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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,825.40 | $4,825.40 | 3.5× |
| Abdomen 2 views (74019) | $1,280.51 | $1,280.51 | 12.2× |
| Acute gastrointestinal blood loss imaging (78278) | $8,088.74 | $8,088.74 | 20.1× |
| 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 internal mammary rs&i (75756) | $8,916.41 | $8,916.41 | 2.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,821.75 | $14,821.75 | 2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,340.53 | $9,340.53 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,341.43 | $9,341.43 | 2.9× |
| Angiography Spinal Selective Rs&I (75705) | $26,842.81 | $26,842.81 | 4.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,236.45 | $14,236.45 | 2.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,709.21 | $2,709.21 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,523.31 | $9,523.31 | 3.0× |
| Ankle 2 views (73600) | $828.53 | $828.53 | 9.5× |
| Antegrade urography radiological supvj & interpj (74425) | $3,538.24 | $3,538.24 | 10.1× |
| Aortogram thoracic (75605) | $15,527.35 | $15,527.35 | 2.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $6,944.78 | $6,944.78 | 2.2× |
| Aortography abdominal serialography rs&i (75625) | $4,933.42 | $4,933.42 | 1.6× |
| Artery X-Rays Adrenal Gland (75731) | $4,301.59 | $4,301.59 | 1.4× |
| Arthrogram hip (73525) | $1,569.48 | $1,569.48 | 4.5× |
| Arthrogram shoulder (73040) | $1,446.89 | $1,446.89 | 4.1× |
| Arthrogram wrist (73115) | $1,232.69 | $1,232.69 | 3.5× |
| Arthrography knee lt (73580) | $1,318.91 | $1,318.91 | 3.8× |
| Basic radiation dosimetry calculation (77300) | $471.23 | $471.23 | 3.5× |
| Bone &/Joint Imaging Limited Area (78300) | $5,398.81 | $5,398.81 | 13.4× |
| Bone &/Joint Imaging Multiple Areas (78305) | $8,699.40 | $8,699.40 | 21.7× |
| Bone &/joint imaging whole body (78306) | $10,387.55 | $10,387.55 | 25.9× |
| 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 Marrow Imaging Limited Area (78102) | $5,398.81 | $5,398.81 | 13.4× |
| Bone survey complete (77075) | $2,088.15 | $2,088.15 | 19.9× |
| Brain image w/flow 4 + views (78606) | $5,667.54 | $5,667.54 | 10.4× |
| Brain imaging < 4 static views w vascular flow (78601) | $4,103.03 | $4,103.03 | 10.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $4,012.20 | $4,012.20 | 7.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $30,225.20 | $30,225.20 | 21.0× |
| 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× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,983.91 | $2,983.91 | 5.5× |
| Cervical spine 2 or 3 views (72040) | $1,079.10 | $1,079.10 | 12.3× |
| Chest 1 view (71045) | $901.28 | $901.28 | 10.3× |
| Chest 3 views (71047) | $1,037.34 | $1,037.34 | 11.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,795.81 | $1,795.81 | 10.2× |
| Clavicle complete (73000) | $1,065.64 | $1,065.64 | 12.2× |
| Complete single session course of cranial lesion surgery using radiation (77371) | $21,496.75 | $21,496.75 | 2.9× |
| 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× |
| 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 hrt w/3d image (75574) | $10,608.99 | $10,608.99 | 30.3× |
| CT angiography upper extremity lt (73206) | $8,068.41 | $8,068.41 | 45.8× |
| CT c-spine w/o contrast (72125) | $6,330.31 | $6,330.31 | 60.3× |
| CT cervical spine w&w/o contrast (72127) | $9,495.47 | $9,495.47 | 53.9× |
| CT cervical spine with contrast (72126) | $8,129.82 | $8,129.82 | 23.2× |
| CT chest w/wo contrast (71270) | $11,429.80 | $11,429.80 | 64.9× |
| CT chest with contrast (71260) | $8,418.17 | $8,418.17 | 47.8× |
| CT colonography w/o cntrst (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) | $313.82 | $313.82 | 3.6× |
| CT iac w contrast (70481) | $7,662.58 | $7,662.58 | 43.5× |
| CT limited/localized follow up study (76380) | $3,157.14 | $3,157.14 | 36.1× |
| CT lower ext w/o (73700) | $7,011.12 | $7,011.12 | 66.8× |
| CT lower extremity w wo contrast (73702) | $9,276.53 | $9,276.53 | 52.6× |
| CT lower extremity with contrast (73701) | $8,561 | $8,561 | 48.6× |
| CT lumbar spine w & w/o contrast (72133) | $9,681.01 | $9,681.01 | 54.9× |
| CT lumbar spine w/o contrast (72131) | $7,917.56 | $7,917.56 | 75.4× |
| CT lumbar spine with contrast (72132) | $8,418.17 | $8,418.17 | 24.0× |
| CT maxillofacial w contrast (70487) | $6,324.97 | $6,324.97 | 35.9× |
| CT maxillofacial w/o contrast (70486) | $5,673.52 | $5,673.52 | 54.0× |
| CT maxillofacial w/wo contrast (70488) | $8,506.26 | $8,506.26 | 48.3× |
| CT neck soft tissue w contrast (70491) | $7,630.55 | $7,630.55 | 43.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) | $8,629.08 | $8,629.08 | 49.0× |
| CT soft tissue neck w/o contrast (70490) | $6,078 | $6,078 | 57.9× |
| CT thoracic spine w/contrast (72129) | $7,892.20 | $7,892.20 | 44.8× |
| CT thoracic spine w/o contrast (72128) | $7,866.83 | $7,866.83 | 74.9× |
| CT thoracic spine w/wo contrast (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 extremity w/o & w/contrast material (73202) | $10,485.99 | $10,485.99 | 59.5× |
| CT upper extremity w/o contrast rt (73200) | $7,040.50 | $7,040.50 | 67.0× |
| CT upper extremity with contrast (73201) | $9,046.92 | $9,046.92 | 25.8× |
| 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 abdomen pelvis (74174) | $20,664.95 | $20,664.95 | 59.0× |
| CTA chest (71275) | $10,324.45 | $10,324.45 | 58.6× |
| Cta Head (70496) | $9,611.60 | $9,611.60 | 54.5× |
| CTA lwr ext w&w/o contrast (73706) | $8,358.98 | $8,358.98 | 47.4× |
| Cta Neck (70498) | $9,524.84 | $9,524.84 | 54.1× |
| Cta Pelvis (72191) | $10,343.16 | $10,343.16 | 58.7× |
| Cystography minimum 3 views rs&i (74430) | $1,747.31 | $1,747.31 | 5.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $734.23 | $734.23 | 7.0× |
| Dxa bone density study axial skeleton (77085) | $734.23 | $734.23 | 7.0× |
| Echoencephalography real time imaging (76506) | $6,953.19 | $6,953.19 | 66.2× |
| Esophagus (74220) | $1,648.97 | $1,648.97 | 9.4× |
| Fetal biophysical profile non-stress testing (76818) | $3,839.88 | $3,839.88 | 36.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,756.45 | $2,756.45 | 26.2× |
| Fluoroscopy up to 1 hr (76000) | $1,949.72 | $1,949.72 | 8.1× |
| Foot 2 views (73620) | $738.27 | $738.27 | 8.4× |
| Forearm 2 views (73090) | $996.93 | $996.93 | 11.4× |
| Gastric mucosa imaging (78261) | $3,034.38 | $3,034.38 | 7.6× |
| Gated Heart Planar Single (78472) | $6,211.33 | $6,211.33 | 15.5× |
| Hand 2 views (73120) | $738.27 | $738.27 | 7.0× |
| Hand 3 views (73130) | $1,157.24 | $1,157.24 | 13.2× |
| Heart Infarct Image (78466) | $4,688.47 | $4,688.47 | 11.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $5,536.95 | $5,536.95 | 1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $7,214.39 | $7,214.39 | 13.2× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,769.74 | $5,769.74 | 14.4× |
| Ht muscle image spect sing (78451) | $8,897.48 | $8,897.48 | 6.8× |
| Humerus Min 2 Views Left (73060) | $1,360 | $1,360 | 15.6× |
| Hysterosalpingogram (74740) | $1,538.64 | $1,538.64 | 6.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $7,818.74 | $7,818.74 | 14.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $5,928.72 | $5,928.72 | 10.9× |
| Knee 3 views (73562) | $860.86 | $860.86 | 9.8× |
| 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× |
| Lymphoscintigraphy (78195) | $5,489.64 | $5,489.64 | 10.1× |
| Meckels Diverticulum (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 & w/o contrast (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 & w/contrast material (74183) | $13,445.32 | $13,445.32 | 38.4× |
| MRI abdomen w/o contrast (74181) | $11,807.65 | $11,807.65 | 49.3× |
| MRI any jnt lwr ext with con lt (73722) | $10,799.32 | $10,799.32 | 13.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,175.53 | $11,175.53 | 14.2× |
| MRI c-spine with contrast (72142) | $12,232.79 | $12,232.79 | 34.9× |
| MRI cardiac w/o contrast (75557) | $6,812.16 | $6,812.16 | 28.4× |
| MRI cervical spine w/o contrast (72141) | $10,509.84 | $10,509.84 | 43.8× |
| MRI chest w/o & w/contrast material (71552) | $12,898.49 | $12,898.49 | 36.8× |
| 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 Forearm w/ Contrast Bilateral 73219 (73219) | $8,326.76 | $8,326.76 | 23.8× |
| 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 contr matrl (73718) | $8,142.15 | $8,142.15 | 34.0× |
| MRI orbit face &/neck w/o contrast (70540) | $9,792.39 | $9,792.39 | 40.9× |
| MRI orbit/face/neck w&w/o cont (70543) | $13,546 | $13,546 | 38.7× |
| MRI orbit/face/neck w/contrast (70542) | $10,989.52 | $10,989.52 | 31.4× |
| MRI pelvis w contrast (72196) | $11,754.51 | $11,754.51 | 33.5× |
| MRI pelvis w/o & w/contrast material (72197) | $14,491.40 | $14,491.40 | 41.3× |
| MRI pelvis w/o contrast (72195) | $10,681.85 | $10,681.85 | 44.6× |
| MRI scan of arm joint before and after contrast (73223) | $13,386.58 | $13,386.58 | 38.2× |
| MRI scan of leg joint before and after contrast (73723) | $13,386.58 | $13,386.58 | 38.2× |
| MRI spectroscopy (76390) | $9,933.65 | $9,933.65 | 113.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $14,143.17 | $14,143.17 | 40.4× |
| MRI spinal canal lumbar w/contrast material (72149) | $12,478.94 | $12,478.94 | 35.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $14,722.15 | $14,722.15 | 42.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $12,864.93 | $12,864.93 | 36.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $14,801.88 | $14,801.88 | 42.2× |
| MRI thoracic spine w/o contrast (72146) | $10,962.95 | $10,962.95 | 45.7× |
| MRI tmj (70336) | $13,505.44 | $13,505.44 | 56.3× |
| MRI upper ext joint w/o contrast (73221) | $9,820.36 | $9,820.36 | 41.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $11,102.80 | $11,102.80 | 31.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,395.28 | $8,395.28 | 35.0× |
| Myelogram Cervical (72240) | $6,630.88 | $6,630.88 | 8.4× |
| Myelogram Lumbar (72265) | $6,630.88 | $6,630.88 | 8.4× |
| Myelogram thoracic (72255) | $5,430.53 | $5,430.53 | 6.9× |
| Myelography 2 or more regions (72270) | $5,108.55 | $5,108.55 | 6.5× |
| Myocardial Spect Multiple Studies (78452) | $14,017.45 | $14,017.45 | 10.8× |
| Neck soft tissue (70360) | $808.32 | $808.32 | 9.2× |
| Nm adrenal scan (78075) | $6,242.88 | $6,242.88 | 4.8× |
| Nm cisternogram (78630) | $6,466.19 | $6,466.19 | 11.9× |
| Nm gastric emptying study (78264) | $5,107.36 | $5,107.36 | 12.7× |
| Nm gastroesophageal reflux study (78262) | $3,338.45 | $3,338.45 | 8.3× |
| Nm peritoneal-venous shunt patency (78291) | $4,285.99 | $4,285.99 | 10.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,245.32 | $2,245.32 | 1.6× |
| Nuclear medicine of heart pumping function (78473) | $1,640.65 | $1,640.65 | 4.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $5,667.54 | $5,667.54 | 4.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $5,109.87 | $5,109.87 | 12.7× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $3,633.69 | $3,633.69 | 6.7× |
| Nuclear Rx Oral Admin (79005) | $5,841.66 | $5,841.66 | 24.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,435.13 | $1,435.13 | 13.7× |
| Osseous survey infant (77076) | $373.18 | $373.18 | 3.6× |
| Osseous survey limited (77074) | $590.20 | $590.20 | 5.6× |
| Parathyroid 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, skull-thigh (78815) | $29,269.74 | $29,269.74 | 20.4× |
| PET imaging CT for attenuation limited area (78814) | $29,269.74 | $29,269.74 | 20.4× |
| PET imaging for CT attenuation whole body (78816) | $29,269.74 | $29,269.74 | 20.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $12,329.29 | $12,329.29 | 35.2× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,525.49 | $6,525.49 | 12.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,701.24 | $1,701.24 | 3.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $956.50 | $956.50 | 10.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,578.91 | $1,578.91 | 15.0× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,285.22 | $1,285.22 | 12.2× |
| 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 1 View - Xr Abdomen 1 View (74018) | $939 | $939 | 10.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,436.11 | $1,436.11 | 13.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $976.72 | $976.72 | 11.2× |
| Radiologic exam colon single contrast study (74270) | $2,517.91 | $2,517.91 | 14.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,512.52 | $2,512.52 | 14.3× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,154.17 | $2,154.17 | 12.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $956.50 | $956.50 | 10.9× |
| Radiological examination surgical specimen (76098) | $1,664.87 | $1,664.87 | 3.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $5,536.95 | $5,536.95 | 1.7× |
| 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 single day imaging (78802) | $9,605.93 | $9,605.93 | 17.6× |
| 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× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,112.82 | $2,112.82 | 8.8× |
| Scanogram (77073) | $1,537.15 | $1,537.15 | 14.6× |
| Scapula complete (73010) | $1,083.14 | $1,083.14 | 10.3× |
| Screening digital breast tomosynthesis (77063) | $281.63 | $281.63 | 12.0× |
| Small bowel series (74250) | $2,170.34 | $2,170.34 | 12.3× |
| Spec medical radj physics consltj (77370) | $670.68 | $670.68 | 5.0× |
| Special dosimetry (77331) | $360.42 | $360.42 | 2.7× |
| Special treatment procedure (77470) | $1,890.73 | $1,890.73 | 3.4× |
| Spine thoracic 3 views (72072) | $1,345.85 | $1,345.85 | 12.8× |
| Splenoportograpy rs&i (75810) | $14,472.69 | $14,472.69 | 4.6× |
| Testicular Imaging With Vascular 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 (74283) | $3,504.05 | $3,504.05 | 19.9× |
| Thoracolumbar 2 views (72080) | $1,075.06 | $1,075.06 | 12.3× |
| Thyroid carcinoma metastases img addl study (78016) | $6,693.29 | $6,693.29 | 16.7× |
| Thyroid carcinoma metastases img whole body (78018) | $7,549.99 | $7,549.99 | 13.8× |
| Thyroid Imaging With Vascular Flow (78013) | $2,765.63 | $2,765.63 | 6.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,537.58 | $5,537.58 | 13.8× |
| Tmj unilateral (70328) | $964.59 | $964.59 | 11.0× |
| Tomogram (76100) | $2,633.76 | $2,633.76 | 25.1× |
| Treatment device intermediate (77333) | $655.52 | $655.52 | 4.9× |
| Treatment devices simple (77332) | $424.57 | $424.57 | 3.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $6,896.44 | $6,896.44 | 12.6× |
| Tx devices design & construction complex (77334) | $1,038.10 | $1,038.10 | 2.8× |
| Ultrasound, abdomen limited (76705) | $2,449.76 | $2,449.76 | 23.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $2,185.04 | $2,185.04 | 25.0× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) | $3,645.04 | $3,645.04 | 9.1× |
| Unlisted Ultrasound Procedure (76999) | $1,859.51 | $1,859.51 | 21.3× |
| Upper Extremity Infant (73092) | $790.81 | $790.81 | 7.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $4,124.48 | $4,124.48 | 10.3× |
| Urethrocystography retrograde rs&i (74450) | $1,795.81 | $1,795.81 | 7.5× |
| Urethrocystography voiding (74455) | $2,512.52 | $2,512.52 | 10.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,365.66 | $2,365.66 | 13.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $2,538.11 | $2,538.11 | 14.4× |
| Us abdl aorta screen aaa (76706) | $2,542.35 | $2,542.35 | 24.2× |
| Us breast unilateral complete (76641) | $906.60 | $906.60 | 8.6× |
| Us breast unilateral limited (76642) | $597.97 | $597.97 | 6.8× |
| Us chest (76604) | $2,191.28 | $2,191.28 | 20.9× |
| Us compl joint r-t w/image documentation (76881) | $2,553.92 | $2,553.92 | 24.3× |
| Us guided compression repair (76936) | $1,854.80 | $1,854.80 | 8.6× |
| Us infant hips dynamic (76885) | $1,828.64 | $1,828.64 | 20.9× |
| Us infant hips limited static (76886) | $1,471.14 | $1,471.14 | 16.8× |
| Us kidney transplant (76776) | $2,809.82 | $2,809.82 | 26.8× |
| 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 pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,368.27 | $1,368.27 | 13.0× |
| Us pregnancy ltd (76815) | $1,359.91 | $1,359.91 | 12.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,189.18 | $3,189.18 | 30.4× |
| Us retroperitoneal complete (76770) | $2,355.88 | $2,355.88 | 22.4× |
| Us retroperitoneal limited (76775) | $2,992.43 | $2,992.43 | 28.5× |
| Us scrotum and contents (76870) | $2,656.79 | $2,656.79 | 25.3× |
| Us soft tissue head/neck (76536) | $2,304.44 | $2,304.44 | 21.9× |
| Us spinal canal and contents (76800) | $2,263.29 | $2,263.29 | 21.6× |
| Us transrectal (76872) | $1,670.46 | $1,670.46 | 15.9× |
| Us xtr non-vasc lmtd (76882) | $1,685.26 | $1,685.26 | 16.0× |
| Vascular flow imaging (78445) | $2,495.64 | $2,495.64 | 6.2× |
| Venogram extremity bilateral (75822) | $5,699.97 | $5,699.97 | 3.6× |
| Venography caval inferior serialography rs&i (75825) | $8,916.41 | $8,916.41 | 2.8× |
| Venography caval superior serialography rs&i (75827) | $3,909.77 | $3,909.77 | 2.5× |
| 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 selective rs&i (75831) | $9,341.43 | $9,341.43 | 2.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $15,764.84 | $15,764.84 | 5.0× |
| Vertebral fracture assessment via dxa (77086) | $416.29 | $416.29 | 4.8× |
| Wrist 2 views (73100) | $659.46 | $659.46 | 7.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,436.11 | $1,436.11 | 13.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,196.31 | $1,196.31 | 13.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $936.31 | $936.31 | 10.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,889.73 | $2,889.73 | 16.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $774.64 | $774.64 | 8.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,422.63 | $1,422.63 | 16.3× |
| 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) | $1,267.70 | $1,267.70 | 14.5× |
| X-ray exam hip uni 4/> views (73503) | $2,294.27 | $2,294.27 | 21.8× |
| 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 of femur 1 (73551) | $956.50 | $956.50 | 10.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,830.07 | $3,830.07 | 21.7× |
| X-ray eye for foreign body (70030) | $1,118.17 | $1,118.17 | 12.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,494.04 | $1,494.04 | 14.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,118.17 | $1,118.17 | 12.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $961.89 | $961.89 | 11.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $6,297.06 | $6,297.06 | 3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $823.14 | $823.14 | 9.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $976.72 | $976.72 | 11.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,029.25 | $1,029.25 | 9.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $736.92 | $736.92 | 8.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $860.86 | $860.86 | 9.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,119.52 | $1,119.52 | 10.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,057.17 | $2,057.17 | 19.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,053.51 | $1,053.51 | 12.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $747.69 | $747.69 | 8.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,246.16 | $1,246.16 | 11.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,732.49 | $1,732.49 | 16.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $5,396.85 | $5,396.85 | 15.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,044.08 | $1,044.08 | 11.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,182.84 | $1,182.84 | 11.3× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,058.90 | $1,058.90 | 12.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $785.42 | $785.42 | 9.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $595.46 | $595.46 | 6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,492.69 | $1,492.69 | 14.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $528.10 | $528.10 | 5.0× |
| X-Ray Spine One View - Xr Spine (72020) | $901.28 | $901.28 | 10.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $928.22 | $928.22 | 10.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $906.67 | $906.67 | 10.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,259.63 | $1,259.63 | 12.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,436.11 | $1,436.11 | 13.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $774.64 | $774.64 | 8.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $821.78 | $821.78 | 9.4× |
| Xr arthrogram ankle (73615) | $1,318.91 | $1,318.91 | 3.8× |
| Xr c-spine 6 or more views (72052) | $819.09 | $819.09 | 7.8× |
| Xr chest 4+ views (71048) | $1,153.19 | $1,153.19 | 11.0× |
| Xr Cholecystography Oral Contrast (74290) | $1,402.43 | $1,402.43 | 8.0× |
| Xr finger(s) 2+ views (73140) | $773.29 | $773.29 | 8.8× |
| Xr shoulder 1 view (73020) | $615.68 | $615.68 | 7.0× |
| Xr spine cervical 4 or 5 views (72050) | $1,616.63 | $1,616.63 | 15.4× |
| Xr tibia/fibula 2 views (73590) | $1,002.32 | $1,002.32 | 11.5× |
| Xr tmj bilateral (70330) | $1,446.89 | $1,446.89 | 16.6× |
| Xray knee 1 or 2 views rt (73560) | $1,109.41 | $1,109.41 | 12.7× |