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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $38,573.89 | $38,573.89 | 27.7× |
| Abdomen 1 View (74018) | $1,133.27 | $1,133.27 | 13.0× |
| 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× |
| Angio internal mammary (75756) | $9,331.51 | $9,331.51 | 2.9× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$10,341.72–$14,937.86 | $10,341.72–$14,937.86 | varies |
| 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) range across 2 matching MRF lines |
$12,001.12–$14,937.86 | $12,001.12–$14,937.86 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,937.86 | $14,937.86 | 4.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,331.51 | $9,331.51 | 2.9× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$647.57–$1,785.66 | $647.57–$1,785.66 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,937.86 | $14,937.86 | 2.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,939.73 | $8,939.73 | 2.8× |
| Artery X-Rays Abdomen (75726) | $14,937.86 | $14,937.86 | 2.7× |
| Artery X-Rays Adrenal Gland (75731) | $14,937.86 | $14,937.86 | 4.7× |
| Artery X-Rays Pelvis (75736) | $14,937.86 | $14,937.86 | 2.7× |
| Artery X-Rays Spine (75705) | $14,937.86 | $14,937.86 | 2.7× |
| Arthrogram ankle (73615) | $2,315.06 | $2,315.06 | 6.6× |
| Arthrogram hip (73525) | $3,202.25 | $3,202.25 | 9.1× |
| Arthrogram Wrist (73115) | $2,315.06 | $2,315.06 | 6.6× |
| Basic radiation dosimetry calculation (77300) | $1,040.19 | $1,040.19 | 7.7× |
| Bone age studies (77072) | $914.69 | $914.69 | 8.7× |
| Bone Imaging 3 Phase (78315) | $8,959.62 | $8,959.62 | 22.3× |
| Bone Imaging Limited Area (78300) | $3,598.93 | $3,598.93 | 9.0× |
| Bone Imaging Whole Body (78306) | $7,165.30 | $7,165.30 | 17.8× |
| Bone marrow imaging limited area (78102) | $3,268.46 | $3,268.46 | 8.1× |
| Bone marrow imaging; multiple areas (78103) | $4,949.79 | $4,949.79 | 12.3× |
| Bone marrow imaging; whole body (78104) | $6,263.02 | $6,263.02 | 15.6× |
| Bone survey infant (77076) | $1,503.99 | $1,503.99 | 14.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (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× |
| Cat Scan Follow-Up Study (76380) | $3,202.51 | $3,202.51 | 36.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$5,610.67–$6,701.30 | $5,610.67–$6,701.30 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $5,365.84 | $5,365.84 | 9.8× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$5,365.84–$7,721.73 | $5,365.84–$7,721.73 | varies |
| Chest 1 view (71045) | $1,133.27 | $1,133.27 | 13.0× |
| Chest 2 views (71046) | $1,254.67 | $1,254.67 | 14.4× |
| Chest 3 views (71047) | $1,295.15 | $1,295.15 | 14.8× |
| Chest 4 or more views (71048) | $1,651.30 | $1,651.30 | 15.7× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$1,090.74–$2,363.63 | $1,090.74–$2,363.63 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,040.19 | $1,040.19 | 7.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$13,610.34–$14,937.86 | $13,610.34–$14,937.86 | varies |
| Contrast X-Ray Bladder (74430) | $1,858.53 | $1,858.53 | 5.3× |
| Contrast X-Ray Of Elbow (73085) | $2,315.06 | $2,315.06 | 6.6× |
| Contrast X-Ray Of Knee Joint (73580) | $2,366.88 | $2,366.88 | 6.8× |
| 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 Abdomen and Pelvis (74174) | $12,813.12 | $12,813.12 | 36.6× |
| CT Angio Chest (71275) | $11,749.21 | $11,749.21 | 66.7× |
| CT Angio Head (70496) | $11,749.21 | $11,749.21 | 66.7× |
| CT angio hrt w/3d image (75574) | $7,245.01 | $7,245.01 | 20.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$6,729.29–$13,457.02 | $6,729.29–$13,457.02 | varies |
| CT Angio Neck (70498) | $11,749.21 | $11,749.21 | 66.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$5,875.38–$11,749.21 | $5,875.38–$11,749.21 | varies |
| CT cervical spine w/ contrast (72126) | $8,795.31 | $8,795.31 | 25.1× |
| CT cervical spine w/o contrast (72125) | $7,856.50 | $7,856.50 | 74.8× |
| CT cervical spine w/wo cont (72127) | $10,617.39 | $10,617.39 | 60.3× |
| CT chest w contrast (71260) | $8,690.33 | $8,690.33 | 49.3× |
| CT chest w/wo contrast (71270) | $10,441.35 | $10,441.35 | 59.3× |
| CT colonography screening (74263) | $1,599.71 | $1,599.71 | 6.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,435.07 | $2,435.07 | 13.8× |
| CT colonogrphy dx image postprocess w/o contrast (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 l-spine w&w/o contrast (72133) | $10,617.39 | $10,617.39 | 60.3× |
| CT lower ext w/o (73700) | $6,249.06 | $6,249.06 | 59.5× |
| CT lower extremity w/contrast material (73701) | $6,639.72 | $6,639.72 | 37.7× |
| CT lumbar spine w contrast (72132) | $8,795.31 | $8,795.31 | 25.1× |
| CT lumbar spine w/o contrast (72131) | $7,856.50 | $7,856.50 | 74.8× |
| CT maxillofacial w contrast (70487) | $7,433.40 | $7,433.40 | 42.2× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$6,496.13–$7,113.77 | $6,496.13–$7,113.77 | varies |
| CT neck tissue combo (70492) | $9,768.12 | $9,768.12 | 55.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) | $7,031.93 | $7,031.93 | 39.9× |
| CT scans face/jaw combo (70488) | $7,742.23 | $7,742.23 | 43.9× |
| CT soft tissue neck w contrast (70491) | $8,795.31 | $8,795.31 | 49.9× |
| 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 cont (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 ext wo (73200) range across 3 matching MRF lines |
$6,249.06–$12,495.03 | $6,249.06–$12,495.03 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$7,031.93–$14,076.23 | $7,031.93–$14,076.23 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$6,639.72–$13,276.36 | $6,639.72–$13,276.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,749.21 | $11,749.21 | 66.7× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$11,749.21–$13,457.02 | $11,749.21–$13,457.02 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $17,873.72 | $17,873.72 | 51.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$10,132.52–$11,749.21 | $10,132.52–$11,749.21 | varies |
| Dilation ureters/urethra rs&i (74485) | $5,429.89 | $5,429.89 | 2.6× |
| Discography Cerv/Thor Spine (72285) | $11,576.96 | $11,576.96 | 5.9× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$8,356.91–$9,172.85 | $8,356.91–$9,172.85 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$3,695.03–$3,870.96 | $3,695.03–$3,870.96 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,828.98 | $1,828.98 | 17.4× |
| Dxa Bone Density Axial (77080) | $681.56 | $681.56 | 6.5× |
| Echo exam of fetal heart (76825) | $6,250.77 | $6,250.77 | 11.4× |
| Echo exam uterus (76831) | $2,905.40 | $2,905.40 | 12.1× |
| Echo Guide For Artery Repair (76936) | $5,436.98 | $5,436.98 | 25.1× |
| Esophagram (74220) | $2,308.58 | $2,308.58 | 13.1× |
| Fetal Biophys Profile W/Nst (76818) | $2,905.40 | $2,905.40 | 27.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,470.32–$2,905.40 | $2,470.32–$2,905.40 | varies |
| Fluoroscopy up to 1 hr (76000) | $2,043.08 | $2,043.08 | 8.5× |
| Follow-Up Angiography (75898) | $4,100.72 | $4,100.72 | 1.3× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$599–$2,080.30 | $599–$2,080.30 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$890.41–$2,292.40 | $890.41–$2,292.40 | varies |
| Gastric emptying imaging study (78264) | $6,744.11 | $6,744.11 | 16.8× |
| Gastroesophageal Reflux Exam (78262) | $6,744.11 | $6,744.11 | 16.8× |
| Gated Heart Planar Single (78472) | $7,019.78 | $7,019.78 | 17.5× |
| Gated Heart, Multiple (78473) | $9,678.71 | $9,678.71 | 24.1× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$927.64–$2,408.95 | $927.64–$2,408.95 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,633.71 | $2,633.71 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,633.71 | $2,633.71 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,633.71 | $2,633.71 | 3.8× |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$3,785.55–$4,145.09 | $3,785.55–$4,145.09 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $12,001.12 | $12,001.12 | 3.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,251.06 | $10,251.06 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $6,497.59 | $6,497.59 | 11.9× |
| Hepatobiliary System Imaging (78226) | $4,929.23 | $4,929.23 | 12.3× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$11,083.94–$12,026.07 | $11,083.94–$12,026.07 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$8,387.12–$9,100.04 | $8,387.12–$9,100.04 | varies |
| Hysterosalpingogram (74740) | $2,580.56 | $2,580.56 | 10.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,760.39 | $2,760.39 | 31.6× |
| Infant hip ultrasound, limited static exam (76886) | $2,301.13 | $2,301.13 | 26.3× |
| Interstitial radiation source applic complex (77778) | $17,453.56 | $17,453.56 | 24.9× |
| K Flow/Funct Image W/Drug (78708) | $6,569.48 | $6,569.48 | 12.0× |
| K Flow/Funct Image W/O Drug (78707) | $5,665.48 | $5,665.48 | 10.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $4,533.74 | $4,533.74 | 11.3× |
| Kidney Imaging Morphol (78700) | $4,615.93 | $4,615.93 | 11.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,960.30 | $2,960.30 | 7.4× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$1,248.21–$2,491.54 | $1,248.21–$2,491.54 | varies |
| Leveen/Shunt Patency Exam (78291) | $4,574.85 | $4,574.85 | 11.4× |
| 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 Ventilat&Perfus Imaging (78582) | $7,014.62 | $7,014.62 | 12.9× |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$4,477.27–$4,490.95 | $4,477.27–$4,490.95 | varies |
| Lymph System Imaging (78195) | $8,177.19 | $8,177.19 | 15.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,951.81 | $3,951.81 | 1.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,679.81 | $3,679.81 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $4,985.58 | $4,985.58 | 20.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $9,141.79 | $9,141.79 | 51.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $8,730.24 | $8,730.24 | 15.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $10,395.21 | $10,395.21 | 59.0× |
| Magnetic Resonance Elastography (76391) | $999.75 | $999.75 | 4.2× |
| Mammary ductogram or galactogram multiple (77054) | $2,485.05 | $2,485.05 | 10.4× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,797.02–$1,942.71 | $1,797.02–$1,942.71 | varies |
| Meckels Divert Exam (78290) | $5,936 | $5,936 | 14.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,689.07 | $1,689.07 | 4.5× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $10,466.93 | $10,466.93 | 43.7× |
| MRI any jt lower extrem w/contrast material (73722) | $6,645.88 | $6,645.88 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,897.72 | $7,897.72 | 22.5× |
| 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 brain functional w/o physician admnistration (70554) | $3,621.49 | $3,621.49 | 15.1× |
| MRI brain functional w/physician admnistration (70555) | $4,156.20 | $4,156.20 | 17.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,830.61 | $3,830.61 | 16.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,600.72 | $3,600.72 | 15.0× |
| MRI cardiac w/o contrast (75557) | $3,029.06 | $3,029.06 | 12.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$6,538.33–$10,198.77 | $6,538.33–$10,198.77 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,746.37–$8,501.05 | $5,746.37–$8,501.05 | varies |
| 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 chest wo w contrast (71552) | $11,893.37 | $11,893.37 | 33.9× |
| 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 & w/contr matr (73720) | $12,113.19 | $12,113.19 | 34.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,366.27 | $9,366.27 | 39.1× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$6,538.33–$12,417.18 | $6,538.33–$12,417.18 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$7,350.54–$11,893.37 | $7,350.54–$11,893.37 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$8,594.59–$9,464.50 | $8,594.59–$9,464.50 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$8,730.24–$9,464.50 | $8,730.24–$9,464.50 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,395.21 | $10,395.21 | 29.7× |
| MRI pelvis w contrast (72196) | $6,237.44 | $6,237.44 | 17.8× |
| MRI pelvis w/o & w contrast (72197) | $7,267.92 | $7,267.92 | 20.7× |
| MRI pelvis w/o contrast (72195) | $6,237.44 | $6,237.44 | 26.0× |
| MRI spectroscopy (76390) | $8,142.49 | $8,142.49 | 93.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,746.37–$10,716.35 | $5,746.37–$10,716.35 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $10,296.98 | $10,296.98 | 29.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,366.27 | $9,366.27 | 39.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $11,232.36 | $11,232.36 | 32.1× |
| MRI, abdomen, combo (74183) | $13,856.12 | $13,856.12 | 39.5× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,350.54–$14,105.55 | $7,350.54–$14,105.55 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$8,730.24–$12,417.18 | $8,730.24–$12,417.18 | varies |
| MRI, joint upper extrem (73221) | $8,929.78 | $8,929.78 | 37.3× |
| MRI, joint upper extrem combo (73223) | $10,816.13 | $10,816.13 | 30.9× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$7,350.54–$14,105.55 | $7,350.54–$14,105.55 | varies |
| Myelogram cervical (72240) | $6,542.09 | $6,542.09 | 8.3× |
| Myelogram Lumbar (72265) | $6,542.09 | $6,542.09 | 8.3× |
| Myelography thoracic (72255) | $6,542.09 | $6,542.09 | 8.3× |
| Myelograpy 2/more regions rs&i (72270) | $11,653.06 | $11,653.06 | 14.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$3,776.97–$3,846.93 | $3,776.97–$3,846.93 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$7,642.30–$8,291.90 | $7,642.30–$8,291.90 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$12,166.47–$13,200.59 | $12,166.47–$13,200.59 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$883.32–$958.42 | $883.32–$958.42 | varies |
| Nm csf leak detection (78650) | $7,721.73 | $7,721.73 | 5.9× |
| Nm red cell survival study (78130) | $4,448.14 | $4,448.14 | 11.1× |
| Nm whole blood volume (78122) | $4,790.57 | $4,790.57 | 8.8× |
| Nonvascular Shunt X-Ray (75809) | $1,128.38 | $1,128.38 | 10.7× |
| Nuclear Rx Intra-Arterial (79445) | $6,774.94 | $6,774.94 | 28.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$3,501.32–$6,571.19 | $3,501.32–$6,571.19 | varies |
| Ob us nuchal meas 1 gest (76813) | $2,905.40 | $2,905.40 | 27.7× |
| Parathyroid Planar Imaging (78070) | $6,182.56 | $6,182.56 | 15.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,838.73 | $2,838.73 | 7.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$947.49–$1,028.02 | $947.49–$1,028.02 | varies |
| Perineogram (74775) | $1,672.34 | $1,672.34 | 7.0× |
| Peritoneogram Rs&I (74190) | $3,202.25 | $3,202.25 | 5.8× |
| Pet Image Skull-Thigh (78812) | $12,712.60 | $12,712.60 | 8.8× |
| Pet Image W/Ct Lmtd (78814) | $12,712.60 | $12,712.60 | 8.8× |
| PET image w/CT, full body (78816) | $12,712.60 | $12,712.60 | 8.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,712.60 | $12,712.60 | 8.8× |
| PET whole body (78813) | $12,712.60 | $12,712.60 | 8.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,001.12 | $12,001.12 | 3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,615.93 | $4,615.93 | 11.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,800.25 | $1,800.25 | 17.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,691.77–$1,858.53 | $1,691.77–$1,858.53 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$1,275.73–$2,546.57 | $1,275.73–$2,546.57 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $935.74 | $935.74 | 10.7× |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$1,254.86–$2,716.56 | $1,254.86–$2,716.56 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,725.78 | $1,725.78 | 16.4× |
| Radex fingr minimum 2 views (73140) | $836.99 | $836.99 | 9.6× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$1,275.73–$2,546.57 | $1,275.73–$2,546.57 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$1,361.52–$2,716.56 | $1,361.52–$2,716.56 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $1,028.02 | $1,028.02 | 11.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,331.27 | $2,331.27 | 22.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$947.49–$1,028.02 | $947.49–$1,028.02 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $1,132.52 | $1,132.52 | 13.0× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$1,324.28–$2,648.58 | $1,324.28–$2,648.58 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $785.17 | $785.17 | 9.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,079.21 | $3,079.21 | 17.5× |
| Radex Spine 1 View Specify Level (72020) | $858.03 | $858.03 | 9.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,351.82 | $1,351.82 | 15.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,745.20 | $1,745.20 | 20.0× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$774.41–$840.23 | $774.41–$840.23 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $1,028.02 | $1,028.02 | 9.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$1,361.52–$2,716.56 | $1,361.52–$2,716.56 | varies |
| 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) range across 2 matching MRF lines |
$1,608.50–$1,745.20 | $1,608.50–$1,745.20 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,156.39 | $1,156.39 | 11.0× |
| Radiologic exam colon double contrast study (74280) | $3,969.62 | $3,969.62 | 22.5× |
| 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 knee complete 4/more views (73564) range across 6 matching MRF lines |
$1,281.71–$2,778.08 | $1,281.71–$2,778.08 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,536.86–$1,667.49 | $1,536.86–$1,667.49 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,079.21 | $3,079.21 | 17.5× |
| Radiologic exam swallow function contrast study (74230) | $2,349.06 | $2,349.06 | 13.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,632.88 | $3,632.88 | 20.6× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$701.31–$760.89 | $701.31–$760.89 | varies |
| Radiologic examination femur minimum 2 views (73552) | $1,220.67 | $1,220.67 | 14.0× |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$854.96–$1,858.53 | $854.96–$1,858.53 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$2,035.24–$2,208.23 | $2,035.24–$2,208.23 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$927.64–$2,216.31 | $927.64–$2,216.31 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $29,090.98 | $29,090.98 | 124.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,615.93 | $4,615.93 | 11.5× |
| 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 2+ Days Imaging (78804) | $7,757.71 | $7,757.71 | 14.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,061.27–$6,951.28 | $3,061.27–$6,951.28 | varies |
| 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) range across 2 matching MRF lines |
$5,517.04–$6,443.23 | $5,517.04–$6,443.23 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$6,245.43–$6,443.23 | $6,245.43–$6,443.23 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$4,902.48–$6,443.23 | $4,902.48–$6,443.23 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $6,569.48 | $6,569.48 | 28.0× |
| Rp Therapy Intravenous Administration (79101) | $3,501.32 | $3,501.32 | 14.9× |
| Salivary Gland Imaging (78230) | $3,990.98 | $3,990.98 | 9.9× |
| Scapula (73010) | $1,301.62 | $1,301.62 | 12.4× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$668.47–$1,448.94 | $668.47–$1,448.94 | varies |
| Shoulder Arthrography (73040) | $3,506.60 | $3,506.60 | 10.0× |
| Sialogram (70390) | $1,973.50 | $1,973.50 | 8.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,029.55–$1,117.05 | $1,029.55–$1,117.05 | varies |
| Special dosimetry (77331) | $3,027.75 | $3,027.75 | 22.4× |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$3,813.01–$6,508.72 | $3,813.01–$6,508.72 | varies |
| Speech evaluation, complex (70371) | $385.30 | $385.30 | 1.6× |
| Sternoclavicular joints (71130) | $1,361.52 | $1,361.52 | 15.6× |
| Superior sagittal sinus venogram (75870) | $4,511.96 | $4,511.96 | 1.4× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$2,292.40–$2,889.80 | $2,292.40–$2,889.80 | varies |
| Testicular Imaging W/Flow (78761) | $2,605.88 | $2,605.88 | 6.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,821.80 | $2,821.80 | 16.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,507.02–$1,635.12 | $1,507.02–$1,635.12 | varies |
| Thoracic spine 3 views (72072) | $1,725.78 | $1,725.78 | 16.4× |
| Thoracolumbar 2 views (72080) | $1,821.30 | $1,821.30 | 20.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,321.77 | $1,321.77 | 3.3× |
| Thyroid Met Imaging Body (78018) | $7,211.53 | $7,211.53 | 13.2× |
| 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× |
| Ultrasound Breast Limited (76642) | $747.72 | $747.72 | 8.6× |
| Ultrasound Exam Aaa Screen (76706) | $862.12 | $862.12 | 8.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,509.01–$2,994.03 | $2,509.01–$2,994.03 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,828.98 | $1,828.98 | 17.4× |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$425.80–$3,817.44 | $425.80–$3,817.44 | varies |
| Unlisted magnetic resonance procedure (76498) | $4,160.89 | $4,160.89 | 47.6× |
| Unlisted us procedure (76999) | $1,558.26 | $1,558.26 | 17.8× |
| Upper gi w/o kub (74240) | $3,225.82 | $3,225.82 | 18.3× |
| Ureteral Reflux Study (78740) | $2,573.35 | $2,573.35 | 6.4× |
| Urethrocystogram voiding (74455) | $2,043.08 | $2,043.08 | 8.5× |
| Urethrocystography retrograde (74450) | $2,455.92 | $2,455.92 | 10.2× |
| Us breast unilateral complete (76641) | $1,298.82 | $1,298.82 | 12.4× |
| Us chest (76604) | $2,309.17 | $2,309.17 | 22.0× |
| Us complete joint (76881) | $10,993.22 | $10,993.22 | 104.7× |
| Us exam, pelvic, limited (76857) | $1,830.59 | $1,830.59 | 17.4× |
| Us head (76506) | $2,760.39 | $2,760.39 | 26.3× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,150.57–$3,135.85 | $1,150.57–$3,135.85 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,602.48 | $2,602.48 | 24.8× |
| Us ob detailed single fetus (76811) | $3,820.72 | $3,820.72 | 15.9× |
| Us ob limited 1 or more fetuses (76815) | $1,940.17 | $1,940.17 | 18.5× |
| 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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,060.11 | $3,060.11 | 29.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,720.11 | $2,720.11 | 25.9× |
| 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 spinal canal and contents (76800) | $2,994.03 | $2,994.03 | 28.5× |
| Us thyroid (76536) | $2,934.41 | $2,934.41 | 27.9× |
| Vein X-Ray Chest (75827) | $9,331.51 | $9,331.51 | 5.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $10,251.06 | $10,251.06 | 3.2× |
| Venogram Sinus/Jugular (75860) | $9,331.51 | $9,331.51 | 2.9× |
| Venography Adrenal Unilateral (75840) | $14,937.86 | $14,937.86 | 4.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$9,331.51–$14,937.86 | $9,331.51–$14,937.86 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$5,285.79–$9,331.51 | $5,285.79–$9,331.51 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$4,222.17–$9,331.51 | $4,222.17–$9,331.51 | varies |
| Venography Renal Bilateral (75833) | $14,937.86 | $14,937.86 | 4.7× |
| Venography Renal Unilateral (75831) | $14,937.86 | $14,937.86 | 4.7× |
| Venous sampling by catheter (75893) | $14,937.86 | $14,937.86 | 2.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $7,512.86 | $7,512.86 | 18.7× |
| Vertebral fracture assessment via dxa (77086) | $681.56 | $681.56 | 7.8× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$890.41–$2,240.62 | $890.41–$2,240.62 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,288.66 | $1,288.66 | 14.7× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$2,544.96–$4,641.48 | $2,544.96–$4,641.48 | varies |
| X-Ray Aorta Leg Arteries (75630) | $14,937.86 | $14,937.86 | 4.7× |
| X-Ray Bend Only L-S Spine (72120) | $1,821.30 | $1,821.30 | 17.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$678.34–$2,026.90 | $678.34–$2,026.90 | varies |
| X-Ray Exam Breast Specimen (76098) | $827.26 | $827.26 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,000.49 | $1,000.49 | 11.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$1,844.24–$2,001.01 | $1,844.24–$2,001.01 | varies |
| 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) range across 4 matching MRF lines |
$1,087.74–$1,180.18 | $1,087.74–$1,180.18 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,340.48 | $1,340.48 | 12.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,340.48 | $1,340.48 | 12.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$1,963.59–$2,130.51 | $1,963.59–$2,130.51 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,354.53–$2,554.67 | $2,354.53–$2,554.67 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,228.01–$1,332.40 | $1,228.01–$1,332.40 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,017.68 | $3,017.68 | 28.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$1,465.24–$1,589.79 | $1,465.24–$1,589.79 | varies |
| X-ray eye for foreign body (70030) | $398.25 | $398.25 | 4.6× |
| X-ray humerus (73060) range across 7 matching MRF lines |
$749.54–$2,363.63 | $749.54–$2,363.63 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,721.42 | $2,721.42 | 15.4× |
| X-ray IV pyelogram+tomography (74415) | $3,636.12 | $3,636.12 | 20.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $858.03 | $858.03 | 9.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $927.64 | $927.64 | 10.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,678.61–$1,821.30 | $1,678.61–$1,821.30 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,201.23 | $1,201.23 | 13.7× |
| 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) range across 2 matching MRF lines |
$1,150.41–$1,248.21 | $1,150.41–$1,248.21 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$1,201.23–$1,309.73 | $1,201.23–$1,309.73 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,593.04 | $1,593.04 | 18.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,811.59 | $1,811.59 | 17.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,648.58 | $2,648.58 | 7.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$883.93–$1,113.82 | $883.93–$1,113.82 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$2,732.03–$2,964.28 | $2,732.03–$2,964.28 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$2,148.62–$2,331.27 | $2,148.62–$2,331.27 | varies |
| Xr facial bones less than 3 views (70140) | $678.34 | $678.34 | 7.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $398.25 | $398.25 | 3.8× |
| Xr orbits complete 4 views (70200) | $1,351.82 | $1,351.82 | 12.9× |
| Xr Tomogram Single Plane (76100) | $3,202.25 | $3,202.25 | 30.5× |
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.