Imaging prices at Medical City Fort Worth
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
315 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) | $740.85 | $740.85 | 8.5× |
| Abdomen 2 views (74019) | $1,186.74 | $1,186.74 | 11.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,321.80 | $3,321.80 | 8.3× |
| Angio internal mammary (75756) | $4,137.67 | $4,137.67 | 1.3× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$4,570.38–$5,789.68 | $4,570.38–$5,789.68 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,930.74 | $6,930.74 | 2.2× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$6,693.02–$7,548.33 | $6,693.02–$7,548.33 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$6,702.23–$11,032.38 | $6,702.23–$11,032.38 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 5 matching MRF lines |
$4,137.67–$9,914.63 | $4,137.67–$9,914.63 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,905.42 | $1,905.42 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$677.16–$1,016.41 | $677.16–$1,016.41 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,876.72 | $6,876.72 | 1.2× |
| Artery X-Rays Abdomen (75726) | $6,876.72 | $6,876.72 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $6,930.74 | $6,930.74 | 2.2× |
| Artery X-Rays Pelvis (75736) | $6,876.72 | $6,876.72 | 1.2× |
| Artery X-Rays Spine (75705) | $6,876.72 | $6,876.72 | 1.2× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$2,103.45–$3,151.72 | $2,103.45–$3,151.72 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,622.94–$2,434.41 | $1,622.94–$2,434.41 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,103.45–$3,151.72 | $2,103.45–$3,151.72 | varies |
| Basic radiation dosimetry calculation (77300) | $246.76 | $246.76 | 1.8× |
| Bone Imaging 3 Phase (78315) | $4,914.13 | $4,914.13 | 12.2× |
| Bone Imaging Limited Area (78300) | $1,806.69 | $1,806.69 | 4.5× |
| Bone Imaging Multiple Areas (78305) | $2,360.54 | $2,360.54 | 5.9× |
| Bone Imaging Whole Body (78306) | $5,309.55 | $5,309.55 | 13.2× |
| Bone marrow imaging; multiple areas (78103) | $3,565.43 | $3,565.43 | 8.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,420.31 | $3,420.31 | 6.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,838.50 | $2,838.50 | 5.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $13,565.69 | $13,565.69 | 38.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $17,808 | $17,808 | 22.6× |
| Cat Scan Follow-Up Study (76380) | $972.78 | $972.78 | 11.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,838.50 | $2,838.50 | 5.2× |
| Cerebrospinal Fluid Scan (78630) | $4,906.14 | $4,906.14 | 9.0× |
| Chest 1 view (71045) | $909.79 | $909.79 | 10.4× |
| Chest 2 views (71046) | $1,178.45 | $1,178.45 | 13.5× |
| Chest 3 views (71047) | $1,337.68 | $1,337.68 | 15.3× |
| Chest 4 or more views (71048) | $1,656.18 | $1,656.18 | 15.7× |
| Clavicle complete (73000) | $621.77 | $621.77 | 7.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $883.74 | $883.74 | 8.4× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$6,666.63–$7,542.80 | $6,666.63–$7,542.80 | varies |
| Contrast X-Ray Bladder (74430) | $1,438.77 | $1,438.77 | 4.1× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$2,103.45–$3,151.72 | $2,103.45–$3,151.72 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$789.32–$3,151.72 | $789.32–$3,151.72 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $20,465.81 | $20,465.81 | 58.3× |
| CT abdomen and pelvis without contrast (74176) | $14,522.57 | $14,522.57 | 60.5× |
| CT abdomen w contrast (74160) | $10,758.75 | $10,758.75 | 61.0× |
| CT abdomen w wo contrast (74170) | $11,681.70 | $11,681.70 | 66.2× |
| CT abdomen w/o contrast (74150) | $9,582.54 | $9,582.54 | 91.1× |
| CT Angio Abdomen and Pelvis (74174) | $12,787.33 | $12,787.33 | 36.4× |
| CT Angio Chest (71275) | $10,201.07 | $10,201.07 | 57.8× |
| CT Angio Head (70496) | $9,218.61 | $9,218.61 | 52.2× |
| CT angio hrt w/3d image (75574) | $9,423.40 | $9,423.40 | 26.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $10,386.51 | $10,386.51 | 58.9× |
| CT Angio Neck (70498) | $10,201.07 | $10,201.07 | 57.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $8,404.97 | $8,404.97 | 47.6× |
| CT bone density (77078) | $837.19 | $837.19 | 9.6× |
| CT cervical spine w/ contrast (72126) | $10,165.10 | $10,165.10 | 29.0× |
| CT cervical spine w/o contrast (72125) | $9,237.98 | $9,237.98 | 87.8× |
| CT cervical spine w/wo cont (72127) | $8,106.08 | $8,106.08 | 45.9× |
| CT chest w contrast (71260) | $9,246.28 | $9,246.28 | 52.4× |
| CT chest w/wo contrast (71270) | $9,264.28 | $9,264.28 | 52.5× |
| CT head/brain with contrast (70460) | $6,379.13 | $6,379.13 | 36.1× |
| CT head/brain without and with contrast (70470) | $8,557.16 | $8,557.16 | 48.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $8,723.22 | $8,723.22 | 24.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $331.97 | $331.97 | 3.8× |
| CT hrt w/3d image congen (75573) | $9,423.40 | $9,423.40 | 26.8× |
| CT iac w contrast (70481) | $3,352.86 | $3,352.86 | 19.0× |
| CT l-spine w&w/o contrast (72133) | $8,995.82 | $8,995.82 | 51.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,898.51–$9,794.24 | $4,898.51–$9,794.24 | varies |
| CT lower extremity w/contrast material (73701) | $4,596.85 | $4,596.85 | 26.0× |
| CT lumbar spine w contrast (72132) | $8,720.44 | $8,720.44 | 24.8× |
| CT lumbar spine w/o contrast (72131) | $8,829.78 | $8,829.78 | 83.9× |
| CT maxillofacial w contrast (70487) | $5,319.18 | $5,319.18 | 30.1× |
| CT maxillofacial wo contrast (70486) | $4,490.31 | $4,490.31 | 42.7× |
| CT neck tissue combo (70492) | $10,130.52 | $10,130.52 | 57.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,571.48 | $6,571.48 | 37.2× |
| CT orbits w/o contrast (70480) | $5,013.36 | $5,013.36 | 47.7× |
| CT pelvis w&w/o contrast (72194) | $7,005.98 | $7,005.98 | 39.7× |
| CT pelvis w/o contrast (72192) | $7,158.21 | $7,158.21 | 68.0× |
| CT scan of leg combo (73702) | $7,516.58 | $7,516.58 | 42.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$6,513.36–$8,345.45 | $6,513.36–$8,345.45 | varies |
| CT soft tissue neck w contrast (70491) | $8,133.74 | $8,133.74 | 46.1× |
| CT soft tissue neck w/o contrast (70490) | $7,390.67 | $7,390.67 | 70.3× |
| CT thoracic spine w contrast (72129) | $8,208.46 | $8,208.46 | 46.5× |
| CT thoracic spine w/o contrast (72128) | $8,604.21 | $8,604.21 | 81.8× |
| CT thoracic spine w/wo cont (72130) | $8,106.08 | $8,106.08 | 45.9× |
| CT thorax w/o contrast (71250) | $8,002.29 | $8,002.29 | 76.1× |
| CT unlisted procedure (76497) | $781.83 | $781.83 | 8.9× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$4,138.84–$6,207.55 | $4,138.84–$6,207.55 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$7,516.58–$10,344.99 | $7,516.58–$10,344.99 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$4,596.85–$6,895.28 | $4,596.85–$6,895.28 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $10,386.51 | $10,386.51 | 58.9× |
| Cta Abdomen (74175) | $9,096.85 | $9,096.85 | 51.5× |
| CTA pelvis (72191) | $9,096.85 | $9,096.85 | 51.5× |
| Dilation ureters/urethra rs&i (74485) | $2,883.07 | $2,883.07 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $2,809.71 | $2,809.71 | 1.4× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,740.46–$3,600.39 | $2,740.46–$3,600.39 | varies |
| Echo Guide For Artery Repair (76936) | $1,572.42 | $1,572.42 | 7.2× |
| Esophagram (74220) | $2,088.22 | $2,088.22 | 11.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $980.12 | $980.12 | 9.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,883.28–$2,079.91 | $1,883.28–$2,079.91 | varies |
| Follow-Up Angiography (75898) | $6,248.04 | $6,248.04 | 2.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$649.46–$973.50 | $649.46–$973.50 | varies |
| Forearm 2 views (73090) | $722.84 | $722.84 | 8.3× |
| Gastric emptying imaging study (78264) | $3,496.20 | $3,496.20 | 8.7× |
| Gated Heart Planar Single (78472) | $4,204.49 | $4,204.49 | 10.5× |
| Gated Heart, Multiple (78473) | $5,284.26 | $5,284.26 | 13.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$648.07–$967.96 | $648.07–$967.96 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,827.27 | $4,827.27 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $3,904.95 | $3,904.95 | 7.1× |
| Hepatobiliary System Imaging (78226) | $2,404.08 | $2,404.08 | 6.0× |
| Ht Musc Image Planar Mult (78454) | $8,653.96 | $8,653.96 | 6.6× |
| Ht Muscle Image Spect Sing (78451) | $6,923.18 | $6,923.18 | 5.3× |
| Hysterosalpingogram (74740) | $1,688.02 | $1,688.02 | 7.0× |
| Infusion Ivp (74410) | $1,750.34 | $1,750.34 | 9.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $927.98 | $927.98 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $2,232.73 | $2,232.73 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,220.75 | $2,220.75 | 4.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,171.62 | $1,171.62 | 2.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$799.01–$1,193.66 | $799.01–$1,193.66 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,805.23 | $2,805.23 | 7.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,528.31 | $2,528.31 | 6.3× |
| Liver imaging static only (78201) | $2,029.02 | $2,029.02 | 3.7× |
| Liver imaging w/vascular flow (78202) | $1,919.85 | $1,919.85 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $7,221.40 | $7,221.40 | 13.2× |
| Lung Ventilat&Perfus Imaging (78582) | $7,221.40 | $7,221.40 | 13.2× |
| Lymph System Imaging (78195) | $3,675.95 | $3,675.95 | 6.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $10,443.63 | $10,443.63 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $7,856.48 | $7,856.48 | 32.7× |
| Mammary ductogram or galactogram single (77053) | $397.44 | $397.44 | 1.7× |
| MRA head w/o contrast (70544) | $5,245.12 | $5,245.12 | 21.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,717.61 | $5,717.61 | 16.3× |
| MRA neck w/o contrast (70547) | $4,161.71 | $4,161.71 | 17.3× |
| MRI abdomen w contrast (74182) | $7,235.79 | $7,235.79 | 20.6× |
| MRI abdomen w/o contrast (74181) | $7,765.61 | $7,765.61 | 32.3× |
| MRI any jt lower extrem w/contrast material (73722) | $6,815.01 | $6,815.01 | 8.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,136.52 | $10,136.52 | 28.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,047.52 | $9,047.52 | 11.5× |
| MRI brain functional w/o physician admnistration (70554) | $7,277.73 | $7,277.73 | 30.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,124.42 | $6,124.42 | 25.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,124.42 | $6,124.42 | 25.5× |
| MRI cardiac w/o cont stress (75559) | $7,234.50 | $7,234.50 | 13.2× |
| MRI cardiac w/o contrast (75557) | $6,076.90 | $6,076.90 | 25.3× |
| MRI cervical spine w contrast (72142) | $7,511.20 | $7,511.20 | 21.4× |
| MRI cervical spine w/o cont (72141) | $7,604.84 | $7,604.84 | 31.7× |
| MRI chest w/o contrast (71550) | $5,802.88 | $5,802.88 | 24.2× |
| MRI chest with contrast (71551) | $7,235.79 | $7,235.79 | 9.2× |
| MRI chest wo w contrast (71552) | $9,434.76 | $9,434.76 | 26.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,238.57 | $7,238.57 | 20.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,136.52 | $10,136.52 | 28.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,802.88 | $5,802.88 | 24.2× |
| MRI lumbar spine w contrast (72149) | $7,511.20 | $7,511.20 | 21.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,119.76 | $10,119.76 | 28.8× |
| MRI orbit face &/neck w/o contrast (70540) | $7,856.48 | $7,856.48 | 32.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,052.17 | $11,052.17 | 31.5× |
| MRI pelvis w contrast (72196) | $7,511.20 | $7,511.20 | 21.4× |
| MRI pelvis w/o & w contrast (72197) | $8,927.30 | $8,927.30 | 25.4× |
| MRI pelvis w/o contrast (72195) | $6,624.89 | $6,624.89 | 27.6× |
| MRI thoracic spine w/o contrast (72146) | $7,497.19 | $7,497.19 | 31.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,235.79 | $7,235.79 | 20.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,802.88 | $5,802.88 | 24.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$8,703.64–$10,136.52 | $8,703.64–$10,136.52 | varies |
| MRI, abdomen, combo (74183) | $13,565.69 | $13,565.69 | 38.6× |
| MRI, dorsal spine combo (72157) | $9,731.13 | $9,731.13 | 27.7× |
| MRI, dorsal spine contrast (72147) | $7,511.20 | $7,511.20 | 21.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$5,802.88–$8,703.64 | $5,802.88–$8,703.64 | varies |
| MRI, lumbar spine combo (72158) | $9,820.61 | $9,820.61 | 28.0× |
| Myelogram cervical (72240) | $3,857.93 | $3,857.93 | 4.9× |
| Myelogram Lumbar (72265) | $3,363.59 | $3,363.59 | 4.3× |
| Myelography thoracic (72255) | $3,572.68 | $3,572.68 | 4.5× |
| Myelograpy 2/more regions rs&i (72270) | $5,950.33 | $5,950.33 | 7.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,392.50 | $2,392.50 | 5.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,923.18 | $6,923.18 | 5.3× |
| Myocardial Spect Multiple Studies (78452) | $8,653.96 | $8,653.96 | 6.6× |
| N-invas est c ffr sw aly CTA (75580) | $1,219.63 | $1,219.63 | 1.4× |
| Neck soft tissue (70360) | $797.62 | $797.62 | 9.1× |
| Nuclear Rx Intra-Arterial (79445) | $948.13 | $948.13 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $2,929.04 | $2,929.04 | 12.5× |
| Optic foramina (70190) | $589.91 | $589.91 | 6.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,821.09 | $1,821.09 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,692.18 | $1,692.18 | 4.2× |
| Pelvis 1 or 2 views (72170) | $750.55 | $750.55 | 7.1× |
| Peritoneogram Rs&I (74190) | $879.33 | $879.33 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,137.67 | $4,137.67 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,261.88 | $3,261.88 | 8.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,251.62 | $2,251.62 | 21.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$789.32–$1,273.99 | $789.32–$1,273.99 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $760.23 | $760.23 | 8.7× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$576.06–$864.10 | $576.06–$864.10 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,372.31 | $1,372.31 | 13.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$580.21–$868.25 | $580.21–$868.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$706.23–$1,055.19 | $706.23–$1,055.19 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$745–$1,116.13 | $745–$1,116.13 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $940.25 | $940.25 | 8.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $835.01 | $835.01 | 9.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $847.48 | $847.48 | 9.7× |
| Radex Ribs Unilateral 2 Views (71100) | $897.32 | $897.32 | 10.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$911.17–$1,366.76 | $911.17–$1,366.76 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $657.77 | $657.77 | 7.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $4,705.41 | $4,705.41 | 26.7× |
| Radex Spine 1 View Specify Level (72020) | $509.60 | $509.60 | 5.8× |
| Radex Sternum Minimum 2 Views (71120) | $573.29 | $573.29 | 6.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $937.49 | $937.49 | 10.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$596.83–$890.41 | $596.83–$890.41 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $745 | $745 | 8.5× |
| Radiation treatment delivery level 1 (77402) | $193.78 | $193.78 | 1.9× |
| Radiation treatment delivery level 2 (77407) | $226.10 | $226.10 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $409.54 | $409.54 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,218.59 | $1,218.59 | 11.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,346 | $1,346 | 12.8× |
| Radiologic exam colon double contrast study (74280) | $2,525.80 | $2,525.80 | 14.3× |
| Radiologic exam colon single contrast study (74270) | $2,129.76 | $2,129.76 | 12.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $761.62 | $761.62 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $956.88 | $956.88 | 9.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,326.19 | $3,326.19 | 18.8× |
| Radiologic exam swallow function contrast study (74230) | $2,088.22 | $2,088.22 | 11.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $1,739.27 | $1,739.27 | 7.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,070.22 | $2,070.22 | 11.7× |
| Radiologic examination femur 1 view (73551) | $408.51 | $408.51 | 4.7× |
| Radiologic examination femur minimum 2 views (73552) | $758.85 | $758.85 | 8.7× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$702.08–$1,052.42 | $702.08–$1,052.42 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $786.56 | $786.56 | 9.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $940.25 | $940.25 | 1.7× |
| Radiopharm Dacryocystography (78660) | $802.83 | $802.83 | 2.0× |
| Ribs bilateral 3 views (71110) | $1,182.58 | $1,182.58 | 11.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,471.18 | $1,471.18 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,653.96 | $8,653.96 | 15.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,657.04 | $5,657.04 | 10.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,629.21 | $4,629.21 | 8.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,526.70 | $4,526.70 | 3.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,724.93 | $5,724.93 | 4.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,526.70 | $4,526.70 | 3.5× |
| Scapula (73010) | $631.46 | $631.46 | 6.0× |
| Sella turcica (70240) | $589.91 | $589.91 | 6.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$519.31–$781.01 | $519.31–$781.01 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,661.72–$2,489.79 | $1,661.72–$2,489.79 | varies |
| Sialogram (70390) | $404.36 | $404.36 | 1.7× |
| Skull less than 4 views (70250) | $895.94 | $895.94 | 8.5× |
| Spleen Imaging (78185) | $1,914.53 | $1,914.53 | 4.8× |
| Sternoclavicular joints (71130) | $750.55 | $750.55 | 8.6× |
| Superior sagittal sinus venogram (75870) | $1,905.42 | $1,905.42 | 0.6× |
| Thoracic spine 3 views (72072) | $1,656.18 | $1,656.18 | 15.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,525.76 | $1,525.76 | 3.8× |
| Thyroid Met Imaging Body (78018) | $2,990.27 | $2,990.27 | 5.5× |
| Thyroid Uptake Measurement (78012) | $841.43 | $841.43 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,684.05 | $2,684.05 | 6.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$1,607.67–$1,696.52 | $1,607.67–$1,696.52 | varies |
| Ultrasound, abdomen limited (76705) | $1,376.40 | $1,376.40 | 13.1× |
| Unlisted Dx Radiographic Procedure (76499) | $436.21 | $436.21 | 5.0× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$1,514.93–$1,636.78 | $1,514.93–$1,636.78 | varies |
| Upper gi w/o kub (74240) | $2,307.01 | $2,307.01 | 13.1× |
| Ureteral Reflux Study (78740) | $1,242.18 | $1,242.18 | 3.1× |
| Urethrocystogram voiding (74455) | $1,301.67 | $1,301.67 | 5.4× |
| Urethrocystography retrograde (74450) | $1,431.84 | $1,431.84 | 6.0× |
| Us chest (76604) | $857.42 | $857.42 | 8.2× |
| Us complete joint (76881) | $1,256.54 | $1,256.54 | 11.9× |
| Us exam, pelvic, limited (76857) | $858.84 | $858.84 | 8.2× |
| Us head (76506) | $1,702.17 | $1,702.17 | 16.2× |
| Us kidney transplant (76776) | $3,237.90 | $3,237.90 | 30.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $891.27 | $891.27 | 8.5× |
| Us ob limited 1 or more fetuses (76815) | $685.38 | $685.38 | 6.5× |
| Us ob transvaginal (76817) | $2,249.33 | $2,249.33 | 21.4× |
| Us pelvic non ob complete (76856) | $1,764.21 | $1,764.21 | 16.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,248.56 | $2,248.56 | 21.4× |
| Us retroperitoneal complete (76770) | $1,666.90 | $1,666.90 | 15.8× |
| Us retroperitoneal limited (76775) | $926.53 | $926.53 | 8.8× |
| Us scrotum and contents (76870) | $1,594.98 | $1,594.98 | 15.2× |
| Us thyroid (76536) | $1,369.34 | $1,369.34 | 13.0× |
| Us transrectal (76872) | $1,013.96 | $1,013.96 | 9.6× |
| Vein X-Ray Chest (75827) | $3,821.95 | $3,821.95 | 2.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,065.86 | $3,065.86 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,905.42 | $1,905.42 | 3.0× |
| Venogram Sinus/Jugular (75860) | $4,137.67 | $4,137.67 | 1.3× |
| Venography Adrenal Unilateral (75840) | $4,832.81 | $4,832.81 | 1.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,137.67–$4,490.79 | $4,137.67–$4,490.79 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$4,474.75–$5,046.05 | $4,474.75–$5,046.05 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$1,200.59–$4,467.25 | $1,200.59–$4,467.25 | varies |
| Venography Orbital Rs&I (75880) | $2,903.85 | $2,903.85 | 4.6× |
| Venography Renal Bilateral (75833) | $4,965.74 | $4,965.74 | 1.6× |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$4,137.67–$8,437.23 | $4,137.67–$8,437.23 | varies |
| Venous sampling by catheter (75893) | $6,876.72 | $6,876.72 | 1.2× |
| Venous thrombosis imaging (78457) | $1,919.85 | $1,919.85 | 3.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,927.72 | $2,927.72 | 7.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$648.07–$967.96 | $648.07–$967.96 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $711.77 | $711.77 | 8.1× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,346–$1,357.07 | $1,346–$1,357.07 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$6,774.79–$7,542.80 | $6,774.79–$7,542.80 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,631.25 | $1,631.25 | 15.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$648.07–$967.96 | $648.07–$967.96 | varies |
| X-Ray Exam Breast Specimen (76098) | $789.32 | $789.32 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $519.31 | $519.31 | 5.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $740.85 | $740.85 | 8.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,016.41 | $1,016.41 | 9.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $835.01 | $835.01 | 7.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,250.46 | $1,250.46 | 11.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,665.87 | $1,665.87 | 15.8× |
| X-Ray Exam L-S Spine Bending (72114) | $2,273.78 | $2,273.78 | 21.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $815.63 | $815.63 | 9.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,229.47 | $2,229.47 | 21.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,074.58 | $1,074.58 | 10.2× |
| X-ray humerus (73060) | $729.78 | $729.78 | 8.3× |
| X-ray IV pyelogram (ivp) (74400) | $1,890.20 | $1,890.20 | 10.7× |
| X-ray IV pyelogram+tomography (74415) | $1,703.26 | $1,703.26 | 9.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $967.96 | $967.96 | 11.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $868.25 | $868.25 | 8.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,172.89 | $1,172.89 | 11.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $750.55 | $750.55 | 7.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $750.55 | $750.55 | 7.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $976.26 | $976.26 | 11.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,020.59 | $1,020.59 | 11.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,689.40 | $1,689.40 | 16.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,924.82 | $1,924.82 | 5.5× |
| X-Rays Bone Survey Complete (77075) | $3,013.24 | $3,013.24 | 28.6× |
| Xr c-spine 4 or 5 views (72050) | $1,970.52 | $1,970.52 | 18.7× |
| Xr orbits complete 4 views (70200) | $907.02 | $907.02 | 8.6× |
| Xr Tomogram Single Plane (76100) | $2,077.14 | $2,077.14 | 19.7× |
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.