Imaging prices at HCA Houston Healthcare Clear Lake
Webster, TX · every code in this section with a posted price and a Medicare benchmark.
328 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $2,562.03 | $2,562.03 | 24.4× |
| Acute gastrointestinal blood loss imaging (78278) | $9,118.31 | $9,118.31 | 22.7× |
| Acute venous thrombus image (78456) | $12,353.96 | $12,353.96 | 9.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,023.55 | $7,023.55 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $9,748.80 | $9,748.80 | 3.1× |
| Angiography extremity unilateral rs&i (75710) | $9,911.20 | $9,911.20 | 3.1× |
| Angiography internal mammary rs&i (75756) | $13,214.51 | $13,214.51 | 4.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $13,967.75 | $13,967.75 | 2.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,123.40 | $12,123.40 | 3.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $12,123.40 | $12,123.40 | 3.8× |
| Angiography Spinal Selective Rs&I (75705) | $13,377 | $13,377 | 2.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $20,201.93 | $20,201.93 | 3.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $5,834.49 | $5,834.49 | 1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,315.26 | $10,315.26 | 3.3× |
| Ankle 2 views (73600) | $4,324.22 | $4,324.22 | 49.5× |
| Antegrade urography radiological supvj & interpj (74425) | $8,133.27 | $8,133.27 | 23.2× |
| Aortogram thoracic (75605) | $9,832.95 | $9,832.95 | 1.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $13,761.17 | $13,761.17 | 4.3× |
| Aortography abdominal serialography rs&i (75625) | $13,843.88 | $13,843.88 | 4.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $10,881.72 | $10,881.72 | 3.4× |
| Arthrogram elbow (73085) | $520.21 | $520.21 | 1.5× |
| Arthrogram hip (73525) | $5,015.74 | $5,015.74 | 14.3× |
| Arthrogram shoulder (73040) | $5,013.86 | $5,013.86 | 14.3× |
| Arthrogram wrist (73115) | $5,015.74 | $5,015.74 | 14.3× |
| Arthrography knee lt (73580) | $5,017.01 | $5,017.01 | 14.3× |
| Basic radiation dosimetry calculation (77300) | $465.43 | $465.43 | 3.4× |
| Bone &/Joint Imaging Limited Area (78300) | $6,519.61 | $6,519.61 | 16.2× |
| Bone &/Joint Imaging Multiple Areas (78305) | $3,528.07 | $3,528.07 | 8.8× |
| Bone &/joint imaging whole body (78306) | $10,565.13 | $10,565.13 | 26.3× |
| Bone age studies (77072) | $1,730.69 | $1,730.69 | 16.5× |
| Bone Imaging 3 Phase (78315) | $9,986.66 | $9,986.66 | 24.9× |
| Bone survey complete (77075) | $5,500.69 | $5,500.69 | 52.4× |
| Brain Imaging Vascular Flow Only (78610) | $5,835.62 | $5,835.62 | 10.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $17,812.07 | $17,812.07 | 50.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $13,341.82 | $13,341.82 | 24.5× |
| Cervical spine 2 or 3 views (72040) | $2,598.56 | $2,598.56 | 29.7× |
| Chest 1 view (71045) | $1,849.10 | $1,849.10 | 21.2× |
| Chest 3 views (71047) | $3,258.60 | $3,258.60 | 37.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,707.14 | $4,707.14 | 26.7× |
| Clavicle complete (73000) | $2,021.67 | $2,021.67 | 23.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,491.42 | $1,491.42 | 14.2× |
| CT abdomen and pelvis without and with contrast (74178) | $28,446.76 | $28,446.76 | 81.2× |
| CT abdomen and pelvis without contrast (74176) | $18,716.98 | $18,716.98 | 78.1× |
| CT abdomen w contrast (74160) | $12,758.80 | $12,758.80 | 72.4× |
| CT abdomen w wo contrast (74170) | $15,825.25 | $15,825.25 | 89.8× |
| CT abdomen w/o contrast (74150) | $9,706.07 | $9,706.07 | 92.4× |
| CT angio hrt w/3d image (75574) | $11,304.82 | $11,304.82 | 32.3× |
| CT angiography upper extremity lt (73206) | $14,154.11 | $14,154.11 | 80.3× |
| CT c-spine w/o contrast (72125) | $11,400.91 | $11,400.91 | 108.6× |
| CT cervical spine with contrast (72126) | $12,873.62 | $12,873.62 | 36.7× |
| CT chest w/wo contrast (71270) | $15,523.22 | $15,523.22 | 88.1× |
| CT chest with contrast (71260) | $13,068.31 | $13,068.31 | 74.2× |
| CT head/brain with contrast (70460) | $9,709.81 | $9,709.81 | 55.1× |
| CT head/brain without and with contrast (70470) | $13,092.03 | $13,092.03 | 74.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $14,154.11 | $14,154.11 | 40.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $287.55 | $287.55 | 3.3× |
| CT iac w contrast (70481) | $9,857.09 | $9,857.09 | 55.9× |
| CT limited/localized follow up study (76380) | $3,590.28 | $3,590.28 | 41.1× |
| CT lower ext w/o (73700) | $6,532.29 | $6,532.29 | 62.2× |
| CT lower extremity w wo contrast (73702) | $3,930.10 | $3,930.10 | 22.3× |
| CT lower extremity with contrast (73701) | $6,799.37 | $6,799.37 | 38.6× |
| CT lumbar spine w/o contrast (72131) | $13,925.72 | $13,925.72 | 132.6× |
| CT lumbar spine with contrast (72132) | $14,648.34 | $14,648.34 | 41.8× |
| CT maxillofacial w contrast (70487) | $11,007.79 | $11,007.79 | 62.5× |
| CT maxillofacial w/o contrast (70486) | $9,049.60 | $9,049.60 | 86.2× |
| CT maxillofacial w/wo contrast (70488) | $11,770.34 | $11,770.34 | 66.8× |
| CT neck soft tissue w contrast (70491) | $10,071.75 | $10,071.75 | 57.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $10,056.77 | $10,056.77 | 57.1× |
| CT orbits w/o contrast (70480) | $8,409.34 | $8,409.34 | 80.1× |
| CT pelvis w & w/o contrast (72194) | $12,627.75 | $12,627.75 | 71.7× |
| CT pelvis w/o contrast (72192) | $9,010.91 | $9,010.91 | 85.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $11,047.72 | $11,047.72 | 62.7× |
| CT soft tissue neck w/o contrast (70490) | $9,341.64 | $9,341.64 | 89.0× |
| CT thoracic spine w/contrast (72129) | $15,689.21 | $15,689.21 | 89.0× |
| CT thoracic spine w/o contrast (72128) | $14,766.90 | $14,766.90 | 140.6× |
| CT thorax w/o contrast (71250) | $9,461.45 | $9,461.45 | 90.1× |
| CT upper extremity w/o & w/contrast material (73202) | $8,208.41 | $8,208.41 | 46.6× |
| CT upper extremity w/o contrast rt (73200) | $5,296.71 | $5,296.71 | 50.4× |
| CT upper extremity with contrast (73201) | $7,068.94 | $7,068.94 | 20.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $14,140.38 | $14,140.38 | 80.3× |
| Cta Abdomen (74175) | $14,154.11 | $14,154.11 | 80.3× |
| CTA abdomen pelvis (74174) | $14,313.86 | $14,313.86 | 40.8× |
| CTA chest (71275) | $14,154.11 | $14,154.11 | 80.3× |
| Cta Head (70496) | $13,466.44 | $13,466.44 | 76.4× |
| CTA lwr ext w&w/o contrast (73706) | $14,403.09 | $14,403.09 | 81.7× |
| Cta Neck (70498) | $13,466.44 | $13,466.44 | 76.4× |
| Cystography minimum 3 views rs&i (74430) | $3,667.97 | $3,667.97 | 10.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,568.33 | $2,568.33 | 24.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,859.18 | $1,859.18 | 21.3× |
| Dxa bone density study axial skeleton (77085) | $2,568.33 | $2,568.33 | 24.5× |
| Echoencephalography real time imaging (76506) | $6,381.77 | $6,381.77 | 60.8× |
| Esophagus (74220) | $4,967.88 | $4,967.88 | 28.2× |
| Fetal biophysical profile non-stress testing (76818) | $4,978.85 | $4,978.85 | 47.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,484.42 | $4,484.42 | 42.7× |
| Fluoroscopy up to 1 hr (76000) | $2,650.21 | $2,650.21 | 11.1× |
| Foot 2 views (73620) | $1,672.75 | $1,672.75 | 19.1× |
| Forearm 2 views (73090) | $1,753.37 | $1,753.37 | 20.1× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $11,043.17 | $11,043.17 | 20.2× |
| Gastrointestinal Protein Loss (78282) | $9,118.31 | $9,118.31 | 22.7× |
| Gated Heart Planar Single (78472) | $9,541.68 | $9,541.68 | 23.8× |
| Hand 2 views (73120) | $2,729.56 | $2,729.56 | 26.0× |
| Hand 3 views (73130) | $1,753.37 | $1,753.37 | 20.1× |
| Heart Infarct Image (78466) | $7,986.78 | $7,986.78 | 19.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,346.39 | $10,346.39 | 3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $12,163.25 | $12,163.25 | 22.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,789.47 | $11,789.47 | 29.4× |
| Ht muscle image spect sing (78451) | $6,553.95 | $6,553.95 | 5.0× |
| Humerus Min 2 Views Left (73060) | $2,021.67 | $2,021.67 | 23.1× |
| Hysterosalpingogram (74740) | $4,921.27 | $4,921.27 | 20.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $33,660.95 | $33,660.95 | 48.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $34,338.59 | $34,338.59 | 61.9× |
| Intracavitary radiation source applic simple (77761) | $32,310.75 | $32,310.75 | 58.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $9,275.32 | $9,275.32 | 17.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $9,959.95 | $9,959.95 | 18.3× |
| Knee 3 views (73562) | $2,844.19 | $2,844.19 | 32.5× |
| Liver & spleen imaging static only (78215) | $9,207.30 | $9,207.30 | 22.9× |
| Liver imaging static only (78201) | $6,846.36 | $6,846.36 | 12.6× |
| Lung perf&ventilat diferentl (78598) | $19,904.66 | $19,904.66 | 36.5× |
| Lung perfusion differential (78597) | $9,673.89 | $9,673.89 | 24.1× |
| Lung Ventilation Imaging (78579) | $9,673.89 | $9,673.89 | 24.1× |
| Lymphoscintigraphy (78195) | $9,596.35 | $9,596.35 | 17.6× |
| Mammary ductogram or galactogram multiple (77054) | $5,954.14 | $5,954.14 | 24.8× |
| Mammary ductogram or galactogram single (77053) | $4,088.67 | $4,088.67 | 17.1× |
| Meckels Diverticulum (78290) | $5,310.53 | $5,310.53 | 13.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $311.37 | $311.37 | 10.7× |
| MRA head w & w/o contrast (70546) | $20,488.72 | $20,488.72 | 58.5× |
| MRA head w/o contrast (70544) | $14,792.79 | $14,792.79 | 61.7× |
| MRA head with contrast (70545) | $14,792.79 | $14,792.79 | 42.2× |
| MRA neck w contrast (70548) | $14,792.79 | $14,792.79 | 42.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,488.72 | $20,488.72 | 58.5× |
| MRA neck w/o contrast (70547) | $14,792.79 | $14,792.79 | 61.7× |
| MRI abdomen w contrast (74182) | $14,792.79 | $14,792.79 | 42.2× |
| MRI abdomen w/o & w/contrast material (74183) | $20,488.72 | $20,488.72 | 58.5× |
| MRI abdomen w/o contrast (74181) | $14,792.79 | $14,792.79 | 61.7× |
| MRI any jnt lwr ext with con lt (73722) | $17,842.29 | $17,842.29 | 22.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $17,842.29 | $17,842.29 | 22.7× |
| MRI bone marrow blood supply (77084) | $20,488.72 | $20,488.72 | 85.5× |
| MRI c-spine with contrast (72142) | $14,792.79 | $14,792.79 | 42.2× |
| MRI cardiac w/o cont stress (75559) | $12,856.78 | $12,856.78 | 23.4× |
| MRI cardiac w/o contrast (75557) | $12,856.78 | $12,856.78 | 53.6× |
| MRI cervical spine w/o contrast (72141) | $14,792.79 | $14,792.79 | 61.7× |
| MRI chest w/o & w/contrast material (71552) | $20,488.72 | $20,488.72 | 58.5× |
| MRI chest w/o contrast (71550) | $14,794.04 | $14,794.04 | 61.7× |
| MRI fetal sngl/1st gestation (74712) | $14,792.79 | $14,792.79 | 61.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $20,362.76 | $20,362.76 | 58.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $17,842.29 | $17,842.29 | 50.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $17,565.17 | $17,565.17 | 73.3× |
| MRI orbit face &/neck w/o contrast (70540) | $14,794.04 | $14,794.04 | 61.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $20,488.72 | $20,488.72 | 58.5× |
| MRI pelvis w contrast (72196) | $6,680.94 | $6,680.94 | 19.1× |
| MRI pelvis w/o & w/contrast material (72197) | $20,488.72 | $20,488.72 | 58.5× |
| MRI pelvis w/o contrast (72195) | $14,792.79 | $14,792.79 | 61.7× |
| MRI scan of arm joint before and after contrast (73223) | $20,488.72 | $20,488.72 | 58.5× |
| MRI scan of leg joint before and after contrast (73723) | $20,488.72 | $20,488.72 | 58.5× |
| MRI spectroscopy (76390) | $8,315.90 | $8,315.90 | 95.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $20,488.72 | $20,488.72 | 58.5× |
| MRI spinal canal lumbar w/contrast material (72149) | $14,792.79 | $14,792.79 | 42.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $20,604.60 | $20,604.60 | 58.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $14,792.79 | $14,792.79 | 42.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $20,488.72 | $20,488.72 | 58.5× |
| MRI thoracic spine w/o contrast (72146) | $14,792.79 | $14,792.79 | 61.7× |
| MRI tmj (70336) | $17,842.29 | $17,842.29 | 74.4× |
| MRI upper ext joint w/o contrast (73221) | $17,565.17 | $17,565.17 | 73.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $20,488.72 | $20,488.72 | 58.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $17,565.17 | $17,565.17 | 73.3× |
| Myelogram Cervical (72240) | $7,551.32 | $7,551.32 | 9.6× |
| Myelogram Lumbar (72265) | $4,341.85 | $4,341.85 | 5.5× |
| Myelogram thoracic (72255) | $7,551.32 | $7,551.32 | 9.6× |
| Myelography 2 or more regions (72270) | $6,330.77 | $6,330.77 | 8.0× |
| Myocardial infarct spect (78469) | $8,949.21 | $8,949.21 | 16.4× |
| Myocardial Spect Multiple Studies (78452) | $22,348.25 | $22,348.25 | 17.2× |
| Neck soft tissue (70360) | $1,719.36 | $1,719.36 | 19.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $790.80 | $790.80 | 2.0× |
| Nm bone marrow wb (78104) | $10,024.80 | $10,024.80 | 25.0× |
| Nm cisternogram (78630) | $13,341.82 | $13,341.82 | 24.5× |
| Nm csf leak detection (78650) | $13,341.82 | $13,341.82 | 10.3× |
| Nm gastric emptying study (78264) | $11,043.17 | $11,043.17 | 27.5× |
| Nm gastroesophageal reflux study (78262) | $8,176.22 | $8,176.22 | 20.4× |
| Nm peritoneal-venous shunt patency (78291) | $8,258.86 | $8,258.86 | 20.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $29,465.41 | $29,465.41 | 22.7× |
| Nuclear medicine of heart pumping function (78473) | $15,856.60 | $15,856.60 | 39.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $6,383.58 | $6,383.58 | 4.9× |
| Nuclear medicine study of kidney and blood flow (78701) | $4,557.88 | $4,557.88 | 11.3× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $11,043.17 | $11,043.17 | 27.5× |
| Nuclear Rx Oral Admin (79005) | $7,011 | $7,011 | 29.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $5,222.35 | $5,222.35 | 49.7× |
| Osseous survey infant (77076) | $2,745.94 | $2,745.94 | 26.1× |
| Parathyrd planar w/wo subtrj (78071) | $9,541.68 | $9,541.68 | 23.8× |
| Parathyroid imaging (78070) | $9,578.54 | $9,578.54 | 23.9× |
| Pelvis 1 or 2 views (72170) | $2,390.73 | $2,390.73 | 22.8× |
| PET image w/CT, skull-thigh (78815) | $37,515.66 | $37,515.66 | 26.1× |
| PET imaging CT for attenuation limited area (78814) | $37,515.66 | $37,515.66 | 26.1× |
| PET imaging for CT attenuation whole body (78816) | $37,515.66 | $37,515.66 | 26.1× |
| Pr heart first pass single,planar (78481) | $5,450.39 | $5,450.39 | 10.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $20,488.72 | $20,488.72 | 58.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,805.14 | $12,805.14 | 4.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $12,805.14 | $12,805.14 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,663.73 | $9,663.73 | 24.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $19,904.66 | $19,904.66 | 36.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $7,385.68 | $7,385.68 | 13.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $2,686.74 | $2,686.74 | 30.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,135.15 | $3,135.15 | 29.9× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,786.25 | $2,786.25 | 26.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,176.85 | $4,176.85 | 39.8× |
| Radiation treatment delivery 1 mev >= complex (77412) | $1,084.55 | $1,084.55 | 2.0× |
| Radiation treatment delivery 1 mev >= simple (77402) | $563.53 | $563.53 | 5.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $563.53 | $563.53 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,812.82 | $3,812.82 | 36.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,233.28 | $2,233.28 | 25.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,894.57 | $2,894.57 | 27.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,021.67 | $2,021.67 | 23.1× |
| Radiologic exam colon single contrast study (74270) | $5,078.72 | $5,078.72 | 28.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,662.93 | $3,662.93 | 20.8× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,723.52 | $4,723.52 | 26.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $2,819 | $2,819 | 32.2× |
| Radiological examination surgical specimen (76098) | $1,444.14 | $1,444.14 | 2.6× |
| Review by radiologist of adrenal gland vein image (75840) | $6,067.51 | $6,067.51 | 1.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $10,346.39 | $10,346.39 | 3.3× |
| Ribs bilateral 3 views (71110) | $4,498.04 | $4,498.04 | 42.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,528.07 | $3,528.07 | 8.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $13,171.46 | $13,171.46 | 24.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $7,568.50 | $7,568.50 | 13.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,621 | $1,621 | 1.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,857.11 | $7,857.11 | 5.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $1,621 | $1,621 | 1.2× |
| Rp therapy intra-arterial particulate admn (79445) | $1,427.76 | $1,427.76 | 6.1× |
| Rp Therapy Intravenous Administration (79101) | $1,167.12 | $1,167.12 | 5.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $9,028.18 | $9,028.18 | 37.7× |
| Scapula complete (73010) | $2,437.33 | $2,437.33 | 23.2× |
| Screening digital breast tomosynthesis (77063) | $135.96 | $135.96 | 5.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $563.04 | $563.04 | 5.4× |
| Sialogram (70390) | $4,715.96 | $4,715.96 | 19.7× |
| Small bowel series (74250) | $4,673.13 | $4,673.13 | 26.5× |
| Spine thoracic 3 views (72072) | $3,473.99 | $3,473.99 | 33.1× |
| Superior sagittal sinus venogram (75870) | $5,518.32 | $5,518.32 | 1.7× |
| Thyroid carcinoma metastases img whole body (78018) | $14,697.10 | $14,697.10 | 26.9× |
| Thyroid Imaging With Vascular Flow (78013) | $6,909.93 | $6,909.93 | 17.2× |
| Thyroid uptake measurement (78012) | $12,506.53 | $12,506.53 | 31.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $10,532.07 | $10,532.07 | 26.2× |
| Tomogram (76100) | $5,789.14 | $5,789.14 | 55.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $1,626.09 | $1,626.09 | 4.0× |
| Ultrasound, abdomen limited (76705) | $3,604.36 | $3,604.36 | 34.3× |
| Umbilical-artery Doppler (OB) (76820) | $1,498.01 | $1,498.01 | 14.3× |
| Unlisted magnetic resonance procedure (76498) | $9,185.03 | $9,185.03 | 105.1× |
| Unlisted Ultrasound Procedure (76999) | $3,882.47 | $3,882.47 | 44.4× |
| Upper Extremity Infant (73092) | $1,158.83 | $1,158.83 | 11.0× |
| Urethrocystography retrograde rs&i (74450) | $2,007.81 | $2,007.81 | 8.4× |
| Urethrocystography voiding (74455) | $5,524.62 | $5,524.62 | 23.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $5,808.03 | $5,808.03 | 33.0× |
| Us abdl aorta screen aaa (76706) | $4,261.94 | $4,261.94 | 40.6× |
| Us breast unilateral complete (76641) | $2,825.63 | $2,825.63 | 26.9× |
| Us breast unilateral limited (76642) | $1,976.46 | $1,976.46 | 22.6× |
| Us chest (76604) | $661.29 | $661.29 | 6.3× |
| Us compl joint r-t w/image documentation (76881) | $4,204.46 | $4,204.46 | 40.0× |
| Us fetal nuchal translucency 1st gestation (76813) | $8,261.82 | $8,261.82 | 78.7× |
| Us infant hips dynamic (76885) | $3,452.32 | $3,452.32 | 39.5× |
| Us infant hips limited static (76886) | $3,452.32 | $3,452.32 | 39.5× |
| Us ob transvaginal (76817) | $3,868.87 | $3,868.87 | 36.8× |
| Us pelvic non ob complete (76856) | $6,350.87 | $6,350.87 | 60.5× |
| Us pregnancy ltd (76815) | $4,417.68 | $4,417.68 | 42.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $6,889.80 | $6,889.80 | 65.6× |
| Us retroperitoneal complete (76770) | $7,169.15 | $7,169.15 | 68.3× |
| Us retroperitoneal limited (76775) | $4,085.18 | $4,085.18 | 38.9× |
| Us scrotum and contents (76870) | $4,988.74 | $4,988.74 | 47.5× |
| Us soft tissue head/neck (76536) | $5,650.04 | $5,650.04 | 53.8× |
| Us spinal canal and contents (76800) | $1,794.75 | $1,794.75 | 17.1× |
| Us xtr non-vasc lmtd (76882) | $4,544.38 | $4,544.38 | 43.3× |
| Vascular flow imaging (78445) | $8,171.13 | $8,171.13 | 20.3× |
| Venogram extremity bilateral (75822) | $10,147.37 | $10,147.37 | 6.4× |
| Venography caval inferior serialography rs&i (75825) | $9,756.62 | $9,756.62 | 3.1× |
| Venography caval superior serialography rs&i (75827) | $9,764.45 | $9,764.45 | 6.2× |
| Venography extremity unilateral rs&i (75820) | $6,241.88 | $6,241.88 | 3.9× |
| Venography Renal Bilateral (75833) | $11,359.11 | $11,359.11 | 3.6× |
| Venography renal unilateral selective rs&i (75831) | $7,703.74 | $7,703.74 | 2.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $7,342.23 | $7,342.23 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $2,568.33 | $2,568.33 | 29.4× |
| Wrist 2 views (73100) | $2,709.41 | $2,709.41 | 31.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,363.14 | $3,363.14 | 32.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,242.10 | $2,242.10 | 25.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,164 | $2,164 | 24.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,220.05 | $7,220.05 | 41.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,116.14 | $2,116.14 | 24.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,555.74 | $2,555.74 | 29.2× |
| X-ray exam entire spi 4/5 vw (72083) | $4,176.85 | $4,176.85 | 39.8× |
| X-ray exam hip uni 1 view (73501) | $2,462.53 | $2,462.53 | 28.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,786.25 | $2,786.25 | 31.9× |
| X-ray exam hip uni 4/> views (73503) | $2,786.25 | $2,786.25 | 26.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,358.11 | $3,358.11 | 32.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,786.25 | $2,786.25 | 26.5× |
| X-ray exam of femur 1 (73551) | $2,234.53 | $2,234.53 | 25.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $3,417.30 | $3,417.30 | 32.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,575.77 | $1,575.77 | 18.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,983.88 | $1,983.88 | 22.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $21,292.35 | $21,292.35 | 10.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,789.90 | $1,789.90 | 20.5× |
| X-ray IV pyelogram+drip infusn (74410) | $6,703.61 | $6,703.61 | 38.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,624.89 | $1,624.89 | 18.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,158.83 | $1,158.83 | 13.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,351.68 | $2,351.68 | 22.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $5,205.95 | $5,205.95 | 49.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,351.68 | $2,351.68 | 22.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,815.09 | $1,815.09 | 20.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,651.47 | $2,651.47 | 25.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $5,467.95 | $5,467.95 | 15.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,412.14 | $2,412.14 | 27.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,041.95 | $3,041.95 | 29.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,190.83 | $5,190.83 | 49.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,562.16 | $3,562.16 | 33.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,477.64 | $2,477.64 | 28.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,737.12 | $2,737.12 | 31.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,551.96 | $2,551.96 | 29.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,296.51 | $4,296.51 | 40.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $3,041.95 | $3,041.95 | 29.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,966.37 | $2,966.37 | 33.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,526.76 | $2,526.76 | 28.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,473.99 | $3,473.99 | 33.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,815.09 | $1,815.09 | 20.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,103.53 | $2,103.53 | 24.1× |
| Xr arthrogram ankle (73615) | $7,255.32 | $7,255.32 | 20.7× |
| Xr c-spine 6 or more views (72052) | $2,598.56 | $2,598.56 | 24.7× |
| Xr chest 4+ views (71048) | $3,297.64 | $3,297.64 | 31.4× |
| Xr finger(s) 2+ views (73140) | $1,632.45 | $1,632.45 | 18.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $3,075.96 | $3,075.96 | 29.3× |
| Xr shoulder 1 view (73020) | $2,131.25 | $2,131.25 | 24.4× |
| Xr spine cervical 4 or 5 views (72050) | $4,048.37 | $4,048.37 | 38.5× |
| Xr tibia/fibula 2 views (73590) | $2,737.12 | $2,737.12 | 31.3× |
| Xr tmj bilateral (70330) | $6,660.78 | $6,660.78 | 76.2× |
| Xray knee 1 or 2 views rt (73560) | $1,919.63 | $1,919.63 | 22.0× |