Imaging prices at Medical City Plano
Plano, TX · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,584.59 | $5,584.59 | 4.0× |
| Abdomen 2 views (74019) | $1,147.53 | $1,147.53 | 10.9× |
| Acute gastrointestinal blood loss imaging (78278) | $8,320.79 | $8,320.79 | 20.7× |
| Acute venous thrombus image (78456) | $5,917.03 | $5,917.03 | 4.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $10,910.48 | $10,910.48 | 3.4× |
| Angiography extremity bilateral rs&i (75716) | $12,363.82 | $12,363.82 | 3.9× |
| Angiography extremity unilateral rs&i (75710) | $11,472.01 | $11,472.01 | 3.6× |
| Angiography internal mammary rs&i (75756) | $12,356.80 | $12,356.80 | 3.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $21,248.70 | $21,248.70 | 3.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,363.82 | $12,363.82 | 3.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,273.16 | $7,273.16 | 2.3× |
| Angiography Spinal Selective Rs&I (75705) | $21,248.70 | $21,248.70 | 3.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $21,248.70 | $21,248.70 | 3.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $7,273.16 | $7,273.16 | 2.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,273.16 | $7,273.16 | 2.3× |
| Ankle 2 views (73600) | $1,036.04 | $1,036.04 | 11.9× |
| Antegrade urography radiological supvj & interpj (74425) | $2,436.28 | $2,436.28 | 7.0× |
| Aortogram thoracic (75605) | $21,248.70 | $21,248.70 | 3.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $11,945.72 | $11,945.72 | 3.8× |
| Aortography abdominal serialography rs&i (75625) | $11,945.72 | $11,945.72 | 3.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,273.16 | $7,273.16 | 2.3× |
| Artery X-Rays Adrenal Gland (75731) | $7,273.16 | $7,273.16 | 2.3× |
| Arthrogram elbow (73085) | $1,482.72 | $1,482.72 | 4.2× |
| Arthrogram hip (73525) | $1,862.53 | $1,862.53 | 5.3× |
| Arthrogram shoulder (73040) | $2,280.19 | $2,280.19 | 6.5× |
| Arthrogram wrist (73115) | $2,453.37 | $2,453.37 | 7.0× |
| Arthrography knee lt (73580) | $2,052.77 | $2,052.77 | 5.9× |
| Basic radiation dosimetry calculation (77300) | $346.64 | $346.64 | 2.6× |
| Bone &/Joint Imaging Limited Area (78300) | $2,489.22 | $2,489.22 | 6.2× |
| Bone &/Joint Imaging Multiple Areas (78305) | $3,925.36 | $3,925.36 | 9.8× |
| Bone &/joint imaging whole body (78306) | $3,372.89 | $3,372.89 | 8.4× |
| Bone age studies (77072) | $1,117.81 | $1,117.81 | 10.6× |
| Bone Imaging 3 Phase (78315) | $4,920.44 | $4,920.44 | 12.3× |
| Bone Marrow Imaging Limited Area (78102) | $3,493.45 | $3,493.45 | 8.7× |
| Bone survey complete (77075) | $2,958 | $2,958 | 28.2× |
| Brain image w/flow 4 + views (78606) | $5,453.06 | $5,453.06 | 10.0× |
| Brain imaging < 4 static views w vascular flow (78601) | $4,810.55 | $4,810.55 | 12.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,214.16 | $3,214.16 | 5.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $22,517.33 | $22,517.33 | 15.7× |
| Brain Imaging Vascular Flow Only (78610) | $2,075.61 | $2,075.61 | 3.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $8,386.41 | $8,386.41 | 20.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $8,163.20 | $8,163.20 | 23.3× |
| Cardiac shunt detection (78428) | $4,210.76 | $4,210.76 | 10.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,753.38 | $6,753.38 | 12.4× |
| Cervical spine 2 or 3 views (72040) | $1,132.67 | $1,132.67 | 13.0× |
| Chest 1 view (71045) | $902.28 | $902.28 | 10.3× |
| Chest 3 views (71047) | $1,147.53 | $1,147.53 | 13.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,495.37 | $1,495.37 | 8.5× |
| Cineradiography/videoradiography (76120) | $979.56 | $979.56 | 9.3× |
| Cisternography Positive Contrast Rs&I (70015) | $1,840.21 | $1,840.21 | 2.3× |
| Clavicle complete (73000) | $1,036.04 | $1,036.04 | 11.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,917.02 | $1,917.02 | 18.3× |
| Continuing medical physics consltj pr wk (77336) | $537.15 | $537.15 | 4.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) | $1,024.16 | $1,024.16 | 5.8× |
| Corpora cavernosography (74445) | $1,251.59 | $1,251.59 | 11.9× |
| CT abdomen and pelvis without and with contrast (74178) | $19,734.92 | $19,734.92 | 56.3× |
| CT abdomen and pelvis without contrast (74176) | $13,405.45 | $13,405.45 | 55.9× |
| CT abdomen w contrast (74160) | $9,569.91 | $9,569.91 | 54.3× |
| CT abdomen w wo contrast (74170) | $10,498.13 | $10,498.13 | 59.6× |
| CT abdomen w/o contrast (74150) | $6,346.13 | $6,346.13 | 60.4× |
| CT angio hrt w/3d image (75574) | $7,524.21 | $7,524.21 | 21.5× |
| CT angiography upper extremity lt (73206) | $15,049.90 | $15,049.90 | 85.4× |
| CT c-spine w/o contrast (72125) | $8,058.72 | $8,058.72 | 76.7× |
| CT cervical spine w&w/o contrast (72127) | $10,112.01 | $10,112.01 | 57.4× |
| CT cervical spine with contrast (72126) | $9,234.52 | $9,234.52 | 26.3× |
| CT chest w/wo contrast (71270) | $10,973.60 | $10,973.60 | 62.3× |
| CT chest with contrast (71260) | $8,435.76 | $8,435.76 | 47.9× |
| CT colonography screening (74263) | $13,405.45 | $13,405.45 | 55.9× |
| CT colonography w/dye (74262) | $13,405.45 | $13,405.45 | 76.1× |
| CT colonography w/o cntrst (74261) | $13,405.45 | $13,405.45 | 127.6× |
| CT head/brain with contrast (70460) | $6,706.51 | $6,706.51 | 38.1× |
| CT head/brain without and with contrast (70470) | $8,085.98 | $8,085.98 | 45.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $7,524.21 | $7,524.21 | 21.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $321.02 | $321.02 | 3.7× |
| CT hrt w/3d image congen (75573) | $7,524.21 | $7,524.21 | 21.5× |
| CT iac w contrast (70481) | $8,232.86 | $8,232.86 | 46.7× |
| CT limited/localized follow up study (76380) | $2,132.04 | $2,132.04 | 24.4× |
| CT lower ext w/o (73700) | $5,049.95 | $5,049.95 | 48.1× |
| CT lower extremity w wo contrast (73702) | $8,240.42 | $8,240.42 | 46.8× |
| CT lower extremity with contrast (73701) | $6,842.79 | $6,842.79 | 38.8× |
| CT lumbar spine w & w/o contrast (72133) | $10,258.89 | $10,258.89 | 58.2× |
| CT lumbar spine w/o contrast (72131) | $7,757.38 | $7,757.38 | 73.9× |
| CT lumbar spine with contrast (72132) | $7,851.26 | $7,851.26 | 22.4× |
| CT maxillofacial w contrast (70487) | $5,767.68 | $5,767.68 | 32.7× |
| CT maxillofacial w/o contrast (70486) | $5,767.68 | $5,767.68 | 54.9× |
| CT maxillofacial w/wo contrast (70488) | $8,971.80 | $8,971.80 | 50.9× |
| CT neck soft tissue w contrast (70491) | $7,811.15 | $7,811.15 | 44.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $8,971.80 | $8,971.80 | 50.9× |
| CT orbits w/o contrast (70480) | $6,387.01 | $6,387.01 | 60.8× |
| CT pelvis w & w/o contrast (72194) | $9,238.31 | $9,238.31 | 52.4× |
| CT pelvis w/o contrast (72192) | $7,062.35 | $7,062.35 | 67.2× |
| CT soft tissue neck w/o & w/contrast material (70492) | $8,347.94 | $8,347.94 | 47.4× |
| CT soft tissue neck w/o contrast (70490) | $7,766.47 | $7,766.47 | 74.0× |
| CT thoracic spine w/contrast (72129) | $6,952.57 | $6,952.57 | 39.5× |
| CT thoracic spine w/o contrast (72128) | $6,608.08 | $6,608.08 | 62.9× |
| CT thoracic spine w/wo contrast (72130) | $7,516.62 | $7,516.62 | 42.7× |
| CT thorax w/o contrast (71250) | $2,536.92 | $2,536.92 | 24.2× |
| CT upper extremity w/o & w/contrast material (73202) | $8,240.42 | $8,240.42 | 46.8× |
| CT upper extremity w/o contrast rt (73200) | $4,898.52 | $4,898.52 | 46.6× |
| CT upper extremity with contrast (73201) | $5,112.03 | $5,112.03 | 14.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $9,433.64 | $9,433.64 | 53.5× |
| Cta Abdomen (74175) | $11,770.09 | $11,770.09 | 66.8× |
| CTA abdomen pelvis (74174) | $11,770.09 | $11,770.09 | 33.6× |
| CTA chest (71275) | $9,544.16 | $9,544.16 | 54.2× |
| Cta Head (70496) | $10,328.53 | $10,328.53 | 58.6× |
| CTA lwr ext w&w/o contrast (73706) | $10,817.65 | $10,817.65 | 61.4× |
| Cta Neck (70498) | $10,811.58 | $10,811.58 | 61.4× |
| Cta Pelvis (72191) | $11,791.28 | $11,791.28 | 66.9× |
| Cystography minimum 3 views rs&i (74430) | $1,239.70 | $1,239.70 | 3.5× |
| Dacryocystography (70170) | $1,049.41 | $1,049.41 | 4.4× |
| Diskogram cervical (72285) | $7,273.16 | $7,273.16 | 3.7× |
| Diskography lumbar (72295) | $7,273.16 | $7,273.16 | 3.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,350.70 | $1,350.70 | 12.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,350.70 | $1,350.70 | 12.9× |
| Dxa bone density study 1/> sites axial skel (77080) | $838.36 | $838.36 | 8.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $478.63 | $478.63 | 5.5× |
| Dxa bone density study axial skeleton (77085) | $838.36 | $838.36 | 8.0× |
| Echo exam of fetal heart (76825) | $4,860.25 | $4,860.25 | 8.9× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $3,411.80 | $3,411.80 | 14.2× |
| Echoencephalography real time imaging (76506) | $1,382.80 | $1,382.80 | 13.2× |
| Esophageal motility (78258) | $4,844.13 | $4,844.13 | 12.1× |
| Esophagus (74220) | $1,047.95 | $1,047.95 | 5.9× |
| Fetal biophysical profile non-stress testing (76818) | $2,532.22 | $2,532.22 | 24.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,077.13 | $2,077.13 | 19.8× |
| Fluoroscopy up to 1 hr (76000) | $2,045.34 | $2,045.34 | 8.5× |
| Foot 2 views (73620) | $683.77 | $683.77 | 7.8× |
| Forearm 2 views (73090) | $955.78 | $955.78 | 10.9× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) | $654.03 | $654.03 | 2.7× |
| Functional MRI brain by phys/psych (70555) | $13,517.74 | $13,517.74 | 56.4× |
| Functional MRI brain by tech (70554) | $10,571.53 | $10,571.53 | 44.1× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $5,932.32 | $5,932.32 | 10.9× |
| Gastric mucosa imaging (78261) | $5,654.52 | $5,654.52 | 14.1× |
| Gastrointestinal Protein Loss (78282) | $3,469.03 | $3,469.03 | 8.6× |
| Gated Heart Planar Single (78472) | $6,413.05 | $6,413.05 | 16.0× |
| Hand 2 views (73120) | $765.51 | $765.51 | 7.3× |
| Hand 3 views (73130) | $966.19 | $966.19 | 11.1× |
| Heart Infarct Image (78466) | $8,026.23 | $8,026.23 | 20.0× |
| Heart infarct image w ef (78468) | $5,324.89 | $5,324.89 | 9.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $7,273.16 | $7,273.16 | 2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,413.41 | $5,413.41 | 9.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,385.93 | $5,385.93 | 13.4× |
| Ht muscle image spect sing (78451) | $6,394.74 | $6,394.74 | 4.9× |
| Humerus Min 2 Views Left (73060) | $961.72 | $961.72 | 11.0× |
| Hysterosalpingogram (74740) | $2,437.76 | $2,437.76 | 10.2× |
| Image fusion (77399) | $641.68 | $641.68 | 4.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $31,553.33 | $31,553.33 | 4.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $964.69 | $964.69 | 9.2× |
| Kidney funcj study non-img radioisotopic study (78725) | $3,449.19 | $3,449.19 | 8.6× |
| Kidney imaging morphology (78700) | $4,899.07 | $4,899.07 | 12.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,755.25 | $5,755.25 | 10.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,042.18 | $6,042.18 | 11.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $9,485.28 | $9,485.28 | 17.4× |
| Knee 3 views (73562) | $985.50 | $985.50 | 11.3× |
| Liver & spleen imaging static only (78215) | $4,828.87 | $4,828.87 | 12.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,744.93 | $4,744.93 | 11.8× |
| Liver imaging static only (78201) | $3,690.33 | $3,690.33 | 6.8× |
| Liver imaging w/vascular flow (78202) | $4,439.70 | $4,439.70 | 8.1× |
| Lung perf&ventilat diferentl (78598) | $7,287.57 | $7,287.57 | 13.4× |
| Lung perfusion differential (78597) | $5,953.67 | $5,953.67 | 14.8× |
| Lung Ventilation Imaging (78579) | $5,518.70 | $5,518.70 | 13.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $12,786.37 | $12,786.37 | 4.0× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) | $3,968.80 | $3,968.80 | 6.3× |
| Lymphoscintigraphy (78195) | $6,176.50 | $6,176.50 | 11.3× |
| Mammary ductogram or galactogram multiple (77054) | $2,342.64 | $2,342.64 | 9.8× |
| Mammary ductogram or galactogram single (77053) | $1,724.28 | $1,724.28 | 7.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $321.07 | $321.07 | 3.7× |
| Meckels Diverticulum (78290) | $4,499.20 | $4,499.20 | 11.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $51.57 | $51.57 | 1.8× |
| MRA head w & w/o contrast (70546) | $7,322.75 | $7,322.75 | 20.9× |
| MRA head w/o contrast (70544) | $5,560.82 | $5,560.82 | 23.2× |
| MRA head with contrast (70545) | $6,740.53 | $6,740.53 | 19.2× |
| MRA neck w contrast (70548) | $6,175.12 | $6,175.12 | 17.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,322.75 | $7,322.75 | 20.9× |
| MRA neck w/o contrast (70547) | $5,560.82 | $5,560.82 | 23.2× |
| MRI abdomen w contrast (74182) | $9,912.91 | $9,912.91 | 28.3× |
| MRI abdomen w/o & w/contrast material (74183) | $10,892.43 | $10,892.43 | 31.1× |
| MRI abdomen w/o contrast (74181) | $9,824.28 | $9,824.28 | 41.0× |
| MRI any jnt lwr ext with con lt (73722) | $8,635.38 | $8,635.38 | 11.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,312.97 | $8,312.97 | 10.6× |
| MRI bone marrow blood supply (77084) | $7,885.09 | $7,885.09 | 32.9× |
| MRI breast w/o contrast bilateral (77047) | $10,030.59 | $10,030.59 | 41.8× |
| MRI breast w/o contrast unilat (77046) | $5,574.57 | $5,574.57 | 23.3× |
| MRI c-spine with contrast (72142) | $11,543.41 | $11,543.41 | 32.9× |
| MRI cardiac w/o cont stress (75559) | $7,891.21 | $7,891.21 | 14.4× |
| MRI cardiac w/o contrast (75557) | $7,891.21 | $7,891.21 | 32.9× |
| MRI cervical spine w/o contrast (72141) | $9,333.75 | $9,333.75 | 38.9× |
| MRI chest w/o & w/contrast material (71552) | $12,007.95 | $12,007.95 | 34.3× |
| MRI chest w/o contrast (71550) | $7,964.56 | $7,964.56 | 33.2× |
| MRI chest with contrast (71551) | $8,996.04 | $8,996.04 | 11.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $8,335.89 | $8,335.89 | 23.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,312.97 | $8,312.97 | 23.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,556.54 | $7,556.54 | 31.5× |
| MRI orbit face &/neck w/o contrast (70540) | $10,262.84 | $10,262.84 | 42.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,349.94 | $10,349.94 | 29.5× |
| MRI orbit/face/neck w/contrast (70542) | $10,129.90 | $10,129.90 | 28.9× |
| MRI pelvis w contrast (72196) | $9,301.67 | $9,301.67 | 26.5× |
| MRI pelvis w/o & w/contrast material (72197) | $8,870.73 | $8,870.73 | 25.3× |
| MRI pelvis w/o contrast (72195) | $7,402.22 | $7,402.22 | 30.9× |
| MRI scan of arm joint before and after contrast (73223) | $10,213.95 | $10,213.95 | 29.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $8,285.47 | $8,285.47 | 10.5× |
| MRI scan of leg joint before and after contrast (73723) | $10,213.95 | $10,213.95 | 29.1× |
| MRI spectroscopy (76390) | $7,111.86 | $7,111.86 | 81.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,590.79 | $11,590.79 | 33.1× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,537.30 | $11,537.30 | 32.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $11,532.72 | $11,532.72 | 32.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,155.26 | $11,155.26 | 31.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $10,262.84 | $10,262.84 | 29.3× |
| MRI thoracic spine w/o contrast (72146) | $9,320 | $9,320 | 38.9× |
| MRI tmj (70336) | $6,714.56 | $6,714.56 | 28.0× |
| MRI upper ext joint w/o contrast (73221) | $6,933.08 | $6,933.08 | 28.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $9,274.92 | $9,274.92 | 26.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,853.61 | $6,853.61 | 28.6× |
| Myelogram Cervical (72240) | $3,479.77 | $3,479.77 | 4.4× |
| Myelogram Lumbar (72265) | $3,171.32 | $3,171.32 | 4.0× |
| Myelogram thoracic (72255) | $2,705.32 | $2,705.32 | 3.4× |
| Myelography 2 or more regions (72270) | $6,012.66 | $6,012.66 | 7.6× |
| Myocardial infarct spect (78469) | $6,452.72 | $6,452.72 | 11.8× |
| Myocardial Spect Multiple Studies (78452) | $6,394.74 | $6,394.74 | 4.9× |
| Myocrd img PET metab eval single study cncrnt CT (78429) | $22,517.33 | $22,517.33 | 15.7× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $5,340.96 | $5,340.96 | 6.2× |
| Neck soft tissue (70360) | $746.20 | $746.20 | 8.5× |
| Nm adrenal scan (78075) | $6,400.84 | $6,400.84 | 4.9× |
| Nm bone marrow multiple (78103) | $5,234.84 | $5,234.84 | 13.0× |
| Nm bone marrow wb (78104) | $6,432.89 | $6,432.89 | 16.0× |
| Nm cisternogram (78630) | $6,361.16 | $6,361.16 | 11.7× |
| Nm csf leak detection (78650) | $6,983.84 | $6,983.84 | 5.4× |
| Nm gastric emptying study (78264) | $4,612.14 | $4,612.14 | 11.5× |
| Nm peritoneal-venous shunt patency (78291) | $5,311.14 | $5,311.14 | 13.2× |
| Nm red cell sequestration (78140) | $2,440.37 | $2,440.37 | 6.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,784.58 | $6,784.58 | 4.9× |
| Nuclear medicine of heart pumping function (78473) | $10,191.89 | $10,191.89 | 25.4× |
| Nuclear medicine of heart pumping function by first pass technique (78483) | $10,648.22 | $10,648.22 | 19.5× |
| Nuclear medicine study of kidney and blood flow (78701) | $5,295.88 | $5,295.88 | 13.2× |
| Nuclear medicine study of limited area for thyroid cancer (78015) | $4,364.89 | $4,364.89 | 10.9× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $5,005.90 | $5,005.90 | 12.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $4,508.36 | $4,508.36 | 11.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $3,385.09 | $3,385.09 | 6.2× |
| Nuclear Rx Oral Admin (79005) | $5,990.29 | $5,990.29 | 25.6× |
| Nuclr Rx Interstit Colloid (79300) | $3,208.04 | $3,208.04 | 13.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,535.97 | $1,535.97 | 14.6× |
| Orthopantogram (70355) | $1,000.38 | $1,000.38 | 11.4× |
| Osseous survey infant (77076) | $1,034.57 | $1,034.57 | 9.9× |
| Osseous survey limited (77074) | $2,396.15 | $2,396.15 | 22.8× |
| Parathyrd planar w/spect&CT (78072) | $7,029.63 | $7,029.63 | 12.9× |
| Parathyrd planar w/wo subtrj (78071) | $5,695.74 | $5,695.74 | 14.2× |
| Parathyroid imaging (78070) | $5,695.74 | $5,695.74 | 14.2× |
| Pelvis 1 or 2 views (72170) | $948.34 | $948.34 | 9.0× |
| Perineogram (74775) | $1,070.22 | $1,070.22 | 4.5× |
| Peritoneogram rs&i (74190) | $1,806.78 | $1,806.78 | 3.3× |
| PET image w/CT, skull-thigh (78815) | $22,517.33 | $22,517.33 | 15.7× |
| PET imaging for CT attenuation whole body (78816) | $22,517.33 | $22,517.33 | 15.7× |
| Platelet survival study (78191) | $8,070.48 | $8,070.48 | 20.1× |
| Pr csf ventriculography (78635) | $4,265.70 | $4,265.70 | 7.8× |
| Pr heart first pass single,planar (78481) | $8,183.42 | $8,183.42 | 15.0× |
| Pr MRI brain w/ dye (70558) | $31,709.99 | $31,709.99 | 180.0× |
| Pr MRI brain w/o & w/ dye (70559) | $34,946.56 | $34,946.56 | 198.3× |
| Pr MRI brain w/o dye (70557) | $23,464.27 | $23,464.27 | 42.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $10,213.95 | $10,213.95 | 29.1× |
| Pr non-imaging heart function (78414) | $3,919.26 | $3,919.26 | 7.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,273.16 | $7,273.16 | 2.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $4,373.12 | $4,373.12 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,491.23 | $5,491.23 | 13.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,394.74 | $6,394.74 | 11.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,550.36 | $1,550.36 | 2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $826.46 | $826.46 | 9.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,132.67 | $1,132.67 | 10.8× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,236.72 | $1,236.72 | 11.8× |
| Radex mastoids compl minimum 3 views pr side (70130) | $884.44 | $884.44 | 8.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,811.98 | $1,811.98 | 17.3× |
| Radiation treatment delivery 1 mev >= simple (77402) | $467.04 | $467.04 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,110.37 | $1,110.37 | 10.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $847.26 | $847.26 | 9.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,361.59 | $1,361.59 | 13.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $908.22 | $908.22 | 10.4× |
| Radiologic exam colon single contrast study (74270) | $2,694.92 | $2,694.92 | 15.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,047.95 | $1,047.95 | 5.9× |
| Radiologic exam teeth prtl exam < full mouth (70310) | $2,436.28 | $2,436.28 | 10.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,232.65 | $2,232.65 | 12.7× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,811.98 | $1,811.98 | 10.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $988.48 | $988.48 | 11.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $955.78 | $955.78 | 10.9× |
| Radiological examination surgical specimen (76098) | $2,436.28 | $2,436.28 | 4.4× |
| Radiopharm Dacryocystography (78660) | $3,552.97 | $3,552.97 | 8.8× |
| Radiopharmaceutical therapy, by intra-articular administration Age Under 21 (79440) | $6,068.13 | $6,068.13 | 25.9× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) | $6,054.39 | $6,054.39 | 25.8× |
| Review by radiologist of adrenal gland vein image (75840) | $7,273.16 | $7,273.16 | 2.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $7,273.16 | $7,273.16 | 2.3× |
| Ribs bilateral 3 views (71110) | $2,422.91 | $2,422.91 | 23.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $12,591.06 | $12,591.06 | 31.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $8,629.07 | $8,629.07 | 15.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $11,455.57 | $11,455.57 | 21.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,410.82 | $8,410.82 | 6.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $8,410.82 | $8,410.82 | 5.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $3,429.35 | $3,429.35 | 2.6× |
| Rp therapy intra-arterial particulate admn (79445) | $4,253.50 | $4,253.50 | 18.1× |
| Rp Therapy Intravenous Administration (79101) | $5,039.48 | $5,039.48 | 21.5× |
| Sacroiliac Joints < 3 Views (72200) | $466.74 | $466.74 | 4.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $1,754.76 | $1,754.76 | 7.3× |
| Salivary gland function study (78232) | $5,186 | $5,186 | 12.9× |
| Salivary gland imaging serial images (78231) | $4,828.87 | $4,828.87 | 12.0× |
| Scanogram (77073) | $1,160.92 | $1,160.92 | 11.1× |
| Scapula complete (73010) | $932 | $932 | 8.9× |
| Screening digital breast tomosynthesis (77063) | $231.93 | $231.93 | 9.9× |
| Sella turcica (70240) | $1,064.29 | $1,064.29 | 12.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,312.53 | $1,312.53 | 12.5× |
| Sialogram (70390) | $1,795.62 | $1,795.62 | 7.5× |
| Simulation intermediate (77285) | $1,334.95 | $1,334.95 | 3.5× |
| Small bowel series (74250) | $1,840.21 | $1,840.21 | 10.4× |
| Spec medical radj physics consltj (77370) | $628.44 | $628.44 | 4.7× |
| Special dosimetry (77331) | $256.67 | $256.67 | 1.9× |
| Special treatment procedure (77470) | $2,229.33 | $2,229.33 | 4.0× |
| Speech evaluation complex (70371) | $1,987.38 | $1,987.38 | 8.3× |
| Spine thoracic 3 views (72072) | $2,335.21 | $2,335.21 | 22.2× |
| Spleen imaging only (78185) | $3,626.23 | $3,626.23 | 9.0× |
| Splenoportograpy rs&i (75810) | $6,430.37 | $6,430.37 | 2.0× |
| Superior sagittal sinus venogram (75870) | $9,556.02 | $9,556.02 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,357.46 | $1,357.46 | 3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $527.90 | $527.90 | 1.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,743.61 | $1,743.61 | 7.3× |
| Testicular Imaging With Vascular Flow (78761) | $4,195.49 | $4,195.49 | 10.4× |
| Ther rad simulaj-aided field setting complex (77290) | $1,334.95 | $1,334.95 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $796.48 | $796.48 | 5.9× |
| Therapeutic Enema (74283) | $1,972.50 | $1,972.50 | 11.2× |
| Thoracolumbar 2 views (72080) | $2,693.45 | $2,693.45 | 30.8× |
| Thyroid carcinoma metastases img addl study (78016) | $5,729.32 | $5,729.32 | 14.3× |
| Thyroid carcinoma metastases img whole body (78018) | $6,243.64 | $6,243.64 | 11.4× |
| Thyroid Imaging With Vascular Flow (78013) | $3,775.78 | $3,775.78 | 9.4× |
| Thyroid uptake measurement (78012) | $708.16 | $708.16 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,450.37 | $4,450.37 | 11.1× |
| Tmj unilateral (70328) | $560.38 | $560.38 | 6.4× |
| Tomogram (76100) | $1,615.77 | $1,615.77 | 15.4× |
| Treatment device intermediate (77333) | $3,643.67 | $3,643.67 | 27.0× |
| Treatment devices simple (77332) | $993.61 | $993.61 | 7.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $9,653.14 | $9,653.14 | 17.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $9,259.41 | $9,259.41 | 23.1× |
| Tx devices design & construction complex (77334) | $3,643.67 | $3,643.67 | 9.7× |
| Ultrasound elastography first target lesion (76982) | $1,607.44 | $1,607.44 | 15.3× |
| Ultrasound, abdomen limited (76705) | $1,259.55 | $1,259.55 | 12.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $3,006.34 | $3,006.34 | 34.4× |
| Unlisted fluoroscopic procedure (76496) | $330.32 | $330.32 | 3.8× |
| Unlisted magnetic resonance procedure (76498) | $1,789.43 | $1,789.43 | 20.5× |
| Unlisted Ultrasound Procedure (76999) | $1,147.98 | $1,147.98 | 13.1× |
| Upper Extremity Infant (73092) | $1,036.04 | $1,036.04 | 9.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $4,198.54 | $4,198.54 | 10.5× |
| Urethrocystography retrograde rs&i (74450) | $2,347.08 | $2,347.08 | 9.8× |
| Urethrocystography voiding (74455) | $2,080.28 | $2,080.28 | 8.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,428.85 | $2,428.85 | 13.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $2,428.85 | $2,428.85 | 13.8× |
| Us abdl aorta screen aaa (76706) | $2,555.58 | $2,555.58 | 24.3× |
| Us breast unilateral complete (76641) | $1,563.68 | $1,563.68 | 14.9× |
| Us breast unilateral limited (76642) | $781.83 | $781.83 | 8.9× |
| Us chest (76604) | $2,037.74 | $2,037.74 | 19.4× |
| Us compl joint r-t w/image documentation (76881) | $1,711 | $1,711 | 16.3× |
| Us elastography parenchyma (76981) | $1,607.44 | $1,607.44 | 15.3× |
| Us fetal nuchal translucency 1st gestation (76813) | $2,666.43 | $2,666.43 | 25.4× |
| Us guided compression repair (76936) | $1,465.95 | $1,465.95 | 6.8× |
| Us infant hips dynamic (76885) | $1,886.04 | $1,886.04 | 21.6× |
| Us infant hips limited static (76886) | $1,662.88 | $1,662.88 | 19.0× |
| Us kidney transplant (76776) | $2,555.58 | $2,555.58 | 24.3× |
| Us ob detailed single fetus (76811) | $2,666.43 | $2,666.43 | 11.1× |
| Us ob transvaginal (76817) | $1,535.97 | $1,535.97 | 14.6× |
| Us pelvic non ob complete (76856) | $1,818.22 | $1,818.22 | 17.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,337.58 | $1,337.58 | 12.7× |
| Us pregnancy ltd (76815) | $1,174.22 | $1,174.22 | 11.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,608.89 | $1,608.89 | 15.3× |
| Us retroperitoneal complete (76770) | $2,106.16 | $2,106.16 | 20.1× |
| Us retroperitoneal limited (76775) | $2,109.94 | $2,109.94 | 20.1× |
| Us scrotum and contents (76870) | $1,533.04 | $1,533.04 | 14.6× |
| Us soft tissue head/neck (76536) | $1,538.17 | $1,538.17 | 14.6× |
| Us spinal canal and contents (76800) | $3,515.37 | $3,515.37 | 33.5× |
| Us transrectal (76872) | $1,522.12 | $1,522.12 | 14.5× |
| Us xtr non-vasc lmtd (76882) | $1,130.46 | $1,130.46 | 10.8× |
| Vascular flow imaging (78445) | $3,176.01 | $3,176.01 | 7.9× |
| Vasogram (74440) | $1,526.58 | $1,526.58 | 6.4× |
| Venogram extremity bilateral (75822) | $4,261.70 | $4,261.70 | 2.7× |
| Venogram orbital (75880) | $7,273.16 | $7,273.16 | 11.5× |
| Venography caval inferior serialography rs&i (75825) | $10,464.55 | $10,464.55 | 3.3× |
| Venography caval superior serialography rs&i (75827) | $3,555.58 | $3,555.58 | 2.2× |
| Venography epidural rs&i (75872) | $7,273.16 | $7,273.16 | 11.5× |
| Venography extremity unilateral rs&i (75820) | $4,602.42 | $4,602.42 | 2.9× |
| Venography Renal Bilateral (75833) | $7,273.16 | $7,273.16 | 2.3× |
| Venography renal unilateral selective rs&i (75831) | $7,035.26 | $7,035.26 | 2.2× |
| Venography venous sinus/jugular cath rs&i (75860) | $10,027.54 | $10,027.54 | 3.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $21,248.70 | $21,248.70 | 3.8× |
| Vertebral fracture assessment via dxa (77086) | $437.02 | $437.02 | 5.0× |
| Wrist 2 views (73100) | $822.01 | $822.01 | 9.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,058.36 | $1,058.36 | 10.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,195.10 | $1,195.10 | 13.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,657.37 | $1,657.37 | 19.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,433.31 | $2,433.31 | 13.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $625.80 | $625.80 | 7.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $822.01 | $822.01 | 9.4× |
| X-ray exam entire spi 4/5 vw (72083) | $1,377.94 | $1,377.94 | 13.1× |
| X-ray exam hip uni 1 view (73501) | $835.38 | $835.38 | 9.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $888.89 | $888.89 | 10.2× |
| X-ray exam hip uni 4/> views (73503) | $1,144.56 | $1,144.56 | 10.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,348.21 | $1,348.21 | 12.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,490.90 | $1,490.90 | 14.2× |
| X-ray exam of femur 1 (73551) | $746.20 | $746.20 | 8.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $2,943.15 | $2,943.15 | 16.7× |
| X-ray eye for foreign body (70030) | $365.66 | $365.66 | 4.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,250.09 | $1,250.09 | 11.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $753.62 | $753.62 | 8.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $813.08 | $813.08 | 9.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $8,905.29 | $8,905.29 | 4.2× |
| X-ray head for orthodontia (70350) | $387.96 | $387.96 | 4.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $557.42 | $557.42 | 6.4× |
| X-ray IV pyelogram+drip infusn (74410) | $2,069.13 | $2,069.13 | 11.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $637.69 | $637.69 | 7.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,232.25 | $1,232.25 | 11.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $722.41 | $722.41 | 8.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,049.41 | $1,049.41 | 12.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $832.42 | $832.42 | 7.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,134.91 | $3,134.91 | 29.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $805.67 | $805.67 | 7.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $804.17 | $804.17 | 9.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $722.41 | $722.41 | 8.3× |
| X-ray of voice box or throat (70370) | $1,067.26 | $1,067.26 | 12.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $868.07 | $868.07 | 8.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $804.17 | $804.17 | 7.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $1,196.58 | $1,196.58 | 2.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $1,713.87 | $1,713.87 | 4.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,117.80 | $1,117.80 | 12.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,440.36 | $1,440.36 | 13.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,418.06 | $1,418.06 | 13.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $740.25 | $740.25 | 7.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $807.13 | $807.13 | 9.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,036.04 | $1,036.04 | 11.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,718.32 | $1,718.32 | 19.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $439.98 | $439.98 | 5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,256.42 | $2,256.42 | 21.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,398.75 | $1,398.75 | 13.3× |
| X-Ray Spine One View - Xr Spine (72020) | $826.46 | $826.46 | 9.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,260.51 | $1,260.51 | 14.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,056.86 | $1,056.86 | 12.1× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) | $266.07 | $266.07 | 3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,059.84 | $1,059.84 | 10.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $750.66 | $750.66 | 7.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $725.39 | $725.39 | 8.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $850.23 | $850.23 | 9.7× |
| Xr arthrogram ankle (73615) | $1,493.88 | $1,493.88 | 4.3× |
| Xr c-spine 6 or more views (72052) | $1,756.98 | $1,756.98 | 16.7× |
| Xr chest 4+ views (71048) | $1,377.94 | $1,377.94 | 13.1× |
| Xr Cholecystography Oral Contrast (74290) | $845.79 | $845.79 | 4.8× |
| Xr finger(s) 2+ views (73140) | $731.33 | $731.33 | 8.4× |
| Xr internal auditory meati complete (70134) | $740.25 | $740.25 | 1.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $541.07 | $541.07 | 5.2× |
| Xr myelogram posterior fossa (70010) | $3,653.66 | $3,653.66 | 10.4× |
| Xr optic foramina (70190) | $701.60 | $701.60 | 8.0× |
| Xr shoulder 1 view (73020) | $945.38 | $945.38 | 10.8× |
| Xr spine cervical 4 or 5 views (72050) | $1,361.59 | $1,361.59 | 13.0× |
| Xr tibia/fibula 2 views (73590) | $816.05 | $816.05 | 9.3× |
| Xr tmj bilateral (70330) | $902.28 | $902.28 | 10.3× |
| Xray knee 1 or 2 views rt (73560) | $793.76 | $793.76 | 9.1× |