Imaging prices at Fort Duncan Medical Center
Eagle Pass, TX · every code in this section with a posted price and a Medicare benchmark.
323 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$387.60–$488.40 | $969–$1,221 | varies |
| Abdomen 2 views (74019) | $607.60 | $1,519 | 5.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,772.40 | $6,931 | 6.9× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,100–$2,609.60 | $2,750–$6,524 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$2,076.80–$5,804.40 | $5,192–$14,511 | varies |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$2,222.80–$6,970 | $5,557–$17,425 | varies |
| Angiography extremity unilateral rs&i (75710) range across 11 matching MRF lines |
$2,438.80–$6,970 | $6,097–$17,425 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,263.60–$1,866.80 | $3,159–$4,667 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,652 | $6,630 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$503.60–$629.60 | $1,259–$1,574 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$5,804.40–$9,101.20 | $14,511–$22,753 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$2,714–$6,970 | $6,785–$17,425 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$5,262.40–$12,211.60 | $13,156–$30,529 | varies |
| Artery X-Rays Pelvis (75736) range across 5 matching MRF lines |
$2,222.80–$6,970 | $5,557–$17,425 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$1,743.60–$13,332.80 | $4,359–$33,332 | varies |
| Arthrogram hip (73525) | $804.40 | $2,011 | 2.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$356.80–$997.20 | $892–$2,493 | varies |
| Bone Imaging 3 Phase (78315) | $2,839.20 | $7,098 | 7.1× |
| Bone Imaging Limited Area (78300) | $909.20 | $2,273 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,711.60 | $4,279 | 4.3× |
| Bone survey infant (77076) | $791.20 | $1,978 | 7.5× |
| Brain Flow Imaging Only (78610) | $1,171.20 | $2,928 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,171.20 | $2,928 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $1,057.60 | $2,644 | 12.1× |
| Cerebrospinal Fluid Scan (78630) | $832.40 | $2,081 | 1.5× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$255.20–$377.20 | $638–$943 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$477.60–$572.40 | $1,194–$1,431 | varies |
| Chest 3 views (71047) | $622.80 | $1,557 | 7.1× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$513.20–$745.20 | $1,283–$1,863 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$370.40–$518.40 | $926–$1,296 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$827.60–$9,101.20 | $2,069–$22,753 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$694–$770.40 | $1,735–$1,926 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $804.40 | $2,011 | 2.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $734.80 | $1,837 | 4.2× |
| Corpora cavernosography (74445) | $519.60 | $1,299 | 4.9× |
| CT abdomen and pelvis without and with contrast (74178) | $7,059.60 | $17,649 | 20.1× |
| CT abdomen and pelvis without contrast (74176) | $6,010.80 | $15,027 | 25.1× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,326.40–$4,583.60 | $5,816–$11,459 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,941.60–$5,073.60 | $7,354–$12,684 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,577.60–$3,810.80 | $6,444–$9,527 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,479.20 | $8,698 | 9.9× |
| CT Angio Chest (71275) | $3,655.20 | $9,138 | 20.7× |
| CT Angio Head (70496) | $3,504.80 | $8,762 | 19.9× |
| CT angio hrt w/3d image (75574) | $1,496.40 | $3,741 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,432.40–$4,333.60 | $6,081–$10,834 | varies |
| CT Angio Neck (70498) | $2,586.40 | $6,466 | 14.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,112.40–$1,713.20 | $2,781–$4,283 | varies |
| CT cervical spine w/ contrast (72126) | $5,112 | $12,780 | 14.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,793.20–$3,519.60 | $6,983–$8,799 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,753.60–$5,501.20 | $6,884–$13,753 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,431.60–$3,233.60 | $6,079–$8,084 | varies |
| CT chest w/wo contrast (71270) | $3,665.60 | $9,164 | 20.8× |
| CT head/brain with contrast (70460) | $4,045.20 | $10,113 | 23.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,437.60–$4,266 | $6,094–$10,665 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,108 | $2,770 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $186.40 | $466 | 2.1× |
| CT hrt w/3d image congen (75573) | $2,544 | $6,360 | 7.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,757.60–$3,736.80 | $6,894–$9,342 | varies |
| CT l-spine w&w/o contrast (72133) | $6,130.40 | $15,326 | 34.8× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$2,569.20–$4,046.40 | $6,423–$10,116 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$2,212.40–$2,788 | $5,531–$6,970 | varies |
| CT lumbar spine w contrast (72132) | $5,623.20 | $14,058 | 16.0× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,775.60–$4,758.40 | $9,439–$11,896 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,655.60–$3,928.80 | $6,639–$9,822 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,102.40–$3,474.80 | $7,756–$8,687 | varies |
| CT neck tissue combo (70492) | $5,609.60 | $14,024 | 31.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,674.40 | $11,686 | 26.5× |
| CT orbits w/o contrast (70480) | $3,474.80 | $8,687 | 33.1× |
| CT pelvis w&w/o contrast (72194) | $5,820.80 | $14,552 | 33.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,618–$3,299.60 | $6,545–$8,249 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,615.20–$5,668.80 | $9,038–$14,172 | varies |
| CT scans face/jaw combo (70488) | $4,174 | $10,435 | 23.7× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,689.20–$4,071.20 | $6,723–$10,178 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,198–$3,877.60 | $5,495–$9,694 | varies |
| CT thoracic spine w contrast (72129) | $4,909.20 | $12,273 | 27.9× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,872–$4,879.20 | $9,680–$12,198 | varies |
| CT thoracic spine w/wo cont (72130) | $5,252 | $13,130 | 29.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,536.80–$2,841.20 | $6,342–$7,103 | varies |
| CT unlisted procedure (76497) | $1,238 | $3,095 | 14.2× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$1,334–$4,046.40 | $3,335–$10,116 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,615.20–$3,697.20 | $9,038–$9,243 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,212.40–$3,560.80 | $5,531–$8,902 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,508 | $8,770 | 19.9× |
| Cta Abdomen (74175) | $3,934 | $9,835 | 22.3× |
| CTA pelvis (72191) | $1,483.60 | $3,709 | 8.4× |
| Discography Cerv/Thor Spine (72285) | $7,470 | $18,675 | 3.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $360 | $900 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $480 | $1,200 | 4.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$506.40–$1,019.20 | $1,266–$2,548 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $251.60 | $629 | 2.9× |
| Echo exam of fetal heart (76825) | $880 | $2,200 | 1.6× |
| Echo exam uterus (76831) | $1,108 | $2,770 | 4.6× |
| Echo Guide For Artery Repair (76936) | $4,037.60 | $10,094 | 18.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,680 | $4,200 | 7.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$448.80–$660.40 | $1,122–$1,651 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$269.60–$2,013.60 | $674–$5,034 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$269.60–$1,092.40 | $674–$2,731 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$972–$1,119.60 | $2,430–$2,799 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$473.60–$2,237.60 | $1,184–$5,594 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$381.20–$476.40 | $953–$1,191 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$375.60–$584.80 | $939–$1,462 | varies |
| Gastric emptying imaging study (78264) | $1,508 | $3,770 | 3.8× |
| Gastroesophageal Reflux Exam (78262) | $936 | $2,340 | 2.3× |
| Gated Heart Planar Single (78472) | $2,933.20 | $7,333 | 7.3× |
| Gated Heart, Multiple (78473) | $963.20 | $2,408 | 2.4× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$264.40–$473.20 | $661–$1,183 | varies |
| Heart first pass single,planar (78481) | $808 | $2,020 | 1.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,666.80 | $4,167 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,822.40 | $4,556 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,166–$1,508.40 | $2,915–$3,771 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$856.80–$1,996.80 | $2,142–$4,992 | varies |
| Ht Musc Image Planar Mult (78454) | $2,561.20 | $6,403 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,686.40 | $6,716 | 2.1× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$634.40–$1,018.80 | $1,586–$2,547 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,310.80 | $3,277 | 15.0× |
| Infant hip ultrasound, limited static exam (76886) | $1,102.40 | $2,756 | 12.6× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$690–$1,140.40 | $1,725–$2,851 | varies |
| K Flow/Funct Image Multiple (78709) | $1,701.20 | $4,253 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $1,129.20 | $2,823 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,153.60 | $2,884 | 2.1× |
| Kidney Imaging Morphol (78700) | $1,140 | $2,850 | 2.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,888.40 | $4,721 | 4.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$454–$728 | $1,135–$1,820 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,859.60 | $4,649 | 4.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $870.80 | $2,177 | 2.2× |
| Liver imaging static only (78201) | $945.60 | $2,364 | 1.7× |
| Liver imaging w/vascular flow (78202) | $945.60 | $2,364 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $786 | $1,965 | 1.4× |
| Lung perfusion differential (78597) | $508.80 | $1,272 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $2,748 | $6,870 | 5.0× |
| Lung Ventilation Imaging (78579) | $453.60 | $1,134 | 1.1× |
| Lymph System Imaging (78195) | $2,111.20 | $5,278 | 3.9× |
| Magnetic Image Jaw Joint (70336) range across 7 matching MRF lines |
$1,101.60–$3,779.20 | $2,754–$9,448 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,007.60 | $2,519 | 4.2× |
| Mammary ductogram or galactogram single (77053) | $843.20 | $2,108 | 3.5× |
| Meckels Divert Exam (78290) | $856.80 | $2,142 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,523.20–$5,290.80 | $3,808–$13,227 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$3,024–$4,500 | $7,560–$11,250 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,220–$3,478.40 | $8,050–$8,696 | varies |
| MRA neck w contrast (70548) | $3,478.40 | $8,696 | 9.9× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,499.20–$5,102.40 | $8,748–$12,756 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$1,101.60–$4,695.20 | $2,754–$11,738 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,220–$3,826.40 | $8,050–$9,566 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$3,024–$4,695.20 | $7,560–$11,738 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,153.20 | $2,883 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,779.20–$6,224 | $9,448–$15,560 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,153.20–$4,304 | $2,883–$10,760 | varies |
| MRI bone marrow blood supply (77084) | $3,964.40 | $9,911 | 16.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,162–$3,478.40 | $7,905–$8,696 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,024–$3,912.80 | $7,560–$9,782 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,024–$5,355.20 | $7,560–$13,388 | varies |
| MRI chest with contrast (71551) | $3,478.40 | $8,696 | 4.4× |
| MRI chest wo w contrast (71552) | $6,224 | $15,560 | 17.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,220–$3,478.40 | $8,050–$8,696 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,890–$6,112.40 | $12,225–$15,281 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,912.80–$5,870 | $9,782–$14,675 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,478.40–$4,174 | $8,696–$10,435 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,890 | $12,225 | 14.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,024–$5,478 | $7,560–$13,695 | varies |
| MRI orbit face neck w contrast (70542) | $3,478.40 | $8,696 | 9.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,846 | $17,115 | 19.5× |
| MRI pelvis w contrast (72196) | $3,478.40 | $8,696 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $4,890 | $12,225 | 14.0× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,024–$5,478 | $7,560–$13,695 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$3,322–$5,531.20 | $8,305–$13,828 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,024–$3,912.80 | $7,560–$9,782 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$3,220–$3,478.40 | $8,050–$8,696 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,402.40–$3,912.80 | $8,506–$9,782 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,779.20–$5,334.80 | $9,448–$13,337 | varies |
| MRI, abdomen, combo (74183) | $4,890 | $12,225 | 14.0× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,779.20–$4,890 | $9,448–$12,225 | varies |
| MRI, dorsal spine contrast (72147) | $3,478.40 | $8,696 | 9.9× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$3,024–$4,890.80 | $7,560–$12,227 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$3,499.20–$5,215.20 | $8,748–$13,038 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,779.20–$4,796.40 | $9,448–$11,991 | varies |
| Myelogram cervical (72240) | $1,712.80 | $4,282 | 2.2× |
| Myelogram Lumbar (72265) | $1,712.80 | $4,282 | 2.2× |
| Myelography thoracic (72255) | $1,712.80 | $4,282 | 2.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,461.60 | $3,654 | 3.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,507.60 | $6,269 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $4,307.60 | $10,769 | 3.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$512.80–$564.40 | $1,282–$1,411 | varies |
| Nonvascular Shunt X-Ray (75809) | $1,292.40 | $3,231 | 12.3× |
| Ob us nuchal meas 1 gest (76813) | $188.80 | $472 | 1.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,424 | $3,560 | 13.6× |
| Panoramic X-ray of jaws (70355) | $371.20 | $928 | 4.2× |
| Parathyroid Planar Imaging (78070) | $1,623.60 | $4,059 | 4.0× |
| Pelvis 1 or 2 views (72170) | $342 | $855 | 3.3× |
| Perineogram (74775) | $1,114 | $2,785 | 4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,992.40 | $4,981 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$594–$1,024.80 | $1,485–$2,562 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$409.20–$3,270.40 | $1,023–$8,176 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$410.80–$513.60 | $1,027–$1,284 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$310.40–$388 | $776–$970 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$444.40–$712.40 | $1,111–$1,781 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $812 | $2,030 | 7.7× |
| Radex fingr minimum 2 views (73140) range across 12 matching MRF lines |
$248.80–$306.40 | $622–$766 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$390.40–$488 | $976–$1,220 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$428.80–$536 | $1,072–$1,340 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$304–$478.80 | $760–$1,197 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$487.60–$548.40 | $1,219–$1,371 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$418.40–$482 | $1,046–$1,205 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $643.60 | $1,609 | 7.4× |
| Radex Ribs Unilateral 2 Views (71100) | $439.20 | $1,098 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$424.40–$530.40 | $1,061–$1,326 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $547.60 | $1,369 | 6.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $963.20 | $2,408 | 5.5× |
| Radex Spine 1 View Specify Level (72020) | $372.40 | $931 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$313.20–$436.40 | $783–$1,091 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$387.60–$818.80 | $969–$2,047 | varies |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$303.20–$359.20 | $758–$898 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$433.60–$542 | $1,084–$1,355 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$387.20–$484 | $968–$1,210 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,132.40 | $2,831 | 10.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $722 | $1,805 | 6.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$290.80–$926.80 | $727–$2,317 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$808–$1,132.80 | $2,020–$2,832 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$572–$656 | $1,430–$1,640 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$716.40–$895.60 | $1,791–$2,239 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $626.80 | $1,567 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$695.60–$1,340 | $1,739–$3,350 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$603.20–$1,121.20 | $1,508–$2,803 | varies |
| Radiologic exam teeth complete full mouth (70320) | $476.80 | $1,192 | 2.0× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $285.60 | $714 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
$696.40–$1,876.40 | $1,741–$4,691 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$410.80–$514 | $1,027–$1,285 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$381.20–$476.40 | $953–$1,191 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $708 | $1,770 | 6.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$387.20–$484 | $968–$1,210 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$552.40–$870.80 | $1,381–$2,177 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,094.40 | $7,736 | 5.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$788.40–$945.60 | $1,971–$2,364 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$426.80–$534 | $1,067–$1,335 | varies |
| Sella turcica (70240) | $284.80 | $712 | 3.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$318.80–$398.40 | $797–$996 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$866.80–$953.60 | $2,167–$2,384 | varies |
| Skull less than 4 views (70250) | $547.60 | $1,369 | 5.2× |
| Speech evaluation, complex (70371) | $1,420.80 | $3,552 | 5.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$342.80–$377.20 | $857–$943 | varies |
| Testicular Imaging W/Flow (78761) | $808 | $2,020 | 2.0× |
| Thoracic spine 2 views (72070) | $432 | $1,080 | 4.1× |
| Thoracic spine 3 views (72072) | $652.40 | $1,631 | 6.2× |
| Thoracolumbar 2 views (72080) | $531.60 | $1,329 | 6.1× |
| Thyroid Imaging With Vascular Flow (78013) | $732.80 | $1,832 | 1.8× |
| Thyroid Met Imaging Body (78018) | $818 | $2,045 | 1.5× |
| Thyroid Uptake Measurement (78012) | $355.20 | $888 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$508.40–$740.40 | $1,271–$1,851 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$884–$981.20 | $2,210–$2,453 | varies |
| Ultrasound Exam Aaa Screen (76706) | $366.40 | $916 | 3.5× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$936.80–$1,040 | $2,342–$2,600 | varies |
| Umbilical-artery Doppler (OB) (76820) | $400 | $1,000 | 3.8× |
| Unlisted us procedure (76999) | $710.80 | $1,777 | 8.1× |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$606.40–$1,888.80 | $1,516–$4,722 | varies |
| Ureteral Reflux Study (78740) | $1,244.40 | $3,111 | 3.1× |
| Urethrocystogram voiding (74455) | $1,160.80 | $2,902 | 4.8× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$460.80–$1,509.60 | $1,152–$3,774 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$981.20–$1,226.40 | $2,453–$3,066 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,126.80–$1,577.60 | $2,817–$3,944 | varies |
| Us complete joint (76881) | $960.40 | $2,401 | 9.1× |
| Us exam, pelvic, limited (76857) | $999.20 | $2,498 | 9.5× |
| Us head (76506) range across 2 matching MRF lines |
$720.40–$1,258.80 | $1,801–$3,147 | varies |
| Us kidney transplant (76776) | $975.60 | $2,439 | 9.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$853.20–$865.20 | $2,133–$2,163 | varies |
| Us ob detailed single fetus (76811) | $1,634.80 | $4,087 | 6.8× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$630–$1,695.20 | $1,575–$4,238 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$562.80–$1,118.40 | $1,407–$2,796 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$800–$999.20 | $2,000–$2,498 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$298–$1,474 | $745–$3,685 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$243.60–$1,431.20 | $609–$3,578 | varies |
| Us retroperitoneal complete (76770) | $1,025.20 | $2,563 | 9.8× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$368–$576 | $920–$1,440 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$628.40–$784.80 | $1,571–$1,962 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$879.60–$1,098.80 | $2,199–$2,747 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$695.60–$868.80 | $1,739–$2,172 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$785.60–$1,373.60 | $1,964–$3,434 | varies |
| Vascular Flow Imaging (78445) | $957.60 | $2,394 | 2.4× |
| Vein X-Ray Chest (75827) | $2,652 | $6,630 | 1.7× |
| Venogram Sinus/Jugular (75860) | $929.60 | $2,324 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,048.40–$6,970 | $7,621–$17,425 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$923.60–$1,743.60 | $2,309–$4,359 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$690–$970.40 | $1,725–$2,426 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$2,652–$6,970 | $6,630–$17,425 | varies |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,743.60 | $4,359 | 0.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$512.80–$641.20 | $1,282–$1,603 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$294.40–$302 | $736–$755 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$385.20–$539.20 | $963–$1,348 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$5,804.40–$8,311.60 | $14,511–$20,779 | varies |
| X-Ray Bend Only L-S Spine (72120) | $560 | $1,400 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$354.40–$443.20 | $886–$1,108 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,377.60 | $3,444 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$683.20–$1,052.40 | $1,708–$2,631 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $444 | $1,110 | 5.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$424–$645.60 | $1,060–$1,614 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $471.20 | $1,178 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $840.40 | $2,101 | 8.0× |
| X-Ray Exam L-S Spine Bending (72114) | $926.40 | $2,316 | 8.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $400.80 | $1,002 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,104.80 | $2,762 | 10.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $508.40 | $1,271 | 4.8× |
| X-ray eye for foreign body (70030) | $326 | $815 | 3.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$381.20–$476.40 | $953–$1,191 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$764–$930 | $1,910–$2,325 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$731.20–$1,906.40 | $1,828–$4,766 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $530.80 | $1,327 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $407.20 | $1,018 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $424 | $1,060 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $526.40 | $1,316 | 6.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $743.20 | $1,858 | 7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $586.40 | $1,466 | 5.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $416.80 | $1,042 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $378.40 | $946 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $826 | $2,065 | 9.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,009.60 | $2,524 | 9.6× |
| X-ray thoracic spine 4 vw (72074) | $840.40 | $2,101 | 8.0× |
| X-Ray Tmj Unilat (70328) | $570 | $1,425 | 6.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $758.40 | $1,896 | 2.2× |
| X-Rays Bone Length Studies (77073) | $726.40 | $1,816 | 6.9× |
| X-Rays Bone Survey Complete (77075) | $1,717.60 | $4,294 | 16.4× |
| Xr c-spine 4 or 5 views (72050) | $742.40 | $1,856 | 7.1× |
| Xr facial bones less than 3 views (70140) | $581.20 | $1,453 | 6.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $617.60 | $1,544 | 5.9× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$589.60–$1,040.40 | $1,474–$2,601 | varies |
| Xr Tomogram Single Plane (76100) | $897.20 | $2,243 | 8.5× |
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.