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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $2,233.28 | $2,233.28 | 25.5× |
| 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 thrombosis imaging, peptide Non-Facility (78456) | $12,353.96 | $12,353.96 | 9.5× |
| Angio internal mammary (75756) | $13,214.51 | $13,214.51 | 4.2× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$11,225.37–$13,214.51 | $11,225.37–$13,214.51 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,023.55 | $7,023.55 | 2.2× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$8,720.24–$18,254.18 | $8,720.24–$18,254.18 | varies |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$3,136.42–$18,254.18 | $3,136.42–$18,254.18 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$11,225.37–$13,214.51 | $11,225.37–$13,214.51 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$9,748.80–$10,881.72 | $9,748.80–$10,881.72 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$4,324.22–$5,469.20 | $4,324.22–$5,469.20 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,785.44–$10,880.46 | $8,785.44–$10,880.46 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $10,881.72 | $10,881.72 | 3.4× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$19,832.46–$21,616.07 | $19,832.46–$21,616.07 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$9,681.32–$18,254.18 | $9,681.32–$18,254.18 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$8,499.81–$18,254.18 | $8,499.81–$18,254.18 | varies |
| Arthrogram ankle (73615) | $7,255.32 | $7,255.32 | 20.7× |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$4,401.06–$5,015.74 | $4,401.06–$5,015.74 | varies |
| Arthrogram Wrist (73115) | $5,015.74 | $5,015.74 | 14.3× |
| Basic radiation dosimetry calculation (77300) | $465.43 | $465.43 | 3.4× |
| 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 Imaging Limited Area (78300) | $6,519.61 | $6,519.61 | 16.2× |
| Bone Imaging Multiple Areas (78305) | $3,528.07 | $3,528.07 | 8.8× |
| Bone Imaging Whole Body (78306) | $10,565.13 | $10,565.13 | 26.3× |
| Bone marrow imaging; whole body (78104) | $10,024.80 | $10,024.80 | 25.0× |
| Bone survey infant (77076) | $2,745.94 | $2,745.94 | 26.1× |
| Brain Flow Imaging 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× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$3,468.87–$3,711.69 | $3,468.87–$3,711.69 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $13,341.82 | $13,341.82 | 24.5× |
| Cerebrospinal Fluid Scan (78630) | $13,341.82 | $13,341.82 | 24.5× |
| Chest 1 view (71045) | $1,849.10 | $1,849.10 | 21.2× |
| Chest 2 views (71046) | $2,021.67 | $2,021.67 | 23.1× |
| Chest 3 views (71047) | $3,258.60 | $3,258.60 | 37.3× |
| Chest 4 or more views (71048) | $3,297.64 | $3,297.64 | 31.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,021.67–$4,050.89 | $2,021.67–$4,050.89 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,491.42 | $1,491.42 | 14.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$10,880.46–$16,807.30 | $10,880.46–$16,807.30 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$2,619.98–$4,715.96 | $2,619.98–$4,715.96 | varies |
| Contrast X-Ray Of Elbow (73085) | $520.21 | $520.21 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $5,017.01 | $5,017.01 | 14.3× |
| 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 Abdomen and Pelvis (74174) | $14,313.86 | $14,313.86 | 40.8× |
| CT Angio Chest (71275) | $14,154.11 | $14,154.11 | 80.3× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$12,804.97–$14,127.91 | $12,804.97–$14,127.91 | varies |
| CT angio hrt w/3d image (75574) | $11,304.82 | $11,304.82 | 32.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$14,221.51–$15,999.98 | $14,221.51–$15,999.98 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$12,804.97–$14,127.91 | $12,804.97–$14,127.91 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $14,154.11 | $14,154.11 | 80.3× |
| CT cervical spine w/ contrast (72126) | $12,873.62 | $12,873.62 | 36.7× |
| CT cervical spine w/o contrast (72125) | $11,400.91 | $11,400.91 | 108.6× |
| CT chest w contrast (71260) | $13,068.31 | $13,068.31 | 74.2× |
| CT chest w/wo contrast (71270) | $15,523.22 | $15,523.22 | 88.1× |
| 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 lower ext w/o (73700) range across 3 matching MRF lines |
$6,532.29–$13,075.80 | $6,532.29–$13,075.80 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,799.37–$13,596.23 | $6,799.37–$13,596.23 | varies |
| CT lumbar spine w contrast (72132) | $14,648.34 | $14,648.34 | 41.8× |
| CT lumbar spine w/o contrast (72131) | $13,925.72 | $13,925.72 | 132.6× |
| CT maxillofacial w contrast (70487) | $11,007.79 | $11,007.79 | 62.5× |
| CT maxillofacial wo contrast (70486) | $9,049.60 | $9,049.60 | 86.2× |
| CT neck tissue combo (70492) | $11,047.72 | $11,047.72 | 62.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) range across 2 matching MRF lines |
$1,382.84–$6,477.37 | $1,382.84–$6,477.37 | varies |
| CT scans face/jaw combo (70488) | $11,770.34 | $11,770.34 | 66.8× |
| CT soft tissue neck w contrast (70491) | $10,071.75 | $10,071.75 | 57.2× |
| 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 ext wo (73200) | $5,296.71 | $5,296.71 | 50.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,382.84–$16,421.81 | $1,382.84–$16,421.81 | varies |
| 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× |
| Dilation ureters/urethra rs&i (74485) | $21,292.35 | $21,292.35 | 10.1× |
| Dxa Bone Density Axial (77080) | $2,568.33 | $2,568.33 | 24.5× |
| Dxa bone density study (77085) | $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× |
| Echo exam uterus (76831) | $9,028.18 | $9,028.18 | 37.7× |
| Esophagram (74220) | $4,967.88 | $4,967.88 | 28.2× |
| Fetal Biophys Profile W/Nst (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× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $14,792.79 | $14,792.79 | 61.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$2,242.10–$2,915.99 | $2,242.10–$2,915.99 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$5,354.58–$9,748.80 | $5,354.58–$9,748.80 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,672.75–$3,336.69 | $1,672.75–$3,336.69 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,753.37–$3,513.03 | $1,753.37–$3,513.03 | varies |
| Gastric emptying imaging study (78264) | $11,043.17 | $11,043.17 | 27.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $11,043.17 | $11,043.17 | 27.5× |
| Gastroesophageal Reflux Exam (78262) | $8,176.22 | $8,176.22 | 20.4× |
| 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× |
| Gated Heart, Multiple (78473) | $15,856.60 | $15,856.60 | 39.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $11,043.17 | $11,043.17 | 20.2× |
| Hand 2 views (73120) | $2,729.56 | $2,729.56 | 26.0× |
| Heart first pass single,planar (78481) | $5,450.39 | $5,450.39 | 10.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,346.39 | $10,346.39 | 3.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,346.39 | $10,346.39 | 3.3× |
| Hepatobil Syst Image W/Drug (78227) | $12,163.25 | $12,163.25 | 22.3× |
| Hepatobiliary System Imaging (78226) | $11,789.47 | $11,789.47 | 29.4× |
| Ht Musc Image Planar Mult (78454) | $29,465.41 | $29,465.41 | 22.7× |
| Ht Muscle Image Spect Sing (78451) | $6,553.95 | $6,553.95 | 5.0× |
| Hysterosalpingogram (74740) | $4,921.27 | $4,921.27 | 20.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,452.32 | $3,452.32 | 39.5× |
| Infant hip ultrasound, limited static exam (76886) | $3,452.32 | $3,452.32 | 39.5× |
| Infusion Ivp (74410) | $6,703.61 | $6,703.61 | 38.0× |
| 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× |
| K Flow/Funct Image W/Drug (78708) | $9,959.95 | $9,959.95 | 18.3× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$9,101.78–$9,448.87 | $9,101.78–$9,448.87 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $4,557.88 | $4,557.88 | 11.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,844.19–$5,680.81 | $2,844.19–$5,680.81 | varies |
| Leveen/Shunt Patency Exam (78291) | $8,258.86 | $8,258.86 | 20.6× |
| 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 Ventilat&Perfus Imaging (78582) | $19,904.66 | $19,904.66 | 36.5× |
| Lung Ventilation Imaging (78579) | $9,673.89 | $9,673.89 | 24.1× |
| Lymph System Imaging (78195) | $9,596.35 | $9,596.35 | 17.6× |
| Magnetic Image Jaw Joint (70336) | $17,842.29 | $17,842.29 | 74.4× |
| 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 Divert Exam (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/O & W/Contrast Material (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 contrast (74181) | $14,792.79 | $14,792.79 | 61.7× |
| MRI any jt lower extrem w/contrast material (73722) | $17,842.29 | $17,842.29 | 22.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $20,488.72 | $20,488.72 | 58.5× |
| 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 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 contrast (72142) | $14,792.79 | $14,792.79 | 42.2× |
| MRI cervical spine w/o cont (72141) | $14,792.79 | $14,792.79 | 61.7× |
| MRI chest w/o contrast (71550) | $14,794.04 | $14,794.04 | 61.7× |
| MRI chest wo w contrast (71552) | $20,488.72 | $20,488.72 | 58.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$17,842.29–$22,883.22 | $17,842.29–$22,883.22 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$20,488.72–$40,972.40 | $20,488.72–$40,972.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$17,565.17–$35,121.54 | $17,565.17–$35,121.54 | varies |
| MRI lumbar spine w contrast (72149) | $14,792.79 | $14,792.79 | 42.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $20,488.72 | $20,488.72 | 58.5× |
| MRI orbit face &/neck w/o contrast (70540) | $14,794.04 | $14,794.04 | 61.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (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 (72197) | $20,488.72 | $20,488.72 | 58.5× |
| MRI pelvis w/o contrast (72195) | $14,792.79 | $14,792.79 | 61.7× |
| MRI spectroscopy (76390) | $8,315.90 | $8,315.90 | 95.1× |
| MRI thoracic spine w/o contrast (72146) | $14,792.79 | $14,792.79 | 61.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$17,842.29–$22,883.22 | $17,842.29–$22,883.22 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$17,565.17–$35,121.54 | $17,565.17–$35,121.54 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$20,488.72–$40,972.40 | $20,488.72–$40,972.40 | varies |
| MRI, abdomen, combo (74183) | $20,488.72 | $20,488.72 | 58.5× |
| MRI, dorsal spine combo (72157) | $20,488.72 | $20,488.72 | 58.5× |
| MRI, dorsal spine contrast (72147) | $14,792.79 | $14,792.79 | 42.2× |
| MRI, joint upper extrem (73221) | $17,565.17 | $17,565.17 | 73.3× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$20,488.72–$36,256.44 | $20,488.72–$36,256.44 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$20,488.72–$20,720.49 | $20,488.72–$20,720.49 | varies |
| Myelogram cervical (72240) | $7,551.32 | $7,551.32 | 9.6× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,132.38–$7,551.32 | $1,132.38–$7,551.32 | varies |
| Myelography thoracic (72255) | $7,551.32 | $7,551.32 | 9.6× |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$4,452.70–$8,208.84 | $4,452.70–$8,208.84 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $7,986.78 | $7,986.78 | 19.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,383.58 | $6,383.58 | 4.9× |
| 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 csf leak detection (78650) | $13,341.82 | $13,341.82 | 10.3× |
| Nm myocard infarct spect (78469) | $8,949.21 | $8,949.21 | 16.4× |
| Nonvascular Shunt X-Ray (75809) | $563.04 | $563.04 | 5.4× |
| Nuclear Rx Intra-Arterial (79445) | $1,427.76 | $1,427.76 | 6.1× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$4,990.15–$9,031.86 | $4,990.15–$9,031.86 | varies |
| Ob us nuchal meas 1 gest (76813) | $8,261.82 | $8,261.82 | 78.7× |
| Parathyroid Planar Imaging (78070) | $9,578.54 | $9,578.54 | 23.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $9,541.68 | $9,541.68 | 23.8× |
| Pelvis 1 or 2 views (72170) | $2,390.73 | $2,390.73 | 22.8× |
| Pet Image W/Ct Lmtd (78814) | $37,515.66 | $37,515.66 | 26.1× |
| PET image w/CT, full body (78816) | $37,515.66 | $37,515.66 | 26.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $37,515.66 | $37,515.66 | 26.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,805.14 | $12,805.14 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,663.73 | $9,663.73 | 24.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,363.14 | $3,363.14 | 32.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$3,889.65–$10,881.72 | $3,889.65–$10,881.72 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,164 | $2,164 | 24.8× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,789.90–$3,584.83 | $1,789.90–$3,584.83 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$2,555.74–$5,121.56 | $2,555.74–$5,121.56 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,417.30 | $3,417.30 | 32.5× |
| Radex fingr minimum 2 views (73140) | $1,632.45 | $1,632.45 | 18.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,983.88–$3,969.02 | $1,983.88–$3,969.02 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,753.37–$3,513.03 | $1,753.37–$3,513.03 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,158.83–$2,361.76 | $1,158.83–$2,361.76 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,815.09 | $1,815.09 | 20.8× |
| Radex Ribs Unilateral 2 Views (71100) | $2,412.14 | $2,412.14 | 27.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,737.12–$4,076.08 | $2,737.12–$4,076.08 | varies |
| Radex Sternum Minimum 2 Views (71120) | $2,526.76 | $2,526.76 | 28.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $6,660.78 | $6,660.78 | 76.2× |
| Radex Toe Minimum 2 Views (73660) | $1,815.09 | $1,815.09 | 20.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,158.83–$2,310.11 | $1,158.83–$2,310.11 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,103.53–$4,205.82 | $2,103.53–$4,205.82 | varies |
| 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 level 1 (77402) | $563.53 | $563.53 | 5.5× |
| Radiation treatment delivery level 2 (77407) | $563.53 | $563.53 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $1,084.55 | $1,084.55 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,812.82 | $3,812.82 | 36.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,894.57 | $2,894.57 | 27.6× |
| Radiologic exam colon double contrast study (74280) | $7,220.05 | $7,220.05 | 41.0× |
| Radiologic exam colon single contrast study (74270) | $5,078.72 | $5,078.72 | 28.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,673.13 | $4,673.13 | 26.5× |
| Radiologic exam swallow function contrast study (74230) | $4,707.14 | $4,707.14 | 26.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,662.93 | $3,662.93 | 20.8× |
| Radiologic examination femur 1 view (73551) | $2,234.53 | $2,234.53 | 25.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$2,686.74–$2,951.25 | $2,686.74–$2,951.25 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,919.63–$3,836.75 | $1,919.63–$3,836.75 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,737.12–$5,479.28 | $2,737.12–$5,479.28 | varies |
| Ribs bilateral 3 views (71110) | $4,498.04 | $4,498.04 | 42.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,626.09 | $1,626.09 | 4.0× |
| 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) range across 2 matching MRF lines |
$9,033.13–$17,309.79 | $9,033.13–$17,309.79 | varies |
| 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/acquisj 1day img (78830) | $1,621 | $1,621 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $1,167.12 | $1,167.12 | 5.0× |
| Scapula (73010) | $2,437.33 | $2,437.33 | 23.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $135.96 | $135.96 | 5.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$2,131.25–$4,271.32 | $2,131.25–$4,271.32 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$5,010.70–$5,017.01 | $5,010.70–$5,017.01 | varies |
| Sialogram (70390) | $4,715.96 | $4,715.96 | 19.7× |
| Skull less than 4 views (70250) | $3,041.95 | $3,041.95 | 29.0× |
| Sternoclavicular joints (71130) | $2,966.37 | $2,966.37 | 33.9× |
| Superior sagittal sinus venogram (75870) | $5,518.32 | $5,518.32 | 1.7× |
| Thoracic spine 2 views (72070) | $3,473.99 | $3,473.99 | 33.1× |
| Thoracic spine 3 views (72072) | $3,473.99 | $3,473.99 | 33.1× |
| Thyroid Imaging With Vascular Flow (78013) | $6,909.93 | $6,909.93 | 17.2× |
| Thyroid Met Imaging Body (78018) | $14,697.10 | $14,697.10 | 26.9× |
| 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× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,976.46–$2,825.63 | $1,976.46–$2,825.63 | varies |
| Ultrasound Exam Aaa Screen (76706) | $4,261.94 | $4,261.94 | 40.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$823.22–$6,385.49 | $823.22–$6,385.49 | varies |
| 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 us procedure (76999) range across 3 matching MRF lines |
$353.51–$3,882.90 | $353.51–$3,882.90 | varies |
| Upper gi w/o kub (74240) | $4,723.52 | $4,723.52 | 26.8× |
| Urethrocystogram voiding (74455) | $5,524.62 | $5,524.62 | 23.0× |
| Urethrocystography retrograde (74450) | $2,007.81 | $2,007.81 | 8.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$2,825.63–$3,594.47 | $2,825.63–$3,594.47 | varies |
| Us chest (76604) | $661.29 | $661.29 | 6.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$3,187.80–$5,221.11 | $3,187.80–$5,221.11 | varies |
| Us head (76506) | $6,381.77 | $6,381.77 | 60.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$3,045.65–$6,043.10 | $3,045.65–$6,043.10 | varies |
| Us ob limited 1 or more fetuses (76815) | $4,417.68 | $4,417.68 | 42.1× |
| 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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $6,889.80 | $6,889.80 | 65.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $5,222.35 | $5,222.35 | 49.7× |
| 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 spinal canal and contents (76800) | $1,794.75 | $1,794.75 | 17.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$5,650.03–$5,650.05 | $5,650.03–$5,650.05 | varies |
| Vascular Flow Imaging (78445) | $8,171.13 | $8,171.13 | 20.3× |
| Vein X-Ray Chest (75827) | $9,764.45 | $9,764.45 | 6.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $12,805.14 | $12,805.14 | 4.0× |
| Venography Adrenal Unilateral (75840) | $6,067.51 | $6,067.51 | 1.9× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$9,748.80–$9,764.45 | $9,748.80–$9,764.45 | varies |
| Venography extremity bilateral rs&i (75822) | $10,147.37 | $10,147.37 | 6.4× |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$5,920.14–$6,452.96 | $5,920.14–$6,452.96 | varies |
| Venography Renal Bilateral (75833) | $11,359.11 | $11,359.11 | 3.6× |
| Venography Renal Unilateral (75831) | $7,703.74 | $7,703.74 | 2.4× |
| Venous sampling by catheter (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) range across 3 matching MRF lines |
$2,709.41–$5,413.78 | $2,709.41–$5,413.78 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,242.10 | $2,242.10 | 25.6× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$3,461.40–$12,805.14 | $3,461.40–$12,805.14 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$13,214.51–$31,874.28 | $13,214.51–$31,874.28 | varies |
| X-Ray Bend Only L-S Spine (72120) | $2,351.68 | $2,351.68 | 22.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,116.14–$4,229.75 | $2,116.14–$4,229.75 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,010.20–$1,878.07 | $1,010.20–$1,878.07 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,686.74 | $2,686.74 | 30.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,135.15 | $3,135.15 | 29.9× |
| 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 2 Views (73521) | $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 L-S Spine Bending (72114) | $5,205.95 | $5,205.95 | 49.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,598.56 | $2,598.56 | 29.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,598.56 | $2,598.56 | 24.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,041.95 | $3,041.95 | 29.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$2,021.67–$4,050.89 | $2,021.67–$4,050.89 | varies |
| X-ray IV pyelogram (ivp) (74400) | $5,808.03 | $5,808.03 | 33.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,624.89 | $1,624.89 | 18.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,351.68 | $2,351.68 | 22.4× |
| 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 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 Urinary Tract Exam With Contrast Material (74420) | $5,467.95 | $5,467.95 | 15.6× |
| X-Rays Bone Survey Complete (77075) | $5,500.69 | $5,500.69 | 52.4× |
| Xr c-spine 4 or 5 views (72050) | $4,048.37 | $4,048.37 | 38.5× |
| Xr facial bones less than 3 views (70140) | $1,575.77 | $1,575.77 | 18.0× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$2,051.90–$4,100.02 | $2,051.90–$4,100.02 | varies |
| Xr orbits complete 4 views (70200) | $2,651.47 | $2,651.47 | 25.2× |
| Xr Tomogram Single Plane (76100) | $5,789.14 | $5,789.14 | 55.1× |
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.