Imaging prices at Medical City Alliance
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $867.56 | $867.56 | 9.9× |
| Abdomen 2 views (74019) | $1,283.30 | $1,283.30 | 12.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,153.48 | $6,153.48 | 15.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$7,189.12–$7,512.63 | $7,189.12–$7,512.63 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,709.43–$7,011.35 | $6,709.43–$7,011.35 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,073.33–$5,301.63 | $5,073.33–$5,301.63 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,650.32 | $7,650.32 | 2.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,133.57–$2,264.48 | $1,133.57–$2,264.48 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,512.63 | $7,512.63 | 1.3× |
| Artery X-Rays Abdomen (75726) | $7,512.63 | $7,512.63 | 1.3× |
| Artery X-Rays Pelvis (75736) | $7,512.63 | $7,512.63 | 1.3× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$2,343.36–$4,102.54 | $2,343.36–$4,102.54 | varies |
| Arthrogram hip (73525) | $1,502.52 | $1,502.52 | 4.3× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,045.26–$3,501 | $2,045.26–$3,501 | varies |
| Bone age studies (77072) | $903.65 | $903.65 | 8.6× |
| Bone Imaging 3 Phase (78315) | $8,797.09 | $8,797.09 | 21.9× |
| Bone Imaging Limited Area (78300) | $3,886.30 | $3,886.30 | 9.7× |
| Bone Imaging Whole Body (78306) | $7,173.60 | $7,173.60 | 17.8× |
| Bone marrow imaging limited area (78102) | $3,838.65 | $3,838.65 | 9.5× |
| Bone survey infant (77076) | $1,411.63 | $1,411.63 | 13.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $5,450.69 | $5,450.69 | 10.0× |
| Cat Scan Follow-Up Study (76380) | $1,318.11 | $1,318.11 | 15.1× |
| Cerebrospinal Fluid Scan (78630) | $2,039.19 | $2,039.19 | 3.7× |
| Chest 1 view (71045) | $872.91 | $872.91 | 10.0× |
| Chest 2 views (71046) | $1,150.95 | $1,150.95 | 13.1× |
| Chest 3 views (71047) | $1,423.67 | $1,423.67 | 16.3× |
| Chest 4 or more views (71048) | $2,122.79 | $2,122.79 | 20.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$892.95–$1,783.25 | $892.95–$1,783.25 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,189.12–$7,512.63 | $7,189.12–$7,512.63 | varies |
| Contrast X-Ray Bladder (74430) | $1,582.68 | $1,582.68 | 4.5× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,609.46–$2,676.21 | $1,609.46–$2,676.21 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,654.91–$2,728.35 | $1,654.91–$2,728.35 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $18,798.41 | $18,798.41 | 53.6× |
| CT abdomen and pelvis without contrast (74176) | $13,203.33 | $13,203.33 | 55.0× |
| CT abdomen w contrast (74160) | $8,859.50 | $8,859.50 | 50.2× |
| CT abdomen w wo contrast (74170) | $10,273.35 | $10,273.35 | 58.2× |
| CT abdomen w/o contrast (74150) | $7,470.56 | $7,470.56 | 71.0× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$7,912.56–$17,339.95 | $7,912.56–$17,339.95 | varies |
| CT Angio Chest (71275) | $7,508.61 | $7,508.61 | 42.5× |
| CT Angio Head (70496) | $7,410.23 | $7,410.23 | 42.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$8,210.28–$15,364.76 | $8,210.28–$15,364.76 | varies |
| CT Angio Neck (70498) | $7,006.28 | $7,006.28 | 39.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,207.56 | $6,207.56 | 35.2× |
| CT cervical spine w/ contrast (72126) | $7,094.17 | $7,094.17 | 20.2× |
| CT cervical spine w/o contrast (72125) | $5,950.49 | $5,950.49 | 56.6× |
| CT cervical spine w/wo cont (72127) | $7,481.07 | $7,481.07 | 42.4× |
| CT chest w contrast (71260) | $6,454.12 | $6,454.12 | 36.6× |
| CT chest w/wo contrast (71270) | $7,643.70 | $7,643.70 | 43.3× |
| CT head/brain with contrast (70460) | $6,927.59 | $6,927.59 | 39.3× |
| CT head/brain without and with contrast (70470) | $8,139.45 | $8,139.45 | 46.1× |
| CT iac w contrast (70481) | $6,122.31 | $6,122.31 | 34.7× |
| CT l-spine w&w/o contrast (72133) | $8,523.75 | $8,523.75 | 48.3× |
| CT lower ext w/o (73700) | $5,505.88 | $5,505.88 | 52.3× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$6,477.74–$13,905.01 | $6,477.74–$13,905.01 | varies |
| CT lumbar spine w contrast (72132) | $7,484.99 | $7,484.99 | 21.3× |
| CT lumbar spine w/o contrast (72131) | $5,950.49 | $5,950.49 | 56.6× |
| CT maxillofacial w contrast (70487) | $6,603.64 | $6,603.64 | 37.4× |
| CT maxillofacial wo contrast (70486) | $3,112.30 | $3,112.30 | 29.6× |
| CT neck tissue combo (70492) | $8,605.05 | $8,605.05 | 48.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,139.45 | $8,139.45 | 46.1× |
| CT orbits w/o contrast (70480) | $6,357.06 | $6,357.06 | 60.4× |
| CT pelvis w&w/o contrast (72194) | $8,527.67 | $8,527.67 | 48.3× |
| CT pelvis w/o contrast (72192) | $5,735.40 | $5,735.40 | 54.5× |
| CT scan of leg combo (73702) | $6,952.51 | $6,952.51 | 39.4× |
| CT scans face/jaw combo (70488) | $8,695.56 | $8,695.56 | 49.3× |
| CT soft tissue neck w contrast (70491) | $6,927.59 | $6,927.59 | 39.3× |
| CT soft tissue neck w/o contrast (70490) | $5,142.57 | $5,142.57 | 48.9× |
| CT thoracic spine w contrast (72129) | $6,604.94 | $6,604.94 | 37.4× |
| CT thoracic spine w/o contrast (72128) | $5,950.49 | $5,950.49 | 56.6× |
| CT thoracic spine w/wo cont (72130) | $7,094.17 | $7,094.17 | 40.2× |
| CT thorax w/o contrast (71250) | $5,640.96 | $5,640.96 | 53.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,999.01–$11,996.70 | $5,999.01–$11,996.70 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$7,431.22–$14,862.44 | $7,431.22–$14,862.44 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$6,952.51–$13,905.01 | $6,952.51–$13,905.01 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,807.64 | $7,807.64 | 44.2× |
| Cta Abdomen (74175) | $7,589.92 | $7,589.92 | 43.0× |
| CTA pelvis (72191) | $7,912.56 | $7,912.56 | 44.8× |
| Diskography lumbar (72295) | $5,066.35 | $5,066.35 | 2.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$588.95–$765.96 | $588.95–$765.96 | varies |
| Dxa bone density study (77085) | $588.95 | $588.95 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $426.42 | $426.42 | 4.9× |
| Echo exam uterus (76831) | $1,889.08 | $1,889.08 | 7.9× |
| Echo Guide For Artery Repair (76936) | $2,758.03 | $2,758.03 | 12.7× |
| Esophagram (74220) | $1,928.97 | $1,928.97 | 10.9× |
| Fetal Biophys Profile W/Nst (76818) | $3,493.51 | $3,493.51 | 33.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,235.04–$3,117.60 | $2,235.04–$3,117.60 | varies |
| Fluoroscopy up to 1 hr (76000) | $3,029.12 | $3,029.12 | 12.6× |
| Follow-Up Angiography (75898) | $3,542.44 | $3,542.44 | 1.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$872.91–$1,744.49 | $872.91–$1,744.49 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$860.87–$1,640.21 | $860.87–$1,640.21 | varies |
| Gastric emptying imaging study (78264) | $6,153.48 | $6,153.48 | 15.3× |
| Gastric Mucosa Imaging (78261) | $4,036.95 | $4,036.95 | 10.0× |
| Gated Heart Planar Single (78472) | $5,390.76 | $5,390.76 | 13.4× |
| Gated Heart, Multiple (78473) | $12,125.79 | $12,125.79 | 30.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$799.38–$1,565.35 | $799.38–$1,565.35 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,149.14 | $6,149.14 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,650.32 | $7,650.32 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $6,556.62 | $6,556.62 | 12.0× |
| Hepatobiliary System Imaging (78226) | $6,503.49 | $6,503.49 | 16.2× |
| Ht Muscle Image Spect Sing (78451) | $11,183.31 | $11,183.31 | 8.6× |
| Hysterosalpingogram (74740) | $1,878.17 | $1,878.17 | 7.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,936.75 | $1,936.75 | 22.1× |
| Infant hip ultrasound, limited static exam (76886) | $1,379.69 | $1,379.69 | 15.8× |
| Infusion Ivp (74410) | $3,534.41 | $3,534.41 | 20.0× |
| K Flow/Funct Image W/Drug (78708) | $6,549.82 | $6,549.82 | 12.0× |
| K Flow/Funct Image W/O Drug (78707) | $6,321 | $6,321 | 11.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,183.04–$2,363.39 | $1,183.04–$2,363.39 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,140.15 | $2,140.15 | 5.3× |
| Lung Ventilat&Perfus Imaging (78582) | $12,166.65 | $12,166.65 | 22.3× |
| Lung Ventilation Imaging (78579) | $7,274.39 | $7,274.39 | 18.1× |
| Lymph System Imaging (78195) | $4,980.80 | $4,980.80 | 9.1× |
| Magnetic Image Jaw Joint (70336) | $10,886.38 | $10,886.38 | 45.3× |
| Mammary ductogram or galactogram multiple (77054) | $2,088.04 | $2,088.04 | 8.7× |
| Mammary ductogram or galactogram single (77053) | $1,577.38 | $1,577.38 | 6.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $150 | $150 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $8,685.41 | $8,685.41 | 24.7× |
| MRA head w/o contrast (70544) | $7,149.09 | $7,149.09 | 29.8× |
| MRA head with contrast (70545) | $8,678.60 | $8,678.60 | 24.7× |
| MRA neck w contrast (70548) | $8,656.81 | $8,656.81 | 24.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,257.46 | $9,257.46 | 26.4× |
| MRA neck w/o contrast (70547) | $6,533.47 | $6,533.47 | 27.2× |
| MRI abdomen w contrast (74182) | $10,953.14 | $10,953.14 | 31.2× |
| MRI abdomen w/o contrast (74181) | $9,732.79 | $9,732.79 | 40.5× |
| MRI any jt lower extrem w/contrast material (73722) | $13,058.77 | $13,058.77 | 16.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $13,952.24 | $13,952.24 | 39.7× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$10,630.34–$16,727.97 | $10,630.34–$16,727.97 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $5,712.19 | $5,712.19 | 23.8× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$1,622.12–$4,241.25 | $1,622.12–$4,241.25 | varies |
| MRI cervical spine w contrast (72142) | $10,507.76 | $10,507.76 | 29.9× |
| MRI cervical spine w/o cont (72141) | $10,022.90 | $10,022.90 | 41.7× |
| MRI chest w/o contrast (71550) | $8,588.71 | $8,588.71 | 35.8× |
| MRI chest with contrast (71551) | $10,514.56 | $10,514.56 | 13.3× |
| MRI chest wo w contrast (71552) | $11,376.62 | $11,376.62 | 32.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,971.12 | $9,971.12 | 28.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $13,058.77 | $13,058.77 | 37.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,363.98 | $8,363.98 | 34.8× |
| MRI lumbar spine w contrast (72149) | $10,464.17 | $10,464.17 | 29.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $13,434.68 | $13,434.68 | 38.3× |
| MRI orbit face &/neck w/o contrast (70540) | $8,564.19 | $8,564.19 | 35.7× |
| MRI orbit face neck w contrast (70542) | $11,559.22 | $11,559.22 | 32.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,162.57 | $12,162.57 | 34.6× |
| MRI pelvis w contrast (72196) | $9,567.98 | $9,567.98 | 27.3× |
| MRI pelvis w/o & w contrast (72197) | $11,414.84 | $11,414.84 | 32.5× |
| MRI pelvis w/o contrast (72195) | $9,070.86 | $9,070.86 | 37.8× |
| MRI thoracic spine w/o contrast (72146) | $9,762.75 | $9,762.75 | 40.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$10,396.07–$16,727.97 | $10,396.07–$16,727.97 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$9,674.21–$16,727.97 | $9,674.21–$16,727.97 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $11,819.35 | $11,819.35 | 33.7× |
| MRI, abdomen, combo (74183) | $14,129.29 | $14,129.29 | 40.2× |
| MRI, dorsal spine combo (72157) | $13,418.33 | $13,418.33 | 38.2× |
| MRI, dorsal spine contrast (72147) | $9,427.70 | $9,427.70 | 26.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$8,363.98–$16,727.97 | $8,363.98–$16,727.97 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$13,058.77–$16,727.97 | $13,058.77–$16,727.97 | varies |
| MRI, lumbar spine combo (72158) | $12,618.85 | $12,618.85 | 35.9× |
| Myelogram cervical (72240) | $1,771.23 | $1,771.23 | 2.2× |
| Myelogram Lumbar (72265) | $3,625.32 | $3,625.32 | 4.6× |
| Myelography thoracic (72255) | $3,967.53 | $3,967.53 | 5.0× |
| Myelograpy 2/more regions rs&i (72270) | $3,805.78 | $3,805.78 | 4.8× |
| Myocardial Spect Multiple Studies (78452) | $19,831.94 | $19,831.94 | 15.2× |
| Neck soft tissue (70360) | $822.11 | $822.11 | 9.4× |
| Optic foramina (70190) | $1,386.23 | $1,386.23 | 15.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $8,541.04 | $8,541.04 | 15.6× |
| Parathyroid Planar Imaging (78070) | $1,496.23 | $1,496.23 | 3.7× |
| Pelvis 1 or 2 views (72170) | $855.53 | $855.53 | 8.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,585.51 | $5,585.51 | 13.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,501.10 | $2,501.10 | 23.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,356.83 | $1,356.83 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$892.95–$1,569.37 | $892.95–$1,569.37 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$733.88–$1,465.09 | $733.88–$1,465.09 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$1,203.10–$3,077.25 | $1,203.10–$3,077.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,334.09 | $1,334.09 | 12.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$671.06–$1,340.78 | $671.06–$1,340.78 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$863.56–$1,640.21 | $863.56–$1,640.21 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$903.65–$1,640.21 | $903.65–$1,640.21 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$966.48–$2,194.97 | $966.48–$2,194.97 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,232.50 | $1,232.50 | 11.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $890.30 | $890.30 | 10.2× |
| Radex Ribs Unilateral 2 Views (71100) | $1,034.66 | $1,034.66 | 11.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$994.55–$1,987.77 | $994.55–$1,987.77 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $783.35 | $783.35 | 8.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,360.63 | $3,360.63 | 19.0× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,069.87–$1,123.36 | $1,069.87–$1,123.36 | varies |
| Radex Sternum Minimum 2 Views (71120) | $931.72 | $931.72 | 10.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,097.49 | $1,097.49 | 12.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$779.34–$1,555.99 | $779.34–$1,555.99 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,027.99–$1,801.96 | $1,027.99–$1,801.96 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,011.93–$2,021.20 | $1,011.93–$2,021.20 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,220.48 | $1,220.48 | 11.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,501.10 | $2,501.10 | 23.8× |
| Radiologic exam colon single contrast study (74270) | $2,299.24 | $2,299.24 | 13.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,386.23–$2,223.05 | $1,386.23–$2,223.05 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,301.06–$1,725.78 | $1,301.06–$1,725.78 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,859.36 | $2,859.36 | 16.2× |
| Radiologic exam swallow function contrast study (74230) | $2,264.48 | $2,264.48 | 12.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,297.91 | $2,297.91 | 13.0× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$838.15–$1,327.41 | $838.15–$1,327.41 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,014.61–$2,025.21 | $1,014.61–$2,025.21 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$892.95–$1,783.25 | $892.95–$1,783.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,216.27 | $3,216.27 | 30.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$931.72–$1,863.45 | $931.72–$1,863.45 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,045.36 | $1,045.36 | 1.9× |
| Ribs bilateral 3 views (71110) | $1,330.10 | $1,330.10 | 12.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,589.62 | $5,589.62 | 13.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,229.31 | $12,229.31 | 22.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,422.85 | $7,422.85 | 13.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,227.32 | $8,227.32 | 6.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $9,222.49 | $9,222.49 | 6.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,616.69 | $1,616.69 | 1.2× |
| Scapula (73010) range across 3 matching MRF lines |
$832.81–$1,624.18 | $832.81–$1,624.18 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $251.97 | $251.97 | 10.8× |
| Sella turcica (70240) | $1,215.13 | $1,215.13 | 13.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$820.78–$1,640.21 | $820.78–$1,640.21 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,462.43–$3,681.46 | $1,462.43–$3,681.46 | varies |
| Skull less than 4 views (70250) | $1,034.66 | $1,034.66 | 9.8× |
| Sternoclavicular joints (71130) | $906.32 | $906.32 | 10.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,640.13 | $2,640.13 | 15.0× |
| Thoracic spine 2 views (72070) | $1,220.48 | $1,220.48 | 11.6× |
| Thoracic spine 3 views (72072) | $1,616.14 | $1,616.14 | 15.4× |
| Thoracolumbar 2 views (72080) | $1,402.26 | $1,402.26 | 16.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,498.64 | $4,498.64 | 11.2× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$533.91–$1,065.07 | $533.91–$1,065.07 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,355.18–$2,886.06 | $1,355.18–$2,886.06 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $399.70 | $399.70 | 4.6× |
| Unlisted us procedure (76999) | $415.41 | $415.41 | 4.7× |
| Upper gi w/o kub (74240) | $2,078.68 | $2,078.68 | 11.8× |
| Urethrocystogram voiding (74455) | $1,638.18 | $1,638.18 | 6.8× |
| Urethrocystography retrograde (74450) | $1,721.74 | $1,721.74 | 7.2× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$795.41–$1,709.31 | $795.41–$1,709.31 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$2,142.41–$2,192.81 | $2,142.41–$2,192.81 | varies |
| Us complete joint (76881) | $1,965.34 | $1,965.34 | 18.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,439.63–$2,142.41 | $1,439.63–$2,142.41 | varies |
| Us head (76506) | $2,691.28 | $2,691.28 | 25.6× |
| Us kidney transplant (76776) | $2,911.93 | $2,911.93 | 27.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$795.41–$3,468.99 | $795.41–$3,468.99 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$911.18–$2,142.41 | $911.18–$2,142.41 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,665.72–$2,399.82 | $1,665.72–$2,399.82 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,957.18–$2,828.86 | $1,957.18–$2,828.86 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,747.44–$2,928.28 | $1,747.44–$2,928.28 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,638.48–$2,303.12 | $1,638.48–$2,303.12 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,826.43–$2,433.89 | $1,826.43–$2,433.89 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$795.41–$2,353.52 | $795.41–$2,353.52 | varies |
| Us scrotum and contents (76870) | $2,472.02 | $2,472.02 | 23.5× |
| Us spinal canal and contents (76800) | $2,499.26 | $2,499.26 | 23.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,654.82–$2,845.20 | $1,654.82–$2,845.20 | varies |
| Us transrectal (76872) | $2,255.45 | $2,255.45 | 21.4× |
| Vascular Flow Imaging (78445) | $390.83 | $390.83 | 1.0× |
| Vein X-Ray Chest (75827) | $3,165.46 | $3,165.46 | 2.0× |
| Venogram Sinus/Jugular (75860) | $7,650.32 | $7,650.32 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $7,650.32 | $7,650.32 | 2.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,264.87–$4,456.79 | $4,264.87–$4,456.79 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$2,924.26–$3,055.85 | $2,924.26–$3,055.85 | varies |
| Venography Renal Bilateral (75833) | $4,456.79 | $4,456.79 | 1.4× |
| Venous sampling by catheter (75893) | $12,679.25 | $12,679.25 | 2.3× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$399.70–$437.24 | $399.70–$437.24 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$731.21–$1,565.35 | $731.21–$1,565.35 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,502.52 | $1,502.52 | 17.2× |
| X-ray antegrade pyelogram tube (74425) | $1,602.79 | $1,602.79 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$7,189.12–$7,512.63 | $7,189.12–$7,512.63 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$322.04–$1,569.37 | $322.04–$1,569.37 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,458.40 | $1,458.40 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,370.11 | $3,370.11 | 32.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$748.59–$1,134.92 | $748.59–$1,134.92 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $860.87 | $860.87 | 9.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $903.65 | $903.65 | 8.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,177.68 | $1,177.68 | 11.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,263.25 | $1,263.25 | 12.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,220.48 | $1,220.48 | 11.6× |
| X-Ray Exam L-S Spine Bending (72114) | $3,994.26 | $3,994.26 | 38.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,098.83 | $1,098.83 | 12.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,071.99 | $2,071.99 | 19.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,106.83 | $1,106.83 | 10.5× |
| X-ray eye for foreign body (70030) | $1,751.17 | $1,751.17 | 20.0× |
| X-ray humerus (73060) | $1,555.99 | $1,555.99 | 17.8× |
| X-ray IV pyelogram (ivp) (74400) | $3,232.30 | $3,232.30 | 18.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $995.91 | $995.91 | 11.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,060.06 | $1,060.06 | 12.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,306.03 | $1,306.03 | 12.4× |
| X-ray nose-rectum child f.b. (76010) | $991.88 | $991.88 | 11.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,371.53 | $1,371.53 | 13.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,229.83 | $1,229.83 | 11.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,530.61 | $1,530.61 | 17.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,327.41 | $1,327.41 | 15.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,827.37 | $1,827.37 | 17.4× |
| X-ray thoracic spine 4 vw (72074) | $1,564.03 | $1,564.03 | 14.9× |
| X-Ray Tmj Unilat (70328) | $930.39 | $930.39 | 10.6× |
| X-Rays Bone Length Studies (77073) | $636.05 | $636.05 | 6.0× |
| X-Rays Bone Survey Complete (77075) | $3,280.43 | $3,280.43 | 31.2× |
| Xr c-spine 4 or 5 views (72050) | $1,891.54 | $1,891.54 | 18.0× |
| Xr facial bones less than 3 views (70140) | $1,035.99 | $1,035.99 | 11.8× |
| Xr orbits complete 4 views (70200) | $1,184.37 | $1,184.37 | 11.3× |
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.