Imaging prices at HCA Houston Healthcare Medical Center
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
321 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) | $1,896.94 | $1,896.94 | 18.1× |
| Acute gastrointestinal blood loss imaging (78278) | $3,376.98 | $3,376.98 | 8.4× |
| Angiography extremity bilateral rs&i (75716) | $11,142.84 | $11,142.84 | 3.5× |
| Angiography extremity unilateral rs&i (75710) | $7,459.21 | $7,459.21 | 2.4× |
| Angiography internal mammary rs&i (75756) | $6,800.14 | $6,800.14 | 2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $11,540.06 | $11,540.06 | 2.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,492.90 | $12,492.90 | 3.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,834.82 | $8,834.82 | 2.8× |
| Angiography Spinal Selective Rs&I (75705) | $10,089.09 | $10,089.09 | 1.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,599.71 | $7,599.71 | 1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $3,813.26 | $3,813.26 | 1.2× |
| Ankle 2 views (73600) | $1,890.24 | $1,890.24 | 21.6× |
| Antegrade urography radiological supvj & interpj (74425) | $1,056.29 | $1,056.29 | 3.0× |
| Aortogram thoracic (75605) | $9,488.14 | $9,488.14 | 1.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $12,082.90 | $12,082.90 | 3.8× |
| Aortography abdominal serialography rs&i (75625) | $12,082.90 | $12,082.90 | 3.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,599.71 | $7,599.71 | 2.4× |
| Arthrogram elbow (73085) | $3,047.54 | $3,047.54 | 8.7× |
| Arthrogram hip (73525) | $4,580.26 | $4,580.26 | 13.1× |
| Arthrogram shoulder (73040) | $4,580.26 | $4,580.26 | 13.1× |
| Arthrogram wrist (73115) | $4,580.26 | $4,580.26 | 13.1× |
| Arthrography knee lt (73580) | $4,937.26 | $4,937.26 | 14.1× |
| Basic radiation dosimetry calculation (77300) | $348.60 | $348.60 | 2.6× |
| Bone &/Joint Imaging Limited Area (78300) | $6,338.63 | $6,338.63 | 15.8× |
| Bone &/Joint Imaging Multiple Areas (78305) | $6,338.63 | $6,338.63 | 15.8× |
| Bone &/joint imaging whole body (78306) | $8,663.70 | $8,663.70 | 21.6× |
| Bone age studies (77072) | $1,455.38 | $1,455.38 | 13.9× |
| Bone Imaging 3 Phase (78315) | $7,657.19 | $7,657.19 | 19.1× |
| Bone survey complete (77075) | $4,082.12 | $4,082.12 | 38.9× |
| Brain image w/flow 4 + views (78606) | $4,187.18 | $4,187.18 | 7.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $9,961.84 | $9,961.84 | 18.3× |
| Cervical spine 2 or 3 views (72040) | $2,172.63 | $2,172.63 | 24.9× |
| Chest 1 view (71045) | $1,716.64 | $1,716.64 | 19.6× |
| Chest 3 views (71047) | $2,107.78 | $2,107.78 | 24.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,758.88 | $2,758.88 | 15.7× |
| Clavicle complete (73000) | $1,922.02 | $1,922.02 | 22.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,363.40 | $1,363.40 | 13.0× |
| CT abdomen and pelvis without and with contrast (74178) | $34,935.48 | $34,935.48 | 99.7× |
| CT abdomen and pelvis without contrast (74176) | $28,317.73 | $28,317.73 | 118.1× |
| CT abdomen w contrast (74160) | $17,162.05 | $17,162.05 | 97.4× |
| CT abdomen w wo contrast (74170) | $18,010.54 | $18,010.54 | 102.2× |
| CT abdomen w/o contrast (74150) | $16,054.93 | $16,054.93 | 152.9× |
| CT angio hrt w/3d image (75574) | $1,603.66 | $1,603.66 | 4.6× |
| CT angiography upper extremity lt (73206) | $18,467.24 | $18,467.24 | 104.8× |
| CT c-spine w/o contrast (72125) | $15,400.68 | $15,400.68 | 146.6× |
| CT cervical spine with contrast (72126) | $18,746.42 | $18,746.42 | 53.5× |
| CT chest w/wo contrast (71270) | $13,798.33 | $13,798.33 | 78.3× |
| CT chest with contrast (71260) | $13,662.24 | $13,662.24 | 77.5× |
| CT head/brain with contrast (70460) | $15,400.94 | $15,400.94 | 87.4× |
| CT head/brain without and with contrast (70470) | $17,300.32 | $17,300.32 | 98.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $24,558.62 | $24,558.62 | 70.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $818.66 | $818.66 | 9.4× |
| CT hrt w/3d image congen (75573) | $14,053.08 | $14,053.08 | 40.1× |
| CT iac w contrast (70481) | $17,005.37 | $17,005.37 | 96.5× |
| CT limited/localized follow up study (76380) | $14,011 | $14,011 | 160.3× |
| CT lower ext w/o (73700) | $8,091.64 | $8,091.64 | 77.0× |
| CT lower extremity w wo contrast (73702) | $12,653.60 | $12,653.60 | 71.8× |
| CT lower extremity with contrast (73701) | $10,985.32 | $10,985.32 | 62.3× |
| CT lumbar spine w & w/o contrast (72133) | $19,844.78 | $19,844.78 | 112.6× |
| CT lumbar spine w/o contrast (72131) | $13,908.82 | $13,908.82 | 132.4× |
| CT lumbar spine with contrast (72132) | $15,400.68 | $15,400.68 | 43.9× |
| CT maxillofacial w contrast (70487) | $13,169.50 | $13,169.50 | 74.7× |
| CT maxillofacial w/o contrast (70486) | $12,010.63 | $12,010.63 | 114.4× |
| CT maxillofacial w/wo contrast (70488) | $13,889.93 | $13,889.93 | 78.8× |
| CT neck soft tissue w contrast (70491) | $15,677.12 | $15,677.12 | 89.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $18,451.21 | $18,451.21 | 104.7× |
| CT orbits w/o contrast (70480) | $15,775.75 | $15,775.75 | 150.2× |
| CT pelvis w & w/o contrast (72194) | $16,922.60 | $16,922.60 | 96.0× |
| CT pelvis w/o contrast (72192) | $12,264.17 | $12,264.17 | 116.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $14,776.16 | $14,776.16 | 83.9× |
| CT soft tissue neck w/o contrast (70490) | $14,652.43 | $14,652.43 | 139.5× |
| CT thoracic spine w/contrast (72129) | $13,068.52 | $13,068.52 | 74.2× |
| CT thoracic spine w/o contrast (72128) | $17,524.87 | $17,524.87 | 166.9× |
| CT thoracic spine w/wo contrast (72130) | $18,492.42 | $18,492.42 | 105.0× |
| CT thorax w/o contrast (71250) | $12,981.97 | $12,981.97 | 123.6× |
| CT upper extremity w/o & w/contrast material (73202) | $12,653.78 | $12,653.78 | 71.8× |
| CT upper extremity w/o contrast rt (73200) | $12,007.96 | $12,007.96 | 114.3× |
| CT upper extremity with contrast (73201) | $7,823.56 | $7,823.56 | 22.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,984.73 | $18,984.73 | 107.7× |
| Cta Abdomen (74175) | $1,603.83 | $1,603.83 | 9.1× |
| CTA abdomen pelvis (74174) | $25,742.90 | $25,742.90 | 73.5× |
| CTA chest (71275) | $20,534.98 | $20,534.98 | 116.5× |
| Cta Head (70496) | $13,592.66 | $13,592.66 | 77.1× |
| CTA lwr ext w&w/o contrast (73706) | $19,079.50 | $19,079.50 | 108.3× |
| Cta Neck (70498) | $12,961.53 | $12,961.53 | 73.6× |
| Cta Pelvis (72191) | $20,534.98 | $20,534.98 | 116.5× |
| Cystography minimum 3 views rs&i (74430) | $4,029.12 | $4,029.12 | 11.5× |
| Diskogram cervical (72285) | $20,775.94 | $20,775.94 | 10.6× |
| Diskography lumbar (72295) | $8,109.33 | $8,109.33 | 4.1× |
| Echoencephalography real time imaging (76506) | $3,291.67 | $3,291.67 | 31.3× |
| Esophagus (74220) | $3,143.98 | $3,143.98 | 17.8× |
| Fetal biophysical profile non-stress testing (76818) | $4,521.29 | $4,521.29 | 43.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,989.91 | $4,989.91 | 47.5× |
| Fluoroscopy up to 1 hr (76000) | $2,513.65 | $2,513.65 | 10.5× |
| Foot 2 views (73620) | $1,975.78 | $1,975.78 | 22.6× |
| Forearm 2 views (73090) | $2,038.72 | $2,038.72 | 23.3× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $6,798.20 | $6,798.20 | 12.5× |
| Gated Heart Planar Single (78472) | $7,418.89 | $7,418.89 | 18.5× |
| Hand 2 views (73120) | $1,891.46 | $1,891.46 | 18.0× |
| Hand 3 views (73130) | $2,066.84 | $2,066.84 | 23.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $12,147.34 | $12,147.34 | 22.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $9,898.29 | $9,898.29 | 24.6× |
| Ht muscle image spect sing (78451) | $16,883.73 | $16,883.73 | 13.0× |
| Humerus Min 2 Views Left (73060) | $1,922.02 | $1,922.02 | 22.0× |
| Hysterosalpingogram (74740) | $3,211.67 | $3,211.67 | 13.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,060.92 | $5,060.92 | 9.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $12,267.62 | $12,267.62 | 22.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $21,493.01 | $21,493.01 | 39.4× |
| Knee 3 views (73562) | $2,246.52 | $2,246.52 | 25.7× |
| Liver & spleen imaging static only (78215) | $6,742.60 | $6,742.60 | 16.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $5,721.34 | $5,721.34 | 14.2× |
| Lung perfusion differential (78597) | $15,331.41 | $15,331.41 | 38.2× |
| Lung Ventilation Imaging (78579) | $8,596.76 | $8,596.76 | 21.4× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $458.54 | $458.54 | 0.1× |
| Lymphoscintigraphy (78195) | $6,123.03 | $6,123.03 | 11.2× |
| Meckels Diverticulum (78290) | $6,689.26 | $6,689.26 | 16.7× |
| MRA head w & w/o contrast (70546) | $21,079.61 | $21,079.61 | 60.1× |
| MRA head w/o contrast (70544) | $13,004.20 | $13,004.20 | 54.3× |
| MRA neck w contrast (70548) | $8,482.34 | $8,482.34 | 24.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $16,039.02 | $16,039.02 | 45.8× |
| MRA neck w/o contrast (70547) | $13,724.89 | $13,724.89 | 57.3× |
| MRI abdomen w contrast (74182) | $7,694.93 | $7,694.93 | 22.0× |
| MRI abdomen w/o & w/contrast material (74183) | $16,540.32 | $16,540.32 | 47.2× |
| MRI abdomen w/o contrast (74181) | $16,145.41 | $16,145.41 | 67.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,060.01 | $6,060.01 | 7.7× |
| MRI bone marrow blood supply (77084) | $7,937.76 | $7,937.76 | 33.1× |
| MRI breast w/o contrast unilat (77046) | $16,702.60 | $16,702.60 | 69.7× |
| MRI cervical spine w/o contrast (72141) | $11,350.65 | $11,350.65 | 47.4× |
| MRI chest w/o & w/contrast material (71552) | $12,231.82 | $12,231.82 | 34.9× |
| MRI chest w/o contrast (71550) | $9,962.78 | $9,962.78 | 41.6× |
| MRI fetal sngl/1st gestation (74712) | $22,508.96 | $22,508.96 | 93.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $4,855.47 | $4,855.47 | 13.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,003.04 | $10,003.04 | 41.7× |
| MRI orbit face &/neck w/o contrast (70540) | $10,809.68 | $10,809.68 | 45.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $14,885.56 | $14,885.56 | 42.5× |
| MRI pelvis w/o & w/contrast material (72197) | $13,043.87 | $13,043.87 | 37.2× |
| MRI pelvis w/o contrast (72195) | $9,508.96 | $9,508.96 | 39.7× |
| MRI scan of arm joint before and after contrast (73223) | $21,415.01 | $21,415.01 | 61.1× |
| MRI scan of leg joint before and after contrast (73723) | $19,719.98 | $19,719.98 | 56.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,968.22 | $19,968.22 | 57.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $2,914 | $2,914 | 8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $19,191.64 | $19,191.64 | 54.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $19,668.30 | $19,668.30 | 56.1× |
| MRI thoracic spine w/o contrast (72146) | $10,949.74 | $10,949.74 | 45.7× |
| MRI tmj (70336) | $16,191.69 | $16,191.69 | 67.6× |
| MRI upper ext joint w/o contrast (73221) | $19,145.36 | $19,145.36 | 79.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $14,543.55 | $14,543.55 | 41.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,003.04 | $10,003.04 | 41.7× |
| Myelogram Cervical (72240) | $9,428.11 | $9,428.11 | 12.0× |
| Myelogram Lumbar (72265) | $6,707.54 | $6,707.54 | 8.5× |
| Myelogram thoracic (72255) | $6,634.74 | $6,634.74 | 8.4× |
| Myelography 2 or more regions (72270) | $14,624.02 | $14,624.02 | 18.6× |
| Myocardial infarct spect (78469) | $4,410.71 | $4,410.71 | 8.1× |
| Myocardial Spect Multiple Studies (78452) | $15,906.71 | $15,906.71 | 12.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $13,107.50 | $13,107.50 | 15.2× |
| Neck soft tissue (70360) | $1,729.41 | $1,729.41 | 19.8× |
| Nm adrenal scan (78075) | $22,737.82 | $22,737.82 | 17.5× |
| Nm cisternogram (78630) | $6,225.16 | $6,225.16 | 11.4× |
| Nm gastric emptying study (78264) | $5,239.07 | $5,239.07 | 13.0× |
| Nm gastroesophageal reflux study (78262) | $3,753.71 | $3,753.71 | 9.3× |
| Nm peritoneal-venous shunt patency (78291) | $4,561.63 | $4,561.63 | 11.4× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $17,522.58 | $17,522.58 | 13.5× |
| Nuclear medicine study from skull base to mid-thigh (78812) | $10,257.31 | $10,257.31 | 7.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $16,883.73 | $16,883.73 | 13.0× |
| Nuclear medicine study of kidney and blood flow (78701) | $8,305.13 | $8,305.13 | 20.7× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $5,990.27 | $5,990.27 | 14.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $4,090.72 | $4,090.72 | 10.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $7,751.38 | $7,751.38 | 14.2× |
| Nuclear Rx Oral Admin (79005) | $1,373.03 | $1,373.03 | 5.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,924.88 | $2,924.88 | 27.9× |
| Parathyrd planar w/spect&CT (78072) | $8,415.20 | $8,415.20 | 15.4× |
| Parathyrd planar w/wo subtrj (78071) | $3,751.43 | $3,751.43 | 9.3× |
| Parathyroid imaging (78070) | $7,185.14 | $7,185.14 | 17.9× |
| Pelvis 1 or 2 views (72170) | $2,003.78 | $2,003.78 | 19.1× |
| PET image w/CT, skull-thigh (78815) | $13,192.90 | $13,192.90 | 9.2× |
| PET imaging CT for attenuation limited area (78814) | $10,882.53 | $10,882.53 | 7.6× |
| PET imaging for CT attenuation whole body (78816) | $16,336.90 | $16,336.90 | 11.4× |
| Pr heart first pass single,planar (78481) | $4,866.88 | $4,866.88 | 8.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $14,024.22 | $14,024.22 | 40.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,454.89 | $2,454.89 | 0.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $1,286.20 | $1,286.20 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,474.26 | $4,474.26 | 11.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,864.01 | $6,864.01 | 12.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,820.29 | $3,820.29 | 7.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $826.39 | $826.39 | 9.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,913.34 | $1,913.34 | 18.2× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,207.01 | $1,207.01 | 11.5× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,016.70 | $1,016.70 | 9.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,758.98 | $3,758.98 | 35.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,702.17 | $2,702.17 | 25.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,423.94 | $1,423.94 | 16.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,995.58 | $1,995.58 | 19.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,933.62 | $1,933.62 | 22.1× |
| Radiologic exam colon single contrast study (74270) | $3,892.46 | $3,892.46 | 22.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,124.47 | $6,124.47 | 34.8× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,208.58 | $4,208.58 | 23.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,953.16 | $1,953.16 | 22.3× |
| Radiological examination surgical specimen (76098) | $1,549.31 | $1,549.31 | 2.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $2,454.89 | $2,454.89 | 0.8× |
| Ribs bilateral 3 views (71110) | $4,877.86 | $4,877.86 | 46.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,338.63 | $6,338.63 | 15.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $11,076.14 | $11,076.14 | 20.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $7,395.07 | $7,395.07 | 13.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $11,076.14 | $11,076.14 | 8.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $11,076.14 | $11,076.14 | 7.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $6,338.63 | $6,338.63 | 4.9× |
| Rp therapy intra-arterial particulate admn (79445) | $1,135.87 | $1,135.87 | 4.8× |
| Rp Therapy Intravenous Administration (79101) | $1,373.03 | $1,373.03 | 5.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $4,530.22 | $4,530.22 | 18.9× |
| Scanogram (77073) | $1,669.38 | $1,669.38 | 15.9× |
| Scapula complete (73010) | $2,044.80 | $2,044.80 | 19.5× |
| Sella turcica (70240) | $1,279.82 | $1,279.82 | 14.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $2,550.69 | $2,550.69 | 24.3× |
| Sialogram (70390) | $2,043.62 | $2,043.62 | 8.5× |
| Small bowel series (74250) | $4,705.43 | $4,705.43 | 26.7× |
| Spec medical radj physics consltj (77370) | $348.60 | $348.60 | 2.6× |
| Spine thoracic 3 views (72072) | $3,563.45 | $3,563.45 | 33.9× |
| Testicular Imaging With Vascular Flow (78761) | $3,753.71 | $3,753.71 | 9.3× |
| Therapeutic Enema (74283) | $3,259.57 | $3,259.57 | 18.5× |
| Thoracolumbar 2 views (72080) | $3,998 | $3,998 | 45.7× |
| Thyroid carcinoma metastases img whole body (78018) | $5,334.39 | $5,334.39 | 9.8× |
| Thyroid Imaging With Vascular Flow (78013) | $4,504.90 | $4,504.90 | 11.2× |
| Thyroid uptake measurement (78012) | $7,525.56 | $7,525.56 | 18.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,601.59 | $7,601.59 | 18.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $6,338.63 | $6,338.63 | 15.8× |
| Ultrasound, abdomen limited (76705) | $2,624.54 | $2,624.54 | 25.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $6,174.80 | $6,174.80 | 70.6× |
| Unlisted fluoroscopic procedure (76496) | $1,825.21 | $1,825.21 | 20.9× |
| Upper Extremity Infant (73092) | $2,369.28 | $2,369.28 | 22.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $3,753.71 | $3,753.71 | 9.3× |
| Urethrocystography retrograde rs&i (74450) | $4,102.56 | $4,102.56 | 17.1× |
| Urethrocystography voiding (74455) | $3,831.78 | $3,831.78 | 16.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,087.15 | $3,087.15 | 17.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $6,339.05 | $6,339.05 | 36.0× |
| Us breast unilateral complete (76641) | $6,046.25 | $6,046.25 | 57.6× |
| Us breast unilateral limited (76642) | $5,892.62 | $5,892.62 | 67.4× |
| Us chest (76604) | $5,319.40 | $5,319.40 | 50.7× |
| Us compl joint r-t w/image documentation (76881) | $3,435.78 | $3,435.78 | 32.7× |
| Us elastography parenchyma (76981) | $697.88 | $697.88 | 6.6× |
| Us infant hips dynamic (76885) | $3,056.48 | $3,056.48 | 35.0× |
| Us infant hips limited static (76886) | $3,587.03 | $3,587.03 | 41.0× |
| Us ob detailed single fetus (76811) | $2,999.91 | $2,999.91 | 12.5× |
| Us ob transvaginal (76817) | $2,992.76 | $2,992.76 | 28.5× |
| Us pelvic non ob complete (76856) | $4,793.28 | $4,793.28 | 45.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,050.39 | $1,050.39 | 10.0× |
| Us pregnancy ltd (76815) | $3,022.58 | $3,022.58 | 28.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,817.89 | $3,817.89 | 36.4× |
| Us retroperitoneal complete (76770) | $4,506.18 | $4,506.18 | 42.9× |
| Us retroperitoneal limited (76775) | $4,926.88 | $4,926.88 | 46.9× |
| Us scrotum and contents (76870) | $3,666.82 | $3,666.82 | 34.9× |
| Us soft tissue head/neck (76536) | $3,587.03 | $3,587.03 | 34.2× |
| Us spinal canal and contents (76800) | $3,049.92 | $3,049.92 | 29.0× |
| Us transrectal (76872) | $2,252.01 | $2,252.01 | 21.4× |
| Us xtr non-vasc lmtd (76882) | $2,870.09 | $2,870.09 | 27.3× |
| Venogram extremity bilateral (75822) | $7,302.11 | $7,302.11 | 4.6× |
| Venography caval inferior serialography rs&i (75825) | $8,907.62 | $8,907.62 | 2.8× |
| Venography caval superior serialography rs&i (75827) | $4,197.08 | $4,197.08 | 2.7× |
| Venography extremity unilateral rs&i (75820) | $11,035.55 | $11,035.55 | 7.0× |
| Venography Renal Bilateral (75833) | $15,144.49 | $15,144.49 | 4.8× |
| Venography renal unilateral selective rs&i (75831) | $2,360.38 | $2,360.38 | 0.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $7,395.34 | $7,395.34 | 2.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $6,560.02 | $6,560.02 | 1.2× |
| Wrist 2 views (73100) | $2,860.08 | $2,860.08 | 32.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,507.20 | $3,507.20 | 33.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,315.58 | $2,315.58 | 26.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $4,688.18 | $4,688.18 | 26.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,774.12 | $1,774.12 | 20.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,042.40 | $2,042.40 | 23.4× |
| X-ray exam entire spi 4/5 vw (72083) | $2,901.94 | $2,901.94 | 27.6× |
| X-ray exam hip uni 1 view (73501) | $1,880.82 | $1,880.82 | 21.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,121.39 | $2,121.39 | 24.3× |
| X-ray exam hip uni 4/> views (73503) | $2,429.15 | $2,429.15 | 23.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,429.25 | $2,429.25 | 23.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,001.57 | $3,001.57 | 28.6× |
| X-ray exam of femur 1 (73551) | $1,449.69 | $1,449.69 | 16.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $6,404.19 | $6,404.19 | 36.3× |
| X-ray eye for foreign body (70030) | $1,687.26 | $1,687.26 | 19.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,213.49 | $2,213.49 | 21.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,908.36 | $2,908.36 | 33.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,383.40 | $2,383.40 | 27.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $1,106.11 | $1,106.11 | 0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,891.29 | $1,891.29 | 21.6× |
| X-ray IV pyelogram+drip infusn (74410) | $5,358.12 | $5,358.12 | 30.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,504.61 | $1,504.61 | 17.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,920.13 | $2,920.13 | 27.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $4,026.12 | $4,026.12 | 46.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,905.04 | $1,905.04 | 21.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,222.43 | $2,222.43 | 21.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,103.65 | $2,103.65 | 20.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,820.98 | $1,820.98 | 20.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,125.36 | $2,125.36 | 24.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,701.95 | $1,701.95 | 16.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,585.17 | $2,585.17 | 24.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $6,530.64 | $6,530.64 | 18.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,356.50 | $2,356.50 | 27.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $4,877.86 | $4,877.86 | 46.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,487.92 | $2,487.92 | 23.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,518.02 | $1,518.02 | 14.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,075.26 | $2,075.26 | 23.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,393.79 | $2,393.79 | 27.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,569.95 | $3,569.95 | 40.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $2,185.39 | $2,185.39 | 25.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,995.28 | $3,995.28 | 38.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,546.76 | $1,546.76 | 14.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,212.76 | $1,212.76 | 13.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,826.48 | $1,826.48 | 20.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,137.11 | $2,137.11 | 24.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,480.35 | $1,480.35 | 14.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,918.24 | $1,918.24 | 21.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,915.90 | $1,915.90 | 21.9× |
| Xr arthrogram ankle (73615) | $3,250.63 | $3,250.63 | 9.3× |
| Xr c-spine 6 or more views (72052) | $4,506.18 | $4,506.18 | 42.9× |
| Xr chest 4+ views (71048) | $2,209.66 | $2,209.66 | 21.0× |
| Xr finger(s) 2+ views (73140) | $1,655.33 | $1,655.33 | 18.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $3,437.11 | $3,437.11 | 32.7× |
| Xr optic foramina (70190) | $956.67 | $956.67 | 10.9× |
| Xr shoulder 1 view (73020) | $1,871.28 | $1,871.28 | 21.4× |
| Xr spine cervical 4 or 5 views (72050) | $3,082.67 | $3,082.67 | 29.4× |
| Xr tibia/fibula 2 views (73590) | $2,185.40 | $2,185.40 | 25.0× |
| Xr tmj bilateral (70330) | $2,272.25 | $2,272.25 | 26.0× |
| Xray knee 1 or 2 views rt (73560) | $1,838.27 | $1,838.27 | 21.0× |