Imaging prices at HCA Houston Healthcare Southeast
Pasadena, TX · every code in this section with a posted price and a Medicare benchmark.
402 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) | $28,575.92 | $28,575.92 | 20.6× |
| Abdomen 2 views (74019) | $2,709.88 | $2,709.88 | 25.8× |
| Acute gastrointestinal blood loss imaging (78278) | $8,670.03 | $8,670.03 | 21.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $19,132.28 | $19,132.28 | 6.0× |
| Angiography extremity bilateral rs&i (75716) | $20,723.62 | $20,723.62 | 6.5× |
| Angiography extremity unilateral rs&i (75710) | $13,354.53 | $13,354.53 | 4.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $17,461.64 | $17,461.64 | 3.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $19,132.28 | $19,132.28 | 6.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $15,170.92 | $15,170.92 | 4.8× |
| Angiography Spinal Selective Rs&I (75705) | $19,132.28 | $19,132.28 | 3.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $20,765.14 | $20,765.14 | 3.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $9,060.86 | $9,060.86 | 2.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $12,061.50 | $12,061.50 | 3.8× |
| Ankle 2 views (73600) | $1,152.52 | $1,152.52 | 13.2× |
| Antegrade urography radiological supvj & interpj (74425) | $5,338.18 | $5,338.18 | 15.2× |
| Aortogram thoracic (75605) | $16,800.03 | $16,800.03 | 3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $17,329.46 | $17,329.46 | 5.5× |
| Aortography abdominal serialography rs&i (75625) | $20,723.62 | $20,723.62 | 6.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $19,132.28 | $19,132.28 | 6.0× |
| Artery X-Rays Adrenal Gland (75731) | $17,769.78 | $17,769.78 | 5.6× |
| Arthrogram elbow (73085) | $4,141.85 | $4,141.85 | 11.8× |
| Arthrogram hip (73525) | $5,300.41 | $5,300.41 | 15.1× |
| Arthrogram shoulder (73040) | $5,300.41 | $5,300.41 | 15.1× |
| Arthrogram wrist (73115) | $4,853.30 | $4,853.30 | 13.8× |
| Arthrography knee lt (73580) | $5,300.41 | $5,300.41 | 15.1× |
| Basic radiation dosimetry calculation (77300) | $2,881.68 | $2,881.68 | 21.3× |
| Bone &/Joint Imaging Limited Area (78300) | $7,800.42 | $7,800.42 | 19.4× |
| Bone &/Joint Imaging Multiple Areas (78305) | $2,453.03 | $2,453.03 | 6.1× |
| Bone &/joint imaging whole body (78306) | $7,358.42 | $7,358.42 | 18.3× |
| Bone age studies (77072) | $1,040.75 | $1,040.75 | 9.9× |
| Bone Imaging 3 Phase (78315) | $4,312.65 | $4,312.65 | 10.7× |
| Bone survey complete (77075) | $1,299.06 | $1,299.06 | 12.4× |
| Brachytx isodose complex (77318) | $6,537.53 | $6,537.53 | 17.4× |
| Brachytx isodose intermed (77317) | $5,771.47 | $5,771.47 | 15.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $5,771.47 | $5,771.47 | 15.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $7,298.57 | $7,298.57 | 13.4× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) | $3,706.25 | $3,706.25 | 335.1× |
| Cardiac shunt detection (78428) | $7,111.11 | $7,111.11 | 17.7× |
| Cervical spine 2 or 3 views (72040) | $1,802.06 | $1,802.06 | 20.6× |
| Chest 1 view (71045) | $1,771.85 | $1,771.85 | 20.3× |
| Chest 3 views (71047) | $2,312.61 | $2,312.61 | 26.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,490.82 | $3,490.82 | 19.8× |
| Cisternography Positive Contrast Rs&I (70015) | $5,042.11 | $5,042.11 | 6.4× |
| Clavicle complete (73000) | $1,619.29 | $1,619.29 | 18.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,040.28 | $1,040.28 | 9.9× |
| Continuing medical physics consltj pr wk (77336) | $2,896.73 | $2,896.73 | 21.5× |
| CT abdomen and pelvis without and with contrast (74178) | $39,867.27 | $39,867.27 | 113.8× |
| CT abdomen and pelvis without contrast (74176) | $30,027.19 | $30,027.19 | 125.3× |
| CT abdomen w contrast (74160) | $18,228.49 | $18,228.49 | 103.5× |
| CT abdomen w wo contrast (74170) | $19,405.41 | $19,405.41 | 110.1× |
| CT abdomen w/o contrast (74150) | $17,173.50 | $17,173.50 | 163.5× |
| CT angio hrt w/3d image (75574) | $3,651.27 | $3,651.27 | 10.4× |
| CT angiography upper extremity lt (73206) | $14,624.22 | $14,624.22 | 83.0× |
| CT c-spine w/o contrast (72125) | $19,136.53 | $19,136.53 | 182.2× |
| CT cervical spine w&w/o contrast (72127) | $21,812.18 | $21,812.18 | 123.8× |
| CT cervical spine with contrast (72126) | $19,903.50 | $19,903.50 | 56.8× |
| CT chest w/wo contrast (71270) | $2,134.93 | $2,134.93 | 12.1× |
| CT chest with contrast (71260) | $18,325.46 | $18,325.46 | 104.0× |
| CT head/brain with contrast (70460) | $14,461.14 | $14,461.14 | 82.1× |
| CT head/brain without and with contrast (70470) | $17,317.51 | $17,317.51 | 98.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,651.27 | $3,651.27 | 10.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $675.89 | $675.89 | 7.7× |
| CT hrt w/3d image congen (75573) | $3,651.27 | $3,651.27 | 10.4× |
| CT iac w contrast (70481) | $8,115.10 | $8,115.10 | 46.1× |
| CT limited/localized follow up study (76380) | $7,425.99 | $7,425.99 | 84.9× |
| CT lower ext w/o (73700) | $11,111.07 | $11,111.07 | 105.8× |
| CT lower extremity w wo contrast (73702) | $12,700.88 | $12,700.88 | 72.1× |
| CT lower extremity with contrast (73701) | $11,751.69 | $11,751.69 | 66.7× |
| CT lumbar spine w & w/o contrast (72133) | $18,266.68 | $18,266.68 | 103.7× |
| CT lumbar spine w/o contrast (72131) | $16,205.23 | $16,205.23 | 154.3× |
| CT lumbar spine with contrast (72132) | $16,455 | $16,455 | 47.0× |
| CT maxillofacial w contrast (70487) | $13,623.61 | $13,623.61 | 77.3× |
| CT maxillofacial w/o contrast (70486) | $13,623.61 | $13,623.61 | 129.7× |
| CT maxillofacial w/wo contrast (70488) | $13,623.61 | $13,623.61 | 77.3× |
| CT neck soft tissue w contrast (70491) | $16,936.95 | $16,936.95 | 96.1× |
| CT orbits w/o contrast (70480) | $11,220.52 | $11,220.52 | 106.8× |
| CT pelvis w & w/o contrast (72194) | $14,461.14 | $14,461.14 | 82.1× |
| CT pelvis w/o contrast (72192) | $12,861.03 | $12,861.03 | 122.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $20,867.39 | $20,867.39 | 118.4× |
| CT soft tissue neck w/o contrast (70490) | $13,691.20 | $13,691.20 | 130.4× |
| CT thoracic spine w/contrast (72129) | $21,400.77 | $21,400.77 | 121.5× |
| CT thoracic spine w/o contrast (72128) | $19,550.88 | $19,550.88 | 186.2× |
| CT thorax w/o contrast (71250) | $14,832.86 | $14,832.86 | 141.2× |
| CT unlisted procedure (76497) | $6,879.87 | $6,879.87 | 78.7× |
| CT upper extremity w/o & w/contrast material (73202) | $13,749.97 | $13,749.97 | 78.0× |
| CT upper extremity w/o contrast rt (73200) | $12,592.14 | $12,592.14 | 119.9× |
| CT upper extremity with contrast (73201) | $13,079.96 | $13,079.96 | 37.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,689.85 | $18,689.85 | 106.1× |
| Cta Abdomen (74175) | $15,814.38 | $15,814.38 | 89.8× |
| CTA abdomen pelvis (74174) | $17,461.49 | $17,461.49 | 49.8× |
| CTA chest (71275) | $7,173.25 | $7,173.25 | 40.7× |
| Cta Head (70496) | $18,509.13 | $18,509.13 | 105.0× |
| CTA lwr ext w&w/o contrast (73706) | $15,082.66 | $15,082.66 | 85.6× |
| Cta Neck (70498) | $18,509.13 | $18,509.13 | 105.0× |
| Cta Pelvis (72191) | $15,463.21 | $15,463.21 | 87.8× |
| Cystography minimum 3 views rs&i (74430) | $3,924.34 | $3,924.34 | 11.2× |
| Dacryocystography (70170) | $5,070.83 | $5,070.83 | 21.2× |
| Diskogram cervical (72285) | $6,323.04 | $6,323.04 | 3.2× |
| Diskography lumbar (72295) | $6,206.73 | $6,206.73 | 3.2× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,563.40 | $1,563.40 | 14.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $649.53 | $649.53 | 7.4× |
| Echoencephalography real time imaging (76506) | $3,140.32 | $3,140.32 | 29.9× |
| Esophagus (74220) | $2,869.99 | $2,869.99 | 16.3× |
| Fetal biophysical profile non-stress testing (76818) | $1,776.24 | $1,776.24 | 16.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,355.17 | $1,355.17 | 12.9× |
| Fluoroscopy up to 1 hr (76000) | $2,288.44 | $2,288.44 | 9.5× |
| Foot 2 views (73620) | $1,421.41 | $1,421.41 | 16.3× |
| Forearm 2 views (73090) | $1,614.75 | $1,614.75 | 18.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $4,410 | $4,410 | 8.1× |
| Gated Heart Planar Single (78472) | $7,915.81 | $7,915.81 | 19.7× |
| Hand 2 views (73120) | $1,205.41 | $1,205.41 | 11.5× |
| Hand 3 views (73130) | $1,859.45 | $1,859.45 | 21.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $6,949.58 | $6,949.58 | 9.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $6,949.58 | $6,949.58 | 9.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) | $6,949.58 | $6,949.58 | 9.9× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) | $1,939.64 | $1,939.64 | 5.0× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) | $1,939.64 | $1,939.64 | 5.0× |
| Heart infarct image w ef (78468) | $9,150.26 | $9,150.26 | 16.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $12,880.22 | $12,880.22 | 4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $4,407.12 | $4,407.12 | 8.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,407.12 | $4,407.12 | 11.0× |
| Ht muscle image spect sing (78451) | $11,516.78 | $11,516.78 | 8.9× |
| Humerus Min 2 Views Left (73060) | $1,525.63 | $1,525.63 | 17.5× |
| Hysterosalpingogram (74740) | $4,243.05 | $4,243.05 | 17.7× |
| Image fusion (77399) | $1,466.20 | $1,466.20 | 10.9× |
| Interstitial radiation source applic complex (77778) | $61,577.12 | $61,577.12 | 88.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $61,577.12 | $61,577.12 | 88.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $61,577.12 | $61,577.12 | 110.9× |
| Intracavitary radiation source applic simple (77761) | $61,577.12 | $61,577.12 | 110.9× |
| Intraop radiaj tx deliver xray single tx session (77424) unusually low: confirm this is the full procedure |
$2,375.04 | $2,375.04 | 0.3× |
| Io rad tx deliver by elctrns (77425) unusually low: confirm this is the full procedure |
$2,375.04 | $2,375.04 | 0.3× |
| Kidney imaging morphology (78700) | $2,900.10 | $2,900.10 | 7.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,061.01 | $4,061.01 | 7.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $9,179.10 | $9,179.10 | 16.8× |
| Knee 3 views (73562) | $1,265.80 | $1,265.80 | 14.5× |
| Liver & spleen imaging static only (78215) | $7,875.42 | $7,875.42 | 19.6× |
| Liver imaging static only (78201) | $2,900.10 | $2,900.10 | 5.3× |
| Lung perf&ventilat diferentl (78598) | $4,748.91 | $4,748.91 | 8.7× |
| Lung perfusion differential (78597) | $3,039.99 | $3,039.99 | 7.6× |
| Lung Ventilation Imaging (78579) | $3,039.99 | $3,039.99 | 7.6× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $1,509.01 | $1,509.01 | 0.5× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) | $5,380.48 | $5,380.48 | 8.5× |
| Lymphangiography extremity only bilateral rs&i (75803) | $8,294.28 | $8,294.28 | 5.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $1,120.80 | $1,120.80 | 0.4× |
| Lymphoscintigraphy (78195) | $9,965.05 | $9,965.05 | 18.3× |
| Mammary ductogram or galactogram multiple (77054) | $2,161.56 | $2,161.56 | 9.0× |
| Mammary ductogram or galactogram single (77053) | $2,979.50 | $2,979.50 | 12.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $1,477.29 | $1,477.29 | 16.9× |
| Meckels Diverticulum (78290) | $7,581.22 | $7,581.22 | 18.9× |
| Mlc imrt design & construction per imrt plan (77338) | $2,966.73 | $2,966.73 | 7.9× |
| Mr safety determination physician/other qhp (76016) | $427.92 | $427.92 | 4.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $267.30 | $267.30 | 4.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $119.02 | $119.02 | 4.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $446.09 | $446.09 | 4.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,174.76 | $1,174.76 | 4.9× |
| MRA head w & w/o contrast (70546) | $26,813.05 | $26,813.05 | 76.5× |
| MRA head w/o contrast (70544) | $16,499.75 | $16,499.75 | 68.8× |
| MRA head with contrast (70545) | $19,092.93 | $19,092.93 | 54.5× |
| MRA neck w contrast (70548) | $18,675.23 | $18,675.23 | 53.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $25,538.55 | $25,538.55 | 72.9× |
| MRA neck w/o contrast (70547) | $23,715.24 | $23,715.24 | 98.9× |
| MRI abdomen w contrast (74182) | $22,125.19 | $22,125.19 | 63.1× |
| MRI abdomen w/o & w/contrast material (74183) | $23,324.97 | $23,324.97 | 66.6× |
| MRI abdomen w/o contrast (74181) | $14,363.92 | $14,363.92 | 59.9× |
| MRI any jnt lwr ext with con lt (73722) | $9,384.87 | $9,384.87 | 11.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $22,233.42 | $22,233.42 | 28.2× |
| MRI bone marrow blood supply (77084) | $10,939.87 | $10,939.87 | 45.6× |
| MRI breast w/o contrast bilateral (77047) | $16,670.49 | $16,670.49 | 69.6× |
| MRI c-spine with contrast (72142) | $26,508.15 | $26,508.15 | 75.6× |
| MRI cervical spine w/o contrast (72141) | $18,434.37 | $18,434.37 | 76.9× |
| MRI chest w/o & w/contrast material (71552) | $19,907.02 | $19,907.02 | 56.8× |
| MRI chest w/o contrast (71550) | $20,495.48 | $20,495.48 | 85.5× |
| MRI chest with contrast (71551) | $29,305.63 | $29,305.63 | 37.2× |
| MRI fetal sngl/1st gestation (74712) | $2,861.50 | $2,861.50 | 11.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $17,185.78 | $17,185.78 | 49.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $20,946.73 | $20,946.73 | 59.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $19,721.03 | $19,721.03 | 82.3× |
| MRI orbit face &/neck w/o contrast (70540) | $12,705.26 | $12,705.26 | 53.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $22,445.34 | $22,445.34 | 64.0× |
| MRI orbit/face/neck w/contrast (70542) | $18,419.11 | $18,419.11 | 52.6× |
| MRI pelvis w contrast (72196) | $14,194.70 | $14,194.70 | 40.5× |
| MRI pelvis w/o & w/contrast material (72197) | $25,184.88 | $25,184.88 | 71.9× |
| MRI pelvis w/o contrast (72195) | $14,344.08 | $14,344.08 | 59.8× |
| MRI scan of arm joint before and after contrast (73223) | $23,120.68 | $23,120.68 | 66.0× |
| MRI scan of leg joint before and after contrast (73723) | $28,368.04 | $28,368.04 | 80.9× |
| MRI spectroscopy (76390) | $9,355.90 | $9,355.90 | 107.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $29,979.46 | $29,979.46 | 85.5× |
| MRI spinal canal lumbar w/contrast material (72149) | $25,802.29 | $25,802.29 | 73.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $29,180.61 | $29,180.61 | 83.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $13,034.55 | $13,034.55 | 37.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $28,834.54 | $28,834.54 | 82.3× |
| MRI thoracic spine w/o contrast (72146) | $15,391.45 | $15,391.45 | 64.2× |
| MRI tmj (70336) | $28,861.22 | $28,861.22 | 120.4× |
| MRI upper ext joint w/o contrast (73221) | $23,335.65 | $23,335.65 | 97.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $23,335.65 | $23,335.65 | 66.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,694.27 | $8,694.27 | 36.3× |
| Myelogram Cervical (72240) | $9,561.61 | $9,561.61 | 12.1× |
| Myelogram Lumbar (72265) | $7,831.30 | $7,831.30 | 9.9× |
| Myelogram thoracic (72255) | $8,028.42 | $8,028.42 | 10.2× |
| Myelography 2 or more regions (72270) | $12,250.33 | $12,250.33 | 15.6× |
| Myocardial Spect Multiple Studies (78452) | $18,355.32 | $18,355.32 | 14.1× |
| Neck soft tissue (70360) | $1,288.47 | $1,288.47 | 14.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $11,622.05 | $11,622.05 | 30.0× |
| Nm cisternogram (78630) | $6,150.64 | $6,150.64 | 11.3× |
| Nm gastric emptying study (78264) | $6,436.19 | $6,436.19 | 16.0× |
| Nm gastroesophageal reflux study (78262) | $5,700.71 | $5,700.71 | 14.2× |
| Nm peritoneal-venous shunt patency (78291) | $7,142.82 | $7,142.82 | 17.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $21,056.82 | $21,056.82 | 15.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) | $24,385.61 | $24,385.61 | 17.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $12,219.09 | $12,219.09 | 9.4× |
| Nuclear medicine of heart pumping function (78473) | $12,219.09 | $12,219.09 | 30.4× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) | $24,385.61 | $24,385.61 | 17.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $14,464.46 | $14,464.46 | 11.1× |
| Nuclear medicine study of kidney and blood flow (78701) | $8,107.61 | $8,107.61 | 20.2× |
| Nuclear medicine study of limited area for thyroid cancer (78015) | $2,584.28 | $2,584.28 | 6.4× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $3,321.20 | $3,321.20 | 8.3× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $8,646.96 | $8,646.96 | 21.5× |
| Nuclear Rx Oral Admin (79005) | $8,139.34 | $8,139.34 | 34.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,355.17 | $1,355.17 | 12.9× |
| Osseous survey infant (77076) | $1,122.31 | $1,122.31 | 10.7× |
| Osseous survey limited (77074) | $1,261.29 | $1,261.29 | 12.0× |
| Parathyrd planar w/spect&CT (78072) | $4,395.60 | $4,395.60 | 8.1× |
| Parathyrd planar w/wo subtrj (78071) | $4,395.60 | $4,395.60 | 10.9× |
| Parathyroid imaging (78070) | $3,401.97 | $3,401.97 | 8.5× |
| Pelvis 1 or 2 views (72170) | $1,643.45 | $1,643.45 | 15.6× |
| Peritoneogram rs&i (74190) | $1,785.43 | $1,785.43 | 3.3× |
| PET image w/CT, skull-thigh (78815) | $37,319.02 | $37,319.02 | 26.0× |
| PET imaging CT for attenuation limited area (78814) | $37,319.02 | $37,319.02 | 26.0× |
| PET imaging for CT attenuation whole body (78816) | $37,319.02 | $37,319.02 | 26.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $29,782.78 | $29,782.78 | 85.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,405.98 | $10,405.98 | 3.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $12,969.34 | $12,969.34 | 4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,437.02 | $7,437.02 | 18.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $4,239.84 | $4,239.84 | 7.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,348.11 | $2,348.11 | 4.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $628.38 | $628.38 | 7.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,039.23 | $1,039.23 | 9.9× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,039.23 | $1,039.23 | 9.9× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,995.37 | $2,995.37 | 28.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,981.80 | $1,981.80 | 18.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $82,829.70 | $82,829.70 | 11.2× |
| Radiation treatment delivery 1 mev >= complex (77412) | $2,018.09 | $2,018.09 | 3.6× |
| Radiation treatment delivery 1 mev >= simple (77402) | $1,044.74 | $1,044.74 | 10.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $1,044.74 | $1,044.74 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,377.56 | $2,377.56 | 22.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,178.18 | $2,178.18 | 24.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,241.58 | $3,241.58 | 30.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,199.31 | $2,199.31 | 25.2× |
| Radiologic exam colon single contrast study (74270) | $4,493.80 | $4,493.80 | 25.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,694.77 | $2,694.77 | 15.3× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,619.24 | $2,619.24 | 14.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $628.38 | $628.38 | 7.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $984.85 | $984.85 | 11.3× |
| Radiological examination surgical specimen (76098) | $2,809.56 | $2,809.56 | 5.1× |
| Review by radiologist of adrenal gland vein image (75840) | $11,567.58 | $11,567.58 | 3.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $12,880.22 | $12,880.22 | 4.1× |
| Ribs bilateral 3 views (71110) | $2,154.01 | $2,154.01 | 20.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,640.96 | $6,640.96 | 16.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $14,013.09 | $14,013.09 | 25.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $7,552.39 | $7,552.39 | 13.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,164.01 | $3,164.01 | 2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,164.01 | $3,164.01 | 2.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $3,164.01 | $3,164.01 | 2.4× |
| Rp therapy intra-arterial particulate admn (79445) | $1,382.29 | $1,382.29 | 5.9× |
| Rp Therapy Intravenous Administration (79101) | $5,276.71 | $5,276.71 | 22.5× |
| Sacroiliac Joints < 3 Views (72200) | $1,987.86 | $1,987.86 | 18.9× |
| Salivary gland imaging serial images (78231) | $3,329.85 | $3,329.85 | 8.3× |
| Scanogram (77073) | $2,505.96 | $2,505.96 | 23.9× |
| Scapula complete (73010) | $1,643.45 | $1,643.45 | 15.6× |
| Screening digital breast tomosynthesis (77063) | $1,888.94 | $1,888.94 | 80.8× |
| Sella turcica (70240) | $756.78 | $756.78 | 8.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $3,397.16 | $3,397.16 | 32.3× |
| Sialogram (70390) | $4,074.64 | $4,074.64 | 17.0× |
| Simulation intermediate (77285) | $5,771.47 | $5,771.47 | 15.3× |
| Small bowel series (74250) | $3,924.34 | $3,924.34 | 22.3× |
| Spec medical radj physics consltj (77370) | $3,742.02 | $3,742.02 | 27.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $5,771.47 | $5,771.47 | 15.3× |
| Special dosimetry (77331) | $2,550.76 | $2,550.76 | 18.9× |
| Special treatment procedure (77470) | $10,576.13 | $10,576.13 | 19.1× |
| Speech evaluation complex (70371) | $3,113.19 | $3,113.19 | 13.0× |
| Spine thoracic 3 views (72072) | $2,373.02 | $2,373.02 | 22.6× |
| Spleen imaging only (78185) | $1,507.01 | $1,507.01 | 3.8× |
| Splenoportograpy rs&i (75810) | $5,894.06 | $5,894.06 | 1.9× |
| Stereotactic body radiation delivery (77373) | $16,221.63 | $16,221.63 | 9.0× |
| Superior sagittal sinus venogram (75870) | $10,405.98 | $10,405.98 | 3.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,010.92 | $5,010.92 | 13.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,763.55 | $2,763.55 | 7.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $5,120.67 | $5,120.67 | 21.4× |
| Testicular Imaging With Vascular Flow (78761) | $6,493.86 | $6,493.86 | 16.2× |
| Ther rad simulaj-aided field setting complex (77290) | $7,044.10 | $7,044.10 | 18.7× |
| Ther rad simulaj-aided field setting simple (77280) | $3,498.03 | $3,498.03 | 25.9× |
| Thyroid carcinoma metastases img addl study (78016) | $3,615.39 | $3,615.39 | 9.0× |
| Thyroid carcinoma metastases img whole body (78018) | $10,533.25 | $10,533.25 | 19.3× |
| Thyroid Imaging With Vascular Flow (78013) | $2,047.80 | $2,047.80 | 5.1× |
| Thyroid uptake measurement (78012) | $1,557.48 | $1,557.48 | 3.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,181.33 | $3,181.33 | 7.9× |
| Tomogram (76100) | $1,007.52 | $1,007.52 | 9.6× |
| Treatment device intermediate (77333) | $4,667.70 | $4,667.70 | 34.6× |
| Treatment devices simple (77332) | $4,667.70 | $4,667.70 | 34.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $5,008.48 | $5,008.48 | 12.5× |
| Tx devices design & construction complex (77334) | $5,888.17 | $5,888.17 | 15.7× |
| Ultrasound, abdomen limited (76705) | $3,434.86 | $3,434.86 | 32.7× |
| Umbilical-artery Doppler (OB) (76820) | $1,063.09 | $1,063.09 | 10.1× |
| Unlisted magnetic resonance procedure (76498) | $13,174.80 | $13,174.80 | 150.7× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $5,592.54 | $5,592.54 | 54.6× |
| Upper Extremity Infant (73092) | $1,217.47 | $1,217.47 | 11.6× |
| Urea breath test, C-14 (isotopic); analysis (78268) | $2,296.56 | $2,296.56 | 24.3× |
| Urethrocystography retrograde rs&i (74450) | $3,869.96 | $3,869.96 | 16.1× |
| Urethrocystography voiding (74455) | $3,761.20 | $3,761.20 | 15.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $4,821.58 | $4,821.58 | 27.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $5,001.34 | $5,001.34 | 28.4× |
| Us abdl aorta screen aaa (76706) | $1,051.21 | $1,051.21 | 10.0× |
| Us breast unilateral complete (76641) | $944.47 | $944.47 | 9.0× |
| Us breast unilateral limited (76642) | $944.47 | $944.47 | 10.8× |
| Us chest (76604) | $2,426.63 | $2,426.63 | 23.1× |
| Us compl joint r-t w/image documentation (76881) | $3,921.68 | $3,921.68 | 37.3× |
| Us guided compression repair (76936) | $1,881.52 | $1,881.52 | 8.7× |
| Us infant hips dynamic (76885) | $1,018.60 | $1,018.60 | 11.7× |
| Us ob detailed single fetus (76811) | $3,294.52 | $3,294.52 | 13.7× |
| Us ob transvaginal (76817) | $1,355.17 | $1,355.17 | 12.9× |
| Us pelvic non ob complete (76856) | $3,192.21 | $3,192.21 | 30.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,344.79 | $1,344.79 | 12.8× |
| Us pregnancy ltd (76815) | $1,550.88 | $1,550.88 | 14.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,435.23 | $1,435.23 | 13.7× |
| Us retroperitoneal complete (76770) | $3,862.38 | $3,862.38 | 36.8× |
| Us retroperitoneal limited (76775) | $3,924.65 | $3,924.65 | 37.4× |
| Us scrotum and contents (76870) | $3,066.18 | $3,066.18 | 29.2× |
| Us soft tissue head/neck (76536) | $3,016.08 | $3,016.08 | 28.7× |
| Us spinal canal and contents (76800) | $1,493.07 | $1,493.07 | 14.2× |
| Us transrectal (76872) | $2,687.34 | $2,687.34 | 25.6× |
| Us transrectal prostate volume (76873) | $1,475.26 | $1,475.26 | 14.0× |
| Us xtr non-vasc lmtd (76882) | $2,161.74 | $2,161.74 | 20.6× |
| Venogram extremity bilateral (75822) | $6,831.34 | $6,831.34 | 4.3× |
| Venogram orbital (75880) | $10,405.98 | $10,405.98 | 16.5× |
| Venography caval inferior serialography rs&i (75825) | $11,287.37 | $11,287.37 | 3.6× |
| Venography caval superior serialography rs&i (75827) | $12,775.24 | $12,775.24 | 8.1× |
| Venography epidural rs&i (75872) | $10,405.98 | $10,405.98 | 16.5× |
| Venography extremity unilateral rs&i (75820) | $5,427.30 | $5,427.30 | 3.4× |
| Venography Renal Bilateral (75833) | $19,132.28 | $19,132.28 | 6.0× |
| Venography renal unilateral selective rs&i (75831) | $12,237.50 | $12,237.50 | 3.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $11,312.29 | $11,312.29 | 3.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $12,880.22 | $12,880.22 | 2.3× |
| Wrist 2 views (73100) | $1,347.39 | $1,347.39 | 15.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,093.58 | $2,093.58 | 19.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,758.24 | $1,758.24 | 20.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,176.66 | $2,176.66 | 24.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,055.68 | $6,055.68 | 34.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,421.41 | $1,421.41 | 16.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,859.45 | $1,859.45 | 21.3× |
| X-ray exam entire spi 4/5 vw (72083) | $1,981.80 | $1,981.80 | 18.9× |
| X-ray exam hip uni 1 view (73501) | $628.38 | $628.38 | 7.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $628.38 | $628.38 | 7.2× |
| X-ray exam hip uni 4/> views (73503) | $1,039.23 | $1,039.23 | 9.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,039.23 | $1,039.23 | 9.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,981.80 | $1,981.80 | 18.9× |
| X-ray exam of femur 1 (73551) | $628.38 | $628.38 | 7.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,214.39 | $3,214.39 | 18.2× |
| X-ray eye for foreign body (70030) | $684.26 | $684.26 | 7.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,572.42 | $2,572.42 | 24.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,155.51 | $2,155.51 | 24.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $3,868.44 | $3,868.44 | 1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,332.29 | $1,332.29 | 15.2× |
| X-ray IV pyelogram+drip infusn (74410) | $3,258.20 | $3,258.20 | 18.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,718.97 | $1,718.97 | 19.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,146.45 | $2,146.45 | 20.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,921.40 | $1,921.40 | 22.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,291.51 | $1,291.51 | 14.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,885.13 | $1,885.13 | 18.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,173.67 | $1,173.67 | 11.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,499.96 | $1,499.96 | 14.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,549.80 | $1,549.80 | 17.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,802.06 | $1,802.06 | 20.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,709.88 | $2,709.88 | 25.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,069.41 | $2,069.41 | 19.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $6,833.60 | $6,833.60 | 12.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $5,380.48 | $5,380.48 | 15.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,942.53 | $1,942.53 | 22.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,211.41 | $2,211.41 | 21.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,226.51 | $2,226.51 | 21.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,919.87 | $1,919.87 | 22.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,247.65 | $2,247.65 | 25.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,566.38 | $2,566.38 | 29.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,374.57 | $1,374.57 | 15.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,802.02 | $2,802.02 | 26.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,768.82 | $1,768.82 | 16.8× |
| X-Ray Spine One View - Xr Spine (72020) | $1,332.29 | $1,332.29 | 15.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $406.34 | $406.34 | 4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,741.63 | $1,741.63 | 19.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,312.61 | $2,312.61 | 22.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,398.75 | $1,398.75 | 16.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,907.78 | $1,907.78 | 21.8× |
| Xr arthrogram ankle (73615) | $5,300.41 | $5,300.41 | 15.1× |
| Xr c-spine 6 or more views (72052) | $3,880.54 | $3,880.54 | 37.0× |
| Xr chest 4+ views (71048) | $2,373.02 | $2,373.02 | 22.6× |
| Xr finger(s) 2+ views (73140) | $1,374.57 | $1,374.57 | 15.7× |
| Xr internal auditory meati complete (70134) | $1,773.35 | $1,773.35 | 3.2× |
| Xr optic foramina (70190) | $684.26 | $684.26 | 7.8× |
| Xr shoulder 1 view (73020) | $1,332.29 | $1,332.29 | 15.2× |
| Xr spine cervical 4 or 5 views (72050) | $2,572.42 | $2,572.42 | 24.5× |
| Xr tibia/fibula 2 views (73590) | $1,907.78 | $1,907.78 | 21.8× |
| Xr tmj bilateral (70330) | $2,312.61 | $2,312.61 | 26.5× |
| Xray knee 1 or 2 views rt (73560) | $1,431.98 | $1,431.98 | 16.4× |