Imaging prices at HCA Houston Healthcare Tomball
Tomball, TX · every code in this section with a posted price and a Medicare benchmark.
285 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,401 | $1,401 | 16.0× |
| Abdomen 2 views (74019) | $1,876 | $1,876 | 17.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,772.91 | $3,772.91 | 9.4× |
| Angio internal mammary (75756) | $5,688.13 | $5,688.13 | 1.8× |
| Angio pulmonary bilat (75743) | $6,692.64 | $6,692.64 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $16,331.64 | $16,331.64 | 5.1× |
| Angiography extremity unilateral rs&i (75710) | $16,331.64 | $16,331.64 | 5.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,692.64 | $6,692.64 | 2.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,164.93 | $4,164.93 | 1.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,335.78–$1,828.88 | $1,335.78–$1,828.88 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,642.33 | $5,642.33 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$7,353.68–$31,550.36 | $7,353.68–$31,550.36 | varies |
| Artery X-Rays Pelvis (75736) | $14,261.55 | $14,261.55 | 2.6× |
| Artery X-Rays Spine (75705) | $10,889.27 | $10,889.27 | 1.9× |
| Arthrogram ankle (73615) | $1,224.32 | $1,224.32 | 3.5× |
| Arthrogram hip (73525) | $4,431.74 | $4,431.74 | 12.6× |
| Arthrogram Wrist (73115) | $4,065.35 | $4,065.35 | 11.6× |
| Bone age studies (77072) | $1,407.52 | $1,407.52 | 13.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$7,116.42–$13,828.19 | $7,116.42–$13,828.19 | varies |
| Bone Imaging Whole Body (78306) | $9,685.54 | $9,685.54 | 24.1× |
| Bone survey infant (77076) | $1,224.32 | $1,224.32 | 11.7× |
| Brain Flow Imaging Only (78610) | $3,966.50 | $3,966.50 | 7.3× |
| Cat Scan Follow-Up Study (76380) | $3,825.14 | $3,825.14 | 43.8× |
| Cerebrospinal Fluid Scan (78630) | $6,960.67 | $6,960.67 | 12.8× |
| Chest 1 view (71045) | $1,678 | $1,678 | 19.2× |
| Chest 2 views (71046) | $2,018 | $2,018 | 23.1× |
| Chest 3 views (71047) | $2,039.54 | $2,039.54 | 23.3× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,604.48–$2,207.48 | $1,604.48–$2,207.48 | varies |
| Clavicle complete (73000) | $1,860.94 | $1,860.94 | 21.3× |
| Contrast Exam Abdominl Aorta (75625) | $16,331.64 | $16,331.64 | 5.1× |
| Contrast X-Ray Bladder (74430) | $5,359.91 | $5,359.91 | 15.3× |
| Contrast X-Ray Of Elbow (73085) | $2,946.36 | $2,946.36 | 8.4× |
| Contrast X-Ray Of Knee Joint (73580) | $4,431.74 | $4,431.74 | 12.6× |
| CT abdomen and pelvis without and with contrast (74178) | $35,211.98 | $35,211.98 | 100.5× |
| CT abdomen and pelvis without contrast (74176) | $28,541.92 | $28,541.92 | 119.1× |
| CT abdomen w contrast (74160) | $17,296.97 | $17,296.97 | 98.2× |
| CT abdomen w wo contrast (74170) | $18,154.48 | $18,154.48 | 103.0× |
| CT abdomen w/o contrast (74150) | $16,182.04 | $16,182.04 | 154.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$25,882–$26,124 | $25,882–$26,124 | varies |
| CT Angio Chest (71275) | $20,698.57 | $20,698.57 | 117.5× |
| CT Angio Head (70496) | $20,698.57 | $20,698.57 | 117.5× |
| CT angio hrt w/3d image (75574) | $24,752.70 | $24,752.70 | 70.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$12,698.11–$19,228.99 | $12,698.11–$19,228.99 | varies |
| CT Angio Neck (70498) | $20,698.57 | $20,698.57 | 117.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $18,612.41 | $18,612.41 | 105.6× |
| CT cervical spine w/ contrast (72126) | $18,893.76 | $18,893.76 | 53.9× |
| CT cervical spine w/o contrast (72125) | $15,522.06 | $15,522.06 | 147.8× |
| CT cervical spine w/wo cont (72127) | $9,714.02 | $9,714.02 | 55.1× |
| CT chest w contrast (71260) | $13,771.12 | $13,771.12 | 78.2× |
| CT chest w/wo contrast (71270) | $13,905.81 | $13,905.81 | 78.9× |
| CT head/brain with contrast (70460) | $15,522.06 | $15,522.06 | 88.1× |
| CT head/brain without and with contrast (70470) | $17,437.63 | $17,437.63 | 99.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $24,752.70 | $24,752.70 | 70.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $826.08 | $826.08 | 9.4× |
| CT hrt w/3d image congen (75573) | $24,752.70 | $24,752.70 | 70.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$17,140–$17,300 | $17,140–$17,300 | varies |
| CT l-spine w&w/o contrast (72133) | $19,999.70 | $19,999.70 | 113.5× |
| CT lower ext w/o (73700) | $6,566.79 | $6,566.79 | 62.5× |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$10,347.07–$12,561.92 | $10,347.07–$12,561.92 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$15,522–$15,667 | $15,522–$15,667 | varies |
| CT lumbar spine w/o contrast (72131) | $14,018.04 | $14,018.04 | 133.5× |
| CT maxillofacial w contrast (70487) | $13,272.77 | $13,272.77 | 75.3× |
| CT maxillofacial wo contrast (70486) | $12,105.48 | $12,105.48 | 115.3× |
| CT neck tissue combo (70492) | $15,945.59 | $15,945.59 | 90.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $18,597.46 | $18,597.46 | 105.5× |
| CT orbits w/o contrast (70480) | $15,900.68 | $15,900.68 | 151.4× |
| CT pelvis w&w/o contrast (72194) | $17,056.02 | $17,056.02 | 96.8× |
| CT pelvis w/o contrast (72192) | $12,361.39 | $12,361.39 | 117.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$11,920.54–$12,754.98 | $11,920.54–$12,754.98 | varies |
| CT scans face/jaw combo (70488) | $13,998.60 | $13,998.60 | 79.4× |
| CT soft tissue neck w contrast (70491) | $15,801.92 | $15,801.92 | 89.7× |
| CT soft tissue neck w/o contrast (70490) | $14,770.82 | $14,770.82 | 140.6× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$8,108.24–$15,993.47 | $8,108.24–$15,993.47 | varies |
| CT thoracic spine w/o contrast (72128) | $17,665.10 | $17,665.10 | 168.2× |
| CT thoracic spine w/wo cont (72130) | $18,636.36 | $18,636.36 | 105.8× |
| CT thorax w/o contrast (71250) | $13,084.22 | $13,084.22 | 124.6× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$5,597.03–$12,102.47 | $5,597.03–$12,102.47 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$10,879.81–$12,754.98 | $10,879.81–$12,754.98 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$6,137.19–$8,570.66 | $6,137.19–$8,570.66 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $19,136.19 | $19,136.19 | 108.6× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$21,073–$21,270 | $21,073–$21,270 | varies |
| CTA pelvis (72191) | $20,698.57 | $20,698.57 | 117.5× |
| Discography Cerv/Thor Spine (72285) | $8,500.14 | $8,500.14 | 4.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,439.59–$2,390.67 | $1,439.59–$2,390.67 | varies |
| Dxa bone density study (77085) | $2,512.79 | $2,512.79 | 23.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$1,036.56–$2,390.67 | $1,036.56–$2,390.67 | varies |
| Esophagram (74220) | $3,989.02 | $3,989.02 | 22.6× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$4,604.10–$5,670.24 | $4,604.10–$5,670.24 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,670.24 | $5,670.24 | 54.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,332.73–$3,649 | $1,332.73–$3,649 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,363.99–$4,718.74 | $1,363.99–$4,718.74 | varies |
| Foot 2 views (73620) | $1,911.31 | $1,911.31 | 21.9× |
| Forearm 2 views (73090) | $1,972.37 | $1,972.37 | 22.6× |
| Gastric emptying imaging study (78264) | $12,752.50 | $12,752.50 | 31.8× |
| Gated Heart Planar Single (78472) | $8,296.91 | $8,296.91 | 20.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $7,601.13 | $7,601.13 | 13.9× |
| Hand 2 views (73120) | $1,830.39 | $1,830.39 | 17.4× |
| Hepatobil Syst Image W/Drug (78227) | $13,582.19 | $13,582.19 | 24.9× |
| Hepatobiliary System Imaging (78226) | $11,068.37 | $11,068.37 | 27.6× |
| Ht Musc Image Planar Mult (78454) | $19,592.35 | $19,592.35 | 15.1× |
| Ht Muscle Image Spect Sing (78451) | $18,876.20 | $18,876.20 | 14.5× |
| Hysterosalpingogram (74740) | $4,506.55 | $4,506.55 | 18.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $4,074.75 | $4,074.75 | 46.6× |
| K Flow/Funct Image Multiple (78709) | $24,031.92 | $24,031.92 | 44.1× |
| K Flow/Funct Image W/Drug (78708) | $13,716.09 | $13,716.09 | 25.1× |
| K Flow/Funct Image W/O Drug (78707) | $7,036.35 | $7,036.35 | 12.9× |
| Knee 3 Views (73562) | $2,175.42 | $2,175.42 | 24.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,395.90 | $6,395.90 | 15.9× |
| Lung Perf&Ventilat Diferentl (78598) | $7,029.08 | $7,029.08 | 12.9× |
| Lung perfusion differential (78597) | $12,486.26 | $12,486.26 | 31.1× |
| Lung Ventilat&Perfus Imaging (78582) | $7,672.47 | $7,672.47 | 14.1× |
| Lung Ventilation Imaging (78579) | $6,404.63 | $6,404.63 | 15.9× |
| Lymph System Imaging (78195) | $6,844.22 | $6,844.22 | 12.5× |
| Magnetic Image Jaw Joint (70336) | $16,932.57 | $16,932.57 | 70.6× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$3,622.63–$5,393.50 | $3,622.63–$5,393.50 | varies |
| Mammary ductogram or galactogram single (77053) | $3,622.63 | $3,622.63 | 15.1× |
| Meckels Divert Exam (78290) | $7,477.41 | $7,477.41 | 18.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $91.07 | $91.07 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $14,729.62 | $14,729.62 | 42.0× |
| MRA head w/o contrast (70544) | $19,806.09 | $19,806.09 | 82.6× |
| MRA head with contrast (70545) | $8,428.39 | $8,428.39 | 24.0× |
| MRA neck w contrast (70548) | $12,371.09 | $12,371.09 | 35.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $29,816.37 | $29,816.37 | 85.1× |
| MRA neck w/o contrast (70547) | $19,806.09 | $19,806.09 | 82.6× |
| MRI abdomen w contrast (74182) | $12,357.87 | $12,357.87 | 35.3× |
| MRI abdomen w/o contrast (74181) | $27,608.34 | $27,608.34 | 115.2× |
| MRI any jt lower extrem w/contrast material (73722) | $10,781.56 | $10,781.56 | 13.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$20,621.43–$21,798.15 | $20,621.43–$21,798.15 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,576.33 | $11,576.33 | 14.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,308.95 | $1,308.95 | 5.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,308.95 | $1,308.95 | 5.5× |
| MRI cervical spine w contrast (72142) | $13,769.65 | $13,769.65 | 39.3× |
| MRI cervical spine w/o cont (72141) | $19,842.82 | $19,842.82 | 82.8× |
| MRI chest w/o contrast (71550) | $19,650.37 | $19,650.37 | 82.0× |
| MRI chest wo w contrast (71552) | $24,157.50 | $24,157.50 | 68.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $12,083.15 | $12,083.15 | 34.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$14,664.31–$22,739.83 | $14,664.31–$22,739.83 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$10,120.47–$10,459.82 | $10,120.47–$10,459.82 | varies |
| MRI lumbar spine w contrast (72149) | $11,967.09 | $11,967.09 | 34.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $35,910.10 | $35,910.10 | 102.5× |
| MRI orbit face &/neck w/o contrast (70540) | $8,823.27 | $8,823.27 | 36.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $27,208.76 | $27,208.76 | 77.6× |
| MRI pelvis w/o & w contrast (72197) | $22,396.06 | $22,396.06 | 63.9× |
| MRI pelvis w/o contrast (72195) | $16,286.18 | $16,286.18 | 67.9× |
| MRI thoracic spine w/o contrast (72146) | $19,284.56 | $19,284.56 | 80.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$10,459.82–$12,287.36 | $10,459.82–$12,287.36 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$13,781.41–$15,209.34 | $13,781.41–$15,209.34 | varies |
| MRI, abdomen, combo (74183) | $29,819.30 | $29,819.30 | 85.1× |
| MRI, dorsal spine combo (72157) | $35,121.20 | $35,121.20 | 100.2× |
| MRI, dorsal spine contrast (72147) | $11,714.41 | $11,714.41 | 33.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,608.20–$20,020.58 | $10,608.20–$20,020.58 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$12,663.44–$22,394.61 | $12,663.44–$22,394.61 | varies |
| MRI, lumbar spine combo (72158) | $34,825.92 | $34,825.92 | 99.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $18,876.20 | $18,876.20 | 14.5× |
| Myocardial Spect Multiple Studies (78452) | $19,592.35 | $19,592.35 | 15.1× |
| Neck soft tissue (70360) | $1,674.68 | $1,674.68 | 19.2× |
| Nonvascular Shunt X-Ray (75809) | $1,717.43 | $1,717.43 | 16.4× |
| Nuclear Rx Oral Admin (79005) | $1,535.66 | $1,535.66 | 6.6× |
| Parathyroid Planar Imaging (78070) | $8,031.99 | $8,031.99 | 20.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $7,034.91 | $7,034.91 | 17.5× |
| Pelvis 1 or 2 views (72170) | $1,938.81 | $1,938.81 | 18.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,611.32 | $9,611.32 | 23.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,393.64 | $3,393.64 | 32.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,714.38–$19,543.60 | $1,714.38–$19,543.60 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,239.53 | $2,239.53 | 25.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,830.39 | $1,830.39 | 20.9× |
| Radex elbow complete minimum 3 views (73080) | $1,976.94 | $1,976.94 | 22.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,141.82 | $2,141.82 | 20.4× |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$919.02–$1,854.84 | $919.02–$1,854.84 | varies |
| Radex foot complete minimum 3 views (73630) | $2,306.70 | $2,306.70 | 26.4× |
| Radex Hand Minimum 3 Views (73130) | $1,998.32 | $1,998.32 | 22.9× |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$1,653.31–$2,030.39 | $1,653.31–$2,030.39 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,760.18 | $1,760.18 | 20.1× |
| Radex Ribs Unilateral 2 Views (71100) | $2,279.21 | $2,279.21 | 26.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,314.33–$2,326.55 | $2,314.33–$2,326.55 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $2,113 | $2,113 | 24.2× |
| Radex Spine 1 View Specify Level (72020) | $861.01 | $861.01 | 9.8× |
| Radex Sternum Minimum 2 Views (71120) | $2,068.56 | $2,068.56 | 23.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,157.01 | $3,157.01 | 36.1× |
| Radex Toe Minimum 2 Views (73660) | $1,854.84 | $1,854.84 | 21.2× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$1,593.79–$2,746 | $1,593.79–$2,746 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,853.30 | $1,853.30 | 21.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,469.98 | $3,469.98 | 33.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,613.55 | $2,613.55 | 24.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,930 | $1,930 | 18.4× |
| Radiologic exam colon double contrast study (74280) | $6,394.95 | $6,394.95 | 36.3× |
| Radiologic exam colon single contrast study (74270) | $4,891.26 | $4,891.26 | 27.8× |
| Radiologic exam knee complete 4/more views (73564) | $2,824.23 | $2,824.23 | 26.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,500.59 | $2,500.59 | 23.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,417.92 | $5,417.92 | 30.7× |
| Radiologic exam swallow function contrast study (74230) | $3,796.68 | $3,796.68 | 21.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,637.25 | $4,637.25 | 26.3× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$1,402.95–$1,403 | $1,402.95–$1,403 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,140.37–$1,888.41 | $1,140.37–$1,888.41 | varies |
| Radiologic examination knee 1/2 views (73560) | $1,778.49 | $1,778.49 | 20.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $2,579.98 | $2,579.98 | 24.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,112.83 | $2,112.83 | 24.2× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,828.88 | $1,828.88 | 3.3× |
| Renal Cyst Study (74470) | $1,129.68 | $1,129.68 | 2.1× |
| Ribs bilateral 3 views (71110) | $4,718.74 | $4,718.74 | 44.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,356.59 | $7,356.59 | 18.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,310.02 | $7,310.02 | 13.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,882.07 | $6,882.07 | 12.6× |
| Scapula (73010) | $1,978.47 | $1,978.47 | 18.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$1,250.02–$3,518.70 | $1,250.02–$3,518.70 | varies |
| Shoulder 1 view (73020) | $1,810.56 | $1,810.56 | 20.7× |
| Shoulder Arthrography (73040) | $4,431.74 | $4,431.74 | 12.6× |
| Skull less than 4 views (70250) | $2,073.14 | $2,073.14 | 19.7× |
| Sternoclavicular joints (71130) | $2,215.11 | $2,215.11 | 25.3× |
| Thoracic spine 3 views (72072) | $3,445.56 | $3,445.56 | 32.8× |
| Thoracolumbar 2 views (72080) | $3,868.42 | $3,868.42 | 44.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,959.23–$8,499.25 | $2,959.23–$8,499.25 | varies |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$6,696.36–$6,869.85 | $6,696.36–$6,869.85 | varies |
| Ultrasound, abdomen limited (76705) | $3,213.24 | $3,213.24 | 30.6× |
| Upper gi w/o kub (74240) | $5,054.61 | $5,054.61 | 28.7× |
| Urethrocystogram voiding (74455) | $4,920.25 | $4,920.25 | 20.5× |
| Urethrocystography retrograde (74450) | $3,970.71 | $3,970.71 | 16.6× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$2,531.16–$7,000.33 | $2,531.16–$7,000.33 | varies |
| Us chest (76604) | $6,045.39 | $6,045.39 | 57.6× |
| Us complete joint (76881) range across 2 matching MRF lines |
$3,941–$3,977 | $3,941–$3,977 | varies |
| Us exam, pelvic, limited (76857) | $1,798.65 | $1,798.65 | 17.1× |
| Us head (76506) | $3,739.64 | $3,739.64 | 35.6× |
| Us kidney transplant (76776) | $3,213.24 | $3,213.24 | 30.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$3,119–$6,869.85 | $3,119–$6,869.85 | varies |
| Us ob detailed single fetus (76811) | $3,171.73 | $3,171.73 | 13.2× |
| Us ob limited 1 or more fetuses (76815) | $3,435.66 | $3,435.66 | 32.7× |
| Us ob transvaginal (76817) | $3,400.06 | $3,400.06 | 32.4× |
| Us pelvic non ob complete (76856) | $5,444.87 | $5,444.87 | 51.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$4,459–$4,500 | $4,459–$4,500 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,681.51 | $1,681.51 | 16.0× |
| Us retroperitoneal complete (76770) | $5,120.13 | $5,120.13 | 48.8× |
| Us retroperitoneal limited (76775) | $5,599.07 | $5,599.07 | 53.3× |
| Us scrotum and contents (76870) | $4,166.68 | $4,166.68 | 39.7× |
| Us spinal canal and contents (76800) | $5,642.08 | $5,642.08 | 53.7× |
| Us thyroid (76536) | $4,074.75 | $4,074.75 | 38.8× |
| Us transrectal (76872) | $3,813.77 | $3,813.77 | 36.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,808.73–$6,446.85 | $5,808.73–$6,446.85 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,244.18 | $1,244.18 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $6,889.57 | $6,889.57 | 10.9× |
| Vein X-Ray Spleen/Liver (75810) | $7,317.03 | $7,317.03 | 2.3× |
| Venogram Sinus/Jugular (75860) | $2,140.30 | $2,140.30 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $18,009.38 | $18,009.38 | 5.7× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$5,161.45–$5,231.68 | $5,161.45–$5,231.68 | varies |
| Venography extremity unilateral rs&i (75820) | $5,781.26 | $5,781.26 | 3.7× |
| Venography Orbital Rs&I (75880) | $6,030.10 | $6,030.10 | 9.6× |
| Vertebral fracture assessment via dxa (77086) | $2,390.67 | $2,390.67 | 27.3× |
| Wrist 2 views (73100) | $2,766.20 | $2,766.20 | 31.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,049 | $2,049 | 23.4× |
| X-Ray Aorta Leg Arteries (75630) | $16,331.64 | $16,331.64 | 5.1× |
| X-Ray Bend Only L-S Spine (72120) | $2,034.97 | $2,034.97 | 19.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,715.91 | $1,715.91 | 19.6× |
| X-Ray Exam Breast Specimen (76098) | $1,256.39 | $1,256.39 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $902.23 | $902.23 | 10.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,850.26 | $1,850.26 | 17.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,469.98 | $3,469.98 | 33.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,888.41 | $1,888.41 | 21.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,131.14 | $2,131.14 | 24.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,349.44 | $2,349.44 | 22.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,738.72 | $2,738.72 | 26.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,349.44 | $2,349.44 | 22.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,903.60 | $2,903.60 | 27.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,238–$2,938.71 | $2,238–$2,938.71 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,102.13 | $2,102.13 | 24.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,359.98 | $4,359.98 | 41.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$1,418.21–$1,860.94 | $1,418.21–$1,860.94 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,019.77–$1,631.93 | $1,019.77–$1,631.93 | varies |
| X-ray humerus (73060) | $1,860.94 | $1,860.94 | 21.3× |
| X-ray IV pyelogram (ivp) (74400) | $5,184.36 | $5,184.36 | 29.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,456.38 | $1,456.38 | 16.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,895.91 | $3,895.91 | 44.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,149.45 | $2,149.45 | 20.5× |
| X-ray nose-rectum child f.b. (76010) | $2,056.33 | $2,056.33 | 23.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $644 | $644 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,175.42 | $2,175.42 | 20.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,009.01 | $2,009.01 | 23.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,453.19 | $3,453.19 | 39.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,866.89 | $3,866.89 | 36.8× |
| X-Ray Stress View (77071) | $587.74 | $587.74 | 6.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $9,955 | $9,955 | 28.4× |
| X-Rays Bone Length Studies (77073) | $2,544.86 | $2,544.86 | 24.2× |
| X-Rays Bone Survey Complete (77075) | $5,868.29 | $5,868.29 | 55.9× |
| Xr c-spine 4 or 5 views (72050) | $3,931.01 | $3,931.01 | 37.4× |
| Xr facial bones less than 3 views (70140) | $2,812 | $2,812 | 32.2× |
| Xr orbits complete 4 views (70200) | $2,680.72 | $2,680.72 | 25.5× |
| Xr Tomogram Single Plane (76100) | $2,103.67 | $2,103.67 | 20.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.