Imaging prices at HCA Houston Healthcare West
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
286 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $38,220 | $38,220 | 27.5× |
| Abdomen 1 View (74018) | $2,042 | $2,042 | 23.4× |
| Abdomen 2 views (74019) | $2,708 | $2,708 | 25.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $11,201 | $11,201 | 27.9× |
| Angio pulmonary bilat (75743) | $18,086 | $18,086 | 5.7× |
| Angiography extremity bilateral rs&i (75716) | $17,670 | $17,670 | 5.6× |
| Angiography extremity unilateral rs&i (75710) | $11,780 | $11,780 | 3.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $12,056 | $12,056 | 3.8× |
| Ankle 2 views (73600) | $2,473 | $2,473 | 28.3× |
| Aortography thoracic serialography rs&i (75605) | $9,945 | $9,945 | 1.8× |
| Artery X-Rays Abdomen (75726) | $17,670 | $17,670 | 3.2× |
| Artery X-Rays Pelvis (75736) | $20,094 | $20,094 | 3.6× |
| Arthrogram Wrist (73115) | $4,325 | $4,325 | 12.3× |
| Basic radiation dosimetry calculation (77300) | $3,026 | $3,026 | 22.4× |
| Bone age studies (77072) | $2,416 | $2,416 | 23.0× |
| Bone Imaging 3 Phase (78315) | $14,124 | $14,124 | 35.2× |
| Bone Imaging Whole Body (78306) | $10,905 | $10,905 | 27.2× |
| Bone survey infant (77076) | $6,815 | $6,815 | 64.9× |
| Brain Flow Imaging Only (78610) | $7,353 | $7,353 | 13.5× |
| Chest 1 view (71045) | $2,216 | $2,216 | 25.3× |
| Chest 2 views (71046) | $2,728 | $2,728 | 31.2× |
| Chest 3 views (71047) | $3,357 | $3,357 | 38.4× |
| Chest 4 or more views (71048) | $3,759 | $3,759 | 35.8× |
| Clavicle complete (73000) | $2,503 | $2,503 | 28.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $442 | $442 | 4.2× |
| Continuing medical physics consltj pr wk (77336) | $3,663 | $3,663 | 27.1× |
| Contrast Exam Abdominl Aorta (75625) | $17,642 | $17,642 | 5.6× |
| Contrast X-Ray Bladder (74430) | $3,170 | $3,170 | 9.0× |
| Contrast X-Ray Of Elbow (73085) | $4,203 | $4,203 | 12.0× |
| Contrast X-Ray Of Knee Joint (73580) | $5,469 | $5,469 | 15.6× |
| CT abdomen and pelvis without and with contrast (74178) | $42,904 | $42,904 | 122.4× |
| CT abdomen and pelvis without contrast (74176) | $31,983 | $31,983 | 133.4× |
| CT abdomen w contrast (74160) | $18,860 | $18,860 | 107.0× |
| CT abdomen w wo contrast (74170) | $22,595 | $22,595 | 128.2× |
| CT abdomen w/o contrast (74150) | $17,317 | $17,317 | 164.9× |
| CT Angio Abdomen and Pelvis (74174) | $47,159 | $47,159 | 134.6× |
| CT Angio Chest (71275) | $27,253 | $27,253 | 154.7× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$22,012–$22,030 | $22,012–$22,030 | varies |
| CT angio hrt w/3d image (75574) | $26,932 | $26,932 | 76.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $23,583 | $23,583 | 133.8× |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$25,943–$25,946 | $25,943–$25,946 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $23,583 | $23,583 | 133.8× |
| CT cervical spine w/o contrast (72125) | $18,976 | $18,976 | 180.7× |
| CT chest w contrast (71260) | $18,583 | $18,583 | 105.5× |
| CT chest w/wo contrast (71270) | $24,246 | $24,246 | 137.6× |
| CT head/brain with contrast (70460) | $16,071 | $16,071 | 91.2× |
| CT head/brain without and with contrast (70470) | $18,583 | $18,583 | 105.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $26,932 | $26,932 | 76.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $17,727 | $17,727 | 202.8× |
| CT iac w contrast (70481) | $23,026 | $23,026 | 130.7× |
| CT l-spine w&w/o contrast (72133) | $24,299 | $24,299 | 137.9× |
| CT lower ext w/o (73700) | $12,015 | $12,015 | 114.4× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$12,015–$18,023 | $12,015–$18,023 | varies |
| CT lumbar spine w/o contrast (72131) | $21,752 | $21,752 | 207.1× |
| CT maxillofacial w contrast (70487) | $17,492 | $17,492 | 99.3× |
| CT maxillofacial wo contrast (70486) | $14,508 | $14,508 | 138.1× |
| CT neck tissue combo (70492) | $20,884 | $20,884 | 118.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $26,002 | $26,002 | 147.6× |
| CT orbits w/o contrast (70480) | $20,570 | $20,570 | 195.9× |
| CT pelvis w&w/o contrast (72194) | $20,306 | $20,306 | 115.2× |
| CT pelvis w/o contrast (72192) | $14,672 | $14,672 | 139.7× |
| CT scan of leg combo (73702) | $16,031 | $16,031 | 91.0× |
| CT scans face/jaw combo (70488) | $19,592 | $19,592 | 111.2× |
| CT soft tissue neck w contrast (70491) | $18,552 | $18,552 | 105.3× |
| CT soft tissue neck w/o contrast (70490) | $14,901 | $14,901 | 141.9× |
| CT thoracic spine w/o contrast (72128) | $18,701 | $18,701 | 178.1× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$406–$17,777 | $406–$17,777 | varies |
| CT upper ext wo (73200) | $13,429 | $13,429 | 127.9× |
| CT upper extremity w/o & w/contrast material (73202) | $20,306 | $20,306 | 115.2× |
| CT upper extremity with contrast (73201) | $13,429 | $13,429 | 38.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $23,040 | $23,040 | 130.8× |
| Cta Abdomen (74175) | $23,583 | $23,583 | 133.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $37,969 | $37,969 | 108.3× |
| CTA pelvis (72191) | $23,583 | $23,583 | 133.8× |
| Dilation ureters/urethra rs&i (74485) | $3,524 | $3,524 | 1.7× |
| Dxa Bone Density Axial (77080) | $2,051 | $2,051 | 19.5× |
| Echo exam uterus (76831) | $3,208 | $3,208 | 13.4× |
| Esophagram (74220) | $4,203 | $4,203 | 23.9× |
| Fetal Biophys Profile W/Nst (76818) | $6,099 | $6,099 | 58.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,142 | $5,142 | 49.0× |
| Fluoroscopy up to 1 hr (76000) | $4,641 | $4,641 | 19.4× |
| Follow-Up Angiography (75898) | $6,790 | $6,790 | 2.1× |
| Foot 2 views (73620) | $2,076 | $2,076 | 23.7× |
| Forearm 2 views (73090) | $2,433 | $2,433 | 27.8× |
| Gastric emptying imaging study (78264) | $10,325 | $10,325 | 25.7× |
| Gated Heart Planar Single (78472) | $10,201 | $10,201 | 25.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $13,942 | $13,942 | 25.6× |
| Hand 2 views (73120) | $2,349 | $2,349 | 22.4× |
| Hepatobil Syst Image W/Drug (78227) | $15,417 | $15,417 | 28.3× |
| Hepatobiliary System Imaging (78226) | $15,417 | $15,417 | 38.4× |
| Ht Muscle Image Spect Sing (78451) | $10,731 | $10,731 | 8.3× |
| Hysterosalpingogram (74740) | $3,482 | $3,482 | 14.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $4,289 | $4,289 | 49.1× |
| Infant hip ultrasound, limited static exam (76886) | $4,601 | $4,601 | 52.6× |
| K Flow/Funct Image Multiple (78709) | $17,721 | $17,721 | 32.5× |
| K Flow/Funct Image W/Drug (78708) | $13,582 | $13,582 | 24.9× |
| K Flow/Funct Image W/O Drug (78707) | $17,247 | $17,247 | 31.6× |
| Kidney Imaging Morphol (78700) | $7,797 | $7,797 | 19.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $12,399 | $12,399 | 30.9× |
| Knee 3 Views (73562) | $2,066 | $2,066 | 23.6× |
| Lung Perf&Ventilat Diferentl (78598) | $24,372 | $24,372 | 44.7× |
| Lung Ventilat&Perfus Imaging (78582) | $13,610 | $13,610 | 25.0× |
| Lung Ventilation Imaging (78579) | $11,445 | $11,445 | 28.5× |
| Lymph System Imaging (78195) | $12,601 | $12,601 | 23.1× |
| Mammary ductogram or galactogram single (77053) | $1,318 | $1,318 | 5.5× |
| Medical physics dose eval radiation expos w/rprt (76145) | $2,245 | $2,245 | 6.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,630 | $1,630 | 4.3× |
| Mra Head W/O & W/Contrast Material (70546) | $25,098 | $25,098 | 71.6× |
| MRA head w/o contrast (70544) | $15,853 | $15,853 | 66.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $25,098 | $25,098 | 71.6× |
| MRA neck w/o contrast (70547) | $15,853 | $15,853 | 66.1× |
| MRI abdomen w contrast (74182) | $24,081 | $24,081 | 68.7× |
| MRI abdomen w/o contrast (74181) | $19,795 | $19,795 | 82.6× |
| MRI any jt lower extrem w/contrast material (73722) | $24,078 | $24,078 | 30.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $30,103 | $30,103 | 85.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $24,078 | $24,078 | 30.6× |
| MRI cervical spine w contrast (72142) | $19,795 | $19,795 | 56.5× |
| MRI cervical spine w/o cont (72141) | $19,795 | $19,795 | 82.6× |
| MRI chest w/o contrast (71550) | $19,795 | $19,795 | 82.6× |
| MRI chest wo w contrast (71552) | $31,330 | $31,330 | 89.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $31,330 | $31,330 | 89.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$19,795–$19,975 | $19,795–$19,975 | varies |
| MRI lumbar spine w contrast (72149) | $19,795 | $19,795 | 56.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $31,330 | $31,330 | 89.4× |
| MRI orbit face &/neck w/o contrast (70540) | $15,853 | $15,853 | 66.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $30,472 | $30,472 | 86.9× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$32,208–$34,491 | $32,208–$34,491 | varies |
| MRI pelvis w/o contrast (72195) | $19,795 | $19,795 | 82.6× |
| MRI thoracic spine w/o contrast (72146) | $19,795 | $19,795 | 82.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $19,795 | $19,795 | 82.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $31,330 | $31,330 | 89.4× |
| MRI, abdomen, combo (74183) | $31,330 | $31,330 | 89.4× |
| MRI, dorsal spine combo (72157) | $31,330 | $31,330 | 89.4× |
| MRI, dorsal spine contrast (72147) | $19,795 | $19,795 | 56.5× |
| MRI, joint upper extrem (73221) | $20,844 | $20,844 | 87.0× |
| MRI, joint upper extrem combo (73223) | $30,103 | $30,103 | 85.9× |
| MRI, lumbar spine combo (72158) | $31,330 | $31,330 | 89.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $8,330 | $8,330 | 20.7× |
| Myocardial Spect Multiple Studies (78452) | $21,581 | $21,581 | 16.6× |
| Neck soft tissue (70360) | $1,957 | $1,957 | 22.4× |
| Nm myocard infarct spect (78469) | $9,046 | $9,046 | 16.6× |
| Nonvascular Shunt X-Ray (75809) | $3,819 | $3,819 | 36.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $51,234 | $51,234 | 36.8× |
| Nuclear Rx Oral Admin (79005) | $8,889 | $8,889 | 37.9× |
| Parathyroid Planar Imaging (78070) | $9,576 | $9,576 | 23.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $9,576 | $9,576 | 23.8× |
| Pelvis 1 or 2 views (72170) | $2,190 | $2,190 | 20.9× |
| PET image w/CT, full body (78816) | $72,564 | $72,564 | 50.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $72,564 | $72,564 | 50.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,780 | $11,780 | 3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,667 | $6,667 | 16.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,678 | $3,678 | 35.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,245 | $2,245 | 4.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,784 | $2,784 | 31.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,957 | $1,957 | 22.4× |
| Radex elbow complete minimum 3 views (73080) | $2,804 | $2,804 | 32.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,408 | $3,408 | 32.5× |
| Radex fingr minimum 2 views (73140) | $2,133 | $2,133 | 24.4× |
| Radex foot complete minimum 3 views (73630) | $2,542 | $2,542 | 29.1× |
| Radex Hand Minimum 3 Views (73130) | $2,674 | $2,674 | 30.6× |
| Radex lower extremity infant minimum 2 views (73592) | $1,911 | $1,911 | 21.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $3,064 | $3,064 | 29.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,416 | $2,416 | 27.6× |
| Radex Ribs Unilateral 2 Views (71100) | $2,836 | $2,836 | 32.4× |
| Radex shoulder complete minimum 2 views (73030) | $2,600 | $2,600 | 29.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,853 | $1,853 | 21.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $5,904 | $5,904 | 33.5× |
| Radex Spine 1 View Specify Level (72020) | $3,267 | $3,267 | 37.4× |
| Radex Sternum Minimum 2 Views (71120) | $2,349 | $2,349 | 26.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,289 | $3,289 | 37.6× |
| Radex Toe Minimum 2 Views (73660) | $2,165 | $2,165 | 24.8× |
| Radex upper extremity infant minimum 2 views (73092) | $1,911 | $1,911 | 18.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,496 | $2,496 | 28.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $10,761 | $10,761 | 1.5× |
| Radiation treatment delivery level 1 (77402) | $7,430 | $7,430 | 72.5× |
| Radiation treatment delivery level 2 (77407) | $8,500 | $8,500 | 21.9× |
| Radiation treatment delivery level 3 (77412) | $9,982 | $9,982 | 18.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,120 | $3,120 | 29.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,049 | $3,049 | 29.0× |
| Radiologic exam colon double contrast study (74280) | $5,853 | $5,853 | 33.2× |
| Radiologic exam colon single contrast study (74270) | $5,325 | $5,325 | 30.2× |
| Radiologic exam knee complete 4/more views (73564) | $2,114 | $2,114 | 20.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,473 | $2,473 | 23.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,904 | $5,904 | 33.5× |
| Radiologic exam swallow function contrast study (74230) | $4,629 | $4,629 | 26.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,945 | $5,945 | 33.7× |
| Radiologic examination femur 1 view (73551) | $2,784 | $2,784 | 31.8× |
| Radiologic examination femur minimum 2 views (73552) | $5,570 | $5,570 | 63.7× |
| Radiologic examination knee 1/2 views (73560) | $1,996 | $1,996 | 22.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,631 | $2,631 | 30.1× |
| Ribs bilateral 3 views (71110) | $3,568 | $3,568 | 34.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $11,564 | $11,564 | 28.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $17,049 | $17,049 | 31.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $13,224 | $13,224 | 24.2× |
| Scapula (73010) | $2,317 | $2,317 | 22.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $2,060 | $2,060 | 88.1× |
| Shoulder 1 view (73020) | $1,722 | $1,722 | 19.7× |
| Shoulder Arthrography (73040) | $4,203 | $4,203 | 12.0× |
| Skull less than 4 views (70250) | $2,692 | $2,692 | 25.6× |
| Special dosimetry (77331) | $5,652 | $5,652 | 41.9× |
| Special Physics Consult (77370) | $6,842 | $6,842 | 50.7× |
| Special teletherapy port plan (77321) | $7,214 | $7,214 | 19.2× |
| Special treatment procedure (77470) | $19,583 | $19,583 | 35.3× |
| Stereotactic Body Radiation Delivery (77373) | $9,771 | $9,771 | 5.4× |
| Sternoclavicular joints (71130) | $2,258 | $2,258 | 25.8× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $7,430 | $7,430 | 72.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $33,936 | $33,936 | 90.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $28,671 | $28,671 | 76.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $17,784 | $17,784 | 47.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $8,925 | $8,925 | 23.7× |
| Ther rad simulaj-aided field setting simple (77280) | $5,265 | $5,265 | 39.0× |
| Thoracic spine 2 views (72070) | $3,356 | $3,356 | 32.0× |
| Thoracic spine 3 views (72072) | $3,877 | $3,877 | 36.9× |
| Thoracolumbar 2 views (72080) | $3,299 | $3,299 | 37.7× |
| Thyroid Imaging With Vascular Flow (78013) | $3,805 | $3,805 | 9.5× |
| Thyroid Uptake Measurement (78012) | $5,215 | $5,215 | 13.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $12,061 | $12,061 | 30.0× |
| Tx Devices Design & Construction Complex (77334) | $9,625 | $9,625 | 25.6× |
| Tx devices design & construction intermediate (77333) | $5,389 | $5,389 | 39.9× |
| Tx devices design & construction simple (77332) | $3,280 | $3,280 | 24.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$3,650–$6,166 | $3,650–$6,166 | varies |
| Ultrasound Exam Aaa Screen (76706) | $3,822 | $3,822 | 36.4× |
| Ultrasound, abdomen limited (76705) | $3,822 | $3,822 | 36.4× |
| Umbilical-artery Doppler (OB) (76820) | $860 | $860 | 8.2× |
| Upper gi w/o kub (74240) | $5,519 | $5,519 | 31.3× |
| Urethrocystogram voiding (74455) | $3,380 | $3,380 | 14.1× |
| Urethrocystography retrograde (74450) | $3,034 | $3,034 | 12.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$4,895–$9,789 | $4,895–$9,789 | varies |
| Us chest (76604) | $3,176 | $3,176 | 30.2× |
| Us complete joint (76881) | $4,279 | $4,279 | 40.7× |
| Us exam, pelvic, limited (76857) | $3,280 | $3,280 | 31.2× |
| Us head (76506) | $5,077 | $5,077 | 48.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $4,279 | $4,279 | 40.7× |
| Us ob limited 1 or more fetuses (76815) | $3,185 | $3,185 | 30.3× |
| Us ob transvaginal (76817) | $4,207 | $4,207 | 40.1× |
| Us pelvic non ob complete (76856) | $4,198 | $4,198 | 40.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,554 | $4,554 | 43.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,878 | $2,878 | 27.4× |
| Us retroperitoneal complete (76770) | $5,142 | $5,142 | 49.0× |
| Us retroperitoneal limited (76775) | $4,068 | $4,068 | 38.7× |
| Us scrotum and contents (76870) | $4,848 | $4,848 | 46.2× |
| Us spinal canal and contents (76800) | $4,848 | $4,848 | 46.2× |
| Us thyroid (76536) | $4,550 | $4,550 | 43.3× |
| Vascular Flow Imaging (78445) | $2,009 | $2,009 | 5.0× |
| Vein X-Ray Chest (75827) | $11,226 | $11,226 | 7.1× |
| Venogram Sinus/Jugular (75860) | $13,705 | $13,705 | 4.3× |
| Venography caval inferior serialography rs&i (75825) | $11,226 | $11,226 | 3.5× |
| Venography extremity bilateral rs&i (75822) | $7,483 | $7,483 | 4.7× |
| Venography extremity unilateral rs&i (75820) | $5,494 | $5,494 | 3.5× |
| Venography Renal Unilateral (75831) | $5,616 | $5,616 | 1.8× |
| Wrist 2 views (73100) | $2,104 | $2,104 | 24.1× |
| X-Ray Aorta Leg Arteries (75630) | $19,769 | $19,769 | 6.2× |
| X-Ray Bend Only L-S Spine (72120) | $2,701 | $2,701 | 25.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,361 | $2,361 | 27.0× |
| X-Ray Exam Breast Specimen (76098) | $1,211 | $1,211 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $6,486 | $6,486 | 61.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $6,776 | $6,776 | 64.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $4,571 | $4,571 | 52.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,665 | $4,665 | 53.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,382 | $2,382 | 22.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,758 | $4,758 | 45.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $7,141 | $7,141 | 68.0× |
| X-Ray Exam L-S Spine Bending (72114) | $3,194 | $3,194 | 30.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,917 | $2,917 | 33.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,647 | $4,647 | 44.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $4,909 | $4,909 | 46.7× |
| X-ray eye for foreign body (70030) | $1,831 | $1,831 | 20.9× |
| X-ray humerus (73060) | $2,519 | $2,519 | 28.8× |
| X-ray IV pyelogram (ivp) (74400) | $9,493 | $9,493 | 53.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,831 | $1,831 | 20.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,831 | $1,831 | 20.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,296 | $3,296 | 31.4× |
| X-ray nose-rectum child f.b. (76010) | $2,079 | $2,079 | 23.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,642 | $5,642 | 53.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,767 | $2,767 | 26.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,317 | $2,317 | 22.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,079 | $2,079 | 23.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,759 | $3,759 | 43.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,396 | $4,396 | 41.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $6,252 | $6,252 | 17.8× |
| X-Rays Bone Length Studies (77073) | $3,165 | $3,165 | 30.1× |
| X-Rays Bone Survey Complete (77075) | $6,815 | $6,815 | 64.9× |
| Xr c-spine 4 or 5 views (72050) | $4,054 | $4,054 | 38.6× |
| Xr facial bones less than 3 views (70140) | $2,798 | $2,798 | 32.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $2,095 | $2,095 | 19.9× |
| Xr orbits complete 4 views (70200) | $3,296 | $3,296 | 31.4× |
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.