Imaging prices at Hendrick Medical Center Brownwood
Brownwood, TX · every code in this section with a posted price and a Medicare benchmark.
412 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) | $18,514.61 | $18,514.61 | 13.3× |
| Abdomen 1 View (74018) | $946.08 | $946.08 | 10.8× |
| Abdomen 2 views (74019) | $946.08 | $946.08 | 9.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,903.39 | $2,903.39 | 7.2× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $5,248.73 | $5,248.73 | 4.0× |
| Angio internal mammary (75756) | $13,286.15 | $13,286.15 | 4.2× |
| Angio pulmonary bilat (75743) | $13,286.15 | $13,286.15 | 4.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $13,286.15 | $13,286.15 | 4.2× |
| Angiography extremity bilateral rs&i (75716) | $13,286.15 | $13,286.15 | 4.2× |
| Angiography extremity unilateral rs&i (75710) | $13,286.15 | $13,286.15 | 4.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,286.15 | $13,286.15 | 4.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $13,286.15 | $13,286.15 | 4.2× |
| Ankle 2 views (73600) | $946.08 | $946.08 | 10.8× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$12,245.32–$12,245.35 | $12,245.32–$12,245.35 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $12,311.22 | $12,311.22 | 3.9× |
| Artery X-Rays Abdomen (75726) | $12,245.35 | $12,245.35 | 2.2× |
| Artery X-Rays Adrenal Gland (75731) | $13,286.15 | $13,286.15 | 4.2× |
| Artery X-Rays Pelvis (75736) | $12,245.35 | $12,245.35 | 2.2× |
| Artery X-Rays Spine (75705) | $12,245.35 | $12,245.35 | 2.2× |
| Arthrogram ankle (73615) | $5,575.37 | $5,575.37 | 15.9× |
| Arthrogram hip (73525) | $5,575.37 | $5,575.37 | 15.9× |
| Arthrogram Wrist (73115) | $4,303.78 | $4,303.78 | 12.3× |
| Basic radiation dosimetry calculation (77300) | $2,125.04 | $2,125.04 | 15.7× |
| Bone age studies (77072) | $946.08 | $946.08 | 9.0× |
| Bone Imaging 3 Phase (78315) | $2,912.11 | $2,912.11 | 7.3× |
| Bone Imaging Limited Area (78300) | $2,912.11 | $2,912.11 | 7.3× |
| Bone Imaging Multiple Areas (78305) | $2,912.11 | $2,912.11 | 7.3× |
| Bone Imaging Whole Body (78306) | $2,912.11 | $2,912.11 | 7.3× |
| Bone marrow imaging limited area (78102) | $2,642.76 | $2,642.76 | 6.6× |
| Bone marrow imaging; multiple areas (78103) | $2,642.76 | $2,642.76 | 6.6× |
| Bone marrow imaging; whole body (78104) | $2,642.76 | $2,642.76 | 6.6× |
| Bone survey infant (77076) | $946.08 | $946.08 | 9.0× |
| Brachytx isodose complex (77318) | $4,249.92 | $4,249.92 | 11.3× |
| Brachytx isodose intermed (77317) | $4,249.92 | $4,249.92 | 11.3× |
| Brachytx Isodose Plan Simple (77316) | $4,249.92 | $4,249.92 | 11.3× |
| Brain Flow Imaging Only (78610) | $1,842.57 | $1,842.57 | 3.4× |
| Brain Image W/Flow < 4 Views (78601) | $2,599.20 | $2,599.20 | 6.5× |
| Brain imaging < 4 static views (78600) | $2,599.20 | $2,599.20 | 6.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,373.06 | $3,373.06 | 6.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,373.06 | $3,373.06 | 6.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,573.33 | $5,573.33 | 3.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,413.83 | $3,413.83 | 8.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,555.36 | $3,555.36 | 10.1× |
| Cerebrospinal Fluid Scan (78630) | $1,842.57 | $1,842.57 | 3.4× |
| Chest 1 view (71045) | $946.08 | $946.08 | 10.8× |
| Chest 2 views (71046) | $946.08 | $946.08 | 10.8× |
| Chest 3 views (71047) | $946.08 | $946.08 | 10.8× |
| Chest 4 or more views (71048) | $349.15 | $349.15 | 3.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $519.76 | $519.76 | 4.9× |
| Clavicle complete (73000) | $946.08 | $946.08 | 10.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $946.08 | $946.08 | 9.0× |
| Continuing medical physics consltj pr wk (77336) | $2,125.04 | $2,125.04 | 15.7× |
| Contrast Exam Abdominl Aorta (75625) | $11,656.34 | $11,656.34 | 3.7× |
| Contrast X-Ray Bladder (74430) | $3,555.36 | $3,555.36 | 10.1× |
| Contrast X-Ray Of Elbow (73085) | $4,303.78 | $4,303.78 | 12.3× |
| Contrast X-Ray Of Knee Joint (73580) | $5,575.37 | $5,575.37 | 15.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,881.43 | $1,881.43 | 10.7× |
| CT abdomen and pelvis without and with contrast (74178) | $10,818.63 | $10,818.63 | 30.9× |
| CT abdomen and pelvis without contrast (74176) | $6,371.42 | $6,371.42 | 26.6× |
| CT abdomen w contrast (74160) | $4,608.29 | $4,608.29 | 26.2× |
| CT abdomen w wo contrast (74170) | $5,410.20 | $5,410.20 | 30.7× |
| CT abdomen w/o contrast (74150) | $3,186.59 | $3,186.59 | 30.3× |
| CT Angio Abdomen and Pelvis (74174) | $10,928.93 | $10,928.93 | 31.2× |
| CT Angio Chest (71275) | $5,464.45 | $5,464.45 | 31.0× |
| CT Angio Head (70496) | $5,464.45 | $5,464.45 | 31.0× |
| CT angio hrt w/3d image (75574) | $3,024.23 | $3,024.23 | 8.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,464.45 | $5,464.45 | 31.0× |
| CT Angio Neck (70498) | $5,464.45 | $5,464.45 | 31.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,464.45 | $5,464.45 | 31.0× |
| CT cervical spine w/ contrast (72126) | $4,608.29 | $4,608.29 | 13.1× |
| CT cervical spine w/o contrast (72125) | $3,186.59 | $3,186.59 | 30.3× |
| CT cervical spine w/wo cont (72127) | $5,410.20 | $5,410.20 | 30.7× |
| CT chest w contrast (71260) | $4,608.29 | $4,608.29 | 26.2× |
| CT chest w/wo contrast (71270) | $5,410.20 | $5,410.20 | 30.7× |
| CT colonography screening (74263) | $2,719.63 | $2,719.63 | 11.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $496.26 | $496.26 | 4.7× |
| CT head/brain with contrast (70460) | $4,608.29 | $4,608.29 | 26.2× |
| CT head/brain without and with contrast (70470) | $5,410.20 | $5,410.20 | 30.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,024.23 | $3,024.23 | 8.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $781.35 | $781.35 | 8.9× |
| CT hrt w/3d image congen (75573) | $3,024.23 | $3,024.23 | 8.6× |
| CT iac w contrast (70481) | $4,608.29 | $4,608.29 | 26.2× |
| CT l-spine w&w/o contrast (72133) | $5,410.20 | $5,410.20 | 30.7× |
| CT lower ext w/o (73700) | $3,186.59 | $3,186.59 | 30.3× |
| CT lower extremity w/contrast material (73701) | $4,608.29 | $4,608.29 | 26.2× |
| CT lumbar spine w contrast (72132) | $4,608.29 | $4,608.29 | 13.1× |
| CT lumbar spine w/o contrast (72131) | $3,186.59 | $3,186.59 | 30.3× |
| CT maxillofacial w contrast (70487) | $4,608.29 | $4,608.29 | 26.2× |
| CT maxillofacial wo contrast (70486) | $3,186.59 | $3,186.59 | 30.3× |
| CT neck tissue combo (70492) | $5,410.20 | $5,410.20 | 30.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,410.20 | $5,410.20 | 30.7× |
| CT orbits w/o contrast (70480) | $3,186.59 | $3,186.59 | 30.3× |
| CT pelvis w&w/o contrast (72194) | $5,410.20 | $5,410.20 | 30.7× |
| CT pelvis w/o contrast (72192) | $3,186.59 | $3,186.59 | 30.3× |
| CT scan of leg combo (73702) | $5,410.20 | $5,410.20 | 30.7× |
| CT scans face/jaw combo (70488) | $5,410.20 | $5,410.20 | 30.7× |
| CT soft tissue neck w contrast (70491) | $4,608.29 | $4,608.29 | 26.2× |
| CT soft tissue neck w/o contrast (70490) | $3,186.59 | $3,186.59 | 30.3× |
| CT thoracic spine w contrast (72129) | $4,608.29 | $4,608.29 | 26.2× |
| CT thoracic spine w/o contrast (72128) | $3,186.59 | $3,186.59 | 30.3× |
| CT thoracic spine w/wo cont (72130) | $4,608.29 | $4,608.29 | 26.2× |
| CT thorax w/o contrast (71250) | $3,186.59 | $3,186.59 | 30.3× |
| CT upper ext wo (73200) | $3,186.59 | $3,186.59 | 30.3× |
| CT upper extremity w/o & w/contrast material (73202) | $5,410.20 | $5,410.20 | 30.7× |
| CT upper extremity with contrast (73201) | $4,608.29 | $4,608.29 | 13.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,464.45 | $5,464.45 | 31.0× |
| Cta Abdomen (74175) | $5,464.45 | $5,464.45 | 31.0× |
| CTA pelvis (72191) | $3,278.47 | $3,278.47 | 18.6× |
| Dilation ureters/urethra rs&i (74485) | $7,303.58 | $7,303.58 | 3.5× |
| Discography Cerv/Thor Spine (72285) | $20,510.76 | $20,510.76 | 10.5× |
| Diskography lumbar (72295) | $20,510.76 | $20,510.76 | 10.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $519.76 | $519.76 | 4.9× |
| Dxa Bone Density Axial (77080) | $874.81 | $874.81 | 8.3× |
| Dxa bone density study (77085) | $334.14 | $334.14 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,334.83 | $1,334.83 | 15.3× |
| Echo exam of fetal heart (76825) | $2,306.79 | $2,306.79 | 4.2× |
| Echo exam uterus (76831) | $1,804.61 | $1,804.61 | 7.5× |
| Echo Guide For Artery Repair (76936) | $2,073.79 | $2,073.79 | 9.6× |
| Echograp Trans R Pros Study (76873) | $1,797.96 | $1,797.96 | 17.1× |
| Esophagram (74220) | $1,881.43 | $1,881.43 | 10.7× |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$1,797.95–$1,797.96 | $1,797.95–$1,797.96 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,797.96 | $1,797.96 | 17.1× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$1,804.50–$1,804.61 | $1,804.50–$1,804.61 | varies |
| Follow-Up Angiography (75898) | $13,286.15 | $13,286.15 | 4.2× |
| Foot 2 views (73620) | $946.08 | $946.08 | 10.8× |
| Forearm 2 views (73090) | $946.08 | $946.08 | 10.8× |
| Gastric emptying imaging study (78264) | $2,903.39 | $2,903.39 | 7.2× |
| Gastroesophageal Reflux Exam (78262) | $2,903.39 | $2,903.39 | 7.2× |
| Gated Heart Planar Single (78472) | $3,722.26 | $3,722.26 | 9.3× |
| Hand 2 views (73120) | $946.08 | $946.08 | 9.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,846.91 | $5,846.91 | 8.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,846.91 | $5,846.91 | 8.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,846.91 | $5,846.91 | 8.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $13,286.15 | $13,286.15 | 4.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $13,286.15 | $13,286.15 | 4.2× |
| Hepatobil Syst Image W/Drug (78227) | $3,132.87 | $3,132.87 | 5.7× |
| Hepatobiliary System Imaging (78226) | $3,132.87 | $3,132.87 | 7.8× |
| Ht Muscle Image Spect Sing (78451) | $5,248.73 | $5,248.73 | 4.0× |
| Hysterosalpingogram (74740) | $3,555.36 | $3,555.36 | 14.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $354.54 | $354.54 | 4.1× |
| Infant hip ultrasound, limited static exam (76886) | $1,334.83 | $1,334.83 | 15.3× |
| Interstitial radiation source applic complex (77778) | $12,568.45 | $12,568.45 | 18.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,252.78 | $3,252.78 | 4.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,252.78 | $3,252.78 | 5.9× |
| K Flow/Funct Image W/Drug (78708) | $1,842.57 | $1,842.57 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,842.57 | $1,842.57 | 3.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,419.84 | $1,419.84 | 3.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,890.90 | $3,890.90 | 9.7× |
| Knee 3 Views (73562) | $946.08 | $946.08 | 10.8× |
| Leveen/Shunt Patency Exam (78291) | $2,903.39 | $2,903.39 | 7.2× |
| Liver & Spleen Imaging Static Only (78215) | $3,414.53 | $3,414.53 | 8.5× |
| Liver imaging static only (78201) | $3,413.83 | $3,413.83 | 6.3× |
| Liver imaging w/vascular flow (78202) | $3,413.83 | $3,413.83 | 6.3× |
| Lung Perf&Ventilat Diferentl (78598) | $3,373.06 | $3,373.06 | 6.2× |
| Lung perfusion differential (78597) | $2,599.20 | $2,599.20 | 6.5× |
| Lung Ventilat&Perfus Imaging (78582) | $3,373.06 | $3,373.06 | 6.2× |
| Lung Ventilation Imaging (78579) | $2,383.57 | $2,383.57 | 5.9× |
| Lymph System Imaging (78195) | $3,005.98 | $3,005.98 | 5.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $11,446.11 | $11,446.11 | 7.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,514.71 | $2,514.71 | 4.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $13,286.15 | $13,286.15 | 4.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $13,286.15 | $13,286.15 | 4.2× |
| Magnetic Image Jaw Joint (70336) | $2,690.43 | $2,690.43 | 11.2× |
| Mammary ductogram or galactogram multiple (77054) | $1,804.61 | $1,804.61 | 7.5× |
| Mammary ductogram or galactogram single (77053) | $1,804.61 | $1,804.61 | 7.5× |
| Meckels Divert Exam (78290) | $2,903.39 | $2,903.39 | 7.2× |
| Mlc imrt design & construction per imrt plan (77338) | $45,921.80 | $45,921.80 | 122.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,773.04 | $5,773.04 | 16.5× |
| MRA head w/o contrast (70544) | $3,074.03 | $3,074.03 | 12.8× |
| MRA head with contrast (70545) | $5,773.04 | $5,773.04 | 16.5× |
| MRA neck w contrast (70548) | $5,773.04 | $5,773.04 | 16.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,773.04 | $5,773.04 | 16.5× |
| MRA neck w/o contrast (70547) | $3,072.35 | $3,072.35 | 12.8× |
| MRI abdomen w contrast (74182) | $3,960.66 | $3,960.66 | 11.3× |
| MRI abdomen w/o contrast (74181) | $3,029.71 | $3,029.71 | 12.6× |
| MRI any jt lower extrem w/contrast material (73722) | $3,471.32 | $3,471.32 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,575.23 | $5,575.23 | 15.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,471.32 | $3,471.32 | 4.4× |
| MRI bone marrow blood supply (77084) | $1,804.61 | $1,804.61 | 7.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,804.61 | $1,804.61 | 7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,804.61 | $1,804.61 | 7.5× |
| MRI cardiac w/o contrast (75557) | $3,555.36 | $3,555.36 | 14.8× |
| MRI cervical spine w contrast (72142) | $3,853.23 | $3,853.23 | 11.0× |
| MRI cervical spine w/o cont (72141) | $3,210.45 | $3,210.45 | 13.4× |
| MRI chest w/o contrast (71550) | $3,120.10 | $3,120.10 | 13.0× |
| MRI chest with contrast (71551) | $3,032.20 | $3,032.20 | 3.9× |
| MRI chest wo w contrast (71552) | $5,687.77 | $5,687.77 | 16.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,580.43 | $3,580.43 | 10.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,325.40 | $6,325.40 | 18.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,959.83 | $2,959.83 | 12.3× |
| MRI lumbar spine w contrast (72149) | $2,811.47 | $2,811.47 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,189.03 | $6,189.03 | 17.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,065.52 | $3,065.52 | 12.8× |
| MRI orbit face neck w contrast (70542) | $3,686.15 | $3,686.15 | 10.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,518.10 | $6,518.10 | 18.6× |
| MRI pelvis w contrast (72196) | $3,733.87 | $3,733.87 | 10.7× |
| MRI pelvis w/o & w contrast (72197) | $6,576.06 | $6,576.06 | 18.8× |
| MRI pelvis w/o contrast (72195) | $3,391.17 | $3,391.17 | 14.1× |
| MRI thoracic spine w/o contrast (72146) | $3,501.99 | $3,501.99 | 14.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $6,325.40 | $6,325.40 | 18.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,579.62 | $2,579.62 | 10.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,325.40 | $6,325.40 | 18.0× |
| MRI, abdomen, combo (74183) | $6,383.38 | $6,383.38 | 18.2× |
| MRI, dorsal spine combo (72157) | $6,792.59 | $6,792.59 | 19.4× |
| MRI, dorsal spine contrast (72147) | $3,851.53 | $3,851.53 | 11.0× |
| MRI, joint upper extrem (73221) | $2,959.83 | $2,959.83 | 12.3× |
| MRI, joint upper extrem combo (73223) | $5,576.94 | $5,576.94 | 15.9× |
| MRI, lumbar spine combo (72158) | $6,726.09 | $6,726.09 | 19.2× |
| Myelogram cervical (72240) | $3,032.20 | $3,032.20 | 3.9× |
| Myelogram Lumbar (72265) | $3,032.20 | $3,032.20 | 3.9× |
| Myelography thoracic (72255) | $3,032.20 | $3,032.20 | 3.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,032.20 | $3,032.20 | 3.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,413.83 | $3,413.83 | 8.5× |
| Myocardial Spect Multiple Studies (78452) | $5,248.73 | $5,248.73 | 4.0× |
| N-invas est c ffr sw aly CTA (75580) | $4,233.09 | $4,233.09 | 4.9× |
| Neck soft tissue (70360) | $946.08 | $946.08 | 10.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $3,020.36 | $3,020.36 | 7.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,734.88 | $1,734.88 | 4.3× |
| Nonvascular Shunt X-Ray (75809) | $1,573.81 | $1,573.81 | 15.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $18,514.61 | $18,514.61 | 13.3× |
| Nuclear Rx Intra-Arterial (79445) | $1,208.01 | $1,208.01 | 5.2× |
| Nuclear Rx Oral Admin (79005) | $2,526.12 | $2,526.12 | 10.8× |
| Ob us nuchal meas 1 gest (76813) | $519.76 | $519.76 | 4.9× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $1,334.83 | $1,334.83 | 15.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,797.96 | $1,797.96 | 17.1× |
| Optic foramina (70190) | $945.85 | $945.85 | 10.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,429.59 | $3,429.59 | 6.3× |
| Parathyroid Planar Imaging (78070) | $2,642.62 | $2,642.62 | 6.6× |
| Pelvis 1 or 2 views (72170) | $946.08 | $946.08 | 9.0× |
| Pet Image Skull-Thigh (78812) | $5,573.41 | $5,573.41 | 3.9× |
| Pet Image W/Ct Lmtd (78814) | $5,573.41 | $5,573.41 | 3.9× |
| PET image w/CT, full body (78816) | $5,573.33 | $5,573.33 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,573.33 | $5,573.33 | 3.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,916.81 | $4,916.81 | 3.8× |
| PET whole body (78813) | $5,573.41 | $5,573.41 | 3.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,286.15 | $13,286.15 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,599.16 | $2,599.16 | 6.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,573.81 | $1,573.81 | 15.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,786.71 | $3,786.71 | 6.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $946.08 | $946.08 | 10.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $946.08 | $946.08 | 10.8× |
| Radex elbow complete minimum 3 views (73080) | $946.08 | $946.08 | 10.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $946.08 | $946.08 | 9.0× |
| Radex fingr minimum 2 views (73140) | $946.08 | $946.08 | 10.8× |
| Radex foot complete minimum 3 views (73630) | $946.08 | $946.08 | 10.8× |
| Radex Hand Minimum 3 Views (73130) | $946.08 | $946.08 | 10.8× |
| Radex lower extremity infant minimum 2 views (73592) | $226.20 | $226.20 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,274 | $1,274 | 12.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $946.08 | $946.08 | 10.8× |
| Radex Ribs Unilateral 2 Views (71100) | $946.08 | $946.08 | 10.8× |
| Radex shoulder complete minimum 2 views (73030) | $946.08 | $946.08 | 10.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $945.85 | $945.85 | 10.8× |
| Radex Spine 1 View Specify Level (72020) | $946.08 | $946.08 | 10.8× |
| Radex Sternum Minimum 2 Views (71120) | $946.08 | $946.08 | 10.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $945.85 | $945.85 | 10.8× |
| Radex Toe Minimum 2 Views (73660) | $946.08 | $946.08 | 10.8× |
| Radex upper extremity infant minimum 2 views (73092) | $1,274 | $1,274 | 12.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $946.08 | $946.08 | 10.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $946.08 | $946.08 | 9.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $30,835.52 | $30,835.52 | 4.2× |
| Radiation treatment delivery level 1 (77402) | $1,726.40 | $1,726.40 | 16.8× |
| Radiation treatment delivery level 2 (77407) | $3,020.36 | $3,020.36 | 7.8× |
| Radiation treatment delivery level 3 (77412) | $3,020.36 | $3,020.36 | 5.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $946.08 | $946.08 | 9.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $946.08 | $946.08 | 9.0× |
| Radiologic exam colon double contrast study (74280) | $3,024.23 | $3,024.23 | 17.2× |
| Radiologic exam colon single contrast study (74270) | $1,881.43 | $1,881.43 | 10.7× |
| Radiologic exam knee complete 4/more views (73564) | $946.08 | $946.08 | 9.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $946.08 | $946.08 | 9.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,881.43 | $1,881.43 | 10.7× |
| Radiologic exam swallow function contrast study (74230) | $1,881.43 | $1,881.43 | 10.7× |
| Radiologic exam teeth complete full mouth (70320) | $2,690.43 | $2,690.43 | 11.2× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $2,690.43 | $2,690.43 | 11.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,179.57 | $2,179.57 | 12.4× |
| Radiologic examination femur 1 view (73551) | $334.14 | $334.14 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) | $946.08 | $946.08 | 10.8× |
| Radiologic examination knee 1/2 views (73560) | $946.08 | $946.08 | 10.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,797.96 | $1,797.96 | 17.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $946.08 | $946.08 | 10.8× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $5,645.49 | $5,645.49 | 10.3× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $945.85 | $945.85 | 10.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,632.15 | $1,632.15 | 4.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,632.15 | $1,632.15 | 4.2× |
| Ribs bilateral 3 views (71110) | $946.08 | $946.08 | 9.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,419.84 | $1,419.84 | 3.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,419.84 | $1,419.84 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,916.81 | $4,916.81 | 9.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,444.84 | $6,444.84 | 11.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $11,790.93 | $11,790.93 | 21.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,916.81 | $4,916.81 | 3.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,573.41 | $5,573.41 | 3.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,916.81 | $4,916.81 | 3.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,526.15 | $2,526.15 | 10.8× |
| Rp Therapy Intravenous Administration (79101) | $2,526.15 | $2,526.15 | 10.8× |
| Scapula (73010) | $946.08 | $946.08 | 9.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $141.36 | $141.36 | 6.0× |
| Sella turcica (70240) | $945.85 | $945.85 | 10.8× |
| Shoulder 1 view (73020) | $946.08 | $946.08 | 10.8× |
| Shoulder Arthrography (73040) | $5,443.96 | $5,443.96 | 15.5× |
| Sialogram (70390) | $2,690.43 | $2,690.43 | 11.2× |
| Skull less than 4 views (70250) | $946.08 | $946.08 | 9.0× |
| Special dosimetry (77331) | $1,591.95 | $1,591.95 | 11.8× |
| Special Physics Consult (77370) | $3,943.80 | $3,943.80 | 29.2× |
| Special teletherapy port plan (77321) | $4,249.92 | $4,249.92 | 11.3× |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$5,273.55–$7,914.31 | $5,273.55–$7,914.31 | varies |
| Stereotactic Body Radiation Delivery (77373) | $20,269.42 | $20,269.42 | 11.3× |
| Sternoclavicular joints (71130) | $946.08 | $946.08 | 10.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,587.58 | $1,587.58 | 15.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $11,735.53 | $11,735.53 | 31.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $4,250.08 | $4,250.08 | 11.3× |
| Testicular Imaging W/Flow (78761) | $1,419.84 | $1,419.84 | 3.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,360.44 | $5,360.44 | 14.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,655.91 | $2,655.91 | 7.1× |
| Ther rad simulaj-aided field setting simple (77280) | $2,125.04 | $2,125.04 | 15.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,024.23 | $3,024.23 | 17.2× |
| Thoracic spine 2 views (72070) | $946.08 | $946.08 | 9.0× |
| Thoracic spine 3 views (72072) | $946.08 | $946.08 | 9.0× |
| Thoracolumbar 2 views (72080) | $367.52 | $367.52 | 4.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,392.41 | $1,392.41 | 3.5× |
| Thyroid Met Imaging Body (78018) | $3,429.59 | $3,429.59 | 6.3× |
| Thyroid Uptake Measurement (78012) | $1,392.61 | $1,392.61 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,642.62 | $2,642.62 | 6.6× |
| Tx Devices Design & Construction Complex (77334) | $3,943.79 | $3,943.79 | 10.5× |
| Tx devices design & construction intermediate (77333) | $3,943.80 | $3,943.80 | 29.2× |
| Tx devices design & construction simple (77332) | $3,943.79 | $3,943.79 | 29.2× |
| Ultrasound Breast Limited (76642) | $1,083.31 | $1,083.31 | 12.4× |
| Ultrasound elastography first target lesion (76982) | $1,797.96 | $1,797.96 | 17.1× |
| Ultrasound Elastography Parenchyma (76981) | $1,797.96 | $1,797.96 | 17.1× |
| Ultrasound Exam Aaa Screen (76706) | $1,797.96 | $1,797.96 | 17.1× |
| Ultrasound, abdomen limited (76705) | $1,696.18 | $1,696.18 | 16.2× |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$739.85–$1,797.96 | $739.85–$1,797.96 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,334.83 | $1,334.83 | 15.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $2,043.32 | $2,043.32 | 19.9× |
| Unlisted us procedure (76999) | $1,138.34 | $1,138.34 | 13.0× |
| Upper gi w/o kub (74240) | $1,774.92 | $1,774.92 | 10.1× |
| Urethrocystogram voiding (74455) | $3,555.36 | $3,555.36 | 14.8× |
| Urethrocystography retrograde (74450) | $3,555.36 | $3,555.36 | 14.8× |
| Us breast unilateral complete (76641) | $1,083.31 | $1,083.31 | 10.3× |
| Us chest (76604) | $566.61 | $566.61 | 5.4× |
| Us complete joint (76881) | $559.74 | $559.74 | 5.3× |
| Us exam, pelvic, limited (76857) | $1,797.96 | $1,797.96 | 17.1× |
| Us head (76506) | $1,797.96 | $1,797.96 | 17.1× |
| Us kidney transplant (76776) | $1,797.96 | $1,797.96 | 17.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $365.11 | $365.11 | 3.5× |
| Us ob detailed single fetus (76811) | $1,804.61 | $1,804.61 | 7.5× |
| Us ob limited 1 or more fetuses (76815) | $1,797.96 | $1,797.96 | 17.1× |
| Us ob transvaginal (76817) | $1,797.96 | $1,797.96 | 17.1× |
| Us pelvic non ob complete (76856) | $1,797.96 | $1,797.96 | 17.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,744.57 | $1,744.57 | 16.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,797.96 | $1,797.96 | 17.1× |
| Us retroperitoneal complete (76770) | $1,797.95 | $1,797.95 | 17.1× |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$1,696.18–$1,797.96 | $1,696.18–$1,797.96 | varies |
| Us scrotum and contents (76870) | $1,797.96 | $1,797.96 | 17.1× |
| Us spinal canal and contents (76800) | $1,797.96 | $1,797.96 | 17.1× |
| Us thyroid (76536) | $1,797.95 | $1,797.95 | 17.1× |
| Us transrectal (76872) | $1,797.96 | $1,797.96 | 17.1× |
| Vascular Flow Imaging (78445) | $2,912.11 | $2,912.11 | 7.3× |
| Vein X-Ray Chest (75827) | $11,446.11 | $11,446.11 | 7.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,286.15 | $13,286.15 | 4.2× |
| Vein X-Ray Spleen/Liver (75810) | $13,123.08 | $13,123.08 | 4.1× |
| Venogram Sinus/Jugular (75860) | $13,286.15 | $13,286.15 | 4.2× |
| Venography Adrenal Unilateral (75840) | $13,286.15 | $13,286.15 | 4.2× |
| Venography caval inferior serialography rs&i (75825) | $13,286.15 | $13,286.15 | 4.2× |
| Venography extremity bilateral rs&i (75822) | $11,446.11 | $11,446.11 | 7.2× |
| Venography extremity unilateral rs&i (75820) | $11,446.11 | $11,446.11 | 7.2× |
| Venography Renal Bilateral (75833) | $13,286.15 | $13,286.15 | 4.2× |
| Venography Renal Unilateral (75831) | $13,286.15 | $13,286.15 | 4.2× |
| Venous sampling by catheter (75893) | $12,245.35 | $12,245.35 | 2.2× |
| Venous thrombosis imaging (78457) | $3,413.83 | $3,413.83 | 6.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,413.83 | $3,413.83 | 8.5× |
| Wrist 2 views (73100) | $946.08 | $946.08 | 10.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $945.85 | $945.85 | 10.8× |
| X-ray antegrade pyelogram tube (74425) | $3,555.36 | $3,555.36 | 10.1× |
| X-Ray Aorta Leg Arteries (75630) | $11,656.34 | $11,656.34 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $946.08 | $946.08 | 10.8× |
| X-Ray Exam Breast Specimen (76098) | $3,786.71 | $3,786.71 | 6.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $342.14 | $342.14 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $946.08 | $946.08 | 9.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $684.21 | $684.21 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $946.08 | $946.08 | 10.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $927.57 | $927.57 | 10.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,515.49 | $1,515.49 | 14.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,543.65 | $1,543.65 | 14.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,543.65 | $1,543.65 | 14.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,087.35 | $3,087.35 | 29.4× |
| X-Ray Exam L-S Spine Bending (72114) | $462.26 | $462.26 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $946.08 | $946.08 | 10.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,074.83 | $1,074.83 | 10.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $349.15 | $349.15 | 3.3× |
| X-ray eye for foreign body (70030) | $516.10 | $516.10 | 5.9× |
| X-ray humerus (73060) | $946.08 | $946.08 | 10.8× |
| X-ray IV pyelogram (ivp) (74400) | $3,024.23 | $3,024.23 | 17.2× |
| X-ray IV pyelogram+tomography (74415) | $3,024.23 | $3,024.23 | 17.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $262.28 | $262.28 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $226.20 | $226.20 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $946.08 | $946.08 | 9.0× |
| X-ray nose-rectum child f.b. (76010) | $634.42 | $634.42 | 7.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $350.79 | $350.79 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $226.20 | $226.20 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $226.20 | $226.20 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $946.08 | $946.08 | 10.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $946.08 | $946.08 | 10.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,573.81 | $1,573.81 | 15.0× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$299.98–$946.08 | $299.98–$946.08 | varies |
| X-Ray Tmj Unilat (70328) | $945.85 | $945.85 | 10.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,555.36 | $3,555.36 | 10.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$892.53–$946.08 | $892.53–$946.08 | varies |
| X-Rays Bone Survey Complete (77075) | $1,573.81 | $1,573.81 | 15.0× |
| Xr c-spine 4 or 5 views (72050) | $978.27 | $978.27 | 9.3× |
| Xr facial bones less than 3 views (70140) | $945.85 | $945.85 | 10.8× |
| Xr orbits complete 4 views (70200) | $946.08 | $946.08 | 9.0× |
| Xr Tomogram Single Plane (76100) | $1,797.96 | $1,797.96 | 17.1× |
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.