Imaging prices at HCA Houston Healthcare Northwest
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
271 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) | $2,329.30 | $2,329.30 | 22.2× |
| Acute gastrointestinal blood loss imaging (78278) | $4,075.67 | $4,075.67 | 10.1× |
| Angiography extremity bilateral rs&i (75716) | $10,470.67 | $10,470.67 | 3.3× |
| Angiography extremity unilateral rs&i (75710) | $7,638.76 | $7,638.76 | 2.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $12,771.80 | $12,771.80 | 2.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,795.52 | $12,795.52 | 4.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,055.52 | $10,055.52 | 3.2× |
| Angiography Spinal Selective Rs&I (75705) | $11,527.83 | $11,527.83 | 2.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,785.53 | $7,785.53 | 1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $4,204.55 | $4,204.55 | 1.3× |
| Ankle 2 views (73600) | $1,936.38 | $1,936.38 | 22.2× |
| Antegrade urography radiological supvj & interpj (74425) | $2,206.22 | $2,206.22 | 6.3× |
| Aortogram thoracic (75605) | $9,165.91 | $9,165.91 | 1.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $12,374.43 | $12,374.43 | 3.9× |
| Aortography abdominal serialography rs&i (75625) | $12,374.43 | $12,374.43 | 3.9× |
| Arthrogram hip (73525) | $3,047.64 | $3,047.64 | 8.7× |
| Arthrogram shoulder (73040) | $4,497.70 | $4,497.70 | 12.8× |
| Arthrography knee lt (73580) | $2,287.78 | $2,287.78 | 6.5× |
| Bone &/Joint Imaging Limited Area (78300) | $6,580.76 | $6,580.76 | 16.4× |
| Bone &/joint imaging whole body (78306) | $10,459.93 | $10,459.93 | 26.0× |
| Bone age studies (77072) | $1,490.09 | $1,490.09 | 14.2× |
| Bone Imaging 3 Phase (78315) | $14,934.45 | $14,934.45 | 37.2× |
| Bone survey complete (77075) | $6,212.42 | $6,212.42 | 59.2× |
| Brain imaging < 4 static views w vascular flow (78601) | $2,612.80 | $2,612.80 | 6.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,480.33 | $4,480.33 | 8.2× |
| Cervical spine 2 or 3 views (72040) | $2,225.50 | $2,225.50 | 25.5× |
| Chest 1 view (71045) | $2,108.37 | $2,108.37 | 24.1× |
| Chest 3 views (71047) | $2,158.78 | $2,158.78 | 24.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,019.54 | $4,019.54 | 22.8× |
| Clavicle complete (73000) | $1,970.48 | $1,970.48 | 22.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $15,063.93 | $15,063.93 | 143.4× |
| CT abdomen and pelvis without and with contrast (74178) | $40,539.37 | $40,539.37 | 115.7× |
| CT abdomen and pelvis without contrast (74176) | $32,859.53 | $32,859.53 | 137.1× |
| CT abdomen w contrast (74160) | $19,914.51 | $19,914.51 | 113.0× |
| CT abdomen w wo contrast (74170) | $20,900.76 | $20,900.76 | 118.6× |
| CT abdomen w/o contrast (74150) | $18,629.45 | $18,629.45 | 177.4× |
| CT angio hrt w/3d image (75574) | $23,830.63 | $23,830.63 | 68.0× |
| CT angiography upper extremity lt (73206) | $21,428.20 | $21,428.20 | 121.6× |
| CT c-spine w/o contrast (72125) | $17,871.84 | $17,871.84 | 170.2× |
| CT cervical spine w&w/o contrast (72127) | $18,531.88 | $18,531.88 | 105.2× |
| CT cervical spine with contrast (72126) | $21,752.91 | $21,752.91 | 62.1× |
| CT chest w/wo contrast (71270) | $16,010.57 | $16,010.57 | 90.9× |
| CT chest with contrast (71260) | $15,853.55 | $15,853.55 | 90.0× |
| CT head/brain with contrast (70460) | $17,871.84 | $17,871.84 | 101.4× |
| CT head/brain without and with contrast (70470) | $20,074.56 | $20,074.56 | 113.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $28,498.29 | $28,498.29 | 81.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $15,063.93 | $15,063.93 | 172.3× |
| CT iac w contrast (70481) | $19,733.11 | $19,733.11 | 112.0× |
| CT limited/localized follow up study (76380) | $2,588.39 | $2,588.39 | 29.6× |
| CT lower ext w/o (73700) | $7,562.45 | $7,562.45 | 72.0× |
| CT lower extremity w wo contrast (73702) | $14,682.83 | $14,682.83 | 83.3× |
| CT lower extremity with contrast (73701) | $12,745.35 | $12,745.35 | 72.3× |
| CT lumbar spine w & w/o contrast (72133) | $23,027.27 | $23,027.27 | 130.7× |
| CT lumbar spine w/o contrast (72131) | $16,138.60 | $16,138.60 | 153.7× |
| CT lumbar spine with contrast (72132) | $17,871.84 | $17,871.84 | 51.0× |
| CT maxillofacial w contrast (70487) | $15,281.91 | $15,281.91 | 86.7× |
| CT maxillofacial w/o contrast (70486) | $13,937.41 | $13,937.41 | 132.7× |
| CT maxillofacial w/wo contrast (70488) | $16,117.27 | $16,117.27 | 91.5× |
| CT neck soft tissue w contrast (70491) | $18,190.43 | $18,190.43 | 103.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $21,412.95 | $21,412.95 | 121.5× |
| CT orbits w/o contrast (70480) | $18,307.80 | $18,307.80 | 174.3× |
| CT pelvis w & w/o contrast (72194) | $19,637.07 | $19,637.07 | 111.4× |
| CT pelvis w/o contrast (72192) | $14,231.60 | $14,231.60 | 135.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $18,356.58 | $18,356.58 | 104.2× |
| CT soft tissue neck w/o contrast (70490) | $17,004.47 | $17,004.47 | 161.9× |
| CT thoracic spine w/contrast (72129) | $18,411.46 | $18,411.46 | 104.5× |
| CT thoracic spine w/o contrast (72128) | $20,338.28 | $20,338.28 | 193.7× |
| CT thoracic spine w/wo contrast (72130) | $21,457.16 | $21,457.16 | 121.8× |
| CT thorax w/o contrast (71250) | $15,063.93 | $15,063.93 | 143.4× |
| CT upper extremity w/o & w/contrast material (73202) | $10,307.48 | $10,307.48 | 58.5× |
| CT upper extremity w/o contrast rt (73200) | $13,932.83 | $13,932.83 | 132.7× |
| CT upper extremity with contrast (73201) | $7,562.45 | $7,562.45 | 21.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $22,028.81 | $22,028.81 | 125.0× |
| Cta Abdomen (74175) | $24,521.17 | $24,521.17 | 139.2× |
| CTA abdomen pelvis (74174) | $29,870.23 | $29,870.23 | 85.2× |
| CTA chest (71275) | $23,830.63 | $23,830.63 | 135.2× |
| Cta Head (70496) | $23,830.63 | $23,830.63 | 135.2× |
| CTA lwr ext w&w/o contrast (73706) | $22,138.57 | $22,138.57 | 125.6× |
| Cta Neck (70498) | $23,830.63 | $23,830.63 | 135.2× |
| Cta Pelvis (72191) | $23,830.63 | $23,830.63 | 135.2× |
| Cystography minimum 3 views rs&i (74430) | $5,674.22 | $5,674.22 | 16.2× |
| Echoencephalography real time imaging (76506) | $3,859.46 | $3,859.46 | 36.7× |
| Esophagus (74220) | $4,222.67 | $4,222.67 | 24.0× |
| Fetal biophysical profile non-stress testing (76818) | $5,849.74 | $5,849.74 | 55.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,849.74 | $5,849.74 | 55.7× |
| Fluoroscopy up to 1 hr (76000) | $3,419.06 | $3,419.06 | 14.3× |
| Foot 2 views (73620) | $2,023.88 | $2,023.88 | 23.2× |
| Forearm 2 views (73090) | $2,087.61 | $2,087.61 | 23.9× |
| Gated Heart Planar Single (78472) | $8,959.22 | $8,959.22 | 22.3× |
| Hand 2 views (73120) | $1,937.87 | $1,937.87 | 18.5× |
| Hand 3 views (73130) | $2,115.79 | $2,115.79 | 24.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $14,668.07 | $14,668.07 | 26.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,953.39 | $11,953.39 | 29.8× |
| Ht muscle image spect sing (78451) | $20,385.65 | $20,385.65 | 15.7× |
| Humerus Min 2 Views Left (73060) | $1,970.48 | $1,970.48 | 22.5× |
| Hysterosalpingogram (74740) | $4,771.27 | $4,771.27 | 19.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,110.61 | $6,110.61 | 11.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $14,812.17 | $14,812.17 | 27.2× |
| Knee 3 views (73562) | $2,302.60 | $2,302.60 | 26.3× |
| Liver & spleen imaging static only (78215) | $8,142.62 | $8,142.62 | 20.3× |
| Lung perf&ventilat diferentl (78598) | $5,307.11 | $5,307.11 | 9.7× |
| Lung perfusion differential (78597) | $18,515.21 | $18,515.21 | 46.1× |
| Lung Ventilation Imaging (78579) | $10,381.32 | $10,381.32 | 25.9× |
| Lymphoscintigraphy (78195) | $7,392.98 | $7,392.98 | 13.6× |
| Meckels Diverticulum (78290) | $8,075.66 | $8,075.66 | 20.1× |
| MRA head w & w/o contrast (70546) | $24,449.13 | $24,449.13 | 69.8× |
| MRA head w/o contrast (70544) | $21,967.73 | $21,967.73 | 91.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $33,071.09 | $33,071.09 | 94.4× |
| MRA neck w/o contrast (70547) | $21,967.73 | $21,967.73 | 91.7× |
| MRI abdomen w/o & w/contrast material (74183) | $33,074.20 | $33,074.20 | 94.4× |
| MRI abdomen w/o contrast (74181) | $30,620.75 | $30,620.75 | 127.8× |
| MRI any jnt lwr ext with con lt (73722) | $13,007.46 | $13,007.46 | 16.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $12,576.05 | $12,576.05 | 16.0× |
| MRI breast w/o contrast bilateral (77047) | $20,837.99 | $20,837.99 | 86.9× |
| MRI breast w/o contrast unilat (77046) | $18,064.87 | $18,064.87 | 75.4× |
| MRI c-spine with contrast (72142) | $17,970.21 | $17,970.21 | 51.3× |
| MRI cervical spine w/o contrast (72141) | $22,009.63 | $22,009.63 | 91.8× |
| MRI chest w/o & w/contrast material (71552) | $26,793.92 | $26,793.92 | 76.5× |
| MRI chest w/o contrast (71550) | $21,797.02 | $21,797.02 | 90.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $11,601.50 | $11,601.50 | 48.4× |
| MRI orbit face &/neck w/o contrast (70540) | $20,519.88 | $20,519.88 | 85.6× |
| MRI orbit/face/neck w&w/o cont (70543) | $30,180.02 | $30,180.02 | 86.1× |
| MRI pelvis w/o & w/contrast material (72197) | $24,840.17 | $24,840.17 | 70.9× |
| MRI pelvis w/o contrast (72195) | $18,064.87 | $18,064.87 | 75.4× |
| MRI scan of arm joint before and after contrast (73223) | $22,872.12 | $22,872.12 | 65.3× |
| MRI scan of leg joint before and after contrast (73723) | $22,872.45 | $22,872.45 | 65.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $39,829.32 | $39,829.32 | 113.6× |
| MRI spinal canal lumbar w/contrast material (72149) | $14,833.97 | $14,833.97 | 42.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $38,626.65 | $38,626.65 | 110.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $38,955.65 | $38,955.65 | 111.2× |
| MRI thoracic spine w/o contrast (72146) | $21,388.91 | $21,388.91 | 89.2× |
| MRI tmj (70336) | $17,230 | $17,230 | 71.9× |
| MRI upper ext joint w/o contrast (73221) | $22,206.73 | $22,206.73 | 92.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $16,869.97 | $16,869.97 | 48.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $11,601.50 | $11,601.50 | 48.4× |
| Myocardial infarct spect (78469) | $6,291.10 | $6,291.10 | 11.5× |
| Myocardial Spect Multiple Studies (78452) | $21,158.58 | $21,158.58 | 16.3× |
| Neck soft tissue (70360) | $1,773.29 | $1,773.29 | 20.3× |
| Nm cisternogram (78630) | $7,516.70 | $7,516.70 | 13.8× |
| Nm csf leak detection (78650) | $11,323.11 | $11,323.11 | 8.7× |
| Nm gastric emptying study (78264) | $13,772.87 | $13,772.87 | 34.3× |
| Nm peritoneal-venous shunt patency (78291) | $5,053.84 | $5,053.84 | 12.6× |
| Nuclear medicine study of kidney and blood flow (78701) | $10,029.09 | $10,029.09 | 25.0× |
| Nuclear Rx Oral Admin (79005) | $1,521.09 | $1,521.09 | 6.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,172.01 | $2,172.01 | 20.7× |
| Osseous survey infant (77076) | $934.09 | $934.09 | 8.9× |
| Parathyrd planar w/wo subtrj (78071) | $7,596.76 | $7,596.76 | 18.9× |
| Pelvis 1 or 2 views (72170) | $2,052.02 | $2,052.02 | 19.5× |
| PET image w/CT, skull-thigh (78815) | $20,293.82 | $20,293.82 | 14.1× |
| PET imaging CT for attenuation limited area (78814) | $20,293.82 | $20,293.82 | 14.1× |
| PET imaging for CT attenuation whole body (78816) | $20,293.82 | $20,293.82 | 14.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $16,264.76 | $16,264.76 | 46.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,381.32 | $10,381.32 | 25.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,286.72 | $8,286.72 | 15.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $11,252.05 | $11,252.05 | 20.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $954.85 | $954.85 | 10.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,958.61 | $1,958.61 | 18.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,898.65 | $2,898.65 | 27.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,766.68 | $2,766.68 | 26.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,749.57 | $1,749.57 | 20.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,043.13 | $2,043.13 | 19.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,372.29 | $2,372.29 | 27.1× |
| Radiologic exam colon single contrast study (74270) | $5,177.53 | $5,177.53 | 29.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,981.13 | $5,981.13 | 33.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $9,612.20 | $9,612.20 | 54.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,998.65 | $1,998.65 | 22.9× |
| Radiological examination surgical specimen (76098) | $980.05 | $980.05 | 1.8× |
| Ribs bilateral 3 views (71110) | $4,995.15 | $4,995.15 | 47.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,944.66 | $7,944.66 | 19.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $5,740.88 | $5,740.88 | 10.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,122.25 | $4,122.25 | 7.6× |
| Rp therapy intra-arterial particulate admn (79445) | $1,465.72 | $1,465.72 | 6.3× |
| Rp Therapy Intravenous Administration (79101) | $1,657.93 | $1,657.93 | 7.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $4,873.34 | $4,873.34 | 20.3× |
| Scanogram (77073) | $2,694.02 | $2,694.02 | 25.7× |
| Scapula complete (73010) | $2,095.03 | $2,095.03 | 19.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,543.46 | $1,543.46 | 14.7× |
| Small bowel series (74250) | $5,735 | $5,735 | 32.5× |
| Spine thoracic 3 views (72072) | $3,647.39 | $3,647.39 | 34.7× |
| Testicular Imaging With Vascular Flow (78761) | $2,583.68 | $2,583.68 | 6.4× |
| Thyroid carcinoma metastases img whole body (78018) | $4,809.30 | $4,809.30 | 8.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $9,180.45 | $9,180.45 | 22.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $8,084.38 | $8,084.38 | 14.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $8,874.79 | $8,874.79 | 22.1× |
| Ultrasound, abdomen limited (76705) | $3,077.74 | $3,077.74 | 29.3× |
| Umbilical-artery Doppler (OB) (76820) | $693.86 | $693.86 | 6.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $12,220.95 | $12,220.95 | 139.8× |
| Upper Extremity Infant (73092) | $1,943.78 | $1,943.78 | 18.5× |
| Urethrocystography retrograde rs&i (74450) | $4,203.39 | $4,203.39 | 17.5× |
| Urethrocystography voiding (74455) | $5,208.65 | $5,208.65 | 21.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,003.91 | $3,003.91 | 17.0× |
| Us abdl aorta screen aaa (76706) | $1,097.55 | $1,097.55 | 10.5× |
| Us breast unilateral complete (76641) | $7,088.62 | $7,088.62 | 67.5× |
| Us breast unilateral limited (76642) | $6,909.79 | $6,909.79 | 79.0× |
| Us chest (76604) | $6,237.71 | $6,237.71 | 59.4× |
| Us kidney transplant (76776) | $1,417.73 | $1,417.73 | 13.5× |
| Us ob detailed single fetus (76811) | $3,200.34 | $3,200.34 | 13.4× |
| Us ob transvaginal (76817) | $3,508.97 | $3,508.97 | 33.4× |
| Us pelvic non ob complete (76856) | $5,618.99 | $5,618.99 | 53.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,233.12 | $1,233.12 | 11.7× |
| Us pregnancy ltd (76815) | $3,545.02 | $3,545.02 | 33.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $4,475.29 | $4,475.29 | 42.6× |
| Us retroperitoneal complete (76770) | $5,285.82 | $5,285.82 | 50.3× |
| Us retroperitoneal limited (76775) | $5,776.19 | $5,776.19 | 55.0× |
| Us scrotum and contents (76870) | $4,299.33 | $4,299.33 | 40.9× |
| Us soft tissue head/neck (76536) | $4,205.58 | $4,205.58 | 40.0× |
| Us spinal canal and contents (76800) | $5,822.32 | $5,822.32 | 55.4× |
| Us transrectal (76872) | $2,023.47 | $2,023.47 | 19.3× |
| Us xtr non-vasc lmtd (76882) | $3,366.20 | $3,366.20 | 32.1× |
| Venogram extremity bilateral (75822) | $7,480.11 | $7,480.11 | 4.7× |
| Venography caval inferior serialography rs&i (75825) | $10,747.95 | $10,747.95 | 3.4× |
| Venography caval superior serialography rs&i (75827) | $14,992.85 | $14,992.85 | 9.5× |
| Venography extremity unilateral rs&i (75820) | $11,300.98 | $11,300.98 | 7.1× |
| Venography renal unilateral selective rs&i (75831) | $2,416.76 | $2,416.76 | 0.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $8,967.24 | $8,967.24 | 1.6× |
| Wrist 2 views (73100) | $2,928.30 | $2,928.30 | 33.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,592.54 | $3,592.54 | 34.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,169.16 | $2,169.16 | 24.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,370.80 | $2,370.80 | 27.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,769.91 | $6,769.91 | 38.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,816.28 | $1,816.28 | 20.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,093.54 | $2,093.54 | 23.9× |
| X-ray exam entire spi 4/5 vw (72083) | $3,608.85 | $3,608.85 | 34.4× |
| X-ray exam hip uni 1 view (73501) | $1,998.65 | $1,998.65 | 22.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,256.64 | $2,256.64 | 25.8× |
| X-ray exam hip uni 4/> views (73503) | $1,920.59 | $1,920.59 | 18.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,487.93 | $2,487.93 | 23.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,073.59 | $3,073.59 | 29.3× |
| X-ray exam of femur 1 (73551) | $1,485.64 | $1,485.64 | 17.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $6,557.89 | $6,557.89 | 37.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,267.01 | $2,267.01 | 21.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,977.21 | $2,977.21 | 34.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,441.96 | $2,441.96 | 27.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $2,434.56 | $2,434.56 | 1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,937.87 | $1,937.87 | 22.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,541.99 | $1,541.99 | 17.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,990.58 | $2,990.58 | 28.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $4,124.81 | $4,124.81 | 47.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $2,149.20 | $2,149.20 | 24.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,275.91 | $2,275.91 | 21.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $5,086.77 | $5,086.77 | 48.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,154.34 | $2,154.34 | 20.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,863.73 | $1,863.73 | 21.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,176.57 | $2,176.57 | 24.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,837.84 | $2,837.84 | 27.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,646.58 | $2,646.58 | 25.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $10,538.87 | $10,538.87 | 30.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,412.32 | $2,412.32 | 27.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $4,995.15 | $4,995.15 | 47.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,412.39 | $3,412.39 | 32.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,302.60 | $2,302.60 | 21.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,126.18 | $2,126.18 | 24.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,449.39 | $2,449.39 | 28.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,656.29 | $3,656.29 | 41.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $2,237.36 | $2,237.36 | 25.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,093.67 | $4,093.67 | 39.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,194.38 | $2,194.38 | 20.9× |
| X-Ray Spine One View - Xr Spine (72020) | $911.84 | $911.84 | 10.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,316.08 | $1,316.08 | 15.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,189.90 | $2,189.90 | 25.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $759.13 | $759.13 | 7.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,963.05 | $1,963.05 | 22.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,961.59 | $1,961.59 | 22.4× |
| Xr c-spine 6 or more views (72052) | $4,615.58 | $4,615.58 | 43.9× |
| Xr finger(s) 2+ views (73140) | $1,694.71 | $1,694.71 | 19.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $3,229.27 | $3,229.27 | 30.7× |
| Xr shoulder 1 view (73020) | $1,917.10 | $1,917.10 | 21.9× |
| Xr spine cervical 4 or 5 views (72050) | $4,161.88 | $4,161.88 | 39.6× |
| Xr tibia/fibula 2 views (73590) | $2,237.36 | $2,237.36 | 25.6× |
| Xr tmj bilateral (70330) | $3,341.96 | $3,341.96 | 38.2× |
| Xray knee 1 or 2 views rt (73560) | $1,883.01 | $1,883.01 | 21.5× |