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.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $895.83 $895.83 10.2×
Abdomen 2 views (74019) $976.92 $976.92 9.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $6,376.58 $6,376.58 15.9×
Angio internal mammary (75756) $10,494.28 $10,494.28 3.3×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines
$14,948.12–$15,845.01 $14,948.12–$15,845.01 varies
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines
$14,948.12–$15,845.01 $14,948.12–$15,845.01 varies
Ankle 2 views (73600) $976.92 $976.92 11.2×
Aortography thoracic serialography rs&i (75605) $17,448.09 $17,448.09 3.1×
Artery X-Rays Abdomen (75726) $15,845.01 $15,845.01 2.8×
Arthrogram ankle (73615) $3,793.38 $3,793.38 10.8×
Arthrogram hip (73525) $3,793.38 $3,793.38 10.8×
Arthrogram Wrist (73115) $3,793.38 $3,793.38 10.8×
Bone age studies (77072) $970.85 $970.85 9.2×
Bone Imaging 3 Phase (78315) $5,706.50 $5,706.50 14.2×
Bone Imaging Limited Area (78300) $3,128.99 $3,128.99 7.8×
Bone Imaging Whole Body (78306) $4,512.04 $4,512.04 11.2×
Bone marrow imaging limited area (78102) $3,128.99 $3,128.99 7.8×
Bone survey infant (77076) $2,624.64 $2,624.64 25.0×
Cerebrospinal Fluid Scan (78630) $8,518.31 $8,518.31 15.6×
Chest 1 view (71045) $843.70 $843.70 9.7×
Chest 2 views (71046) $976.92 $976.92 11.2×
Chest 3 views (71047) $976.92 $976.92 11.2×
Chest 4 or more views (71048) $1,260.89 $1,260.89 12.0×
Clavicle complete (73000)
range across 6 matching MRF lines
$946.57–$2,188.87 $946.57–$2,188.87 varies
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$14,948.12–$15,845.01 $14,948.12–$15,845.01 varies
Contrast X-Ray Bladder (74430) $2,451.76 $2,451.76 7.0×
Contrast X-Ray Of Elbow (73085) $3,793.38 $3,793.38 10.8×
Contrast X-Ray Of Knee Joint (73580) $3,793.38 $3,793.38 10.8×
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 Angio Abdomen and Pelvis (74174) $16,023.88 $16,023.88 45.7×
CT Angio Chest (71275) $5,006.32 $5,006.32 28.4×
CT Angio Head (70496) $8,653.83 $8,653.83 49.1×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$8,653.83–$15,725.24 $8,653.83–$15,725.24 varies
CT Angio Neck (70498) $8,653.83 $8,653.83 49.1×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$8,653.83–$12,979.34 $8,653.83–$12,979.34 varies
CT bone density (77078) $4.55 $4.55 0.1×
CT cervical spine w/ contrast (72126) $5,838.58 $5,838.58 16.7×
CT cervical spine w/o contrast (72125) $6,392 $6,392 60.9×
CT cervical spine w/wo cont (72127) $5,994.28 $5,994.28 34.0×
CT chest w contrast (71260) $5,006.32 $5,006.32 28.4×
CT chest w/wo contrast (71270) $6,392 $6,392 36.3×
CT colonography screening (74263) $9,675.75 $9,675.75 40.4×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $10,680.70 $10,680.70 60.6×
CT colonogrphy dx image postprocess w/o contrast (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 l-spine w&w/o contrast (72133) $5,994.28 $5,994.28 34.0×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$5,095.48–$7,664.46 $5,095.48–$7,664.46 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$5,630.51–$8,445.76 $5,630.51–$8,445.76 varies
CT lumbar spine w contrast (72132) $5,838.58 $5,838.58 16.7×
CT lumbar spine w/o contrast (72131) $5,838.58 $5,838.58 55.6×
CT maxillofacial w contrast (70487) $4,645.38 $4,645.38 26.4×
CT maxillofacial wo contrast (70486) $4,724.64 $4,724.64 45.0×
CT neck tissue combo (70492) $6,392 $6,392 36.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (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 of leg combo (73702)
range across 3 matching MRF lines
$5,838.58–$8,755.74 $5,838.58–$8,755.74 varies
CT scans face/jaw combo (70488) $5,672.97 $5,672.97 32.2×
CT soft tissue neck w contrast (70491) $5,838.58 $5,838.58 33.1×
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 cont (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 ext wo (73200) $5,095.48 $5,095.48 48.5×
CT upper extremity w/o & w/contrast material (73202) $11,668.66 $11,668.66 66.2×
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$5,630.51–$11,252.53 $5,630.51–$11,252.53 varies
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 pelvis (72191) $8,653.83 $8,653.83 49.1×
Discography Cerv/Thor Spine (72285) $12,353.11 $12,353.11 6.3×
Diskography lumbar (72295) $12,354.53 $12,354.53 6.3×
Dxa Bone Density Axial (77080) $802.25 $802.25 7.6×
Dxa bone density study (77085) $437.20 $437.20 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $4.61 $4.61 0.1×
Echo exam of fetal heart (76825) $3,748.08 $3,748.08 6.8×
Esophageal Motility Study (78258) $6,376.58 $6,376.58 15.9×
Esophagram (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×
Follow-Up Angiography (75898) $2,898.96 $2,898.96 0.9×
Foot 2 views (73620) $976.92 $976.92 11.2×
Forearm 2 views (73090)
range across 3 matching MRF lines
$906.55–$2,868.96 $906.55–$2,868.96 varies
Gastric emptying imaging study (78264) $6,376.58 $6,376.58 15.9×
Gated Heart Planar Single (78472) $6,975.23 $6,975.23 17.4×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,046.22–$2,868.96 $1,046.22–$2,868.96 varies
Hepatobil Syst Image W/Drug (78227) $6,149.41 $6,149.41 11.3×
Hepatobiliary System Imaging (78226) $6,643.75 $6,643.75 16.5×
Ht Muscle Image Spect Sing (78451) $12,458.84 $12,458.84 9.6×
Hysterosalpingogram (74740) $3,793.38 $3,793.38 15.8×
Joint Survey Single View (77077) $906.55 $906.55 8.6×
K Flow/Funct Image W/Drug (78708) $6,573.75 $6,573.75 12.1×
K Flow/Funct Image W/O Drug (78707) $6,006.52 $6,006.52 11.0×
Kidney Imaging Morphol (78700) $3,329.03 $3,329.03 8.3×
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 Ventilat&Perfus Imaging (78582) $14,566.27 $14,566.27 26.7×
Lung Ventilation Imaging (78579) $3,644.79 $3,644.79 9.1×
Lymph System Imaging (78195) $9,648.46 $9,648.46 17.7×
Magnetic Image Jaw Joint (70336) $8,712.62 $8,712.62 36.3×
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 Divert Exam (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/O & W/Contrast Material (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)
range across 2 matching MRF lines
$7,639.60–$13,240.38 $7,639.60–$13,240.38 varies
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 contrast (74181) $8,554.03 $8,554.03 35.7×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$9,537.01–$19,074.02 $9,537.01–$19,074.02 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$10,548.57–$21,092.86 $10,548.57–$21,092.86 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$8,712.62–$17,420.94 $8,712.62–$17,420.94 varies
MRI cervical spine w contrast (72142) $9,356.98 $9,356.98 26.7×
MRI cervical spine w/o cont (72141) $9,537.01 $9,537.01 39.8×
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 chest wo w contrast (71552) $12,515.98 $12,515.98 35.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$9,537.01–$19,074.02 $9,537.01–$19,074.02 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$10,548.57–$21,092.86 $10,548.57–$21,092.86 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$9,537.01–$19,074.02 $9,537.01–$19,074.02 varies
MRI lumbar spine w contrast (72149) $11,171.52 $11,171.52 31.9×
Mri Neck Spine W/O & W/Dye (72156) $11,540.14 $11,540.14 32.9×
MRI orbit face &/neck w/o contrast (70540) $9,537.01 $9,537.01 39.8×
MRI orbit face neck w contrast (70542) $9,537.01 $9,537.01 27.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $14,306.23 $14,306.23 40.8×
MRI pelvis w contrast (72196) $8,712.62 $8,712.62 24.9×
MRI pelvis w/o & w contrast (72197) $9,727.04 $9,727.04 27.8×
MRI pelvis w/o contrast (72195) $8,621.17 $8,621.17 36.0×
MRI thoracic spine w/o contrast (72146) $8,712.62 $8,712.62 36.3×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$8,712.62–$17,420.94 $8,712.62–$17,420.94 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$8,712.62–$17,420.94 $8,712.62–$17,420.94 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$9,727.04–$19,444.06 $9,727.04–$19,444.06 varies
MRI, abdomen, combo (74183) $8,712.62 $8,712.62 24.9×
MRI, dorsal spine combo (72157) $10,545.72 $10,545.72 30.1×
MRI, dorsal spine contrast (72147) $9,296.97 $9,296.97 26.5×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$8,712.62–$17,420.94 $8,712.62–$17,420.94 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$9,727.04–$19,444.06 $9,727.04–$19,444.06 varies
MRI, lumbar spine combo (72158) $11,540.14 $11,540.14 32.9×
Myelograpy 2/more regions rs&i (72270) $5,379.30 $5,379.30 6.8×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $3,366.17 $3,366.17 8.4×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $5,425.02 $5,425.02 9.9×
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 myocard infarct spect (78469) $6,119.39 $6,119.39 11.2×
Nuclear Rx Oral Admin (79005) $1,935.98 $1,935.98 8.3×
Parathyroid Planar Imaging (78070) $2,896.10 $2,896.10 7.2×
Parathyroid planar imaging w/wo subtraction (78071) $6,508.03 $6,508.03 16.2×
Pelvis 1 or 2 views (72170) $974.07 $974.07 9.3×
Pulmonary Perfusion Imaging Particulate (78580) $3,158.99 $3,158.99 7.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,274.46 $1,274.46 12.1×
Radex abscess/fistula/sinus tract rs&i (76080) $1,998.83 $1,998.83 3.6×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$1,036.91–$2,068.84 $1,036.91–$2,068.84 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$906.55–$1,653.08 $906.55–$1,653.08 varies
Radex elbow complete minimum 3 views (73080) $1,036.91 $1,036.91 11.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,778.82 $1,778.82 16.9×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$944.77–$1,220.90 $944.77–$1,220.90 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$976.92–$1,948.84 $976.92–$1,948.84 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$976.92–$1,948.84 $976.92–$1,948.84 varies
Radex lower extremity infant minimum 2 views (73592) $1,199.45 $1,199.45 13.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $1,998.83 $1,998.83 19.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,443.05 $1,443.05 16.5×
Radex Ribs Unilateral 2 Views (71100) $1,513.05 $1,513.05 17.3×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$1,199.45–$2,388.89 $1,199.45–$2,388.89 varies
Radex Sinuses Paransl < 3 Views (70210) $708.66 $708.66 8.1×
Radex Spine 1 View Specify Level (72020) $1,059.78 $1,059.78 12.1×
Radex Sternum Minimum 2 Views (71120) $1,513.05 $1,513.05 17.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,594.51 $1,594.51 18.2×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$1,052.29–$1,220.90 $1,052.29–$1,220.90 varies
Radex upper extremity infant minimum 2 views (73092) $1,199.45 $1,199.45 11.4×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$906.55–$1,805.95 $906.55–$1,805.95 varies
Radiolog exam mandible compl minimum 4 views (70110) $1,513.05 $1,513.05 14.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,058.36 $1,058.36 10.1×
Radiologic exam colon double contrast study (74280) $2,614.64 $2,614.64 14.8×
Radiologic exam colon single contrast study (74270) $3,833.37 $3,833.37 21.8×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$1,680.24–$3,349.03 $1,680.24–$3,349.03 varies
Radiologic Exam Small Int Single Contrast Study (74250) $2,546.06 $2,546.06 14.4×
Radiologic exam swallow function contrast study (74230) $2,086 $2,086 11.8×
Radiologic exam upr gi trc double contrast study (74246) $2,183.15 $2,183.15 12.4×
Radiologic examination femur 1 view (73551) $969.42 $969.42 11.1×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$1,167.30–$2,326.04 $1,167.30–$2,326.04 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,096.58–$1,995.98 $1,096.58–$1,995.98 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$1,167.30–$2,130.29 $1,167.30–$2,130.29 varies
Ribs bilateral 3 views (71110) $2,284.59 $2,284.59 21.8×
Rp loclzj tum plnr 1 area single day imaging (78800) $4,474.90 $4,474.90 11.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $24,028.97 $24,028.97 44.1×
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×
Scapula (73010)
range across 7 matching MRF lines
$946.57–$2,188.87 $946.57–$2,188.87 varies
Screening Digital Breast Tomosynthesis Bi (77063) $215.38 $215.38 9.2×
Sella turcica (70240) $898.69 $898.69 10.3×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$1,153.38–$1,550.22 $1,153.38–$1,550.22 varies
Shoulder Arthrography (73040) $3,793.38 $3,793.38 10.8×
Sialogram (70390) $1,825.97 $1,825.97 7.6×
Skull less than 4 views (70250) $1,450.19 $1,450.19 13.8×
Speech evaluation, complex (70371) $10.73 $10.73 0.0×
Sternoclavicular joints (71130) $1,199.45 $1,199.45 13.7×
Testicular Imaging W/Flow (78761) $3,987.68 $3,987.68 9.9×
Thoracic spine 2 views (72070) $1,280.89 $1,280.89 12.2×
Thoracic spine 3 views (72072) $1,513.05 $1,513.05 14.4×
Thoracolumbar 2 views (72080) $1,059.78 $1,059.78 12.1×
Thyroid Imaging With Vascular Flow (78013) $2,896.10 $2,896.10 7.2×
Thyroid Met Imaging Body (78018) $2,638.92 $2,638.92 4.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $4,640.63 $4,640.63 11.6×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines
$1,071.58–$1,380.67 $1,071.58–$1,380.67 varies
Ultrasound Exam Aaa Screen (76706) $2,910.40 $2,910.40 27.7×
Ultrasound, abdomen limited (76705) $3,603.34 $3,603.34 34.3×
Unlisted Dx Radiographic Procedure (76499) $978.71 $978.71 11.2×
Unlisted magnetic resonance procedure (76498) $7,572.45 $7,572.45 86.6×
Unlisted us procedure (76999) $1,475.91 $1,475.91 16.9×
Upper gi w/o kub (74240) $1,998.83 $1,998.83 11.3×
Urethrocystogram voiding (74455) $2,546.06 $2,546.06 10.6×
Urethrocystography retrograde (74450) $2,257.45 $2,257.45 9.4×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$642.94–$1,285 $642.94–$1,285 varies
Us chest (76604) $3,603.34 $3,603.34 34.3×
Us complete joint (76881) $2,197.43 $2,197.43 20.9×
Us exam, pelvic, limited (76857) $2,594.65 $2,594.65 24.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$275.05–$1,016.92 $275.05–$1,016.92 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$865.82–$2,627.50 $865.82–$2,627.50 varies
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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $3,104.71 $3,104.71 29.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,495.91 $1,495.91 14.2×
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 thyroid (76536) $2,533.20 $2,533.20 24.1×
Vascular Flow Imaging (78445) $2,436.04 $2,436.04 6.1×
Venography caval inferior serialography rs&i (75825) $15,845.01 $15,845.01 5.0×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$5,002.02–$5,302.14 $5,002.02–$5,302.14 varies
Venography extremity unilateral rs&i (75820)
range across 3 matching MRF lines
$4,822.76–$5,112.13 $4,822.76–$5,112.13 varies
Venous Thrombosis Imaging Venogram Bilateral (78458) $5,557.89 $5,557.89 13.8×
Vertebral fracture assessment via dxa (77086) $332.89 $332.89 3.8×
Wrist 2 views (73100)
range across 3 matching MRF lines
$1,095.15–$1,239.47 $1,095.15–$1,239.47 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,320.55 $1,320.55 15.1×
X-ray antegrade pyelogram tube (74425) $3,861.96 $3,861.96 11.0×
X-Ray Aorta Leg Arteries (75630)
range across 2 matching MRF lines
$14,948.12–$15,845.01 $14,948.12–$15,845.01 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$976.92–$1,948.84 $976.92–$1,948.84 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$1,438.77–$1,933.51 $1,438.77–$1,933.51 varies
X-Ray Exam Entire Spi 1 Vw (72081) $3,357.59 $3,357.59 38.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $4,912.09 $4,912.09 46.8×
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 2 Views (73521) $2,086 $2,086 19.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $2,583.21 $2,583.21 24.6×
X-Ray Exam L-S Spine Bending (72114) $2,843.24 $2,843.24 27.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,513.05 $1,513.05 17.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,913.12 $1,913.12 18.2×
X-Ray Exam Unilat Ribs/Chest (71101) $2,131.72 $2,131.72 20.3×
X-ray eye for foreign body (70030) $1,158.02 $1,158.02 13.2×
X-ray humerus (73060)
range across 3 matching MRF lines
$1,119.79–$2,025.99 $1,119.79–$2,025.99 varies
X-ray IV pyelogram (ivp) (74400) $3,027.56 $3,027.56 17.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $874.40 $874.40 10.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,948.84 $1,948.84 18.6×
X-ray nose-rectum child f.b. (76010) $886.55 $886.55 10.1×
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 Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,913.12 $1,913.12 21.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,998.83 $1,998.83 19.0×
X-ray thoracic spine 4 vw (72074) $1,590.21 $1,590.21 15.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,148.85 $2,148.85 6.1×
X-Rays Bone Length Studies (77073) $1,030.86 $1,030.86 9.8×
X-Rays Bone Survey Complete (77075) $3,453.33 $3,453.33 32.9×
Xr c-spine 4 or 5 views (72050) $1,913.12 $1,913.12 18.2×
Xr facial bones less than 3 views (70140) $1,144.08 $1,144.08 13.1×
Xr orbits complete 4 views (70200) $1,778.82 $1,778.82 16.9×
Xr Tomogram Single Plane (76100) $1,933.12 $1,933.12 18.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.