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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $10,448 | $10,448 | 7.5× |
| Abdomen 2 views (74019) | $1,667.54 | $1,667.54 | 15.9× |
| Acute gastrointestinal blood loss imaging (78278) | $11,305.42 | $11,305.42 | 28.2× |
| Acute venous thrombus image (78456) | $6,558.94 | $6,558.94 | 5.0× |
| 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) | $11,964.80 | $11,964.80 | 3.8× |
| Angiography internal mammary rs&i (75756) | $7,961.57 | $7,961.57 | 2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $17,602.25 | $17,602.25 | 3.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $11,879.50 | $11,879.50 | 3.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,097.68 | $13,097.68 | 4.1× |
| Angiography Spinal Selective Rs&I (75705) | $8,823.58 | $8,823.58 | 1.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $12,594.84 | $12,594.84 | 2.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,240.32 | $2,240.32 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,584.57 | $9,584.57 | 3.0× |
| Ankle 2 views (73600) | $2,036.78 | $2,036.78 | 23.3× |
| Antegrade urography radiological supvj & interpj (74425) | $3,075.38 | $3,075.38 | 8.8× |
| Aortogram thoracic (75605) | $11,033.95 | $11,033.95 | 2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $17,691 | $17,691 | 5.6× |
| Aortography abdominal serialography rs&i (75625) | $12,201 | $12,201 | 3.8× |
| Artery X-Rays Adrenal Gland (75731) | $7,169.90 | $7,169.90 | 2.3× |
| Arthrogram elbow (73085) | $5,423.45 | $5,423.45 | 15.5× |
| Arthrogram hip (73525) | $5,423.45 | $5,423.45 | 15.5× |
| Arthrogram shoulder (73040) | $7,590.42 | $7,590.42 | 21.7× |
| Arthrogram wrist (73115) | $4,495.60 | $4,495.60 | 12.8× |
| Arthrography knee lt (73580) | $7,273.16 | $7,273.16 | 20.8× |
| Basic radiation dosimetry calculation (77300) | $986 | $986 | 7.3× |
| Bone &/Joint Imaging Limited Area (78300) | $7,125.86 | $7,125.86 | 17.7× |
| Bone &/Joint Imaging Multiple Areas (78305) | $9,452.08 | $9,452.08 | 23.5× |
| Bone &/joint imaging whole body (78306) | $13,329.12 | $13,329.12 | 33.2× |
| Bone age studies (77072) | $1,721.76 | $1,721.76 | 16.4× |
| Bone Imaging 3 Phase (78315) | $8,224.23 | $8,224.23 | 20.5× |
| Bone Marrow Imaging Limited Area (78102) | $7,125.86 | $7,125.86 | 17.7× |
| Bone survey complete (77075) | $3,772.70 | $3,772.70 | 35.9× |
| Brain image w/flow 4 + views (78606) | $18,643.86 | $18,643.86 | 34.2× |
| Brain imaging < 4 static views (78600) | $7,125.86 | $7,125.86 | 17.7× |
| Brain imaging < 4 static views w vascular flow (78601) | $9,370.32 | $9,370.32 | 23.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $10,962.01 | $10,962.01 | 20.1× |
| Brain Imaging Vascular Flow Only (78610) | $4,347.19 | $4,347.19 | 8.0× |
| 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) | $6,811.05 | $6,811.05 | 17.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,324.29 | $5,324.29 | 9.8× |
| Cervical spine 2 or 3 views (72040) | $1,779.30 | $1,779.30 | 20.4× |
| Chest 1 view (71045) | $1,268.90 | $1,268.90 | 14.5× |
| Chest 3 views (71047) | $2,162.49 | $2,162.49 | 24.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,069.70 | $2,069.70 | 11.7× |
| Clavicle complete (73000) | $1,662.65 | $1,662.65 | 19.0× |
| 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× |
| CT abdomen and pelvis without and with contrast (74178) | $20,663.35 | $20,663.35 | 59.0× |
| CT abdomen and pelvis without contrast (74176) | $17,607.90 | $17,607.90 | 73.5× |
| CT abdomen w contrast (74160) | $11,025.16 | $11,025.16 | 62.6× |
| CT abdomen w wo contrast (74170) | $12,141.66 | $12,141.66 | 68.9× |
| CT abdomen w/o contrast (74150) | $10,322.90 | $10,322.90 | 98.3× |
| CT angio hrt w/3d image (75574) | $30,135.45 | $30,135.45 | 86.0× |
| CT angiography upper extremity lt (73206) | $18,614.16 | $18,614.16 | 105.6× |
| CT c-spine w/o contrast (72125) | $11,153.90 | $11,153.90 | 106.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $19,001.19 | $19,001.19 | 107.8× |
| CT cervical spine w&w/o contrast (72127) | $13,052.66 | $13,052.66 | 74.1× |
| CT cervical spine with contrast (72126) | $10,747.66 | $10,747.66 | 30.7× |
| CT chest with contrast (71260) | $12,719.16 | $12,719.16 | 72.2× |
| CT head/brain with contrast (70460) | $10,603.66 | $10,603.66 | 60.2× |
| CT head/brain without and with contrast (70470) | $12,059.66 | $12,059.66 | 68.4× |
| 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) | $12,257.73 | $12,257.73 | 69.6× |
| CT limited/localized follow up study (76380) | $8,075.92 | $8,075.92 | 92.4× |
| CT lower ext w/o (73700) | $12,138.97 | $12,138.97 | 115.6× |
| CT lower extremity w wo contrast (73702) | $16,365.77 | $16,365.77 | 92.9× |
| CT lower extremity with contrast (73701) | $12,735 | $12,735 | 72.3× |
| CT lumbar spine w & w/o contrast (72133) | $14,548.17 | $14,548.17 | 82.6× |
| CT lumbar spine w/o contrast (72131) | $11,003.40 | $11,003.40 | 104.8× |
| CT lumbar spine with contrast (72132) | $11,411.66 | $11,411.66 | 32.6× |
| CT maxillofacial w contrast (70487) | $10,152.66 | $10,152.66 | 57.6× |
| CT maxillofacial w/o contrast (70486) | $9,088.40 | $9,088.40 | 86.5× |
| CT maxillofacial w/wo contrast (70488) | $12,208.31 | $12,208.31 | 69.3× |
| CT neck soft tissue w contrast (70491) | $11,715.66 | $11,715.66 | 66.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $12,757.66 | $12,757.66 | 72.4× |
| CT orbits w/o contrast (70480) | $9,834.90 | $9,834.90 | 93.6× |
| CT pelvis w & w/o contrast (72194) | $13,263.16 | $13,263.16 | 75.3× |
| CT pelvis w/o contrast (72192) | $9,953.40 | $9,953.40 | 94.8× |
| CT scan for measuring calcium and other minerals in bone (77078) | $2,040.37 | $2,040.37 | 23.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $13,329.66 | $13,329.66 | 75.7× |
| CT soft tissue neck w/o contrast (70490) | $10,168.40 | $10,168.40 | 96.8× |
| CT thoracic spine w/contrast (72129) | $11,748.66 | $11,748.66 | 66.7× |
| CT thoracic spine w/o contrast (72128) | $11,500.90 | $11,500.90 | 109.5× |
| CT thoracic spine w/wo contrast (72130) | $15,105.85 | $15,105.85 | 85.7× |
| CT thorax w/o contrast (71250) | $11,057.90 | $11,057.90 | 105.3× |
| CT upper extremity w/o & w/contrast material (73202) | $18,872.35 | $18,872.35 | 107.1× |
| CT upper extremity w/o contrast rt (73200) | $13,978.69 | $13,978.69 | 133.1× |
| CT upper extremity with contrast (73201) | $14,688.32 | $14,688.32 | 41.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,920.16 | $8,920.16 | 50.6× |
| Cta Abdomen (74175) | $15,591.96 | $15,591.96 | 88.5× |
| CTA abdomen pelvis (74174) | $32,620.89 | $32,620.89 | 93.1× |
| CTA chest (71275) | $14,737.66 | $14,737.66 | 83.6× |
| Cta Head (70496) | $26,684 | $26,684 | 151.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $34,790 | $34,790 | 99.3× |
| CTA lwr ext w&w/o contrast (73706) | $18,614.16 | $18,614.16 | 105.6× |
| Cta Neck (70498) | $14,876.66 | $14,876.66 | 84.4× |
| Cta Pelvis (72191) | $14,750.16 | $14,750.16 | 83.7× |
| Cystography minimum 3 views rs&i (74430) | $8,153.13 | $8,153.13 | 23.3× |
| Diskogram cervical (72285) | $4,793.41 | $4,793.41 | 2.4× |
| Diskography lumbar (72295) | $4,521.04 | $4,521.04 | 2.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,069.70 | $2,069.70 | 19.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $2,069.70 | $2,069.70 | 23.7× |
| Dxa bone density study axial skeleton (77085) | $489.22 | $489.22 | 4.7× |
| Echoencephalography real time imaging (76506) | $3,716.76 | $3,716.76 | 35.4× |
| Esophageal motility (78258) | $5,519.16 | $5,519.16 | 13.7× |
| Esophagus (74220) | $4,784.42 | $4,784.42 | 27.2× |
| Fetal biophysical profile non-stress testing (76818) | $2,202.15 | $2,202.15 | 21.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,488.02 | $4,488.02 | 42.7× |
| Fluoroscopy up to 1 hr (76000) | $3,027.42 | $3,027.42 | 12.6× |
| Foot 2 views (73620) | $2,458.80 | $2,458.80 | 28.1× |
| Forearm 2 views (73090) | $2,666.83 | $2,666.83 | 30.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $9,859.53 | $9,859.53 | 18.1× |
| Gated Heart Planar Single (78472) | $8,042.98 | $8,042.98 | 20.0× |
| Hand 2 views (73120) | $2,433.37 | $2,433.37 | 23.2× |
| Hand 3 views (73130) | $2,892.80 | $2,892.80 | 33.1× |
| Heart Infarct Image (78466) | $6,997.08 | $6,997.08 | 17.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $6,089.40 | $6,089.40 | 1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $11,305.42 | $11,305.42 | 20.7× |
| Hepatobiliary syst imaging including gallbladder (78226) | $8,830.66 | $8,830.66 | 22.0× |
| Ht muscle image spect sing (78451) | $16,016.47 | $16,016.47 | 12.3× |
| Humerus Min 2 Views Left (73060) | $2,720.69 | $2,720.69 | 31.1× |
| Hysterosalpingogram (74740) | $5,820.03 | $5,820.03 | 24.3× |
| 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× |
| Kidney imaging morphology (78700) | $6,512.61 | $6,512.61 | 16.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $15,292.85 | $15,292.85 | 28.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $15,292.85 | $15,292.85 | 28.0× |
| Knee 3 views (73562) | $2,879.33 | $2,879.33 | 32.9× |
| 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 Ventilation Imaging (78579) | $5,065.36 | $5,065.36 | 12.6× |
| Lymphoscintigraphy (78195) | $9,822.75 | $9,822.75 | 18.0× |
| 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× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $1,090.24 | $1,090.24 | 12.5× |
| Meckels Diverticulum (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 & w/o contrast (70546) | $18,657.10 | $18,657.10 | 53.2× |
| MRA head w/o contrast (70544) | $13,546.38 | $13,546.38 | 56.5× |
| MRA head with contrast (70545) | $12,613.83 | $12,613.83 | 36.0× |
| MRA neck w contrast (70548) | $16,847.67 | $16,847.67 | 48.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $27,685.25 | $27,685.25 | 79.0× |
| MRA neck w/o contrast (70547) | $13,497.88 | $13,497.88 | 56.3× |
| MRI abdomen w contrast (74182) | $19,570.16 | $19,570.16 | 55.8× |
| MRI abdomen w/o & w/contrast material (74183) | $21,288.58 | $21,288.58 | 60.7× |
| MRI abdomen w/o contrast (74181) | $16,376.88 | $16,376.88 | 68.3× |
| MRI any jnt lwr ext with con lt (73722) | $26,607.07 | $26,607.07 | 33.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $26,607.07 | $26,607.07 | 33.8× |
| MRI breast w/o contrast bilateral (77047) | $13,137.39 | $13,137.39 | 54.8× |
| MRI breast w/o contrast unilat (77046) | $11,084.77 | $11,084.77 | 46.2× |
| MRI c-spine with contrast (72142) | $17,791.67 | $17,791.67 | 50.8× |
| MRI cardiac w/o contrast (75557) | $25,315.68 | $25,315.68 | 105.6× |
| MRI cervical spine w/o contrast (72141) | $13,585.38 | $13,585.38 | 56.7× |
| MRI chest w/o & w/contrast material (71552) | $20,703.71 | $20,703.71 | 59.1× |
| MRI chest w/o contrast (71550) | $15,344.07 | $15,344.07 | 64.0× |
| MRI chest with contrast (71551) | $17,556.04 | $17,556.04 | 22.3× |
| MRI fetal sngl/1st gestation (74712) | $16,770.64 | $16,770.64 | 70.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $26,607.07 | $26,607.07 | 75.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $23,278.17 | $23,278.17 | 97.1× |
| MRI orbit face &/neck w/o contrast (70540) | $15,464.14 | $15,464.14 | 64.5× |
| MRI orbit/face/neck w&w/o cont (70543) | $19,291.60 | $19,291.60 | 55.0× |
| MRI orbit/face/neck w/contrast (70542) | $18,538.56 | $18,538.56 | 52.9× |
| MRI pelvis w contrast (72196) | $20,188.66 | $20,188.66 | 57.6× |
| MRI pelvis w/o & w/contrast material (72197) | $17,529.10 | $17,529.10 | 50.0× |
| MRI pelvis w/o contrast (72195) | $15,881.38 | $15,881.38 | 66.3× |
| MRI scan of arm joint before and after contrast (73223) | $31,588.35 | $31,588.35 | 90.1× |
| MRI scan of leg joint before and after contrast (73723) | $31,588.35 | $31,588.35 | 90.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $18,803.84 | $18,803.84 | 53.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $17,791.67 | $17,791.67 | 50.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $20,917.76 | $20,917.76 | 59.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $20,893.26 | $20,893.26 | 59.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $24,512.76 | $24,512.76 | 69.9× |
| MRI thoracic spine w/o contrast (72146) | $16,349.88 | $16,349.88 | 68.2× |
| MRI tmj (70336) | $15,248.92 | $15,248.92 | 63.6× |
| MRI upper ext joint w/o contrast (73221) | $26,173.58 | $26,173.58 | 109.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $32,503.65 | $32,503.65 | 92.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $23,278.17 | $23,278.17 | 97.1× |
| Myocardial Spect Multiple Studies (78452) | $22,019.41 | $22,019.41 | 16.9× |
| Neck soft tissue (70360) | $1,284.48 | $1,284.48 | 14.7× |
| 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 cisternogram (78630) | $8,032.09 | $8,032.09 | 14.7× |
| Nm csf leak detection (78650) | $7,914.89 | $7,914.89 | 6.1× |
| Nm gastric emptying study (78264) | $6,176.02 | $6,176.02 | 15.4× |
| Nm gastroesophageal reflux study (78262) | $6,928.25 | $6,928.25 | 17.3× |
| Nm peritoneal-venous shunt patency (78291) | $4,759.43 | $4,759.43 | 11.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,838 | $6,838 | 4.9× |
| Nuclear medicine study of digestive tracts (78299) | $4,759.43 | $4,759.43 | 11.9× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $7,849.47 | $7,849.47 | 6.0× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $8,797.95 | $8,797.95 | 21.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $7,849.47 | $7,849.47 | 19.5× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $7,045.45 | $7,045.45 | 12.9× |
| Nuclear Rx Oral Admin (79005) | $7,258.72 | $7,258.72 | 31.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,523.58 | $3,523.58 | 33.6× |
| Osseous survey infant (77076) | $1,363.34 | $1,363.34 | 13.0× |
| Osseous survey limited (77074) | $2,924.24 | $2,924.24 | 27.8× |
| Parathyrd planar w/wo subtrj (78071) | $11,158.25 | $11,158.25 | 27.8× |
| Parathyroid imaging (78070) | $7,947.60 | $7,947.60 | 19.8× |
| Pelvis 1 or 2 views (72170) | $2,046.80 | $2,046.80 | 19.5× |
| Peritoneogram rs&i (74190) | $695.89 | $695.89 | 1.3× |
| Pr heart first pass single,planar (78481) | $4,171.40 | $4,171.40 | 7.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $30,403 | $30,403 | 86.8× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $14,717.77 | $14,717.77 | 27.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,033.79 | $2,033.79 | 3.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $5,945.73 | $5,945.73 | 56.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,801.83 | $1,801.83 | 17.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,555.77 | $3,555.77 | 33.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,293.62 | $1,293.62 | 14.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,182.69 | $2,182.69 | 20.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,574.56 | $1,574.56 | 18.0× |
| Radiologic exam colon single contrast study (74270) | $6,634.15 | $6,634.15 | 37.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,559.20 | $4,559.20 | 25.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,518.05 | $4,518.05 | 25.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $3,069.39 | $3,069.39 | 35.1× |
| Radiological examination surgical specimen (76098) | $1,409.73 | $1,409.73 | 2.6× |
| Review by radiologist of adrenal gland vein image (75840) | $8,254.89 | $8,254.89 | 2.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $7,153.43 | $7,153.43 | 2.3× |
| Ribs bilateral 3 views (71110) | $2,533.20 | $2,533.20 | 24.1× |
| 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 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× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,202.15 | $2,202.15 | 9.2× |
| Scanogram (77073) | $3,934.39 | $3,934.39 | 37.5× |
| Scapula complete (73010) | $2,527.65 | $2,527.65 | 24.1× |
| Screening digital breast tomosynthesis (77063) | $1,789.33 | $1,789.33 | 76.5× |
| Sella turcica (70240) | $1,098.46 | $1,098.46 | 12.6× |
| Sialogram (70390) | $5,513.24 | $5,513.24 | 23.0× |
| Small bowel series (74250) | $4,805.37 | $4,805.37 | 27.3× |
| Spec medical radj physics consltj (77370) | $2,240 | $2,240 | 16.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $1,900 | $1,900 | 5.1× |
| Special dosimetry (77331) | $1,832 | $1,832 | 13.6× |
| Special treatment procedure (77470) | $3,844 | $3,844 | 6.9× |
| Spine thoracic 3 views (72072) | $2,877.84 | $2,877.84 | 27.4× |
| Splenoportograpy rs&i (75810) | $10,739.13 | $10,739.13 | 3.4× |
| 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 With Vascular Flow (78761) | $3,589.50 | $3,589.50 | 8.9× |
| 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 (74283) | $5,363.58 | $5,363.58 | 30.4× |
| Thoracolumbar 2 views (72080) | $2,588.30 | $2,588.30 | 29.6× |
| Thyroid carcinoma metastases img whole body (78018) | $13,329.12 | $13,329.12 | 24.4× |
| Thyroid Imaging With Vascular Flow (78013) | $5,436.03 | $5,436.03 | 13.5× |
| 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× |
| Treatment devices simple (77332) | $1,221 | $1,221 | 9.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $20,380.02 | $20,380.02 | 37.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $5,987.95 | $5,987.95 | 14.9× |
| Tx devices design & construction complex (77334) | $1,922.50 | $1,922.50 | 5.1× |
| Ultrasound, abdomen limited (76705) | $1,613.05 | $1,613.05 | 15.4× |
| Umbilical-artery Doppler (OB) (76820) | $1,761.42 | $1,761.42 | 16.8× |
| Unlisted Diagnostic 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 Extremity Infant (73092) | $2,113.11 | $2,113.11 | 20.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $5,519.16 | $5,519.16 | 13.7× |
| Urethrocystography retrograde rs&i (74450) | $4,579.41 | $4,579.41 | 19.1× |
| Urethrocystography voiding (74455) | $9,217.16 | $9,217.16 | 38.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $7,960.08 | $7,960.08 | 45.2× |
| Us abdl aorta screen aaa (76706) | $4,108.28 | $4,108.28 | 39.1× |
| Us breast unilateral complete (76641) | $2,904.37 | $2,904.37 | 27.7× |
| Us breast unilateral limited (76642) | $1,613.05 | $1,613.05 | 18.5× |
| Us chest (76604) | $4,350 | $4,350 | 41.4× |
| Us compl joint r-t w/image documentation (76881) | $4,488.02 | $4,488.02 | 42.7× |
| Us infant hips dynamic (76885) | $4,488.02 | $4,488.02 | 51.3× |
| Us kidney transplant (76776) | $4,441.02 | $4,441.02 | 42.3× |
| Us ob transvaginal (76817) | $4,154.08 | $4,154.08 | 39.6× |
| Us pelvic non ob complete (76856) | $3,895.58 | $3,895.58 | 37.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,974.52 | $2,974.52 | 28.3× |
| Us pregnancy ltd (76815) | $2,406.35 | $2,406.35 | 22.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $4,162.08 | $4,162.08 | 39.6× |
| Us retroperitoneal complete (76770) | $3,975.58 | $3,975.58 | 37.9× |
| Us retroperitoneal limited (76775) | $2,867.02 | $2,867.02 | 27.3× |
| Us scrotum and contents (76870) | $3,535.08 | $3,535.08 | 33.7× |
| Us soft tissue head/neck (76536) | $2,948.08 | $2,948.08 | 28.1× |
| Us spinal canal and contents (76800) | $3,110.78 | $3,110.78 | 29.6× |
| Us xtr non-vasc lmtd (76882) | $3,499.02 | $3,499.02 | 33.3× |
| Vascular flow imaging (78445) | $6,693.87 | $6,693.87 | 16.7× |
| Venogram extremity bilateral (75822) | $9,458.11 | $9,458.11 | 6.0× |
| Venography caval inferior serialography rs&i (75825) | $7,326.30 | $7,326.30 | 2.3× |
| Venography caval superior serialography rs&i (75827) | $10,230.31 | $10,230.31 | 6.5× |
| Venography extremity unilateral rs&i (75820) | $7,713.14 | $7,713.14 | 4.9× |
| Venography Renal Bilateral (75833) | $13,727.72 | $13,727.72 | 4.3× |
| Venography renal unilateral selective rs&i (75831) | $9,106.42 | $9,106.42 | 2.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $11,641.56 | $11,641.56 | 3.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $9,051.05 | $9,051.05 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $363.21 | $363.21 | 4.2× |
| Wrist 2 views (73100) | $2,285.20 | $2,285.20 | 26.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,431.20 | $2,431.20 | 23.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,718.45 | $2,718.45 | 31.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,584.52 | $2,584.52 | 29.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $8,153.13 | $8,153.13 | 46.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,077.19 | $2,077.19 | 23.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,713.22 | $2,713.22 | 31.0× |
| 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) | $2,360.04 | $2,360.04 | 27.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,231.33 | $2,231.33 | 21.2× |
| X-ray exam of femur 1 (73551) | $1,472.59 | $1,472.59 | 16.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $6,927.45 | $6,927.45 | 39.3× |
| X-ray eye for foreign body (70030) | $540.24 | $540.24 | 6.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,526.70 | $2,526.70 | 24.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,705.30 | $1,705.30 | 19.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $3,700.08 | $3,700.08 | 42.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $5,897.86 | $5,897.86 | 2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,925.80 | $1,925.80 | 22.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,448.80 | $1,448.80 | 16.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,062.97 | $2,062.97 | 23.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $2,036.78 | $2,036.78 | 23.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,837.12 | $3,837.12 | 36.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,829.94 | $2,829.94 | 26.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,014.34 | $2,014.34 | 23.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,020.33 | $2,020.33 | 23.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,576.28 | $2,576.28 | 24.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $8,067.83 | $8,067.83 | 23.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,889.25 | $2,889.25 | 33.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,635.76 | $3,635.76 | 34.6× |
| 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) | $2,127.32 | $2,127.32 | 20.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,340.80 | $2,340.80 | 26.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,034.97 | $3,034.97 | 34.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,547.80 | $2,547.80 | 29.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,419 | $1,419 | 16.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,232.51 | $3,232.51 | 30.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,963.46 | $1,963.46 | 18.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,604.30 | $1,604.30 | 18.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,990.39 | $1,990.39 | 22.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,876.30 | $1,876.30 | 21.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,874.85 | $2,874.85 | 27.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,488.74 | $2,488.74 | 28.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,982.60 | $2,982.60 | 34.1× |
| Xr arthrogram ankle (73615) | $5,423.45 | $5,423.45 | 15.5× |
| Xr c-spine 6 or more views (72052) | $2,040.70 | $2,040.70 | 19.4× |
| Xr chest 4+ views (71048) | $2,275.48 | $2,275.48 | 21.7× |
| Xr finger(s) 2+ views (73140) | $2,183.45 | $2,183.45 | 25.0× |
| Xr shoulder 1 view (73020) | $1,662.65 | $1,662.65 | 19.0× |
| Xr spine cervical 4 or 5 views (72050) | $2,223.20 | $2,223.20 | 21.2× |
| Xr tibia/fibula 2 views (73590) | $2,853.89 | $2,853.89 | 32.6× |
| Xr tmj bilateral (70330) | $2,115.30 | $2,115.30 | 24.2× |
| Xray knee 1 or 2 views rt (73560) | $2,578.53 | $2,578.53 | 29.5× |