Imaging prices at Doctors Hospital of Laredo
Laredo, TX · every code in this section with a posted price and a Medicare benchmark.
359 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) | $8,990.80 | $22,477 | 6.5× |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$328.80–$396 | $822–$990 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$456.40–$610 | $1,141–$1,525 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,273.20 | $5,683 | 5.7× |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$2,015.20–$2,369.60 | $5,038–$5,924 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$4,792.40–$6,264.40 | $11,981–$15,661 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,792.40 | $11,981 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,744.80–$13,604.40 | $11,862–$34,011 | varies |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$4,252–$10,883.60 | $10,630–$27,209 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,996–$2,015.20 | $4,990–$5,038 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,015.20 | $5,038 | 0.6× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$340–$606 | $850–$1,515 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,122.80–$7,293.20 | $7,807–$18,233 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $8,799.60 | $21,999 | 2.8× |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$4,792.40–$9,600.40 | $11,981–$24,001 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,792.40 | $11,981 | 1.5× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$4,792.40–$5,473.60 | $11,981–$13,684 | varies |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,015.20 | $5,038 | 0.4× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,156.80–$1,653.20 | $2,892–$4,133 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$906.80–$1,359.60 | $2,267–$3,399 | varies |
| Basic radiation dosimetry calculation (77300) | $503.20 | $1,258 | 3.7× |
| Bone age studies (77072) range across 5 matching MRF lines |
$576.80–$917.60 | $1,442–$2,294 | varies |
| Bone Imaging 3 Phase (78315) | $2,209.60 | $5,524 | 5.5× |
| Bone Imaging Whole Body (78306) | $1,776 | $4,440 | 4.4× |
| Bone marrow imaging; whole body (78104) | $1,446 | $3,615 | 3.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$4,570–$6,032.80 | $11,425–$15,082 | varies |
| Brain Flow Imaging Only (78610) | $809.60 | $2,024 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,527.60 | $3,819 | 2.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,124.80 | $2,812 | 2.1× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$573.60–$3,036.40 | $1,434–$7,591 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,308.40–$2,390 | $3,271–$5,975 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$149.60–$396 | $374–$990 | varies |
| Chest 2 views (71046) range across 7 matching MRF lines |
$122.80–$628 | $307–$1,570 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$356–$469.60 | $890–$1,174 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$197.60–$460 | $494–$1,150 | varies |
| Cholecystography Oral Contrast (74290) | $677.20 | $1,693 | 3.8× |
| Cisternography Positive Contrast Rs&I (70015) | $2,507.20 | $6,268 | 3.2× |
| Clavicle complete (73000) range across 10 matching MRF lines |
$128.40–$784 | $321–$1,960 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $4,578.40 | $11,446 | 43.6× |
| Continuing medical physics consltj pr wk (77336) | $1,086 | $2,715 | 8.0× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,701.60–$3,904 | $4,254–$9,760 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$658.80–$933.20 | $1,647–$2,333 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,592.40 | $6,481 | 7.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$958–$1,436.80 | $2,395–$3,592 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $538.40 | $1,346 | 3.1× |
| Corpora cavernosography (74445) | $624 | $1,560 | 5.9× |
| CT abdomen and pelvis without and with contrast (74178) | $10,156 | $25,390 | 29.0× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,294.80–$8,393.60 | $5,737–$20,984 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$4,272.80–$5,076 | $10,682–$12,690 | varies |
| CT abdomen w wo contrast (74170) | $5,583.60 | $13,959 | 31.7× |
| CT abdomen w/o contrast (74150) | $4,100 | $10,250 | 39.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,100.80 | $10,252 | 11.7× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,524.40–$3,877.20 | $6,311–$9,693 | varies |
| CT Angio Head (70496) | $3,717.20 | $9,293 | 21.1× |
| CT angio hrt w/3d image (75574) | $804 | $2,010 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$2,315.20–$4,511.60 | $5,788–$11,279 | varies |
| CT Angio Neck (70498) | $2,743.20 | $6,858 | 15.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$2,315.20–$3,308.80 | $5,788–$8,272 | varies |
| CT bone density (77078) | $328.80 | $822 | 3.8× |
| CT cervical spine w/ contrast (72126) | $4,216.80 | $10,542 | 12.0× |
| CT cervical spine w/o contrast (72125) | $3,833.60 | $9,584 | 36.5× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,312–$4,638.40 | $3,280–$11,596 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$3,158.80–$4,532.40 | $7,897–$11,331 | varies |
| CT chest w/wo contrast (71270) | $4,985.60 | $12,464 | 28.3× |
| CT head/brain with contrast (70460) | $5,104.40 | $12,761 | 29.0× |
| CT head/brain without and with contrast (70470) | $5,614.80 | $14,037 | 31.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $172 | $430 | 2.0× |
| CT iac w contrast (70481) | $4,559.60 | $11,399 | 25.9× |
| CT l-spine w&w/o contrast (72133) | $4,617.20 | $11,543 | 26.2× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$707.20–$4,491.60 | $1,768–$11,229 | varies |
| CT lower extremity w/contrast material (73701) range across 7 matching MRF lines |
$1,212.80–$4,941.20 | $3,032–$12,353 | varies |
| CT lumbar spine w contrast (72132) | $4,197.60 | $10,494 | 12.0× |
| CT lumbar spine w/o contrast (72131) | $3,816 | $9,540 | 36.3× |
| CT maxillofacial w contrast (70487) | $4,517.20 | $11,293 | 25.6× |
| CT maxillofacial wo contrast (70486) | $4,100 | $10,250 | 39.0× |
| CT neck tissue combo (70492) | $4,394.80 | $10,987 | 24.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,336.80–$5,742 | $3,342–$14,355 | varies |
| CT orbits w/o contrast (70480) | $4,061.20 | $10,153 | 38.7× |
| CT pelvis w&w/o contrast (72194) | $6,204 | $15,510 | 35.2× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$3,036.40–$5,076 | $7,591–$12,690 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$1,212.80–$6,124.80 | $3,032–$15,312 | varies |
| CT scans face/jaw combo (70488) | $4,968.80 | $12,422 | 28.2× |
| CT soft tissue neck w contrast (70491) | $4,065.60 | $10,164 | 23.1× |
| CT soft tissue neck w/o contrast (70490) | $3,132.40 | $7,831 | 29.8× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,077.20–$4,158.80 | $2,693–$10,397 | varies |
| CT thoracic spine w/o contrast (72128) | $3,780.80 | $9,452 | 36.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,795.20–$4,574.40 | $4,488–$11,436 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,305.20–$4,120.40 | $5,763–$10,301 | varies |
| CT unlisted procedure (76497) | $1,237.20 | $3,093 | 14.2× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$920.40–$2,883.20 | $2,301–$7,208 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$1,212.80–$3,488.80 | $3,032–$8,722 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$1,288.40–$3,171.60 | $3,221–$7,929 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,315.20–$2,810.40 | $5,788–$7,026 | varies |
| Cta Abdomen (74175) | $3,278 | $8,195 | 18.6× |
| CTA pelvis (72191) | $2,315.20 | $5,788 | 13.1× |
| Discography Cerv/Thor Spine (72285) | $7,551.20 | $18,878 | 3.8× |
| Diskography lumbar (72295) | $7,082.40 | $17,706 | 3.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$473.60–$573.20 | $1,184–$1,433 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $158.40 | $396 | 1.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$540–$547.20 | $1,350–$1,368 | varies |
| Echo Guide For Artery Repair (76936) | $616 | $1,540 | 2.8× |
| Esophagram (74220) range across 3 matching MRF lines |
$262.40–$787.20 | $656–$1,968 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 7 matching MRF lines |
$271.60–$388.40 | $679–$971 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 9 matching MRF lines |
$250.80–$388.40 | $627–$971 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$291.60–$690.40 | $729–$1,726 | varies |
| Follow-Up Angiography (75898) | $1,226 | $3,065 | 0.4× |
| Foot 2 views (73620) range across 10 matching MRF lines |
$192.40–$1,012.40 | $481–$2,531 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$235.60–$578 | $589–$1,445 | varies |
| Gastric emptying imaging study (78264) | $1,515.60 | $3,789 | 3.8× |
| Gastroesophageal Reflux Exam (78262) | $1,440.80 | $3,602 | 3.6× |
| Gated Heart Planar Single (78472) | $2,439.60 | $6,099 | 6.1× |
| Gated Heart, Multiple (78473) | $1,834.40 | $4,586 | 4.6× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$256.80–$602.40 | $642–$1,506 | varies |
| Heart first pass single,planar (78481) | $1,215.60 | $3,039 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 3 matching MRF lines |
$2,015.20–$10,964 | $5,038–$27,410 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,015.20 | $5,038 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$499.60–$1,544.80 | $1,249–$3,862 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$499.60–$1,637.20 | $1,249–$4,093 | varies |
| Ht Musc Image Planar Mult (78454) | $4,466.40 | $11,166 | 3.4× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$1,010.80–$1,456 | $2,527–$3,640 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$503.20–$599.60 | $1,258–$1,499 | varies |
| K Flow/Funct Image Multiple (78709) | $916.40 | $2,291 | 1.7× |
| Kidney Imaging Morphol (78700) | $1,613.60 | $4,034 | 4.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $771.20 | $1,928 | 1.9× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$479.20–$854 | $1,198–$2,135 | varies |
| Leveen/Shunt Patency Exam (78291) | $936 | $2,340 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,592.80 | $3,982 | 4.0× |
| Liver imaging static only (78201) | $663.20 | $1,658 | 1.2× |
| Liver imaging w/vascular flow (78202) | $663.20 | $1,658 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $899.20 | $2,248 | 1.6× |
| Lung perfusion differential (78597) | $576.40 | $1,441 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,642 | $4,105 | 3.0× |
| Lung Ventilation Imaging (78579) | $576.40 | $1,441 | 1.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$906.40–$1,271.60 | $2,266–$3,179 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,226 | $3,065 | 0.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,226 | $3,065 | 1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,226 | $3,065 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,226 | $3,065 | 0.4× |
| Magnetic Image Jaw Joint (70336) range across 18 matching MRF lines |
$1,066.40–$2,526.40 | $2,666–$6,316 | varies |
| Mammary ductogram or galactogram multiple (77054) | $530.80 | $1,327 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $394 | $985 | 1.6× |
| Meckels Divert Exam (78290) | $1,392.40 | $3,481 | 3.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,607.20 | $4,018 | 4.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$1,566.80–$4,913.60 | $3,917–$12,284 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,566.80–$4,466.80 | $3,917–$11,167 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,442.80–$2,566 | $6,107–$6,415 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,566–$2,643.60 | $6,415–$6,609 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$2,777.20–$3,489.60 | $6,943–$8,724 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$1,134–$3,121.60 | $2,835–$7,804 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$3,224–$4,913.60 | $8,060–$12,284 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$3,489.20–$4,466.80 | $8,723–$11,167 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$1,828.40–$5,408.80 | $4,571–$13,522 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$2,306.80–$5,422 | $5,767–$13,555 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$1,828.40–$3,016.80 | $4,571–$7,542 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,074.80 | $5,187 | 8.7× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$3,224–$4,913.60 | $8,060–$12,284 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$3,838–$4,466.80 | $9,595–$11,167 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$3,875.20–$4,296.80 | $9,688–$10,742 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$3,255.20–$3,419.60 | $8,138–$8,549 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$3,489.20–$4,726.40 | $8,723–$11,816 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$3,419.60–$6,114 | $8,549–$15,285 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$3,376–$4,292.40 | $8,440–$10,731 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$2,922.40–$8,337.20 | $7,306–$20,843 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,224–$3,419.60 | $8,060–$8,549 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,489.20–$4,913.60 | $8,723–$12,284 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$3,071.60–$4,388 | $7,679–$10,970 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$3,257.60–$4,826.80 | $8,144–$12,067 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,324.40–$5,309.60 | $8,311–$13,274 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,224–$3,419.60 | $8,060–$8,549 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,875.20–$5,066 | $9,688–$12,665 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$3,489.20–$4,605.60 | $8,723–$11,514 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$3,838–$4,466.80 | $9,595–$11,167 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$3,255.20–$5,128.40 | $8,138–$12,821 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$2,875.60–$4,645.60 | $7,189–$11,614 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$3,255.20–$5,128.40 | $8,138–$12,821 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,522.80–$5,404.80 | $8,807–$13,512 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$3,489.20–$5,226.80 | $8,723–$13,067 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,257.60–$4,913.60 | $8,144–$12,284 | varies |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,015.20–$6,453.60 | $5,038–$16,134 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$2,537.20–$4,732.80 | $6,343–$11,832 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,875.20–$5,624.80 | $9,688–$14,062 | varies |
| Myelogram cervical (72240) | $933.60 | $2,334 | 1.2× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,873.20–$1,890.80 | $4,683–$4,727 | varies |
| Myelography thoracic (72255) | $869.60 | $2,174 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,750.40–$2,099.20 | $4,376–$5,248 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,397.20 | $5,993 | 6.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,745.60 | $4,364 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $2,399.60 | $5,999 | 1.8× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$408–$598 | $1,020–$1,495 | varies |
| Nonvascular Shunt X-Ray (75809) | $331.60 | $829 | 3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,945.60 | $14,864 | 4.3× |
| Nuclear Rx Intra-Arterial (79445) | $1,177.60 | $2,944 | 5.0× |
| Nuclear Rx Oral Admin (79005) | $2,043.20 | $5,108 | 8.7× |
| Ob us nuchal meas 1 gest (76813) | $195.20 | $488 | 1.9× |
| Optic foramina (70190) | $363.60 | $909 | 4.2× |
| Parathyroid Planar Imaging (78070) | $1,331.20 | $3,328 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $817.60 | $2,044 | 2.0× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$337.20–$410.40 | $843–$1,026 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,593.60 | $11,484 | 3.2× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$15,107.60–$17,773.60 | $37,769–$44,434 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,624.80–$2,916.40 | $6,562–$7,291 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,932 | $27,330 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,722.80 | $4,307 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$576.80–$726.80 | $1,442–$1,817 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $531.60 | $1,329 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 12 matching MRF lines |
$392.80–$638.40 | $982–$1,596 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 12 matching MRF lines |
$272.40–$651.20 | $681–$1,628 | varies |
| Radex elbow complete minimum 3 views (73080) range across 9 matching MRF lines |
$344.40–$706.80 | $861–$1,767 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$410.80–$549.60 | $1,027–$1,374 | varies |
| Radex fingr minimum 2 views (73140) range across 44 matching MRF lines |
$235.60–$335.60 | $589–$839 | varies |
| Radex foot complete minimum 3 views (73630) range across 12 matching MRF lines |
$356–$579.60 | $890–$1,449 | varies |
| Radex Hand Minimum 3 Views (73130) range across 12 matching MRF lines |
$323.60–$682.40 | $809–$1,706 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 10 matching MRF lines |
$197.60–$424.40 | $494–$1,061 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$248.80–$568.40 | $622–$1,421 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$319.60–$448.80 | $799–$1,122 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$159.60–$529.20 | $399–$1,323 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$408–$742.40 | $1,020–$1,856 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$326–$470.80 | $815–$1,177 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$782.80–$790.80 | $1,957–$1,977 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$276.80–$486.80 | $692–$1,217 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$368.40–$526.40 | $921–$1,316 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$546–$689.20 | $1,365–$1,723 | varies |
| Radex Toe Minimum 2 Views (73660) range across 46 matching MRF lines |
$254.80–$400.40 | $637–$1,001 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$197.60–$424.40 | $494–$1,061 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 12 matching MRF lines |
$408–$615.60 | $1,020–$1,539 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $212.80 | $532 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $540 | $1,350 | 5.3× |
| Radiation treatment delivery level 2 (77407) | $784.80 | $1,962 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $925.60 | $2,314 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$473.60–$696.80 | $1,184–$1,742 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$412–$874.40 | $1,030–$2,186 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$891.20–$1,468.80 | $2,228–$3,672 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$809.60–$1,060.80 | $2,024–$2,652 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 10 matching MRF lines |
$372.80–$794 | $932–$1,985 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$206.80–$468.80 | $517–$1,172 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$798–$1,128.40 | $1,995–$2,821 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$465.20–$1,625.60 | $1,163–$4,064 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$810–$957.20 | $2,025–$2,393 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 10 matching MRF lines |
$377.20–$774.80 | $943–$1,937 | varies |
| Radiologic examination knee 1/2 views (73560) range across 14 matching MRF lines |
$330–$593.60 | $825–$1,484 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $162.80 | $407 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$418.80–$704.40 | $1,047–$1,761 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $698.40 | $1,746 | 1.3× |
| Ribs bilateral 3 views (71110) range across 5 matching MRF lines |
$212.80–$926.40 | $532–$2,316 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,189.60 | $2,974 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,863.20 | $7,158 | 7.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,110.40 | $5,276 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,998.40 | $7,496 | 5.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$916.40–$2,381.60 | $2,291–$5,954 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,704 | $16,760 | 5.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,905.20 | $14,763 | 4.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $5,152.80 | $12,882 | 4.0× |
| Scapula (73010) range across 8 matching MRF lines |
$314–$566.40 | $785–$1,416 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $249.20 | $623 | 10.7× |
| Sella turcica (70240) range across 2 matching MRF lines |
$342.80–$346.40 | $857–$866 | varies |
| Shoulder 1 view (73020) range across 11 matching MRF lines |
$238–$376 | $595–$940 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$947.60–$1,436.80 | $2,369–$3,592 | varies |
| Sialogram (70390) | $462.80 | $1,157 | 1.9× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$374.40–$594.40 | $936–$1,486 | varies |
| Special dosimetry (77331) | $819.60 | $2,049 | 6.1× |
| Special Physics Consult (77370) | $1,170.80 | $2,927 | 8.7× |
| Special teletherapy port plan (77321) | $1,713.60 | $4,284 | 4.6× |
| Special treatment procedure (77470) | $2,520.40 | $6,301 | 4.5× |
| Sternoclavicular joints (71130) | $388.40 | $971 | 4.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,911.20 | $4,778 | 5.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,048.80 | $2,622 | 2.8× |
| Testicular Imaging W/Flow (78761) | $1,020.80 | $2,552 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,963.20 | $4,908 | 5.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,160.40 | $2,901 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $982.80 | $2,457 | 7.3× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$438.80–$527.20 | $1,097–$1,318 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$212.80–$580 | $532–$1,450 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$209.20–$276 | $523–$690 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $593.20 | $1,483 | 1.5× |
| Thyroid Met Imaging Body (78018) | $5,050 | $12,625 | 9.3× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$409.20–$460 | $1,023–$1,150 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,439.60 | $3,599 | 3.6× |
| Tx Devices Design & Construction Complex (77334) | $1,329.60 | $3,324 | 3.5× |
| Tx devices design & construction intermediate (77333) | $746.80 | $1,867 | 5.5× |
| Tx devices design & construction simple (77332) | $569.20 | $1,423 | 4.2× |
| Ultrasound Breast Limited (76642) | $972.40 | $2,431 | 11.1× |
| Ultrasound elastography first target lesion (76982) | $185.60 | $464 | 1.8× |
| Ultrasound Elastography Parenchyma (76981) | $185.60 | $464 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $377.60 | $944 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 15 matching MRF lines |
$836–$1,073.60 | $2,090–$2,684 | varies |
| Unlisted magnetic resonance procedure (76498) | $712 | $1,780 | 8.1× |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$467.20–$1,226.80 | $1,168–$3,067 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$918.80–$1,192.80 | $2,297–$2,982 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$497.20–$596.80 | $1,243–$1,492 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$324.40–$1,018.80 | $811–$2,547 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$799.20–$854.80 | $1,998–$2,137 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$667.20–$888 | $1,668–$2,220 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$867.60–$1,145.20 | $2,169–$2,863 | varies |
| Us head (76506) range across 2 matching MRF lines |
$831.60–$989.20 | $2,079–$2,473 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$421.60–$857.20 | $1,054–$2,143 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$225.60–$486 | $564–$1,215 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$466.40–$616 | $1,166–$1,540 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$250.80–$696 | $627–$1,740 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$250.80–$913.60 | $627–$2,284 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$802–$961.60 | $2,005–$2,404 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$250.80–$1,252 | $627–$3,130 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$246.80–$536.80 | $617–$1,342 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$876.40–$1,219.20 | $2,191–$3,048 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$409.60–$1,026.80 | $1,024–$2,567 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$740.80–$809.20 | $1,852–$2,023 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$512–$622 | $1,280–$1,555 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$651.60–$883.20 | $1,629–$2,208 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$598.40–$712 | $1,496–$1,780 | varies |
| Vascular Flow Imaging (78445) | $894.40 | $2,236 | 2.2× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,524–$2,015.20 | $3,810–$5,038 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,792.40 | $11,981 | 1.5× |
| Vein X-Ray Spleen/Liver (75810) | $2,015.20 | $5,038 | 0.6× |
| Venogram Sinus/Jugular (75860) | $2,015.20 | $5,038 | 0.6× |
| Venography Adrenal Unilateral (75840) | $2,015.20 | $5,038 | 0.6× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,836–$3,180 | $4,590–$7,950 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$1,394–$1,853.60 | $3,485–$4,634 | varies |
| Venography extremity unilateral rs&i (75820) range across 11 matching MRF lines |
$932–$1,659.60 | $2,330–$4,149 | varies |
| Venography Renal Bilateral (75833) | $2,015.20 | $5,038 | 0.6× |
| Venography Renal Unilateral (75831) | $2,015.20 | $5,038 | 0.6× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$238.40–$464 | $596–$1,160 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$208–$297.20 | $520–$743 | varies |
| X-ray antegrade pyelogram tube (74425) | $891.20 | $2,228 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$6,708.40–$13,147.60 | $16,771–$32,869 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$218.40–$471.20 | $546–$1,178 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$135.20–$615.60 | $338–$1,539 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$222.40–$768.80 | $556–$1,922 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 6 matching MRF lines |
$198.40–$359.60 | $496–$899 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$319.60–$448.80 | $799–$1,122 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 12 matching MRF lines |
$436.40–$847.20 | $1,091–$2,118 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$512–$932 | $1,280–$2,330 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$855.20–$931.20 | $2,138–$2,328 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$344.80–$594.40 | $862–$1,486 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$395.20–$560 | $988–$1,400 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$598.40–$1,080 | $1,496–$2,700 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $539.60 | $1,349 | 5.1× |
| X-ray eye for foreign body (70030) | $133.20 | $333 | 1.5× |
| X-ray humerus (73060) range across 12 matching MRF lines |
$330–$661.20 | $825–$1,653 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
$916–$1,226.40 | $2,290–$3,066 | varies |
| X-ray IV pyelogram+tomography (74415) range across 4 matching MRF lines |
$804–$894.40 | $2,010–$2,236 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $213.20 | $533 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$138.80–$442.40 | $347–$1,106 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$217.20–$485.20 | $543–$1,213 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$198.40–$283.60 | $496–$709 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$659.20–$783.20 | $1,648–$1,958 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$370.80–$582.40 | $927–$1,456 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$150.40–$198.80 | $376–$497 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$149.60–$463.60 | $374–$1,159 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$571.60–$757.60 | $1,429–$1,894 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$686–$820 | $1,715–$2,050 | varies |
| X-ray thoracic spine 4 vw (72074) | $671.20 | $1,678 | 6.4× |
| X-Ray Tmj Unilat (70328) range across 8 matching MRF lines |
$338.80–$504.40 | $847–$1,261 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$735.20–$740.80 | $1,838–$1,852 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$852.40–$1,290.40 | $2,131–$3,226 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$3,836.80–$4,823.20 | $9,592–$12,058 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$640.40–$840 | $1,601–$2,100 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$396–$517.60 | $990–$1,294 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $159.60 | $399 | 1.5× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$419.60–$622 | $1,049–$1,555 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$206.80–$653.60 | $517–$1,634 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.