Imaging prices at HCA Houston Healthcare Kingwood
Kingwood, TX · every code in this section with a posted price and a Medicare benchmark.
311 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $2,015.30 | $2,015.30 | 19.2× |
| Acute gastrointestinal blood loss imaging (78278) | $3,925.78 | $3,925.78 | 9.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,443.35 | $4,443.35 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $10,595.43 | $10,595.43 | 3.3× |
| Angiography extremity unilateral rs&i (75710) | $7,091.87 | $7,091.87 | 2.2× |
| Angiography internal mammary rs&i (75756) | $3,264.62 | $3,264.62 | 1.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $11,856.82 | $11,856.82 | 2.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $11,877.66 | $11,877.66 | 3.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,335.43 | $9,335.43 | 2.9× |
| Angiography Spinal Selective Rs&I (75705) | $10,702.42 | $10,702.42 | 1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,226.62 | $7,226.62 | 1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $4,637.15 | $4,637.15 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,876.25 | $3,876.25 | 1.2× |
| Ankle 2 views (73600) | $1,797.62 | $1,797.62 | 20.6× |
| Antegrade urography radiological supvj & interpj (74425) | $9,118.72 | $9,118.72 | 26.0× |
| Aortogram thoracic (75605) | $8,510.25 | $8,510.25 | 1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $11,488.69 | $11,488.69 | 3.6× |
| Aortography abdominal serialography rs&i (75625) | $11,488.69 | $11,488.69 | 3.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,226.62 | $7,226.62 | 2.3× |
| Artery X-Rays Adrenal Gland (75731) | $4,044.31 | $4,044.31 | 1.3× |
| Arthrogram elbow (73085) | $2,895.10 | $2,895.10 | 8.3× |
| Arthrogram hip (73525) | $4,355.14 | $4,355.14 | 12.4× |
| Arthrogram shoulder (73040) | $4,355.14 | $4,355.14 | 12.4× |
| Arthrogram wrist (73115) | $4,355.14 | $4,355.14 | 12.4× |
| Arthrography knee lt (73580) | $4,355.14 | $4,355.14 | 12.4× |
| Basic radiation dosimetry calculation (77300) | $488.43 | $488.43 | 3.6× |
| Bone &/Joint Imaging Limited Area (78300) | $3,087.33 | $3,087.33 | 7.7× |
| Bone &/joint imaging whole body (78306) | $10,075.24 | $10,075.24 | 25.1× |
| Bone age studies (77072) | $1,758.32 | $1,758.32 | 16.7× |
| Bone Imaging 3 Phase (78315) | $14,385.18 | $14,385.18 | 35.8× |
| Bone survey complete (77075) | $5,554.02 | $5,554.02 | 52.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $11,586.65 | $11,586.65 | 21.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $13,577.12 | $13,577.12 | 9.5× |
| Cervical spine 2 or 3 views (72040) | $2,046.38 | $2,046.38 | 23.4× |
| Chest 1 view (71045) | $1,796.24 | $1,796.24 | 20.5× |
| Chest 3 views (71047) | $2,021.29 | $2,021.29 | 23.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,731.40 | $3,731.40 | 21.2× |
| Clavicle complete (73000) | $1,829.58 | $1,829.58 | 20.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,400 | $1,400 | 13.3× |
| CT abdomen and pelvis without and with contrast (74178) | $35,898.02 | $35,898.02 | 102.4× |
| CT abdomen and pelvis without contrast (74176) | $29,110.68 | $29,110.68 | 121.5× |
| CT abdomen w contrast (74160) | $17,643.57 | $17,643.57 | 100.1× |
| CT abdomen w wo contrast (74170) | $17,832.24 | $17,832.24 | 101.2× |
| CT abdomen w/o contrast (74150) | $16,505.95 | $16,505.95 | 157.2× |
| CT angio hrt w/3d image (75574) | $25,248.95 | $25,248.95 | 72.0× |
| CT angiography upper extremity lt (73206) | $18,985.45 | $18,985.45 | 107.7× |
| CT c-spine w/o contrast (72125) | $15,833.92 | $15,833.92 | 150.8× |
| CT cervical spine w&w/o contrast (72127) | $7,014.64 | $7,014.64 | 39.8× |
| CT cervical spine with contrast (72126) | $19,273.02 | $19,273.02 | 55.0× |
| CT chest w/wo contrast (71270) | $13,660.44 | $13,660.44 | 77.5× |
| CT chest with contrast (71260) | $14,112.27 | $14,112.27 | 80.1× |
| CT head/brain with contrast (70460) | $15,247.78 | $15,247.78 | 86.5× |
| CT head/brain without and with contrast (70470) | $17,458 | $17,458 | 99.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $25,248.95 | $25,248.95 | 72.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $842.40 | $842.40 | 9.6× |
| CT hrt w/3d image congen (75573) | $25,248.95 | $25,248.95 | 72.0× |
| CT iac w contrast (70481) | $17,176 | $17,176 | 97.5× |
| CT limited/localized follow up study (76380) | $2,201.43 | $2,201.43 | 25.2× |
| CT lower ext w/o (73700) | $6,699.70 | $6,699.70 | 63.8× |
| CT lower extremity w wo contrast (73702) | $13,009.55 | $13,009.55 | 73.8× |
| CT lower extremity with contrast (73701) | $11,220 | $11,220 | 63.7× |
| CT lumbar spine w & w/o contrast (72133) | $18,891.39 | $18,891.39 | 107.2× |
| CT lumbar spine w/o contrast (72131) | $14,299.06 | $14,299.06 | 136.2× |
| CT lumbar spine with contrast (72132) | $15,217.32 | $15,217.32 | 43.4× |
| CT maxillofacial w contrast (70487) | $13,461 | $13,461 | 76.4× |
| CT maxillofacial w/o contrast (70486) | $12,348.45 | $12,348.45 | 117.6× |
| CT maxillofacial w/wo contrast (70488) | $13,939 | $13,939 | 79.1× |
| CT neck soft tissue w contrast (70491) | $16,117.45 | $16,117.45 | 91.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $18,970.46 | $18,970.46 | 107.7× |
| CT orbits w/o contrast (70480) | $16,219.69 | $16,219.69 | 154.4× |
| CT pelvis w & w/o contrast (72194) | $16,109.28 | $16,109.28 | 91.4× |
| CT pelvis w/o contrast (72192) | $12,567.40 | $12,567.40 | 119.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $15,095 | $15,095 | 85.7× |
| CT soft tissue neck w/o contrast (70490) | $15,066.49 | $15,066.49 | 143.5× |
| CT thoracic spine w/contrast (72129) | $15,667.83 | $15,667.83 | 88.9× |
| CT thoracic spine w/o contrast (72128) | $18,019 | $18,019 | 171.6× |
| CT thoracic spine w/wo contrast (72130) | $17,603.24 | $17,603.24 | 99.9× |
| CT thorax w/o contrast (71250) | $13,341.62 | $13,341.62 | 127.0× |
| CT unlisted procedure (76497) | $5,129.40 | $5,129.40 | 58.7× |
| CT upper extremity w/o & w/contrast material (73202) | $13,009.55 | $13,009.55 | 73.8× |
| CT upper extremity w/o contrast rt (73200) | $12,344.37 | $12,344.37 | 117.5× |
| CT upper extremity with contrast (73201) | $6,692 | $6,692 | 19.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $17,067.68 | $17,067.68 | 96.9× |
| Cta Abdomen (74175) | $21,591 | $21,591 | 122.5× |
| CTA abdomen pelvis (74174) | $26,455.92 | $26,455.92 | 75.5× |
| CTA chest (71275) | $21,113.26 | $21,113.26 | 119.8× |
| Cta Head (70496) | $21,103.13 | $21,103.13 | 119.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $31,670 | $31,670 | 90.4× |
| CTA lwr ext w&w/o contrast (73706) | $19,581 | $19,581 | 111.1× |
| Cta Neck (70498) | $21,102.63 | $21,102.63 | 119.8× |
| Cta Pelvis (72191) | $20,331.52 | $20,331.52 | 115.4× |
| Cystography minimum 3 views rs&i (74430) | $5,267.85 | $5,267.85 | 15.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,349.13 | $2,349.13 | 22.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $2,349.13 | $2,349.13 | 26.9× |
| Echoencephalography real time imaging (76506) | $3,786.23 | $3,786.23 | 36.1× |
| Esophagus (74220) | $3,920.31 | $3,920.31 | 22.2× |
| Fetal biophysical profile non-stress testing (76818) | $5,314.74 | $5,314.74 | 50.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,527.19 | $5,527.19 | 52.6× |
| Fluoroscopy up to 1 hr (76000) | $2,745.07 | $2,745.07 | 11.5× |
| Foot 2 views (73620) | $1,878.20 | $1,878.20 | 21.5× |
| Forearm 2 views (73090) | $1,937.95 | $1,937.95 | 22.2× |
| Gated Heart Planar Single (78472) | $8,629.70 | $8,629.70 | 21.5× |
| Hand 2 views (73120) | $1,706 | $1,706 | 16.2× |
| Hand 3 views (73130) | $1,945 | $1,945 | 22.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $8,047.52 | $8,047.52 | 2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $14,128.59 | $14,128.59 | 25.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,513.75 | $11,513.75 | 28.7× |
| Ht muscle image spect sing (78451) | $19,635.91 | $19,635.91 | 15.1× |
| Humerus Min 2 Views Left (73060) | $1,829.58 | $1,829.58 | 20.9× |
| Hysterosalpingogram (74740) | $4,428.78 | $4,428.78 | 18.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $14,267.41 | $14,267.41 | 26.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $20,601.94 | $20,601.94 | 37.8× |
| Knee 3 views (73562) | $2,137.99 | $2,137.99 | 24.5× |
| Liver & spleen imaging static only (78215) | $7,843.15 | $7,843.15 | 19.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,652.79 | $6,652.79 | 16.6× |
| Liver imaging static only (78201) | $4,624.01 | $4,624.01 | 8.5× |
| Lung perfusion differential (78597) | $17,834.26 | $17,834.26 | 44.4× |
| Lung Ventilation Imaging (78579) | $9,999.52 | $9,999.52 | 24.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $434.81 | $434.81 | 0.1× |
| Lymphoscintigraphy (78195) | $7,121.08 | $7,121.08 | 13.1× |
| Meckels Diverticulum (78290) | $7,778.66 | $7,778.66 | 19.4× |
| MRA head w & w/o contrast (70546) | $22,512 | $22,512 | 64.2× |
| MRA head w/o contrast (70544) | $20,228.16 | $20,228.16 | 84.4× |
| MRA head with contrast (70545) | $5,662.14 | $5,662.14 | 16.2× |
| MRA neck w contrast (70548) | $7,746.09 | $7,746.09 | 22.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $27,001.31 | $27,001.31 | 77.0× |
| MRA neck w/o contrast (70547) | $20,228.16 | $20,228.16 | 84.4× |
| MRI abdomen w contrast (74182) | $7,611.44 | $7,611.44 | 21.7× |
| MRI abdomen w/o & w/contrast material (74183) | $30,454.07 | $30,454.07 | 86.9× |
| MRI abdomen w/o contrast (74181) | $20,763.12 | $20,763.12 | 86.6× |
| MRI any jnt lwr ext with con lt (73722) | $6,943.43 | $6,943.43 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,055.16 | $6,055.16 | 7.7× |
| MRI c-spine with contrast (72142) | $7,997.71 | $7,997.71 | 22.8× |
| MRI cervical spine w/o contrast (72141) | $20,265.66 | $20,265.66 | 84.5× |
| MRI chest w/o & w/contrast material (71552) | $24,671.52 | $24,671.52 | 70.4× |
| MRI chest w/o contrast (71550) | $20,069.10 | $20,069.10 | 83.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $6,084.70 | $6,084.70 | 17.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,686.17 | $6,686.17 | 19.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,683 | $10,683 | 44.6× |
| MRI orbit face &/neck w/o contrast (70540) | $18,893.13 | $18,893.13 | 78.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $27,788.19 | $27,788.19 | 79.3× |
| MRI pelvis w contrast (72196) | $7,025.18 | $7,025.18 | 20.0× |
| MRI pelvis w/o & w/contrast material (72197) | $22,872.40 | $22,872.40 | 65.3× |
| MRI pelvis w/o contrast (72195) | $16,632.91 | $16,632.91 | 69.4× |
| MRI scan of arm joint before and after contrast (73223) | $22,023 | $22,023 | 62.8× |
| MRI scan of leg joint before and after contrast (73723) | $21,060.28 | $21,060.28 | 60.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $36,674.91 | $36,674.91 | 104.6× |
| MRI spinal canal lumbar w/contrast material (72149) | $8,249.08 | $8,249.08 | 23.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $22,940.60 | $22,940.60 | 65.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $6,408.39 | $6,408.39 | 18.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $35,869.18 | $35,869.18 | 102.3× |
| MRI thoracic spine w/o contrast (72146) | $19,694.69 | $19,694.69 | 82.2× |
| MRI tmj (70336) | $17,292.78 | $17,292.78 | 72.1× |
| MRI upper ext joint w/o contrast (73221) | $20,447.64 | $20,447.64 | 85.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $15,532.66 | $15,532.66 | 44.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,681.57 | $10,681.57 | 44.6× |
| Myelogram Lumbar (72265) | $804.35 | $804.35 | 1.0× |
| Myocardial infarct spect (78469) | $8,783.93 | $8,783.93 | 16.1× |
| Myocardial Spect Multiple Studies (78452) | $20,380.41 | $20,380.41 | 15.7× |
| Neck soft tissue (70360) | $1,635.10 | $1,635.10 | 18.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,955.87 | $1,955.87 | 4.9× |
| Nm cisternogram (78630) | $7,240.26 | $7,240.26 | 13.3× |
| Nm gastric emptying study (78264) | $13,266.33 | $13,266.33 | 33.0× |
| Nm peritoneal-venous shunt patency (78291) | $5,305.41 | $5,305.41 | 13.2× |
| Nuclear medicine study of kidney and blood flow (78701) | $9,660.21 | $9,660.21 | 24.1× |
| Nuclear Rx Oral Admin (79005) | $1,465.59 | $1,465.59 | 6.3× |
| Osseous survey infant (77076) | $824.84 | $824.84 | 7.9× |
| Parathyrd planar w/wo subtrj (78071) | $7,317.38 | $7,317.38 | 18.2× |
| Parathyroid imaging (78070) | $8,354.90 | $8,354.90 | 20.8× |
| Pelvis 1 or 2 views (72170) | $1,905.50 | $1,905.50 | 18.1× |
| PET image w/CT, skull-thigh (78815) | $15,177.17 | $15,177.17 | 10.6× |
| PET imaging for CT attenuation whole body (78816) | $18,795.13 | $18,795.13 | 13.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $14,976.98 | $14,976.98 | 42.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,332.47 | $2,332.47 | 0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $1,222.50 | $1,222.50 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,999.52 | $9,999.52 | 24.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,981.95 | $7,981.95 | 14.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $10,446.10 | $10,446.10 | 19.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,016.34 | $1,016.34 | 11.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,084.72 | $2,084.72 | 19.9× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,692.27 | $2,692.27 | 25.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,518.14 | $3,518.14 | 33.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,568.62 | $2,568.62 | 24.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,517.18 | $1,517.18 | 17.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,896.27 | $1,896.27 | 18.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,981.14 | $1,981.14 | 22.7× |
| Radiologic exam colon single contrast study (74270) | $4,806.62 | $4,806.62 | 27.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,052.75 | $6,052.75 | 34.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,967.79 | $4,967.79 | 28.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,855.98 | $1,855.98 | 21.2× |
| Radiological examination surgical specimen (76098) | $1,143.32 | $1,143.32 | 2.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $2,332.47 | $2,332.47 | 0.7× |
| Ribs bilateral 3 views (71110) | $4,632.08 | $4,632.08 | 44.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,652.47 | $7,652.47 | 19.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $8,743.97 | $8,743.97 | 16.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,354 | $4,354 | 8.0× |
| Rp therapy intra-arterial particulate admn (79445) | $1,319.35 | $1,319.35 | 5.6× |
| Rp Therapy Intravenous Administration (79101) | $1,596.95 | $1,596.95 | 6.8× |
| Scanogram (77073) | $2,500.56 | $2,500.56 | 23.8× |
| Scapula complete (73010) | $1,881 | $1,881 | 17.9× |
| Screening digital breast tomosynthesis (77063) | $1,813.19 | $1,813.19 | 77.6× |
| Sella turcica (70240) | $1,216.94 | $1,216.94 | 13.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $2,424.16 | $2,424.16 | 23.1× |
| Sialogram (70390) | $2,300.96 | $2,300.96 | 9.6× |
| Small bowel series (74250) | $5,324.80 | $5,324.80 | 30.2× |
| Spec medical radj physics consltj (77370) | $488.43 | $488.43 | 3.6× |
| Spine thoracic 3 views (72072) | $3,351.94 | $3,351.94 | 31.9× |
| Splenoportograpy rs&i (75810) | $1,872.65 | $1,872.65 | 0.6× |
| Superior sagittal sinus venogram (75870) | $3,304.91 | $3,304.91 | 1.0× |
| Thoracolumbar 2 views (72080) | $3,765.62 | $3,765.62 | 43.1× |
| Thyroid carcinoma metastases img whole body (78018) | $2,882.64 | $2,882.64 | 5.3× |
| Thyroid uptake measurement (78012) | $8,751.68 | $8,751.68 | 21.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,842.82 | $8,842.82 | 22.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $5,611.06 | $5,611.06 | 10.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $2,736.82 | $2,736.82 | 6.8× |
| Ultrasound, abdomen limited (76705) | $3,019.79 | $3,019.79 | 28.8× |
| Umbilical-artery Doppler (OB) (76820) | $3,309.44 | $3,309.44 | 31.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $1,586.47 | $1,586.47 | 18.1× |
| Unlisted fluoroscopic procedure (76496) | $227.84 | $227.84 | 2.6× |
| Upper Extremity Infant (73092) | $1,769 | $1,769 | 16.8× |
| Urethrocystography retrograde rs&i (74450) | $3,902.27 | $3,902.27 | 16.3× |
| Urethrocystography voiding (74455) | $4,835.80 | $4,835.80 | 20.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $1,579.53 | $1,579.53 | 9.0× |
| Us abdl aorta screen aaa (76706) | $1,212.75 | $1,212.75 | 11.5× |
| Us breast unilateral complete (76641) | $6,954.04 | $6,954.04 | 66.2× |
| Us breast unilateral limited (76642) | $6,778.75 | $6,778.75 | 77.5× |
| Us chest (76604) | $6,115 | $6,115 | 58.2× |
| Us compl joint r-t w/image documentation (76881) | $3,898.18 | $3,898.18 | 37.1× |
| Us infant hips dynamic (76885) | $4,125.59 | $4,125.59 | 47.2× |
| Us infant hips limited static (76886) | $4,125.59 | $4,125.59 | 47.2× |
| Us kidney transplant (76776) | $1,292.93 | $1,292.93 | 12.3× |
| Us ob transvaginal (76817) | $3,442.66 | $3,442.66 | 32.8× |
| Us pelvic non ob complete (76856) | $5,512.47 | $5,512.47 | 52.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,449.28 | $1,449.28 | 13.8× |
| Us pregnancy ltd (76815) | $3,476 | $3,476 | 33.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $4,415 | $4,415 | 42.0× |
| Us retroperitoneal complete (76770) | $5,184.32 | $5,184.32 | 49.4× |
| Us retroperitoneal limited (76775) | $5,666 | $5,666 | 54.0× |
| Us scrotum and contents (76870) | $4,218.13 | $4,218.13 | 40.2× |
| Us soft tissue head/neck (76536) | $4,125.59 | $4,125.59 | 39.3× |
| Us spinal canal and contents (76800) | $5,501.24 | $5,501.24 | 52.4× |
| Us xtr non-vasc lmtd (76882) | $3,296 | $3,296 | 31.4× |
| Venogram extremity bilateral (75822) | $6,943.23 | $6,943.23 | 4.4× |
| Venography caval inferior serialography rs&i (75825) | $9,977.23 | $9,977.23 | 3.1× |
| Venography caval superior serialography rs&i (75827) | $1,019.68 | $1,019.68 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $10,491.24 | $10,491.24 | 6.6× |
| Venography Renal Bilateral (75833) | $4,966.39 | $4,966.39 | 1.6× |
| Venography renal unilateral selective rs&i (75831) | $2,243.56 | $2,243.56 | 0.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $3,304.91 | $3,304.91 | 1.0× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $6,237.52 | $6,237.52 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $858.54 | $858.54 | 9.8× |
| Wrist 2 views (73100) | $2,718.67 | $2,718.67 | 31.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,293.74 | $3,293.74 | 31.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,929.60 | $1,929.60 | 22.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,200.50 | $2,200.50 | 25.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,284.74 | $6,284.74 | 35.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,686.49 | $1,686.49 | 19.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,943.49 | $1,943.49 | 22.2× |
| X-ray exam entire spi 4/5 vw (72083) | $3,074.30 | $3,074.30 | 29.3× |
| X-ray exam hip uni 1 view (73501) | $1,855.98 | $1,855.98 | 21.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,094.92 | $2,094.92 | 24.0× |
| X-ray exam hip uni 4/> views (73503) | $2,308.85 | $2,308.85 | 22.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,389.42 | $2,389.42 | 22.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,736.02 | $2,736.02 | 26.1× |
| X-ray exam of femur 1 (73551) | $1,379.47 | $1,379.47 | 15.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $5,637.39 | $5,637.39 | 32.0× |
| X-ray eye for foreign body (70030) | $1,604.52 | $1,604.52 | 18.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,104.65 | $2,104.65 | 20.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,762.56 | $2,762.56 | 31.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,267.17 | $2,267.17 | 25.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $305.63 | $305.63 | 0.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,799.02 | $1,799.02 | 20.6× |
| X-ray IV pyelogram+drip infusn (74410) | $5,095.59 | $5,095.59 | 28.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,377.66 | $1,377.66 | 15.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,775.63 | $2,775.63 | 26.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,720.29 | $3,720.29 | 42.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,581 | $1,581 | 18.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,095.48 | $2,095.48 | 20.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,691.94 | $1,691.94 | 16.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,000.45 | $2,000.45 | 19.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,718.78 | $1,718.78 | 19.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,724.84 | $1,724.84 | 19.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,522.92 | $2,522.92 | 24.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,443.74 | $2,443.74 | 23.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $9,784.15 | $9,784.15 | 27.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,235.20 | $2,235.20 | 25.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,865 | $3,865 | 36.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,667.60 | $2,667.60 | 25.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,089.50 | $2,089.50 | 19.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,964.02 | $1,964.02 | 22.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,274.12 | $2,274.12 | 26.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,247.18 | $3,247.18 | 37.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,794.72 | $1,794.72 | 20.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,653.42 | $3,653.42 | 34.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,029 | $2,029 | 19.3× |
| X-Ray Spine One View - Xr Spine (72020) | $846.03 | $846.03 | 9.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,903.52 | $1,903.52 | 21.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,367.70 | $1,367.70 | 15.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,155.81 | $1,155.81 | 11.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,240.08 | $2,240.08 | 21.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,822.64 | $1,822.64 | 20.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,832 | $1,832 | 21.0× |
| Xr c-spine 6 or more views (72052) | $4,251.65 | $4,251.65 | 40.5× |
| Xr chest 4+ views (71048) | $1,819.07 | $1,819.07 | 17.3× |
| Xr finger(s) 2+ views (73140) | $1,573.96 | $1,573.96 | 18.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $2,314.40 | $2,314.40 | 22.0× |
| Xr shoulder 1 view (73020) | $1,705.94 | $1,705.94 | 19.5× |
| Xr spine cervical 4 or 5 views (72050) | $3,833.68 | $3,833.68 | 36.5× |
| Xr tibia/fibula 2 views (73590) | $2,076.86 | $2,076.86 | 23.8× |
| Xr tmj bilateral (70330) | $2,868.70 | $2,868.70 | 32.8× |
| Xray knee 1 or 2 views rt (73560) | $1,738.80 | $1,738.80 | 19.9× |