Imaging prices at Medical City Las Colinas
Irving, TX · every code in this section with a posted price and a Medicare benchmark.
321 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,297.14 | $1,297.14 | 14.8× |
| Abdomen 2 views (74019) | $1,890.70 | $1,890.70 | 18.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,806.88 | $2,806.88 | 7.0× |
| Angio internal mammary (75756) | $5,186.99 | $5,186.99 | 1.6× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$6,127–$6,463.99 | $6,127–$6,463.99 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,090.64–$7,480.63 | $7,090.64–$7,480.63 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$6,481–$7,183.07 | $6,481–$7,183.07 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,747.18 | $7,747.18 | 2.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,467.80 | $8,467.80 | 2.7× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$982.55–$2,347.87 | $982.55–$2,347.87 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,964.33 | $14,964.33 | 2.7× |
| Artery X-Rays Abdomen (75726) | $14,964.33 | $14,964.33 | 2.7× |
| Artery X-Rays Pelvis (75736) | $23,394.95 | $23,394.95 | 4.2× |
| Arthrogram ankle (73615) range across 6 matching MRF lines |
$2,174.28–$5,416.37 | $2,174.28–$5,416.37 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$2,174.28–$5,213.35 | $2,174.28–$5,213.35 | varies |
| Arthrogram Wrist (73115) range across 7 matching MRF lines |
$2,174.28–$5,441.16 | $2,174.28–$5,441.16 | varies |
| Bone age studies (77072) | $1,504.81 | $1,504.81 | 14.3× |
| Bone Imaging 3 Phase (78315) | $10,024.14 | $10,024.14 | 25.0× |
| Bone Imaging Limited Area (78300) | $4,205.77 | $4,205.77 | 10.5× |
| Bone Imaging Multiple Areas (78305) | $20,975.82 | $20,975.82 | 52.2× |
| Bone Imaging Whole Body (78306) | $8,335.77 | $8,335.77 | 20.8× |
| Bone marrow imaging limited area (78102) | $3,396.45 | $3,396.45 | 8.5× |
| Bone survey infant (77076) | $1,803.90 | $1,803.90 | 17.2× |
| Brain Flow Imaging Only (78610) | $4,166.35 | $4,166.35 | 7.6× |
| Brain Image W/Flow < 4 Views (78601) | $4,275.49 | $4,275.49 | 10.6× |
| Brain imaging < 4 static views (78600) | $3,723.81 | $3,723.81 | 9.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $6,223.01 | $6,223.01 | 11.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $5,380.35 | $5,380.35 | 9.9× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,882.94 | $3,882.94 | 7.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,227.64–$2,523.47 | $1,227.64–$2,523.47 | varies |
| Cerebrospinal Fluid Scan (78630) | $8,081.13 | $8,081.13 | 14.8× |
| Chest 1 view (71045) | $1,335.88 | $1,335.88 | 15.3× |
| Chest 2 views (71046) | $1,362.22 | $1,362.22 | 15.6× |
| Chest 3 views (71047) | $1,362.22 | $1,362.22 | 15.6× |
| Chest 4 or more views (71048) | $2,681.05 | $2,681.05 | 25.5× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$1,741.91–$2,068.91 | $1,741.91–$2,068.91 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,521.85–$1,538.90 | $1,521.85–$1,538.90 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,916.58–$5,186.99 | $4,916.58–$5,186.99 | varies |
| Contrast X-Ray Bladder (74430) | $1,717.12 | $1,717.12 | 4.9× |
| Contrast X-Ray Of Elbow (73085) range across 7 matching MRF lines |
$2,174.28–$6,088.94 | $2,174.28–$6,088.94 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$2,174.28–$5,416.37 | $2,174.28–$5,416.37 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$10,459.10–$26,688.08 | $10,459.10–$26,688.08 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$6,307.90–$18,334.13 | $6,307.90–$18,334.13 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$4,419.47–$10,453.05 | $4,419.47–$10,453.05 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$5,230.31–$14,248.09 | $5,230.31–$14,248.09 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,156.97–$9,781.64 | $3,156.97–$9,781.64 | varies |
| CT Angio Abdomen and Pelvis (74174) | $14,213.22 | $14,213.22 | 40.6× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$4,851.41–$13,247.80 | $4,851.41–$13,247.80 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$4,851.41–$12,950.75 | $4,851.41–$12,950.75 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$4,851.41–$13,249.31 | $4,851.41–$13,249.31 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$4,851.41–$12,030.78 | $4,851.41–$12,030.78 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$4,851.41–$17,329.29 | $4,851.41–$17,329.29 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$4,419.47–$9,764.96 | $4,419.47–$9,764.96 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$3,156.97–$7,584.04 | $3,156.97–$7,584.04 | varies |
| CT cervical spine w/wo cont (72127) | $12,115.66 | $12,115.66 | 68.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$4,419.47–$10,337.86 | $4,419.47–$10,337.86 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$5,230.31–$14,095.02 | $5,230.31–$14,095.02 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$4,419.47–$8,819.23 | $4,419.47–$8,819.23 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$5,230.31–$12,311.15 | $5,230.31–$12,311.15 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $171.26 | $171.26 | 2.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$4,419.47–$8,770.74 | $4,419.47–$8,770.74 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$5,230.31–$14,904.34 | $5,230.31–$14,904.34 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$3,156.97–$6,072.99 | $3,156.97–$6,072.99 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$4,419.47–$7,468.85 | $4,419.47–$7,468.85 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$4,419.47–$9,734.64 | $4,419.47–$9,734.64 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,156.97–$9,226.94 | $3,156.97–$9,226.94 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$4,419.47–$11,098.68 | $4,419.47–$11,098.68 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,156.97–$10,399.99 | $3,156.97–$10,399.99 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$5,230.31–$9,101.14 | $5,230.31–$9,101.14 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,230.31–$9,736.17 | $5,230.31–$9,736.17 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,156.97–$7,118.75 | $3,156.97–$7,118.75 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$5,230.31–$12,465.76 | $5,230.31–$12,465.76 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,156.97–$8,555.52 | $3,156.97–$8,555.52 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$5,230.31–$11,201.75 | $5,230.31–$11,201.75 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$5,230.31–$11,657.94 | $5,230.31–$11,657.94 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$4,419.47–$8,519.15 | $4,419.47–$8,519.15 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$3,156.97–$6,694.39 | $3,156.97–$6,694.39 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$4,419.47–$10,568.24 | $4,419.47–$10,568.24 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,156.97–$9,207.23 | $3,156.97–$9,207.23 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$5,230.31–$13,910.13 | $5,230.31–$13,910.13 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,156.97–$9,674.04 | $3,156.97–$9,674.04 | varies |
| CT upper ext wo (73200) range across 8 matching MRF lines |
$3,156.97–$14,614.86 | $3,156.97–$14,614.86 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
$5,230.31–$23,126.43 | $5,230.31–$23,126.43 | varies |
| CT upper extremity with contrast (73201) range across 8 matching MRF lines |
$4,419.47–$15,415.10 | $4,419.47–$15,415.10 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $9,213.29 | $9,213.29 | 52.3× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$4,851.41–$13,910.13 | $4,851.41–$13,910.13 | varies |
| CTA pelvis (72191) | $10,788 | $10,788 | 61.2× |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$5,186.99–$5,915.37 | $5,186.99–$5,915.37 | varies |
| Dxa Bone Density Axial (77080) | $709.70 | $709.70 | 6.8× |
| Dxa bone density study (77085) | $709.70 | $709.70 | 6.8× |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$1,817.20–$3,764.75 | $1,817.20–$3,764.75 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$1,741.91–$2,597.38 | $1,741.91–$2,597.38 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,817.20–$5,712.27 | $1,817.20–$5,712.27 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,524.97 | $2,524.97 | 24.0× |
| Fluoroscopy up to 1 hr (76000) | $2,893.37 | $2,893.37 | 12.1× |
| Follow-Up Angiography (75898) | $5,129.66 | $5,129.66 | 1.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$982.55–$2,857.74 | $982.55–$2,857.74 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$1,199.50–$3,028.21 | $1,199.50–$3,028.21 | varies |
| Gastric emptying imaging study (78264) | $5,187.87 | $5,187.87 | 12.9× |
| Gated Heart, Multiple (78473) | $12,515.77 | $12,515.77 | 31.2× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$1,306.43–$2,899.58 | $1,306.43–$2,899.58 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,951.02 | $5,951.02 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,848.74 | $5,848.74 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $8,738.90 | $8,738.90 | 16.0× |
| Hepatobiliary System Imaging (78226) | $4,804.43 | $4,804.43 | 12.0× |
| Ht Musc Image Planar Mult (78454) | $11,225.99 | $11,225.99 | 8.6× |
| Ht Muscle Image Spect Sing (78451) | $14,354.19 | $14,354.19 | 11.0× |
| Hysterosalpingogram (74740) | $2,716.71 | $2,716.71 | 11.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,817.20–$2,262.77 | $1,817.20–$2,262.77 | varies |
| Infant hip ultrasound, limited static exam (76886) | $2,155.18 | $2,155.18 | 24.7× |
| K Flow/Funct Image Multiple (78709) | $12,605.19 | $12,605.19 | 23.1× |
| K Flow/Funct Image W/Drug (78708) | $7,290.01 | $7,290.01 | 13.4× |
| K Flow/Funct Image W/O Drug (78707) | $9,922.59 | $9,922.59 | 18.2× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $5,159.09 | $5,159.09 | 12.8× |
| Kidney Imaging Morphol (78700) | $4,160.31 | $4,160.31 | 10.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $5,159.09 | $5,159.09 | 12.8× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$1,306.43–$2,764.74 | $1,306.43–$2,764.74 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,229.72 | $3,229.72 | 8.0× |
| Liver imaging w/vascular flow (78202) | $2,271.87 | $2,271.87 | 4.2× |
| Lung Perf&Ventilat Diferentl (78598) | $8,197.84 | $8,197.84 | 15.0× |
| Lung perfusion differential (78597) | $6,177.55 | $6,177.55 | 15.4× |
| Lung Ventilat&Perfus Imaging (78582) | $7,529.46 | $7,529.46 | 13.8× |
| Lung Ventilation Imaging (78579) | $7,529.46 | $7,529.46 | 18.7× |
| Lymph System Imaging (78195) | $5,046.15 | $5,046.15 | 9.3× |
| Magnetic Image Jaw Joint (70336) | $10,898.64 | $10,898.64 | 45.5× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$2,479.59–$4,064.98 | $2,479.59–$4,064.98 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,810.11–$3,604.71 | $1,810.11–$3,604.71 | varies |
| Meckels Divert Exam (78290) | $5,310.64 | $5,310.64 | 13.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $724.18 | $724.18 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $11,441.20 | $11,441.20 | 32.6× |
| MRA head w/o contrast (70544) | $7,787.12 | $7,787.12 | 32.5× |
| MRA neck w contrast (70548) | $8,246.34 | $8,246.34 | 23.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,782.86 | $8,782.86 | 25.1× |
| MRA neck w/o contrast (70547) | $7,787.12 | $7,787.12 | 32.5× |
| MRI abdomen w contrast (74182) | $12,700.68 | $12,700.68 | 36.2× |
| MRI abdomen w/o contrast (74181) | $9,908.95 | $9,908.95 | 41.3× |
| MRI any jt lower extrem w/contrast material (73722) | $9,655.86 | $9,655.86 | 12.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$8,046.28–$11,650.35 | $8,046.28–$11,650.35 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,636.16 | $9,636.16 | 12.2× |
| MRI cervical spine w contrast (72142) | $13,937.39 | $13,937.39 | 39.8× |
| MRI cervical spine w/o cont (72141) | $10,337.86 | $10,337.86 | 43.1× |
| MRI chest w/o contrast (71550) | $9,072.35 | $9,072.35 | 37.9× |
| MRI chest with contrast (71551) | $10,418.19 | $10,418.19 | 13.2× |
| MRI chest wo w contrast (71552) | $12,777.97 | $12,777.97 | 36.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,329.98 | $9,329.98 | 26.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,650.35 | $11,650.35 | 33.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$4,536.16–$8,267.57 | $4,536.16–$8,267.57 | varies |
| MRI lumbar spine w contrast (72149) | $13,820.69 | $13,820.69 | 39.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $16,457.82 | $16,457.82 | 47.0× |
| MRI orbit face &/neck w/o contrast (70540) | $9,075.37 | $9,075.37 | 37.9× |
| MRI orbit face neck w contrast (70542) | $9,655.86 | $9,655.86 | 27.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,432.18 | $6,432.18 | 18.4× |
| MRI pelvis w contrast (72196) | $12,700.68 | $12,700.68 | 36.2× |
| MRI pelvis w/o & w contrast (72197) | $9,655.86 | $9,655.86 | 27.6× |
| MRI pelvis w/o contrast (72195) | $9,075.37 | $9,075.37 | 37.9× |
| MRI thoracic spine w/o contrast (72146) | $12,061.10 | $12,061.10 | 50.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,890.47 | $8,890.47 | 37.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$11,670.06–$23,297.69 | $11,670.06–$23,297.69 | varies |
| MRI, abdomen, combo (74183) | $13,270.54 | $13,270.54 | 37.9× |
| MRI, dorsal spine combo (72157) | $16,274.44 | $16,274.44 | 46.4× |
| MRI, dorsal spine contrast (72147) | $13,820.69 | $13,820.69 | 39.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$9,075.37–$18,149.24 | $9,075.37–$18,149.24 | varies |
| MRI, joint upper extrem combo (73223) | $11,670.06 | $11,670.06 | 33.3× |
| MRI, lumbar spine combo (72158) | $16,318.39 | $16,318.39 | 46.6× |
| Myelogram cervical (72240) | $5,933.97 | $5,933.97 | 7.5× |
| Myelogram Lumbar (72265) | $5,496.94 | $5,496.94 | 7.0× |
| Myelography thoracic (72255) | $5,933.97 | $5,933.97 | 7.5× |
| Myelograpy 2/more regions rs&i (72270) | $7,201.67 | $7,201.67 | 9.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,332.16 | $6,332.16 | 15.8× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $7,896.23 | $7,896.23 | 14.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $5,587.99 | $5,587.99 | 4.3× |
| Myocardial Spect Multiple Studies (78452) | $19,695.14 | $19,695.14 | 15.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,091.02–$1,199.50 | $1,091.02–$1,199.50 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,471.94 | $2,471.94 | 6.2× |
| Nm myocard infarct spect (78469) | $9,566.42 | $9,566.42 | 17.5× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,464.52–$4,974.67 | $1,464.52–$4,974.67 | varies |
| Nuclear Rx Oral Admin (79005) | $3,782.92 | $3,782.92 | 16.1× |
| Optic foramina (70190) range across 2 matching MRF lines |
$1,306.43–$1,610.17 | $1,306.43–$1,610.17 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $8,300.90 | $8,300.90 | 15.2× |
| Parathyroid Planar Imaging (78070) | $7,282.42 | $7,282.42 | 18.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $8,073.57 | $8,073.57 | 20.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,091.02–$1,376.17 | $1,091.02–$1,376.17 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $15,660.18 | $15,660.18 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$6,150.28–$7,529.46 | $6,150.28–$7,529.46 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,850.40–$2,383.52 | $1,850.40–$2,383.52 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,518.34 | $2,518.34 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$1,091.02–$3,080.90 | $1,091.02–$3,080.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$982.55–$2,929.02 | $982.55–$2,929.02 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$1,306.43–$3,259.12 | $1,306.43–$3,259.12 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,850.40–$2,141.74 | $1,850.40–$2,141.74 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$872.51–$2,549.34 | $872.51–$2,549.34 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$1,091.02–$3,144.43 | $1,091.02–$3,144.43 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$1,521.85–$3,144.43 | $1,521.85–$3,144.43 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$982.55–$2,609.76 | $982.55–$2,609.76 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,306.43–$1,599.34 | $1,306.43–$1,599.34 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $1,323.48 | $1,323.48 | 15.1× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,306.43–$3,705.44 | $1,306.43–$3,705.44 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$872.51–$898.86 | $872.51–$898.86 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$3,259.12–$4,068.08 | $3,259.12–$4,068.08 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,306.43–$1,335.88 | $1,306.43–$1,335.88 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$790.36–$1,306.43 | $790.36–$1,306.43 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,741.91–$2,251.77 | $1,741.91–$2,251.77 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$982.55–$2,650.07 | $982.55–$2,650.07 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$1,091.02–$2,378.87 | $1,091.02–$2,378.87 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$1,306.43–$5,027.37 | $1,306.43–$5,027.37 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,013.84 | $4,013.84 | 38.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,521.85–$2,068.91 | $1,521.85–$2,068.91 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,890.70 | $1,890.70 | 18.0× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$3,259.12–$4,469.47 | $3,259.12–$4,469.47 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$2,609.76–$3,257.56 | $2,609.76–$3,257.56 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$1,521.85–$3,635.70 | $1,521.85–$3,635.70 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,472.25–$1,850.40 | $1,472.25–$1,850.40 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$3,259.12–$4,388.87 | $3,259.12–$4,388.87 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$3,259.12–$4,255.60 | $3,259.12–$4,255.60 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$3,654.31–$3,882.12 | $3,654.31–$3,882.12 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$1,092.58–$2,175.85 | $1,092.58–$2,175.85 | varies |
| Radiologic examination femur minimum 2 views (73552) | $2,180.50 | $2,180.50 | 24.9× |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$1,196.39–$2,743.05 | $1,196.39–$2,743.05 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,440.44 | $3,440.44 | 32.8× |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$1,741.91–$2,509.04 | $1,741.91–$2,509.04 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$1,414.91–$3,364.50 | $1,414.91–$3,364.50 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$1,521.85–$1,986.77 | $1,521.85–$1,986.77 | varies |
| Ribs bilateral 3 views (71110) | $1,521.85 | $1,521.85 | 14.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,653.52 | $1,653.52 | 4.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,619.54 | $4,619.54 | 11.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $16,332.02 | $16,332.02 | 29.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,167.53 | $8,167.53 | 15.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $11,038.06 | $11,038.06 | 20.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,785.02 | $5,785.02 | 4.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $6,561 | $6,561 | 4.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $5,785.02 | $5,785.02 | 4.4× |
| Scapula (73010) range across 4 matching MRF lines |
$982.55–$1,052.27 | $982.55–$1,052.27 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $284.93 | $284.93 | 12.2× |
| Sella turcica (70240) range across 2 matching MRF lines |
$872.51–$915.90 | $872.51–$915.90 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$982.55–$2,712.05 | $982.55–$2,712.05 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$3,042.15–$3,552.02 | $3,042.15–$3,552.02 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$1,741.91–$2,084.41 | $1,741.91–$2,084.41 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$872.51–$1,263.05 | $872.51–$1,263.05 | varies |
| Spleen Imaging (78185) | $4,795.34 | $4,795.34 | 11.9× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 6 matching MRF lines |
$2,174.28–$3,792.23 | $2,174.28–$3,792.23 | varies |
| Testicular Imaging W/Flow (78761) | $4,934.77 | $4,934.77 | 12.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$2,826.74–$3,671.34 | $2,826.74–$3,671.34 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,633.44–$2,371.11 | $1,633.44–$2,371.11 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,850.40–$2,606.66 | $1,850.40–$2,606.66 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,758.08 | $1,758.08 | 4.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,698.04 | $3,698.04 | 9.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,859.63 | $1,859.63 | 4.6× |
| Thyroid Met Imaging Body (78018) | $6,457.94 | $6,457.94 | 11.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,217.59 | $3,217.59 | 8.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$603.21–$1,203.39 | $603.21–$1,203.39 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,530.74–$4,011.79 | $1,530.74–$4,011.79 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$286.71–$880.27 | $286.71–$880.27 | varies |
| Unlisted us procedure (76999) | $2,247.61 | $2,247.61 | 25.7× |
| Upper gi w/o kub (74240) | $3,654.31 | $3,654.31 | 20.7× |
| Urethrocystogram voiding (74455) | $3,789.13 | $3,789.13 | 15.8× |
| Urethrocystography retrograde (74450) | $3,147.54 | $3,147.54 | 13.1× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$788.11–$1,573.18 | $788.11–$1,573.18 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$2,230.96–$12,777.97 | $2,230.96–$12,777.97 | varies |
| Us complete joint (76881) | $1,817.20 | $1,817.20 | 17.3× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$1,170.03–$2,512.86 | $1,170.03–$2,512.86 | varies |
| Us head (76506) range across 2 matching MRF lines |
$1,817.20–$3,523.76 | $1,817.20–$3,523.76 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,817.20–$3,061.50 | $1,817.20–$3,061.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$694.06–$1,853.57 | $694.06–$1,853.57 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$1,170.03–$2,512.86 | $1,170.03–$2,512.86 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,170.03–$1,882.36 | $1,170.03–$1,882.36 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$1,817.20–$3,764.75 | $1,817.20–$3,764.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$1,817.20–$3,067.56 | $1,817.20–$3,067.56 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,852.05 | $1,852.05 | 17.6× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,817.20–$3,699.56 | $1,817.20–$3,699.56 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$1,817.20–$3,361.59 | $1,817.20–$3,361.59 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,817.20–$3,156.97 | $1,817.20–$3,156.97 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,817.20–$2,220.34 | $1,817.20–$2,220.34 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$1,817.20–$2,867.49 | $1,817.20–$2,867.49 | varies |
| Vein X-Ray Chest (75827) | $6,434.53 | $6,434.53 | 4.1× |
| Venography caval inferior serialography rs&i (75825) | $5,186.99 | $5,186.99 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$6,670.51–$7,037.39 | $6,670.51–$7,037.39 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$3,337.46–$3,542.71 | $3,337.46–$3,542.71 | varies |
| Venography Renal Bilateral (75833) | $7,770.42 | $7,770.42 | 2.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,200.93 | $3,200.93 | 8.0× |
| Vertebral fracture assessment via dxa (77086) | $527.20 | $527.20 | 6.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$982.55–$2,637.67 | $982.55–$2,637.67 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,521.85–$2,147.94 | $1,521.85–$2,147.94 | varies |
| X-ray antegrade pyelogram tube (74425) | $861.66 | $861.66 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$8,089.52–$8,534.44 | $8,089.52–$8,534.44 | varies |
| X-Ray Bend Only L-S Spine (72120) | $2,603.57 | $2,603.57 | 24.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$1,091.02–$3,203.32 | $1,091.02–$3,203.32 | varies |
| X-Ray Exam Breast Specimen (76098) | $3,147.29 | $3,147.29 | 5.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,603.99 | $1,603.99 | 18.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,694.60 | $3,694.60 | 35.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,407.89 | $3,407.89 | 32.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,603.57 | $2,603.57 | 29.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,744.59 | $2,744.59 | 31.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $3,091.75 | $3,091.75 | 29.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,744.59 | $2,744.59 | 26.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,887.18 | $2,887.18 | 27.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,091.75 | $3,091.75 | 29.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,826.74–$3,297.87 | $2,826.74–$3,297.87 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,414.91–$2,171.19 | $1,414.91–$2,171.19 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,741.91–$4,433.83 | $1,741.91–$4,433.83 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$1,521.85–$1,830.26 | $1,521.85–$1,830.26 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$1,091.02–$1,252.20 | $1,091.02–$1,252.20 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$1,306.43–$3,057.64 | $1,306.43–$3,057.64 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$2,783.33–$5,070.76 | $2,783.33–$5,070.76 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$3,259.12–$4,537.66 | $3,259.12–$4,537.66 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$1,091.02–$1,373.08 | $1,091.02–$1,373.08 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,521.85–$1,963.52 | $1,521.85–$1,963.52 | varies |
| X-ray nose-rectum child f.b. (76010) | $847.71 | $847.71 | 9.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$2,003.81–$2,501.29 | $2,003.81–$2,501.29 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$1,306.43–$1,521.85 | $1,306.43–$1,521.85 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,537.34 | $1,537.34 | 17.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,091.02–$2,673.32 | $1,091.02–$2,673.32 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,306.43–$2,764.74 | $1,306.43–$2,764.74 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$1,921.68–$2,065.82 | $1,921.68–$2,065.82 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,384.64 | $3,384.64 | 9.7× |
| X-Rays Bone Length Studies (77073) | $1,421.12 | $1,421.12 | 13.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$3,440.44–$4,297.44 | $3,440.44–$4,297.44 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,958.88–$2,927.46 | $1,958.88–$2,927.46 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,521.85–$1,842.64 | $1,521.85–$1,842.64 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$1,521.85–$1,986.77 | $1,521.85–$1,986.77 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,741.91–$2,106.10 | $1,741.91–$2,106.10 | varies |
| Xr Tomogram Single Plane (76100) | $3,644.99 | $3,644.99 | 34.7× |
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.