665.88 | $654.75–$951.25 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$159.78–$253.40 | $228.25–$362 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$159.78–$253.40 | $228.25–$362 | varies |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$268.63–$691.95 | $383.75–$988.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$219.10–$224.88 | $313–$321.25 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$268.63–$568.75 | $383.75–$812.50 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 2 matching MRF lines |
$440.48–$1,313.73 | $629.25–$1,876.75 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$390.95–$590.98 | $558.50–$844.25 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$2,059.23–$2,457.53 | $2,941.75–$3,510.75 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,890.18–$5,640.60 | $2,700.25–$8,058 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,296.75–$3,069.68 | $1,852.50–$4,385.25 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,170.58–$4,454.28 | $1,672.25–$6,363.25 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$3,180.10–$3,199.35 | $4,543–$4,570.50 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,414.25 | $4,877.50 | 2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,180.10–$3,199.35 | $4,543–$4,570.50 | varies |
| Salivary Gland Function Study (78232) | $520.10 | $743 | 1.3× |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$520.10–$1,551.03 | $743–$2,215.75 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 3 matching MRF lines |
$520.10–$1,783.60 | $743–$2,548 | varies |
| Scapula (73010) range across 7 matching MRF lines |
$277.73–$695.63 | $396.75–$993.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $119.35 | $170.50 | 5.1× |
| Sella turcica (70240) range across 3 matching MRF lines |
$136.50–$212.45 | $195–$303.50 | varies |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$203.18–$533.58 | $290.25–$762.25 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$718.20–$1,070.13 | $1,026–$1,528.75 | varies |
| Sialogram (70390) | $776.65 | $1,109.50 | 3.2× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$286.65–$416.50 | $409.50–$595 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$448.70–$554.05 | $641–$791.50 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$136.50–$377.83 | $195–$539.75 | varies |
| Superior sagittal sinus venogram (75870) | $776.65 | $1,109.50 | 0.2× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $239.75 | $342.50 | 2.7× |
| Tbs technical calculation only (77091) | $239.75 | $342.50 | 2.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $779.63 | $1,113.75 | 3.3× |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$668.68–$2,296 | $955.25–$3,280 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $555.28 | $793.25 | 3.2× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$318.85–$570.50 | $455.50–$815 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$390.95–$836.68 | $558.50–$1,195.25 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$320.43–$501.90 | $457.75–$717 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$349.30–$401.63 | $499–$573.75 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$856.10–$984.55 | $1,223–$1,406.50 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$316.40–$363.83 | $452–$519.75 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$418.78–$571.73 | $598.25–$816.75 | varies |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$252.88–$516.60 | $361.25–$738 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$363.30–$1,155.88 | $519–$1,651.25 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$363.30–$1,155.88 | $519–$1,651.25 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$436.63–$510.65 | $623.75–$729.50 | varies |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$354.73–$486.33 | $506.75–$694.75 | varies |
| Umbilical-artery Doppler (OB) (76820) | $149.63 | $213.75 | 1.4× |
| Unlisted Dx Radiographic Procedure (76499) | $167.30 | $239 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $2,376.50 | $3,395 | 27.2× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $938 | $1,340 | 2.3× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$121.28–$222.78 | $173.25–$318.25 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$458.33–$665.88 | $654.75–$951.25 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$328.48–$536.73 | $469.25–$766.75 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$295.75–$354.55 | $422.50–$506.50 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$668.68–$1,996.58 | $955.25–$2,852.25 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$584.50–$1,358.35 | $835–$1,940.50 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$513.98–$1,157.45 | $734.25–$1,653.50 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$250.60–$305.38 | $358–$436.25 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$204.23–$501.90 | $291.75–$717 | varies |
| Us complete joint (76881) range across 11 matching MRF lines |
$101.68–$704.38 | $145.25–$1,006.25 | varies |
| Us exam, pelvic, limited (76857) range across 7 matching MRF lines |
$512.05–$643.30 | $731.50–$919 | varies |
| Us head (76506) | $403.38 | $576.25 | 3.8× |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$178.85–$820.40 | $255.50–$1,172 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 11 matching MRF lines |
$342.65–$615.13 | $489.50–$878.75 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$251.30–$1,513.58 | $359–$2,162.25 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$226.98–$985.43 | $324.25–$1,407.75 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$497.88–$1,175.65 | $711.25–$1,679.50 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$260.75–$499.63 | $372.50–$713.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$63.18–$654.68 | $90.25–$935.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$121.28–$627.90 | $173.25–$897 | varies |
| Us retroperitoneal complete (76770) range across 6 matching MRF lines |
$423.68–$617.05 | $605.25–$881.50 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$328.48–$550.73 | $469.25–$786.75 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$553.18–$1,035.48 | $790.25–$1,479.25 | varies |
| Us spinal canal and contents (76800) | $550.73 | $786.75 | 5.2× |
| Us thyroid (76536) range across 6 matching MRF lines |
$236.25–$810.95 | $337.50–$1,158.50 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$178.85–$644.18 | $255.50–$920.25 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$535.85–$1,599.33 | $765.50–$2,284.75 | varies |
| Vein X-Ray Chest (75827) | $1,787.45 | $2,553.50 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,906.10 | $2,723 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $5,897.33 | $8,424.75 | 1.9× |
| Venogram Sinus/Jugular (75860) | $1,906.10 | $2,723 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $1,787.45 | $2,553.50 | 0.6× |
| Venography extremity bilateral rs&i (75822) range across 5 matching MRF lines |
$1,756.65–$1,932.35 | $2,509.50–$2,760.50 | varies |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$903.53–$2,554.83 | $1,290.75–$3,649.75 | varies |
| Venography Orbital Rs&I (75880) | $1,906.10 | $2,723 | 3.0× |
| Venography Renal Bilateral (75833) | $5,897.33 | $8,424.75 | 1.9× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,265.38–$2,695.88 | $3,236.25–$3,851.25 | varies |
| Venous sampling by catheter (75893) | $7,203.88 | $10,291.25 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $255.50 | $365 | 2.9× |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$245.35–$571.73 | $350.50–$816.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$283.68–$479.15 | $405.25–$684.50 | varies |
| X-ray antegrade pyelogram tube (74425) range across 9 matching MRF lines |
$610.75–$1,239.35 | $872.50–$1,770.50 | varies |
| X-Ray Aorta Leg Arteries (75630) | $5,897.33 | $8,424.75 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$219.10–$493.33 | $313–$704.75 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$246.05–$610.05 | $351.50–$871.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $406.70 | $581 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$159.78–$220.50 | $228.25–$315 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$264.60–$418.43 | $378–$597.75 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$504.35–$798.70 | $720.50–$1,141 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$159.78–$253.40 | $228.25–$362 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$159.78–$253.40 | $228.25–$362 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$264.60–$418.43 | $378–$597.75 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$264.60–$418.43 | $378–$597.75 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$264.60–$418.43 | $378–$597.75 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$504.35–$798.70 | $720.50–$1,141 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$506.45–$1,138.20 | $723.50–$1,626 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 7 matching MRF lines |
$353.50–$685.65 | $505–$979.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$393.23–$1,116.15 | $561.75–$1,594.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$219.10–$517.83 | $313–$739.75 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$136.50–$183.23 | $195–$261.75 | varies |
| X-ray head for orthodontia (70350) | $198.10 | $283 | 2.3× |
| X-ray humerus (73060) range across 7 matching MRF lines |
$279.13–$679.88 | $398.75–$971.25 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
$481.60–$689.33 | $688–$984.75 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$220.15–$332.15 | $314.50–$474.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$136.50–$578.90 | $195–$827 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$354.90–$674.10 | $507–$963 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$247.80–$374.50 | $354–$535 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$438.90–$910.35 | $627–$1,300.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$244.65–$387.45 | $349.50–$553.50 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$229.78–$252.70 | $328.25–$361 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$152.25–$341.25 | $217.50–$487.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$344.40–$493.33 | $492–$704.75 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$400.05–$654.15 | $571.50–$934.50 | varies |
| X-Ray Tmj Unilat (70328) | $272.48 | $389.25 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$610.75–$1,088.68 | $872.50–$1,555.25 | varies |
| X-Rays Bone Length Studies (77073) range across 5 matching MRF lines |
$198.45–$319.73 | $283.50–$456.75 | varies |
| X-Rays Bone Survey Complete (77075) range across 5 matching MRF lines |
$619.15–$1,320.20 | $884.50–$1,886 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$354.90–$1,034.95 | $507–$1,478.50 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$94.50–$401.80 | $135–$574 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $272.48 | $389.25 | 2.6× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$369.25–$625.10 | $527.50–$893 | varies |
| Xr Tomogram Single Plane (76100) | $219.10 | $313 | 2.1× |
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.