Imaging prices at Grace Surgical Hospital
Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.
365 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) | $86.94 | $207 | 1.0× |
| Abdomen 2 views (74019) | $260.82 | $621 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,307.04 | $3,112 | 3.3× |
| Adrenal Cortex & Medulla Img (78075) | $2,131.08 | $5,074 | 1.6× |
| Angio pulmonary bilat (75743) | $1,170.96 | $2,788 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,474.62 | $3,511 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,207.50 | $2,875 | 0.4× |
| Ankle 2 views (73600) | $179.34 | $427 | 2.1× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,136.52 | $2,706 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,261.26 | $3,003 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,258.74 | $2,997 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,275.96 | $3,038 | 0.2× |
| Arthrogram ankle (73615) | $671.58 | $1,599 | 1.9× |
| Arthrogram hip (73525) | $524.58 | $1,249 | 1.5× |
| Arthrogram Wrist (73115) | $716.52 | $1,706 | 2.0× |
| Bone age studies (77072) | $125.58 | $299 | 1.2× |
| Bone Imaging 3 Phase (78315) | $1,336.44 | $3,182 | 3.3× |
| Bone Imaging Limited Area (78300) | $794.64 | $1,892 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $1,048.74 | $2,497 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,152.48 | $2,744 | 2.9× |
| Bone marrow imaging; multiple areas (78103) | $1,000.44 | $2,382 | 2.5× |
| Bone marrow imaging; whole body (78104) | $1,148.70 | $2,735 | 2.9× |
| Bone survey infant (77076) | $585.48 | $1,394 | 5.6× |
| Brain Flow Imaging Only (78610) | $887.46 | $2,113 | 1.6× |
| Brain Image W/Flow < 4 Views (78601) | $1,028.16 | $2,448 | 2.6× |
| Brain imaging < 4 static views (78600) | $863.10 | $2,055 | 2.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,599.78 | $3,809 | 2.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,333.92 | $3,176 | 2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,692.26 | $13,553 | 4.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,135.68 | $2,704 | 2.8× |
| Cardiac Shunt Detection (78428) | $844.62 | $2,011 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $594.72 | $1,416 | 6.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,314.18 | $3,129 | 2.4× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $1,588.86 | $3,783 | 2.9× |
| Cerebrospinal Fluid Scan (78630) | $1,653.96 | $3,938 | 3.0× |
| Chest 1 view (71045) | $122.64 | $292 | 1.4× |
| Chest 2 views (71046) | $167.16 | $398 | 1.9× |
| Chest 3 views (71047) | $182.70 | $435 | 2.1× |
| Chest 4 or more views (71048) | $256.20 | $610 | 2.4× |
| Cholecystography Oral Contrast (74290) | $509.04 | $1,212 | 2.9× |
| Clavicle complete (73000) | $182.28 | $434 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $63.84 | $152 | 0.6× |
| Contrast Exam Abdominl Aorta (75625) | $1,139.04 | $2,712 | 0.4× |
| Contrast X-Ray Bladder (74430) | $437.64 | $1,042 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $509.88 | $1,214 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $907.20 | $2,160 | 2.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $587.58 | $1,399 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $500 | $4,143 | 1.4× |
| CT abdomen and pelvis without contrast (74176) | $310 | $1,644 | 1.3× |
| CT abdomen w contrast (74160) | $1,423.38 | $3,389 | 8.1× |
| CT abdomen w wo contrast (74170) | $1,751.40 | $4,170 | 9.9× |
| CT abdomen w/o contrast (74150) | $987.42 | $2,351 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $864.36 | $2,058 | 2.5× |
| CT Angio Chest (71275) | $1,772.40 | $4,220 | 10.1× |
| CT Angio Head (70496) | $1,866.48 | $4,444 | 10.6× |
| CT angio hrt w/3d image (75574) | $1,344.84 | $3,202 | 3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,772.40 | $4,220 | 10.1× |
| CT Angio Neck (70498) | $1,866.48 | $4,444 | 10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,772.40 | $4,220 | 10.1× |
| CT bone density (77078) | $368.76 | $878 | 4.2× |
| CT cervical spine w/ contrast (72126) | $1,382.22 | $3,291 | 3.9× |
| CT cervical spine w/o contrast (72125) | $310 | $2,546 | 3.0× |
| CT cervical spine w/wo cont (72127) | $1,731.66 | $4,123 | 9.8× |
| CT chest w contrast (71260) | $1,309.56 | $3,118 | 7.4× |
| CT chest w/wo contrast (71270) | $1,647.66 | $3,923 | 9.4× |
| CT head/brain with contrast (70460) | $1,108.38 | $2,639 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,365 | $3,250 | 7.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $325.08 | $580 | 3.7× |
| CT iac w contrast (70481) | $1,642.20 | $3,910 | 9.3× |
| CT l-spine w&w/o contrast (72133) | $1,645.98 | $3,919 | 9.3× |
| CT lower ext w/o (73700) | $295 | $2,419 | 2.8× |
| CT lower extremity w/contrast material (73701) | $1,284.36 | $3,058 | 7.3× |
| CT lumbar spine w contrast (72132) | $1,311.24 | $3,122 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $295 | $2,419 | 2.8× |
| CT maxillofacial w contrast (70487) | $1,391.04 | $3,312 | 7.9× |
| CT maxillofacial wo contrast (70486) | $1,069.32 | $2,546 | 10.2× |
| CT neck tissue combo (70492) | $1,672.02 | $3,981 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,842.54 | $4,387 | 10.5× |
| CT orbits w/o contrast (70480) | $1,069.32 | $2,546 | 10.2× |
| CT pelvis w&w/o contrast (72194) | $1,663.62 | $3,961 | 9.4× |
| CT pelvis w/o contrast (72192) | $994.56 | $2,368 | 9.5× |
| CT scan of leg combo (73702) | $1,704.36 | $4,058 | 9.7× |
| CT scans face/jaw combo (70488) | $1,735.44 | $4,132 | 9.8× |
| CT soft tissue neck w contrast (70491) | $1,334.76 | $3,178 | 7.6× |
| CT soft tissue neck w/o contrast (70490) | $1,069.32 | $2,546 | 10.2× |
| CT thoracic spine w contrast (72129) | $1,315.02 | $3,131 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $1,015.98 | $2,419 | 9.7× |
| CT thoracic spine w/wo cont (72130) | $1,647.66 | $3,923 | 9.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$295–$883.26 | $2,103–$2,419 | varies |
| CT upper ext wo (73200) | $1,015.98 | $2,419 | 9.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,695.96 | $4,038 | 9.6× |
| CT upper extremity with contrast (73201) | $1,270.92 | $3,026 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,772.40 | $4,220 | 10.1× |
| Cta Abdomen (74175) | $1,774.08 | $4,224 | 10.1× |
| CTA pelvis (72191) | $1,772.40 | $4,220 | 10.1× |
| Discography Cerv/Thor Spine (72285) | $787.92 | $1,876 | 0.4× |
| Diskography lumbar (72295) | $776.16 | $1,848 | 0.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $120.12 | $286 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $215.88 | $514 | 2.1× |
| Dxa Bone Density Axial (77080) | $634.20 | $1,510 | 6.0× |
| Dxa bone density study (77085) | $687.12 | $1,636 | 6.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $167.16 | $398 | 1.9× |
| Echo exam of fetal heart (76825) | $764.40 | $1,820 | 1.4× |
| Echo exam uterus (76831) | $507.36 | $1,208 | 2.1× |
| Echo Guide For Artery Repair (76936) | $551.04 | $1,312 | 2.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $477.12 | $1,136 | 2.0× |
| Echograp Trans R Pros Study (76873) | $539.70 | $1,285 | 5.1× |
| Esophageal Motility Study (78258) | $1,046.64 | $2,492 | 2.6× |
| Esophagram (74220) | $309.12 | $736 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $399 | $950 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $303.24 | $722 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $499.80 | $1,190 | 2.1× |
| Foot 2 views (73620) | $173.46 | $413 | 2.0× |
| Forearm 2 views (73090) | $176.40 | $420 | 2.0× |
| Gastric emptying imaging study (78264) | $1,307.04 | $3,112 | 3.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,307.04 | $3,112 | 3.3× |
| Gastroesophageal Reflux Exam (78262) | $1,160.04 | $2,762 | 2.9× |
| Gated Heart Planar Single (78472) | $1,107.96 | $2,638 | 2.8× |
| Hand 2 views (73120) | $173.46 | $413 | 1.7× |
| Heart first pass single,planar (78481) | $872.34 | $2,077 | 1.6× |
| Heart Image (Pet) Multiple (78492) | $6,048.84 | $14,402 | 4.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,107.12 | $2,636 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,449.84 | $3,452 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,449.84 | $3,452 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $1,503.18 | $3,579 | 1.2× |
| Hysterosalpingogram (74740) | $583.80 | $1,390 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $351.12 | $836 | 4.0× |
| Infant hip ultrasound, limited static exam (76886) | $349.44 | $832 | 4.0× |
| Infusion Ivp (74410) | $874.02 | $2,081 | 5.0× |
| Interstitial radiation source applic complex (77778) | $1,810.62 | $4,311 | 2.6× |
| Joint Survey Single View (77077) | $226.80 | $540 | 2.2× |
| K Flow/Funct Image Multiple (78709) | $1,624.14 | $3,867 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $1,143.24 | $2,722 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,043.28 | $2,484 | 1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $460.32 | $1,096 | 1.1× |
| Kidney Imaging Morphol (78700) | $839.16 | $1,998 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,030.26 | $2,453 | 2.6× |
| Knee 3 Views (73562) | $236.04 | $562 | 2.7× |
| Leveen/Shunt Patency Exam (78291) | $1,143.24 | $2,722 | 2.8× |
| Liver & Spleen Imaging Static Only (78215) | $562.80 | $1,340 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $916.86 | $2,183 | 2.3× |
| Liver imaging static only (78201) | $896.28 | $2,134 | 1.6× |
| Liver imaging w/vascular flow (78202) | $976.08 | $2,324 | 1.8× |
| Lung Ventilation Imaging (78579) | $1,008 | $2,400 | 2.5× |
| Lymph System Imaging (78195) | $1,405.32 | $3,346 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $1,255.80 | $2,990 | 5.2× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $1,135.68 | $2,704 | 6.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,021.02 | $2,431 | 1.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $1,136.94 | $2,707 | 6.5× |
| Mammary ductogram or galactogram multiple (77054) | $568.26 | $1,353 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $412.44 | $982 | 1.7× |
| Meckels Divert Exam (78290) | $1,308.72 | $3,116 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,406.18 | $5,729 | 6.9× |
| MRA head w/o contrast (70544) | $1,546.86 | $3,683 | 6.5× |
| MRA head with contrast (70545) | $1,969.80 | $4,690 | 5.6× |
| MRA neck w contrast (70548) | $1,969.80 | $4,690 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,406.18 | $5,729 | 6.9× |
| MRA neck w/o contrast (70547) | $1,546.86 | $3,683 | 6.5× |
| MRI abdomen w contrast (74182) | $1,600.20 | $3,810 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,255.80 | $2,990 | 5.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,600.20 | $3,810 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,954.68 | $4,654 | 5.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,600.20 | $3,810 | 2.0× |
| MRI bone marrow blood supply (77084) | $1,256.64 | $2,992 | 5.2× |
| MRI cervical spine w contrast (72142) | $1,969.80 | $4,690 | 5.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$281.18–$556.92 | $1,326–$1,493 | varies |
| MRI chest w/o contrast (71550) | $1,256.64 | $2,992 | 5.2× |
| MRI chest with contrast (71551) | $1,600.20 | $3,810 | 2.0× |
| MRI chest wo w contrast (71552) | $1,954.68 | $4,654 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,600.20 | $3,810 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,954.68 | $4,654 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,256.64 | $2,992 | 5.2× |
| MRI lumbar spine w contrast (72149) | $1,600.20 | $3,810 | 4.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,406.18 | $5,729 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,546.86 | $3,683 | 6.5× |
| MRI orbit face neck w contrast (70542) | $1,969.80 | $4,690 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,406.18 | $5,729 | 6.9× |
| MRI pelvis w contrast (72196) | $1,600.20 | $3,810 | 4.6× |
| MRI pelvis w/o & w contrast (72197) | $1,954.68 | $4,654 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,256.64 | $2,992 | 5.2× |
| MRI thoracic spine w/o contrast (72146) | $1,255.80 | $2,990 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,600.20 | $3,810 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,256.64 | $2,992 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,954.68 | $4,654 | 5.6× |
| MRI, abdomen, combo (74183) | $1,954.68 | $4,654 | 5.6× |
| MRI, dorsal spine combo (72157) | $1,954.68 | $4,654 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,583.82 | $3,771 | 4.5× |
| MRI, joint upper extrem (73221) | $360 | $2,992 | 1.5× |
| MRI, joint upper extrem combo (73223) | $1,954.68 | $4,654 | 5.6× |
| MRI, lumbar spine combo (72158) | $1,954.68 | $4,654 | 5.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,048.84 | $14,402 | 4.7× |
| Myocardial Spect Multiple Studies (78452) | $2,184.84 | $5,202 | 1.7× |
| Neck soft tissue (70360) | $186.48 | $444 | 2.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $672.42 | $1,601 | 1.7× |
| Nm csf leak detection (78650) | $1,635.06 | $3,893 | 1.3× |
| Nm myocard infarct spect (78469) | $1,148.70 | $2,735 | 2.1× |
| Nm whole blood volume (78122) | $497.28 | $1,184 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $714.42 | $1,701 | 6.8× |
| Nuclear Rx Oral Admin (79005) | $213.36 | $508 | 0.9× |
| Ob us nuchal meas 1 gest (76813) | $388.92 | $926 | 3.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $226.80 | $540 | 2.2× |
| Ophthalmic us dx quantitative a-scan only (76511) | $273 | $650 | 2.6× |
| Optic foramina (70190) | $223.86 | $533 | 2.6× |
| Panoramic X-ray of jaws (70355) | $98.70 | $235 | 1.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $685.02 | $1,631 | 1.3× |
| Parathyroid Planar Imaging (78070) | $517.02 | $1,231 | 1.3× |
| Pelvis 1 or 2 views (72170) | $158.34 | $377 | 1.5× |
| Perineogram (74775) | $634.62 | $1,511 | 2.6× |
| Peritoneogram Rs&I (74190) | $568.68 | $1,354 | 1.0× |
| Pet Myocardial Sngl Study (78491) | $3,041.64 | $7,242 | 2.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,107.12 | $2,636 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $963.48 | $2,294 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $316.68 | $754 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $342.72 | $816 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $212.52 | $506 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $147.84 | $352 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $226.80 | $540 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $227.64 | $542 | 2.2× |
| Radex fingr minimum 2 views (73140) | $173.46 | $413 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $206.22 | $491 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $209.58 | $499 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $202.86 | $483 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $349.44 | $832 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $217.98 | $519 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $191.10 | $455 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $185.64 | $442 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $197.40 | $470 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,359.96 | $3,238 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $143.22 | $341 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $197.40 | $470 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $319.20 | $760 | 3.7× |
| Radex Toe Minimum 2 Views (73660) | $178.08 | $424 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $199.92 | $476 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $244.86 | $583 | 2.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $634.62 | $1,511 | 6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $241.92 | $576 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $315 | $750 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $1,363.32 | $3,246 | 7.7× |
| Radiologic exam colon single contrast study (74270) | $834.96 | $1,988 | 4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $340.20 | $810 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $268.80 | $640 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $271.32 | $646 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $802.62 | $1,911 | 4.6× |
| Radiologic exam swallow function contrast study (74230) | $629.16 | $1,498 | 3.6× |
| Radiologic exam teeth complete full mouth (70320) | $268.80 | $640 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $832.02 | $1,981 | 4.7× |
| Radiologic examination femur 1 view (73551) | $140.70 | $335 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $173.46 | $413 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $187.74 | $447 | 2.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $417.48 | $994 | 4.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $294 | $700 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$84.42–$170.52 | $201–$406 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $77.70 | $185 | 0.9× |
| Renal Cyst Study (74470) | $544.74 | $1,297 | 1.0× |
| Ribs bilateral 3 views (71110) | $244.86 | $583 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $844.62 | $2,011 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,167.60 | $2,780 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,253.30 | $5,365 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,555.68 | $3,704 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,886.24 | $6,872 | 5.3× |
| Salivary Gland Imaging (78230) | $566.16 | $1,348 | 1.4× |
| Salivary Gland Imaging Serial Images (78231) | $785.40 | $1,870 | 2.0× |
| Scapula (73010) | $187.74 | $447 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75 | $276 | 3.2× |
| Sella turcica (70240) | $179.34 | $427 | 2.1× |
| Shoulder 1 view (73020) | $143.22 | $341 | 1.6× |
| Shoulder Arthrography (73040) | $582.96 | $1,388 | 1.7× |
| Sialogram (70390) | $795.90 | $1,895 | 3.3× |
| Skull less than 4 views (70250) | $221.34 | $527 | 2.1× |
| Spleen Imaging (78185) | $991.20 | $2,360 | 2.5× |
| Sternoclavicular joints (71130) | $236.04 | $562 | 2.7× |
| Superior sagittal sinus venogram (75870) | $1,109.64 | $2,642 | 0.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $355.74 | $847 | 3.5× |
| Temporomandble Jt Arthrography Rs&I (70332) | $504.84 | $1,202 | 2.1× |
| Testicular Imaging W/Flow (78761) | $966.84 | $2,302 | 2.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $624.54 | $1,487 | 3.5× |
| Thoracic spine 2 views (72070) | $202.86 | $483 | 1.9× |
| Thoracic spine 3 views (72072) | $238.56 | $568 | 2.3× |
| Thoracolumbar 2 views (72080) | $221.34 | $527 | 2.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $996.66 | $2,373 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $725.76 | $1,728 | 1.8× |
| Thyroid Met Imaging Body (78018) | $1,512.84 | $3,602 | 2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $931.56 | $2,218 | 2.3× |
| Ultrasound Breast Limited (76642) | $349.44 | $832 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $325.92 | $776 | 3.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$438.48–$584.64 | $1,044–$1,392 | varies |
| Unlisted us procedure (76999) | $396.48 | $944 | 4.5× |
| Upper gi w/o kub (74240) | $747.18 | $1,779 | 4.2× |
| Ureteral Reflux Study (78740) | $1,052.52 | $2,506 | 2.6× |
| Urethrocystogram voiding (74455) | $708.12 | $1,686 | 3.0× |
| Urethrocystography retrograde (74450) | $634.62 | $1,511 | 2.6× |
| Us bone density measurement (76977) | $43.68 | $104 | 0.4× |
| Us breast unilateral complete (76641) | $349.44 | $832 | 3.3× |
| Us chest (76604) range across 2 matching MRF lines |
$343.14–$457.38 | $817–$1,089 | varies |
| Us complete joint (76881) | $484.68 | $1,154 | 4.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$349.44–$465.78 | $832–$1,109 | varies |
| Us head (76506) | $351.12 | $836 | 3.3× |
| Us kidney transplant (76776) | $642.60 | $1,530 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$224.28–$299.04 | $534–$712 | varies |
| Us ob detailed single fetus (76811) | $562.80 | $1,340 | 2.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$337.68–$450.24 | $804–$1,072 | varies |
| Us ob transvaginal (76817) | $349.44 | $832 | 3.3× |
| Us pelvic non ob complete (76856) | $510.72 | $1,216 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $459.48 | $1,094 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $349.44 | $832 | 3.3× |
| Us retroperitoneal complete (76770) | $539.70 | $1,285 | 5.1× |
| Us retroperitoneal limited (76775) | $465.36 | $1,108 | 4.4× |
| Us scrotum and contents (76870) | $518.28 | $1,234 | 4.9× |
| Us spinal canal and contents (76800) | $442.26 | $1,053 | 4.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$510.72–$681.24 | $1,216–$1,622 | varies |
| Us transrectal (76872) | $539.70 | $1,285 | 5.1× |
| Vascular Flow Imaging (78445) | $807.66 | $1,923 | 2.0× |
| Vein X-Ray Chest (75827) | $1,105.02 | $2,631 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,119.72 | $2,666 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,082.76 | $2,578 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $732.48 | $1,744 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $654.36 | $1,558 | 0.4× |
| Venography Renal Unilateral (75831) | $1,107.12 | $2,636 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,099.98 | $2,619 | 0.2× |
| Venous thrombosis imaging (78457) | $450.24 | $1,072 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $675.36 | $1,608 | 1.7× |
| Wrist 2 views (73100) | $194.46 | $463 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $241.92 | $576 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $568.68 | $1,354 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $1,165.92 | $2,776 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $352.38 | $839 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $182.28 | $434 | 2.1× |
| X-Ray Exam Breast Specimen (76098) | $92.40 | $220 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $89.46 | $213 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $456.96 | $1,088 | 4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $546 | $1,300 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $118.86 | $283 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $301.98 | $719 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $347.34 | $827 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $241.92 | $576 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $278.04 | $662 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $320.04 | $762 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $492.66 | $1,173 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $241.92 | $576 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $432.60 | $1,030 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.10 | $555 | 2.2× |
| X-ray eye for foreign body (70030) | $195.72 | $466 | 2.2× |
| X-ray humerus (73060) | $182.28 | $434 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $845.04 | $2,012 | 4.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $212.52 | $506 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $215.04 | $512 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $256.62 | $611 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $179.76 | $428 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $328.44 | $782 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $223.86 | $533 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $187.74 | $447 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $185.64 | $442 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $236.04 | $562 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $271.32 | $646 | 2.6× |
| X-Ray Stress View (77071) | $526.26 | $1,253 | 6.0× |
| X-ray thoracic spine 4 vw (72074) | $298.62 | $711 | 2.8× |
| X-Ray Tmj Unilat (70328) | $194.46 | $463 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,141.14 | $2,717 | 3.3× |
| X-Rays Bone Length Studies (77073) | $215.04 | $512 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $665.28 | $1,584 | 6.3× |
| Xr c-spine 4 or 5 views (72050) | $328.44 | $782 | 3.1× |
| Xr facial bones less than 3 views (70140) | $182.28 | $434 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $230.16 | $548 | 2.2× |
| Xr orbits complete 4 views (70200) | $268.80 | $640 | 2.6× |
| Xr Tomogram Single Plane (76100) | $727.44 | $1,732 | 6.9× |
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.