Imaging prices at Driscoll Children's Hospital Rio Grande Valley
Edinburg, TX · every code in this section with a posted price and a Medicare benchmark.
349 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) | $581.73 | $2,908.64 | 0.4× |
| Abdomen 1 View (74018) | $164.19 | $820.96 | 1.9× |
| Abdomen 2 views (74019) | $190.62 | $953.12 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $994.34 | $4,971.68 | 2.5× |
| Adrenal Cortex & Medulla Img (78075) | $11,769.18 | $58,845.92 | 9.0× |
| Angio internal mammary (75756) | $1,061.98 | $5,309.92 | 0.3× |
| Angio pulmonary bilat (75743) | $1,574.98 | $7,874.90 | 0.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,313.62–$1,595.10 | $6,568.10–$7,975.52 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,209.78–$1,470.56 | $6,048.90–$7,352.80 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,451.78 | $7,258.90 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,451.78 | $7,258.90 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$126.11–$174.05 | $630.56–$870.24 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$96.54–$1,267.84 | $482.72–$6,339.20 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $1,061.76 | $5,308.80 | 0.3× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,231.78–$1,249.47 | $6,158.88–$6,247.36 | varies |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,209.78 | $6,048.90 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,209.78 | $6,048.90 | 0.2× |
| Arthrogram ankle (73615) | $490.78 | $2,453.92 | 1.4× |
| Arthrogram hip (73525) | $685.66 | $3,428.32 | 2.0× |
| Arthrogram Wrist (73115) | $324.13 | $1,620.64 | 0.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$145.60–$155.68 | $728–$778.40 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$75.26–$99.46 | $376.32–$497.28 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,112.16–$1,515.58 | $5,560.80–$7,577.92 | varies |
| Bone Imaging Limited Area (78300) | $582.18 | $2,910.88 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $858.82 | $4,294.08 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,450.40 | $7,252 | 3.6× |
| Bone marrow imaging; whole body (78104) | $944.83 | $4,724.16 | 2.4× |
| Bone survey infant (77076) | $488.10 | $2,440.48 | 4.6× |
| Brain Flow Imaging Only (78610) | $824.10 | $4,120.48 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$895.78–$902.94 | $4,478.88–$4,514.72 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $792.96 | $3,964.80 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,975.01 | $9,875.04 | 1.4× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,402.69 | $7,013.44 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,427.94 | $12,139.68 | 6.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,918.05 | $14,590.24 | 3.7× |
| Cardiac Shunt Detection (78428) | $526.18 | $2,630.88 | 1.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $798.78 | $3,993.92 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,383.42 | $6,917.12 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$154.56–$161.28 | $772.80–$806.40 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$178.30–$219.07 | $891.52–$1,095.36 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$156.13–$224.45 | $780.64–$1,122.24 | varies |
| Chest 4 or more views (71048) | $258.72 | $1,293.60 | 2.5× |
| Cholecystography Oral Contrast (74290) | $226.69 | $1,133.44 | 1.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $227.81 | $1,139.04 | 2.2× |
| Cisternography Positive Contrast Rs&I (70015) | $510.27 | $2,551.36 | 0.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$81.98–$193.98 | $409.92–$969.92 | varies |
| Continuing medical physics consltj pr wk (77336) | $165.54 | $827.68 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $1,280.18 | $6,400.90 | 0.4× |
| Contrast X-Ray Bladder (74430) | $374.08 | $1,870.40 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $539.84 | $2,699.20 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $597.41 | $2,987.04 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $6,054.50 | $30,272.48 | 17.3× |
| CT abdomen and pelvis without contrast (74176) | $4,107.26 | $20,536.32 | 17.1× |
| CT abdomen w contrast (74160) | $2,340.13 | $11,700.64 | 13.3× |
| CT abdomen w wo contrast (74170) | $3,076.19 | $15,380.96 | 17.5× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$306.21–$2,075.36 | $1,531.04–$10,376.80 | varies |
| CT Angio Abdomen and Pelvis (74174) | $5,155.14 | $25,775.68 | 14.7× |
| CT Angio Chest (71275) | $2,886.46 | $14,432.32 | 16.4× |
| CT Angio Head (70496) | $2,291.74 | $11,458.72 | 13.0× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$2,446.53–$2,972.48 | $12,232.64–$14,862.40 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,595.78 | $7,978.88 | 9.1× |
| CT Angio Neck (70498) | $2,291.74 | $11,458.72 | 13.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,450.85 | $7,254.24 | 8.2× |
| CT bone density (77078) range across 2 matching MRF lines |
$302.62–$465.25 | $1,513.12–$2,326.24 | varies |
| CT cervical spine w/ contrast (72126) | $1,757.50 | $8,787.52 | 5.0× |
| CT cervical spine w/o contrast (72125) | $2,042.43 | $10,212.16 | 19.4× |
| CT cervical spine w/wo cont (72127) | $1,803.65 | $9,018.24 | 10.2× |
| CT chest w contrast (71260) | $2,203.49 | $11,017.44 | 12.5× |
| CT chest w/wo contrast (71270) | $2,738.18 | $13,690.88 | 15.5× |
| CT head/brain with contrast (70460) | $1,732.64 | $8,663.20 | 9.8× |
| CT head/brain without and with contrast (70470) | $2,710.18 | $13,550.88 | 15.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,141.06 | $5,705.28 | 3.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,105.15 | $10,525.76 | 24.1× |
| CT hrt w/3d image congen (75573) | $858.82 | $4,294.08 | 2.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,913.86–$1,935.36 | $9,569.28–$9,676.80 | varies |
| CT l-spine w&w/o contrast (72133) | $1,803.65 | $9,018.24 | 10.2× |
| CT lower ext w/o (73700) | $1,365.06 | $6,825.28 | 13.0× |
| CT lower extremity w/contrast material (73701) | $1,412.77 | $7,063.84 | 8.0× |
| CT lumbar spine w contrast (72132) | $1,597.57 | $7,987.84 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $2,042.43 | $10,212.16 | 19.4× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,072.90–$2,358.27 | $10,364.48–$11,791.36 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$306.21–$2,043.78 | $1,531.04–$10,218.88 | varies |
| CT neck tissue combo (70492) | $2,710.18 | $13,550.88 | 15.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,763.33–$2,230.59 | $8,816.64–$11,152.96 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,198.18–$1,841.73 | $5,990.88–$9,208.64 | varies |
| CT pelvis w&w/o contrast (72194) | $2,408.67 | $12,043.36 | 13.7× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$306.21–$1,965.38 | $1,531.04–$9,826.88 | varies |
| CT scan of leg combo (73702) | $1,532.38 | $7,661.92 | 8.7× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,710.18–$2,968 | $13,550.88–$14,840 | varies |
| CT soft tissue neck w contrast (70491) | $1,935.36 | $9,676.80 | 11.0× |
| CT soft tissue neck w/o contrast (70490) | $1,673.95 | $8,369.76 | 15.9× |
| CT thoracic spine w contrast (72129) | $1,757.50 | $8,787.52 | 10.0× |
| CT thoracic spine w/o contrast (72128) | $2,042.43 | $10,212.16 | 19.4× |
| CT thoracic spine w/wo cont (72130) | $1,803.65 | $9,018.24 | 10.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$306.21–$2,023.84 | $1,531.04–$10,119.20 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$470.62–$1,365.06 | $2,353.12–$6,825.28 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,211.39 | $6,056.96 | 6.9× |
| CT upper extremity with contrast (73201) | $1,223.49 | $6,117.44 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,258.59 | $11,292.96 | 12.8× |
| Cta Abdomen (74175) | $3,471.78 | $17,358.88 | 19.7× |
| CTA pelvis (72191) | $2,238.88 | $11,194.40 | 12.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $322.56 | $1,612.80 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,243.87 | $6,219.36 | 11.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,488.64 | $12,443.20 | 23.7× |
| Echo exam of fetal heart (76825) | $2,862.05 | $14,310.24 | 5.2× |
| Echo Guide For Artery Repair (76936) | $513.48 | $2,567.40 | 2.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,430.46 | $7,152.32 | 6.0× |
| Esophageal Motility Study (78258) | $672.67 | $3,363.36 | 1.7× |
| Esophagram (74220) | $390.66 | $1,953.28 | 2.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,402.91 | $7,014.56 | 5.9× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$224.22–$369.82 | $1,121.12–$1,849.12 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$192.42–$288.29 | $962.08–$1,441.44 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$126.11–$187.71 | $630.56–$938.56 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$126.11–$184.80 | $630.56–$924 | varies |
| Gastric emptying imaging study (78264) | $1,473.47 | $7,367.36 | 3.7× |
| Gastric Mucosa Imaging (78261) | $954.69 | $4,773.44 | 2.4× |
| Gastroesophageal Reflux Exam (78262) | $986.27 | $4,931.36 | 2.5× |
| Gated Heart Planar Single (78472) | $1,281.06 | $6,405.28 | 3.2× |
| Gated Heart, Multiple (78473) | $2,200.13 | $11,000.64 | 5.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$126.11–$172.03 | $630.56–$860.16 | varies |
| Heart first pass single,planar (78481) | $1,219.90 | $6,099.52 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,231.78 | $6,158.88 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,354.98 | $6,774.88 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $804.83 | $4,024.16 | 1.5× |
| Hepatobiliary System Imaging (78226) | $1,194.59 | $5,972.96 | 3.0× |
| Ht Musc Image Planar Mult (78454) | $1,099.39 | $5,496.96 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $1,647.52 | $8,237.60 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $363.10 | $1,815.52 | 4.2× |
| Infant hip ultrasound, limited static exam (76886) | $292.99 | $1,464.96 | 3.4× |
| Infusion Ivp (74410) | $412.16 | $2,060.80 | 2.3× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$195.10–$224.90 | $975.52–$1,124.48 | varies |
| K Flow/Funct Image Multiple (78709) | $1,043.62 | $5,218.08 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $2,008.61 | $10,043.04 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,306.82 | $6,534.08 | 2.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $782.66 | $3,913.28 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,320.03 | $6,600.16 | 3.3× |
| Knee 3 Views (73562) | $208.77 | $1,043.84 | 2.4× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $915.71 | $4,578.56 | 2.3× |
| Leveen/Shunt Patency Exam (78291) | $713.22 | $3,566.08 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $683.42 | $3,417.12 | 1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $464.80 | $2,324 | 1.2× |
| Lymph System Imaging (78195) | $915.71 | $4,578.56 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $2,190.72 | $10,953.60 | 9.1× |
| Meckels Divert Exam (78290) | $895.55 | $4,477.76 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,841.89 | $14,209.44 | 8.1× |
| MRA head w/o contrast (70544) | $1,412.32 | $7,061.60 | 5.9× |
| MRA head with contrast (70545) | $1,337.06 | $6,685.28 | 3.8× |
| MRA neck w contrast (70548) | $1,278.37 | $6,391.84 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,759.01 | $13,795.04 | 7.9× |
| MRA neck w/o contrast (70547) | $1,010.46 | $5,052.32 | 4.2× |
| MRI abdomen w contrast (74182) | $1,255.52 | $6,277.60 | 3.6× |
| MRI abdomen w/o contrast (74181) | $1,458.24 | $7,291.20 | 6.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,253.95 | $6,269.76 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,156.38 | $15,781.92 | 9.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,253.95 | $6,269.76 | 1.6× |
| MRI bone marrow blood supply (77084) | $1,425.31 | $7,126.56 | 5.9× |
| MRI cardiac w/o cont stress (75559) | $708.51 | $3,542.56 | 1.3× |
| MRI cardiac w/o contrast (75557) | $1,893.70 | $9,468.48 | 7.9× |
| MRI cervical spine w contrast (72142) | $1,412.32 | $7,061.60 | 4.0× |
| MRI cervical spine w/o cont (72141) | $1,644.61 | $8,223.04 | 6.9× |
| MRI chest w/o contrast (71550) | $1,220.58 | $6,102.88 | 5.1× |
| MRI chest with contrast (71551) | $1,255.52 | $6,277.60 | 1.6× |
| MRI chest wo w contrast (71552) | $3,315.42 | $16,577.12 | 9.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,253.95 | $6,269.76 | 3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,936.64 | $14,683.20 | 8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,425.09 | $7,125.44 | 5.9× |
| MRI lumbar spine w contrast (72149) | $1,283.97 | $6,419.84 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,237.47 | $16,187.36 | 9.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,692.77 | $8,463.84 | 7.1× |
| MRI orbit face neck w contrast (70542) | $1,589.28 | $7,946.40 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,390.24 | $16,951.20 | 9.7× |
| MRI pelvis w contrast (72196) | $1,215.65 | $6,078.24 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $3,163.10 | $15,815.52 | 9.0× |
| MRI pelvis w/o contrast (72195) | $1,613.25 | $8,066.24 | 6.7× |
| MRI spectroscopy (76390) | $1,494.98 | $7,474.88 | 17.1× |
| MRI thoracic spine w/o contrast (72146) | $1,824.93 | $9,124.64 | 7.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,276.13 | $6,380.64 | 3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,945.66 | $9,728.32 | 8.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,101.50 | $15,507.52 | 8.8× |
| MRI, abdomen, combo (74183) | $3,340.74 | $16,703.68 | 9.5× |
| MRI, dorsal spine combo (72157) | $3,237.47 | $16,187.36 | 9.2× |
| MRI, dorsal spine contrast (72147) | $1,412.32 | $7,061.60 | 4.0× |
| MRI, joint upper extrem (73221) | $1,620.19 | $8,100.96 | 6.8× |
| MRI, joint upper extrem combo (73223) | $3,333.57 | $16,667.84 | 9.5× |
| MRI, lumbar spine combo (72158) | $3,237.47 | $16,187.36 | 9.2× |
| Myelogram cervical (72240) | $562.24 | $2,811.20 | 0.7× |
| Myelogram Lumbar (72265) | $490.78 | $2,453.92 | 0.6× |
| Myelography thoracic (72255) | $490.78 | $2,453.92 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $770.78 | $3,853.92 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $549.02 | $2,745.12 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $4,222.18 | $21,110.88 | 3.2× |
| Neck soft tissue (70360) | $196.90 | $984.48 | 2.3× |
| Nm csf leak detection (78650) | $1,080.80 | $5,404 | 0.8× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$450.91–$486.75 | $2,254.56–$2,433.76 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $224.22 | $1,121.12 | 1.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $287.84 | $1,439.20 | 2.7× |
| Optic foramina (70190) | $142.46 | $712.32 | 1.6× |
| Panoramic X-ray of jaws (70355) | $108.42 | $542.08 | 1.2× |
| Parathyroid Planar Imaging (78070) | $1,940.29 | $9,701.44 | 4.8× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$122.98–$220.19 | $614.88–$1,100.96 | varies |
| Perineogram (74775) | $633.92 | $3,169.60 | 2.6× |
| Peritoneogram Rs&I (74190) | $366.02 | $1,830.08 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $2,250 | $11,249.98 | 1.6× |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$1,912.73–$2,331.96 | $9,563.66–$11,659.79 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,912.73 | $9,563.66 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,149.57 | $5,747.84 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $193.76 | $968.80 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $523.71 | $2,618.56 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$180.10–$209.44 | $900.48–$1,047.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$81.98–$184.80 | $409.92–$924 | varies |
| Radex elbow complete minimum 3 views (73080) | $208.77 | $1,043.84 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$205.63–$315.17 | $1,028.16–$1,575.84 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$110.21–$147.39 | $551.04–$736.96 | varies |
| Radex foot complete minimum 3 views (73630) | $204.74 | $1,023.68 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $202.94 | $1,014.72 | 2.3× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$215.71–$345.41 | $1,078.56–$1,727.04 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $240.80 | $1,204 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$135.97–$179.65 | $679.84–$898.24 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$21.73–$273.06 | $108.64–$1,365.28 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $211.46 | $1,057.28 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$119.84–$223.78 | $599.20–$1,118.88 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$86.91–$250.43 | $434.56–$1,252.16 | varies |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$102.59–$158.59 | $512.96–$792.96 | varies |
| Radex Sternum Minimum 2 Views (71120) | $188.38 | $941.92 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $246.40 | $1,232 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $121.18 | $605.92 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $257.82 | $1,289.12 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$112.90–$204.74 | $564.48–$1,023.68 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $474.21 | $2,371.04 | 4.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $234.53 | $1,172.64 | 2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $245.73 | $1,228.64 | 2.3× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$472.19–$657.22 | $2,360.96–$3,286.08 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$416.19–$566.94 | $2,080.96–$2,834.72 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $400.74 | $2,003.68 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $216.61 | $1,083.04 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $242.82 | $1,214.08 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 5 matching MRF lines |
$289.41–$643.55 | $1,447.04–$3,217.76 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$316.29–$435.46 | $1,581.44–$2,177.28 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $734.50 | $3,672.48 | 4.2× |
| Radiologic examination femur 1 view (73551) | $146.05 | $730.24 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $208.77 | $1,043.84 | 2.4× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$126.11–$184.35 | $630.56–$921.76 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$315.39–$422.24 | $1,576.96–$2,111.20 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$81.98–$263.87 | $409.92–$1,319.36 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $203.84 | $1,019.20 | 0.4× |
| Ribs bilateral 3 views (71110) | $239.90 | $1,199.52 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,378.50 | $6,892.48 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,288.67 | $6,443.36 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,373.12–$2,113.66 | $6,865.60–$10,568.32 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,266.05 | $6,330.24 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,165.70 | $5,828.48 | 0.9× |
| Salivary Gland Imaging (78230) | $505.57 | $2,527.84 | 1.3× |
| Scapula (73010) range across 2 matching MRF lines |
$133.28–$204.74 | $666.40–$1,023.68 | varies |
| Sella turcica (70240) | $120.51 | $602.56 | 1.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$97.22–$173.38 | $486.08–$866.88 | varies |
| Shoulder Arthrography (73040) | $490.78 | $2,453.92 | 1.4× |
| Sialogram (70390) | $274.18 | $1,370.88 | 1.1× |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$172.93–$275.30 | $864.64–$1,376.48 | varies |
| Special dosimetry (77331) | $118.94 | $594.72 | 0.9× |
| Special treatment procedure (77470) | $721.28 | $3,606.40 | 1.3× |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$268.35–$373.86 | $1,341.76–$1,869.28 | varies |
| Sternoclavicular joints (71130) | $142.24 | $711.20 | 1.6× |
| Superior sagittal sinus venogram (75870) | $1,006.21 | $5,031.04 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $326.14 | $1,630.72 | 0.9× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$623.62–$746.59 | $3,118.08–$3,732.96 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $901.15 | $4,505.76 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) | $369.60 | $1,848 | 2.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines |
$612.64–$891.97 | $3,063.20–$4,459.84 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$151.42–$232.96 | $757.12–$1,164.80 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$186.82–$287.17 | $934.08–$1,435.84 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $532.90 | $2,664.48 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,262.24 | $6,311.20 | 2.3× |
| Thyroid Uptake Measurement (78012) | $346.30 | $1,731.52 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $556.86 | $2,784.32 | 1.4× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$322.78–$345.63 | $1,613.92–$1,728.16 | varies |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$217.06–$603.46 | $1,085.28–$3,017.28 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$281.79–$490.56 | $1,408.96–$2,452.80 | varies |
| Unlisted magnetic resonance procedure (76498) | $3,194.24 | $15,971.20 | 36.5× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$273.06–$322.56 | $1,365.28–$1,612.80 | varies |
| Upper gi w/o kub (74240) | $590.24 | $2,951.20 | 3.3× |
| Ureteral Reflux Study (78740) | $1,089.76 | $5,448.80 | 2.7× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$269.71–$765.18 | $1,348.54–$3,825.92 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$499.30–$527.30 | $2,496.48–$2,636.48 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$292.32–$420.22 | $1,461.60–$2,101.12 | varies |
| Us complete joint (76881) | $238.11 | $1,190.56 | 2.3× |
| Us exam, pelvic, limited (76857) | $527.97 | $2,639.84 | 5.0× |
| Us head (76506) range across 3 matching MRF lines |
$211.01–$571.65 | $1,055.04–$2,858.24 | varies |
| Us kidney transplant (76776) | $496.61 | $2,483.04 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $365.57 | $1,827.84 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $426.27 | $2,131.36 | 4.1× |
| Us pelvic non ob complete (76856) | $684.99 | $3,424.96 | 6.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$346.30–$553.28 | $1,731.52–$2,766.40 | varies |
| Us scrotum and contents (76870) | $525.06 | $2,625.28 | 5.0× |
| Us spinal canal and contents (76800) | $492.80 | $2,464 | 4.7× |
| Us thyroid (76536) | $419.78 | $2,098.88 | 4.0× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$122.30–$1,231.78 | $611.52–$6,158.88 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,416.58 | $7,082.88 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,885.34 | $14,426.72 | 0.9× |
| Venogram Sinus/Jugular (75860) | $471.02 | $2,355.10 | 0.1× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$122.30–$1,231.78 | $611.52–$6,158.88 | varies |
| Venography extremity bilateral rs&i (75822) | $259.39 | $1,296.96 | 0.2× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$239.90–$591.14 | $1,199.52–$2,955.68 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,178.69–$1,336.38 | $5,893.44–$6,681.92 | varies |
| Venography Renal Unilateral (75831) | $1,086.62 | $5,433.12 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,231.78 | $6,158.88 | 0.2× |
| Venous thrombosis imaging (78457) | $616.22 | $3,081.12 | 1.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $932.96 | $4,664.80 | 2.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$114.02–$175.39 | $570.08–$876.96 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $145.82 | $729.12 | 1.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$415.97–$526.18 | $2,079.84–$2,630.88 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,360.48 | $6,802.40 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $158.59 | $792.96 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$126.11–$174.05 | $630.56–$870.24 | varies |
| X-Ray Exam Breast Specimen (76098) | $49.73 | $248.64 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$176.29–$245.28 | $881.44–$1,226.40 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 6 matching MRF lines |
$269.70–$610.40 | $1,348.48–$3,052 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $397.15 | $1,985.76 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.79 | $848.96 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$155.90–$208.54 | $779.52–$1,042.72 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $261.63 | $1,308.16 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $250.43 | $1,252.16 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$158.59–$243.71 | $792.96–$1,218.56 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$243.94–$347.65 | $1,219.68–$1,738.24 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$128.80–$273.06 | $644–$1,365.28 | varies |
| X-ray head for orthodontia (70350) | $71.68 | $358.40 | 0.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$114.46–$177.18 | $572.32–$885.92 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$362.66–$434.34 | $1,813.28–$2,171.68 | varies |
| X-ray IV pyelogram+tomography (74415) | $484.51 | $2,422.56 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $136.19 | $680.96 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$135.97–$142.02 | $679.84–$710.08 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 7 matching MRF lines |
$128.58–$278.66 | $642.88–$1,393.28 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$128.13–$231.62 | $640.64–$1,158.08 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$181.44–$365.34 | $907.20–$1,826.72 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $238.56 | $1,192.80 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $146.27 | $731.36 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$157.47–$188.38 | $787.36–$941.92 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$213.25–$327.71 | $1,066.24–$1,638.56 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$225.57–$266.56 | $1,127.84–$1,332.80 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$94.30–$97.22 | $471.52–$486.08 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$181.44–$243.49 | $907.20–$1,217.44 | varies |
| X-Ray Tmj Unilat (70328) | $103.49 | $517.44 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $695.30 | $3,476.48 | 2.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$312.93–$510.72 | $1,564.64–$2,553.60 | varies |
| X-Rays Bone Survey Complete (77075) | $628.54 | $3,142.72 | 6.0× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$221.54–$291.65 | $1,107.68–$1,458.24 | varies |
| Xr facial bones less than 3 views (70140) | $183.68 | $918.40 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $179.20 | $896 | 1.7× |
| Xr orbits complete 4 views (70200) | $261.63 | $1,308.16 | 2.5× |
| Xr Tomogram Single Plane (76100) | $325.92 | $1,629.60 | 3.1× |
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.