Imaging prices at Detar Healthcare System
Victoria, TX · every code in this section with a posted price and a Medicare benchmark.
304 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,909.80 | $23,380 | 3.5× |
| Abdomen 1 View (74018) | $381.15 | $1,815 | 4.4× |
| Abdomen 2 views (74019) | $451.50 | $2,150 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $516.81 | $2,461 | 1.3× |
| Angio internal mammary (75756) | $1,172.43 | $5,583 | 0.4× |
| Angio pulmonary bilat (75743) | $4,989.81 | $23,761 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $2,951.97 | $14,057 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,951.97 | $14,057 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,022.95 | $14,395 | 1.0× |
| Ankle 2 views (73600) | $343.56 | $1,636 | 3.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,171.46–$5,772.69 | $24,626–$27,489 | varies |
| Artery X-Rays Pelvis (75736) | $3,757.53 | $17,893 | 0.7× |
| Artery X-Rays Spine (75705) | $3,962.70 | $18,870 | 0.7× |
| Arthrogram Wrist (73115) | $1,250.55 | $5,955 | 3.6× |
| Basic radiation dosimetry calculation (77300) | $314.79 | $1,499 | 2.3× |
| Bone age studies (77072) | $343.56 | $1,636 | 3.3× |
| Bone Imaging 3 Phase (78315) | $1,851.36 | $8,816 | 4.6× |
| Bone Imaging Whole Body (78306) | $1,112.37 | $5,297 | 2.8× |
| Bone survey infant (77076) | $692.16 | $3,296 | 6.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,024.59 | $4,879 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $2,954.28 | $14,068 | 5.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$292.95–$348.39 | $1,395–$1,659 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$331.59–$354.69 | $1,579–$1,689 | varies |
| Chest 3 views (71047) | $640.08 | $3,048 | 7.3× |
| Chest 4 or more views (71048) | $831.81 | $3,961 | 7.9× |
| Clavicle complete (73000) | $484.05 | $2,305 | 5.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,331.19 | $6,339 | 12.7× |
| Continuing medical physics consltj pr wk (77336) | $679.35 | $3,235 | 5.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,234.61 | $10,641 | 0.7× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$375.06–$611.10 | $1,786–$2,910 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,541.82 | $7,342 | 4.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $186.90 | $890 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,885.84 | $18,504 | 11.1× |
| CT abdomen and pelvis without contrast (74176) | $2,731.26 | $13,006 | 11.4× |
| CT abdomen w contrast (74160) | $1,963.08 | $9,348 | 11.1× |
| CT abdomen w wo contrast (74170) | $1,737.96 | $8,276 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,331.19 | $6,339 | 12.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,893.40 | $18,540 | 11.1× |
| CT Angio Chest (71275) | $3,611.37 | $17,197 | 20.5× |
| CT Angio Head (70496) | $3,526.74 | $16,794 | 20.0× |
| CT angio hrt w/3d image (75574) | $3,047.73 | $14,513 | 8.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,337.53–$3,501.75 | $15,893–$16,675 | varies |
| CT Angio Neck (70498) | $3,121.23 | $14,863 | 17.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,338.79 | $15,899 | 18.9× |
| CT cervical spine w/ contrast (72126) | $3,333.75 | $15,875 | 9.5× |
| CT cervical spine w/o contrast (72125) | $2,957.85 | $14,085 | 28.2× |
| CT cervical spine w/wo cont (72127) | $3,333.75 | $15,875 | 18.9× |
| CT chest w contrast (71260) | $3,047.73 | $14,513 | 17.3× |
| CT chest w/wo contrast (71270) | $3,265.71 | $15,551 | 18.5× |
| CT head/brain with contrast (70460) | $3,047.73 | $14,513 | 17.3× |
| CT head/brain without and with contrast (70470) | $3,526.74 | $16,794 | 20.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,531.76 | $12,056 | 7.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $456.96 | $2,176 | 5.2× |
| CT iac w contrast (70481) | $3,291.54 | $15,674 | 18.7× |
| CT l-spine w&w/o contrast (72133) | $3,333.75 | $15,875 | 18.9× |
| CT lower ext w/o (73700) | $2,957.85 | $14,085 | 28.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,192.63–$3,198.09 | $15,203–$15,229 | varies |
| CT lumbar spine w contrast (72132) | $3,192.63 | $15,203 | 9.1× |
| CT lumbar spine w/o contrast (72131) | $2,957.85 | $14,085 | 28.2× |
| CT maxillofacial w contrast (70487) | $3,047.73 | $14,513 | 17.3× |
| CT maxillofacial wo contrast (70486) | $2,889.81 | $13,761 | 27.5× |
| CT neck tissue combo (70492) | $3,265.71 | $15,551 | 18.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,825.15 | $18,215 | 21.7× |
| CT orbits w/o contrast (70480) | $3,195.78 | $15,218 | 30.4× |
| CT pelvis w&w/o contrast (72194) | $3,837.54 | $18,274 | 21.8× |
| CT pelvis w/o contrast (72192) | $2,957.85 | $14,085 | 28.2× |
| CT scan of leg combo (73702) | $3,333.75 | $15,875 | 18.9× |
| CT scans face/jaw combo (70488) | $3,265.71 | $15,551 | 18.5× |
| CT soft tissue neck w contrast (70491) | $3,047.73 | $14,513 | 17.3× |
| CT soft tissue neck w/o contrast (70490) | $2,957.85 | $14,085 | 28.2× |
| CT thoracic spine w contrast (72129) | $3,192.63 | $15,203 | 18.1× |
| CT thoracic spine w/o contrast (72128) | $2,957.85 | $14,085 | 28.2× |
| CT thoracic spine w/wo cont (72130) | $3,333.75 | $15,875 | 18.9× |
| CT thorax w/o contrast (71250) | $2,889.81 | $13,761 | 27.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,955.52–$2,957.85 | $9,312–$14,085 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,991.87–$3,265.71 | $14,247–$15,551 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,516.22–$3,192.63 | $11,982–$15,203 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,837.54 | $18,274 | 21.8× |
| Cta Abdomen (74175) | $3,781.89 | $18,009 | 21.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,246.60 | $15,460 | 9.3× |
| CTA pelvis (72191) | $186.90 | $890 | 1.1× |
| Dxa Bone Density Axial (77080) | $384.93 | $1,833 | 3.7× |
| Dxa bone density study (77085) | $448.14 | $2,134 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $148.05 | $705 | 1.7× |
| Echo Guide For Artery Repair (76936) | $1,534.05 | $7,305 | 7.1× |
| Esophagram (74220) | $738.57 | $3,517 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $195.72 | $932 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$462.63–$490.35 | $2,203–$2,335 | varies |
| Foot 2 views (73620) | $339.78 | $1,618 | 3.9× |
| Forearm 2 views (73090) | $301.77 | $1,437 | 3.5× |
| Gastric emptying imaging study (78264) | $937.23 | $4,463 | 2.3× |
| Gated Heart Planar Single (78472) | $1,110.48 | $5,288 | 2.8× |
| Hand 2 views (73120) | $297.78 | $1,418 | 2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,818.20 | $13,420 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $707.28 | $3,368 | 1.3× |
| Hepatobiliary System Imaging (78226) | $707.28 | $3,368 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $2,085.93 | $9,933 | 1.6× |
| Hysterosalpingogram (74740) | $894.81 | $4,261 | 3.7× |
| Image fusion (77399) | $737.10 | $3,510 | 5.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $716.52 | $3,412 | 8.2× |
| Infant hip ultrasound, limited static exam (76886) | $787.92 | $3,752 | 9.0× |
| K Flow/Funct Image Multiple (78709) | $1,893.36 | $9,016 | 3.5× |
| Knee 3 Views (73562) | $477.33 | $2,273 | 5.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,571.22 | $7,482 | 3.9× |
| Liver imaging w/vascular flow (78202) | $530.25 | $2,525 | 1.0× |
| Lung perfusion differential (78597) | $1,986.81 | $9,461 | 4.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,677.08 | $12,748 | 4.9× |
| Lymph System Imaging (78195) | $832.44 | $3,964 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,936.62 | $9,222 | 8.1× |
| Meckels Divert Exam (78290) | $1,851.36 | $8,816 | 4.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,005.27 | $4,787 | 2.7× |
| Mr safety determination physician/other qhp (76016) | $92.40 | $440 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.62 | $122 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $96.39 | $459 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $62.37 | $297 | 1.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $253.89 | $1,209 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,651.25 | $12,625 | 7.6× |
| MRA head w/o contrast (70544) | $1,137.99 | $5,419 | 4.7× |
| MRA head with contrast (70545) | $375.06 | $1,786 | 1.1× |
| MRA neck w contrast (70548) | $1,540.56 | $7,336 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $375.06 | $1,786 | 1.1× |
| MRA neck w/o contrast (70547) | $1,137.99 | $5,419 | 4.7× |
| MRI abdomen w contrast (74182) | $2,354.94 | $11,214 | 6.7× |
| MRI abdomen w/o contrast (74181) | $1,891.68 | $9,008 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,126.88 | $10,128 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,336.25 | $11,125 | 6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,126.88 | $10,128 | 2.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,549.80 | $7,380 | 6.5× |
| MRI cervical spine w contrast (72142) | $2,126.88 | $10,128 | 6.1× |
| MRI cervical spine w/o cont (72141) | $2,110.29 | $10,049 | 8.8× |
| MRI chest w/o contrast (71550) | $1,950.48 | $9,288 | 8.1× |
| MRI chest with contrast (71551) | $2,336.25 | $11,125 | 3.0× |
| MRI chest wo w contrast (71552) | $2,698.92 | $12,852 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,126.88 | $10,128 | 6.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,336.25 | $11,125 | 6.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,110.29 | $10,049 | 8.8× |
| MRI lumbar spine w contrast (72149) | $2,431.59 | $11,579 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,810.64 | $13,384 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,950.48 | $9,288 | 8.1× |
| MRI orbit face neck w contrast (70542) | $2,110.29 | $10,049 | 6.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,336.25 | $11,125 | 6.7× |
| MRI pelvis w contrast (72196) | $2,548.56 | $12,136 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $2,655.03 | $12,643 | 7.6× |
| MRI pelvis w/o contrast (72195) | $1,799.49 | $8,569 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $2,110.29 | $10,049 | 8.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,126.88 | $10,128 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,110.29 | $10,049 | 8.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,336.25 | $11,125 | 6.7× |
| MRI, abdomen, combo (74183) | $2,651.25 | $12,625 | 7.6× |
| MRI, dorsal spine combo (72157) | $2,810.64 | $13,384 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,126.88 | $10,128 | 6.1× |
| MRI, joint upper extrem (73221) | $2,110.29 | $10,049 | 8.8× |
| MRI, joint upper extrem combo (73223) | $2,336.25 | $11,125 | 6.7× |
| MRI, lumbar spine combo (72158) | $2,863.35 | $13,635 | 8.2× |
| Myocardial Spect Multiple Studies (78452) | $5,097.96 | $24,276 | 3.9× |
| Neck soft tissue (70360) | $411.18 | $1,958 | 4.7× |
| Nonvascular Shunt X-Ray (75809) | $922.11 | $4,391 | 8.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,718.05 | $17,705 | 2.7× |
| Nuclear Rx Intra-Arterial (79445) | $273.63 | $1,303 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $2,032.17 | $9,677 | 8.7× |
| Parathyroid Planar Imaging (78070) | $1,801.17 | $8,577 | 4.5× |
| Pelvis 1 or 2 views (72170) | $378 | $1,800 | 3.6× |
| Peritoneogram Rs&I (74190) | $943.74 | $4,494 | 1.7× |
| PET image w/CT, full body (78816) | $8,611.26 | $41,006 | 6.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,446.62 | $40,222 | 5.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,817.55 | $8,655 | 4.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $589.89 | $2,809 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $423.15 | $2,015 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $472.92 | $2,252 | 5.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $390.60 | $1,860 | 4.5× |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$403.62–$417.06 | $1,922–$1,986 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $642.18 | $3,058 | 6.1× |
| Radex fingr minimum 2 views (73140) | $280.98 | $1,338 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $472.92 | $2,252 | 5.4× |
| Radex Hand Minimum 3 Views (73130) | $411.18 | $1,958 | 4.7× |
| Radex lower extremity infant minimum 2 views (73592) | $291.48 | $1,388 | 3.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $650.16 | $3,096 | 6.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $368.76 | $1,756 | 4.2× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$445.83–$472.71 | $2,123–$2,251 | varies |
| Radex shoulder complete minimum 2 views (73030) | $484.05 | $2,305 | 5.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $419.37 | $1,997 | 4.8× |
| Radex Spine 1 View Specify Level (72020) | $363.72 | $1,732 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $411.18 | $1,958 | 4.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $794.22 | $3,782 | 9.1× |
| Radex Toe Minimum 2 Views (73660) | $280.98 | $1,338 | 3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $445.62 | $2,122 | 5.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $986.37 | $4,697 | 9.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,377.25 | $73,225 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $404.67 | $1,927 | 3.9× |
| Radiation treatment delivery level 2 (77407) | $263.13 | $1,253 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $528.99 | $2,519 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $640.08 | $3,048 | 6.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $589.89 | $2,809 | 5.6× |
| Radiologic exam colon double contrast study (74280) | $1,051.26 | $5,006 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $846.93 | $4,033 | 4.8× |
| Radiologic exam knee complete 4/more views (73564) | $676.41 | $3,221 | 6.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $588.21 | $2,801 | 5.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $989.94 | $4,714 | 5.6× |
| Radiologic exam swallow function contrast study (74230) | $738.57 | $3,517 | 4.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,078.98 | $5,138 | 6.1× |
| Radiologic examination femur minimum 2 views (73552) | $484.68 | $2,308 | 5.5× |
| Radiologic examination knee 1/2 views (73560) | $409.50 | $1,950 | 4.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $404.25 | $1,925 | 4.6× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$803.67–$851.97 | $3,827–$4,057 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $408.24 | $1,944 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,394.19 | $6,639 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,725.40 | $17,740 | 6.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,962.87 | $9,347 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,547.28 | $7,368 | 2.8× |
| Salivary Gland Imaging Serial Images (78231) | $689.22 | $3,282 | 1.7× |
| Scapula (73010) | $419.37 | $1,997 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31.29 | $149 | 1.3× |
| Shoulder 1 view (73020) | $282.03 | $1,343 | 3.2× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$375.06–$1,320.27 | $1,786–$6,287 | varies |
| Skull less than 4 views (70250) | $378 | $1,800 | 3.6× |
| Special dosimetry (77331) | $246.12 | $1,172 | 1.8× |
| Special Physics Consult (77370) | $793.17 | $3,777 | 5.9× |
| Special teletherapy port plan (77321) | $504.63 | $2,403 | 1.3× |
| Special treatment procedure (77470) | $978.39 | $4,659 | 1.8× |
| Srs Multisource (77371) | $15,377.25 | $73,225 | 2.1× |
| Stereotactic Body Radiation Delivery (77373) | $2,665.74 | $12,694 | 1.5× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$496.44–$526.05 | $2,364–$2,505 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $114.45 | $545 | 1.1× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $114.45 | $545 | 1.1× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $84 | $400 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,001.28 | $4,768 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $725.34 | $3,454 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,227.87 | $5,847 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,004.22 | $4,782 | 2.7× |
| Ther rad simulaj-aided field setting simple (77280) | $614.67 | $2,927 | 4.6× |
| Thoracic spine 2 views (72070) | $195.51 | $931 | 1.9× |
| Thoracic spine 3 views (72072) | $760.62 | $3,622 | 7.2× |
| Thyroid Imaging With Vascular Flow (78013) | $852.60 | $4,060 | 2.1× |
| Thyroid Met Imaging Body (78018) | $1,752.24 | $8,344 | 3.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,674.12 | $7,972 | 4.2× |
| Tx Devices Design & Construction Complex (77334) | $708.54 | $3,374 | 1.9× |
| Tx devices design & construction intermediate (77333) | $437.43 | $2,083 | 3.2× |
| Tx devices design & construction simple (77332) | $298.20 | $1,420 | 2.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$518.07–$1,018.29 | $2,467–$4,849 | varies |
| Ultrasound Exam Aaa Screen (76706) | $276.36 | $1,316 | 2.6× |
| Ultrasound, abdomen limited (76705) | $894.81 | $4,261 | 8.5× |
| Umbilical-artery Doppler (OB) (76820) | $332.85 | $1,585 | 3.2× |
| Upper gi w/o kub (74240) | $1,044.96 | $4,976 | 5.9× |
| Urethrocystogram voiding (74455) | $1,019.97 | $4,857 | 4.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$518.07–$1,036.35 | $2,467–$4,935 | varies |
| Us chest (76604) | $411.18 | $1,958 | 3.9× |
| Us complete joint (76881) | $853.44 | $4,064 | 8.1× |
| Us exam, pelvic, limited (76857) | $681.45 | $3,245 | 6.5× |
| Us head (76506) | $998.97 | $4,757 | 9.5× |
| Us kidney transplant (76776) | $815.85 | $3,885 | 7.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $690.48 | $3,288 | 6.6× |
| Us ob detailed single fetus (76811) | $1,583.19 | $7,539 | 6.6× |
| Us ob limited 1 or more fetuses (76815) | $472.08 | $2,248 | 4.5× |
| Us ob transvaginal (76817) | $332.85 | $1,585 | 3.2× |
| Us pelvic non ob complete (76856) | $1,008.63 | $4,803 | 9.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $690.48 | $3,288 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $787.92 | $3,752 | 7.5× |
| Us retroperitoneal complete (76770) | $951.30 | $4,530 | 9.1× |
| Us retroperitoneal limited (76775) | $894.81 | $4,261 | 8.5× |
| Us scrotum and contents (76870) | $695.94 | $3,314 | 6.6× |
| Us spinal canal and contents (76800) | $1,008.63 | $4,803 | 9.6× |
| Us thyroid (76536) | $892.71 | $4,251 | 8.5× |
| Us transrectal (76872) | $936.81 | $4,461 | 8.9× |
| Vein X-Ray Chest (75827) | $994.98 | $4,738 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,277.22 | $6,082 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $3,099.60 | $14,760 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $943.74 | $4,494 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$795.69–$1,056.30 | $3,789–$5,030 | varies |
| Venous sampling by catheter (75893) | $4,796.82 | $22,842 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $187.53 | $893 | 2.1× |
| Wrist 2 views (73100) | $265.65 | $1,265 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $611.10 | $2,910 | 7.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,951.97 | $14,057 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $357.84 | $1,704 | 4.1× |
| X-Ray Exam Breast Specimen (76098) | $675.36 | $3,216 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $492.87 | $2,347 | 5.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $492.87 | $2,347 | 4.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $986.37 | $4,697 | 9.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $312.06 | $1,486 | 3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $422.52 | $2,012 | 4.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $633.78 | $3,018 | 6.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $661.50 | $3,150 | 6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $661.50 | $3,150 | 6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,322.79 | $6,299 | 12.6× |
| X-Ray Exam L-S Spine Bending (72114) | $937.23 | $4,463 | 8.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $618.87 | $2,947 | 7.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $831.81 | $3,961 | 7.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $642.81 | $3,061 | 6.1× |
| X-ray humerus (73060) | $278.88 | $1,328 | 3.2× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,096.20–$1,161.93 | $5,220–$5,533 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $708.33 | $3,373 | 6.7× |
| X-ray nose-rectum child f.b. (76010) | $339.78 | $1,618 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $526.05 | $2,505 | 5.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $381.36 | $1,816 | 3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $414.54 | $1,974 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $642.18 | $3,058 | 7.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $787.92 | $3,752 | 7.5× |
| X-ray thoracic spine 4 vw (72074) | $787.92 | $3,752 | 7.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $973.77 | $4,637 | 2.8× |
| X-Rays Bone Length Studies (77073) | $285.18 | $1,358 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $840.63 | $4,003 | 8.0× |
| Xr c-spine 4 or 5 views (72050) | $794.43 | $3,783 | 7.6× |
| Xr facial bones less than 3 views (70140) | $378 | $1,800 | 4.3× |
| Xr orbits complete 4 views (70200) | $452.55 | $2,155 | 4.3× |
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.