Imaging prices at HCA Houston Healthcare Conroe
Conroe, TX · every code in this section with a posted price and a Medicare benchmark.
353 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $10,448 | $10,448 | 7.5× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$540.24–$2,047 | $540.24–$2,047 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,046.07–$2,289 | $1,046.07–$2,289 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $11,305.42 | $11,305.42 | 28.2× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $6,558.94 | $6,558.94 | 5.0× |
| Angio internal mammary (75756) | $7,961.57 | $7,961.57 | 2.5× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$11,879.50–$15,694.17 | $11,879.50–$15,694.17 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,928.66 | $7,928.66 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $12,642.73 | $12,642.73 | 4.0× |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$8,406.04–$11,964.80 | $8,406.04–$11,964.80 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,097.68 | $13,097.68 | 4.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$6,480–$12,689.14 | $6,480–$12,689.14 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$2,036.78–$3,069.39 | $2,036.78–$3,069.39 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$9,975.91–$12,091.99 | $9,975.91–$12,091.99 | varies |
| Artery X-Rays Abdomen (75726) | $12,594.84 | $12,594.84 | 2.3× |
| Artery X-Rays Adrenal Gland (75731) | $7,169.90 | $7,169.90 | 2.3× |
| Artery X-Rays Pelvis (75736) | $17,602.25 | $17,602.25 | 3.1× |
| Artery X-Rays Spine (75705) | $8,823.58 | $8,823.58 | 1.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$5,423.45–$9,497.01 | $5,423.45–$9,497.01 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$5,423.45–$9,770.88 | $5,423.45–$9,770.88 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$4,495.60–$8,102.25 | $4,495.60–$8,102.25 | varies |
| Basic radiation dosimetry calculation (77300) | $986 | $986 | 7.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$1,547.41–$1,896.10 | $1,547.41–$1,896.10 | varies |
| Bone Imaging 3 Phase (78315) | $8,224.23 | $8,224.23 | 20.5× |
| Bone Imaging Limited Area (78300) | $7,125.86 | $7,125.86 | 17.7× |
| Bone Imaging Multiple Areas (78305) | $9,452.08 | $9,452.08 | 23.5× |
| Bone Imaging Whole Body (78306) | $13,329.12 | $13,329.12 | 33.2× |
| Bone marrow imaging limited area (78102) | $7,125.86 | $7,125.86 | 17.7× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$1,254.10–$1,472.59 | $1,254.10–$1,472.59 | varies |
| Brain Flow Imaging Only (78610) | $4,347.19 | $4,347.19 | 8.0× |
| Brain Image W/Flow < 4 Views (78601) | $9,370.32 | $9,370.32 | 23.3× |
| Brain imaging < 4 static views (78600) | $7,125.86 | $7,125.86 | 17.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $18,643.86 | $18,643.86 | 34.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $10,962.01 | $10,962.01 | 20.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $11,158.25 | $11,158.25 | 27.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $27,685.50 | $27,685.50 | 79.0× |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$6,486.71–$7,135.39 | $6,486.71–$7,135.39 | varies |
| Cat Scan Follow-Up Study (76380) | $8,075.92 | $8,075.92 | 92.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,324.29 | $5,324.29 | 9.8× |
| Cerebrospinal Fluid Scan (78630) | $8,032.09 | $8,032.09 | 14.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$517.81–$2,020 | $517.81–$2,020 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,028.12–$2,121 | $1,028.12–$2,121 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,547.41–$2,777.57 | $1,547.41–$2,777.57 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,547.41–$3,003.54 | $1,547.41–$3,003.54 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,662.65–$2,879.33 | $1,662.65–$2,879.33 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $146.06 | $146.06 | 1.4× |
| Continuing medical physics consltj pr wk (77336) | $1,243 | $1,243 | 9.2× |
| Contrast Exam Abdominl Aorta (75625) | $12,201 | $12,201 | 3.8× |
| Contrast X-Ray Bladder (74430) | $8,153.13 | $8,153.13 | 23.3× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$5,423.45–$9,497.01 | $5,423.45–$9,497.01 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$7,273.16–$13,088.70 | $7,273.16–$13,088.70 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$12,004.70–$29,322 | $12,004.70–$29,322 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$9,428.80–$25,787 | $9,428.80–$25,787 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$6,587.33–$15,463 | $6,587.33–$15,463 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$6,587.33–$17,696 | $6,587.33–$17,696 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$5,542.79–$15,103 | $5,542.79–$15,103 | varies |
| CT Angio Abdomen and Pelvis (74174) | $32,620.89 | $32,620.89 | 93.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$6,587.33–$22,888 | $6,587.33–$22,888 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$22,811–$30,557 | $22,811–$30,557 | varies |
| CT angio hrt w/3d image (75574) | $30,135.45 | $30,135.45 | 86.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$6,587.33–$18,614.16 | $6,587.33–$18,614.16 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$6,587.33–$23,166 | $6,587.33–$23,166 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$6,587.33–$18,614.16 | $6,587.33–$18,614.16 | varies |
| CT bone density (77078) | $2,040.37 | $2,040.37 | 23.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $19,001.19 | $19,001.19 | 107.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$6,587.33–$14,908 | $6,587.33–$14,908 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$5,542.79–$16,765 | $5,542.79–$16,765 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$6,587.33–$19,518 | $6,587.33–$19,518 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$6,587.33–$18,851 | $6,587.33–$18,851 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$6,587.33–$14,620 | $6,587.33–$14,620 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$6,587.33–$17,532 | $6,587.33–$17,532 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $24,785.45 | $24,785.45 | 70.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $15,226.10 | $15,226.10 | 174.2× |
| CT hrt w/3d image congen (75573) | $24,784.41 | $24,784.41 | 70.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$6,587.33–$17,928.13 | $6,587.33–$17,928.13 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$6,587.33–$22,509.01 | $6,587.33–$22,509.01 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$12,138.97–$24,280.88 | $12,138.97–$24,280.88 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$12,735–$25,458.18 | $12,735–$25,458.18 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$6,587.33–$16,236 | $6,587.33–$16,236 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$5,542.79–$16,464 | $5,542.79–$16,464 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$6,587.33–$13,718 | $6,587.33–$13,718 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$5,542.79–$12,634 | $5,542.79–$12,634 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$6,587.33–$20,072 | $6,587.33–$20,072 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$6,587.33–$18,928 | $6,587.33–$18,928 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$5,542.79–$14,127 | $5,542.79–$14,127 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$6,587.33–$19,939 | $6,587.33–$19,939 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$5,542.79–$14,364 | $5,542.79–$14,364 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$16,365.77–$36,412.47 | $16,365.77–$36,412.47 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$6,587.33–$17,829.29 | $6,587.33–$17,829.29 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$6,587.33–$16,844 | $6,587.33–$16,844 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$5,542.79–$14,794 | $5,542.79–$14,794 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$6,587.33–$16,910 | $6,587.33–$16,910 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$5,542.79–$17,459 | $5,542.79–$17,459 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$6,587.33–$23,624.37 | $6,587.33–$23,624.37 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$5,542.79–$16,573 | $5,542.79–$16,573 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$13,978.69–$29,381.08 | $13,978.69–$29,381.08 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$18,872.35–$27,961.81 | $18,872.35–$27,961.81 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$14,688.32–$32,733.01 | $14,688.32–$32,733.01 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$6,587.33–$11,253 | $6,587.33–$11,253 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$6,587.33–$24,596.60 | $6,587.33–$24,596.60 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $34,790 | $34,790 | 99.3× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$6,587.33–$22,913 | $6,587.33–$22,913 | varies |
| Dilation ureters/urethra rs&i (74485) | $5,897.86 | $5,897.86 | 2.8× |
| Discography Cerv/Thor Spine (72285) | $4,793.41 | $4,793.41 | 2.4× |
| Diskography lumbar (72295) | $4,521.04 | $4,521.04 | 2.3× |
| Dxa Bone Density Axial (77080) | $2,069.70 | $2,069.70 | 19.7× |
| Dxa bone density study (77085) | $489.22 | $489.22 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $2,069.70 | $2,069.70 | 23.7× |
| Echo exam uterus (76831) | $2,202.15 | $2,202.15 | 9.2× |
| Esophageal Motility Study (78258) | $5,519.16 | $5,519.16 | 13.7× |
| Esophagram (74220) | $4,784.42 | $4,784.42 | 27.2× |
| Fetal Biophys Profile W/Nst (76818) | $2,202.15 | $2,202.15 | 21.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,202.15–$6,773.90 | $2,202.15–$6,773.90 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$8,178.77–$25,362.51 | $8,178.77–$25,362.51 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,660.84–$3,394 | $2,660.84–$3,394 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,144.55–$2,336.08 | $2,144.55–$2,336.08 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,458.80–$3,694.94 | $2,458.80–$3,694.94 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,666.83–$4,006.24 | $2,666.83–$4,006.24 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$5,881.66–$6,470.37 | $5,881.66–$6,470.37 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $8,797.95 | $8,797.95 | 21.9× |
| Gastroesophageal Reflux Exam (78262) | $6,928.25 | $6,928.25 | 17.3× |
| Gated Heart Planar Single (78472) | $8,042.98 | $8,042.98 | 20.0× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $9,859.53 | $9,859.53 | 18.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,433.37–$3,654.54 | $2,433.37–$3,654.54 | varies |
| Heart first pass single,planar (78481) | $4,171.40 | $4,171.40 | 7.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,153.43 | $7,153.43 | 2.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,089.40 | $6,089.40 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $11,305.42 | $11,305.42 | 20.7× |
| Hepatobiliary System Imaging (78226) | $8,830.66 | $8,830.66 | 22.0× |
| Ht Muscle Image Spect Sing (78451) | $16,016.47 | $16,016.47 | 12.3× |
| Hysterosalpingogram (74740) | $5,820.03 | $5,820.03 | 24.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$2,202.15–$6,773.90 | $2,202.15–$6,773.90 | varies |
| Interstitial radiation source applic complex (77778) | $11,218.21 | $11,218.21 | 16.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $16,457.99 | $16,457.99 | 23.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $14,159.04 | $14,159.04 | 25.5× |
| Intracavitary radiation source applic simple (77761) | $11,242.75 | $11,242.75 | 20.3× |
| K Flow/Funct Image W/Drug (78708) | $15,292.85 | $15,292.85 | 28.0× |
| K Flow/Funct Image W/O Drug (78707) | $15,292.85 | $15,292.85 | 28.0× |
| Kidney Imaging Morphol (78700) | $6,512.61 | $6,512.61 | 16.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,879.33–$4,320.50 | $2,879.33–$4,320.50 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$4,533.89–$4,984.97 | $4,533.89–$4,984.97 | varies |
| Liver & Spleen Imaging Static Only (78215) | $8,720.28 | $8,720.28 | 21.7× |
| Liver imaging w/vascular flow (78202) | $10,382.84 | $10,382.84 | 19.0× |
| Lung Perf&Ventilat Diferentl (78598) | $16,407.58 | $16,407.58 | 30.1× |
| Lung perfusion differential (78597) | $6,726.56 | $6,726.56 | 16.7× |
| Lung Ventilat&Perfus Imaging (78582) | $14,717.77 | $14,717.77 | 27.0× |
| Lung Ventilation Imaging (78579) | $5,065.36 | $5,065.36 | 12.6× |
| Lymph System Imaging (78195) | $9,822.75 | $9,822.75 | 18.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$8,178.77–$22,319.08 | $8,178.77–$22,319.08 | varies |
| Mammary ductogram or galactogram multiple (77054) | $2,915.25 | $2,915.25 | 12.2× |
| Mammary ductogram or galactogram single (77053) | $1,973.93 | $1,973.93 | 8.2× |
| Meckels Divert Exam (78290) | $6,911.91 | $6,911.91 | 17.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $673.46 | $673.46 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $582 | $582 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $272.50 | $272.50 | 9.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$11,435.19–$25,879 | $11,435.19–$25,879 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$8,178.77–$18,914 | $8,178.77–$18,914 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$8,379.66–$16,848 | $8,379.66–$16,848 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$8,379.66–$25,315.68 | $8,379.66–$25,315.68 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$27,685–$27,685.50 | $27,685–$27,685.50 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$8,178.77–$18,817 | $8,178.77–$18,817 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$8,379.66–$30,760.66 | $8,379.66–$30,760.66 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$8,178.77–$24,575 | $8,178.77–$24,575 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$26,607.07–$53,202.06 | $26,607.07–$53,202.06 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $31,588.35 | $31,588.35 | 90.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$26,607.07–$53,202.06 | $26,607.07–$53,202.06 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $13,137.39 | $13,137.39 | 54.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $11,084.77 | $11,084.77 | 46.2× |
| MRI cardiac w/o contrast (75557) | $25,315.68 | $25,315.68 | 105.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$8,379.66–$27,203.68 | $8,379.66–$27,203.68 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$8,178.77–$18,992 | $8,178.77–$18,992 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$8,178.77–$22,509.37 | $8,178.77–$22,509.37 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$8,379.66–$26,732.42 | $8,379.66–$26,732.42 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$11,435.19–$29,972.23 | $11,435.19–$29,972.23 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$26,607.07–$53,202.06 | $26,607.07–$53,202.06 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $30,403 | $30,403 | 86.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$23,278.17–$46,551.80 | $23,278.17–$46,551.80 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$8,379.66–$27,203.68 | $8,379.66–$27,203.68 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$9,983.69–$27,624 | $9,983.69–$27,624 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$8,178.77–$22,749.52 | $8,178.77–$22,749.52 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$8,379.66–$28,697.45 | $8,379.66–$28,697.45 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$11,435.19–$27,148 | $11,435.19–$27,148 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$8,379.66–$31,997.67 | $8,379.66–$31,997.67 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$11,435.19–$23,623 | $11,435.19–$23,623 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$8,178.77–$23,584 | $8,178.77–$23,584 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$8,178.77–$24,521 | $8,178.77–$24,521 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$23,278.17–$46,551.80 | $23,278.17–$46,551.80 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$32,503.65–$63,540.69 | $32,503.65–$63,540.69 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$11,648.15–$30,929 | $11,648.15–$30,929 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$14,392.52–$34,633 | $14,392.52–$34,633 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$8,379.66–$33,406.85 | $8,379.66–$33,406.85 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$26,173.58–$55,994.77 | $26,173.58–$55,994.77 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$31,588.35–$63,181.23 | $31,588.35–$63,181.23 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$14,392.52–$27,443 | $14,392.52–$27,443 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$6,662.52–$7,331.64 | $6,662.52–$7,331.64 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $7,849.47 | $7,849.47 | 6.0× |
| Myocardial Spect Multiple Studies (78452) | $22,019.41 | $22,019.41 | 16.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$442.97–$2,126 | $442.97–$2,126 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $6,199.17 | $6,199.17 | 16.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $4,911.38 | $4,911.38 | 12.2× |
| Nm csf leak detection (78650) | $7,914.89 | $7,914.89 | 6.1× |
| Nm unlisted gi procedure (78299) range across 2 matching MRF lines |
$4,533.89–$4,984.97 | $4,533.89–$4,984.97 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,838 | $6,838 | 4.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$6,911.91–$7,605.54 | $6,911.91–$7,605.54 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$7,918.98–$7,976.21 | $7,918.98–$7,976.21 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $11,158.25 | $11,158.25 | 27.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,472.59–$2,621 | $1,472.59–$2,621 | varies |
| Peritoneogram Rs&I (74190) | $695.89 | $695.89 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,016.70 | $4,016.70 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,065.36 | $5,065.36 | 12.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,547.41–$3,315 | $1,547.41–$3,315 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,403.75–$2,663.83 | $1,403.75–$2,663.83 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,584.52–$3,880.53 | $2,584.52–$3,880.53 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,290.01–$3,570.73 | $1,290.01–$3,570.73 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$2,713.22–$4,066.09 | $2,713.22–$4,066.09 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,547.41–$3,506 | $1,547.41–$3,506 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$775.20–$2,183.45 | $775.20–$2,183.45 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$2,957.15–$4,443.22 | $2,957.15–$4,443.22 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,892.80–$4,342.94 | $2,892.80–$4,342.94 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$2,036.78–$3,462.98 | $2,036.78–$3,462.98 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,472.59–$2,556.08 | $1,472.59–$2,556.08 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$2,754–$3,024.50 | $2,754–$3,024.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,034.97–$4,555.46 | $3,034.97–$4,555.46 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,290.01–$1,548 | $1,290.01–$1,548 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $6,927.45 | $6,927.45 | 39.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$517.81–$2,690.78 | $517.81–$2,690.78 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,472.59–$2,280 | $1,472.59–$2,280 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,472.59–$2,758 | $1,472.59–$2,758 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$393.60–$2,488.74 | $393.60–$2,488.74 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$2,113.11–$3,534.82 | $2,113.11–$3,534.82 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,982.60–$4,476.14 | $2,982.60–$4,476.14 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$3,467.48–$3,644.06 | $3,467.48–$3,644.06 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,547.41–$2,817.97 | $1,547.41–$2,817.97 | varies |
| Radiologic exam colon double contrast study (74280) | $8,153.13 | $8,153.13 | 46.3× |
| Radiologic exam colon single contrast study (74270) | $6,634.15 | $6,634.15 | 37.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,805.37 | $4,805.37 | 27.3× |
| Radiologic exam swallow function contrast study (74230) | $2,069.70 | $2,069.70 | 11.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$4,518.05–$4,600.36 | $4,518.05–$4,600.36 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$540.24–$1,472.59 | $540.24–$1,472.59 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,472.59–$3,069.39 | $1,472.59–$3,069.39 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$2,578.53–$3,864.07 | $2,578.53–$3,864.07 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,924.24 | $2,924.24 | 27.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,853.89–$4,281.58 | $2,853.89–$4,281.58 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,547.41–$3,519 | $1,547.41–$3,519 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,987.95 | $5,987.95 | 14.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $9,452.08 | $9,452.08 | 23.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $20,380.02 | $20,380.02 | 37.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $14,438.39 | $14,438.39 | 26.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $16,708.76 | $16,708.76 | 30.6× |
| Scapula (73010) | $2,527.65 | $2,527.65 | 24.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $1,789.33 | $1,789.33 | 76.5× |
| Sella turcica (70240) | $1,098.46 | $1,098.46 | 12.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,662.65–$2,488.74 | $1,662.65–$2,488.74 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$7,590.42–$13,283.25 | $7,590.42–$13,283.25 | varies |
| Sialogram (70390) | $5,513.24 | $5,513.24 | 23.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,472.59–$2,454.32 | $1,472.59–$2,454.32 | varies |
| Special dosimetry (77331) | $1,832 | $1,832 | 13.6× |
| Special Physics Consult (77370) | $2,240 | $2,240 | 16.6× |
| Special teletherapy port plan (77321) | $1,900 | $1,900 | 5.1× |
| Special treatment procedure (77470) | $3,844 | $3,844 | 6.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$1,472.59–$2,508.19 | $1,472.59–$2,508.19 | varies |
| Superior sagittal sinus venogram (75870) | $8,254.89 | $8,254.89 | 2.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $7,571.48 | $7,571.48 | 73.9× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$3,417.79–$3,761.21 | $3,417.79–$3,761.21 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,357 | $3,357 | 8.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,976 | $1,976 | 14.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $5,363.58 | $5,363.58 | 30.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,472.59–$4,277.11 | $1,472.59–$4,277.11 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,547.41–$4,208.26 | $1,547.41–$4,208.26 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$1,472.59–$3,704 | $1,472.59–$3,704 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $5,436.03 | $5,436.03 | 13.5× |
| Thyroid Met Imaging Body (78018) | $13,329.12 | $13,329.12 | 24.4× |
| Thyroid Uptake Measurement (78012) | $3,994.23 | $3,994.23 | 9.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,350.71 | $7,350.71 | 18.3× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,262–$2,583 | $1,262–$2,583 | varies |
| Tx devices design & construction simple (77332) | $1,221 | $1,221 | 9.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,613.05–$2,904.37 | $1,613.05–$2,904.37 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$2,443.08–$5,773.47 | $2,443.08–$5,773.47 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,351.56–$5,658 | $1,351.56–$5,658 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$896.14–$2,626.70 | $896.14–$2,626.70 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $362.16 | $362.16 | 4.1× |
| Unlisted fluoroscopic procedure (76496) | $3,307.35 | $3,307.35 | 37.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,902.41 | $1,902.41 | 4.7× |
| Upper gi w/o kub (74240) | $4,518.05 | $4,518.05 | 25.6× |
| Ureteral Reflux Study (78740) | $5,519.16 | $5,519.16 | 13.7× |
| Urethrocystogram voiding (74455) | $9,217.16 | $9,217.16 | 38.5× |
| Urethrocystography retrograde (74450) | $4,579.41 | $4,579.41 | 19.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$2,904.37–$5,811.66 | $2,904.37–$5,811.66 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$2,202.15–$4,417.52 | $2,202.15–$4,417.52 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$2,202.15–$6,773.90 | $2,202.15–$6,773.90 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,613.05–$4,336 | $1,613.05–$4,336 | varies |
| Us head (76506) range across 2 matching MRF lines |
$2,202.15–$5,231.38 | $2,202.15–$5,231.38 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$2,275.60–$6,606.44 | $2,275.60–$6,606.44 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$1,613.05–$4,537.98 | $1,613.05–$4,537.98 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,613.05–$3,199.65 | $1,613.05–$3,199.65 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$2,202.15–$6,106 | $2,202.15–$6,106 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,202.15–$5,589 | $2,202.15–$5,589 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$2,202.15–$6,122 | $2,202.15–$6,122 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$2,202.15–$4,845.01 | $2,202.15–$4,845.01 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,202.15–$5,749 | $2,202.15–$5,749 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,613.05–$4,121 | $1,613.05–$4,121 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$2,202.15–$4,868 | $2,202.15–$4,868 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$2,202.15–$4,019.40 | $2,202.15–$4,019.40 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$2,202.15–$3,694 | $2,202.15–$3,694 | varies |
| Vascular Flow Imaging (78445) | $6,693.87 | $6,693.87 | 16.7× |
| Vein X-Ray Chest (75827) | $10,230.31 | $10,230.31 | 6.5× |
| Vein X-Ray Spleen/Liver (75810) | $10,739.13 | $10,739.13 | 3.4× |
| Venogram Sinus/Jugular (75860) | $11,641.56 | $11,641.56 | 3.7× |
| Venography Adrenal Unilateral (75840) | $8,254.89 | $8,254.89 | 2.6× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,078.07–$10,574.53 | $4,078.07–$10,574.53 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$5,454.86–$9,458.11 | $5,454.86–$9,458.11 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$5,454.86–$7,713.14 | $5,454.86–$7,713.14 | varies |
| Venography Renal Bilateral (75833) | $13,727.72 | $13,727.72 | 4.3× |
| Venography Renal Unilateral (75831) | $9,106.42 | $9,106.42 | 2.9× |
| Venous sampling by catheter (75893) | $9,051.05 | $9,051.05 | 1.6× |
| Venous thrombosis imaging (78457) | $7,045.45 | $7,045.45 | 12.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $7,849.47 | $7,849.47 | 19.5× |
| Vertebral fracture assessment via dxa (77086) | $363.21 | $363.21 | 4.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$2,285.20–$3,436.03 | $2,285.20–$3,436.03 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,547.41–$3,889.49 | $1,547.41–$3,889.49 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,285.20–$3,865.55 | $2,285.20–$3,865.55 | varies |
| X-Ray Aorta Leg Arteries (75630) | $17,691 | $17,691 | 5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$2,073–$3,117.28 | $2,073–$3,117.28 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,409.73 | $1,409.73 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $5,945.73 | $5,945.73 | 56.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $6,427.62 | $6,427.62 | 61.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,011.35 | $2,011.35 | 23.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$1,472.59–$2,360.04 | $1,472.59–$2,360.04 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,801.83 | $1,801.83 | 17.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,547.41–$2,915.25 | $1,547.41–$2,915.25 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,547.41–$4,112.48 | $1,547.41–$4,112.48 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,472.59–$2,086 | $1,472.59–$2,086 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,547.41–$2,534 | $1,547.41–$2,534 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,611–$3,660.53 | $3,611–$3,660.53 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$540.24–$823.10 | $540.24–$823.10 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$2,720.69–$4,081.06 | $2,720.69–$4,081.06 | varies |
| X-ray IV pyelogram (ivp) (74400) | $7,960.08 | $7,960.08 | 45.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,425–$1,472.59 | $1,425–$1,472.59 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$1,547.41–$2,578.53 | $1,547.41–$2,578.53 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,837.12 | $3,837.12 | 36.5× |
| X-ray nose-rectum child f.b. (76010) | $2,020.33 | $2,020.33 | 23.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,476.14 | $4,476.14 | 42.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$1,472.59–$2,782.06 | $1,472.59–$2,782.06 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,472.59–$3,209 | $1,472.59–$3,209 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,472.59–$3,623 | $1,472.59–$3,623 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,547.41–$4,917.61 | $1,547.41–$4,917.61 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$676.45–$1,504.02 | $676.45–$1,504.02 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $8,067.83 | $8,067.83 | 23.0× |
| X-Rays Bone Length Studies (77073) | $3,934.39 | $3,934.39 | 37.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,547.41–$5,998 | $1,547.41–$5,998 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,547.41–$2,899 | $1,547.41–$2,899 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,472.59–$1,938.02 | $1,472.59–$1,938.02 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,547.41–$3,605.16 | $1,547.41–$3,605.16 | varies |
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.