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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,241.13 | $1,241.13 | 11.8× |
| Acute gastrointestinal blood loss imaging (78278) | $6,266 | $6,266 | 15.6× |
| 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 internal mammary rs&i (75756) | $5,587.23 | $5,587.23 | 1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $10,706.36 | $10,706.36 | 1.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $10,796.53 | $10,796.53 | 3.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,111.97 | $5,111.97 | 1.6× |
| Angiography Spinal Selective Rs&I (75705) | $10,706.36 | $10,706.36 | 1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $10,706.36 | $10,706.36 | 1.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $6,400.33 | $6,400.33 | 2.0× |
| Ankle 2 views (73600) | $1,473.04 | $1,473.04 | 16.8× |
| Antegrade urography radiological supvj & interpj (74425) | $1,743.59 | $1,743.59 | 5.0× |
| Aortogram thoracic (75605) | $10,706.36 | $10,706.36 | 1.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $5,030.37 | $5,030.37 | 1.6× |
| Aortography abdominal serialography rs&i (75625) | $10,816.58 | $10,816.58 | 3.4× |
| Arthrogram shoulder (73040) | $1,795.13 | $1,795.13 | 5.1× |
| Bone &/Joint Imaging Limited Area (78300) | $4,032.69 | $4,032.69 | 10.0× |
| Bone &/Joint Imaging Multiple Areas (78305) | $4,900.58 | $4,900.58 | 12.2× |
| Bone &/joint imaging whole body (78306) | $8,139.99 | $8,139.99 | 20.2× |
| Bone age studies (77072) | $1,196.04 | $1,196.04 | 11.4× |
| Bone Imaging 3 Phase (78315) | $5,399.48 | $5,399.48 | 13.4× |
| Bone Marrow Imaging Limited Area (78102) | $3,676.12 | $3,676.12 | 9.1× |
| Bone survey complete (77075) | $2,322.65 | $2,322.65 | 22.1× |
| Brain image w/flow 4 + views (78606) | $4,260.71 | $4,260.71 | 7.8× |
| Brain imaging < 4 static views (78600) | $2,809.60 | $2,809.60 | 7.0× |
| Brain imaging < 4 static views w vascular flow (78601) | $3,074.94 | $3,074.94 | 7.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,287.78 | $3,287.78 | 6.0× |
| Brain Imaging Vascular Flow Only (78610) | $1,810.43 | $1,810.43 | 3.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $17,074.35 | $17,074.35 | 48.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,567.77 | $2,567.77 | 4.7× |
| Cervical spine 2 or 3 views (72040) | $2,142.28 | $2,142.28 | 24.5× |
| Chest 1 view (71045) | $1,130.90 | $1,130.90 | 12.9× |
| Chest 3 views (71047) | $1,707.81 | $1,707.81 | 19.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,677.74 | $1,677.74 | 9.5× |
| Clavicle complete (73000) | $1,425.08 | $1,425.08 | 16.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $419.18 | $419.18 | 4.0× |
| 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 hrt w/3d image (75574) | $13,469 | $13,469 | 38.4× |
| CT angiography upper extremity lt (73206) | $10,488.01 | $10,488.01 | 59.4× |
| CT c-spine w/o contrast (72125) | $6,267.38 | $6,267.38 | 59.6× |
| CT cervical spine w&w/o contrast (72127) | $1,626.61 | $1,626.61 | 9.2× |
| CT cervical spine with contrast (72126) | $10,019.52 | $10,019.52 | 28.5× |
| CT chest w/wo contrast (71270) | $11,498.25 | $11,498.25 | 65.1× |
| CT chest with contrast (71260) | $9,104.62 | $9,104.62 | 51.6× |
| CT colonography screening (74263) | $2,733.60 | $2,733.60 | 11.4× |
| CT colonography w/dye (74262) | $3,084.63 | $3,084.63 | 17.5× |
| CT colonography w/o cntrst (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 limited/localized follow up study (76380) | $3,409.39 | $3,409.39 | 38.9× |
| CT lower ext w/o (73700) | $6,494.03 | $6,494.03 | 61.7× |
| CT lower extremity w wo contrast (73702) | $8,806.11 | $8,806.11 | 49.9× |
| CT lower extremity with contrast (73701) | $9,104.62 | $9,104.62 | 51.6× |
| CT lumbar spine w & w/o contrast (72133) | $11,860.34 | $11,860.34 | 67.2× |
| CT lumbar spine w/o contrast (72131) | $10,160.48 | $10,160.48 | 96.6× |
| CT lumbar spine with contrast (72132) | $10,160.48 | $10,160.48 | 28.9× |
| CT maxillofacial w contrast (70487) | $6,431.84 | $6,431.84 | 36.4× |
| CT maxillofacial w/o contrast (70486) | $5,948.14 | $5,948.14 | 56.5× |
| CT maxillofacial w/wo contrast (70488) | $5,555.64 | $5,555.64 | 31.5× |
| CT neck soft tissue w contrast (70491) | $8,408.10 | $8,408.10 | 47.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) | $7,559.55 | $7,559.55 | 42.8× |
| 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 contrast (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 extremity w/o & w/contrast material (73202) | $9,104.62 | $9,104.62 | 51.6× |
| CT upper extremity w/o contrast rt (73200) | $5,565.33 | $5,565.33 | 52.9× |
| CT upper extremity with contrast (73201) | $9,104.62 | $9,104.62 | 25.9× |
| 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 abdomen pelvis (74174) | $21,031.31 | $21,031.31 | 59.9× |
| CTA chest (71275) | $7,873.96 | $7,873.96 | 44.6× |
| Cta Head (70496) | $12,274.95 | $12,274.95 | 69.6× |
| CTA lwr ext w&w/o contrast (73706) | $12,461.50 | $12,461.50 | 70.6× |
| Cta Neck (70498) | $12,274.95 | $12,274.95 | 69.6× |
| Cta Pelvis (72191) | $13,469 | $13,469 | 76.3× |
| Cystography minimum 3 views rs&i (74430) | $1,511.69 | $1,511.69 | 4.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $437.74 | $437.74 | 4.2× |
| Dxa bone density study axial skeleton (77085) | $577.74 | $577.74 | 5.5× |
| Echo exam of fetal heart (76825) | $3,909.68 | $3,909.68 | 7.1× |
| Echoencephalography real time imaging (76506) | $3,557.28 | $3,557.28 | 33.8× |
| Esophagus (74220) | $2,130.82 | $2,130.82 | 12.1× |
| Fetal biophysical profile non-stress testing (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× |
| Foot 2 views (73620) | $1,473.04 | $1,473.04 | 16.8× |
| Forearm 2 views (73090) | $1,473.04 | $1,473.04 | 16.8× |
| Gated Heart Planar Single (78472) | $5,884.56 | $5,884.56 | 14.6× |
| Hand 2 views (73120) | $1,473.04 | $1,473.04 | 14.0× |
| Hand 3 views (73130) | $1,473.04 | $1,473.04 | 16.8× |
| Heart Infarct Image (78466) | $4,669.80 | $4,669.80 | 11.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $6,440.42 | $6,440.42 | 2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,460.29 | $5,460.29 | 10.0× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,170.07 | $5,170.07 | 12.9× |
| Ht muscle image spect sing (78451) | $8,893.18 | $8,893.18 | 6.8× |
| Humerus Min 2 Views Left (73060) | $1,473.04 | $1,473.04 | 16.8× |
| Hysterosalpingogram (74740) | $2,028.47 | $2,028.47 | 8.4× |
| Kidney funcj study non-img radioisotopic study (78725) | $4,711.24 | $4,711.24 | 11.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $7,484.93 | $7,484.93 | 13.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,282.59 | $6,282.59 | 11.5× |
| Knee 3 views (73562) | $1,425.08 | $1,425.08 | 16.3× |
| 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× |
| Lymphoscintigraphy (78195) | $6,257.71 | $6,257.71 | 11.5× |
| Meckels Diverticulum (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 & w/o contrast (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 & w/contrast material (74183) | $17,223.98 | $17,223.98 | 49.1× |
| MRI abdomen w/o contrast (74181) | $11,709.41 | $11,709.41 | 48.8× |
| MRI any jnt lwr ext with con lt (73722) | $15,274.22 | $15,274.22 | 19.4× |
| 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 w/o contrast unilat (77046) | $6,591.26 | $6,591.26 | 27.5× |
| MRI c-spine with contrast (72142) | $14,350.23 | $14,350.23 | 40.9× |
| MRI cardiac w/o contrast (75557) | $16,563.76 | $16,563.76 | 69.0× |
| MRI cervical spine w/o contrast (72141) | $13,307.48 | $13,307.48 | 55.4× |
| MRI chest w/o & w/contrast material (71552) | $15,280.39 | $15,280.39 | 43.5× |
| 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 Forearm w/ Contrast Bilateral 73219 (73219) | $17,223.98 | $17,223.98 | 49.1× |
| 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 contr matrl (73718) | $12,135.15 | $12,135.15 | 50.5× |
| MRI orbit face &/neck w/o contrast (70540) | $11,047.66 | $11,047.66 | 46.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $15,280.39 | $15,280.39 | 43.5× |
| MRI orbit/face/neck w/contrast (70542) | $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 material (72197) | $15,699.94 | $15,699.94 | 44.7× |
| MRI pelvis w/o contrast (72195) | $11,709.41 | $11,709.41 | 48.8× |
| MRI scan of arm joint before and after contrast (73223) | $16,755.05 | $16,755.05 | 47.7× |
| MRI scan of leg joint before and after contrast (73723) | $17,845.61 | $17,845.61 | 50.8× |
| MRI spectroscopy (76390) | $17,944.33 | $17,944.33 | 204.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $18,940.82 | $18,940.82 | 54.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $14,350.23 | $14,350.23 | 40.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $18,940.82 | $18,940.82 | 54.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $14,350.23 | $14,350.23 | 40.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $18,940.82 | $18,940.82 | 54.0× |
| MRI thoracic spine w/o contrast (72146) | $12,135.15 | $12,135.15 | 50.5× |
| MRI tmj (70336) | $15,004.26 | $15,004.26 | 62.5× |
| MRI upper ext joint w/o contrast (73221) | $12,135.15 | $12,135.15 | 50.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $16,755.05 | $16,755.05 | 47.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,557.80 | $12,557.80 | 52.3× |
| Myelogram Cervical (72240) | $3,498.66 | $3,498.66 | 4.4× |
| Myelogram Lumbar (72265) | $6,831.22 | $6,831.22 | 8.7× |
| Myelogram thoracic (72255) | $3,246.70 | $3,246.70 | 4.1× |
| Myelography 2 or more regions (72270) | $5,501.34 | $5,501.34 | 7.0× |
| Myocardial infarct spect (78469) | $4,691.90 | $4,691.90 | 8.6× |
| Myocardial Spect Multiple Studies (78452) | $15,504.68 | $15,504.68 | 11.9× |
| Neck soft tissue (70360) | $1,188.16 | $1,188.16 | 13.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $4,112.83 | $4,112.83 | 10.6× |
| Nm bone marrow multiple (78103) | $4,454.19 | $4,454.19 | 11.1× |
| Nm bone marrow wb (78104) | $4,805.22 | $4,805.22 | 11.9× |
| Nm cisternogram (78630) | $7,911.96 | $7,911.96 | 14.5× |
| Nm csf leak detection (78650) | $2,382.57 | $2,382.57 | 1.8× |
| Nm gastric emptying study (78264) | $5,525.25 | $5,525.25 | 13.7× |
| Nm peritoneal-venous shunt patency (78291) | $2,542.89 | $2,542.89 | 6.3× |
| Nm whole blood volume (78122) | $1,803.52 | $1,803.52 | 3.3× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $9,310.54 | $9,310.54 | 7.1× |
| Nuclear medicine of heart pumping function (78473) | $7,136.66 | $7,136.66 | 17.7× |
| Nuclear medicine of heart pumping function by first pass technique (78483) | $5,856.93 | $5,856.93 | 10.7× |
| Nuclear medicine study of digestive tracts (78299) | $985 | $985 | 2.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $5,624.75 | $5,624.75 | 4.3× |
| Nuclear medicine study of kidney and blood flow (78701) | $6,593.53 | $6,593.53 | 16.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) | $3,676.12 | $3,676.12 | 9.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $3,181.37 | $3,181.37 | 7.9× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $3,181.37 | $3,181.37 | 5.8× |
| Nuclear Rx Oral Admin (79005) | $2,723.94 | $2,723.94 | 11.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,420.71 | $1,420.71 | 13.5× |
| Parathyroid imaging (78070) | $6,532.74 | $6,532.74 | 16.2× |
| Pelvis 1 or 2 views (72170) | $1,425.08 | $1,425.08 | 13.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $16,755.05 | $16,755.05 | 47.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,440.42 | $6,440.42 | 2.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $3,153.64 | $3,153.64 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,358.02 | $5,358.02 | 13.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $10,758.88 | $10,758.88 | 19.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,434.39 | $1,434.39 | 2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,032.11 | $1,032.11 | 11.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,407.18 | $1,407.18 | 13.4× |
| Radex hips bilateral with pelvis 2 views (73521) | $891.83 | $891.83 | 8.5× |
| Radex mastoids compl minimum 3 views pr side (70130) | $930.50 | $930.50 | 8.8× |
| 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) | $1,274.76 | $1,274.76 | 12.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,130.90 | $1,130.90 | 12.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,717.83 | $1,717.83 | 16.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,241.13 | $1,241.13 | 14.2× |
| Radiologic exam colon single contrast study (74270) | $3,004.76 | $3,004.76 | 17.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,136.85 | $1,136.85 | 6.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,136.85 | $1,136.85 | 6.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $2,742.79 | $2,742.79 | 31.3× |
| Radiological examination surgical specimen (76098) | $1,228.24 | $1,228.24 | 2.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $6,440.42 | $6,440.42 | 2.0× |
| 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 1 day imaging (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× |
| Scanogram (77073) | $1,533.88 | $1,533.88 | 14.6× |
| Scapula complete (73010) | $828.14 | $828.14 | 7.9× |
| Screening digital breast tomosynthesis (77063) | $265.34 | $265.34 | 11.3× |
| Sella turcica (70240) | $837.44 | $837.44 | 9.6× |
| Sialogram (70390) | $1,750.75 | $1,750.75 | 7.3× |
| Small bowel series (74250) | $2,598.21 | $2,598.21 | 14.7× |
| Spleen imaging only (78185) | $4,883.99 | $4,883.99 | 12.1× |
| Splenoportograpy rs&i (75810) | $3,521.54 | $3,521.54 | 1.1× |
| Testicular Imaging With Vascular Flow (78761) | $4,765.15 | $4,765.15 | 11.8× |
| Thyroid carcinoma metastases img addl study (78016) | $2,198.76 | $2,198.76 | 5.5× |
| Thyroid carcinoma metastases img whole body (78018) | $5,399.48 | $5,399.48 | 9.9× |
| Thyroid Imaging With Vascular Flow (78013) | $2,591.25 | $2,591.25 | 6.4× |
| 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× |
| Tomogram (76100) | $2,147.27 | $2,147.27 | 20.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $3,676.12 | $3,676.12 | 9.1× |
| Ultrasound, abdomen limited (76705) | $3,423.21 | $3,423.21 | 32.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $1,813.02 | $1,813.02 | 20.7× |
| Upper Extremity Infant (73092) | $1,130.90 | $1,130.90 | 10.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $2,186.33 | $2,186.33 | 5.4× |
| Urethrocystography retrograde rs&i (74450) | $1,936.85 | $1,936.85 | 8.1× |
| Urethrocystography voiding (74455) | $2,685.53 | $2,685.53 | 11.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,933.19 | $2,933.19 | 16.6× |
| Us breast unilateral complete (76641) | $1,199.58 | $1,199.58 | 11.4× |
| Us breast unilateral limited (76642) | $561.10 | $561.10 | 6.4× |
| Us chest (76604) | $3,423.21 | $3,423.21 | 32.5× |
| Us compl joint r-t w/image documentation (76881) | $2,086.83 | $2,086.83 | 19.8× |
| Us guided compression repair (76936) | $2,806.86 | $2,806.86 | 12.9× |
| Us infant hips dynamic (76885) | $2,936.75 | $2,936.75 | 33.5× |
| Us kidney transplant (76776) | $3,168.92 | $3,168.92 | 30.1× |
| 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 pelvic nonobstetric image dcmtn limited/f/u (76857) | $714.49 | $714.49 | 6.8× |
| Us pregnancy ltd (76815) | $2,869.72 | $2,869.72 | 27.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,946.43 | $2,946.43 | 28.0× |
| 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 soft tissue head/neck (76536) | $2,404.68 | $2,404.68 | 22.9× |
| Us spinal canal and contents (76800) | $3,135.77 | $3,135.77 | 29.8× |
| Us xtr non-vasc lmtd (76882) | $1,400.66 | $1,400.66 | 13.3× |
| Vascular flow imaging (78445) | $1,987.32 | $1,987.32 | 4.9× |
| Venogram extremity bilateral (75822) | $4,188.62 | $4,188.62 | 2.6× |
| Venography caval inferior serialography rs&i (75825) | $8,412.33 | $8,412.33 | 2.6× |
| Venography caval superior serialography rs&i (75827) | $4,563.69 | $4,563.69 | 2.9× |
| Venography epidural rs&i (75872) | $1,866.71 | $1,866.71 | 3.0× |
| Venography extremity unilateral rs&i (75820) | $4,188.62 | $4,188.62 | 2.6× |
| Venography renal unilateral selective rs&i (75831) | $4,563.69 | $4,563.69 | 1.4× |
| Venography venous sinus/jugular cath rs&i (75860) | $5,043.25 | $5,043.25 | 1.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $17,058.01 | $17,058.01 | 3.0× |
| Wrist 2 views (73100) | $1,473.04 | $1,473.04 | 16.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,597.58 | $1,597.58 | 15.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,022.11 | $1,022.11 | 11.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,375.69 | $1,375.69 | 15.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,989.01 | $2,989.01 | 16.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,473.04 | $1,473.04 | 16.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,473.04 | $1,473.04 | 16.8× |
| 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 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 of femur 1 (73551) | $1,377.13 | $1,377.13 | 15.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $2,147.27 | $2,147.27 | 12.2× |
| X-ray eye for foreign body (70030) | $1,249.72 | $1,249.72 | 14.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,514.55 | $1,514.55 | 14.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,463.01 | $1,463.01 | 16.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,375.69 | $1,375.69 | 15.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $979.16 | $979.16 | 11.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,084.38 | $1,084.38 | 12.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,717.83 | $1,717.83 | 16.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,014.95 | $1,014.95 | 11.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $950.54 | $950.54 | 10.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,662 | $1,662 | 15.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,742.79 | $2,742.79 | 26.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,330.60 | $1,330.60 | 12.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,065.77 | $1,065.77 | 12.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $903.29 | $903.29 | 10.3× |
| X-ray of voice box or throat (70370) | $1,652.70 | $1,652.70 | 18.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,093.68 | $1,093.68 | 10.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,274.76 | $1,274.76 | 12.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,837.99 | $2,837.99 | 8.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,425.08 | $1,425.08 | 16.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,246.86 | $1,246.86 | 11.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,443.68 | $1,443.68 | 13.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $903.29 | $903.29 | 8.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $999.92 | $999.92 | 11.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,473.04 | $1,473.04 | 16.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,890.32 | $1,890.32 | 21.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $881.81 | $881.81 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,130.82 | $2,130.82 | 20.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,093.68 | $1,093.68 | 10.4× |
| X-Ray Spine One View - Xr Spine (72020) | $1,377.13 | $1,377.13 | 15.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $963.42 | $963.42 | 11.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,181.72 | $1,181.72 | 13.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,425.08 | $1,425.08 | 13.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,840.22 | $1,840.22 | 17.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,069.35 | $1,069.35 | 12.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,473.04 | $1,473.04 | 16.8× |
| Xr c-spine 6 or more views (72052) | $1,896.77 | $1,896.77 | 18.0× |
| Xr chest 4+ views (71048) | $1,820.90 | $1,820.90 | 17.3× |
| Xr finger(s) 2+ views (73140) | $1,066.48 | $1,066.48 | 12.2× |
| Xr optic foramina (70190) | $797.36 | $797.36 | 9.1× |
| Xr shoulder 1 view (73020) | $1,130.90 | $1,130.90 | 12.9× |
| Xr spine cervical 4 or 5 views (72050) | $2,058.52 | $2,058.52 | 19.6× |
| Xr tibia/fibula 2 views (73590) | $1,473.04 | $1,473.04 | 16.8× |
| Xr tmj bilateral (70330) | $1,134.48 | $1,134.48 | 13.0× |
| Xray knee 1 or 2 views rt (73560) | $1,228.24 | $1,228.24 | 14.0× |