Imaging prices at HCA Houston Healthcare Pearland
Pearland, TX · every code in this section with a posted price and a Medicare benchmark.
232 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) | $2,296.26 | $2,296.26 | 21.9× |
| Acute gastrointestinal blood loss imaging (78278) | $7,857.50 | $7,857.50 | 19.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $20,232.68 | $20,232.68 | 6.4× |
| Angiography extremity bilateral rs&i (75716) | $21,665.60 | $21,665.60 | 6.8× |
| Angiography extremity unilateral rs&i (75710) | $21,722.42 | $21,722.42 | 6.8× |
| Angiography internal mammary rs&i (75756) | $9,624.31 | $9,624.31 | 3.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $2,118.88 | $2,118.88 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,800 | $8,800 | 2.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $15,200.84 | $15,200.84 | 2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $7,206.16 | $7,206.16 | 2.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,042.34 | $9,042.34 | 2.9× |
| Ankle 2 views (73600) | $3,648.81 | $3,648.81 | 41.7× |
| Aortogram thoracic (75605) | $7,723.06 | $7,723.06 | 1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $26,876.20 | $26,876.20 | 8.5× |
| Aortography abdominal serialography rs&i (75625) | $21,665.60 | $21,665.60 | 6.8× |
| Artery X-Rays Adrenal Gland (75731) | $12,462.50 | $12,462.50 | 3.9× |
| Arthrogram hip (73525) | $3,707.01 | $3,707.01 | 10.6× |
| Arthrogram shoulder (73040) | $4,228.07 | $4,228.07 | 12.1× |
| Bone &/joint imaging whole body (78306) | $9,108.85 | $9,108.85 | 22.7× |
| Bone age studies (77072) | $1,457.86 | $1,457.86 | 13.9× |
| Bone Imaging 3 Phase (78315) | $8,601.50 | $8,601.50 | 21.4× |
| Bone survey complete (77075) | $4,634.12 | $4,634.12 | 44.1× |
| Brain Imaging Vascular Flow Only (78610) | $5,025.70 | $5,025.70 | 9.2× |
| Cervical spine 2 or 3 views (72040) | $2,192.34 | $2,192.34 | 25.1× |
| Chest 1 view (71045) | $1,557.63 | $1,557.63 | 17.8× |
| Chest 3 views (71047) | $1,890.24 | $1,890.24 | 21.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,968.94 | $3,968.94 | 22.5× |
| Clavicle complete (73000) | $2,010.79 | $2,010.79 | 23.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,133.59 | $1,133.59 | 10.8× |
| CT abdomen and pelvis without and with contrast (74178) | $26,367.62 | $26,367.62 | 75.2× |
| CT abdomen and pelvis without contrast (74176) | $17,348.83 | $17,348.83 | 72.4× |
| CT abdomen w contrast (74160) | $11,829.19 | $11,829.19 | 67.1× |
| CT abdomen w wo contrast (74170) | $14,670.08 | $14,670.08 | 83.3× |
| CT abdomen w/o contrast (74150) | $8,996.62 | $8,996.62 | 85.7× |
| CT angio hrt w/3d image (75574) | $7,518.96 | $7,518.96 | 21.5× |
| CT angiography upper extremity lt (73206) | $13,119.36 | $13,119.36 | 74.5× |
| CT c-spine w/o contrast (72125) | $10,568.11 | $10,568.11 | 100.6× |
| CT cervical spine with contrast (72126) | $11,928.96 | $11,928.96 | 34.0× |
| CT chest w/wo contrast (71270) | $14,388.75 | $14,388.75 | 81.7× |
| CT chest with contrast (71260) | $12,111.89 | $12,111.89 | 68.7× |
| CT head/brain with contrast (70460) | $8,999.38 | $8,999.38 | 51.1× |
| CT head/brain without and with contrast (70470) | $12,135.45 | $12,135.45 | 68.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $629.86 | $629.86 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $272.08 | $272.08 | 3.1× |
| CT hrt w/3d image congen (75573) | $807.80 | $807.80 | 2.3× |
| CT iac w contrast (70481) | $9,133.81 | $9,133.81 | 51.8× |
| CT lower ext w/o (73700) | $6,054.56 | $6,054.56 | 57.7× |
| CT lower extremity w wo contrast (73702) | $6,004.67 | $6,004.67 | 34.1× |
| CT lower extremity with contrast (73701) | $6,304 | $6,304 | 35.8× |
| CT lumbar spine w/o contrast (72131) | $12,904.57 | $12,904.57 | 122.9× |
| CT lumbar spine with contrast (72132) | $13,575.30 | $13,575.30 | 38.7× |
| CT maxillofacial w contrast (70487) | $10,205.03 | $10,205.03 | 57.9× |
| CT maxillofacial w/o contrast (70486) | $8,389.63 | $8,389.63 | 79.9× |
| CT maxillofacial w/wo contrast (70488) | $10,907.63 | $10,907.63 | 61.9× |
| CT neck soft tissue w contrast (70491) | $9,333.36 | $9,333.36 | 53.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $8,549 | $8,549 | 48.5× |
| CT orbits w/o contrast (70480) | $7,152.11 | $7,152.11 | 68.1× |
| CT pelvis w & w/o contrast (72194) | $11,707.24 | $11,707.24 | 66.4× |
| CT pelvis w/o contrast (72192) | $8,350.83 | $8,350.83 | 79.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $10,241.06 | $10,241.06 | 58.1× |
| CT soft tissue neck w/o contrast (70490) | $8,657.09 | $8,657.09 | 82.4× |
| CT thoracic spine w/contrast (72129) | $14,539.81 | $14,539.81 | 82.5× |
| CT thoracic spine w/o contrast (72128) | $13,686.16 | $13,686.16 | 130.3× |
| CT thorax w/o contrast (71250) | $8,767.96 | $8,767.96 | 83.5× |
| CT upper extremity w/o & w/contrast material (73202) | $7,609.43 | $7,609.43 | 43.2× |
| CT upper extremity w/o contrast rt (73200) | $4,914.04 | $4,914.04 | 46.8× |
| CT upper extremity with contrast (73201) | $6,547.90 | $6,547.90 | 18.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $13,106.89 | $13,106.89 | 74.4× |
| Cta Abdomen (74175) | $13,119.36 | $13,119.36 | 74.5× |
| CTA abdomen pelvis (74174) | $13,264.87 | $13,264.87 | 37.8× |
| CTA chest (71275) | $13,119.36 | $13,119.36 | 74.5× |
| Cta Head (70496) | $12,723.02 | $12,723.02 | 72.2× |
| CTA lwr ext w&w/o contrast (73706) | $13,184.50 | $13,184.50 | 74.8× |
| Cta Neck (70498) | $12,723.02 | $12,723.02 | 72.2× |
| Cystography minimum 3 views rs&i (74430) | $3,975.86 | $3,975.86 | 11.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,164.61 | $2,164.61 | 20.6× |
| Esophagus (74220) | $4,187.89 | $4,187.89 | 23.8× |
| Fluoroscopy up to 1 hr (76000) | $3,549.04 | $3,549.04 | 14.8× |
| Foot 2 views (73620) | $1,407.97 | $1,407.97 | 16.1× |
| Forearm 2 views (73090) | $1,478.65 | $1,478.65 | 16.9× |
| Hand 2 views (73120) | $2,299.04 | $2,299.04 | 21.9× |
| Hand 3 views (73130) | $1,478.65 | $1,478.65 | 16.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $10,481.22 | $10,481.22 | 19.2× |
| Hepatobiliary syst imaging including gallbladder (78226) | $10,162.94 | $10,162.94 | 25.3× |
| Ht muscle image spect sing (78451) | $4,431.33 | $4,431.33 | 3.4× |
| Humerus Min 2 Views Left (73060) | $1,705.91 | $1,705.91 | 19.5× |
| Hysterosalpingogram (74740) | $4,146.31 | $4,146.31 | 17.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $7,842.55 | $7,842.55 | 14.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $8,583.83 | $8,583.83 | 15.7× |
| Knee 3 views (73562) | $2,394.66 | $2,394.66 | 27.4× |
| Lung Ventilation Imaging (78579) | $8,336.27 | $8,336.27 | 20.8× |
| Meckels Diverticulum (78290) | $2,834 | $2,834 | 7.1× |
| Mr safety determination physician/other qhp (76016) | $239.94 | $239.94 | 2.7× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $161.87 | $161.87 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $66.74 | $66.74 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $250.13 | $250.13 | 2.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $658.69 | $658.69 | 2.7× |
| MRA head w & w/o contrast (70546) | $15,278.96 | $15,278.96 | 43.6× |
| MRA head w/o contrast (70544) | $13,106.54 | $13,106.54 | 54.7× |
| MRA head with contrast (70545) | $13,106.54 | $13,106.54 | 37.4× |
| MRA neck w contrast (70548) | $9,285 | $9,285 | 26.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $18,152.95 | $18,152.95 | 51.8× |
| MRA neck w/o contrast (70547) | $13,106.54 | $13,106.54 | 54.7× |
| MRI abdomen w contrast (74182) | $13,106.54 | $13,106.54 | 37.4× |
| MRI abdomen w/o & w/contrast material (74183) | $18,152.95 | $18,152.95 | 51.8× |
| MRI abdomen w/o contrast (74181) | $13,106.54 | $13,106.54 | 54.7× |
| MRI any jnt lwr ext with con lt (73722) | $15,813.95 | $15,813.95 | 20.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $15,813.95 | $15,813.95 | 20.1× |
| MRI c-spine with contrast (72142) | $13,106.54 | $13,106.54 | 37.4× |
| MRI cervical spine w/o contrast (72141) | $13,106.54 | $13,106.54 | 54.7× |
| MRI chest w/o & w/contrast material (71552) | $18,152.95 | $18,152.95 | 51.8× |
| MRI chest w/o contrast (71550) | $13,110.77 | $13,110.77 | 54.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $15,161.08 | $15,161.08 | 43.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,309.79 | $13,309.79 | 38.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $15,566.92 | $15,566.92 | 64.9× |
| MRI orbit face &/neck w/o contrast (70540) | $13,110.77 | $13,110.77 | 54.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $18,152.95 | $18,152.95 | 51.8× |
| MRI pelvis w contrast (72196) | $9,182.33 | $9,182.33 | 26.2× |
| MRI pelvis w/o & w/contrast material (72197) | $18,152.95 | $18,152.95 | 51.8× |
| MRI pelvis w/o contrast (72195) | $13,106.54 | $13,106.54 | 54.7× |
| MRI scan of arm joint before and after contrast (73223) | $18,152.95 | $18,152.95 | 51.8× |
| MRI scan of leg joint before and after contrast (73723) | $17,403.40 | $17,403.40 | 49.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $18,152.95 | $18,152.95 | 51.8× |
| MRI spinal canal lumbar w/contrast material (72149) | $13,106.54 | $13,106.54 | 37.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $18,152.95 | $18,152.95 | 51.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $13,106.54 | $13,106.54 | 37.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $18,152.95 | $18,152.95 | 51.8× |
| MRI thoracic spine w/o contrast (72146) | $13,106.54 | $13,106.54 | 54.7× |
| MRI tmj (70336) | $13,309.79 | $13,309.79 | 55.5× |
| MRI upper ext joint w/o contrast (73221) | $15,566.92 | $15,566.92 | 64.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $18,152.95 | $18,152.95 | 51.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $15,566.92 | $15,566.92 | 64.9× |
| Myelogram Lumbar (72265) | $6,369.14 | $6,369.14 | 8.1× |
| Myocardial infarct spect (78469) | $7,076.78 | $7,076.78 | 13.0× |
| Myocardial Spect Multiple Studies (78452) | $19,262.26 | $19,262.26 | 14.8× |
| Neck soft tissue (70360) | $1,450.94 | $1,450.94 | 16.6× |
| Nm cisternogram (78630) | $7,539.78 | $7,539.78 | 13.8× |
| Nm gastric emptying study (78264) | $9,515.52 | $9,515.52 | 23.7× |
| Nuclear medicine study of kidney and blood flow (78701) | $3,925.36 | $3,925.36 | 9.8× |
| Osseous survey infant (77076) | $2,315.68 | $2,315.68 | 22.0× |
| Parathyrd planar w/wo subtrj (78071) | $8,223.38 | $8,223.38 | 20.5× |
| Parathyroid imaging (78070) | $8,256.03 | $8,256.03 | 20.6× |
| Pelvis 1 or 2 views (72170) | $2,014.96 | $2,014.96 | 19.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $18,152.95 | $18,152.95 | 51.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,325.40 | $8,325.40 | 20.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $17,149.96 | $17,149.96 | 31.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,256.63 | $3,256.63 | 31.0× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,620 | $1,620 | 15.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,213.67 | $3,213.67 | 30.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,883.30 | $1,883.30 | 21.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,440.39 | $2,440.39 | 23.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,705.91 | $1,705.91 | 19.5× |
| Radiologic exam colon single contrast study (74270) | $4,286.27 | $4,286.27 | 24.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,084.79 | $3,084.79 | 17.5× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,982.79 | $3,982.79 | 22.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,884.70 | $1,884.70 | 21.6× |
| Radiological examination surgical specimen (76098) | $849.50 | $849.50 | 1.5× |
| Ribs bilateral 3 views (71110) | $3,792.94 | $3,792.94 | 36.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,785.41 | $7,785.41 | 14.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,303.60 | $4,303.60 | 7.9× |
| Scapula complete (73010) | $2,052.38 | $2,052.38 | 19.5× |
| Screening digital breast tomosynthesis (77063) | $122.19 | $122.19 | 5.2× |
| Small bowel series (74250) | $3,941.22 | $3,941.22 | 22.4× |
| Spine thoracic 3 views (72072) | $2,926.81 | $2,926.81 | 27.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $9,074.83 | $9,074.83 | 22.6× |
| Ultrasound, abdomen limited (76705) | $4,854.81 | $4,854.81 | 46.2× |
| Unlisted Ultrasound Procedure (76999) | $2,949.13 | $2,949.13 | 33.7× |
| Upper Extremity Infant (73092) | $976.99 | $976.99 | 9.3× |
| Urethrocystography retrograde rs&i (74450) | $1,690.68 | $1,690.68 | 7.1× |
| Urethrocystography voiding (74455) | $4,657.67 | $4,657.67 | 19.4× |
| Us breast unilateral complete (76641) | $2,754.18 | $2,754.18 | 26.2× |
| Us breast unilateral limited (76642) | $2,754.18 | $2,754.18 | 31.5× |
| Us chest (76604) | $1,967.46 | $1,967.46 | 18.7× |
| Us compl joint r-t w/image documentation (76881) | $1,549.39 | $1,549.39 | 14.8× |
| Us ob transvaginal (76817) | $2,942.28 | $2,942.28 | 28.0× |
| Us pelvic non ob complete (76856) | $4,825.98 | $4,825.98 | 46.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,778.81 | $3,778.81 | 36.0× |
| Us pregnancy ltd (76815) | $3,358.28 | $3,358.28 | 32.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $5,239.24 | $5,239.24 | 49.9× |
| Us retroperitoneal complete (76770) | $5,450.69 | $5,450.69 | 51.9× |
| Us retroperitoneal limited (76775) | $3,105.65 | $3,105.65 | 29.6× |
| Us scrotum and contents (76870) | $3,790.76 | $3,790.76 | 36.1× |
| Us soft tissue head/neck (76536) | $4,293.28 | $4,293.28 | 40.9× |
| Us transrectal (76872) | $3,326.70 | $3,326.70 | 31.7× |
| Us xtr non-vasc lmtd (76882) | $4,589.84 | $4,589.84 | 43.7× |
| Vascular flow imaging (78445) | $7,040.07 | $7,040.07 | 17.5× |
| Venogram extremity bilateral (75822) | $9,944.50 | $9,944.50 | 6.3× |
| Venography caval inferior serialography rs&i (75825) | $7,473.61 | $7,473.61 | 2.4× |
| Venography caval superior serialography rs&i (75827) | $6,868.02 | $6,868.02 | 4.3× |
| Venography extremity unilateral rs&i (75820) | $3,846.98 | $3,846.98 | 2.4× |
| Venography Renal Bilateral (75833) | $15,814.75 | $15,814.75 | 5.0× |
| Venography renal unilateral selective rs&i (75831) | $3,846.98 | $3,846.98 | 1.2× |
| Wrist 2 views (73100) | $2,285.18 | $2,285.18 | 26.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,836.73 | $2,836.73 | 27.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,823.71 | $1,823.71 | 20.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,086.44 | $6,086.44 | 34.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,783.52 | $1,783.52 | 20.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,154.92 | $2,154.92 | 24.7× |
| X-ray exam entire spi 4/5 vw (72083) | $3,456.18 | $3,456.18 | 32.9× |
| X-ray exam hip uni 1 view (73501) | $1,121.10 | $1,121.10 | 12.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,348.94 | $2,348.94 | 26.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,698.15 | $2,698.15 | 25.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,883.86 | $2,883.86 | 27.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,326.21 | $1,326.21 | 15.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,672.66 | $1,672.66 | 19.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,509.14 | $1,509.14 | 17.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $976.99 | $976.99 | 11.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,978.93 | $1,978.93 | 18.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $4,388.83 | $4,388.83 | 41.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,798.76 | $1,798.76 | 17.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,528.53 | $1,528.53 | 17.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,743.12 | $1,743.12 | 16.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,031.58 | $2,031.58 | 23.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,562.34 | $2,562.34 | 24.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,374.97 | $4,374.97 | 41.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,001.63 | $3,001.63 | 28.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,084.24 | $2,084.24 | 23.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,310.12 | $2,310.12 | 26.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,150.76 | $2,150.76 | 24.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,623.86 | $3,623.86 | 34.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,562.34 | $2,562.34 | 24.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,129.98 | $2,129.98 | 24.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,926.81 | $2,926.81 | 27.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,528.53 | $1,528.53 | 17.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,771.05 | $1,771.05 | 20.3× |
| Xr c-spine 6 or more views (72052) | $2,192.34 | $2,192.34 | 20.9× |
| Xr finger(s) 2+ views (73140) | $1,376.09 | $1,376.09 | 15.7× |
| Xr shoulder 1 view (73020) | $1,798.76 | $1,798.76 | 20.6× |
| Xr spine cervical 4 or 5 views (72050) | $3,413.22 | $3,413.22 | 32.5× |
| Xr tibia/fibula 2 views (73590) | $2,310.12 | $2,310.12 | 26.4× |
| Xr tmj bilateral (70330) | $5,613.87 | $5,613.87 | 64.2× |
| Xray knee 1 or 2 views rt (73560) | $1,620 | $1,620 | 18.5× |