Imaging prices at Methodist Hospital | Atascosa
Jourdanton, TX · every code in this section with a posted price and a Medicare benchmark.
382 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) | $38,573.89 | $38,573.89 | 27.7× |
| Abdomen 2 views (74019) | $1,214.18 | $1,214.18 | 11.6× |
| Acute gastrointestinal blood loss imaging (78278) | $7,636.15 | $7,636.15 | 19.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography extremity unilateral rs&i (75710) | $13,469.49 | $13,469.49 | 4.2× |
| Angiography internal mammary rs&i (75756) | $9,331.51 | $9,331.51 | 2.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,937.86 | $14,937.86 | 2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $10,809.58 | $10,809.58 | 3.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,937.86 | $14,937.86 | 4.7× |
| Angiography Spinal Selective Rs&I (75705) | $14,937.86 | $14,937.86 | 2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,937.86 | $14,937.86 | 2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $4,100.72 | $4,100.72 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,331.51 | $9,331.51 | 2.9× |
| Ankle 2 views (73600) | $855.54 | $855.54 | 9.8× |
| Antegrade urography radiological supvj & interpj (74425) | $2,795.89 | $2,795.89 | 8.0× |
| Aortogram thoracic (75605) | $14,937.86 | $14,937.86 | 2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $14,937.86 | $14,937.86 | 4.7× |
| Aortography abdominal serialography rs&i (75625) | $14,274.10 | $14,274.10 | 4.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,939.73 | $8,939.73 | 2.8× |
| Artery X-Rays Adrenal Gland (75731) | $14,937.86 | $14,937.86 | 4.7× |
| Arthrogram elbow (73085) | $2,315.06 | $2,315.06 | 6.6× |
| Arthrogram hip (73525) | $3,202.25 | $3,202.25 | 9.1× |
| Arthrogram shoulder (73040) | $3,506.60 | $3,506.60 | 10.0× |
| Arthrogram wrist (73115) | $2,315.06 | $2,315.06 | 6.6× |
| Arthrography knee lt (73580) | $2,366.88 | $2,366.88 | 6.8× |
| Basic radiation dosimetry calculation (77300) | $1,040.19 | $1,040.19 | 7.7× |
| Bone &/Joint Imaging Limited Area (78300) | $3,598.93 | $3,598.93 | 9.0× |
| Bone &/joint imaging whole body (78306) | $7,165.30 | $7,165.30 | 17.8× |
| Bone age studies (77072) | $914.69 | $914.69 | 8.7× |
| Bone Imaging 3 Phase (78315) | $8,959.62 | $8,959.62 | 22.3× |
| Bone Marrow Imaging Limited Area (78102) | $3,268.46 | $3,268.46 | 8.1× |
| Bone survey complete (77075) | $2,848.16 | $2,848.16 | 27.1× |
| Brain image w/flow 4 + views (78606) | $7,786.81 | $7,786.81 | 14.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,642.61 | $4,642.61 | 13.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,155.98 | $6,155.98 | 11.3× |
| Cervical spine 2 or 3 views (72040) | $1,280.20 | $1,280.20 | 14.6× |
| Chest 1 view (71045) | $1,133.27 | $1,133.27 | 13.0× |
| Chest 3 views (71047) | $1,295.15 | $1,295.15 | 14.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,349.06 | $2,349.06 | 13.3× |
| Clavicle complete (73000) | $1,183.44 | $1,183.44 | 13.5× |
| Continuing medical physics consltj pr wk (77336) | $1,040.19 | $1,040.19 | 7.7× |
| CT abdomen and pelvis without and with contrast (74178) | $16,804.68 | $16,804.68 | 48.0× |
| CT abdomen and pelvis without contrast (74176) | $11,369.37 | $11,369.37 | 47.4× |
| CT abdomen w contrast (74160) | $8,798.40 | $8,798.40 | 49.9× |
| CT abdomen w wo contrast (74170) | $9,967.30 | $9,967.30 | 56.6× |
| CT abdomen w/o contrast (74150) | $6,547.08 | $6,547.08 | 62.3× |
| CT angio hrt w/3d image (75574) | $7,245.01 | $7,245.01 | 20.7× |
| CT angiography upper extremity lt (73206) | $8,812.30 | $8,812.30 | 50.0× |
| CT c-spine w/o contrast (72125) | $7,856.50 | $7,856.50 | 74.8× |
| CT cervical spine w&w/o contrast (72127) | $10,617.39 | $10,617.39 | 60.3× |
| CT cervical spine with contrast (72126) | $8,795.31 | $8,795.31 | 25.1× |
| CT chest w/wo contrast (71270) | $10,441.35 | $10,441.35 | 59.3× |
| CT chest with contrast (71260) | $8,690.33 | $8,690.33 | 49.3× |
| CT colonography screening (74263) | $1,599.71 | $1,599.71 | 6.7× |
| CT colonography w/dye (74262) | $2,435.07 | $2,435.07 | 13.8× |
| CT colonography w/o cntrst (74261) | $1,599.71 | $1,599.71 | 15.2× |
| CT head/brain with contrast (70460) | $6,743.18 | $6,743.18 | 38.3× |
| CT head/brain without and with contrast (70470) | $8,863.26 | $8,863.26 | 50.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,803.24 | $2,803.24 | 8.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $767.43 | $767.43 | 8.8× |
| CT hrt w/3d image congen (75573) | $2,259.06 | $2,259.06 | 6.4× |
| CT iac w contrast (70481) | $9,148.92 | $9,148.92 | 51.9× |
| CT limited/localized follow up study (76380) | $3,202.51 | $3,202.51 | 36.6× |
| CT lower ext w/o (73700) | $6,249.06 | $6,249.06 | 59.5× |
| CT lower extremity w wo contrast (73702) | $7,031.93 | $7,031.93 | 39.9× |
| CT lower extremity with contrast (73701) | $6,639.72 | $6,639.72 | 37.7× |
| CT lumbar spine w & w/o contrast (72133) | $10,617.39 | $10,617.39 | 60.3× |
| CT lumbar spine w/o contrast (72131) | $7,856.50 | $7,856.50 | 74.8× |
| CT lumbar spine with contrast (72132) | $8,795.31 | $8,795.31 | 25.1× |
| CT maxillofacial w contrast (70487) | $7,433.40 | $7,433.40 | 42.2× |
| CT maxillofacial w/o contrast (70486) | $6,804.95 | $6,804.95 | 64.8× |
| CT maxillofacial w/wo contrast (70488) | $7,742.23 | $7,742.23 | 43.9× |
| CT neck soft tissue w contrast (70491) | $8,795.31 | $8,795.31 | 49.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $10,378.02 | $10,378.02 | 58.9× |
| CT orbits w/o contrast (70480) | $8,542.09 | $8,542.09 | 81.3× |
| CT pelvis w & w/o contrast (72194) | $6,842.01 | $6,842.01 | 38.8× |
| CT pelvis w/o contrast (72192) | $4,822.30 | $4,822.30 | 45.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,768.12 | $9,768.12 | 55.4× |
| CT soft tissue neck w/o contrast (70490) | $6,639.72 | $6,639.72 | 63.2× |
| CT thoracic spine w/contrast (72129) | $8,795.31 | $8,795.31 | 49.9× |
| CT thoracic spine w/o contrast (72128) | $7,856.50 | $7,856.50 | 74.8× |
| CT thoracic spine w/wo contrast (72130) | $10,617.39 | $10,617.39 | 60.3× |
| CT thorax w/o contrast (71250) | $6,686.04 | $6,686.04 | 63.7× |
| CT unlisted procedure (76497) | $1,945.60 | $1,945.60 | 22.3× |
| CT upper extremity w/o & w/contrast material (73202) | $7,031.93 | $7,031.93 | 39.9× |
| CT upper extremity w/o contrast rt (73200) | $6,249.06 | $6,249.06 | 59.5× |
| CT upper extremity with contrast (73201) | $6,639.72 | $6,639.72 | 18.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Abdomen (74175) | $12,603.12 | $12,603.12 | 71.5× |
| CTA abdomen pelvis (74174) | $12,813.12 | $12,813.12 | 36.6× |
| CTA chest (71275) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Head (70496) | $11,749.21 | $11,749.21 | 66.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $17,873.72 | $17,873.72 | 51.0× |
| CTA lwr ext w&w/o contrast (73706) | $13,457.02 | $13,457.02 | 76.4× |
| Cta Neck (70498) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Pelvis (72191) | $10,940.86 | $10,940.86 | 62.1× |
| Cystography minimum 3 views rs&i (74430) | $1,858.53 | $1,858.53 | 5.3× |
| Diskogram cervical (72285) | $11,576.96 | $11,576.96 | 5.9× |
| Diskography lumbar (72295) | $8,764.88 | $8,764.88 | 4.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $3,783 | $3,783 | 36.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,828.98 | $1,828.98 | 17.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $681.56 | $681.56 | 6.5× |
| Echo exam of fetal heart (76825) | $6,250.77 | $6,250.77 | 11.4× |
| Echoencephalography real time imaging (76506) | $2,760.39 | $2,760.39 | 26.3× |
| Esophagus (74220) | $2,308.58 | $2,308.58 | 13.1× |
| Fetal biophysical profile non-stress testing (76818) | $2,905.40 | $2,905.40 | 27.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,687.86 | $2,687.86 | 25.6× |
| Fluoroscopy up to 1 hr (76000) | $2,043.08 | $2,043.08 | 8.5× |
| Foot 2 views (73620) | $959.43 | $959.43 | 11.0× |
| Forearm 2 views (73090) | $1,107.53 | $1,107.53 | 12.7× |
| Functional MRI brain by phys/psych (70555) | $4,156.20 | $4,156.20 | 17.3× |
| Functional MRI brain by tech (70554) | $3,621.49 | $3,621.49 | 15.1× |
| Gated Heart Planar Single (78472) | $7,019.78 | $7,019.78 | 17.5× |
| Hand 2 views (73120) | $1,154.18 | $1,154.18 | 11.0× |
| Hand 3 views (73130) | $1,361.52 | $1,361.52 | 15.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $2,633.71 | $2,633.71 | 3.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $2,633.71 | $2,633.71 | 3.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) | $2,633.71 | $2,633.71 | 3.8× |
| Heart Infarct Image (78466) | $3,811.95 | $3,811.95 | 9.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,251.06 | $10,251.06 | 3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $6,497.59 | $6,497.59 | 11.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,929.23 | $4,929.23 | 12.3× |
| Ht muscle image spect sing (78451) | $8,743.58 | $8,743.58 | 6.7× |
| Humerus Min 2 Views Left (73060) | $1,090.74 | $1,090.74 | 12.5× |
| Hysterosalpingogram (74740) | $2,580.56 | $2,580.56 | 10.8× |
| Interstitial radiation source applic complex (77778) | $17,453.56 | $17,453.56 | 24.9× |
| Kidney funcj study non-img radioisotopic study (78725) | $4,533.74 | $4,533.74 | 11.3× |
| Kidney imaging morphology (78700) | $4,615.93 | $4,615.93 | 11.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,665.48 | $5,665.48 | 10.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,569.48 | $6,569.48 | 12.0× |
| Knee 3 views (73562) | $1,248.21 | $1,248.21 | 14.3× |
| Liver & spleen imaging static only (78215) | $6,182.56 | $6,182.56 | 15.4× |
| Liver imaging w/vascular flow (78202) | $5,151.83 | $5,151.83 | 9.4× |
| Lung perf&ventilat diferentl (78598) | $7,014.62 | $7,014.62 | 12.9× |
| Lung perfusion differential (78597) | $4,490.95 | $4,490.95 | 11.2× |
| Lung Ventilation Imaging (78579) | $4,484.11 | $4,484.11 | 11.2× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $3,951.81 | $3,951.81 | 1.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $3,679.81 | $3,679.81 | 1.2× |
| Lymphoscintigraphy (78195) | $8,177.19 | $8,177.19 | 15.0× |
| Mammary ductogram or galactogram multiple (77054) | $2,485.05 | $2,485.05 | 10.4× |
| Mammary ductogram or galactogram single (77053) | $1,869.86 | $1,869.86 | 7.8× |
| Meckels Diverticulum (78290) | $5,936 | $5,936 | 14.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,689.07 | $1,689.07 | 4.5× |
| Mr elastography (76391) | $999.75 | $999.75 | 4.2× |
| MRA head w & w/o contrast (70546) | $8,730.24 | $8,730.24 | 24.9× |
| MRA head w/o contrast (70544) | $7,743.41 | $7,743.41 | 32.3× |
| MRA head with contrast (70545) | $7,026.28 | $7,026.28 | 20.0× |
| MRA neck w contrast (70548) | $7,026.28 | $7,026.28 | 20.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,730.24 | $8,730.24 | 24.9× |
| MRA neck w/o contrast (70547) | $7,743.41 | $7,743.41 | 32.3× |
| MRI abdomen w contrast (74182) | $10,466.93 | $10,466.93 | 29.9× |
| MRI abdomen w/o & w/contrast material (74183) | $13,856.12 | $13,856.12 | 39.5× |
| MRI abdomen w/o contrast (74181) | $10,466.93 | $10,466.93 | 43.7× |
| MRI any jnt lwr ext with con lt (73722) | $6,645.88 | $6,645.88 | 8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,872.93 | $9,872.93 | 12.5× |
| MRI bone marrow blood supply (77084) | $7,481.49 | $7,481.49 | 31.2× |
| MRI breast w/o contrast bilateral (77047) | $3,830.61 | $3,830.61 | 16.0× |
| MRI breast w/o contrast unilat (77046) | $3,600.72 | $3,600.72 | 15.0× |
| MRI c-spine with contrast (72142) | $8,368.55 | $8,368.55 | 23.9× |
| MRI cardiac w/o contrast (75557) | $3,029.06 | $3,029.06 | 12.6× |
| MRI cervical spine w/o contrast (72141) | $7,123.71 | $7,123.71 | 29.7× |
| MRI chest w/o & w/contrast material (71552) | $11,893.37 | $11,893.37 | 33.9× |
| MRI chest w/o contrast (71550) | $9,366.27 | $9,366.27 | 39.1× |
| MRI chest with contrast (71551) | $8,501.05 | $8,501.05 | 10.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $10,296.98 | $10,296.98 | 29.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,296.98 | $10,296.98 | 29.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,366.27 | $9,366.27 | 39.1× |
| MRI orbit face &/neck w/o contrast (70540) | $9,029.54 | $9,029.54 | 37.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,395.21 | $10,395.21 | 29.7× |
| MRI orbit/face/neck w/contrast (70542) | $9,097.37 | $9,097.37 | 26.0× |
| MRI pelvis w contrast (72196) | $6,237.44 | $6,237.44 | 17.8× |
| MRI pelvis w/o & w/contrast material (72197) | $7,267.92 | $7,267.92 | 20.7× |
| MRI pelvis w/o contrast (72195) | $6,237.44 | $6,237.44 | 26.0× |
| MRI scan of arm joint before and after contrast (73223) | $10,816.13 | $10,816.13 | 30.9× |
| MRI scan of leg joint before and after contrast (73723) | $7,897.72 | $7,897.72 | 22.5× |
| MRI spectroscopy (76390) | $8,142.49 | $8,142.49 | 93.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $9,621.96 | $9,621.96 | 27.5× |
| MRI spinal canal lumbar w/contrast material (72149) | $9,477.76 | $9,477.76 | 27.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $10,728.04 | $10,728.04 | 30.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $10,573.71 | $10,573.71 | 30.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $10,728.04 | $10,728.04 | 30.6× |
| MRI thoracic spine w/o contrast (72146) | $8,231.36 | $8,231.36 | 34.3× |
| MRI tmj (70336) | $4,985.58 | $4,985.58 | 20.8× |
| MRI upper ext joint w/o contrast (73221) | $8,929.78 | $8,929.78 | 37.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $11,232.36 | $11,232.36 | 32.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,366.27 | $9,366.27 | 39.1× |
| Myelogram Cervical (72240) | $6,542.09 | $6,542.09 | 8.3× |
| Myelogram Lumbar (72265) | $6,542.09 | $6,542.09 | 8.3× |
| Myelogram thoracic (72255) | $6,542.09 | $6,542.09 | 8.3× |
| Myelography 2 or more regions (72270) | $11,653.06 | $11,653.06 | 14.8× |
| Myocardial Spect Multiple Studies (78452) | $12,683.53 | $12,683.53 | 9.8× |
| Neck soft tissue (70360) | $920.87 | $920.87 | 10.5× |
| Nm bone marrow multiple (78103) | $4,949.79 | $4,949.79 | 12.3× |
| Nm bone marrow wb (78104) | $6,263.02 | $6,263.02 | 15.6× |
| Nm cisternogram (78630) | $6,543.78 | $6,543.78 | 12.0× |
| Nm csf leak detection (78650) | $7,721.73 | $7,721.73 | 5.9× |
| Nm gastric emptying study (78264) | $6,744.11 | $6,744.11 | 16.8× |
| Nm gastroesophageal reflux study (78262) | $6,744.11 | $6,744.11 | 16.8× |
| Nm peritoneal-venous shunt patency (78291) | $4,574.85 | $4,574.85 | 11.4× |
| Nm whole blood volume (78122) | $4,790.57 | $4,790.57 | 8.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $11,555 | $11,555 | 8.9× |
| Nuclear medicine of heart pumping function (78473) | $9,678.71 | $9,678.71 | 24.1× |
| Nuclear medicine study from skull base to mid-thigh (78812) | $12,712.60 | $12,712.60 | 8.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $7,967.10 | $7,967.10 | 6.1× |
| Nuclear medicine study of kidney and blood flow (78701) | $2,960.30 | $2,960.30 | 7.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $7,512.86 | $7,512.86 | 18.7× |
| Nuclear Rx Oral Admin (79005) | $5,036.26 | $5,036.26 | 21.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,720.11 | $2,720.11 | 25.9× |
| Osseous survey infant (77076) | $1,503.99 | $1,503.99 | 14.3× |
| Osseous survey limited (77074) | $2,121.74 | $2,121.74 | 20.2× |
| Parathyrd planar w/wo subtrj (78071) | $2,838.73 | $2,838.73 | 7.1× |
| Parathyroid imaging (78070) | $6,182.56 | $6,182.56 | 15.4× |
| Pelvis 1 or 2 views (72170) | $987.76 | $987.76 | 9.4× |
| Perineogram (74775) | $1,672.34 | $1,672.34 | 7.0× |
| Peritoneogram rs&i (74190) | $3,202.25 | $3,202.25 | 5.8× |
| PET image w/CT, skull-thigh (78815) | $12,712.60 | $12,712.60 | 8.8× |
| PET imaging CT for attenuation limited area (78814) | $12,712.60 | $12,712.60 | 8.8× |
| PET imaging for CT attenuation whole body (78816) | $12,712.60 | $12,712.60 | 8.8× |
| PET whole body (78813) | $12,712.60 | $12,712.60 | 8.8× |
| Pr csf ventriculography (78635) | $5,365.84 | $5,365.84 | 9.8× |
| Pr heart first pass single,planar (78481) | $3,965.32 | $3,965.32 | 7.3× |
| Pr MRI brain w/ dye (70558) | $9,141.79 | $9,141.79 | 51.9× |
| Pr MRI brain w/o & w/ dye (70559) | $10,395.21 | $10,395.21 | 59.0× |
| Pr MRI brain w/o dye (70557) | $8,730.24 | $8,730.24 | 15.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $12,113.19 | $12,113.19 | 34.6× |
| Pr red cell survival study (78130) | $4,448.14 | $4,448.14 | 11.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,001.12 | $12,001.12 | 3.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $10,251.06 | $10,251.06 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,615.93 | $4,615.93 | 11.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,014.62 | $7,014.62 | 12.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,775.15 | $1,775.15 | 3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,000.49 | $1,000.49 | 11.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,922.62 | $1,922.62 | 18.3× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,340.48 | $1,340.48 | 12.8× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,331.27 | $2,331.27 | 22.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $738.24 | $738.24 | 7.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,676.85 | $1,676.85 | 16.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,133.27 | $1,133.27 | 13.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,156.39 | $1,156.39 | 11.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,254.67 | $1,254.67 | 14.4× |
| Radiologic exam colon single contrast study (74270) | $3,059.78 | $3,059.78 | 17.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,132.66 | $2,132.66 | 12.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,632.88 | $3,632.88 | 20.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,225.82 | $3,225.82 | 18.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,220.67 | $1,220.67 | 14.0× |
| Radiological examination surgical specimen (76098) | $827.26 | $827.26 | 1.5× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) | $29,090.98 | $29,090.98 | 124.1× |
| Review by radiologist of adrenal gland vein image (75840) | $14,937.86 | $14,937.86 | 4.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $12,001.12 | $12,001.12 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,893.07 | $6,893.07 | 17.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $5,006.28 | $5,006.28 | 9.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,615.93 | $4,615.93 | 8.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,980.14 | $5,980.14 | 4.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $6,344.33 | $6,344.33 | 4.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $5,672.86 | $5,672.86 | 4.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $6,569.48 | $6,569.48 | 28.0× |
| Rp therapy intra-arterial particulate admn (79445) | $6,774.94 | $6,774.94 | 28.9× |
| Rp Therapy Intravenous Administration (79101) | $3,501.32 | $3,501.32 | 14.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,905.40 | $2,905.40 | 12.1× |
| Salivary gland imaging (78230) | $3,990.98 | $3,990.98 | 9.9× |
| Scanogram (77073) | $998.88 | $998.88 | 9.5× |
| Scapula complete (73010) | $1,301.62 | $1,301.62 | 12.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,128.38 | $1,128.38 | 10.7× |
| Sialogram (70390) | $1,973.50 | $1,973.50 | 8.2× |
| Small bowel series (74250) | $3,079.21 | $3,079.21 | 17.5× |
| Special dosimetry (77331) | $3,027.75 | $3,027.75 | 22.4× |
| Special treatment procedure (77470) | $6,025.58 | $6,025.58 | 10.9× |
| Speech evaluation complex (70371) | $385.30 | $385.30 | 1.6× |
| Spine thoracic 3 views (72072) | $1,725.78 | $1,725.78 | 16.4× |
| Superior sagittal sinus venogram (75870) | $4,511.96 | $4,511.96 | 1.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,292.40 | $2,292.40 | 9.6× |
| Testicular Imaging With Vascular Flow (78761) | $2,605.88 | $2,605.88 | 6.5× |
| Therapeutic Enema (74283) | $2,821.80 | $2,821.80 | 16.0× |
| Thoracolumbar 2 views (72080) | $1,821.30 | $1,821.30 | 20.8× |
| Thyroid carcinoma metastases img whole body (78018) | $7,211.53 | $7,211.53 | 13.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,321.77 | $1,321.77 | 3.3× |
| Thyroid uptake measurement (78012) | $1,008.44 | $1,008.44 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,052.87 | $2,052.87 | 5.1× |
| Tomogram (76100) | $3,202.25 | $3,202.25 | 30.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $7,757.71 | $7,757.71 | 14.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $4,615.93 | $4,615.93 | 11.5× |
| Ultrasound, abdomen limited (76705) | $2,751.52 | $2,751.52 | 26.2× |
| Umbilical-artery Doppler (OB) (76820) | $1,828.98 | $1,828.98 | 17.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $2,218.74 | $2,218.74 | 25.4× |
| Unlisted magnetic resonance procedure (76498) | $4,160.89 | $4,160.89 | 47.6× |
| Unlisted Ultrasound Procedure (76999) | $1,558.26 | $1,558.26 | 17.8× |
| Upper Extremity Infant (73092) | $1,028.02 | $1,028.02 | 9.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $2,573.35 | $2,573.35 | 6.4× |
| Urethrocystography retrograde rs&i (74450) | $2,455.92 | $2,455.92 | 10.2× |
| Urethrocystography voiding (74455) | $2,043.08 | $2,043.08 | 8.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,721.42 | $2,721.42 | 15.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $3,636.12 | $3,636.12 | 20.6× |
| Us abdl aorta screen aaa (76706) | $862.12 | $862.12 | 8.2× |
| Us breast unilateral complete (76641) | $1,298.82 | $1,298.82 | 12.4× |
| Us breast unilateral limited (76642) | $747.72 | $747.72 | 8.6× |
| Us chest (76604) | $2,309.17 | $2,309.17 | 22.0× |
| Us compl joint r-t w/image documentation (76881) | $10,993.22 | $10,993.22 | 104.7× |
| Us fetal nuchal translucency 1st gestation (76813) | $2,905.40 | $2,905.40 | 27.7× |
| Us guided compression repair (76936) | $5,436.98 | $5,436.98 | 25.1× |
| Us infant hips dynamic (76885) | $2,760.39 | $2,760.39 | 31.6× |
| Us infant hips limited static (76886) | $2,301.13 | $2,301.13 | 26.3× |
| Us kidney transplant (76776) | $2,143.21 | $2,143.21 | 20.4× |
| Us ob detailed single fetus (76811) | $3,820.72 | $3,820.72 | 15.9× |
| Us ob transvaginal (76817) | $2,784.56 | $2,784.56 | 26.5× |
| Us pelvic non ob complete (76856) | $3,060.11 | $3,060.11 | 29.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,830.59 | $1,830.59 | 17.4× |
| Us pregnancy ltd (76815) | $1,940.17 | $1,940.17 | 18.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,060.11 | $3,060.11 | 29.1× |
| Us retroperitoneal complete (76770) | $3,135.85 | $3,135.85 | 29.9× |
| Us retroperitoneal limited (76775) | $1,060.33 | $1,060.33 | 10.1× |
| Us scrotum and contents (76870) | $2,484.83 | $2,484.83 | 23.7× |
| Us soft tissue head/neck (76536) | $2,934.41 | $2,934.41 | 27.9× |
| Us spinal canal and contents (76800) | $2,994.03 | $2,994.03 | 28.5× |
| Us xtr non-vasc lmtd (76882) | $2,602.48 | $2,602.48 | 24.8× |
| Venogram extremity bilateral (75822) | $7,308.65 | $7,308.65 | 4.6× |
| Venography caval inferior serialography rs&i (75825) | $12,134.68 | $12,134.68 | 3.8× |
| Venography caval superior serialography rs&i (75827) | $9,331.51 | $9,331.51 | 5.9× |
| Venography extremity unilateral rs&i (75820) | $6,776.84 | $6,776.84 | 4.3× |
| Venography Renal Bilateral (75833) | $14,937.86 | $14,937.86 | 4.7× |
| Venography renal unilateral selective rs&i (75831) | $14,937.86 | $14,937.86 | 4.7× |
| Venography venous sinus/jugular cath rs&i (75860) | $9,331.51 | $9,331.51 | 2.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $14,937.86 | $14,937.86 | 2.7× |
| Vertebral fracture assessment via dxa (77086) | $681.56 | $681.56 | 7.8× |
| Wrist 2 views (73100) | $1,029.55 | $1,029.55 | 11.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,800.25 | $1,800.25 | 17.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,288.66 | $1,288.66 | 14.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,275.73 | $1,275.73 | 14.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,969.62 | $3,969.62 | 22.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,013.44 | $1,013.44 | 11.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,361.52 | $1,361.52 | 15.6× |
| X-ray exam entire spi 4/5 vw (72083) | $2,038.25 | $2,038.25 | 19.4× |
| X-ray exam hip uni 1 view (73501) | $760.89 | $760.89 | 8.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,180.18 | $1,180.18 | 13.5× |
| X-ray exam hip uni 4/> views (73503) | $1,340.48 | $1,340.48 | 12.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,047.05 | $2,047.05 | 19.5× |
| X-ray exam of femur 1 (73551) | $731.10 | $731.10 | 8.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,079.21 | $3,079.21 | 17.5× |
| X-ray eye for foreign body (70030) | $398.25 | $398.25 | 4.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,725.78 | $1,725.78 | 16.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $678.34 | $678.34 | 7.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,275.73 | $1,275.73 | 14.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $5,429.89 | $5,429.89 | 2.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $935.74 | $935.74 | 10.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $858.03 | $858.03 | 9.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,390.68 | $1,390.68 | 13.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $927.64 | $927.64 | 10.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,028.02 | $1,028.02 | 11.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,749.96 | $1,749.96 | 16.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,454.60 | $2,454.60 | 23.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,821.30 | $1,821.30 | 17.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $987.76 | $987.76 | 11.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,201.23 | $1,201.23 | 13.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,351.82 | $1,351.82 | 12.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,602.18 | $1,602.18 | 15.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,648.58 | $2,648.58 | 7.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,132.52 | $1,132.52 | 13.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,527.52 | $1,527.52 | 14.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,156.41 | $2,156.41 | 20.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,199.31 | $1,199.31 | 11.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,207.10 | $1,207.10 | 13.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,324.28 | $1,324.28 | 15.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,593.04 | $1,593.04 | 18.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $785.17 | $785.17 | 9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,811.59 | $1,811.59 | 17.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,073.30 | $1,073.30 | 10.2× |
| X-Ray Spine One View - Xr Spine (72020) | $858.03 | $858.03 | 9.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,361.52 | $1,361.52 | 15.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,351.82 | $1,351.82 | 15.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,571.07 | $1,571.07 | 15.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $840.23 | $840.23 | 9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,361.52 | $1,361.52 | 15.6× |
| Xr arthrogram ankle (73615) | $2,315.06 | $2,315.06 | 6.6× |
| Xr c-spine 6 or more views (72052) | $3,017.68 | $3,017.68 | 28.7× |
| Xr chest 4+ views (71048) | $1,651.30 | $1,651.30 | 15.7× |
| Xr finger(s) 2+ views (73140) | $836.99 | $836.99 | 9.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $398.25 | $398.25 | 3.8× |
| Xr shoulder 1 view (73020) | $725.28 | $725.28 | 8.3× |
| Xr spine cervical 4 or 5 views (72050) | $2,239.94 | $2,239.94 | 21.3× |
| Xr tibia/fibula 2 views (73590) | $1,070.20 | $1,070.20 | 12.2× |
| Xr tmj bilateral (70330) | $1,745.20 | $1,745.20 | 20.0× |
| Xray knee 1 or 2 views rt (73560) | $1,029.55 | $1,029.55 | 11.8× |