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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,876 | $1,876 | 17.9× |
| Acute gastrointestinal blood loss imaging (78278) | $3,772.91 | $3,772.91 | 9.4× |
| 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 internal mammary rs&i (75756) | $5,688.13 | $5,688.13 | 1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,261.55 | $14,261.55 | 2.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $6,692.64 | $6,692.64 | 2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,692.64 | $6,692.64 | 2.1× |
| Angiography Spinal Selective Rs&I (75705) | $10,889.27 | $10,889.27 | 1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,072.26 | $14,072.26 | 2.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $3,041.36 | $3,041.36 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,164.93 | $4,164.93 | 1.3× |
| Ankle 2 views (73600) | $1,828.88 | $1,828.88 | 20.9× |
| Aortogram thoracic (75605) | $5,642.33 | $5,642.33 | 1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $16,331.64 | $16,331.64 | 5.1× |
| Aortography abdominal serialography rs&i (75625) | $16,331.64 | $16,331.64 | 5.1× |
| Arthrogram elbow (73085) | $2,946.36 | $2,946.36 | 8.4× |
| Arthrogram hip (73525) | $4,431.74 | $4,431.74 | 12.6× |
| Arthrogram shoulder (73040) | $4,431.74 | $4,431.74 | 12.6× |
| Arthrogram wrist (73115) | $4,065.35 | $4,065.35 | 11.6× |
| Arthrography knee lt (73580) | $4,431.74 | $4,431.74 | 12.6× |
| Bone &/joint imaging whole body (78306) | $9,685.54 | $9,685.54 | 24.1× |
| Bone age studies (77072) | $1,407.52 | $1,407.52 | 13.4× |
| Bone Imaging 3 Phase (78315) | $10,472.30 | $10,472.30 | 26.1× |
| Bone survey complete (77075) | $5,868.29 | $5,868.29 | 55.9× |
| Brain Imaging Vascular Flow Only (78610) | $3,966.50 | $3,966.50 | 7.3× |
| Cervical spine 2 or 3 views (72040) | $2,102.13 | $2,102.13 | 24.0× |
| Chest 1 view (71045) | $1,678 | $1,678 | 19.2× |
| Chest 3 views (71047) | $2,039.54 | $2,039.54 | 23.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,796.68 | $3,796.68 | 21.5× |
| Clavicle complete (73000) | $1,860.94 | $1,860.94 | 21.3× |
| 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 hrt w/3d image (75574) | $24,752.70 | $24,752.70 | 70.6× |
| CT angiography upper extremity lt (73206) | $18,612.41 | $18,612.41 | 105.6× |
| CT c-spine w/o contrast (72125) | $15,522.06 | $15,522.06 | 147.8× |
| CT cervical spine w&w/o contrast (72127) | $9,714.02 | $9,714.02 | 55.1× |
| CT cervical spine with contrast (72126) | $18,893.76 | $18,893.76 | 53.9× |
| CT chest w/wo contrast (71270) | $13,905.81 | $13,905.81 | 78.9× |
| CT chest with contrast (71260) | $13,771.12 | $13,771.12 | 78.2× |
| 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) | $17,220 | $17,220 | 97.7× |
| CT limited/localized follow up study (76380) | $3,825.14 | $3,825.14 | 43.8× |
| CT lower ext w/o (73700) | $6,566.79 | $6,566.79 | 62.5× |
| CT lower extremity w wo contrast (73702) | $12,754.98 | $12,754.98 | 72.4× |
| CT lower extremity with contrast (73701) | $11,071.36 | $11,071.36 | 62.8× |
| CT lumbar spine w & w/o contrast (72133) | $19,999.70 | $19,999.70 | 113.5× |
| CT lumbar spine w/o contrast (72131) | $14,018.04 | $14,018.04 | 133.5× |
| CT lumbar spine with contrast (72132) | $15,594.50 | $15,594.50 | 44.5× |
| CT maxillofacial w contrast (70487) | $13,272.77 | $13,272.77 | 75.3× |
| CT maxillofacial w/o contrast (70486) | $12,105.48 | $12,105.48 | 115.3× |
| CT maxillofacial w/wo contrast (70488) | $13,998.60 | $13,998.60 | 79.4× |
| CT neck soft tissue w contrast (70491) | $15,801.92 | $15,801.92 | 89.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) | $15,945.59 | $15,945.59 | 90.5× |
| CT soft tissue neck w/o contrast (70490) | $14,770.82 | $14,770.82 | 140.6× |
| CT thoracic spine w/contrast (72129) | $12,050.86 | $12,050.86 | 68.4× |
| CT thoracic spine w/o contrast (72128) | $17,665.10 | $17,665.10 | 168.2× |
| CT thoracic spine w/wo contrast (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 extremity w/o & w/contrast material (73202) | $12,337.76 | $12,337.76 | 70.0× |
| CT upper extremity w/o contrast rt (73200) | $9,722.99 | $9,722.99 | 92.6× |
| CT upper extremity with contrast (73201) | $6,566.79 | $6,566.79 | 18.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $19,136.19 | $19,136.19 | 108.6× |
| Cta Abdomen (74175) | $21,171.50 | $21,171.50 | 120.2× |
| CTA abdomen pelvis (74174) | $26,003 | $26,003 | 74.2× |
| CTA chest (71275) | $20,698.57 | $20,698.57 | 117.5× |
| Cta Head (70496) | $20,698.57 | $20,698.57 | 117.5× |
| CTA lwr ext w&w/o contrast (73706) | $17,971.02 | $17,971.02 | 102.0× |
| Cta Neck (70498) | $20,698.57 | $20,698.57 | 117.5× |
| Cta Pelvis (72191) | $20,698.57 | $20,698.57 | 117.5× |
| Cystography minimum 3 views rs&i (74430) | $5,359.91 | $5,359.91 | 15.3× |
| Diskogram cervical (72285) | $8,500.14 | $8,500.14 | 4.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,915.13 | $1,915.13 | 18.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,713.62 | $1,713.62 | 19.6× |
| Dxa bone density study axial skeleton (77085) | $2,512.79 | $2,512.79 | 23.9× |
| Echoencephalography real time imaging (76506) | $3,739.64 | $3,739.64 | 35.6× |
| Esophagus (74220) | $3,989.02 | $3,989.02 | 22.6× |
| Fetal biophysical profile non-stress testing (76818) | $5,137.17 | $5,137.17 | 48.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,670.24 | $5,670.24 | 54.0× |
| Fluoroscopy up to 1 hr (76000) | $1,813.32 | $1,813.32 | 7.6× |
| 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 (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $7,601.13 | $7,601.13 | 13.9× |
| Gated Heart Planar Single (78472) | $8,296.91 | $8,296.91 | 20.7× |
| Hand 2 views (73120) | $1,830.39 | $1,830.39 | 17.4× |
| Hand 3 views (73130) | $1,998.32 | $1,998.32 | 22.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $13,582.19 | $13,582.19 | 24.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,068.37 | $11,068.37 | 27.6× |
| Ht muscle image spect sing (78451) | $18,876.20 | $18,876.20 | 14.5× |
| Humerus Min 2 Views Left (73060) | $1,860.94 | $1,860.94 | 21.3× |
| Hysterosalpingogram (74740) | $4,506.55 | $4,506.55 | 18.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $7,036.35 | $7,036.35 | 12.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $13,716.09 | $13,716.09 | 25.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $24,031.92 | $24,031.92 | 44.1× |
| 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 Ventilation Imaging (78579) | $6,404.63 | $6,404.63 | 15.9× |
| Lymphoscintigraphy (78195) | $6,844.22 | $6,844.22 | 12.5× |
| Mammary ductogram or galactogram multiple (77054) | $4,508.06 | $4,508.06 | 18.8× |
| Mammary ductogram or galactogram single (77053) | $3,622.63 | $3,622.63 | 15.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $587.74 | $587.74 | 6.7× |
| Meckels Diverticulum (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 & w/o contrast (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 & w/contrast material (74183) | $29,819.30 | $29,819.30 | 85.1× |
| MRI abdomen w/o contrast (74181) | $27,608.34 | $27,608.34 | 115.2× |
| MRI any jnt lwr ext with con lt (73722) | $10,781.56 | $10,781.56 | 13.7× |
| 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 w/o contrast unilat (77046) | $1,308.95 | $1,308.95 | 5.5× |
| MRI c-spine with contrast (72142) | $13,769.65 | $13,769.65 | 39.3× |
| MRI cervical spine w/o contrast (72141) | $19,842.82 | $19,842.82 | 82.8× |
| MRI chest w/o & w/contrast material (71552) | $24,157.50 | $24,157.50 | 68.9× |
| MRI chest w/o contrast (71550) | $19,650.37 | $19,650.37 | 82.0× |
| 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 contr matrl (73718) | $10,459.82 | $10,459.82 | 43.6× |
| MRI orbit face &/neck w/o contrast (70540) | $8,823.27 | $8,823.27 | 36.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $27,208.76 | $27,208.76 | 77.6× |
| MRI pelvis w/o & w/contrast material (72197) | $22,396.06 | $22,396.06 | 63.9× |
| MRI pelvis w/o contrast (72195) | $16,286.18 | $16,286.18 | 67.9× |
| MRI scan of arm joint before and after contrast (73223) | $22,394.61 | $22,394.61 | 63.9× |
| MRI scan of leg joint before and after contrast (73723) | $20,621.43 | $20,621.43 | 58.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $35,910.10 | $35,910.10 | 102.5× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,967.09 | $11,967.09 | 34.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $34,825.92 | $34,825.92 | 99.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,714.41 | $11,714.41 | 33.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $35,121.20 | $35,121.20 | 100.2× |
| MRI thoracic spine w/o contrast (72146) | $19,284.56 | $19,284.56 | 80.5× |
| MRI tmj (70336) | $16,932.57 | $16,932.57 | 70.6× |
| MRI upper ext joint w/o contrast (73221) | $20,020.58 | $20,020.58 | 83.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $15,209.34 | $15,209.34 | 43.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,459.82 | $10,459.82 | 43.6× |
| 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× |
| Nm cisternogram (78630) | $6,960.67 | $6,960.67 | 12.8× |
| Nm gastric emptying study (78264) | $12,752.50 | $12,752.50 | 31.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $19,592.35 | $19,592.35 | 15.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $18,876.20 | $18,876.20 | 14.5× |
| Nuclear Rx Oral Admin (79005) | $1,535.66 | $1,535.66 | 6.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,681.51 | $1,681.51 | 16.0× |
| Osseous survey infant (77076) | $1,224.32 | $1,224.32 | 11.7× |
| Osseous survey limited (77074) | $2,579.98 | $2,579.98 | 24.6× |
| Parathyrd planar w/wo subtrj (78071) | $7,034.91 | $7,034.91 | 17.5× |
| Parathyroid imaging (78070) | $8,031.99 | $8,031.99 | 20.0× |
| Pelvis 1 or 2 views (72170) | $1,938.81 | $1,938.81 | 18.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $14,664.31 | $14,664.31 | 41.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $1,244.18 | $1,244.18 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,611.32 | $9,611.32 | 23.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,672.47 | $7,672.47 | 14.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $10,628.99 | $10,628.99 | 19.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $902.23 | $902.23 | 10.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,850.26 | $1,850.26 | 17.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,738.72 | $2,738.72 | 26.1× |
| 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 1 View - Xr Abdomen 1 View (74018) | $1,401 | $1,401 | 16.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,930 | $1,930 | 18.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,018 | $2,018 | 23.1× |
| Radiologic exam colon single contrast study (74270) | $4,891.26 | $4,891.26 | 27.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,637.25 | $4,637.25 | 26.3× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,054.61 | $5,054.61 | 28.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,888.41 | $1,888.41 | 21.6× |
| Radiological examination surgical specimen (76098) | $1,256.39 | $1,256.39 | 2.3× |
| 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× |
| Scanogram (77073) | $2,544.86 | $2,544.86 | 24.2× |
| Scapula complete (73010) | $1,978.47 | $1,978.47 | 18.8× |
| Screening digital breast tomosynthesis (77063) | $2,384.36 | $2,384.36 | 102.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,717.43 | $1,717.43 | 16.4× |
| Small bowel series (74250) | $5,417.92 | $5,417.92 | 30.7× |
| Spine thoracic 3 views (72072) | $3,445.56 | $3,445.56 | 32.8× |
| Splenoportograpy rs&i (75810) | $7,317.03 | $7,317.03 | 2.3× |
| Thoracolumbar 2 views (72080) | $3,868.42 | $3,868.42 | 44.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,729.24 | $5,729.24 | 14.3× |
| Tomogram (76100) | $2,103.67 | $2,103.67 | 20.0× |
| Ultrasound, abdomen limited (76705) | $3,213.24 | $3,213.24 | 30.6× |
| Upper Extremity Infant (73092) | $1,836.51 | $1,836.51 | 17.5× |
| Urethrocystography retrograde rs&i (74450) | $3,970.71 | $3,970.71 | 16.6× |
| Urethrocystography voiding (74455) | $4,920.25 | $4,920.25 | 20.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $5,184.36 | $5,184.36 | 29.4× |
| Us breast unilateral complete (76641) | $6,869.85 | $6,869.85 | 65.4× |
| Us breast unilateral limited (76642) | $6,770.49 | $6,770.49 | 77.4× |
| Us chest (76604) | $6,045.39 | $6,045.39 | 57.6× |
| Us compl joint r-t w/image documentation (76881) | $3,959 | $3,959 | 37.7× |
| Us infant hips dynamic (76885) | $4,074.75 | $4,074.75 | 46.6× |
| Us kidney transplant (76776) | $3,213.24 | $3,213.24 | 30.6× |
| Us ob detailed single fetus (76811) | $3,171.73 | $3,171.73 | 13.2× |
| 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 pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,798.65 | $1,798.65 | 17.1× |
| Us pregnancy ltd (76815) | $3,435.66 | $3,435.66 | 32.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $4,479.50 | $4,479.50 | 42.7× |
| 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 soft tissue head/neck (76536) | $4,074.75 | $4,074.75 | 38.8× |
| Us spinal canal and contents (76800) | $5,642.08 | $5,642.08 | 53.7× |
| Us transrectal (76872) | $3,813.77 | $3,813.77 | 36.3× |
| Us xtr non-vasc lmtd (76882) | $3,148 | $3,148 | 30.0× |
| Venogram extremity bilateral (75822) | $5,231.68 | $5,231.68 | 3.3× |
| Venogram orbital (75880) | $6,030.10 | $6,030.10 | 9.6× |
| Venography caval inferior serialography rs&i (75825) | $18,009.38 | $18,009.38 | 5.7× |
| Venography caval superior serialography rs&i (75827) | $6,127.79 | $6,127.79 | 3.9× |
| Venography epidural rs&i (75872) | $6,889.57 | $6,889.57 | 10.9× |
| Venography extremity unilateral rs&i (75820) | $5,781.26 | $5,781.26 | 3.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $2,140.30 | $2,140.30 | 0.7× |
| 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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,393.64 | $3,393.64 | 32.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,049 | $2,049 | 23.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,239.53 | $2,239.53 | 25.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,394.95 | $6,394.95 | 36.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,715.91 | $1,715.91 | 19.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,976.94 | $1,976.94 | 22.6× |
| 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 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 of femur 1 (73551) | $1,402.98 | $1,402.98 | 16.0× |
| X-ray eye for foreign body (70030) | $1,631.93 | $1,631.93 | 18.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,141.82 | $2,141.82 | 20.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,812 | $2,812 | 32.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,306.70 | $2,306.70 | 26.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,830.39 | $1,830.39 | 20.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,456.38 | $1,456.38 | 16.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,824.23 | $2,824.23 | 26.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,895.91 | $3,895.91 | 44.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,766.65 | $1,766.65 | 20.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,149.45 | $2,149.45 | 20.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,588.36 | $2,588.36 | 24.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,034.97 | $2,034.97 | 19.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,760.18 | $1,760.18 | 20.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,056.33 | $2,056.33 | 23.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,680.72 | $2,680.72 | 25.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,500.59 | $2,500.59 | 23.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $1,129.68 | $1,129.68 | 2.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $9,955 | $9,955 | 28.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,279.21 | $2,279.21 | 26.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,860.94 | $1,860.94 | 17.7× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,314.33 | $2,314.33 | 26.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,453.19 | $3,453.19 | 39.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $2,113 | $2,113 | 24.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,866.89 | $3,866.89 | 36.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,073.14 | $2,073.14 | 19.7× |
| X-Ray Spine One View - Xr Spine (72020) | $861.01 | $861.01 | 9.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,215.11 | $2,215.11 | 25.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,068.56 | $2,068.56 | 23.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,854.84 | $1,854.84 | 21.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,853.30 | $1,853.30 | 21.2× |
| Xr arthrogram ankle (73615) | $1,224.32 | $1,224.32 | 3.5× |
| Xr c-spine 6 or more views (72052) | $4,359.98 | $4,359.98 | 41.5× |
| Xr chest 4+ views (71048) | $1,905.98 | $1,905.98 | 18.1× |
| Xr finger(s) 2+ views (73140) | $1,601.40 | $1,601.40 | 18.3× |
| Xr internal auditory meati complete (70134) | $1,828.88 | $1,828.88 | 3.3× |
| Xr shoulder 1 view (73020) | $1,810.56 | $1,810.56 | 20.7× |
| Xr spine cervical 4 or 5 views (72050) | $3,931.01 | $3,931.01 | 37.4× |
| Xr tibia/fibula 2 views (73590) | $2,112.83 | $2,112.83 | 24.2× |
| Xr tmj bilateral (70330) | $3,157.01 | $3,157.01 | 36.1× |
| Xray knee 1 or 2 views rt (73560) | $1,778.49 | $1,778.49 | 20.3× |