Imaging prices at Laredo Medical Center
Laredo, TX · every code in this section with a posted price and a Medicare benchmark.
333 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) | $5,611.16 | $23,379.85 | 4.0× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$213.25–$239.60 | $888.53–$998.35 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$275.87–$309.97 | $1,149.47–$1,291.55 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $890.37 | $3,709.86 | 2.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,022.99 | $4,262.44 | 0.8× |
| Angio pulmonary bilat (75743) | $2,512.11 | $10,467.12 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,512.11 | $10,467.12 | 0.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,278.56–$2,512.11 | $9,494–$10,467.12 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,278.56–$2,512.11 | $9,494–$10,467.12 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,512.11 | $10,467.12 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$118.63–$267.30 | $494.28–$1,113.75 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,145.81 | $29,774.19 | 1.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,512.11 | $10,467.12 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $2,512.11 | $10,467.12 | 0.8× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,512.11 | $10,467.12 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,512.11 | $10,467.12 | 0.4× |
| Arthrogram hip (73525) | $482.06 | $2,008.59 | 1.4× |
| Arthrogram Wrist (73115) | $932.76 | $3,886.48 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $359.84 | $1,499.34 | 2.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$339.14–$381.06 | $1,413.10–$1,587.76 | varies |
| Bone Imaging 3 Phase (78315) | $1,172.13 | $4,883.88 | 2.9× |
| Bone Imaging Limited Area (78300) | $514.60 | $2,144.16 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $886.04 | $3,691.83 | 2.2× |
| Bone Imaging Whole Body (78306) | $643.06 | $2,679.42 | 1.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$457.99–$514.60 | $1,908.29–$2,144.16 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $949.66 | $3,956.93 | 1.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $949.66 | $3,956.93 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $567.63 | $2,365.13 | 6.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,682.21 | $7,009.21 | 3.1× |
| Cerebrospinal Fluid Scan (78630) | $1,724.55 | $7,185.63 | 3.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$213.25–$239.60 | $888.53–$998.35 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$270.95–$304.44 | $1,128.94–$1,268.48 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$334.65–$376.01 | $1,394.37–$1,566.71 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$446.20–$501.35 | $1,859.16–$2,088.95 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$247.57–$556.30 | $1,031.53–$2,317.91 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,195.77 | $9,149.04 | 20.9× |
| Continuing medical physics consltj pr wk (77336) | $776.35 | $3,234.79 | 5.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,278.56–$2,512.11 | $9,494–$10,467.12 | varies |
| Contrast X-Ray Bladder (74430) | $474.59 | $1,977.46 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $562.56 | $2,344 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $442.15 | $1,842.31 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $302 | $1,258.32 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,143.21–$5,778.91 | $21,430.03–$24,078.78 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,869.56–$4,347.84 | $16,123.17–$18,115.99 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,132.70–$2,396.31 | $8,886.26–$9,984.61 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,532.13–$2,845.10 | $10,550.53–$11,854.57 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,994.34–$2,240.85 | $8,309.77–$9,336.86 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,768.07–$1,986.61 | $7,366.97–$8,277.53 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$979.35–$1,038.11 | $4,080.62–$4,325.46 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$923.91–$1,038.11 | $3,849.64–$4,325.46 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$923.91–$2,076.71 | $3,849.64–$8,652.96 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$923.91–$1,038.11 | $3,849.64–$4,325.46 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$923.91–$2,076.71 | $3,849.64–$8,652.96 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT cervical spine w/wo cont (72127) | $3,181.12 | $13,254.66 | 18.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,082.74–$2,340.16 | $8,678.07–$9,750.68 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,610.87–$2,933.57 | $10,878.61–$12,223.21 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,010.02–$2,258.46 | $8,375.09–$9,410.26 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,296.18–$2,579.99 | $9,567.41–$10,749.94 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,831.18–$3,181.12 | $11,796.60–$13,254.66 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,788.42–$4,018.43 | $7,451.74–$16,743.47 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,997.56–$4,487.97 | $8,323.17–$18,699.88 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,788.42–$2,009.46 | $7,451.74–$8,372.77 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,610.87–$2,933.57 | $10,878.61–$12,223.21 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,173.04–$2,441.63 | $9,054.34–$10,173.46 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,788.42–$2,009.46 | $7,451.74–$8,372.77 | varies |
| CT pelvis w&w/o contrast (72194) | $2,933.57 | $12,223.21 | 16.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,610.87–$5,867.15 | $10,878.61–$24,446.46 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,173.04–$2,441.63 | $9,054.34–$10,173.46 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,875.30–$2,107.08 | $7,813.74–$8,779.51 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,831.18–$3,181.12 | $11,796.60–$13,254.66 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,954.23–$2,195.77 | $8,142.61–$9,149.04 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,875.30–$4,214.64 | $7,813.74–$17,561 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,610.87–$2,933.57 | $10,878.61–$12,223.21 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,997.56–$2,244.46 | $8,323.17–$9,351.91 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$923.91–$1,038.11 | $3,849.64–$4,325.46 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$923.91–$1,038.11 | $3,849.64–$4,325.46 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $427.72 | $1,782.15 | 1.2× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$923.91–$1,038.11 | $3,849.64–$4,325.46 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,500.40 | $6,251.65 | 0.7× |
| Dxa Bone Density Axial (77080) | $409.99 | $1,708.31 | 3.9× |
| Dxa bone density study (77085) | $104.89 | $437.03 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $102.60 | $427.50 | 1.2× |
| Echo exam of fetal heart (76825) | $696.84 | $2,903.49 | 1.3× |
| Echo Guide For Artery Repair (76936) | $1,166.82 | $4,861.76 | 5.4× |
| Esophageal Motility Study (78258) | $597.76 | $2,490.66 | 1.5× |
| Esophagram (74220) | $465.91 | $1,941.28 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$417.67–$469.29 | $1,740.29–$1,955.39 | varies |
| Fluoroscopy up to 1 hr (76000) | $228.97 | $954.06 | 1.0× |
| Follow-Up Angiography (75898) | $1,220.78 | $5,086.58 | 0.4× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$204.44–$574.38 | $851.83–$2,393.23 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$247.57–$556.30 | $1,031.53–$2,317.91 | varies |
| Gastric emptying imaging study (78264) | $1,083.43 | $4,514.29 | 2.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,031.84 | $4,299.33 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $603.06 | $2,512.75 | 1.5× |
| Gated Heart Planar Single (78472) | $1,743.61 | $7,265.05 | 4.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$204.44–$459.40 | $851.83–$1,914.16 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,512.11 | $10,467.12 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,036.52 | $4,318.84 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,036.52 | $4,318.84 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,731.79 | $7,215.80 | 1.3× |
| Hysterosalpingogram (74740) | $575.58 | $2,398.24 | 2.4× |
| Image fusion (77399) | $842.40 | $3,509.98 | 6.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $498.45 | $2,076.87 | 5.7× |
| Joint Survey Single View (77077) | $137.50 | $572.91 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $562.56 | $2,344 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,062.46 | $4,426.93 | 1.9× |
| Kidney Imaging Morphol (78700) | $896.87 | $3,736.96 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $896.87 | $3,736.96 | 2.2× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$239.17–$537.01 | $996.56–$2,237.54 | varies |
| Leveen/Shunt Patency Exam (78291) | $988.46 | $4,118.60 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $594.85 | $2,478.56 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $424.45 | $1,768.55 | 1.1× |
| Liver imaging static only (78201) | $886.04 | $3,691.83 | 1.6× |
| Liver imaging w/vascular flow (78202) | $886.04 | $3,691.83 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,173.58 | $4,889.92 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,122.93 | $4,678.89 | 2.8× |
| Lymph System Imaging (78195) | $351.11 | $1,462.97 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $3,040.41 | $12,668.39 | 12.7× |
| Mammary ductogram or galactogram single (77053) | $498.45 | $2,076.86 | 2.1× |
| Meckels Divert Exam (78290) | $643.06 | $2,679.42 | 1.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,148.77 | $4,786.54 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,801 | $11,670.84 | 8.0× |
| MRA head w/o contrast (70544) | $3,192.43 | $13,301.81 | 13.3× |
| MRA head with contrast (70545) | $3,140.85 | $13,086.89 | 9.0× |
| MRA neck w contrast (70548) | $2,569.14 | $10,704.74 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,496.13 | $14,567.21 | 10.0× |
| MRA neck w/o contrast (70547) | $2,230.97 | $9,295.69 | 9.3× |
| MRI abdomen w contrast (74182) | $2,913.55 | $12,139.79 | 8.3× |
| MRI abdomen w/o contrast (74181) | $3,192.43 | $13,301.81 | 13.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,074.80–$6,149.60 | $12,811.67–$25,623.32 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,074.80 | $12,811.67 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,074.80 | $12,811.67 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,761.76 | $7,340.68 | 7.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,688.68 | $7,036.15 | 7.0× |
| MRI cardiac w/o contrast (75557) | $2,737.38 | $11,405.75 | 11.4× |
| MRI cervical spine w contrast (72142) | $3,609.89 | $15,041.22 | 10.3× |
| MRI cervical spine w/o cont (72141) | $3,192.43 | $13,301.81 | 13.3× |
| MRI chest w/o contrast (71550) | $3,207.86 | $13,366.10 | 13.4× |
| MRI chest with contrast (71551) | $1,377.96 | $5,741.49 | 1.7× |
| MRI chest wo w contrast (71552) | $3,192.43 | $13,301.81 | 9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,074.80 | $12,811.67 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,692.28–$3,074.80 | $11,217.82–$12,811.67 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,692.28–$3,520.96 | $11,217.82–$14,670.65 | varies |
| MRI lumbar spine w contrast (72149) | $3,609.89 | $15,041.22 | 10.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,019.90 | $16,749.58 | 11.5× |
| MRI orbit face &/neck w/o contrast (70540) | $3,192.43 | $13,301.81 | 13.3× |
| MRI orbit face neck w contrast (70542) | $3,609.89 | $15,041.22 | 10.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,019.90 | $16,749.58 | 11.5× |
| MRI pelvis w contrast (72196) | $1,377.96 | $5,741.49 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $4,019.90 | $16,749.58 | 11.5× |
| MRI pelvis w/o contrast (72195) | $3,074.80 | $12,811.67 | 12.8× |
| MRI spectroscopy (76390) | $2,007.78 | $8,365.73 | 23.0× |
| MRI thoracic spine w/o contrast (72146) | $3,192.43 | $13,301.81 | 13.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,543.84 | $10,599.35 | 7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,074.80 | $12,811.67 | 12.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,074.80 | $12,811.67 | 8.8× |
| MRI, abdomen, combo (74183) | $3,309.08 | $13,787.83 | 9.4× |
| MRI, dorsal spine combo (72157) | $4,019.90 | $16,749.58 | 11.5× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,437.99–$3,609.89 | $14,324.97–$15,041.22 | varies |
| MRI, joint upper extrem (73221) | $3,074.80 | $12,811.67 | 12.8× |
| MRI, joint upper extrem combo (73223) | $3,067.34 | $12,780.59 | 8.8× |
| MRI, lumbar spine combo (72158) | $4,019.90 | $16,749.58 | 11.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,072.10 | $4,467.09 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $1,714.93 | $7,145.53 | 1.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$260.20–$292.36 | $1,084.16–$1,218.16 | varies |
| Nm myocard infarct spect (78469) | $915.91 | $3,816.30 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $265.86 | $1,107.76 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,249.10 | $17,704.58 | 3.1× |
| Nuclear Rx Oral Admin (79005) | $1,598.03 | $6,658.46 | 6.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $444.83 | $1,853.44 | 0.8× |
| Parathyroid Planar Imaging (78070) | $322.62 | $1,344.26 | 0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $444.83 | $1,853.44 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$213.25–$239.60 | $888.53–$998.35 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,138.15 | $4,742.28 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$324.99–$365.16 | $1,354.11–$1,521.48 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $327.79 | $1,365.81 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$221.59–$498.45 | $923.30–$2,076.87 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$221.59–$498.45 | $923.30–$2,076.87 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$247.57–$556.30 | $1,031.53–$2,317.91 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$357.37–$401.54 | $1,489.06–$1,673.10 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$184.71–$414.56 | $769.61–$1,727.34 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$232.97–$524.24 | $970.71–$2,184.33 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$208.95–$469.52 | $870.64–$1,956.34 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$98.89–$221.76 | $412.03–$923.98 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $335.77 | $1,399.04 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$213.25–$239.60 | $888.53–$998.35 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$275.87–$309.97 | $1,149.47–$1,291.55 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$254.85–$572.45 | $1,061.87–$2,385.20 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$151.44–$170.16 | $631.02–$709.01 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $614.14 | $2,558.92 | 3.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$137.50–$154.49 | $572.91–$643.72 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$251.63–$282.73 | $1,048.44–$1,178.03 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$341.95–$384.22 | $1,424.80–$1,600.91 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$213.25–$478.94 | $888.53–$1,995.57 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$113.52–$267.30 | $473–$1,113.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$137.50–$308.52 | $572.91–$1,285.48 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$520.74–$585.11 | $2,169.76–$2,437.95 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,328.50 | $30,535.41 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $462.56 | $1,927.33 | 4.5× |
| Radiation treatment delivery level 2 (77407) | $300.80 | $1,253.35 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $604.51 | $2,518.81 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$333.38–$374.59 | $1,389.10–$1,560.80 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$275.87–$309.97 | $1,149.47–$1,291.55 | varies |
| Radiologic exam colon double contrast study (74280) | $713.42 | $2,972.60 | 4.0× |
| Radiologic exam colon single contrast study (74270) | $625.47 | $2,606.14 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$234.45–$537.01 | $976.89–$2,237.54 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$247.57–$278.17 | $1,031.53–$1,159.03 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $675.37 | $2,814.04 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $1,162 | $4,841.66 | 6.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $678.27 | $2,826.11 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$131.64–$147.92 | $548.52–$616.32 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$260.20–$585 | $1,084.16–$2,437.48 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$232.97–$524.24 | $970.71–$2,184.33 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$249.06–$279.84 | $1,037.75–$1,166.02 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$260.20–$585 | $1,084.16–$2,437.48 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$376.27–$422.78 | $1,567.81–$1,761.59 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $741.15 | $3,088.14 | 1.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $615.83 | $2,565.97 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,546.93 | $6,445.55 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,043.19 | $4,346.63 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $925.80 | $3,857.49 | 1.7× |
| Salivary Gland Imaging Serial Images (78231) | $596.55 | $2,485.62 | 1.5× |
| Scapula (73010) range across 3 matching MRF lines |
$247.57–$556.30 | $1,031.53–$2,317.91 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $178.47 | $743.63 | 7.6× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$247.57–$556.30 | $1,031.53–$2,317.91 | varies |
| Shoulder Arthrography (73040) | $562.56 | $2,344 | 1.6× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$251.63–$282.73 | $1,048.44–$1,178.03 | varies |
| Special dosimetry (77331) | $281.28 | $1,172.02 | 2.1× |
| Special Physics Consult (77370) | $906.51 | $3,777.14 | 6.7× |
| Special teletherapy port plan (77321) | $576.64 | $2,402.65 | 1.5× |
| Special treatment procedure (77470) | $1,118.14 | $4,658.90 | 2.0× |
| Srs Multisource (77371) | $17,573.96 | $73,224.84 | 2.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$262.15–$294.55 | $1,092.28–$1,227.29 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,144.34 | $4,768.07 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $829.04 | $3,454.34 | 2.2× |
| Testicular Imaging W/Flow (78761) | $639.70 | $2,665.43 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,403.29 | $5,847.04 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,147.79 | $4,782.47 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $702.59 | $2,927.46 | 5.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$270.95–$304.44 | $1,128.94–$1,268.48 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$141.59–$159.09 | $589.95–$662.87 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$226.33–$254.30 | $943.03–$1,059.59 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $443.20 | $1,846.66 | 1.1× |
| Thyroid Met Imaging Body (78018) | $890.37 | $3,709.86 | 1.6× |
| Thyroid Uptake Measurement (78012) | $388.89 | $1,620.37 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $597.98 | $2,491.59 | 1.5× |
| Tx Devices Design & Construction Complex (77334) | $809.85 | $3,374.37 | 2.2× |
| Tx devices design & construction intermediate (77333) | $499.90 | $2,082.93 | 3.7× |
| Tx devices design & construction simple (77332) | $340.83 | $1,420.12 | 2.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$458.19–$485.79 | $1,909.14–$2,024.14 | varies |
| Ultrasound Elastography Parenchyma (76981) | $133.80 | $557.48 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$550.31–$618.33 | $2,292.97–$2,576.38 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$572.32–$643.06 | $2,384.67–$2,679.42 | varies |
| Umbilical-artery Doppler (OB) (76820) | $350.46 | $1,460.27 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $159 | $662.50 | 1.8× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$386.57–$402.03 | $1,610.70–$1,675.13 | varies |
| Upper gi w/o kub (74240) | $670.68 | $2,794.52 | 3.8× |
| Urethrocystogram voiding (74455) | $1,269.98 | $5,291.59 | 5.3× |
| Urethrocystography retrograde (74450) | $465.91 | $1,941.28 | 1.9× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$458.19–$488.23 | $1,909.14–$2,034.28 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$409.09–$459.65 | $1,704.53–$1,915.21 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$234.78–$469.56 | $978.25–$1,956.51 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$461–$517.98 | $1,920.83–$2,158.24 | varies |
| Us head (76506) | $599.69 | $2,498.71 | 5.7× |
| Us kidney transplant (76776) | $612.95 | $2,553.95 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$117.07–$234.16 | $487.81–$975.65 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$256.35–$288.03 | $1,068.12–$1,200.14 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$410.04–$460.72 | $1,708.48–$1,919.65 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$512.26–$575.58 | $2,134.42–$2,398.24 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$610.95–$686.46 | $2,545.62–$2,860.26 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$288.96–$324.67 | $1,203.98–$1,352.79 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$580.71–$652.48 | $2,419.61–$2,718.68 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$270.95–$304.44 | $1,128.94–$1,268.48 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$433.32–$486.88 | $1,805.51–$2,028.67 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$148.88–$167.28 | $620.34–$697.01 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$414.66–$465.91 | $1,727.74–$1,941.28 | varies |
| Vascular Flow Imaging (78445) | $758.53 | $3,160.54 | 1.9× |
| Vein X-Ray Chest (75827) | $1,374.36 | $5,726.49 | 0.9× |
| Venogram Sinus/Jugular (75860) | $1,415.82 | $5,899.26 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,512.11 | $10,467.12 | 0.8× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$890.70–$890.89 | $3,711.26–$3,712.05 | varies |
| Venography extremity unilateral rs&i (75820) | $890.89 | $3,712.05 | 0.6× |
| Venography Renal Bilateral (75833) | $2,512.11 | $10,467.12 | 0.8× |
| Venography Renal Unilateral (75831) | $2,512.11 | $10,467.12 | 0.8× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,512.11 | $10,467.12 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $85.26 | $355.23 | 1.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$137.50–$340.83 | $572.91–$1,420.12 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$234.45–$263.43 | $976.89–$1,097.63 | varies |
| X-ray antegrade pyelogram tube (74425) | $507.85 | $2,116.04 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,278.56–$2,512.11 | $9,494–$10,467.12 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$251.63–$282.73 | $1,048.44–$1,178.03 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$213.25–$483.03 | $888.53–$2,012.63 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$476.09–$504.65 | $1,983.69–$2,102.71 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$260.37–$292.55 | $1,084.87–$1,218.96 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$260.37–$292.55 | $1,084.87–$1,218.96 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$520.74–$585.11 | $2,169.76–$2,437.95 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$213.25–$239.60 | $888.53–$998.35 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$262.71–$295.18 | $1,094.61–$1,229.91 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$394.06–$442.77 | $1,641.93–$1,844.88 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$325.85–$366.13 | $1,357.72–$1,525.53 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$325.85–$366.13 | $1,357.72–$1,525.53 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$651.70–$732.25 | $2,715.43–$3,051.06 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$454.76–$510.97 | $1,894.85–$2,129.05 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$231.67–$260.31 | $965.30–$1,084.61 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$221.39–$248.75 | $922.45–$1,036.47 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$175.91–$197.65 | $732.95–$823.55 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$232.97–$524.24 | $970.71–$2,184.33 | varies |
| X-ray IV pyelogram (ivp) (74400) | $721.66 | $3,006.92 | 4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$202.51–$227.54 | $843.80–$948.10 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$254.85–$286.35 | $1,061.87–$1,193.11 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$107.26–$120.51 | $446.90–$502.13 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$376.27–$422.78 | $1,567.81–$1,761.59 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$275.87–$309.97 | $1,149.47–$1,291.55 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $309.97 | $1,291.55 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$137.50–$154.49 | $572.91–$643.72 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$376.27–$422.78 | $1,567.81–$1,761.59 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$417.67–$469.29 | $1,740.29–$1,955.39 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $524.48 | $2,185.34 | 1.5× |
| X-Rays Bone Length Studies (77073) | $316.95 | $1,320.61 | 3.0× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$339.14–$381.06 | $1,413.10–$1,587.76 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$454.87–$511.09 | $1,895.30–$2,129.56 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$143.30–$161.01 | $597.07–$670.86 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$270.95–$304.44 | $1,128.94–$1,268.48 | varies |
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.