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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 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× |
| Angiography extremity bilateral rs&i (75716) | $7,285.64 | $7,285.64 | 2.3× |
| Angiography extremity unilateral rs&i (75710) | $6,837.46 | $6,837.46 | 2.2× |
| Angiography internal mammary rs&i (75756) | $5,186.99 | $5,186.99 | 1.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $23,394.95 | $23,394.95 | 4.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $6,295.50 | $6,295.50 | 2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,747.18 | $7,747.18 | 2.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,964.33 | $14,964.33 | 2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $5,129.66 | $5,129.66 | 1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,467.80 | $8,467.80 | 2.7× |
| Ankle 2 views (73600) | $1,176.25 | $1,176.25 | 13.5× |
| Antegrade urography radiological supvj & interpj (74425) | $861.66 | $861.66 | 2.5× |
| Aortogram thoracic (75605) | $14,964.33 | $14,964.33 | 2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,311.98 | $8,311.98 | 2.6× |
| Aortography abdominal serialography rs&i (75625) | $5,051.78 | $5,051.78 | 1.6× |
| Arthrogram elbow (73085) | $3,046.80 | $3,046.80 | 8.7× |
| Arthrogram hip (73525) | $3,046.80 | $3,046.80 | 8.7× |
| Arthrogram shoulder (73040) | $3,297.08 | $3,297.08 | 9.4× |
| Arthrogram wrist (73115) | $2,708.96 | $2,708.96 | 7.7× |
| Arthrography knee lt (73580) | $2,708.96 | $2,708.96 | 7.7× |
| Bone &/Joint Imaging Limited Area (78300) | $4,205.77 | $4,205.77 | 10.5× |
| Bone &/Joint Imaging Multiple Areas (78305) | $20,975.82 | $20,975.82 | 52.2× |
| Bone &/joint imaging whole body (78306) | $8,335.77 | $8,335.77 | 20.8× |
| 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 Marrow Imaging Limited Area (78102) | $3,396.45 | $3,396.45 | 8.5× |
| Bone survey complete (77075) | $3,868.94 | $3,868.94 | 36.8× |
| Brain image w/flow 4 + views (78606) | $6,223.01 | $6,223.01 | 11.4× |
| Brain imaging < 4 static views (78600) | $3,723.81 | $3,723.81 | 9.3× |
| Brain imaging < 4 static views w vascular flow (78601) | $4,275.49 | $4,275.49 | 10.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $5,380.35 | $5,380.35 | 9.9× |
| Brain Imaging Vascular Flow Only (78610) | $4,166.35 | $4,166.35 | 7.6× |
| Cervical spine 2 or 3 views (72040) | $1,793.05 | $1,793.05 | 20.5× |
| Chest 1 view (71045) | $1,335.88 | $1,335.88 | 15.3× |
| Chest 3 views (71047) | $1,362.22 | $1,362.22 | 15.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,757.36 | $3,757.36 | 21.3× |
| Clavicle complete (73000) | $1,530.38 | $1,530.38 | 17.5× |
| CT abdomen and pelvis without and with contrast (74178) | $18,573.59 | $18,573.59 | 53.0× |
| CT abdomen and pelvis without contrast (74176) | $12,321.02 | $12,321.02 | 51.4× |
| CT abdomen w contrast (74160) | $7,436.26 | $7,436.26 | 42.2× |
| CT abdomen w wo contrast (74170) | $9,739.20 | $9,739.20 | 55.3× |
| CT abdomen w/o contrast (74150) | $6,469.30 | $6,469.30 | 61.6× |
| CT angiography upper extremity lt (73206) | $11,090.35 | $11,090.35 | 62.9× |
| CT c-spine w/o contrast (72125) | $6,786.83 | $6,786.83 | 64.6× |
| CT cervical spine w&w/o contrast (72127) | $12,115.66 | $12,115.66 | 68.8× |
| CT cervical spine with contrast (72126) | $7,092.22 | $7,092.22 | 20.2× |
| CT chest w/wo contrast (71270) | $9,662.66 | $9,662.66 | 54.8× |
| CT chest with contrast (71260) | $7,378.66 | $7,378.66 | 41.9× |
| CT head/brain with contrast (70460) | $8,725.26 | $8,725.26 | 49.5× |
| CT head/brain without and with contrast (70470) | $8,770.73 | $8,770.73 | 49.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $171.26 | $171.26 | 2.0× |
| CT iac w contrast (70481) | $6,595.10 | $6,595.10 | 37.4× |
| CT limited/localized follow up study (76380) | $1,875.56 | $1,875.56 | 21.5× |
| CT lower ext w/o (73700) | $4,614.98 | $4,614.98 | 43.9× |
| CT lower extremity w wo contrast (73702) | $8,216.03 | $8,216.03 | 46.6× |
| CT lower extremity with contrast (73701) | $5,944.16 | $5,944.16 | 33.7× |
| CT lumbar spine w & w/o contrast (72133) | $10,067.32 | $10,067.32 | 57.1× |
| CT lumbar spine w/o contrast (72131) | $6,191.96 | $6,191.96 | 59.0× |
| CT lumbar spine with contrast (72132) | $7,077.06 | $7,077.06 | 20.2× |
| CT maxillofacial w contrast (70487) | $7,759.08 | $7,759.08 | 44.0× |
| CT maxillofacial w/o contrast (70486) | $6,778.48 | $6,778.48 | 64.5× |
| CT maxillofacial w/wo contrast (70488) | $8,444.12 | $8,444.12 | 47.9× |
| CT neck soft tissue w contrast (70491) | $6,469.31 | $6,469.31 | 36.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $7,483.24 | $7,483.24 | 42.5× |
| CT orbits w/o contrast (70480) | $5,137.86 | $5,137.86 | 48.9× |
| CT pelvis w & w/o contrast (72194) | $8,848.04 | $8,848.04 | 50.2× |
| CT pelvis w/o contrast (72192) | $5,856.24 | $5,856.24 | 55.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $7,165.72 | $7,165.72 | 40.7× |
| CT soft tissue neck w/o contrast (70490) | $4,925.68 | $4,925.68 | 46.9× |
| CT thoracic spine w/contrast (72129) | $7,493.86 | $7,493.86 | 42.5× |
| CT thoracic spine w/o contrast (72128) | $6,182.10 | $6,182.10 | 58.9× |
| CT thoracic spine w/wo contrast (72130) | $9,570.22 | $9,570.22 | 54.3× |
| CT thorax w/o contrast (71250) | $6,415.50 | $6,415.50 | 61.1× |
| CT upper extremity w/o & w/contrast material (73202) | $10,662.19 | $10,662.19 | 60.5× |
| CT upper extremity w/o contrast rt (73200) | $6,786.83 | $6,786.83 | 64.6× |
| CT upper extremity with contrast (73201) | $7,709.82 | $7,709.82 | 22.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $9,213.29 | $9,213.29 | 52.3× |
| Cta Abdomen (74175) | $12,602.16 | $12,602.16 | 71.5× |
| CTA abdomen pelvis (74174) | $14,213.22 | $14,213.22 | 40.6× |
| CTA chest (71275) | $10,662.19 | $10,662.19 | 60.5× |
| Cta Head (70496) | $11,806.47 | $11,806.47 | 67.0× |
| CTA lwr ext w&w/o contrast (73706) | $9,050.36 | $9,050.36 | 51.4× |
| Cta Neck (70498) | $11,346.48 | $11,346.48 | 64.4× |
| Cta Pelvis (72191) | $10,788 | $10,788 | 61.2× |
| Cystography minimum 3 views rs&i (74430) | $1,717.12 | $1,717.12 | 4.9× |
| Diskography lumbar (72295) | $5,213.35 | $5,213.35 | 2.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $709.70 | $709.70 | 6.8× |
| Dxa bone density study axial skeleton (77085) | $709.70 | $709.70 | 6.8× |
| Echoencephalography real time imaging (76506) | $2,670.48 | $2,670.48 | 25.4× |
| Esophagus (74220) | $2,169.64 | $2,169.64 | 12.3× |
| Fetal biophysical profile non-stress testing (76818) | $3,764.74 | $3,764.74 | 35.8× |
| 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× |
| Foot 2 views (73620) | $1,431.96 | $1,431.96 | 16.4× |
| Forearm 2 views (73090) | $1,518.76 | $1,518.76 | 17.4× |
| Hand 2 views (73120) | $1,453.65 | $1,453.65 | 13.8× |
| Hand 3 views (73130) | $1,572.99 | $1,572.99 | 18.0× |
| Heart Infarct Image (78466) | $6,332.16 | $6,332.16 | 15.8× |
| Heart infarct image w ef (78468) | $7,896.23 | $7,896.23 | 14.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $5,848.74 | $5,848.74 | 1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $8,738.90 | $8,738.90 | 16.0× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,804.43 | $4,804.43 | 12.0× |
| Ht muscle image spect sing (78451) | $14,354.19 | $14,354.19 | 11.0× |
| Humerus Min 2 Views Left (73060) | $1,531.15 | $1,531.15 | 17.5× |
| Hysterosalpingogram (74740) | $2,716.71 | $2,716.71 | 11.3× |
| Kidney funcj study non-img radioisotopic study (78725) | $5,159.09 | $5,159.09 | 12.8× |
| Kidney imaging morphology (78700) | $4,160.31 | $4,160.31 | 10.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $9,922.59 | $9,922.59 | 18.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,290.01 | $7,290.01 | 13.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $12,605.19 | $12,605.19 | 23.1× |
| Knee 3 views (73562) | $1,385.48 | $1,385.48 | 15.8× |
| 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 Ventilation Imaging (78579) | $7,529.46 | $7,529.46 | 18.7× |
| Lymphoscintigraphy (78195) | $5,046.15 | $5,046.15 | 9.3× |
| Mammary ductogram or galactogram multiple (77054) | $3,272.28 | $3,272.28 | 13.7× |
| Mammary ductogram or galactogram single (77053) | $2,707.41 | $2,707.41 | 11.3× |
| Meckels Diverticulum (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 & w/o contrast (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 & w/contrast material (74183) | $13,270.54 | $13,270.54 | 37.9× |
| MRI abdomen w/o contrast (74181) | $9,908.95 | $9,908.95 | 41.3× |
| MRI any jnt lwr ext with con lt (73722) | $9,655.86 | $9,655.86 | 12.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,636.16 | $9,636.16 | 12.2× |
| MRI c-spine with contrast (72142) | $13,937.39 | $13,937.39 | 39.8× |
| MRI cervical spine w/o contrast (72141) | $10,337.86 | $10,337.86 | 43.1× |
| MRI chest w/o & w/contrast material (71552) | $12,777.97 | $12,777.97 | 36.5× |
| 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 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 contr matrl (73718) | $8,266.05 | $8,266.05 | 34.5× |
| MRI orbit face &/neck w/o contrast (70540) | $9,075.37 | $9,075.37 | 37.9× |
| MRI orbit/face/neck w&w/o cont (70543) | $6,432.18 | $6,432.18 | 18.4× |
| MRI orbit/face/neck w/contrast (70542) | $9,655.86 | $9,655.86 | 27.6× |
| MRI pelvis w contrast (72196) | $12,700.68 | $12,700.68 | 36.2× |
| MRI pelvis w/o & w/contrast material (72197) | $9,655.86 | $9,655.86 | 27.6× |
| MRI pelvis w/o contrast (72195) | $9,075.37 | $9,075.37 | 37.9× |
| MRI scan of arm joint before and after contrast (73223) | $11,670.06 | $11,670.06 | 33.3× |
| MRI scan of leg joint before and after contrast (73723) | $11,650.35 | $11,650.35 | 33.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $16,457.82 | $16,457.82 | 47.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $13,820.69 | $13,820.69 | 39.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $16,318.39 | $16,318.39 | 46.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $13,820.69 | $13,820.69 | 39.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $16,274.44 | $16,274.44 | 46.4× |
| MRI thoracic spine w/o contrast (72146) | $12,061.10 | $12,061.10 | 50.3× |
| MRI tmj (70336) | $10,898.64 | $10,898.64 | 45.5× |
| MRI upper ext joint w/o contrast (73221) | $9,075.37 | $9,075.37 | 37.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $11,670.06 | $11,670.06 | 33.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,890.47 | $8,890.47 | 37.1× |
| Myelogram Cervical (72240) | $5,933.97 | $5,933.97 | 7.5× |
| Myelogram Lumbar (72265) | $5,496.94 | $5,496.94 | 7.0× |
| Myelogram thoracic (72255) | $5,933.97 | $5,933.97 | 7.5× |
| Myelography 2 or more regions (72270) | $7,201.67 | $7,201.67 | 9.1× |
| Myocardial infarct spect (78469) | $9,566.42 | $9,566.42 | 17.5× |
| Myocardial Spect Multiple Studies (78452) | $19,695.14 | $19,695.14 | 15.1× |
| Neck soft tissue (70360) | $1,145.26 | $1,145.26 | 13.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,471.94 | $2,471.94 | 6.2× |
| Nm cisternogram (78630) | $8,081.13 | $8,081.13 | 14.8× |
| Nm gastric emptying study (78264) | $5,187.87 | $5,187.87 | 12.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $11,225.99 | $11,225.99 | 8.6× |
| Nuclear medicine of heart pumping function (78473) | $12,515.77 | $12,515.77 | 31.2× |
| Nuclear medicine of heart pumping function by first pass technique (78483) | $3,882.94 | $3,882.94 | 7.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $5,587.99 | $5,587.99 | 4.3× |
| Nuclear medicine study of kidney and blood flow (78701) | $5,159.09 | $5,159.09 | 12.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) | $3,698.04 | $3,698.04 | 9.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $3,200.93 | $3,200.93 | 8.0× |
| Nuclear Rx Oral Admin (79005) | $3,782.92 | $3,782.92 | 16.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,852.05 | $1,852.05 | 17.6× |
| Osseous survey infant (77076) | $1,803.90 | $1,803.90 | 17.2× |
| Osseous survey limited (77074) | $3,440.44 | $3,440.44 | 32.8× |
| Parathyrd planar w/spect&CT (78072) | $8,300.90 | $8,300.90 | 15.2× |
| Parathyrd planar w/wo subtrj (78071) | $8,073.57 | $8,073.57 | 20.1× |
| Parathyroid imaging (78070) | $7,282.42 | $7,282.42 | 18.1× |
| Pelvis 1 or 2 views (72170) | $1,233.60 | $1,233.60 | 11.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $11,650.35 | $11,650.35 | 33.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $15,660.18 | $15,660.18 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,839.87 | $6,839.87 | 17.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,529.46 | $7,529.46 | 13.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,518.34 | $2,518.34 | 4.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,603.99 | $1,603.99 | 18.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,694.60 | $3,694.60 | 35.2× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,744.59 | $2,744.59 | 26.1× |
| 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) | $1,795.38 | $1,795.38 | 17.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,297.14 | $1,297.14 | 14.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,890.70 | $1,890.70 | 18.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,362.22 | $1,362.22 | 15.6× |
| Radiologic exam colon single contrast study (74270) | $2,933.66 | $2,933.66 | 16.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,768.22 | $3,768.22 | 21.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,654.31 | $3,654.31 | 20.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $2,180.50 | $2,180.50 | 24.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $2,125.48 | $2,125.48 | 24.3× |
| Radiological examination surgical specimen (76098) | $3,147.29 | $3,147.29 | 5.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $5,951.02 | $5,951.02 | 1.9× |
| Ribs bilateral 3 views (71110) | $1,521.85 | $1,521.85 | 14.5× |
| 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 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 1 day imaging (78830) | $5,785.02 | $5,785.02 | 4.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,135.47 | $2,135.47 | 8.9× |
| Scanogram (77073) | $1,421.12 | $1,421.12 | 13.5× |
| Scapula complete (73010) | $1,017.41 | $1,017.41 | 9.7× |
| Screening digital breast tomosynthesis (77063) | $284.93 | $284.93 | 12.2× |
| Sella turcica (70240) | $894.20 | $894.20 | 10.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $3,219.60 | $3,219.60 | 30.7× |
| Sialogram (70390) | $1,913.16 | $1,913.16 | 8.0× |
| Small bowel series (74250) | $3,824 | $3,824 | 21.7× |
| Spine thoracic 3 views (72072) | $2,228.53 | $2,228.53 | 21.2× |
| Spleen imaging only (78185) | $4,795.34 | $4,795.34 | 11.9× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,983.26 | $2,983.26 | 12.4× |
| Testicular Imaging With Vascular Flow (78761) | $4,934.77 | $4,934.77 | 12.3× |
| Therapeutic Enema (74283) | $3,249.04 | $3,249.04 | 18.4× |
| Thyroid carcinoma metastases img addl study (78016) | $1,758.08 | $1,758.08 | 4.4× |
| Thyroid carcinoma metastases img whole body (78018) | $6,457.94 | $6,457.94 | 11.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,859.63 | $1,859.63 | 4.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,217.59 | $3,217.59 | 8.0× |
| Tomogram (76100) | $3,644.99 | $3,644.99 | 34.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $16,332.02 | $16,332.02 | 29.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $1,653.52 | $1,653.52 | 4.1× |
| Ultrasound, abdomen limited (76705) | $1,817.20 | $1,817.20 | 17.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $583.49 | $583.49 | 6.7× |
| Unlisted Ultrasound Procedure (76999) | $2,247.61 | $2,247.61 | 25.7× |
| Upper Extremity Infant (73092) | $1,190.22 | $1,190.22 | 11.3× |
| Urethrocystography retrograde rs&i (74450) | $3,147.54 | $3,147.54 | 13.1× |
| Urethrocystography voiding (74455) | $3,789.13 | $3,789.13 | 15.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,259.12 | $3,259.12 | 18.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $3,898.39 | $3,898.39 | 22.1× |
| Us breast unilateral complete (76641) | $788.11 | $788.11 | 7.5× |
| Us breast unilateral limited (76642) | $603.21 | $603.21 | 6.9× |
| Us chest (76604) | $2,476.49 | $2,476.49 | 23.6× |
| Us compl joint r-t w/image documentation (76881) | $1,817.20 | $1,817.20 | 17.3× |
| Us infant hips dynamic (76885) | $2,039.98 | $2,039.98 | 23.3× |
| Us infant hips limited static (76886) | $2,155.18 | $2,155.18 | 24.7× |
| Us kidney transplant (76776) | $2,439.35 | $2,439.35 | 23.2× |
| Us ob transvaginal (76817) | $1,752.02 | $1,752.02 | 16.7× |
| Us pelvic non ob complete (76856) | $2,209.74 | $2,209.74 | 21.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,626.23 | $1,626.23 | 15.5× |
| Us pregnancy ltd (76815) | $1,426.18 | $1,426.18 | 13.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,974.81 | $1,974.81 | 18.8× |
| Us retroperitoneal complete (76770) | $2,065.75 | $2,065.75 | 19.7× |
| Us retroperitoneal limited (76775) | $3,076.64 | $3,076.64 | 29.3× |
| Us scrotum and contents (76870) | $2,487.08 | $2,487.08 | 23.7× |
| Us soft tissue head/neck (76536) | $1,870.25 | $1,870.25 | 17.8× |
| Us spinal canal and contents (76800) | $2,018.77 | $2,018.77 | 19.2× |
| Us xtr non-vasc lmtd (76882) | $1,273.82 | $1,273.82 | 12.1× |
| Venogram extremity bilateral (75822) | $6,853.95 | $6,853.95 | 4.3× |
| Venography caval inferior serialography rs&i (75825) | $5,186.99 | $5,186.99 | 1.6× |
| Venography caval superior serialography rs&i (75827) | $6,434.53 | $6,434.53 | 4.1× |
| Venography extremity unilateral rs&i (75820) | $3,358.02 | $3,358.02 | 2.1× |
| Venography Renal Bilateral (75833) | $7,770.42 | $7,770.42 | 2.4× |
| Vertebral fracture assessment via dxa (77086) | $527.20 | $527.20 | 6.0× |
| Wrist 2 views (73100) | $1,320.39 | $1,320.39 | 15.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,116.96 | $2,116.96 | 20.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,834.90 | $1,834.90 | 21.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,543.55 | $1,543.55 | 17.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,864.30 | $3,864.30 | 21.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,603.99 | $1,603.99 | 18.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,613.28 | $1,613.28 | 18.5× |
| 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 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 of femur 1 (73551) | $1,092.58 | $1,092.58 | 12.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,663.60 | $3,663.60 | 20.8× |
| X-ray eye for foreign body (70030) | $1,171.61 | $1,171.61 | 13.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,996.07 | $1,996.07 | 19.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,682.24 | $1,682.24 | 19.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,572.99 | $1,572.99 | 18.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,466.06 | $1,466.06 | 16.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,819.40 | $1,819.40 | 17.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,232.05 | $1,232.05 | 14.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,306.43 | $1,306.43 | 14.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,742.68 | $1,742.68 | 16.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,062.30 | $3,062.30 | 29.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,603.57 | $2,603.57 | 24.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,452.88 | $1,452.88 | 16.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $847.71 | $847.71 | 9.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,924 | $1,924 | 18.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,661.32 | $1,661.32 | 15.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $3,384.64 | $3,384.64 | 9.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,323.48 | $1,323.48 | 15.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,676.06 | $1,676.06 | 16.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,252.55 | $2,252.55 | 21.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,414.14 | $1,414.14 | 13.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,537.34 | $1,537.34 | 17.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,855.05 | $1,855.05 | 21.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,882.17 | $1,882.17 | 21.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $885.68 | $885.68 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,035.58 | $2,035.58 | 19.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,067.78 | $1,067.78 | 10.2× |
| X-Ray Spine One View - Xr Spine (72020) | $1,321.16 | $1,321.16 | 15.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,199.50 | $1,199.50 | 13.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,002.28 | $2,002.28 | 19.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,993.75 | $1,993.75 | 19.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,326.58 | $1,326.58 | 15.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,516.79 | $2,516.79 | 28.8× |
| Xr arthrogram ankle (73615) | $2,708.96 | $2,708.96 | 7.7× |
| Xr c-spine 6 or more views (72052) | $3,087.87 | $3,087.87 | 29.4× |
| Xr chest 4+ views (71048) | $2,681.05 | $2,681.05 | 25.5× |
| Xr Cholecystography Oral Contrast (74290) | $1,905.41 | $1,905.41 | 10.8× |
| Xr finger(s) 2+ views (73140) | $1,278.54 | $1,278.54 | 14.6× |
| Xr internal auditory meati complete (70134) | $1,754.31 | $1,754.31 | 3.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $1,754.31 | $1,754.31 | 16.7× |
| Xr optic foramina (70190) | $1,458.30 | $1,458.30 | 16.7× |
| Xr shoulder 1 view (73020) | $1,359.14 | $1,359.14 | 15.5× |
| Xr spine cervical 4 or 5 views (72050) | $2,443.17 | $2,443.17 | 23.3× |
| Xr tibia/fibula 2 views (73590) | $1,683.03 | $1,683.03 | 19.3× |
| Xr tmj bilateral (70330) | $1,996.84 | $1,996.84 | 22.8× |
| Xray knee 1 or 2 views rt (73560) | $1,373.08 | $1,373.08 | 15.7× |