Imaging prices at Guadalupe Regional Medical Center
Seguin, TX · every code in this section with a posted price and a Medicare benchmark.
318 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 4 matching MRF lines |
$19.50–$161.50 | $39–$323 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$24–$161.50 | $48–$323 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$130–$1,043 | $260–$2,086 | varies |
| Adrenal Cortex & Medulla Img (78075) | $1,421 | $2,842 | 1.1× |
| Angio internal mammary (75756) | $2,937.50 | $5,875 | 0.9× |
| Angio pulmonary bilat (75743) | $8,284 | $16,568 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $8,284 | $16,568 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $8,284 | $16,568 | 2.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,284 | $16,568 | 2.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,937.50 | $5,875 | 0.9× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$17.50–$161.50 | $35–$323 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,284 | $16,568 | 1.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,284 | $16,568 | 2.6× |
| Artery X-Rays Abdomen (75726) | $8,284 | $16,568 | 1.5× |
| Artery X-Rays Pelvis (75736) | $8,284 | $16,568 | 1.5× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$70–$723.50 | $140–$1,447 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$86–$752.50 | $172–$1,505 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$65–$629.50 | $130–$1,259 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$21–$161.50 | $42–$323 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$143–$1,043 | $286–$2,086 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$104–$996.50 | $208–$1,993 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$130–$996.50 | $260–$1,993 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$70.50–$271.50 | $141–$543 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,043 | $2,086 | 1.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $427 | $854 | 0.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$23.50–$161.50 | $47–$323 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$30–$161.50 | $60–$323 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$36.50–$161.50 | $73–$323 | varies |
| Cholecystography Oral Contrast (74290) | $319.50 | $639 | 1.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$109.50–$926 | $219–$1,852 | varies |
| Contrast Exam Abdominl Aorta (75625) | $8,284 | $16,568 | 2.6× |
| Contrast X-Ray Bladder (74430) range across 5 matching MRF lines |
$78–$668.50 | $156–$1,337 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$66–$1,085 | $132–$2,170 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$62.50–$752.50 | $125–$1,505 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$260–$1,990 | $520–$3,980 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$224–$1,234.50 | $448–$2,469 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$216–$1,256.50 | $432–$2,513 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$234–$1,494 | $468–$2,988 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$187.50–$926 | $375–$1,852 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$364–$1,459.50 | $728–$2,919 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$234–$1,459.50 | $468–$2,919 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$176–$1,459.50 | $352–$2,919 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$189–$1,377 | $378–$2,754 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$186–$1,459.50 | $372–$2,919 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$234–$1,459.50 | $468–$2,919 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$175.50–$1,459.50 | $351–$2,919 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$128.50–$1,256.50 | $257–$2,513 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$116.50–$926 | $233–$1,852 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$164–$1,494 | $328–$2,988 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$132–$1,256.50 | $264–$2,513 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$178.50–$1,494 | $357–$2,988 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$126–$1,256.50 | $252–$2,513 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$142.50–$1,494 | $285–$2,988 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,045.50 | $2,091 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$70–$107 | $140–$214 | varies |
| CT hrt w/3d image congen (75573) | $1,378 | $2,756 | 3.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$146–$1,256.50 | $292–$2,513 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$147–$1,494 | $294–$2,988 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$115–$926 | $230–$1,852 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$120–$1,256.50 | $240–$2,513 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$126–$1,256.50 | $252–$2,513 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$121–$926 | $242–$1,852 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$133.50–$1,256.50 | $267–$2,513 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$117–$926 | $234–$1,852 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$194–$1,494 | $388–$2,988 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$169–$1,381 | $338–$2,762 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$156–$926 | $312–$1,852 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$129–$1,494 | $258–$2,988 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$114.50–$926 | $229–$1,852 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$129–$1,494 | $258–$2,988 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$161.50–$1,494 | $323–$2,988 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$146.50–$1,256.50 | $293–$2,513 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$136–$926 | $272–$1,852 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$126–$1,256.50 | $252–$2,513 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$115–$926 | $230–$1,852 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$147.50–$1,494 | $295–$2,988 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$128.50–$926 | $257–$1,852 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$120–$926 | $240–$1,852 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$134.50–$1,494 | $269–$2,988 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$156–$1,256.50 | $312–$2,513 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$234–$1,459.50 | $468–$2,919 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$260–$1,459.50 | $520–$2,919 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$182–$1,459.50 | $364–$2,919 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$130–$2,147 | $260–$4,294 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,614 | $156–$5,228 | 1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $267.50 | $535 | 2.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$37.50–$377 | $75–$754 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$54.50–$377 | $109–$754 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$37.50–$360.50 | $75–$721 | varies |
| Echo exam of fetal heart (76825) | $417 | $834 | 0.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$129–$348.50 | $258–$697 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$156–$349 | $312–$698 | varies |
| Echograp Trans R Pros Study (76873) | $156 | $312 | 1.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$54–$319.50 | $108–$639 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$98.50–$575.50 | $197–$1,151 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 7 matching MRF lines |
$66.50–$265 | $133–$530 | varies |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$52–$368 | $104–$736 | varies |
| Follow-Up Angiography (75898) | $1,737 | $3,474 | 0.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$17.50–$161.50 | $35–$323 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$18.50–$161.50 | $37–$323 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$114.50–$941 | $229–$1,882 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$148.50–$1,049.50 | $297–$2,099 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$19.50–$161.50 | $39–$323 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,655 | $15,310 | 2.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,655 | $15,310 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$130–$1,090.50 | $260–$2,181 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$112–$1,075 | $224–$2,150 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$208–$1,797 | $416–$3,594 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$88.50–$746 | $177–$1,492 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$55.50–$266.50 | $111–$533 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$48–$266.50 | $96–$533 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$99–$553 | $198–$1,106 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$121–$913.50 | $242–$1,827 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$115–$913.50 | $230–$1,827 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$73–$623 | $146–$1,246 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$23.50–$161.50 | $47–$323 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$61–$1,075 | $122–$2,150 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,143.50 | $2,287 | 2.1× |
| Lung perfusion differential (78597) | $746 | $1,492 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$139.50–$1,348.50 | $279–$2,697 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$120–$1,047 | $240–$2,094 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$234–$1,335.50 | $468–$2,671 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$37.50–$538.50 | $75–$1,077 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$32.50–$538.50 | $65–$1,077 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$96.50–$955.50 | $193–$1,911 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$174.50–$2,251.50 | $349–$4,503 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$151–$2,949 | $302–$5,898 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$195–$1,701.50 | $390–$3,403 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$155–$1,707 | $310–$3,414 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$174.50–$2,251.50 | $349–$4,503 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$152–$1,475.50 | $304–$2,951 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$286–$1,707 | $572–$3,414 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$260–$1,767.50 | $520–$3,535 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$208–$1,707 | $416–$3,414 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$221–$2,251.50 | $442–$4,503 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$219.50–$1,707 | $439–$3,414 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$265.50–$3,312.50 | $531–$6,625 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$234–$2,754.50 | $468–$5,509 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$208–$1,707 | $416–$3,414 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$190–$1,475.50 | $380–$2,951 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$206–$1,475.50 | $412–$2,951 | varies |
| MRI chest with contrast (71551) | $1,707 | $3,414 | 2.2× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$260–$2,251.50 | $520–$4,503 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$179.50–$1,707 | $359–$3,414 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$213.50–$2,251.50 | $427–$4,503 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$149.50–$1,475.50 | $299–$2,951 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$209–$1,707 | $418–$3,414 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$260–$2,251.50 | $520–$4,503 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$192.50–$1,475.50 | $385–$2,951 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$205.50–$1,707 | $411–$3,414 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$234–$2,251.50 | $468–$4,503 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$221–$1,707 | $442–$3,414 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$247–$2,251.50 | $494–$4,503 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$195–$1,475.50 | $390–$2,951 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$190–$1,475.50 | $380–$2,951 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$182–$1,707 | $364–$3,414 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$169–$1,475.50 | $338–$2,951 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$247–$2,251.50 | $494–$4,503 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$290–$2,251.50 | $580–$4,503 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$286–$2,251.50 | $572–$4,503 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$207.50–$1,707 | $415–$3,414 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$203–$1,475.50 | $406–$2,951 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$247–$2,251.50 | $494–$4,503 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$271–$2,251.50 | $542–$4,503 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$110.50–$2,044 | $221–$4,088 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$117–$2,044 | $234–$4,088 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$117–$2,044 | $234–$4,088 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$127.50–$2,044 | $255–$4,088 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,657 | $5,314 | 2.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$208–$2,657 | $416–$5,314 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$104–$447.50 | $208–$895 | varies |
| Ob us nuchal meas 1 gest (76813) | $266.50 | $533 | 2.5× |
| Optic foramina (70190) range across 2 matching MRF lines |
$25.50–$161.50 | $51–$323 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$82–$695.50 | $164–$1,391 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $554 | $1,108 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$19.50–$161.50 | $39–$323 | varies |
| Perineogram (74775) | $720.50 | $1,441 | 3.0× |
| Peritoneogram Rs&I (74190) | $665 | $1,330 | 1.2× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$128–$1,967.50 | $256–$3,935 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$144–$2,147 | $288–$4,294 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$142–$1,994.50 | $284–$3,989 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,445.50 | $8,891 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$75.50–$688.50 | $151–$1,377 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$33–$161.50 | $66–$323 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$57.50–$370.50 | $115–$741 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$20.50–$161.50 | $41–$323 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$20–$161.50 | $40–$323 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$30–$161.50 | $60–$323 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$16–$161.50 | $32–$323 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$20.50–$161.50 | $41–$323 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$21–$161.50 | $42–$323 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$18.50–$107 | $37–$214 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$52–$161.50 | $104–$323 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$21–$161.50 | $42–$323 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$22–$161.50 | $44–$323 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$18.50–$161.50 | $37–$323 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$74.50–$612.50 | $149–$1,225 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$17.50–$161.50 | $35–$323 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.50–$161.50 | $45–$323 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$65–$161.50 | $130–$323 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$16–$161.50 | $32–$323 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$18.50–$146 | $37–$292 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$20.50–$161.50 | $41–$323 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$27–$161.50 | $54–$323 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$28–$187.50 | $56–$375 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$130–$590.50 | $260–$1,181 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$104–$384 | $208–$768 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$28.50–$161.50 | $57–$323 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$52–$319.50 | $104–$639 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$78–$319.50 | $156–$639 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$78–$364 | $156–$728 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$17.50–$161.50 | $35–$323 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$20–$161.50 | $40–$323 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$86–$271.50 | $172–$543 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$18.50–$161.50 | $37–$323 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$34–$271.50 | $68–$543 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$66.50–$648 | $133–$1,296 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$90–$1,144 | $180–$2,288 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$112–$1,752.50 | $224–$3,505 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$17–$36 | $34–$72 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$22.50–$161.50 | $45–$323 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$16.50–$161.50 | $33–$323 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$64–$752.50 | $128–$1,505 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$25–$161.50 | $50–$323 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| Testicular Imaging W/Flow (78761) | $683.50 | $1,367 | 1.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$25.50–$161.50 | $51–$323 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$24.50–$107.50 | $49–$215 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $619 | $1,238 | 1.5× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$182–$1,130 | $364–$2,260 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$91–$712.50 | $182–$1,425 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$75.50–$281 | $151–$562 | varies |
| Ultrasound elastography first target lesion (76982) | $318 | $636 | 3.0× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$65–$318 | $130–$636 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$62–$202 | $124–$404 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$62.50–$345.50 | $125–$691 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 5 matching MRF lines |
$78–$191 | $156–$382 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $104 | $208 | 1.2× |
| Unlisted fluoroscopic procedure (76496) | $154 | $308 | 1.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$71.50–$319.50 | $143–$639 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$65–$553 | $130–$1,106 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$43.50–$725 | $87–$1,450 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$109.50–$281 | $219–$562 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$104–$345.50 | $208–$691 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$85.50–$384 | $171–$768 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$55.50–$266.50 | $111–$533 | varies |
| Us head (76506) range across 2 matching MRF lines |
$104–$266.50 | $208–$533 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$78–$322.50 | $156–$645 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$50.50–$134.50 | $101–$269 | varies |
| Us ob detailed single fetus (76811) | $570 | $1,140 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$59.50–$266.50 | $119–$533 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$73–$345.50 | $146–$691 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$92–$354.50 | $184–$709 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$92.50–$388.50 | $185–$777 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$70–$266.50 | $140–$533 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$82.50–$403 | $165–$806 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$64.50–$345.50 | $129–$691 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$70.50–$356.50 | $141–$713 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$156–$345.50 | $312–$691 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$74.50–$345.50 | $149–$691 | varies |
| Vein X-Ray Chest (75827) | $2,937.50 | $5,875 | 1.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,717 | $5,434 | 0.9× |
| Venogram Sinus/Jugular (75860) | $2,937.50 | $5,875 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $8,284 | $16,568 | 2.6× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$104–$2,937.50 | $208–$5,875 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$81–$2,937.50 | $162–$5,875 | varies |
| Venography Renal Bilateral (75833) | $8,284 | $16,568 | 2.6× |
| Venography Renal Unilateral (75831) | $8,284 | $16,568 | 2.6× |
| Venous thrombosis imaging (78457) | $1,945 | $3,890 | 3.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $710 | $1,420 | 1.8× |
| Vertebral fracture assessment via dxa (77086) range across 4 matching MRF lines |
$18.50–$306 | $37–$612 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$18.50–$161.50 | $37–$323 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$23–$161.50 | $46–$323 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$91–$725 | $182–$1,450 | varies |
| X-Ray Aorta Leg Arteries (75630) | $8,284 | $16,568 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$26–$271.50 | $52–$543 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$17.50–$161.50 | $35–$323 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$712 | $46–$1,424 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$39–$113 | $78–$226 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$40–$271.50 | $80–$543 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$18.50–$271.50 | $37–$543 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$23.50–$161.50 | $47–$323 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$34–$271.50 | $68–$543 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$51–$271.50 | $102–$543 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$46–$271.50 | $92–$543 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$29–$161.50 | $58–$323 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$21–$161.50 | $42–$323 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$19–$161.50 | $38–$323 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$88.50–$553 | $177–$1,106 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$99–$553 | $198–$1,106 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$23.50–$161.50 | $47–$323 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$24–$161.50 | $48–$323 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$21.50–$161.50 | $43–$323 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$37.50–$271.50 | $75–$543 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$26–$161.50 | $52–$323 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$21.50–$166 | $43–$332 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$21–$161.50 | $42–$323 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$52–$161.50 | $104–$323 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$37–$271.50 | $74–$543 | varies |
| X-Ray Stress View (77071) | $159.50 | $319 | 1.8× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$28.50–$167 | $57–$334 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$41–$725 | $82–$1,450 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$78–$271.50 | $156–$543 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$61.50–$311 | $123–$622 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$37.50–$271.50 | $75–$543 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$31.50–$161.50 | $63–$323 | varies |
| Xr Tomogram Single Plane (76100) | $329 | $658 | 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.