Imaging prices at Medical City North Hills
North Richland Hills, TX · every code in this section with a posted price and a Medicare benchmark.
293 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) | $684.52 | $684.52 | 6.5× |
| Acute gastrointestinal blood loss imaging (78278) | $6,671.65 | $6,671.65 | 16.6× |
| Angiography extremity bilateral rs&i (75716) | $7,065.72 | $7,065.72 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $7,238.05 | $7,238.05 | 2.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $7,754.84 | $7,754.84 | 1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $7,570.20 | $7,570.20 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,622.19 | $8,622.19 | 2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,754.84 | $7,754.84 | 1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $3,656.80 | $3,656.80 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $12,081.18 | $12,081.18 | 3.8× |
| Ankle 2 views (73600) | $1,169.58 | $1,169.58 | 13.4× |
| Antegrade urography radiological supvj & interpj (74425) | $1,675.04 | $1,675.04 | 4.8× |
| Aortogram thoracic (75605) | $7,754.84 | $7,754.84 | 1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $7,570.20 | $7,570.20 | 2.4× |
| Aortography abdominal serialography rs&i (75625) | $7,570.20 | $7,570.20 | 2.4× |
| Arthrogram elbow (73085) | $1,382.64 | $1,382.64 | 3.9× |
| Arthrogram hip (73525) | $1,382.64 | $1,382.64 | 3.9× |
| Arthrogram shoulder (73040) | $1,382.64 | $1,382.64 | 3.9× |
| Arthrogram wrist (73115) | $1,382.64 | $1,382.64 | 3.9× |
| Arthrography knee lt (73580) | $1,644.05 | $1,644.05 | 4.7× |
| Bone &/Joint Imaging Limited Area (78300) | $4,682.55 | $4,682.55 | 11.6× |
| Bone &/joint imaging whole body (78306) | $7,776.02 | $7,776.02 | 19.3× |
| Bone age studies (77072) | $840.16 | $840.16 | 8.0× |
| Bone Imaging 3 Phase (78315) | $9,538.12 | $9,538.12 | 23.7× |
| Bone Marrow Imaging Limited Area (78102) | $4,415.04 | $4,415.04 | 11.0× |
| Bone survey complete (77075) | $2,432.84 | $2,432.84 | 23.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,882.49 | $3,882.49 | 7.1× |
| Brain Imaging Vascular Flow Only (78610) | $4,098.45 | $4,098.45 | 7.5× |
| Cervical spine 2 or 3 views (72040) | $1,134.82 | $1,134.82 | 13.0× |
| Chest 1 view (71045) | $757.05 | $757.05 | 8.6× |
| Chest 3 views (71047) | $1,234.55 | $1,234.55 | 14.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,638 | $1,638 | 9.3× |
| Clavicle complete (73000) | $921.76 | $921.76 | 10.5× |
| CT abdomen and pelvis without and with contrast (74178) | $17,882.15 | $17,882.15 | 50.9× |
| CT abdomen and pelvis without contrast (74176) | $12,559.01 | $12,559.01 | 52.3× |
| CT abdomen w contrast (74160) | $8,427.73 | $8,427.73 | 47.8× |
| CT abdomen w wo contrast (74170) | $9,771.14 | $9,771.14 | 55.4× |
| CT abdomen w/o contrast (74150) | $7,106.17 | $7,106.17 | 67.5× |
| CT angiography upper extremity lt (73206) | $5,904.75 | $5,904.75 | 33.5× |
| CT c-spine w/o contrast (72125) | $5,658.99 | $5,658.99 | 53.8× |
| CT cervical spine w&w/o contrast (72127) | $7,114.36 | $7,114.36 | 40.3× |
| CT cervical spine with contrast (72126) | $6,748.47 | $6,748.47 | 19.2× |
| CT chest w/wo contrast (71270) | $7,269.99 | $7,269.99 | 41.2× |
| CT chest with contrast (71260) | $6,139.57 | $6,139.57 | 34.8× |
| CT head/brain with contrast (70460) | $6,590.10 | $6,590.10 | 37.3× |
| CT head/brain without and with contrast (70470) | $7,742.37 | $7,742.37 | 43.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,437.19 | $6,437.19 | 18.3× |
| CT iac w contrast (70481) | $5,822.82 | $5,822.82 | 33.0× |
| CT limited/localized follow up study (76380) | $1,253.32 | $1,253.32 | 14.3× |
| CT lower ext w/o (73700) | $5,238.48 | $5,238.48 | 49.8× |
| CT lower extremity w wo contrast (73702) | $6,614.67 | $6,614.67 | 37.5× |
| CT lower extremity with contrast (73701) | $6,161.41 | $6,161.41 | 34.9× |
| CT lumbar spine w & w/o contrast (72133) | $8,108.27 | $8,108.27 | 45.9× |
| CT lumbar spine w/o contrast (72131) | $5,658.99 | $5,658.99 | 53.8× |
| CT lumbar spine with contrast (72132) | $7,119.82 | $7,119.82 | 20.3× |
| CT maxillofacial w contrast (70487) | $6,280.20 | $6,280.20 | 35.6× |
| CT maxillofacial w/o contrast (70486) | $2,959.89 | $2,959.89 | 28.1× |
| CT maxillofacial w/wo contrast (70488) | $8,270.73 | $8,270.73 | 46.9× |
| CT neck soft tissue w contrast (70491) | $6,590.10 | $6,590.10 | 37.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $7,742.37 | $7,742.37 | 43.9× |
| CT orbits w/o contrast (70480) | $6,046.73 | $6,046.73 | 57.5× |
| CT pelvis w & w/o contrast (72194) | $8,112.36 | $8,112.36 | 46.0× |
| CT pelvis w/o contrast (72192) | $5,455.57 | $5,455.57 | 51.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $8,184.72 | $8,184.72 | 46.4× |
| CT soft tissue neck w/o contrast (70490) | $4,890.36 | $4,890.36 | 46.5× |
| CT thoracic spine w/contrast (72129) | $6,282.93 | $6,282.93 | 35.6× |
| CT thoracic spine w/o contrast (72128) | $5,658.99 | $5,658.99 | 53.8× |
| CT thoracic spine w/wo contrast (72130) | $6,748.47 | $6,748.47 | 38.2× |
| CT thorax w/o contrast (71250) | $5,365.47 | $5,365.47 | 51.0× |
| CT upper extremity w/o & w/contrast material (73202) | $7,069.31 | $7,069.31 | 40.1× |
| CT upper extremity w/o contrast rt (73200) | $5,706.77 | $5,706.77 | 54.2× |
| CT upper extremity with contrast (73201) | $6,614.67 | $6,614.67 | 18.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,427.01 | $7,427.01 | 42.1× |
| Cta Abdomen (74175) | $7,219.47 | $7,219.47 | 40.9× |
| CTA abdomen pelvis (74174) | $7,525.31 | $7,525.31 | 21.4× |
| CTA chest (71275) | $7,143.02 | $7,143.02 | 40.5× |
| Cta Head (70496) | $7,050.19 | $7,050.19 | 39.9× |
| CTA lwr ext w&w/o contrast (73706) | $7,809.28 | $7,809.28 | 44.2× |
| Cta Neck (70498) | $6,665.19 | $6,665.19 | 37.8× |
| Cta Pelvis (72191) | $7,525.31 | $7,525.31 | 42.6× |
| Cystography minimum 3 views rs&i (74430) | $1,467.90 | $1,467.90 | 4.2× |
| Diskography lumbar (72295) | $5,710.35 | $5,710.35 | 2.9× |
| Dxa bone density study 1/> sites axial skel (77080) | $841.67 | $841.67 | 8.0× |
| Echoencephalography real time imaging (76506) | $1,561.72 | $1,561.72 | 14.8× |
| Esophagus (74220) | $1,503.52 | $1,503.52 | 8.5× |
| Fetal biophysical profile non-stress testing (76818) | $3,082.86 | $3,082.86 | 29.3× |
| Fluoroscopy up to 1 hr (76000) | $3,168.72 | $3,168.72 | 13.2× |
| Forearm 2 views (73090) | $847.72 | $847.72 | 9.7× |
| Gated Heart Planar Single (78472) | $6,024.97 | $6,024.97 | 15.0× |
| Hand 2 views (73120) | $717.77 | $717.77 | 6.8× |
| Hand 3 views (73130) | $847.72 | $847.72 | 9.7× |
| Heart Infarct Image (78466) | $2,975.68 | $2,975.68 | 7.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $8,622.19 | $8,622.19 | 2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,265.40 | $5,265.40 | 9.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,239.57 | $4,239.57 | 10.5× |
| Ht muscle image spect sing (78451) | $8,777.32 | $8,777.32 | 6.7× |
| Humerus Min 2 Views Left (73060) | $921.76 | $921.76 | 10.5× |
| Hysterosalpingogram (74740) | $1,938.72 | $1,938.72 | 8.1× |
| Kidney funcj study non-img radioisotopic study (78725) | $5,103.44 | $5,103.44 | 12.7× |
| Kidney imaging morphology (78700) | $6,571.04 | $6,571.04 | 16.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,103.44 | $5,103.44 | 9.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,553.85 | $6,553.85 | 12.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $12,567.79 | $12,567.79 | 23.0× |
| Knee 3 views (73562) | $1,220.94 | $1,220.94 | 13.9× |
| Liver & spleen imaging static only (78215) | $5,829.86 | $5,829.86 | 14.5× |
| Liver imaging static only (78201) | $5,499.78 | $5,499.78 | 10.1× |
| Liver imaging w/vascular flow (78202) | $6,286.35 | $6,286.35 | 11.5× |
| Lung Ventilation Imaging (78579) | $7,377.23 | $7,377.23 | 18.3× |
| Lymphoscintigraphy (78195) | $6,239.72 | $6,239.72 | 11.4× |
| Meckels Diverticulum (78290) | $4,635.92 | $4,635.92 | 11.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $150 | $150 | 5.2× |
| MRA head w & w/o contrast (70546) | $6,994.56 | $6,994.56 | 19.9× |
| MRA head w/o contrast (70544) | $4,959.61 | $4,959.61 | 20.7× |
| MRA head with contrast (70545) | $6,046.73 | $6,046.73 | 17.2× |
| MRA neck w contrast (70548) | $6,046.73 | $6,046.73 | 17.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,994.56 | $6,994.56 | 19.9× |
| MRA neck w/o contrast (70547) | $4,959.61 | $4,959.61 | 20.7× |
| MRI abdomen w contrast (74182) | $7,816.66 | $7,816.66 | 22.3× |
| MRI abdomen w/o & w/contrast material (74183) | $10,844.07 | $10,844.07 | 30.9× |
| MRI abdomen w/o contrast (74181) | $8,521.13 | $8,521.13 | 35.5× |
| MRI any jnt lwr ext with con lt (73722) | $8,521.13 | $8,521.13 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,521.13 | $8,521.13 | 10.8× |
| MRI c-spine with contrast (72142) | $10,431.69 | $10,431.69 | 29.7× |
| MRI cervical spine w/o contrast (72141) | $7,178.46 | $7,178.46 | 29.9× |
| MRI chest w/o & w/contrast material (71552) | $10,844.07 | $10,844.07 | 30.9× |
| MRI chest w/o contrast (71550) | $8,521.13 | $8,521.13 | 35.5× |
| MRI chest with contrast (71551) | $7,158.19 | $7,158.19 | 9.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $8,521.13 | $8,521.13 | 24.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,521.13 | $8,521.13 | 24.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,521.13 | $8,521.13 | 35.5× |
| MRI orbit face &/neck w/o contrast (70540) | $7,406.98 | $7,406.98 | 30.9× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,844.07 | $10,844.07 | 30.9× |
| MRI orbit/face/neck w/contrast (70542) | $8,521.13 | $8,521.13 | 24.3× |
| MRI pelvis w contrast (72196) | $8,521.13 | $8,521.13 | 24.3× |
| MRI pelvis w/o & w/contrast material (72197) | $10,844.07 | $10,844.07 | 30.9× |
| MRI pelvis w/o contrast (72195) | $7,316.38 | $7,316.38 | 30.5× |
| MRI scan of arm joint before and after contrast (73223) | $8,521.13 | $8,521.13 | 24.3× |
| MRI scan of leg joint before and after contrast (73723) | $10,844.07 | $10,844.07 | 30.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $12,336.83 | $12,336.83 | 35.1× |
| MRI spinal canal lumbar w/contrast material (72149) | $8,521.13 | $8,521.13 | 24.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $11,386.28 | $11,386.28 | 32.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $7,178.46 | $7,178.46 | 20.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $11,386.28 | $11,386.28 | 32.4× |
| MRI thoracic spine w/o contrast (72146) | $6,245.49 | $6,245.49 | 26.0× |
| MRI upper ext joint w/o contrast (73221) | $8,521.13 | $8,521.13 | 35.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $8,521.13 | $8,521.13 | 24.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,521.13 | $8,521.13 | 35.5× |
| Myelogram Cervical (72240) | $2,709.36 | $2,709.36 | 3.4× |
| Myelogram Lumbar (72265) | $2,609.63 | $2,609.63 | 3.3× |
| Myelogram thoracic (72255) | $2,525.01 | $2,525.01 | 3.2× |
| Myelography 2 or more regions (72270) | $3,928.80 | $3,928.80 | 5.0× |
| Myocardial infarct spect (78469) | $2,509.07 | $2,509.07 | 4.6× |
| Myocardial Spect Multiple Studies (78452) | $11,733.37 | $11,733.37 | 9.0× |
| Neck soft tissue (70360) | $755.54 | $755.54 | 8.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,216.11 | $2,216.11 | 5.5× |
| Nm cisternogram (78630) | $5,265.40 | $5,265.40 | 9.6× |
| Nm gastric emptying study (78264) | $6,671.65 | $6,671.65 | 16.6× |
| Nuclear medicine of heart pumping function (78473) | $13,146.96 | $13,146.96 | 32.7× |
| Nuclear Rx Oral Admin (79005) | $3,630.94 | $3,630.94 | 15.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,033.62 | $2,033.62 | 19.3× |
| Osseous survey infant (77076) | $847.72 | $847.72 | 8.1× |
| Osseous survey limited (77074) | $2,115.52 | $2,115.52 | 20.1× |
| Parathyrd planar w/spect&CT (78072) | $9,259.57 | $9,259.57 | 16.9× |
| Parathyroid imaging (78070) | $9,259.57 | $9,259.57 | 23.0× |
| Pelvis 1 or 2 views (72170) | $884 | $884 | 8.4× |
| Peritoneogram rs&i (74190) | $1,526.83 | $1,526.83 | 2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $10,844.07 | $10,844.07 | 30.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,622.19 | $8,622.19 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,056.88 | $6,056.88 | 15.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $13,191.14 | $13,191.14 | 24.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,644.05 | $1,644.05 | 3.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $782.74 | $782.74 | 8.9× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,508.06 | $1,508.06 | 14.3× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,272.33 | $1,272.33 | 12.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,260.24 | $1,260.24 | 12.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $619.54 | $619.54 | 7.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $741.95 | $741.95 | 7.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,187.71 | $1,187.71 | 13.6× |
| Radiologic exam colon single contrast study (74270) | $1,965.93 | $1,965.93 | 11.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,238.95 | $1,238.95 | 7.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,350.04 | $1,350.04 | 7.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,375.43 | $2,375.43 | 13.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,777.03 | $1,777.03 | 20.3× |
| Radiological examination surgical specimen (76098) | $136.27 | $136.27 | 0.2× |
| Ribs bilateral 3 views (71110) | $1,372.05 | $1,372.05 | 13.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,791.61 | $2,791.61 | 6.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $6,829.95 | $6,829.95 | 12.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $6,837.65 | $6,837.65 | 12.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,024.09 | $7,024.09 | 5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,968.06 | $7,968.06 | 5.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $7,024.09 | $7,024.09 | 5.4× |
| Scanogram (77073) | $822.02 | $822.02 | 7.8× |
| Scapula complete (73010) | $840.16 | $840.16 | 8.0× |
| Screening digital breast tomosynthesis (77063) | $265.02 | $265.02 | 11.3× |
| Sella turcica (70240) | $809.94 | $809.94 | 9.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $226.89 | $226.89 | 2.2× |
| Sialogram (70390) | $853.78 | $853.78 | 3.6× |
| Small bowel series (74250) | $2,384.49 | $2,384.49 | 13.5× |
| Speech evaluation complex (70371) | $1,769.47 | $1,769.47 | 7.4× |
| Spine thoracic 3 views (72072) | $1,503.52 | $1,503.52 | 14.3× |
| Spleen imaging only (78185) | $4,102.14 | $4,102.14 | 10.2× |
| Testicular Imaging With Vascular Flow (78761) | $3,433.37 | $3,433.37 | 8.5× |
| Thoracolumbar 2 views (72080) | $1,349.40 | $1,349.40 | 15.4× |
| Thyroid carcinoma metastases img whole body (78018) | $6,852.03 | $6,852.03 | 12.5× |
| Thyroid Imaging With Vascular Flow (78013) | $2,759.72 | $2,759.72 | 6.9× |
| Thyroid uptake measurement (78012) | $2,486.07 | $2,486.07 | 6.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,623.57 | $3,623.57 | 9.0× |
| Tomogram (76100) | $2,783.39 | $2,783.39 | 26.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $7,741.67 | $7,741.67 | 14.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $2,791.61 | $2,791.61 | 6.9× |
| Ultrasound, abdomen limited (76705) | $1,561.72 | $1,561.72 | 14.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $3,457.91 | $3,457.91 | 8.6× |
| Urethrocystography retrograde rs&i (74450) | $726.84 | $726.84 | 3.0× |
| Urethrocystography voiding (74455) | $1,378.68 | $1,378.68 | 5.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,336.46 | $3,336.46 | 18.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $2,917.88 | $2,917.88 | 16.5× |
| Us breast unilateral complete (76641) | $1,326.44 | $1,326.44 | 12.6× |
| Us breast unilateral limited (76642) | $816.70 | $816.70 | 9.3× |
| Us chest (76604) | $1,892.98 | $1,892.98 | 18.0× |
| Us compl joint r-t w/image documentation (76881) | $1,477.88 | $1,477.88 | 14.0× |
| Us guided compression repair (76936) | $2,433.85 | $2,433.85 | 11.2× |
| Us ob transvaginal (76817) | $575.19 | $575.19 | 5.5× |
| Us pelvic non ob complete (76856) | $2,497.39 | $2,497.39 | 23.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,892.98 | $1,892.98 | 18.0× |
| Us pregnancy ltd (76815) | $1,892.98 | $1,892.98 | 18.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,010.62 | $2,010.62 | 19.1× |
| Us retroperitoneal complete (76770) | $2,033.62 | $2,033.62 | 19.3× |
| Us retroperitoneal limited (76775) | $1,895.70 | $1,895.70 | 18.0× |
| Us scrotum and contents (76870) | $2,183.71 | $2,183.71 | 20.8× |
| Us soft tissue head/neck (76536) | $2,510.92 | $2,510.92 | 23.9× |
| Us xtr non-vasc lmtd (76882) | $621.44 | $621.44 | 5.9× |
| Vascular flow imaging (78445) | $2,363.36 | $2,363.36 | 5.9× |
| Venogram extremity bilateral (75822) | $4,490.20 | $4,490.20 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $8,622.19 | $8,622.19 | 2.7× |
| Venography caval superior serialography rs&i (75827) | $3,268.46 | $3,268.46 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,180.27 | $2,180.27 | 1.4× |
| Venography Renal Bilateral (75833) | $4,599.71 | $4,599.71 | 1.4× |
| Venography renal unilateral selective rs&i (75831) | $14,871.94 | $14,871.94 | 4.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $8,622.19 | $8,622.19 | 2.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $14,332.53 | $14,332.53 | 2.6× |
| Wrist 2 views (73100) | $809.94 | $809.94 | 9.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,358.46 | $1,358.46 | 12.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,551.88 | $1,551.88 | 17.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $811.45 | $811.45 | 9.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,366.35 | $2,366.35 | 13.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $811.45 | $811.45 | 9.3× |
| X-ray exam hip uni 1 view (73501) | $914.20 | $914.20 | 10.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,508.06 | $1,508.06 | 17.2× |
| X-ray exam hip uni 4/> views (73503) | $2,274.17 | $2,274.17 | 21.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,274.17 | $2,274.17 | 21.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,274.17 | $2,274.17 | 21.6× |
| X-ray exam of femur 1 (73551) | $1,047.18 | $1,047.18 | 12.0× |
| X-ray eye for foreign body (70030) | $782.74 | $782.74 | 8.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,378.10 | $1,378.10 | 13.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,001.86 | $1,001.86 | 11.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $847.72 | $847.72 | 9.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $3,180.82 | $3,180.82 | 1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $758.57 | $758.57 | 8.7× |
| X-ray IV pyelogram+drip infusn (74410) | $3,649.23 | $3,649.23 | 20.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $811.45 | $811.45 | 9.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,349.40 | $1,349.40 | 12.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,024.83 | $2,024.83 | 19.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $862.84 | $862.84 | 9.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $896.07 | $896.07 | 10.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,087.98 | $1,087.98 | 10.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,216.44 | $1,216.44 | 11.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,066.82 | $1,066.82 | 12.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $986.74 | $986.74 | 9.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $998.82 | $998.82 | 11.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,027.54 | $1,027.54 | 11.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,087.98 | $1,087.98 | 12.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $634.66 | $634.66 | 7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,589.66 | $1,589.66 | 15.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,066.82 | $1,066.82 | 10.1× |
| X-Ray Spine One View - Xr Spine (72020) | $822.02 | $822.02 | 9.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $933.85 | $933.85 | 10.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $961.04 | $961.04 | 11.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,024.51 | $1,024.51 | 9.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,503.52 | $1,503.52 | 14.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $803.90 | $803.90 | 9.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,045.67 | $1,045.67 | 11.9× |
| Xr arthrogram ankle (73615) | $1,382.64 | $1,382.64 | 3.9× |
| Xr c-spine 6 or more views (72052) | $2,064.13 | $2,064.13 | 19.6× |
| Xr chest 4+ views (71048) | $1,323.70 | $1,323.70 | 12.6× |
| Xr Cholecystography Oral Contrast (74290) | $1,589.66 | $1,589.66 | 9.0× |
| Xr finger(s) 2+ views (73140) | $692.08 | $692.08 | 7.9× |
| Xr internal auditory meati complete (70134) | $720.78 | $720.78 | 1.3× |
| Xr optic foramina (70190) | $630.12 | $630.12 | 7.2× |
| Xr shoulder 1 view (73020) | $847.72 | $847.72 | 9.7× |
| Xr spine cervical 4 or 5 views (72050) | $1,702.98 | $1,702.98 | 16.2× |
| Xr tibia/fibula 2 views (73590) | $961.04 | $961.04 | 11.0× |
| Xr tmj bilateral (70330) | $1,130.29 | $1,130.29 | 12.9× |
| Xray knee 1 or 2 views rt (73560) | $921.76 | $921.76 | 10.5× |