Imaging prices at Driscoll Childrens Hospital
Corpus Christi, TX · every code in this section with a posted price and a Medicare benchmark.
354 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) | $505.79 | $2,528.96 | 0.4× |
| Abdomen 1 View (74018) | $142.91 | $714.56 | 1.6× |
| Abdomen 2 views (74019) | $165.76 | $828.80 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $864.64 | $4,323.20 | 2.2× |
| Adrenal Cortex & Medulla Img (78075) | $10,234.11 | $51,170.56 | 7.9× |
| Angio internal mammary (75756) | $923.55 | $4,617.76 | 0.3× |
| Angio pulmonary bilat (75743) | $1,369.72 | $6,848.60 | 0.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,142.24–$1,387.01 | $5,711.20–$6,935.04 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,052.04–$1,278.82 | $5,260.20–$6,394.08 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,262.36 | $6,311.80 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,262.36 | $6,311.80 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$109.76–$151.42 | $548.80–$757.12 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$84–$1,102.53 | $420–$5,512.64 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $923.33 | $4,616.64 | 0.3× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,071.17–$1,086.62 | $5,355.84–$5,433.12 | varies |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,052.04 | $5,260.20 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,052.04 | $5,260.20 | 0.2× |
| Arthrogram ankle (73615) | $426.72 | $2,133.60 | 1.2× |
| Arthrogram hip (73525) | $596.29 | $2,981.44 | 1.7× |
| Arthrogram Wrist (73115) | $281.79 | $1,408.96 | 0.8× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$126.56–$135.30 | $632.80–$676.48 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$65.41–$86.46 | $327.04–$432.32 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$967.01–$1,318.02 | $4,835.04–$6,590.08 | varies |
| Bone Imaging Limited Area (78300) | $506.24 | $2,531.20 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $746.82 | $3,734.08 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,261.34 | $6,306.72 | 3.1× |
| Bone marrow imaging; whole body (78104) | $821.63 | $4,108.16 | 2.0× |
| Bone survey infant (77076) | $424.48 | $2,122.40 | 4.0× |
| Brain Flow Imaging Only (78610) | $716.58 | $3,582.88 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$778.85–$785.12 | $3,894.24–$3,925.60 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $689.47 | $3,447.36 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,717.41 | $8,587.04 | 1.2× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,219.68 | $6,098.40 | 2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,111.42 | $10,557.12 | 6.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,537.47 | $12,687.36 | 3.2× |
| Cardiac Shunt Detection (78428) | $457.63 | $2,288.16 | 1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $694.62 | $3,473.12 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $1,202.88 | $6,014.40 | 2.2× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$134.40–$140.22 | $672–$701.12 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$155.01–$190.40 | $775.04–$952 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$135.74–$195.33 | $678.72–$976.64 | varies |
| Chest 4 or more views (71048) | $224.90 | $1,124.48 | 2.1× |
| Cholecystography Oral Contrast (74290) | $197.12 | $985.60 | 1.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $198.02 | $990.08 | 1.9× |
| Cisternography Positive Contrast Rs&I (70015) | $443.74 | $2,218.72 | 0.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$71.23–$168.67 | $356.16–$843.36 | varies |
| Continuing medical physics consltj pr wk (77336) | $144.03 | $720.16 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,113.20 | $5,566 | 0.4× |
| Contrast X-Ray Bladder (74430) | $325.25 | $1,626.24 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $469.50 | $2,347.52 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $519.46 | $2,597.28 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,264.90 | $26,324.48 | 15.0× |
| CT abdomen and pelvis without contrast (74176) | $3,571.46 | $17,857.28 | 14.9× |
| CT abdomen w contrast (74160) | $2,034.82 | $10,174.08 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,675.01 | $13,375.04 | 15.2× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$266.34–$1,804.77 | $1,331.68–$9,023.84 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,482.69 | $22,413.44 | 12.8× |
| CT Angio Chest (71275) | $2,509.92 | $12,549.60 | 14.2× |
| CT Angio Head (70496) | $1,992.93 | $9,964.64 | 11.3× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$2,127.55–$2,584.74 | $10,637.76–$12,923.68 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,387.68 | $6,938.40 | 7.9× |
| CT Angio Neck (70498) | $1,992.93 | $9,964.64 | 11.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,261.57 | $6,307.84 | 7.2× |
| CT bone density (77078) range across 2 matching MRF lines |
$263.20–$404.54 | $1,316–$2,022.72 | varies |
| CT cervical spine w/ contrast (72126) | $1,528.13 | $7,640.64 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,776.10 | $8,880.48 | 16.9× |
| CT cervical spine w/wo cont (72127) | $1,568.45 | $7,842.24 | 8.9× |
| CT chest w contrast (71260) | $1,916.10 | $9,580.48 | 10.9× |
| CT chest w/wo contrast (71270) | $2,381.12 | $11,905.60 | 13.5× |
| CT head/brain with contrast (70460) | $1,506.62 | $7,533.12 | 8.6× |
| CT head/brain without and with contrast (70470) | $2,356.70 | $11,783.52 | 13.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $992.10 | $4,960.48 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,830.53 | $9,152.64 | 20.9× |
| CT hrt w/3d image congen (75573) | $746.82 | $3,734.08 | 2.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,664.10–$1,682.91 | $8,320.48–$8,414.56 | varies |
| CT l-spine w&w/o contrast (72133) | $1,568.45 | $7,842.24 | 8.9× |
| CT lower ext w/o (73700) | $1,186.98 | $5,934.88 | 11.3× |
| CT lower extremity w/contrast material (73701) | $1,228.42 | $6,142.08 | 7.0× |
| CT lumbar spine w contrast (72132) | $1,389.25 | $6,946.24 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,776.10 | $8,880.48 | 16.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,802.53–$2,050.72 | $9,012.64–$10,253.60 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$266.34–$1,777.22 | $1,331.68–$8,886.08 | varies |
| CT neck tissue combo (70492) | $2,356.70 | $11,783.52 | 13.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,533.28–$1,939.62 | $7,666.40–$9,698.08 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,041.82–$1,601.60 | $5,209.12–$8,008 | varies |
| CT pelvis w&w/o contrast (72194) | $2,094.40 | $10,472 | 11.9× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$266.34–$1,708.90 | $1,331.68–$8,544.48 | varies |
| CT scan of leg combo (73702) | $1,332.58 | $6,662.88 | 7.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,356.70–$2,580.93 | $11,783.52–$12,904.64 | varies |
| CT soft tissue neck w contrast (70491) | $1,682.91 | $8,414.56 | 9.6× |
| CT soft tissue neck w/o contrast (70490) | $1,455.55 | $7,277.76 | 13.9× |
| CT thoracic spine w contrast (72129) | $1,528.13 | $7,640.64 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $1,776.10 | $8,880.48 | 16.9× |
| CT thoracic spine w/wo cont (72130) | $1,568.45 | $7,842.24 | 8.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$266.34–$1,759.97 | $1,331.68–$8,799.84 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$409.25–$1,186.98 | $2,046.24–$5,934.88 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,053.47 | $5,267.36 | 6.0× |
| CT upper extremity with contrast (73201) | $1,064 | $5,320 | 3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,964.03 | $9,820.16 | 11.1× |
| Cta Abdomen (74175) | $3,018.85 | $15,094.24 | 17.1× |
| CTA pelvis (72191) | $1,946.78 | $9,733.92 | 11.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $280.45 | $1,402.24 | 1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,081.70 | $5,408.48 | 10.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,164.06 | $10,820.32 | 20.6× |
| Echo exam of fetal heart (76825) | $2,488.64 | $12,443.20 | 4.5× |
| Echo Guide For Artery Repair (76936) | $446.38 | $2,231.90 | 2.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,243.87 | $6,219.36 | 5.2× |
| Esophageal Motility Study (78258) | $584.86 | $2,924.32 | 1.5× |
| Esophagram (74220) | $339.81 | $1,699.04 | 1.9× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,219.90 | $6,099.52 | 5.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$194.88–$321.66 | $974.40–$1,608.32 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$167.33–$250.88 | $836.64–$1,254.40 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$109.76–$163.30 | $548.80–$816.48 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$109.76–$160.61 | $548.80–$803.04 | varies |
| Gastric emptying imaging study (78264) | $1,281.28 | $6,406.40 | 3.2× |
| Gastric Mucosa Imaging (78261) | $830.14 | $4,150.72 | 2.1× |
| Gastroesophageal Reflux Exam (78262) | $857.70 | $4,288.48 | 2.1× |
| Gated Heart Planar Single (78472) | $1,113.95 | $5,569.76 | 2.8× |
| Gated Heart, Multiple (78473) | $1,913.18 | $9,565.92 | 4.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$109.76–$149.63 | $548.80–$748.16 | varies |
| Heart first pass single,planar (78481) | $1,060.86 | $5,304.32 | 1.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,071.17 | $5,355.84 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,178.24 | $5,891.20 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $699.78 | $3,498.88 | 1.3× |
| Hepatobiliary System Imaging (78226) | $1,038.69 | $5,193.44 | 2.6× |
| Ht Musc Image Planar Mult (78454) | $956.03 | $4,780.16 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $1,432.70 | $7,163.52 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $315.62 | $1,578.08 | 3.6× |
| Infant hip ultrasound, limited static exam (76886) | $254.69 | $1,273.44 | 2.9× |
| Infusion Ivp (74410) | $358.40 | $1,792 | 2.0× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$169.79–$195.55 | $848.96–$977.76 | varies |
| K Flow/Funct Image Multiple (78709) | $907.42 | $4,537.12 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,746.53 | $8,732.64 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,136.35 | $5,681.76 | 2.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $680.51 | $3,402.56 | 1.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,148 | $5,740 | 2.9× |
| Knee 3 Views (73562) | $181.66 | $908.32 | 2.1× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $796.32 | $3,981.60 | 2.0× |
| Leveen/Shunt Patency Exam (78291) | $620.26 | $3,101.28 | 1.5× |
| Liver & Spleen Imaging Static Only (78215) | $594.27 | $2,971.36 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $404.10 | $2,020.48 | 1.0× |
| Lymph System Imaging (78195) | $796.32 | $3,981.60 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,905.12 | $9,525.60 | 7.9× |
| Meckels Divert Exam (78290) | $778.62 | $3,893.12 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,471.17 | $12,355.84 | 7.1× |
| MRA head w/o contrast (70544) | $1,228.19 | $6,140.96 | 5.1× |
| MRA head with contrast (70545) | $1,162.56 | $5,812.80 | 3.3× |
| MRA neck w contrast (70548) | $1,111.71 | $5,558.56 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,399.26 | $11,996.32 | 6.8× |
| MRA neck w/o contrast (70547) | $878.75 | $4,393.76 | 3.7× |
| MRI abdomen w contrast (74182) | $1,091.78 | $5,458.88 | 3.1× |
| MRI abdomen w/o contrast (74181) | $1,268.06 | $6,340.32 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,090.43 | $5,452.16 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,744.67 | $13,723.36 | 7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,090.43 | $5,452.16 | 1.4× |
| MRI bone marrow blood supply (77084) | $1,239.39 | $6,196.96 | 5.2× |
| MRI cardiac w/o cont stress (75559) | $616 | $3,080 | 1.1× |
| MRI cardiac w/o contrast (75557) | $1,646.62 | $8,233.12 | 6.9× |
| MRI cervical spine w contrast (72142) | $1,227.97 | $6,139.84 | 3.5× |
| MRI cervical spine w/o cont (72141) | $1,430.02 | $7,150.08 | 6.0× |
| MRI chest w/o contrast (71550) | $1,061.31 | $5,306.56 | 4.4× |
| MRI chest with contrast (71551) | $1,091.78 | $5,458.88 | 1.4× |
| MRI chest wo w contrast (71552) | $2,882.88 | $14,414.40 | 8.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,090.43 | $5,452.16 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,553.60 | $12,768 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,239.17 | $6,195.84 | 5.2× |
| MRI lumbar spine w contrast (72149) | $1,116.42 | $5,582.08 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,815.23 | $14,076.16 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,472.13 | $7,360.64 | 6.1× |
| MRI orbit face neck w contrast (70542) | $1,382.08 | $6,910.40 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,948.06 | $14,740.32 | 8.4× |
| MRI pelvis w contrast (72196) | $1,057.06 | $5,285.28 | 3.0× |
| MRI pelvis w/o & w contrast (72197) | $2,750.50 | $13,752.48 | 7.8× |
| MRI pelvis w/o contrast (72195) | $1,402.91 | $7,014.56 | 5.9× |
| MRI spectroscopy (76390) | $1,300.10 | $6,500.48 | 14.9× |
| MRI thoracic spine w/o contrast (72146) | $1,586.82 | $7,934.08 | 6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,109.70 | $5,548.48 | 3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,691.87 | $8,459.36 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,696.96 | $13,484.80 | 7.7× |
| MRI, abdomen, combo (74183) | $2,905.06 | $14,525.28 | 8.3× |
| MRI, dorsal spine combo (72157) | $2,815.23 | $14,076.16 | 8.0× |
| MRI, dorsal spine contrast (72147) | $1,227.97 | $6,139.84 | 3.5× |
| MRI, joint upper extrem (73221) | $1,408.96 | $7,044.80 | 5.9× |
| MRI, joint upper extrem combo (73223) | $2,898.78 | $14,493.92 | 8.3× |
| MRI, lumbar spine combo (72158) | $2,815.23 | $14,076.16 | 8.0× |
| Myelogram cervical (72240) | $488.99 | $2,444.96 | 0.6× |
| Myelogram Lumbar (72265) | $426.72 | $2,133.60 | 0.5× |
| Myelography thoracic (72255) | $426.72 | $2,133.60 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $670.21 | $3,351.04 | 0.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $477.34 | $2,386.72 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $3,671.58 | $18,357.92 | 2.8× |
| Neck soft tissue (70360) | $171.14 | $855.68 | 2.0× |
| Nm csf leak detection (78650) | $939.90 | $4,699.52 | 0.7× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$392–$423.36 | $1,960–$2,116.80 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $194.88 | $974.40 | 1.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $250.21 | $1,251.04 | 2.4× |
| Optic foramina (70190) | $123.87 | $619.36 | 1.4× |
| Panoramic X-ray of jaws (70355) | $94.30 | $471.52 | 1.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,568 | $7,840 | 2.9× |
| Parathyroid Planar Imaging (78070) | $1,687.17 | $8,435.84 | 4.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,533.73 | $7,668.64 | 3.8× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$106.85–$191.52 | $534.24–$957.60 | varies |
| Perineogram (74775) | $551.26 | $2,756.32 | 2.3× |
| Peritoneogram Rs&I (74190) | $318.30 | $1,591.52 | 0.6× |
| Pet Image W/Ct Lmtd (78814) | $1,956.60 | $9,783.01 | 1.4× |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$1,663.21–$2,027.86 | $8,316.04–$10,139.32 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,663.21 | $8,316.04 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $999.71 | $4,998.56 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $168.45 | $842.24 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $455.39 | $2,276.96 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$156.80–$182.11 | $784–$910.56 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$71.23–$160.61 | $356.16–$803.04 | varies |
| Radex elbow complete minimum 3 views (73080) | $181.66 | $908.32 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$178.75–$273.95 | $893.76–$1,369.76 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$95.87–$128.13 | $479.36–$640.64 | varies |
| Radex foot complete minimum 3 views (73630) | $177.86 | $889.28 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $176.51 | $882.56 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$187.49–$300.38 | $937.44–$1,501.92 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $209.44 | $1,047.20 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$118.27–$156.13 | $591.36–$780.64 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$18.82–$237.44 | $94.08–$1,187.20 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $183.90 | $919.52 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$104.16–$194.66 | $520.80–$973.28 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$75.49–$217.73 | $377.44–$1,088.64 | varies |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$89.15–$137.98 | $445.76–$689.92 | varies |
| Radex Sternum Minimum 2 Views (71120) | $163.74 | $818.72 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $214.14 | $1,070.72 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $105.50 | $527.52 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $224.22 | $1,121.12 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$98.11–$177.86 | $490.56–$889.28 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $412.38 | $2,061.92 | 3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $204.06 | $1,020.32 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $213.70 | $1,068.48 | 2.0× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$410.59–$571.65 | $2,052.96–$2,858.24 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$361.98–$493.02 | $1,809.92–$2,465.12 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $348.54 | $1,742.72 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $188.38 | $941.92 | 1.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $211.01 | $1,055.04 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 5 matching MRF lines |
$251.55–$559.55 | $1,257.76–$2,797.76 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$275.07–$378.56 | $1,375.36–$1,892.80 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $638.62 | $3,193.12 | 3.6× |
| Radiologic examination femur 1 view (73551) | $127.01 | $635.04 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $181.66 | $908.32 | 2.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$109.76–$160.38 | $548.80–$801.92 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$274.40–$367.14 | $1,372–$1,835.68 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$71.23–$229.38 | $356.16–$1,146.88 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $177.18 | $885.92 | 0.3× |
| Ribs bilateral 3 views (71110) | $208.54 | $1,042.72 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,198.62 | $5,993.12 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,120.67 | $5,603.36 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,193.92–$1,837.92 | $5,969.60–$9,189.60 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,100.96 | $5,504.80 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,013.60 | $5,068 | 0.8× |
| Salivary Gland Imaging (78230) | $439.71 | $2,198.56 | 1.1× |
| Scapula (73010) range across 2 matching MRF lines |
$115.81–$177.86 | $579.04–$889.28 | varies |
| Sella turcica (70240) | $104.83 | $524.16 | 1.2× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$84.45–$150.75 | $422.24–$753.76 | varies |
| Shoulder Arthrography (73040) | $426.72 | $2,133.60 | 1.2× |
| Sialogram (70390) | $238.34 | $1,191.68 | 1.0× |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$150.53–$239.46 | $752.64–$1,197.28 | varies |
| Special dosimetry (77331) | $103.49 | $517.44 | 0.8× |
| Special treatment procedure (77470) | $627.20 | $3,136 | 1.1× |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$233.41–$325.02 | $1,167.04–$1,625.12 | varies |
| Sternoclavicular joints (71130) | $123.65 | $618.24 | 1.4× |
| Superior sagittal sinus venogram (75870) | $874.94 | $4,374.72 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $283.58 | $1,417.92 | 0.8× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$542.30–$649.15 | $2,711.52–$3,245.76 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $783.55 | $3,917.76 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $321.44 | $1,607.20 | 2.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines |
$532.67–$775.49 | $2,663.36–$3,877.44 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$131.71–$202.50 | $658.56–$1,012.48 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$162.40–$249.54 | $812–$1,247.68 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $463.23 | $2,316.16 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,097.60 | $5,488 | 2.0× |
| Thyroid Uptake Measurement (78012) | $301.28 | $1,506.40 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $484.29 | $2,421.44 | 1.2× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$280.67–$300.61 | $1,403.36–$1,503.04 | varies |
| Ultrasound Breast Limited (76642) | $221.31 | $1,106.56 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $369.60 | $1,848 | 3.5× |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$188.83–$524.83 | $944.16–$2,624.16 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$245.06–$426.50 | $1,225.28–$2,132.48 | varies |
| Unlisted magnetic resonance procedure (76498) | $2,777.60 | $13,888 | 31.8× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$237.44–$280.45 | $1,187.20–$1,402.24 | varies |
| Upper gi w/o kub (74240) | $513.18 | $2,565.92 | 2.9× |
| Ureteral Reflux Study (78740) | $947.52 | $4,737.60 | 2.4× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$234.53–$665.28 | $1,172.64–$3,326.40 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$434.11–$458.53 | $2,170.56–$2,292.64 | varies |
| Us breast unilateral complete (76641) | $276.42 | $1,382.08 | 2.6× |
| Us chest (76604) range across 2 matching MRF lines |
$254.24–$365.34 | $1,271.20–$1,826.72 | varies |
| Us complete joint (76881) | $206.98 | $1,034.88 | 2.0× |
| Us exam, pelvic, limited (76857) | $458.98 | $2,294.88 | 4.4× |
| Us head (76506) range across 3 matching MRF lines |
$183.46–$497.06 | $917.28–$2,485.28 | varies |
| Us kidney transplant (76776) | $431.87 | $2,159.36 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $317.86 | $1,589.28 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $370.50 | $1,852.48 | 3.5× |
| Us pelvic non ob complete (76856) | $595.62 | $2,978.08 | 5.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$301.06–$481.15 | $1,505.28–$2,405.76 | varies |
| Us scrotum and contents (76870) | $456.51 | $2,282.56 | 4.3× |
| Us spinal canal and contents (76800) | $428.51 | $2,142.56 | 4.1× |
| Us thyroid (76536) | $364.90 | $1,824.48 | 3.5× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$106.18–$1,071.17 | $530.88–$5,355.84 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,231.78 | $6,158.88 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,509.02 | $12,545.12 | 0.8× |
| Venogram Sinus/Jugular (75860) | $409.64 | $2,048.20 | 0.1× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$106.18–$1,071.17 | $530.88–$5,355.84 | varies |
| Venography extremity bilateral rs&i (75822) | $225.57 | $1,127.84 | 0.1× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$208.54–$514.08 | $1,042.72–$2,570.40 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,025.02–$1,162.11 | $5,125.12–$5,810.56 | varies |
| Venography Renal Unilateral (75831) | $944.83 | $4,724.16 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,071.17 | $5,355.84 | 0.2× |
| Venous thrombosis imaging (78457) | $535.81 | $2,679.04 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $811.33 | $4,056.64 | 2.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$99.23–$152.54 | $496.16–$762.72 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $126.78 | $633.92 | 1.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$361.76–$457.63 | $1,808.80–$2,288.16 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,182.94 | $5,914.70 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $137.98 | $689.92 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$109.76–$151.42 | $548.80–$757.12 | varies |
| X-Ray Exam Breast Specimen (76098) | $43.23 | $216.16 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$153.22–$213.47 | $766.08–$1,067.36 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 6 matching MRF lines |
$234.53–$530.66 | $1,172.64–$2,653.28 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $345.41 | $1,727.04 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $147.62 | $738.08 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$135.52–$181.44 | $677.60–$907.20 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $206.75 | $1,033.76 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $217.73 | $1,088.64 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$137.98–$211.90 | $689.92–$1,059.52 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$212.13–$302.40 | $1,060.64–$1,512 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$112–$237.44 | $560–$1,187.20 | varies |
| X-ray head for orthodontia (70350) | $62.27 | $311.36 | 0.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$99.46–$154.11 | $497.28–$770.56 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$315.39–$377.66 | $1,576.96–$1,888.32 | varies |
| X-ray IV pyelogram+tomography (74415) | $421.34 | $2,106.72 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $118.50 | $592.48 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$118.27–$123.65 | $591.36–$618.24 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 7 matching MRF lines |
$111.78–$242.37 | $558.88–$1,211.84 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$111.33–$201.38 | $556.64–$1,006.88 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$157.70–$317.63 | $788.48–$1,588.16 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $207.42 | $1,037.12 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $127.23 | $636.16 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$136.86–$163.74 | $684.32–$818.72 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$185.47–$285.15 | $927.36–$1,425.76 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$196.22–$231.84 | $981.12–$1,159.20 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$81.98–$84.45 | $409.92–$422.24 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$157.70–$211.68 | $788.48–$1,058.40 | varies |
| X-Ray Tmj Unilat (70328) | $90.05 | $450.24 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $604.80 | $3,024 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$271.94–$443.97 | $1,359.68–$2,219.84 | varies |
| X-Rays Bone Survey Complete (77075) | $546.56 | $2,732.80 | 5.2× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$192.64–$253.57 | $963.20–$1,267.84 | varies |
| Xr facial bones less than 3 views (70140) | $159.71 | $798.56 | 1.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $155.90 | $779.52 | 1.5× |
| Xr orbits complete 4 views (70200) | $227.58 | $1,137.92 | 2.2× |
| Xr Tomogram Single Plane (76100) | $283.36 | $1,416.80 | 2.7× |
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.