Imaging prices at Medical City Arlington
Arlington, TX · every code in this section with a posted price and a Medicare benchmark.
329 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) | $1,130.90 | $1,130.90 | 12.9× |
| Abdomen 2 views (74019) | $1,241.13 | $1,241.13 | 11.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,266 | $6,266 | 15.6× |
| Angio internal mammary (75756) | $5,587.23 | $5,587.23 | 1.8× |
| Angio pulmonary bilat (75743) | $10,796.53 | $10,796.53 | 3.4× |
| Angiography extremity bilateral rs&i (75716) | $5,856.35 | $5,856.35 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $5,856.35 | $5,856.35 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,111.97 | $5,111.97 | 1.6× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| Aortography thoracic serialography rs&i (75605) | $10,706.36 | $10,706.36 | 1.9× |
| Artery X-Rays Abdomen (75726) | $10,706.36 | $10,706.36 | 1.9× |
| Artery X-Rays Pelvis (75736) | $10,706.36 | $10,706.36 | 1.9× |
| Artery X-Rays Spine (75705) | $10,706.36 | $10,706.36 | 1.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$1,022.11–$1,369.98 | $1,022.11–$1,369.98 | varies |
| Bone Imaging 3 Phase (78315) | $5,399.48 | $5,399.48 | 13.4× |
| Bone Imaging Limited Area (78300) | $4,032.69 | $4,032.69 | 10.0× |
| Bone Imaging Multiple Areas (78305) | $4,900.58 | $4,900.58 | 12.2× |
| Bone Imaging Whole Body (78306) | $8,139.99 | $8,139.99 | 20.2× |
| Bone marrow imaging limited area (78102) | $3,676.12 | $3,676.12 | 9.1× |
| Bone marrow imaging; multiple areas (78103) | $4,454.19 | $4,454.19 | 11.1× |
| Bone marrow imaging; whole body (78104) | $4,805.22 | $4,805.22 | 11.9× |
| Brain Flow Imaging Only (78610) | $1,810.43 | $1,810.43 | 3.3× |
| Brain Image W/Flow < 4 Views (78601) | $3,074.94 | $3,074.94 | 7.6× |
| Brain imaging < 4 static views (78600) | $2,809.60 | $2,809.60 | 7.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,260.71 | $4,260.71 | 7.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,287.78 | $3,287.78 | 6.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $5,856.93 | $5,856.93 | 10.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $17,074.35 | $17,074.35 | 48.6× |
| Cat Scan Follow-Up Study (76380) | $3,409.39 | $3,409.39 | 38.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,567.77 | $2,567.77 | 4.7× |
| Cerebrospinal Fluid Scan (78630) | $7,911.96 | $7,911.96 | 14.5× |
| Chest 1 view (71045) | $1,130.90 | $1,130.90 | 12.9× |
| Chest 2 views (71046) | $1,241.13 | $1,241.13 | 14.2× |
| Chest 3 views (71047) | $1,707.81 | $1,707.81 | 19.5× |
| Chest 4 or more views (71048) | $1,820.90 | $1,820.90 | 17.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,377.13–$1,473.04 | $1,377.13–$1,473.04 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $419.18 | $419.18 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $10,816.58 | $10,816.58 | 3.4× |
| Contrast X-Ray Bladder (74430) | $1,511.69 | $1,511.69 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $19,343.87 | $19,343.87 | 55.1× |
| CT abdomen and pelvis without contrast (74176) | $16,100.33 | $16,100.33 | 67.1× |
| CT abdomen w contrast (74160) | $10,019.52 | $10,019.52 | 56.8× |
| CT abdomen w wo contrast (74170) | $9,675.38 | $9,675.38 | 54.8× |
| CT abdomen w/o contrast (74150) | $9,012.02 | $9,012.02 | 85.7× |
| CT Angio Abdomen and Pelvis (74174) | $21,031.31 | $21,031.31 | 59.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,795.24–$13,952.68 | $1,795.24–$13,952.68 | varies |
| CT Angio Head (70496) | $12,274.95 | $12,274.95 | 69.6× |
| CT angio hrt w/3d image (75574) | $13,469 | $13,469 | 38.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$12,461.50–$23,346.16 | $12,461.50–$23,346.16 | varies |
| CT Angio Neck (70498) | $12,274.95 | $12,274.95 | 69.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $10,488.01 | $10,488.01 | 59.4× |
| CT cervical spine w/ contrast (72126) | $10,019.52 | $10,019.52 | 28.5× |
| CT cervical spine w/o contrast (72125) | $6,267.38 | $6,267.38 | 59.6× |
| CT cervical spine w/wo cont (72127) | $1,626.61 | $1,626.61 | 9.2× |
| CT chest w contrast (71260) | $9,104.62 | $9,104.62 | 51.6× |
| CT chest w/wo contrast (71270) | $11,498.25 | $11,498.25 | 65.1× |
| CT colonography screening (74263) | $2,733.60 | $2,733.60 | 11.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $3,084.63 | $3,084.63 | 17.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,909.12 | $2,909.12 | 27.7× |
| CT head/brain with contrast (70460) | $6,296.40 | $6,296.40 | 35.7× |
| CT head/brain without and with contrast (70470) | $7,454.51 | $7,454.51 | 42.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $13,469 | $13,469 | 38.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $490.62 | $490.62 | 5.6× |
| CT iac w contrast (70481) | $8,842.05 | $8,842.05 | 50.1× |
| CT l-spine w&w/o contrast (72133) | $11,860.34 | $11,860.34 | 67.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$6,494.03–$12,986.67 | $6,494.03–$12,986.67 | varies |
| CT lower extremity w/contrast material (73701) | $9,104.62 | $9,104.62 | 51.6× |
| CT lumbar spine w contrast (72132) | $10,160.48 | $10,160.48 | 28.9× |
| CT lumbar spine w/o contrast (72131) | $10,160.48 | $10,160.48 | 96.6× |
| CT maxillofacial w contrast (70487) | $6,431.84 | $6,431.84 | 36.4× |
| CT maxillofacial wo contrast (70486) | $5,948.14 | $5,948.14 | 56.5× |
| CT neck tissue combo (70492) | $7,559.55 | $7,559.55 | 42.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $7,364.68 | $7,364.68 | 41.7× |
| CT orbits w/o contrast (70480) | $4,679.45 | $4,679.45 | 44.5× |
| CT pelvis w&w/o contrast (72194) | $9,675.38 | $9,675.38 | 54.8× |
| CT pelvis w/o contrast (72192) | $7,092.43 | $7,092.43 | 67.4× |
| CT scan of leg combo (73702) | $8,806.11 | $8,806.11 | 49.9× |
| CT scans face/jaw combo (70488) | $5,555.64 | $5,555.64 | 31.5× |
| CT soft tissue neck w contrast (70491) | $8,408.10 | $8,408.10 | 47.6× |
| CT soft tissue neck w/o contrast (70490) | $8,079.19 | $8,079.19 | 76.8× |
| CT thoracic spine w contrast (72129) | $10,019.52 | $10,019.52 | 56.8× |
| CT thoracic spine w/o contrast (72128) | $10,160.48 | $10,160.48 | 96.6× |
| CT thoracic spine w/wo cont (72130) | $1,724.75 | $1,724.75 | 9.8× |
| CT thorax w/o contrast (71250) | $6,775.95 | $6,775.95 | 64.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,565.33–$12,895.45 | $5,565.33–$12,895.45 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$9,104.62–$22,507.29 | $9,104.62–$22,507.29 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$9,104.62–$18,209.25 | $9,104.62–$18,209.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,783.42 | $7,783.42 | 44.1× |
| Cta Abdomen (74175) | $13,469 | $13,469 | 76.3× |
| CTA pelvis (72191) | $13,469 | $13,469 | 76.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$297.75–$577.74 | $297.75–$577.74 | varies |
| Dxa bone density study (77085) | $577.74 | $577.74 | 5.5× |
| Echo exam of fetal heart (76825) | $3,909.68 | $3,909.68 | 7.1× |
| Echo Guide For Artery Repair (76936) | $2,806.86 | $2,806.86 | 12.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$2,058.52–$2,203.11 | $2,058.52–$2,203.11 | varies |
| Fetal Biophys Profile W/Nst (76818) | $631.57 | $631.57 | 6.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,618.66 | $4,618.66 | 43.9× |
| Fluoroscopy up to 1 hr (76000) | $833.15 | $833.15 | 3.5× |
| Follow-Up Angiography (75898) | $6,400.33 | $6,400.33 | 2.0× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$1,377.13–$2,933.19 | $1,377.13–$2,933.19 | varies |
| Gastric emptying imaging study (78264) | $5,525.25 | $5,525.25 | 13.7× |
| Gated Heart Planar Single (78472) | $5,884.56 | $5,884.56 | 14.6× |
| Gated Heart, Multiple (78473) | $7,136.66 | $7,136.66 | 17.7× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,440.42 | $6,440.42 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,440.42 | $6,440.42 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $5,460.29 | $5,460.29 | 10.0× |
| Hepatobiliary System Imaging (78226) | $5,170.07 | $5,170.07 | 12.9× |
| Ht Musc Image Planar Mult (78454) | $9,310.54 | $9,310.54 | 7.1× |
| Ht Muscle Image Spect Sing (78451) | $8,893.18 | $8,893.18 | 6.8× |
| Hysterosalpingogram (74740) | $2,028.47 | $2,028.47 | 8.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,936.75 | $2,936.75 | 33.5× |
| K Flow/Funct Image W/Drug (78708) | $6,282.59 | $6,282.59 | 11.5× |
| K Flow/Funct Image W/O Drug (78707) | $7,484.93 | $7,484.93 | 13.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $4,711.24 | $4,711.24 | 11.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $6,593.53 | $6,593.53 | 16.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$1,377.13–$1,473.04 | $1,377.13–$1,473.04 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,542.89 | $2,542.89 | 6.3× |
| Liver & Spleen Imaging Static Only (78215) | $4,339.48 | $4,339.48 | 10.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $7,190.56 | $7,190.56 | 17.9× |
| Liver imaging static only (78201) | $3,680.28 | $3,680.28 | 6.7× |
| Liver imaging w/vascular flow (78202) | $5,706.28 | $5,706.28 | 10.4× |
| Lung Ventilat&Perfus Imaging (78582) | $10,758.88 | $10,758.88 | 19.7× |
| Lymph System Imaging (78195) | $6,257.71 | $6,257.71 | 11.5× |
| Magnetic Image Jaw Joint (70336) | $15,004.26 | $15,004.26 | 62.5× |
| Meckels Divert Exam (78290) | $4,556.45 | $4,556.45 | 11.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $150 | $150 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $15,280.39 | $15,280.39 | 43.5× |
| MRA head w/o contrast (70544) | $13,440.12 | $13,440.12 | 56.0× |
| MRA head with contrast (70545) | $15,280.39 | $15,280.39 | 43.5× |
| MRA neck w contrast (70548) | $15,280.39 | $15,280.39 | 43.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,731 | $11,731 | 33.4× |
| MRA neck w/o contrast (70547) | $13,440.12 | $13,440.12 | 56.0× |
| MRI abdomen w contrast (74182) | $10,672.81 | $10,672.81 | 30.4× |
| MRI abdomen w/o contrast (74181) | $11,709.41 | $11,709.41 | 48.8× |
| MRI any jt lower extrem w/contrast material (73722) | $15,274.22 | $15,274.22 | 19.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $17,845.61 | $17,845.61 | 50.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $17,223.98 | $17,223.98 | 21.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,591.26 | $6,591.26 | 27.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,591.26 | $6,591.26 | 27.5× |
| MRI cardiac w/o contrast (75557) | $16,563.76 | $16,563.76 | 69.0× |
| MRI cervical spine w contrast (72142) | $14,350.23 | $14,350.23 | 40.9× |
| MRI cervical spine w/o cont (72141) | $13,307.48 | $13,307.48 | 55.4× |
| MRI chest w/o contrast (71550) | $13,285.87 | $13,285.87 | 55.3× |
| MRI chest with contrast (71551) | $15,280.39 | $15,280.39 | 19.4× |
| MRI chest wo w contrast (71552) | $15,280.39 | $15,280.39 | 43.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $15,274.22 | $15,274.22 | 43.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $16,755.05 | $16,755.05 | 47.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $12,135.15 | $12,135.15 | 50.5× |
| MRI lumbar spine w contrast (72149) | $14,350.23 | $14,350.23 | 40.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $18,940.82 | $18,940.82 | 54.0× |
| MRI orbit face &/neck w/o contrast (70540) | $11,047.66 | $11,047.66 | 46.0× |
| MRI orbit face neck w contrast (70542) | $15,280.39 | $15,280.39 | 43.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $15,280.39 | $15,280.39 | 43.5× |
| MRI pelvis w contrast (72196) | $11,709.41 | $11,709.41 | 33.4× |
| MRI pelvis w/o & w contrast (72197) | $15,699.94 | $15,699.94 | 44.7× |
| MRI pelvis w/o contrast (72195) | $11,709.41 | $11,709.41 | 48.8× |
| MRI spectroscopy (76390) | $17,944.33 | $17,944.33 | 204.9× |
| MRI thoracic spine w/o contrast (72146) | $12,135.15 | $12,135.15 | 50.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $17,223.98 | $17,223.98 | 49.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,557.80 | $12,557.80 | 52.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$15,618.19–$33,499.28 | $15,618.19–$33,499.28 | varies |
| MRI, abdomen, combo (74183) | $17,223.98 | $17,223.98 | 49.1× |
| MRI, dorsal spine combo (72157) | $18,940.82 | $18,940.82 | 54.0× |
| MRI, dorsal spine contrast (72147) | $14,350.23 | $14,350.23 | 40.9× |
| MRI, joint upper extrem (73221) | $12,135.15 | $12,135.15 | 50.5× |
| MRI, joint upper extrem combo (73223) | $16,755.05 | $16,755.05 | 47.7× |
| MRI, lumbar spine combo (72158) | $18,940.82 | $18,940.82 | 54.0× |
| Myelogram cervical (72240) | $3,498.66 | $3,498.66 | 4.4× |
| Myelogram Lumbar (72265) | $6,831.22 | $6,831.22 | 8.7× |
| Myelography thoracic (72255) | $3,246.70 | $3,246.70 | 4.1× |
| Myelograpy 2/more regions rs&i (72270) | $5,501.34 | $5,501.34 | 7.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $4,669.80 | $4,669.80 | 11.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $5,624.75 | $5,624.75 | 4.3× |
| Myocardial Spect Multiple Studies (78452) | $15,504.68 | $15,504.68 | 11.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,148.09–$1,228.24 | $1,148.09–$1,228.24 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $4,112.83 | $4,112.83 | 10.6× |
| Nm csf leak detection (78650) | $2,382.57 | $2,382.57 | 1.8× |
| Nm myocard infarct spect (78469) | $4,691.90 | $4,691.90 | 8.6× |
| Nm unlisted gi procedure (78299) | $985 | $985 | 2.4× |
| Nm whole blood volume (78122) | $1,803.52 | $1,803.52 | 3.3× |
| Nuclear Rx Oral Admin (79005) | $2,723.94 | $2,723.94 | 11.6× |
| Optic foramina (70190) | $797.36 | $797.36 | 9.1× |
| Parathyroid Planar Imaging (78070) | $6,532.74 | $6,532.74 | 16.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,377.13–$1,473.04 | $1,377.13–$1,473.04 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,440.42 | $6,440.42 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,358.02 | $5,358.02 | 13.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,597.58 | $1,597.58 | 15.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$1,339.89–$2,438.34 | $1,339.89–$2,438.34 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$1,285.52–$2,184.49 | $1,285.52–$2,184.49 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$916.17–$1,819.47 | $916.17–$1,819.47 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$1,377.13–$2,933.19 | $1,377.13–$2,933.19 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,463.01–$1,566.09 | $1,463.01–$1,566.09 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$996.33–$1,982.66 | $996.33–$1,982.66 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$1,285.52–$2,105.77 | $1,285.52–$2,105.77 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$1,377.13–$2,933.19 | $1,377.13–$2,933.19 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$919.04–$1,826.61 | $919.04–$1,826.61 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $930.50 | $930.50 | 8.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,029.27–$1,102.27 | $1,029.27–$1,102.27 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$1,597.58–$1,707.81 | $1,597.58–$1,707.81 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$1,377.13–$1,473.04 | $1,377.13–$1,473.04 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,377.13–$2,933.19 | $1,377.13–$2,933.19 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $881.81 | $881.81 | 10.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,147.27 | $2,147.27 | 12.2× |
| Radex Spine 1 View Specify Level (72020) | $1,377.13 | $1,377.13 | 15.7× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,142.35–$1,221.10 | $1,142.35–$1,221.10 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,096.53–$1,172.42 | $1,096.53–$1,172.42 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$999.21–$1,991.24 | $999.21–$1,991.24 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$1,056.45–$2,253.22 | $1,056.45–$2,253.22 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,287.58 | $2,287.58 | 21.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,231.11–$1,318.42 | $1,231.11–$1,318.42 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,717.83 | $1,717.83 | 16.3× |
| Radiologic exam colon double contrast study (74280) | $2,989.01 | $2,989.01 | 16.9× |
| Radiologic exam colon single contrast study (74270) | $3,004.76 | $3,004.76 | 17.0× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$1,606.18–$3,196.59 | $1,606.18–$3,196.59 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,231.11–$1,318.42 | $1,231.11–$1,318.42 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$2,510.89–$2,685.53 | $2,510.89–$2,685.53 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$1,621.91–$1,733.57 | $1,621.91–$1,733.57 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,136.85 | $1,136.85 | 6.4× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$1,377.13–$2,751.39 | $1,377.13–$2,751.39 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$2,742.79–$5,482.73 | $2,742.79–$5,482.73 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$1,148.09–$2,287.58 | $1,148.09–$2,287.58 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,676.12 | $3,676.12 | 9.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,440.95 | $5,440.95 | 13.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,909.77 | $8,909.77 | 16.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,691.90 | $4,691.90 | 8.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,031.90 | $7,031.90 | 5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,976.91 | $7,976.91 | 5.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $7,031.90 | $7,031.90 | 5.4× |
| Rp Therapy Intravenous Administration (79101) | $1,719.22 | $1,719.22 | 7.3× |
| Salivary Gland Function Study (78232) | $3,778.40 | $3,778.40 | 9.4× |
| Salivary Gland Imaging (78230) | $2,375.66 | $2,375.66 | 5.9× |
| Scapula (73010) range across 4 matching MRF lines |
$800.23–$856.05 | $800.23–$856.05 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $265.34 | $265.34 | 11.3× |
| Sella turcica (70240) | $837.44 | $837.44 | 9.6× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$1,056.45–$2,105.77 | $1,056.45–$2,105.77 | varies |
| Shoulder Arthrography (73040) | $1,795.13 | $1,795.13 | 5.1× |
| Sialogram (70390) | $1,750.75 | $1,750.75 | 7.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,056.45–$1,130.90 | $1,056.45–$1,130.90 | varies |
| Spleen Imaging (78185) | $4,883.99 | $4,883.99 | 12.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$930.50–$996.33 | $930.50–$996.33 | varies |
| Testicular Imaging W/Flow (78761) | $4,765.15 | $4,765.15 | 11.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,377.13–$1,473.04 | $1,377.13–$1,473.04 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $2,198.76 | $2,198.76 | 5.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,676.12 | $3,676.12 | 9.1× |
| Thyroid Imaging With Vascular Flow (78013) | $2,591.25 | $2,591.25 | 6.4× |
| Thyroid Met Imaging Body (78018) | $5,399.48 | $5,399.48 | 9.9× |
| Thyroid Uptake Measurement (78012) | $4,611.74 | $4,611.74 | 11.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,276.49 | $5,276.49 | 13.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$561.10–$1,120.81 | $561.10–$1,120.81 | varies |
| Ultrasound, abdomen limited (76705) | $3,423.21 | $3,423.21 | 32.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$1,762.20–$1,863.84 | $1,762.20–$1,863.84 | varies |
| Upper gi w/o kub (74240) | $1,136.85 | $1,136.85 | 6.4× |
| Ureteral Reflux Study (78740) | $2,186.33 | $2,186.33 | 5.4× |
| Urethrocystogram voiding (74455) | $2,685.53 | $2,685.53 | 11.2× |
| Urethrocystography retrograde (74450) | $1,936.85 | $1,936.85 | 8.1× |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$735.23–$2,396.41 | $735.23–$2,396.41 | varies |
| Us chest (76604) | $3,423.21 | $3,423.21 | 32.5× |
| Us complete joint (76881) | $2,086.83 | $2,086.83 | 19.8× |
| Us exam, pelvic, limited (76857) | $714.49 | $714.49 | 6.8× |
| Us head (76506) | $3,557.28 | $3,557.28 | 33.8× |
| Us kidney transplant (76776) | $3,168.92 | $3,168.92 | 30.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$714.49–$2,086.83 | $714.49–$2,086.83 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$2,494.51–$3,244.94 | $2,494.51–$3,244.94 | varies |
| Us ob transvaginal (76817) | $3,260.15 | $3,260.15 | 31.0× |
| Us pelvic non ob complete (76856) | $2,936.75 | $2,936.75 | 27.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,946.43 | $2,946.43 | 28.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,420.71 | $1,420.71 | 13.5× |
| Us retroperitoneal complete (76770) | $3,423.21 | $3,423.21 | 32.5× |
| Us retroperitoneal limited (76775) | $2,230.56 | $2,230.56 | 21.2× |
| Us scrotum and contents (76870) | $2,898.06 | $2,898.06 | 27.5× |
| Us spinal canal and contents (76800) | $3,135.77 | $3,135.77 | 29.8× |
| Us thyroid (76536) | $2,404.68 | $2,404.68 | 22.9× |
| Vascular Flow Imaging (78445) | $1,987.32 | $1,987.32 | 4.9× |
| Vein X-Ray Chest (75827) | $4,563.69 | $4,563.69 | 2.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,153.64 | $3,153.64 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,866.71 | $1,866.71 | 3.0× |
| Vein X-Ray Spleen/Liver (75810) | $3,521.54 | $3,521.54 | 1.1× |
| Venogram Sinus/Jugular (75860) | $5,043.25 | $5,043.25 | 1.6× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,017.48–$11,807.18 | $5,017.48–$11,807.18 | varies |
| Venography extremity bilateral rs&i (75822) | $4,188.62 | $4,188.62 | 2.6× |
| Venography extremity unilateral rs&i (75820) | $4,188.62 | $4,188.62 | 2.6× |
| Venography Renal Unilateral (75831) | $4,563.69 | $4,563.69 | 1.4× |
| Venous sampling by catheter (75893) | $17,058.01 | $17,058.01 | 3.0× |
| Venous thrombosis imaging (78457) | $3,181.37 | $3,181.37 | 5.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,181.37 | $3,181.37 | 7.9× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,022.11 | $1,022.11 | 11.7× |
| X-ray antegrade pyelogram tube (74425) | $1,743.59 | $1,743.59 | 5.0× |
| X-Ray Aorta Leg Arteries (75630) | $5,030.37 | $5,030.37 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,285.52–$1,375.69 | $1,285.52–$1,375.69 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,228.24 | $1,228.24 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,032.11 | $1,032.11 | 11.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,407.18 | $1,407.18 | 13.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,968.34 | $1,968.34 | 18.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $996.33 | $996.33 | 11.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,377.13 | $1,377.13 | 15.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,563.24 | $1,563.24 | 14.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $891.83 | $891.83 | 8.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,231.11 | $1,231.11 | 11.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $984.88 | $984.88 | 9.4× |
| X-Ray Exam L-S Spine Bending (72114) | $2,742.79 | $2,742.79 | 26.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,069.98–$2,214.57 | $2,069.98–$2,214.57 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,896.77 | $1,896.77 | 18.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$1,246.86–$1,334.17 | $1,246.86–$1,334.17 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$837.44–$1,779.38 | $837.44–$1,779.38 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$1,377.13–$2,742.79 | $1,377.13–$2,742.79 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,933.19 | $2,933.19 | 16.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,047.87–$1,120.88 | $1,047.87–$1,120.88 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,014.95 | $1,014.95 | 11.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,606.18–$1,717.83 | $1,606.18–$1,717.83 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$873.23–$933.35 | $873.23–$933.35 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,395.73–$1,491.64 | $1,395.73–$1,491.64 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$873.23–$933.35 | $873.23–$933.35 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$966.27–$1,033.56 | $966.27–$1,033.56 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,826.61–$1,954.03 | $1,826.61–$1,954.03 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$2,058.52–$2,203.11 | $2,058.52–$2,203.11 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$1,777.95–$1,902.49 | $1,777.95–$1,902.49 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$2,742.79–$2,933.19 | $2,742.79–$2,933.19 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$1,481.63–$1,586.12 | $1,481.63–$1,586.12 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$2,244.62–$2,400.68 | $2,244.62–$2,400.68 | varies |
| Xr c-spine 4 or 5 views (72050) | $2,058.52 | $2,058.52 | 19.6× |
| Xr facial bones less than 3 views (70140) | $1,463.01 | $1,463.01 | 16.7× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,056.45–$1,130.90 | $1,056.45–$1,130.90 | varies |
| Xr Tomogram Single Plane (76100) | $2,147.27 | $2,147.27 | 20.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.