Imaging prices at Medical City Denton
Denton, TX · every code in this section with a posted price and a Medicare benchmark.
339 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) | $4,825.40 | $4,825.40 | 3.5× |
| Abdomen 1 View (74018) | $939 | $939 | 10.7× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,124.91–$1,436.11 | $1,124.91–$1,436.11 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $8,088.74 | $8,088.74 | 20.1× |
| Adrenal Cortex & Medulla Img (78075) | $6,242.88 | $6,242.88 | 4.8× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$8,491.39–$9,341.43 | $8,491.39–$9,341.43 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$7,012.14–$9,341.43 | $7,012.14–$9,341.43 | varies |
| Angiography extremity bilateral rs&i (75716) | $6,333.15 | $6,333.15 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $6,333.15 | $6,333.15 | 2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 5 matching MRF lines |
$6,387.04–$9,341.43 | $6,387.04–$9,341.43 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,523.31 | $9,523.31 | 3.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$828.53–$1,244.81 | $828.53–$1,244.81 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$14,115.77–$15,527.73 | $14,115.77–$15,527.73 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$12,945.17–$15,527.73 | $12,945.17–$15,527.73 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,301.59 | $4,301.59 | 1.4× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$14,115.77–$15,527.73 | $14,115.77–$15,527.73 | varies |
| Artery X-Rays Spine (75705) | $26,842.81 | $26,842.81 | 4.8× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,318.91–$1,973.65 | $1,318.91–$1,973.65 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,516.94–$1,622.02 | $1,516.94–$1,622.02 | varies |
| Arthrogram Wrist (73115) | $1,232.69 | $1,232.69 | 3.5× |
| Basic radiation dosimetry calculation (77300) | $471.23 | $471.23 | 3.5× |
| Bone age studies (77072) | $1,446.89 | $1,446.89 | 13.8× |
| Bone Imaging 3 Phase (78315) | $10,097.36 | $10,097.36 | 25.1× |
| Bone Imaging Limited Area (78300) | $5,398.81 | $5,398.81 | 13.4× |
| Bone Imaging Multiple Areas (78305) | $8,699.40 | $8,699.40 | 21.7× |
| Bone Imaging Whole Body (78306) | $10,387.55 | $10,387.55 | 25.9× |
| Bone marrow imaging limited area (78102) | $5,398.81 | $5,398.81 | 13.4× |
| Bone survey infant (77076) | $373.18 | $373.18 | 3.6× |
| Brain Image W/Flow < 4 Views (78601) | $4,103.03 | $4,103.03 | 10.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $5,667.54 | $5,667.54 | 10.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $4,012.20 | $4,012.20 | 7.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$23,502.20–$36,948.21 | $23,502.20–$36,948.21 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $5,667.54 | $5,667.54 | 14.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $9,186.84 | $9,186.84 | 26.2× |
| Cat Scan Follow-Up Study (76380) | $3,157.14 | $3,157.14 | 36.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,983.91 | $2,983.91 | 5.5× |
| Cerebrospinal Fluid Scan (78630) | $6,466.19 | $6,466.19 | 11.9× |
| Chest 1 view (71045) | $901.28 | $901.28 | 10.3× |
| Chest 2 views (71046) | $976.72 | $976.72 | 11.2× |
| Chest 3 views (71047) | $1,037.34 | $1,037.34 | 11.9× |
| Chest 4 or more views (71048) | $1,153.19 | $1,153.19 | 11.0× |
| Cholecystography Oral Contrast (74290) | $1,402.43 | $1,402.43 | 8.0× |
| Clavicle complete (73000) | $1,065.64 | $1,065.64 | 12.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,907.06 | $1,907.06 | 18.2× |
| Continuing medical physics consltj pr wk (77336) | $621.69 | $621.69 | 4.6× |
| Contrast Exam Abdominl Aorta (75625) | $4,933.42 | $4,933.42 | 1.6× |
| Contrast X-Ray Bladder (74430) | $1,747.31 | $1,747.31 | 5.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,318.91–$1,973.65 | $1,318.91–$1,973.65 | varies |
| Corpora cavernosography (74445) | $832.56 | $832.56 | 7.9× |
| CT abdomen and pelvis without and with contrast (74178) | $16,912.41 | $16,912.41 | 48.3× |
| CT abdomen and pelvis without contrast (74176) | $11,907.71 | $11,907.71 | 49.7× |
| CT abdomen w contrast (74160) | $9,733.08 | $9,733.08 | 55.2× |
| CT abdomen w wo contrast (74170) | $11,521.90 | $11,521.90 | 65.4× |
| CT abdomen w/o contrast (74150) | $8,670.47 | $8,670.47 | 82.6× |
| CT Angio Abdomen and Pelvis (74174) | $20,664.95 | $20,664.95 | 59.0× |
| CT Angio Chest (71275) | $10,324.45 | $10,324.45 | 58.6× |
| CT Angio Head (70496) | $9,611.60 | $9,611.60 | 54.5× |
| CT angio hrt w/3d image (75574) | $10,608.99 | $10,608.99 | 30.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$798.98–$15,637.97 | $798.98–$15,637.97 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$9,438.07–$9,611.60 | $9,438.07–$9,611.60 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $8,068.41 | $8,068.41 | 45.8× |
| CT cervical spine w/ contrast (72126) | $8,129.82 | $8,129.82 | 23.2× |
| CT cervical spine w/o contrast (72125) | $6,330.31 | $6,330.31 | 60.3× |
| CT cervical spine w/wo cont (72127) | $9,495.47 | $9,495.47 | 53.9× |
| CT chest w contrast (71260) | $8,418.17 | $8,418.17 | 47.8× |
| CT chest w/wo contrast (71270) | $11,429.80 | $11,429.80 | 64.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $472.39 | $472.39 | 4.5× |
| CT head/brain with contrast (70460) | $7,415.63 | $7,415.63 | 42.1× |
| CT head/brain without and with contrast (70470) | $9,568.89 | $9,568.89 | 54.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$139.85–$487.79 | $139.85–$487.79 | varies |
| CT iac w contrast (70481) | $7,662.58 | $7,662.58 | 43.5× |
| CT l-spine w&w/o contrast (72133) | $9,681.01 | $9,681.01 | 54.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$6,490.50–$7,011.12 | $6,490.50–$7,011.12 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$7,929.58–$8,561 | $7,929.58–$8,561 | varies |
| CT lumbar spine w contrast (72132) | $8,418.17 | $8,418.17 | 24.0× |
| CT lumbar spine w/o contrast (72131) | $7,917.56 | $7,917.56 | 75.4× |
| CT maxillofacial w contrast (70487) | $6,324.97 | $6,324.97 | 35.9× |
| CT maxillofacial wo contrast (70486) | $5,673.52 | $5,673.52 | 54.0× |
| CT neck tissue combo (70492) | $8,629.08 | $8,629.08 | 49.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,990.86 | $8,990.86 | 51.0× |
| CT orbits w/o contrast (70480) | $5,993.90 | $5,993.90 | 57.1× |
| CT pelvis w&w/o contrast (72194) | $10,786.35 | $10,786.35 | 61.2× |
| CT pelvis w/o contrast (72192) | $6,475.82 | $6,475.82 | 61.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$8,587.71–$9,276.53 | $8,587.71–$9,276.53 | varies |
| CT scans face/jaw combo (70488) | $8,506.26 | $8,506.26 | 48.3× |
| CT soft tissue neck w contrast (70491) | $7,630.55 | $7,630.55 | 43.3× |
| CT soft tissue neck w/o contrast (70490) | $6,078 | $6,078 | 57.9× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$7,866.83–$7,917.56 | $7,866.83–$7,917.56 | varies |
| CT thoracic spine w/o contrast (72128) | $7,866.83 | $7,866.83 | 74.9× |
| CT thoracic spine w/wo cont (72130) | $9,681.01 | $9,681.01 | 54.9× |
| CT thorax w/o contrast (71250) | $8,418.17 | $8,418.17 | 80.2× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$7,040.50–$13,147.87 | $7,040.50–$13,147.87 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$10,485.99–$20,963.98 | $10,485.99–$20,963.98 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$9,046.92–$18,088.51 | $9,046.92–$18,088.51 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,537.23 | $6,537.23 | 37.1× |
| Cta Abdomen (74175) | $10,324.45 | $10,324.45 | 58.6× |
| CTA pelvis (72191) | $10,343.16 | $10,343.16 | 58.7× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$6,085.82–$6,508.29 | $6,085.82–$6,508.29 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$520.02–$1,413.21 | $520.02–$1,413.21 | varies |
| Dxa bone density study (77085) | $734.23 | $734.23 | 7.0× |
| Echo exam uterus (76831) | $2,112.82 | $2,112.82 | 8.8× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,275.29–$2,434.32 | $1,275.29–$2,434.32 | varies |
| Esophagram (74220) | $1,648.97 | $1,648.97 | 9.4× |
| Fetal Biophys Profile W/Nst (76818) | $3,839.88 | $3,839.88 | 36.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,499.90–$3,013 | $2,499.90–$3,013 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,031.27–$2,868.18 | $1,031.27–$2,868.18 | varies |
| Follow-Up Angiography (75898) | $2,709.21 | $2,709.21 | 0.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$738.27–$1,108.75 | $738.27–$1,108.75 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$996.93–$1,491.35 | $996.93–$1,491.35 | varies |
| Gastric emptying imaging study (78264) | $5,107.36 | $5,107.36 | 12.7× |
| Gastric Mucosa Imaging (78261) | $3,034.38 | $3,034.38 | 7.6× |
| Gastroesophageal Reflux Exam (78262) | $3,338.45 | $3,338.45 | 8.3× |
| Gated Heart Planar Single (78472) | $6,211.33 | $6,211.33 | 15.5× |
| Gated Heart, Multiple (78473) | $1,640.65 | $1,640.65 | 4.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$738.27–$1,108.75 | $738.27–$1,108.75 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,536.95 | $5,536.95 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,536.95 | $5,536.95 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $7,214.39 | $7,214.39 | 13.2× |
| Hepatobiliary System Imaging (78226) | $5,769.74 | $5,769.74 | 14.4× |
| Ht Muscle Image Spect Sing (78451) | $8,897.48 | $8,897.48 | 6.8× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,032.26–$2,045.03 | $1,032.26–$2,045.03 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,809.35–$1,847.93 | $1,809.35–$1,847.93 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,471.14 | $1,471.14 | 16.8× |
| K Flow/Funct Image W/Drug (78708) | $5,928.72 | $5,928.72 | 10.9× |
| K Flow/Funct Image W/O Drug (78707) | $7,818.74 | $7,818.74 | 14.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$860.86–$1,286.57 | $860.86–$1,286.57 | varies |
| Leveen/Shunt Patency Exam (78291) | $4,285.99 | $4,285.99 | 10.7× |
| Liver & Spleen Imaging Static Only (78215) | $5,764.69 | $5,764.69 | 14.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,135.84 | $4,135.84 | 10.3× |
| Liver imaging w/vascular flow (78202) | $3,957.95 | $3,957.95 | 7.3× |
| Lung Ventilat&Perfus Imaging (78582) | $6,525.49 | $6,525.49 | 12.0× |
| Lymph System Imaging (78195) | $5,489.64 | $5,489.64 | 10.1× |
| Magnetic Image Jaw Joint (70336) | $13,505.44 | $13,505.44 | 56.3× |
| Meckels Divert Exam (78290) | $3,438.13 | $3,438.13 | 8.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,081.25 | $1,081.25 | 2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $162 | $162 | 5.6× |
| Mra Head W/O & W/Contrast Material (70546) | $11,455.23 | $11,455.23 | 32.7× |
| MRA head w/o contrast (70544) | $9,163.07 | $9,163.07 | 38.2× |
| MRA head with contrast (70545) | $9,932.24 | $9,932.24 | 28.3× |
| MRA neck w contrast (70548) | $9,237.19 | $9,237.19 | 26.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,599.20 | $12,599.20 | 36.0× |
| MRA neck w/o contrast (70547) | $8,400.87 | $8,400.87 | 35.0× |
| MRI abdomen w contrast (74182) | $12,615.99 | $12,615.99 | 36.0× |
| MRI abdomen w/o contrast (74181) | $11,807.65 | $11,807.65 | 49.3× |
| MRI any jt lower extrem w/contrast material (73722) | $10,799.32 | $10,799.32 | 13.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$13,386.58–$19,935.82 | $13,386.58–$19,935.82 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,175.53 | $11,175.53 | 14.2× |
| MRI cardiac w/o contrast (75557) | $6,812.16 | $6,812.16 | 28.4× |
| MRI cervical spine w contrast (72142) | $12,232.79 | $12,232.79 | 34.9× |
| MRI cervical spine w/o cont (72141) | $10,509.84 | $10,509.84 | 43.8× |
| MRI chest w/o contrast (71550) | $8,095.99 | $8,095.99 | 33.8× |
| MRI chest with contrast (71551) | $8,603.66 | $8,603.66 | 10.9× |
| MRI chest wo w contrast (71552) | $12,898.49 | $12,898.49 | 36.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,557.45 | $9,557.45 | 27.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $12,329.29 | $12,329.29 | 35.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,434.69–$8,142.15 | $4,434.69–$8,142.15 | varies |
| MRI lumbar spine w contrast (72149) | $12,478.94 | $12,478.94 | 35.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $14,143.17 | $14,143.17 | 40.4× |
| MRI orbit face &/neck w/o contrast (70540) | $9,792.39 | $9,792.39 | 40.9× |
| MRI orbit face neck w contrast (70542) | $10,989.52 | $10,989.52 | 31.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $13,546 | $13,546 | 38.7× |
| MRI pelvis w contrast (72196) | $11,754.51 | $11,754.51 | 33.5× |
| MRI pelvis w/o & w contrast (72197) | $14,491.40 | $14,491.40 | 41.3× |
| MRI pelvis w/o contrast (72195) | $10,681.85 | $10,681.85 | 44.6× |
| MRI spectroscopy (76390) | $9,933.65 | $9,933.65 | 113.6× |
| MRI thoracic spine w/o contrast (72146) | $10,962.95 | $10,962.95 | 45.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,326.76 | $8,326.76 | 23.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,395.28 | $8,395.28 | 35.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$11,102.80–$22,194.41 | $11,102.80–$22,194.41 | varies |
| MRI, abdomen, combo (74183) | $13,445.32 | $13,445.32 | 38.4× |
| MRI, dorsal spine combo (72157) | $14,801.88 | $14,801.88 | 42.2× |
| MRI, dorsal spine contrast (72147) | $12,864.93 | $12,864.93 | 36.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$9,820.36–$17,467.43 | $9,820.36–$17,467.43 | varies |
| MRI, joint upper extrem combo (73223) | $13,386.58 | $13,386.58 | 38.2× |
| MRI, lumbar spine combo (72158) | $14,722.15 | $14,722.15 | 42.0× |
| Myelogram cervical (72240) | $6,630.88 | $6,630.88 | 8.4× |
| Myelogram Lumbar (72265) | $6,630.88 | $6,630.88 | 8.4× |
| Myelography thoracic (72255) | $5,430.53 | $5,430.53 | 6.9× |
| Myelograpy 2/more regions rs&i (72270) | $5,108.55 | $5,108.55 | 6.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $4,688.47 | $4,688.47 | 11.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $5,667.54 | $5,667.54 | 4.4× |
| Myocardial Spect Multiple Studies (78452) | $14,017.45 | $14,017.45 | 10.8× |
| Neck soft tissue (70360) | $808.32 | $808.32 | 9.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,245.32 | $2,245.32 | 1.6× |
| Nuclear Rx Oral Admin (79005) | $5,841.66 | $5,841.66 | 24.9× |
| Parathyroid Planar Imaging (78070) | $7,590.37 | $7,590.37 | 18.9× |
| Pelvis 1 or 2 views (72170) | $990.19 | $990.19 | 9.4× |
| Pet Image W/Ct Lmtd (78814) | $29,269.74 | $29,269.74 | 20.4× |
| PET image w/CT, full body (78816) | $29,269.74 | $29,269.74 | 20.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $29,269.74 | $29,269.74 | 20.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,536.95 | $5,536.95 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,723.06 | $5,723.06 | 14.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,436.11 | $1,436.11 | 13.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,620.13–$1,782.35 | $1,620.13–$1,782.35 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$936.31–$1,399.73 | $936.31–$1,399.73 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$823.14–$1,235.38 | $823.14–$1,235.38 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,422.63–$2,128.56 | $1,422.63–$2,128.56 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,494.04 | $1,494.04 | 14.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$773.29–$1,157.24 | $773.29–$1,157.24 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$961.89–$1,438.80 | $961.89–$1,438.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,157.24–$1,732.49 | $1,157.24–$1,732.49 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$860.86–$1,286.57 | $860.86–$1,286.57 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,285.22 | $1,285.22 | 12.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,053.51 | $1,053.51 | 12.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,044.08 | $1,044.08 | 11.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,058.90–$1,585.66 | $1,058.90–$1,585.66 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $595.46 | $595.46 | 6.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,830.07 | $3,830.07 | 21.7× |
| Radex Spine 1 View Specify Level (72020) | $901.28 | $901.28 | 10.3× |
| Radex Sternum Minimum 2 Views (71120) | $906.67 | $906.67 | 10.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,446.89 | $1,446.89 | 16.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$774.64–$1,159.94 | $774.64–$1,159.94 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$790.81–$1,185.53 | $790.81–$1,185.53 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$821.78–$1,601.81 | $821.78–$1,601.81 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,009.63 | $3,009.63 | 28.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,533.10 | $1,533.10 | 14.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,436.11 | $1,436.11 | 13.7× |
| Radiologic exam colon double contrast study (74280) | $2,889.73 | $2,889.73 | 16.4× |
| Radiologic exam colon single contrast study (74270) | $2,517.91 | $2,517.91 | 14.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,029.25–$1,537.15 | $1,029.25–$1,537.15 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,732.49 | $1,732.49 | 16.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,170.34 | $2,170.34 | 12.3× |
| Radiologic exam swallow function contrast study (74230) | $1,795.81 | $1,795.81 | 10.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,512.52 | $2,512.52 | 14.3× |
| Radiologic examination femur 1 view (73551) | $956.50 | $956.50 | 10.9× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$952.47–$956.50 | $952.47–$956.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$887.80–$1,725.75 | $887.80–$1,725.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $590.20 | $590.20 | 5.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,002.32–$1,502.13 | $1,002.32–$1,502.13 | varies |
| Ribs bilateral 3 views (71110) | $1,714.99 | $1,714.99 | 16.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,744.30 | $7,744.30 | 19.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,896.44 | $6,896.44 | 12.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$6,896.44–$12,315.42 | $6,896.44–$12,315.42 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,747.03 | $5,747.03 | 10.5× |
| Rp Therapy Intravenous Administration (79101) | $4,032.38 | $4,032.38 | 17.2× |
| Scapula (73010) | $1,083.14 | $1,083.14 | 10.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $281.63 | $281.63 | 12.0× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$615.68–$920.14 | $615.68–$920.14 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,446.89–$2,261.94 | $1,446.89–$2,261.94 | varies |
| Skull less than 4 views (70250) | $528.10 | $528.10 | 5.0× |
| Special dosimetry (77331) | $360.42 | $360.42 | 2.7× |
| Special Physics Consult (77370) | $670.68 | $670.68 | 5.0× |
| Special treatment procedure (77470) | $1,890.73 | $1,890.73 | 3.4× |
| Srs Multisource (77371) | $21,496.75 | $21,496.75 | 2.9× |
| Sternoclavicular joints (71130) | $928.22 | $928.22 | 10.6× |
| Testicular Imaging W/Flow (78761) | $3,488.59 | $3,488.59 | 8.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,636.46 | $1,636.46 | 4.4× |
| Ther rad simulaj-aided field setting simple (77280) | $927.29 | $927.29 | 6.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,504.05 | $3,504.05 | 19.9× |
| Thoracic spine 2 views (72070) | $1,259.63 | $1,259.63 | 12.0× |
| Thoracic spine 3 views (72072) | $1,345.85 | $1,345.85 | 12.8× |
| Thoracolumbar 2 views (72080) | $1,075.06 | $1,075.06 | 12.3× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $6,693.29 | $6,693.29 | 16.7× |
| Thyroid Imaging With Vascular Flow (78013) | $2,765.63 | $2,765.63 | 6.9× |
| Thyroid Met Imaging Body (78018) | $7,549.99 | $7,549.99 | 13.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,537.58 | $5,537.58 | 13.8× |
| Tx Devices Design & Construction Complex (77334) | $1,038.10 | $1,038.10 | 2.8× |
| Tx devices design & construction intermediate (77333) | $655.52 | $655.52 | 4.9× |
| Tx devices design & construction simple (77332) | $424.57 | $424.57 | 3.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$597.97–$1,192.09 | $597.97–$1,192.09 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,542.35 | $2,542.35 | 24.2× |
| Ultrasound, abdomen limited (76705) | $2,449.76 | $2,449.76 | 23.3× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$382.41–$3,987.68 | $382.41–$3,987.68 | varies |
| Unlisted respiratory px dx nuclear medicine (78599) | $3,645.04 | $3,645.04 | 9.1× |
| Unlisted us procedure (76999) | $1,859.51 | $1,859.51 | 21.3× |
| Upper gi w/o kub (74240) | $2,154.17 | $2,154.17 | 12.2× |
| Ureteral Reflux Study (78740) | $4,124.48 | $4,124.48 | 10.3× |
| Urethrocystogram voiding (74455) | $2,512.52 | $2,512.52 | 10.5× |
| Urethrocystography retrograde (74450) | $1,795.81 | $1,795.81 | 7.5× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$781.87–$1,558.58 | $781.87–$1,558.58 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,928.95–$2,453.61 | $1,928.95–$2,453.61 | varies |
| Us complete joint (76881) | $2,553.92 | $2,553.92 | 24.3× |
| Us exam, pelvic, limited (76857) | $1,368.27 | $1,368.27 | 13.0× |
| Us head (76506) | $6,953.19 | $6,953.19 | 66.2× |
| Us kidney transplant (76776) | $2,809.82 | $2,809.82 | 26.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,413.28–$1,957.24 | $1,413.28–$1,957.24 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$726.57–$1,993.25 | $726.57–$1,993.25 | varies |
| Us ob transvaginal (76817) | $2,683.79 | $2,683.79 | 25.6× |
| Us pelvic non ob complete (76856) | $3,122.31 | $3,122.31 | 29.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,189.18 | $3,189.18 | 30.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,435.13 | $1,435.13 | 13.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,044.69–$2,667.08 | $2,044.69–$2,667.08 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,857.40–$3,127.46 | $2,857.40–$3,127.46 | varies |
| Us scrotum and contents (76870) | $2,656.79 | $2,656.79 | 25.3× |
| Us spinal canal and contents (76800) | $2,263.29 | $2,263.29 | 21.6× |
| Us thyroid (76536) | $2,304.44 | $2,304.44 | 21.9× |
| Us transrectal (76872) | $1,670.46 | $1,670.46 | 15.9× |
| Vascular Flow Imaging (78445) | $2,495.64 | $2,495.64 | 6.2× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$2,063.90–$4,301.59 | $2,063.90–$4,301.59 | varies |
| Vein X-Ray Spleen/Liver (75810) | $14,472.69 | $14,472.69 | 4.6× |
| Venogram Sinus/Jugular (75860) | $15,764.84 | $15,764.84 | 5.0× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$8,491.39–$9,341.43 | $8,491.39–$9,341.43 | varies |
| Venography extremity bilateral rs&i (75822) | $5,699.97 | $5,699.97 | 3.6× |
| Venography extremity unilateral rs&i (75820) | $3,354.51 | $3,354.51 | 2.1× |
| Venography Renal Bilateral (75833) | $5,198.82 | $5,198.82 | 1.6× |
| Venography Renal Unilateral (75831) | $9,341.43 | $9,341.43 | 2.9× |
| Venous thrombosis imaging (78457) | $3,633.69 | $3,633.69 | 6.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $5,109.87 | $5,109.87 | 12.7× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$286.96–$545.62 | $286.96–$545.62 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$538.88–$805.63 | $538.88–$805.63 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,196.31 | $1,196.31 | 13.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,679.62–$5,396.85 | $1,679.62–$5,396.85 | varies |
| X-Ray Aorta Leg Arteries (75630) | $6,944.78 | $6,944.78 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$774.64–$1,159.94 | $774.64–$1,159.94 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,664.61–$1,665.13 | $1,664.61–$1,665.13 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $956.50 | $956.50 | 10.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,578.91 | $1,578.91 | 15.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,009.63 | $3,009.63 | 28.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $956.50 | $956.50 | 10.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$956.50–$1,578.91 | $956.50–$1,578.91 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 6 matching MRF lines |
$1,578.91–$3,009.63 | $1,578.91–$3,009.63 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,399.35 | $2,399.35 | 22.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,009.63 | $3,009.63 | 28.7× |
| X-Ray Exam L-S Spine Bending (72114) | $2,057.17 | $2,057.17 | 19.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,079.10 | $1,079.10 | 12.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $819.09 | $819.09 | 7.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,182.84 | $1,182.84 | 11.3× |
| X-ray eye for foreign body (70030) | $1,118.17 | $1,118.17 | 12.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$1,088.53–$2,032.92 | $1,088.53–$2,032.92 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,365.66 | $2,365.66 | 13.4× |
| X-ray IV pyelogram+tomography (74415) | $2,538.11 | $2,538.11 | 14.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $976.72 | $976.72 | 11.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $736.92 | $736.92 | 8.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,119.52 | $1,119.52 | 10.7× |
| X-ray nose-rectum child f.b. (76010) | $747.69 | $747.69 | 8.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,857.78 | $1,857.78 | 17.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,157.24 | $1,157.24 | 11.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $983.45 | $983.45 | 11.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $785.42 | $785.42 | 9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,492.69 | $1,492.69 | 14.2× |
| X-ray thoracic spine 4 vw (72074) | $1,436.11 | $1,436.11 | 13.7× |
| X-Ray Tmj Unilat (70328) | $964.59 | $964.59 | 11.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,396.85 | $5,396.85 | 15.4× |
| X-Rays Bone Length Studies (77073) | $1,537.15 | $1,537.15 | 14.6× |
| X-Rays Bone Survey Complete (77075) | $2,088.15 | $2,088.15 | 19.9× |
| Xr c-spine 4 or 5 views (72050) | $1,616.63 | $1,616.63 | 15.4× |
| Xr facial bones less than 3 views (70140) | $1,118.17 | $1,118.17 | 12.8× |
| Xr orbits complete 4 views (70200) | $1,246.16 | $1,246.16 | 11.9× |
| Xr Tomogram Single Plane (76100) | $2,633.76 | $2,633.76 | 25.1× |
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.