Imaging prices at Hill Country Memorial Hospital
Fredericksburg, TX · every code in this section with a posted price and a Medicare benchmark.
260 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) | $1,214.18 | $1,214.18 | 11.6× |
| Acute gastrointestinal blood loss imaging (78278) | $7,636.15 | $7,636.15 | 19.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography extremity unilateral rs&i (75710) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography internal mammary rs&i (75756) | $9,331.51 | $9,331.51 | 2.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,937.86 | $14,937.86 | 2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,873.72 | $12,873.72 | 4.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography Spinal Selective Rs&I (75705) | $14,937.86 | $14,937.86 | 2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,937.86 | $14,937.86 | 2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $4,100.72 | $4,100.72 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,331.51 | $9,331.51 | 2.9× |
| Ankle 2 views (73600) | $890.41 | $890.41 | 10.2× |
| Antegrade urography radiological supvj & interpj (74425) | $2,544.96 | $2,544.96 | 7.3× |
| Aortogram thoracic (75605) | $14,937.86 | $14,937.86 | 2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $14,937.86 | $14,937.86 | 4.7× |
| Aortography abdominal serialography rs&i (75625) | $14,937.86 | $14,937.86 | 4.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,939.73 | $8,939.73 | 2.8× |
| Artery X-Rays Adrenal Gland (75731) | $14,937.86 | $14,937.86 | 4.7× |
| Arthrogram elbow (73085) | $2,315.06 | $2,315.06 | 6.6× |
| Arthrogram hip (73525) | $3,202.25 | $3,202.25 | 9.1× |
| Arthrogram shoulder (73040) | $1,648.79 | $1,648.79 | 4.7× |
| Arthrogram wrist (73115) | $2,315.06 | $2,315.06 | 6.6× |
| Arthrography knee lt (73580) | $2,366.88 | $2,366.88 | 6.8× |
| Basic radiation dosimetry calculation (77300) | $1,040.19 | $1,040.19 | 7.7× |
| Bone &/joint imaging whole body (78306) | $7,165.30 | $7,165.30 | 17.8× |
| Bone age studies (77072) | $914.69 | $914.69 | 8.7× |
| Bone Imaging 3 Phase (78315) | $8,959.62 | $8,959.62 | 22.3× |
| Bone survey complete (77075) | $2,964.28 | $2,964.28 | 28.2× |
| Cervical spine 2 or 3 views (72040) | $1,332.40 | $1,332.40 | 15.2× |
| Chest 1 view (71045) | $1,133.27 | $1,133.27 | 13.0× |
| Chest 3 views (71047) | $1,295.15 | $1,295.15 | 14.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,349.06 | $2,349.06 | 13.3× |
| Clavicle complete (73000) | $1,183.44 | $1,183.44 | 13.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $558.97 | $558.97 | 5.3× |
| Continuing medical physics consltj pr wk (77336) | $1,040.19 | $1,040.19 | 7.7× |
| CT abdomen and pelvis without and with contrast (74178) | $16,804.68 | $16,804.68 | 48.0× |
| CT abdomen and pelvis without contrast (74176) | $11,369.37 | $11,369.37 | 47.4× |
| CT abdomen w contrast (74160) | $8,798.40 | $8,798.40 | 49.9× |
| CT abdomen w wo contrast (74170) | $9,967.30 | $9,967.30 | 56.6× |
| CT abdomen w/o contrast (74150) | $6,547.08 | $6,547.08 | 62.3× |
| CT angio hrt w/3d image (75574) | $7,245.01 | $7,245.01 | 20.7× |
| CT angiography upper extremity lt (73206) | $5,875.38 | $5,875.38 | 33.3× |
| CT c-spine w/o contrast (72125) | $7,856.50 | $7,856.50 | 74.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $6,741.70 | $6,741.70 | 38.3× |
| CT cervical spine w&w/o contrast (72127) | $10,617.39 | $10,617.39 | 60.3× |
| CT cervical spine with contrast (72126) | $8,795.31 | $8,795.31 | 25.1× |
| CT chest with contrast (71260) | $8,690.33 | $8,690.33 | 49.3× |
| CT colonography w/o cntrst (74261) | $1,599.71 | $1,599.71 | 15.2× |
| CT head/brain with contrast (70460) | $6,743.18 | $6,743.18 | 38.3× |
| CT head/brain without and with contrast (70470) | $8,863.26 | $8,863.26 | 50.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,725.37 | $2,725.37 | 7.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $767.43 | $767.43 | 8.8× |
| CT hrt w/3d image congen (75573) | $2,259.06 | $2,259.06 | 6.4× |
| CT iac w contrast (70481) | $9,148.92 | $9,148.92 | 51.9× |
| CT lower ext w/o (73700) | $6,249.06 | $6,249.06 | 59.5× |
| CT lower extremity w wo contrast (73702) | $7,031.93 | $7,031.93 | 39.9× |
| CT lower extremity with contrast (73701) | $6,639.72 | $6,639.72 | 37.7× |
| CT lumbar spine w & w/o contrast (72133) | $10,617.39 | $10,617.39 | 60.3× |
| CT lumbar spine w/o contrast (72131) | $7,856.50 | $7,856.50 | 74.8× |
| CT lumbar spine with contrast (72132) | $8,795.31 | $8,795.31 | 25.1× |
| CT maxillofacial w contrast (70487) | $7,433.40 | $7,433.40 | 42.2× |
| CT maxillofacial w/o contrast (70486) | $7,113.77 | $7,113.77 | 67.7× |
| CT maxillofacial w/wo contrast (70488) | $7,742.23 | $7,742.23 | 43.9× |
| CT neck soft tissue w contrast (70491) | $8,795.31 | $8,795.31 | 49.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $10,378.02 | $10,378.02 | 58.9× |
| CT orbits w/o contrast (70480) | $8,542.09 | $8,542.09 | 81.3× |
| CT pelvis w & w/o contrast (72194) | $6,842.01 | $6,842.01 | 38.8× |
| CT pelvis w/o contrast (72192) | $4,822.30 | $4,822.30 | 45.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,768.12 | $9,768.12 | 55.4× |
| CT soft tissue neck w/o contrast (70490) | $6,639.72 | $6,639.72 | 63.2× |
| CT thoracic spine w/contrast (72129) | $8,795.31 | $8,795.31 | 49.9× |
| CT thoracic spine w/o contrast (72128) | $7,856.50 | $7,856.50 | 74.8× |
| CT thoracic spine w/wo contrast (72130) | $10,617.39 | $10,617.39 | 60.3× |
| CT thorax w/o contrast (71250) | $6,686.04 | $6,686.04 | 63.7× |
| CT upper extremity w/o & w/contrast material (73202) | $7,031.93 | $7,031.93 | 39.9× |
| CT upper extremity w/o contrast rt (73200) | $6,249.06 | $6,249.06 | 59.5× |
| CT upper extremity with contrast (73201) | $6,639.72 | $6,639.72 | 18.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Abdomen (74175) | $13,457.02 | $13,457.02 | 76.4× |
| CTA abdomen pelvis (74174) | $12,813.12 | $12,813.12 | 36.6× |
| CTA chest (71275) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Head (70496) | $11,749.21 | $11,749.21 | 66.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $17,873.72 | $17,873.72 | 51.0× |
| CTA lwr ext w&w/o contrast (73706) | $10,093.16 | $10,093.16 | 57.3× |
| Cta Neck (70498) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Pelvis (72191) | $10,132.52 | $10,132.52 | 57.5× |
| Cystography minimum 3 views rs&i (74430) | $1,858.53 | $1,858.53 | 5.3× |
| Diskogram cervical (72285) | $11,576.96 | $11,576.96 | 5.9× |
| Diskography lumbar (72295) | $8,493.40 | $8,493.40 | 4.3× |
| Echoencephalography real time imaging (76506) | $2,760.39 | $2,760.39 | 26.3× |
| Esophagus (74220) | $2,308.58 | $2,308.58 | 13.1× |
| Fetal biophysical profile non-stress testing (76818) | $2,905.40 | $2,905.40 | 27.7× |
| Fluoroscopy up to 1 hr (76000) | $2,043.08 | $2,043.08 | 8.5× |
| Foot 2 views (73620) | $1,040.98 | $1,040.98 | 11.9× |
| Forearm 2 views (73090) | $1,152.68 | $1,152.68 | 13.2× |
| Hand 2 views (73120) | $1,201.23 | $1,201.23 | 11.4× |
| Hand 3 views (73130) | $1,361.52 | $1,361.52 | 15.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,251.06 | $10,251.06 | 3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $6,497.59 | $6,497.59 | 11.9× |
| Humerus Min 2 Views Left (73060) | $1,183.44 | $1,183.44 | 13.5× |
| Hysterosalpingogram (74740) | $2,580.56 | $2,580.56 | 10.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $3,924.42 | $3,924.42 | 7.2× |
| Knee 3 views (73562) | $1,248.21 | $1,248.21 | 14.3× |
| Lung Ventilation Imaging (78579) | $4,477.27 | $4,477.27 | 11.1× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $3,951.81 | $3,951.81 | 1.2× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) | $1,979.70 | $1,979.70 | 3.1× |
| Lymphangiography extremity only bilateral rs&i (75803) | $5,047.01 | $5,047.01 | 3.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $3,679.81 | $3,679.81 | 1.2× |
| Lymphoscintigraphy (78195) | $8,177.19 | $8,177.19 | 15.0× |
| Meckels Diverticulum (78290) | $5,936 | $5,936 | 14.8× |
| MRA head w & w/o contrast (70546) | $8,730.24 | $8,730.24 | 24.9× |
| MRA head w/o contrast (70544) | $7,743.41 | $7,743.41 | 32.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,730.24 | $8,730.24 | 24.9× |
| MRA neck w/o contrast (70547) | $7,743.41 | $7,743.41 | 32.3× |
| MRI abdomen w/o & w/contrast material (74183) | $13,856.12 | $13,856.12 | 39.5× |
| MRI abdomen w/o contrast (74181) | $10,466.93 | $10,466.93 | 43.7× |
| MRI any jnt lwr ext with con lt (73722) | $6,645.88 | $6,645.88 | 8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,872.93 | $9,872.93 | 12.5× |
| MRI breast w/o contrast bilateral (77047) | $3,830.61 | $3,830.61 | 16.0× |
| MRI cervical spine w/o contrast (72141) | $8,501.05 | $8,501.05 | 35.5× |
| MRI chest w/o & w/contrast material (71552) | $11,893.37 | $11,893.37 | 33.9× |
| MRI chest w/o contrast (71550) | $9,366.27 | $9,366.27 | 39.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,366.27 | $9,366.27 | 39.1× |
| MRI orbit face &/neck w/o contrast (70540) | $9,464.50 | $9,464.50 | 39.5× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,395.21 | $10,395.21 | 29.7× |
| MRI pelvis w/o & w/contrast material (72197) | $7,267.92 | $7,267.92 | 20.7× |
| MRI pelvis w/o contrast (72195) | $6,237.44 | $6,237.44 | 26.0× |
| MRI scan of arm joint before and after contrast (73223) | $10,816.13 | $10,816.13 | 30.9× |
| MRI scan of leg joint before and after contrast (73723) | $7,897.72 | $7,897.72 | 22.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,893.37 | $11,893.37 | 33.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $12,417.18 | $12,417.18 | 35.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $14,105.55 | $14,105.55 | 40.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $12,417.18 | $12,417.18 | 35.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $14,105.55 | $14,105.55 | 40.2× |
| MRI thoracic spine w/o contrast (72146) | $10,716.35 | $10,716.35 | 44.7× |
| MRI upper ext joint w/o contrast (73221) | $8,929.78 | $8,929.78 | 37.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $11,232.36 | $11,232.36 | 32.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,366.27 | $9,366.27 | 39.1× |
| Myelogram Lumbar (72265) | $6,542.09 | $6,542.09 | 8.3× |
| Myelography 2 or more regions (72270) | $11,653.06 | $11,653.06 | 14.8× |
| Myocardial Spect Multiple Studies (78452) | $13,200.59 | $13,200.59 | 10.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $6,725.25 | $6,725.25 | 7.8× |
| Neck soft tissue (70360) | $958.42 | $958.42 | 11.0× |
| Nm gastric emptying study (78264) | $6,744.11 | $6,744.11 | 16.8× |
| Parathyrd planar w/wo subtrj (78071) | $2,838.73 | $2,838.73 | 7.1× |
| Pelvis 1 or 2 views (72170) | $1,028.02 | $1,028.02 | 9.8× |
| Peritoneogram rs&i (74190) | $3,202.25 | $3,202.25 | 5.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $12,113.19 | $12,113.19 | 34.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,001.12 | $12,001.12 | 3.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $10,251.06 | $10,251.06 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,615.93 | $4,615.93 | 11.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,014.62 | $7,014.62 | 12.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,691.77 | $1,691.77 | 3.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,000.49 | $1,000.49 | 11.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,001.01 | $2,001.01 | 19.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,745.20 | $1,745.20 | 16.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,133.27 | $1,133.27 | 13.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,156.39 | $1,156.39 | 11.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,254.67 | $1,254.67 | 14.4× |
| Radiologic exam colon single contrast study (74270) | $3,059.78 | $3,059.78 | 17.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,632.88 | $3,632.88 | 20.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,225.82 | $3,225.82 | 18.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,220.67 | $1,220.67 | 14.0× |
| Radiological examination surgical specimen (76098) | $827.26 | $827.26 | 1.5× |
| Review by radiologist of adrenal gland vein image (75840) | $14,937.86 | $14,937.86 | 4.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $12,001.12 | $12,001.12 | 3.8× |
| Ribs bilateral 3 views (71110) | $778.91 | $778.91 | 7.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $6,951.28 | $6,951.28 | 12.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,615.93 | $4,615.93 | 8.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,905.40 | $2,905.40 | 12.1× |
| Scapula complete (73010) | $1,301.62 | $1,301.62 | 12.4× |
| Screening digital breast tomosynthesis (77063) | $114.93 | $114.93 | 4.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $149.51 | $149.51 | 1.4× |
| Small bowel series (74250) | $3,079.21 | $3,079.21 | 17.5× |
| Special treatment procedure (77470) | $3,813.01 | $3,813.01 | 6.9× |
| Spine thoracic 3 views (72072) | $1,725.78 | $1,725.78 | 16.4× |
| Splenoportograpy rs&i (75810) | $8,339.11 | $8,339.11 | 2.6× |
| Superior sagittal sinus venogram (75870) | $4,511.96 | $4,511.96 | 1.4× |
| Ther rad simulaj-aided field setting complex (77290) | $1,882.36 | $1,882.36 | 5.0× |
| Thyroid uptake measurement (78012) | $1,008.44 | $1,008.44 | 2.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $7,757.71 | $7,757.71 | 14.2× |
| Ultrasound, abdomen limited (76705) | $2,994.03 | $2,994.03 | 28.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $9,331.51 | $9,331.51 | 106.7× |
| Urethrocystography retrograde rs&i (74450) | $2,455.92 | $2,455.92 | 10.2× |
| Urethrocystography voiding (74455) | $2,043.08 | $2,043.08 | 8.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,721.42 | $2,721.42 | 15.4× |
| Us abdl aorta screen aaa (76706) | $862.12 | $862.12 | 8.2× |
| Us breast unilateral complete (76641) | $587.08 | $587.08 | 5.6× |
| Us breast unilateral limited (76642) | $595.05 | $595.05 | 6.8× |
| Us chest (76604) | $2,309.17 | $2,309.17 | 22.0× |
| Us compl joint r-t w/image documentation (76881) | $10,993.22 | $10,993.22 | 104.7× |
| Us guided compression repair (76936) | $5,436.98 | $5,436.98 | 25.1× |
| Us pelvic non ob complete (76856) | $3,060.11 | $3,060.11 | 29.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,830.59 | $1,830.59 | 17.4× |
| Us pregnancy ltd (76815) | $1,940.17 | $1,940.17 | 18.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,060.11 | $3,060.11 | 29.1× |
| Us retroperitoneal limited (76775) | $1,060.33 | $1,060.33 | 10.1× |
| Us scrotum and contents (76870) | $2,484.83 | $2,484.83 | 23.7× |
| Us soft tissue head/neck (76536) | $2,934.41 | $2,934.41 | 27.9× |
| Us spinal canal and contents (76800) | $2,994.03 | $2,994.03 | 28.5× |
| Us transrectal (76872) | $1,164.24 | $1,164.24 | 11.1× |
| Us xtr non-vasc lmtd (76882) | $1,714.26 | $1,714.26 | 16.3× |
| Venogram extremity bilateral (75822) | $9,331.51 | $9,331.51 | 5.9× |
| Venogram orbital (75880) | $1,979.70 | $1,979.70 | 3.1× |
| Venography caval inferior serialography rs&i (75825) | $14,937.86 | $14,937.86 | 4.7× |
| Venography caval superior serialography rs&i (75827) | $9,331.51 | $9,331.51 | 5.9× |
| Venography epidural rs&i (75872) | $1,634.12 | $1,634.12 | 2.6× |
| Venography extremity unilateral rs&i (75820) | $9,331.51 | $9,331.51 | 5.9× |
| Venography Renal Bilateral (75833) | $14,937.86 | $14,937.86 | 4.7× |
| Venography renal unilateral selective rs&i (75831) | $14,937.86 | $14,937.86 | 4.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $9,331.51 | $9,331.51 | 2.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $14,937.86 | $14,937.86 | 2.7× |
| Wrist 2 views (73100) | $1,117.05 | $1,117.05 | 12.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,288.66 | $1,288.66 | 14.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,275.73 | $1,275.73 | 14.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,969.62 | $3,969.62 | 22.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,013.44 | $1,013.44 | 11.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,361.52 | $1,361.52 | 15.6× |
| X-ray exam hip uni 1 view (73501) | $760.89 | $760.89 | 8.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,180.18 | $1,180.18 | 13.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,130.51 | $2,130.51 | 20.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,725.78 | $1,725.78 | 16.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $678.34 | $678.34 | 7.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,275.73 | $1,275.73 | 14.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $5,027.66 | $5,027.66 | 2.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $935.74 | $935.74 | 10.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $858.03 | $858.03 | 9.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,390.68 | $1,390.68 | 13.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,821.30 | $1,821.30 | 17.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,554.67 | $2,554.67 | 24.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,028.02 | $1,028.02 | 11.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,201.23 | $1,201.23 | 13.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,351.82 | $1,351.82 | 12.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,667.49 | $1,667.49 | 15.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,648.58 | $2,648.58 | 7.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,132.52 | $1,132.52 | 13.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,589.79 | $1,589.79 | 15.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,156.41 | $2,156.41 | 20.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,201.23 | $1,201.23 | 13.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,324.28 | $1,324.28 | 15.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,593.04 | $1,593.04 | 18.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $785.17 | $785.17 | 9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,811.59 | $1,811.59 | 17.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,117.05 | $1,117.05 | 10.6× |
| X-Ray Spine One View - Xr Spine (72020) | $858.03 | $858.03 | 9.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,361.52 | $1,361.52 | 15.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,351.82 | $1,351.82 | 15.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,635.12 | $1,635.12 | 15.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $840.23 | $840.23 | 9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,361.52 | $1,361.52 | 15.6× |
| Xr c-spine 6 or more views (72052) | $3,017.68 | $3,017.68 | 28.7× |
| Xr chest 4+ views (71048) | $1,651.30 | $1,651.30 | 15.7× |
| Xr finger(s) 2+ views (73140) | $836.99 | $836.99 | 9.6× |
| Xr shoulder 1 view (73020) | $725.28 | $725.28 | 8.3× |
| Xr spine cervical 4 or 5 views (72050) | $2,331.27 | $2,331.27 | 22.2× |
| Xr tibia/fibula 2 views (73590) | $1,113.82 | $1,113.82 | 12.7× |
| Xr tmj bilateral (70330) | $1,745.20 | $1,745.20 | 20.0× |
| Xray knee 1 or 2 views rt (73560) | $1,117.05 | $1,117.05 | 12.8× |