Imaging prices at Medical City Weatherford
Weatherford, TX · every code in this section with a posted price and a Medicare benchmark.
284 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) | $976.92 | $976.92 | 9.3× |
| Acute gastrointestinal blood loss imaging (78278) | $6,376.58 | $6,376.58 | 15.9× |
| Angiography extremity bilateral rs&i (75716) | $15,396.56 | $15,396.56 | 4.9× |
| Angiography extremity unilateral rs&i (75710) | $14,948.12 | $14,948.12 | 4.7× |
| Angiography internal mammary rs&i (75756) | $10,494.28 | $10,494.28 | 3.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $15,845.01 | $15,845.01 | 2.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,898.96 | $2,898.96 | 0.9× |
| Ankle 2 views (73600) | $976.92 | $976.92 | 11.2× |
| Antegrade urography radiological supvj & interpj (74425) | $3,861.96 | $3,861.96 | 11.0× |
| Aortogram thoracic (75605) | $17,448.09 | $17,448.09 | 3.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $15,396.56 | $15,396.56 | 4.9× |
| Aortography abdominal serialography rs&i (75625) | $15,396.56 | $15,396.56 | 4.9× |
| Arthrogram elbow (73085) | $3,793.38 | $3,793.38 | 10.8× |
| Arthrogram hip (73525) | $3,793.38 | $3,793.38 | 10.8× |
| Arthrogram shoulder (73040) | $3,793.38 | $3,793.38 | 10.8× |
| Arthrogram wrist (73115) | $3,793.38 | $3,793.38 | 10.8× |
| Arthrography knee lt (73580) | $3,793.38 | $3,793.38 | 10.8× |
| Bone &/Joint Imaging Limited Area (78300) | $3,128.99 | $3,128.99 | 7.8× |
| Bone &/joint imaging whole body (78306) | $4,512.04 | $4,512.04 | 11.2× |
| Bone age studies (77072) | $970.85 | $970.85 | 9.2× |
| Bone Imaging 3 Phase (78315) | $5,706.50 | $5,706.50 | 14.2× |
| Bone Marrow Imaging Limited Area (78102) | $3,128.99 | $3,128.99 | 7.8× |
| Bone survey complete (77075) | $3,453.33 | $3,453.33 | 32.9× |
| Cervical spine 2 or 3 views (72040) | $1,513.05 | $1,513.05 | 17.3× |
| Chest 1 view (71045) | $843.70 | $843.70 | 9.7× |
| Chest 3 views (71047) | $976.92 | $976.92 | 11.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,086 | $2,086 | 11.8× |
| Clavicle complete (73000) | $1,214.80 | $1,214.80 | 13.9× |
| CT abdomen and pelvis without and with contrast (74178) | $11,999.86 | $11,999.86 | 34.2× |
| CT abdomen and pelvis without contrast (74176) | $10,026.77 | $10,026.77 | 41.8× |
| CT abdomen w contrast (74160) | $5,439.43 | $5,439.43 | 30.9× |
| CT abdomen w wo contrast (74170) | $6,392 | $6,392 | 36.3× |
| CT abdomen w/o contrast (74150) | $5,078.49 | $5,078.49 | 48.4× |
| CT angiography upper extremity lt (73206) | $8,653.83 | $8,653.83 | 49.1× |
| CT c-spine w/o contrast (72125) | $6,392 | $6,392 | 60.9× |
| CT cervical spine w&w/o contrast (72127) | $5,994.28 | $5,994.28 | 34.0× |
| CT cervical spine with contrast (72126) | $5,838.58 | $5,838.58 | 16.7× |
| CT chest w/wo contrast (71270) | $6,392 | $6,392 | 36.3× |
| CT chest with contrast (71260) | $5,006.32 | $5,006.32 | 28.4× |
| CT colonography screening (74263) | $9,675.75 | $9,675.75 | 40.4× |
| CT colonography w/dye (74262) | $10,680.70 | $10,680.70 | 60.6× |
| CT colonography w/o cntrst (74261) | $10,025.36 | $10,025.36 | 95.5× |
| CT head/brain with contrast (70460) | $5,481.89 | $5,481.89 | 31.1× |
| CT head/brain without and with contrast (70470) | $5,367.25 | $5,367.25 | 30.5× |
| CT iac w contrast (70481) | $6,547.69 | $6,547.69 | 37.2× |
| CT lower ext w/o (73700) | $5,095.48 | $5,095.48 | 48.5× |
| CT lower extremity w wo contrast (73702) | $5,838.58 | $5,838.58 | 33.1× |
| CT lower extremity with contrast (73701) | $5,630.51 | $5,630.51 | 32.0× |
| CT lumbar spine w & w/o contrast (72133) | $5,994.28 | $5,994.28 | 34.0× |
| CT lumbar spine w/o contrast (72131) | $5,838.58 | $5,838.58 | 55.6× |
| CT lumbar spine with contrast (72132) | $5,838.58 | $5,838.58 | 16.7× |
| CT maxillofacial w contrast (70487) | $4,645.38 | $4,645.38 | 26.4× |
| CT maxillofacial w/o contrast (70486) | $4,724.64 | $4,724.64 | 45.0× |
| CT maxillofacial w/wo contrast (70488) | $5,672.97 | $5,672.97 | 32.2× |
| CT neck soft tissue w contrast (70491) | $5,838.58 | $5,838.58 | 33.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $8,724.61 | $8,724.61 | 49.5× |
| CT orbits w/o contrast (70480) | $5,896.61 | $5,896.61 | 56.1× |
| CT pelvis w & w/o contrast (72194) | $5,606.44 | $5,606.44 | 31.8× |
| CT pelvis w/o contrast (72192) | $4,952.53 | $4,952.53 | 47.2× |
| CT scan for measuring calcium and other minerals in bone (77078) | $4.55 | $4.55 | 0.1× |
| CT soft tissue neck w/o & w/contrast material (70492) | $6,392 | $6,392 | 36.3× |
| CT soft tissue neck w/o contrast (70490) | $5,307.80 | $5,307.80 | 50.5× |
| CT thoracic spine w/contrast (72129) | $5,838.58 | $5,838.58 | 33.1× |
| CT thoracic spine w/o contrast (72128) | $6,392 | $6,392 | 60.9× |
| CT thoracic spine w/wo contrast (72130) | $5,994.28 | $5,994.28 | 34.0× |
| CT thorax w/o contrast (71250) | $4,486.86 | $4,486.86 | 42.7× |
| CT unlisted procedure (76497) | $1,200.27 | $1,200.27 | 13.7× |
| CT upper extremity w/o & w/contrast material (73202) | $11,668.66 | $11,668.66 | 66.2× |
| CT upper extremity w/o contrast rt (73200) | $5,095.48 | $5,095.48 | 48.5× |
| CT upper extremity with contrast (73201) | $5,630.51 | $5,630.51 | 16.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,653.83 | $8,653.83 | 49.1× |
| Cta Abdomen (74175) | $8,653.83 | $8,653.83 | 49.1× |
| CTA abdomen pelvis (74174) | $16,023.88 | $16,023.88 | 45.7× |
| CTA chest (71275) | $5,006.32 | $5,006.32 | 28.4× |
| Cta Head (70496) | $8,653.83 | $8,653.83 | 49.1× |
| CTA lwr ext w&w/o contrast (73706) | $8,653.83 | $8,653.83 | 49.1× |
| Cta Neck (70498) | $8,653.83 | $8,653.83 | 49.1× |
| Cta Pelvis (72191) | $8,653.83 | $8,653.83 | 49.1× |
| Cystography minimum 3 views rs&i (74430) | $2,451.76 | $2,451.76 | 7.0× |
| Diskogram cervical (72285) | $12,353.11 | $12,353.11 | 6.3× |
| Diskography lumbar (72295) | $12,354.53 | $12,354.53 | 6.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $802.25 | $802.25 | 7.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $4.61 | $4.61 | 0.1× |
| Dxa bone density study axial skeleton (77085) | $437.20 | $437.20 | 4.2× |
| Echo exam of fetal heart (76825) | $3,748.08 | $3,748.08 | 6.8× |
| Esophageal motility (78258) | $6,376.58 | $6,376.58 | 15.9× |
| Esophagus (74220) | $1,550.22 | $1,550.22 | 8.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,864.95 | $4,864.95 | 46.3× |
| Fluoroscopy up to 1 hr (76000) | $2,034.56 | $2,034.56 | 8.5× |
| Foot 2 views (73620) | $976.92 | $976.92 | 11.2× |
| Forearm 2 views (73090) | $906.55 | $906.55 | 10.4× |
| Gated Heart Planar Single (78472) | $6,975.23 | $6,975.23 | 17.4× |
| Hand 2 views (73120) | $1,046.22 | $1,046.22 | 10.0× |
| Hand 3 views (73130) | $976.92 | $976.92 | 11.2× |
| Heart Infarct Image (78466) | $3,366.17 | $3,366.17 | 8.4× |
| Heart infarct image w ef (78468) | $5,425.02 | $5,425.02 | 9.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $6,149.41 | $6,149.41 | 11.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $6,643.75 | $6,643.75 | 16.5× |
| Ht muscle image spect sing (78451) | $12,458.84 | $12,458.84 | 9.6× |
| Humerus Min 2 Views Left (73060) | $1,119.79 | $1,119.79 | 12.8× |
| Hysterosalpingogram (74740) | $3,793.38 | $3,793.38 | 15.8× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $906.55 | $906.55 | 8.6× |
| Kidney imaging morphology (78700) | $3,329.03 | $3,329.03 | 8.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,006.52 | $6,006.52 | 11.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,573.75 | $6,573.75 | 12.1× |
| Knee 3 views (73562) | $1,683.09 | $1,683.09 | 19.3× |
| Liver & spleen imaging static only (78215) | $3,856.24 | $3,856.24 | 9.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,579.20 | $4,579.20 | 11.4× |
| Liver imaging w/vascular flow (78202) | $4,646.34 | $4,646.34 | 8.5× |
| Lung perf&ventilat diferentl (78598) | $14,867.72 | $14,867.72 | 27.3× |
| Lung perfusion differential (78597) | $3,499.04 | $3,499.04 | 8.7× |
| Lung Ventilation Imaging (78579) | $3,644.79 | $3,644.79 | 9.1× |
| Lymphoscintigraphy (78195) | $9,648.46 | $9,648.46 | 17.7× |
| Mammary ductogram or galactogram multiple (77054) | $2,870.40 | $2,870.40 | 12.0× |
| Mammary ductogram or galactogram single (77053) | $2,870.40 | $2,870.40 | 12.0× |
| Meckels Diverticulum (78290) | $4,883.53 | $4,883.53 | 12.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $543.80 | $543.80 | 1.5× |
| MRA head w & w/o contrast (70546) | $8,089.68 | $8,089.68 | 23.1× |
| MRA head w/o contrast (70544) | $7,338.14 | $7,338.14 | 30.6× |
| MRA head with contrast (70545) | $10,439.99 | $10,439.99 | 29.8× |
| MRA neck w contrast (70548) | $7,639.60 | $7,639.60 | 21.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,089.68 | $8,089.68 | 23.1× |
| MRA neck w/o contrast (70547) | $7,338.14 | $7,338.14 | 30.6× |
| MRI abdomen w contrast (74182) | $8,554.03 | $8,554.03 | 24.4× |
| MRI abdomen w/o & w/contrast material (74183) | $8,712.62 | $8,712.62 | 24.9× |
| MRI abdomen w/o contrast (74181) | $8,554.03 | $8,554.03 | 35.7× |
| MRI any jnt lwr ext with con lt (73722) | $9,537.01 | $9,537.01 | 12.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,712.62 | $8,712.62 | 11.1× |
| MRI c-spine with contrast (72142) | $9,356.98 | $9,356.98 | 26.7× |
| MRI cervical spine w/o contrast (72141) | $9,537.01 | $9,537.01 | 39.8× |
| MRI chest w/o & w/contrast material (71552) | $12,515.98 | $12,515.98 | 35.7× |
| MRI chest w/o contrast (71550) | $6,410.87 | $6,410.87 | 26.7× |
| MRI chest with contrast (71551) | $8,735.48 | $8,735.48 | 11.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $8,712.62 | $8,712.62 | 24.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,537.01 | $9,537.01 | 27.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,537.01 | $9,537.01 | 39.8× |
| MRI orbit face &/neck w/o contrast (70540) | $9,537.01 | $9,537.01 | 39.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $14,306.23 | $14,306.23 | 40.8× |
| MRI orbit/face/neck w/contrast (70542) | $9,537.01 | $9,537.01 | 27.2× |
| MRI pelvis w contrast (72196) | $8,712.62 | $8,712.62 | 24.9× |
| MRI pelvis w/o & w/contrast material (72197) | $9,727.04 | $9,727.04 | 27.8× |
| MRI pelvis w/o contrast (72195) | $8,621.17 | $8,621.17 | 36.0× |
| MRI scan of arm joint before and after contrast (73223) | $9,727.04 | $9,727.04 | 27.8× |
| MRI scan of leg joint before and after contrast (73723) | $10,548.57 | $10,548.57 | 30.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,540.14 | $11,540.14 | 32.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,171.52 | $11,171.52 | 31.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $11,540.14 | $11,540.14 | 32.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $9,296.97 | $9,296.97 | 26.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $10,545.72 | $10,545.72 | 30.1× |
| MRI thoracic spine w/o contrast (72146) | $8,712.62 | $8,712.62 | 36.3× |
| MRI tmj (70336) | $8,712.62 | $8,712.62 | 36.3× |
| MRI upper ext joint w/o contrast (73221) | $8,712.62 | $8,712.62 | 36.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $9,727.04 | $9,727.04 | 27.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,712.62 | $8,712.62 | 36.3× |
| Myelography 2 or more regions (72270) | $5,379.30 | $5,379.30 | 6.8× |
| Myocardial infarct spect (78469) | $6,119.39 | $6,119.39 | 11.2× |
| Myocardial Spect Multiple Studies (78452) | $14,163.35 | $14,163.35 | 10.9× |
| Neck soft tissue (70360) | $1,059.78 | $1,059.78 | 12.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,598.93 | $2,598.93 | 6.5× |
| Nm cisternogram (78630) | $8,518.31 | $8,518.31 | 15.6× |
| Nm gastric emptying study (78264) | $6,376.58 | $6,376.58 | 15.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $5,557.89 | $5,557.89 | 13.8× |
| Nuclear Rx Oral Admin (79005) | $1,935.98 | $1,935.98 | 8.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,495.91 | $1,495.91 | 14.2× |
| Osseous survey infant (77076) | $2,624.64 | $2,624.64 | 25.0× |
| Parathyrd planar w/wo subtrj (78071) | $6,508.03 | $6,508.03 | 16.2× |
| Parathyroid imaging (78070) | $2,896.10 | $2,896.10 | 7.2× |
| Pelvis 1 or 2 views (72170) | $974.07 | $974.07 | 9.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $10,548.57 | $10,548.57 | 30.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,158.99 | $3,158.99 | 7.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $14,566.27 | $14,566.27 | 26.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,998.83 | $1,998.83 | 3.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $3,357.59 | $3,357.59 | 38.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $4,912.09 | $4,912.09 | 46.8× |
| Radex hips bilateral with pelvis 2 views (73521) | $2,086 | $2,086 | 19.9× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,998.83 | $1,998.83 | 19.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,513.05 | $1,513.05 | 14.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $895.83 | $895.83 | 10.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,058.36 | $1,058.36 | 10.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $976.92 | $976.92 | 11.2× |
| Radiologic exam colon single contrast study (74270) | $3,833.37 | $3,833.37 | 21.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,183.15 | $2,183.15 | 12.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,998.83 | $1,998.83 | 11.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,167.30 | $1,167.30 | 13.4× |
| Radiological examination surgical specimen (76098) | $1,686.14 | $1,686.14 | 3.1× |
| Ribs bilateral 3 views (71110) | $2,284.59 | $2,284.59 | 21.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,343.85 | $7,343.85 | 13.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $3,697.65 | $3,697.65 | 6.8× |
| Rp Therapy Intravenous Administration (79101) | $6,376.58 | $6,376.58 | 27.2× |
| Scanogram (77073) | $1,030.86 | $1,030.86 | 9.8× |
| Scapula complete (73010) | $1,417.35 | $1,417.35 | 13.5× |
| Screening digital breast tomosynthesis (77063) | $215.38 | $215.38 | 9.2× |
| Sella turcica (70240) | $898.69 | $898.69 | 10.3× |
| Sialogram (70390) | $1,825.97 | $1,825.97 | 7.6× |
| Small bowel series (74250) | $2,546.06 | $2,546.06 | 14.4× |
| Speech evaluation complex (70371) | $10.73 | $10.73 | 0.0× |
| Spine thoracic 3 views (72072) | $1,513.05 | $1,513.05 | 14.4× |
| Testicular Imaging With Vascular Flow (78761) | $3,987.68 | $3,987.68 | 9.9× |
| Thoracolumbar 2 views (72080) | $1,059.78 | $1,059.78 | 12.1× |
| Thyroid carcinoma metastases img whole body (78018) | $2,638.92 | $2,638.92 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $2,896.10 | $2,896.10 | 7.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,640.63 | $4,640.63 | 11.6× |
| Tomogram (76100) | $1,933.12 | $1,933.12 | 18.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $24,028.97 | $24,028.97 | 44.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $4,474.90 | $4,474.90 | 11.1× |
| Ultrasound, abdomen limited (76705) | $3,603.34 | $3,603.34 | 34.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $978.71 | $978.71 | 11.2× |
| Unlisted magnetic resonance procedure (76498) | $7,572.45 | $7,572.45 | 86.6× |
| Unlisted Ultrasound Procedure (76999) | $1,475.91 | $1,475.91 | 16.9× |
| Upper Extremity Infant (73092) | $1,199.45 | $1,199.45 | 11.4× |
| Urethrocystography retrograde rs&i (74450) | $2,257.45 | $2,257.45 | 9.4× |
| Urethrocystography voiding (74455) | $2,546.06 | $2,546.06 | 10.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,027.56 | $3,027.56 | 17.2× |
| Us abdl aorta screen aaa (76706) | $2,910.40 | $2,910.40 | 27.7× |
| Us breast unilateral complete (76641) | $1,261.97 | $1,261.97 | 12.0× |
| Us breast unilateral limited (76642) | $1,071.58 | $1,071.58 | 12.3× |
| Us chest (76604) | $3,603.34 | $3,603.34 | 34.3× |
| Us compl joint r-t w/image documentation (76881) | $2,197.43 | $2,197.43 | 20.9× |
| Us ob transvaginal (76817) | $3,434.74 | $3,434.74 | 32.7× |
| Us pelvic non ob complete (76856) | $3,091.85 | $3,091.85 | 29.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,594.65 | $2,594.65 | 24.7× |
| Us pregnancy ltd (76815) | $1,746.66 | $1,746.66 | 16.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,104.71 | $3,104.71 | 29.6× |
| Us retroperitoneal complete (76770) | $3,603.34 | $3,603.34 | 34.3× |
| Us scrotum and contents (76870) | $3,051.85 | $3,051.85 | 29.1× |
| Us soft tissue head/neck (76536) | $2,533.20 | $2,533.20 | 24.1× |
| Us xtr non-vasc lmtd (76882) | $645.98 | $645.98 | 6.2× |
| Vascular flow imaging (78445) | $2,436.04 | $2,436.04 | 6.1× |
| Venogram extremity bilateral (75822) | $5,152.08 | $5,152.08 | 3.3× |
| Venography caval inferior serialography rs&i (75825) | $15,845.01 | $15,845.01 | 5.0× |
| Venography extremity unilateral rs&i (75820) | $4,822.76 | $4,822.76 | 3.0× |
| Vertebral fracture assessment via dxa (77086) | $332.89 | $332.89 | 3.8× |
| Wrist 2 views (73100) | $1,095.15 | $1,095.15 | 12.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,274.46 | $1,274.46 | 12.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,320.55 | $1,320.55 | 15.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,036.91 | $1,036.91 | 11.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,614.64 | $2,614.64 | 14.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $976.92 | $976.92 | 11.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,036.91 | $1,036.91 | 11.9× |
| X-ray exam hip uni 1 view (73501) | $906.55 | $906.55 | 10.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,147.31 | $1,147.31 | 13.1× |
| X-ray exam hip uni 4/> views (73503) | $1,723.08 | $1,723.08 | 16.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,583.21 | $2,583.21 | 24.6× |
| X-ray exam of femur 1 (73551) | $969.42 | $969.42 | 11.1× |
| X-ray eye for foreign body (70030) | $1,158.02 | $1,158.02 | 13.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,778.82 | $1,778.82 | 16.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,144.08 | $1,144.08 | 13.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $976.92 | $976.92 | 11.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $906.55 | $906.55 | 10.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,683.09 | $1,683.09 | 16.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $874.40 | $874.40 | 10.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,199.45 | $1,199.45 | 13.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,948.84 | $1,948.84 | 18.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,843.24 | $2,843.24 | 27.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,443.05 | $1,443.05 | 16.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $886.55 | $886.55 | 10.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,778.82 | $1,778.82 | 16.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,148.85 | $2,148.85 | 6.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,513.05 | $1,513.05 | 17.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,131.72 | $2,131.72 | 20.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,940.40 | $2,940.40 | 28.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,023 | $1,023 | 9.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,233.38 | $1,233.38 | 14.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,199.45 | $1,199.45 | 13.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,913.12 | $1,913.12 | 21.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $708.66 | $708.66 | 8.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,998.83 | $1,998.83 | 19.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,450.19 | $1,450.19 | 13.8× |
| X-Ray Spine One View - Xr Spine (72020) | $1,059.78 | $1,059.78 | 12.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,199.45 | $1,199.45 | 13.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,513.05 | $1,513.05 | 17.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,280.89 | $1,280.89 | 12.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,590.21 | $1,590.21 | 15.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,052.29 | $1,052.29 | 12.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $906.55 | $906.55 | 10.4× |
| Xr arthrogram ankle (73615) | $3,793.38 | $3,793.38 | 10.8× |
| Xr c-spine 6 or more views (72052) | $1,913.12 | $1,913.12 | 18.2× |
| Xr chest 4+ views (71048) | $1,260.89 | $1,260.89 | 12.0× |
| Xr finger(s) 2+ views (73140) | $944.77 | $944.77 | 10.8× |
| Xr shoulder 1 view (73020) | $1,153.38 | $1,153.38 | 13.2× |
| Xr spine cervical 4 or 5 views (72050) | $1,913.12 | $1,913.12 | 18.2× |
| Xr tibia/fibula 2 views (73590) | $1,167.30 | $1,167.30 | 13.4× |
| Xr tmj bilateral (70330) | $1,594.51 | $1,594.51 | 18.2× |
| Xray knee 1 or 2 views rt (73560) | $1,096.58 | $1,096.58 | 12.5× |