Imaging prices at Mission Regional Medical Center
Mission, TX · every code in this section with a posted price and a Medicare benchmark.
346 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $86 | $720.92 | 1.0× |
| Abdomen 2 views (74019) | $104 | $803.32 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $399 | $1,818.40 | 1.0× |
| Angio internal mammary (75756) | $3,156 | $13,207.60 | 1.0× |
| Angio pulmonary bilat (75743) | $3,156 | $13,207.60 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,156 | $13,207.60 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$3,156 | $13,207.60–$14,053.50 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$3,156 | $7,924.56–$14,053.50 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,156 | $13,207.60 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,156 | $7,172.34 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$86 | $456.92–$572.92 | 1.0× |
| Aortography thoracic serialography rs&i (75605) | $5,562 | $21,882.60 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,156 | $13,207.60 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,562 | $21,882.60 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $3,156 | $5,468.15 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,562 | $21,882.60 | 1.0× |
| Artery X-Rays Spine (75705) | $5,562 | $21,882.60 | 1.0× |
| Arthrogram hip (73525) | $348 | $1,929.40 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $134 | $618.85 | 1.0× |
| Bone age studies (77072) | $104 | $803.32 | 1.0× |
| Bone Imaging 3 Phase (78315) | $399 | $3,000.84 | 1.0× |
| Bone Imaging Limited Area (78300) | $399 | $1,818.40 | 1.0× |
| Bone Imaging Whole Body (78306) | $399 | $2,319.51 | 1.0× |
| Bone survey infant (77076) | $104 | $803.32 | 1.0× |
| Brain Flow Imaging Only (78610) | $542 | $2,277.60 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $399 | $1,767.45 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $542 | $2,493.48 | 1.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $542 | $2,277.60 | 1.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $399 | $1,767.45 | 1.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $542 | $1,455.41 | 1.0× |
| Cat Scan Follow-Up Study (76380) | $86 | $396.37 | 1.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $542 | $2,277.60 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $542 | $2,277.60 | 1.0× |
| Chest 1 view (71045) | $86 | $544.20 | 1.0× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$86 | $524.18–$641.01 | 1.0× |
| Chest 3 views (71047) | $86 | $311.50 | 1.0× |
| Chest 4 or more views (71048) | $104 | $776.45 | 1.0× |
| Clavicle complete (73000) | $86 | $756.84 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $134 | $548.92 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,156 | $13,207.60–$14,053.50 | 1.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$348 | $1,695.55–$1,929.40 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $348 | $1,929.40 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $348 | $11,801.50 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $238 | $7,864.92 | 1.0× |
| CT abdomen w contrast (74160) | $175 | $3,807.22 | 1.0× |
| CT abdomen w wo contrast (74170) | $175 | $5,330.11 | 1.0× |
| CT abdomen w/o contrast (74150) | $104 | $3,527.96 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $348 | $1,947.44 | 1.0× |
| CT Angio Chest (71275) | $175 | $3,100.18 | 1.0× |
| CT Angio Head (70496) | $175 | $3,771.75 | 1.0× |
| CT angio hrt w/3d image (75574) | $348 | $6,092 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $175 | $2,426.58 | 1.0× |
| CT Angio Neck (70498) | $175 | $2,601.90 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $175 | $1,683.95 | 1.0× |
| CT cervical spine w/ contrast (72126) | $348 | $3,546.80 | 1.0× |
| CT cervical spine w/o contrast (72125) | $104 | $3,461.36 | 1.0× |
| CT cervical spine w/wo cont (72127) | $175 | $2,926 | 1.0× |
| CT chest w contrast (71260) | $175 | $4,558.29 | 1.0× |
| CT chest w/wo contrast (71270) | $175 | $4,210.32 | 1.0× |
| CT head/brain with contrast (70460) | $175 | $1,983.91 | 1.0× |
| CT head/brain without and with contrast (70470) | $175 | $4,786.21 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $348 | $2,478 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$86 | $454.69–$660.96 | 1.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$175 | $1,473.07–$2,135 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $175 | $3,796.95 | 1.0× |
| CT lower ext w/o (73700) | $104 | $2,557.91 | 1.0× |
| CT lower extremity w/contrast material (73701) | $175 | $3,853.56 | 1.0× |
| CT lumbar spine w contrast (72132) | $348 | $3,881.88 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $104 | $3,884.95 | 1.0× |
| CT maxillofacial w contrast (70487) | $175 | $3,158.53 | 1.0× |
| CT maxillofacial wo contrast (70486) | $104 | $3,693.27 | 1.0× |
| CT neck tissue combo (70492) | $175 | $4,204.17 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $175 | $3,121.67 | 1.0× |
| CT orbits w/o contrast (70480) | $104 | $2,785.62 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $175 | $5,223.05 | 1.0× |
| CT pelvis w/o contrast (72192) | $104 | $3,367.59 | 1.0× |
| CT scan of leg combo (73702) | $175 | $2,635.68 | 1.0× |
| CT scans face/jaw combo (70488) | $175 | $2,963.10 | 1.0× |
| CT soft tissue neck w contrast (70491) | $175 | $3,273.90 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $104 | $3,637.34 | 1.0× |
| CT thoracic spine w contrast (72129) | $175 | $4,845 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $104 | $3,121.67 | 1.0× |
| CT thoracic spine w/wo cont (72130) | $175 | $3,548.58 | 1.0× |
| CT thorax w/o contrast (71250) | $104 | $3,644.50 | 1.0× |
| CT unlisted procedure (76497) | $86 | $311.50 | 1.0× |
| CT upper ext wo (73200) | $104 | $2,266.31 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) | $175 | $1,709.49 | 1.0× |
| CT upper extremity with contrast (73201) | $348 | $1,967.99 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $175 | $3,946.22 | 1.0× |
| Cta Abdomen (74175) | $175 | $4,034.10 | 1.0× |
| CTA pelvis (72191) | $175 | $2,004.71 | 1.0× |
| Dilation ureters/urethra rs&i (74485) | $2,089 | $8,698.75 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $1,952 | $8,157.40 | 1.0× |
| Diskography lumbar (72295) | $1,952 | $8,157.40 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $104 | $562.55 | 1.0× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$104 | $98–$803.32 | 1.0× |
| Dxa bone density study (77085) | $104 | $534.23 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $86 | $353.39 | 1.0× |
| Echo exam of fetal heart (76825) | $546 | $2,487.45 | 1.0× |
| Echo Guide For Artery Repair (76936) | $215 | $1,261.55 | 1.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $238 | $1,152.80 | 1.0× |
| Esophageal Motility Study (78258) | $399 | $1,767.45 | 1.0× |
| Esophagram (74220) | $175 | $810.05 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $104 | $1,181.95 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $104 | $787.57 | 1.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $238 | $1,152.80 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$238 | $691.68–$1,175.86 | 1.0× |
| Follow-Up Angiography (75898) | $3,156 | $5,468.15 | 1.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$86 | $504.90–$687.15 | 1.0× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$86 | $515.30–$719.54 | 1.0× |
| Gastric emptying imaging study (78264) | $399 | $2,681.07 | 1.0× |
| Gastric Mucosa Imaging (78261) | $399 | $1,767.45 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $399 | $1,767.45 | 1.0× |
| Gated Heart Planar Single (78472) | $399 | $1,767.45 | 1.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$104 | $562.55–$803.32 | 1.0× |
| Heart first pass single,planar (78481) | $542 | $2,277.60 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,156 | $13,207.60 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,156 | $13,207.60 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $542 | $3,252.41 | 1.0× |
| Hepatobiliary System Imaging (78226) | $399 | $2,547.20 | 1.0× |
| Ht Musc Image Planar Mult (78454) | $1,294 | $6,146.90 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,294 | $6,260.50 | 1.0× |
| Hysterosalpingogram (74740) | $238 | $1,182.96 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $86 | $953.70 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $86 | $885.36 | 1.0× |
| Infusion Ivp (74410) | $175 | $1,659.54 | 1.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $696 | $3,523.60 | 1.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $552 | $2,599.25 | 1.0× |
| Intracavitary radiation source applic simple (77761) | $552 | $2,599.25 | 1.0× |
| Joint Survey Single View (77077) | $104 | $562.55 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $542 | $1,433.15 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $542 | $2,277.60 | 1.0× |
| Kidney Imaging Morphol (78700) | $399 | $1,767.45 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$399 | $1,767.45–$1,818.40 | 1.0× |
| Knee 3 Views (73562) | $86 | $830.41 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $399 | $1,767.45 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $399 | $1,914.52 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $542 | $3,245.47 | 1.0× |
| Lung Ventilation Imaging (78579) | $399 | $1,767.45 | 1.0× |
| Lymph System Imaging (78195) | $542 | $2,383.05 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $238 | $3,382.19 | 1.0× |
| Mammary ductogram or galactogram multiple (77054) | $238 | $1,152.80 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $238 | $1,152.80 | 1.0× |
| Meckels Divert Exam (78290) | $399 | $1,767.45 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $348 | $2,941.17 | 1.0× |
| MRA head w/o contrast (70544) | $238 | $4,391.03 | 1.0× |
| MRA head with contrast (70545) | $348 | $1,695.55 | 1.0× |
| MRA neck w contrast (70548) | $348 | $3,214.88 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $348 | $5,034.67 | 1.0× |
| MRA neck w/o contrast (70547) | $238 | $3,864.32 | 1.0× |
| MRI abdomen w contrast (74182) | $348 | $1,929.40 | 1.0× |
| MRI abdomen w/o contrast (74181) | $238 | $4,054.50 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$783 | $3,458.75–$4,098 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$348 | $3,791.34–$7,248.76 | 1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$783 | $3,458.75–$3,530.15 | 1.0× |
| MRI bone marrow blood supply (77084) | $238 | $1,152.80 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $238 | $4,108.30 | 1.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $238 | $1,152.80 | 1.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$348 | $1,929.40–$3,810 | 1.0× |
| MRI cervical spine w/o cont (72141) | $238 | $6,381.67 | 1.0× |
| MRI chest w/o contrast (71550) | $238 | $3,802 | 1.0× |
| MRI chest with contrast (71551) | $783 | $3,458.75 | 1.0× |
| MRI chest wo w contrast (71552) | $348 | $4,995.13 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $348 | $1,202.22 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $348 | $6,846.15 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $238 | $5,090.27 | 1.0× |
| MRI lumbar spine w contrast (72149) | $348 | $4,999.62 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $348 | $6,590.08 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $238 | $4,837.86 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$348 | $4,519.78–$4,837.86 | 1.0× |
| MRI pelvis w contrast (72196) | $348 | $1,198.50 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $348 | $6,515.48 | 1.0× |
| MRI pelvis w/o contrast (72195) | $238 | $4,314.32 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $238 | $5,016.90 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $348 | $1,929.40 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $238 | $4,186.89 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $348 | $5,768.52 | 1.0× |
| MRI, abdomen, combo (74183) | $348 | $7,946.90 | 1.0× |
| MRI, dorsal spine combo (72157) | $348 | $6,158.01 | 1.0× |
| MRI, dorsal spine contrast (72147) | $348 | $2,021.23 | 1.0× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$238 | $4,134.60–$5,025.34 | 1.0× |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$348 | $2,648.89–$4,121.82 | 1.0× |
| MRI, lumbar spine combo (72158) | $348 | $6,956.82 | 1.0× |
| Myelogram cervical (72240) | $783 | $3,458.75 | 1.0× |
| Myelogram Lumbar (72265) | $783 | $2,613.34 | 1.0× |
| Myelography thoracic (72255) | $783 | $3,458.75 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $783 | $3,458.75 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $399 | $1,767.45 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,294 | $6,146.90 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,294 | $6,360.95–$8,777.77 | 1.0× |
| Neck soft tissue (70360) | $86 | $672.38 | 1.0× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$233 | $1,154.45–$2,266.19 | 1.0× |
| Optic foramina (70190) | $86 | $311.50 | 1.0× |
| Parathyroid Planar Imaging (78070) | $399 | $1,980.84 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$104 | $573.80–$803.32 | 1.0× |
| Perineogram (74775) | $238 | $1,152.80 | 1.0× |
| Peritoneogram Rs&I (74190) | $546 | $2,487.45 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,156 | $13,207.60 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $399 | $1,818.40 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $104 | $852.51 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $546 | $2,487.45 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$86 | $548.99–$781.25 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$86 | $517.59–$661.98 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$86 | $588.98–$862.50 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $104 | $940.53 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$86 | $405.55–$633.93 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$86 | $599.38–$815.17 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$86 | $578.46–$766.01 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$86 | $311.50–$318.77 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $104 | $562.55 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $86 | $715.29 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $86 | $578.34 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$86 | $710.86–$933.77 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $86 | $414.39 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $86 | $659.89 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $86 | $748.71 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$86 | $494.08–$631.90 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $104 | $787.57 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$86 | $596.54–$812.43 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $552 | $1,122.30 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $104 | $1,027.72 | 1.0× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$175 | $1,008.70–$1,338 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $175 | $1,440.42 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $175 | $911.10 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$104 | $802.32–$963.50 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $104 | $885.55 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $175 | $810.05 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $175 | $975.04 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $175 | $1,008.70 | 1.0× |
| Radiologic examination femur 1 view (73551) | $86 | $492.66 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$86 | $311.50–$725.17 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$86 | $728.37–$776.82 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $104 | $573.80 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$86 | $702.78–$739.83 | 1.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $546 | $2,487.45 | 1.0× |
| Ribs bilateral 3 views (71110) | $104 | $1,098.75 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $399 | $1,767.45 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $399 | $1,818.40 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $542 | $6,260.50 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $542 | $6,146.90 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$542 | $2,277.60–$6,146.90 | 1.0× |
| Scapula (73010) | $104 | $803.32 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$22 | $50–$157.98 | 0.9× |
| Sella turcica (70240) | $86 | $200.48 | 1.0× |
| Shoulder 1 view (73020) | $86 | $746.94 | 1.0× |
| Shoulder Arthrography (73040) | $348 | $1,929.40 | 1.0× |
| Sialogram (70390) | $238 | $1,152.80 | 1.0× |
| Skull less than 4 views (70250) | $104 | $886.88 | 1.0× |
| Special dosimetry (77331) | $134 | $618.85 | 1.0× |
| Sternoclavicular joints (71130) | $86 | $311.50 | 1.0× |
| Superior sagittal sinus venogram (75870) | $3,156 | $5,468.15 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $374 | $1,609.10 | 1.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $374 | $1,609.10 | 1.0× |
| Testicular Imaging W/Flow (78761) | $399 | $1,767.45 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $374 | $1,609.10 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $374 | $1,609.10 | 1.0× |
| Ther rad simulaj-aided field setting simple (77280) | $134 | $618.85 | 1.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$104 | $803.32–$856.65 | 1.0× |
| Thoracic spine 3 views (72072) | $104 | $803.32 | 1.0× |
| Thoracolumbar 2 views (72080) | $86 | $646.65 | 1.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $399 | $1,767.45 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $399 | $2,049 | 1.0× |
| Thyroid Met Imaging Body (78018) | $542 | $2,277.60 | 1.0× |
| Thyroid Uptake Measurement (78012) | $399 | $2,474.43 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $399 | $2,474.43 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $374 | $1,609.10 | 1.0× |
| Tx devices design & construction intermediate (77333) | $134 | $618.85 | 1.0× |
| Ultrasound Breast Limited (76642) | $86 | $706.86 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $104 | $484.70 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$104 | $1,127.63–$1,298.54 | 1.0× |
| Umbilical-artery Doppler (OB) (76820) | $104 | $803.32 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $86 | $224.93 | 1.0× |
| Unlisted magnetic resonance procedure (76498) | $86 | $721.59 | 1.0× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$86 | $1,105.83–$1,127.95 | 1.0× |
| Upper gi w/o kub (74240) | $175 | $1,440.42 | 1.0× |
| Urethrocystogram voiding (74455) | $238 | $1,646.20 | 1.0× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$238 | $1,132.47–$1,415.59 | 1.0× |
| Us bone density measurement (76977) | $104 | $562.55 | 1.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$104 | $1,020.85–$2,041.69 | 1.0× |
| Us chest (76604) range across 3 matching MRF lines |
$104 | $636.99–$814.68 | 1.0× |
| Us complete joint (76881) | $104 | $835.86 | 1.0× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$104 | $1,040.66–$1,326.85 | 1.0× |
| Us head (76506) | $104 | $997.05 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$104 | $573.80–$1,307.60 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $104 | $828.40 | 1.0× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$104 | $573.80–$1,008.48 | 1.0× |
| Us pelvic non ob complete (76856) | $104 | $1,379.18 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $104 | $999.60 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $104 | $805.83 | 1.0× |
| Us retroperitoneal complete (76770) | $104 | $1,222.98 | 1.0× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$104 | $833.28–$1,036.34 | 1.0× |
| Us scrotum and contents (76870) | $104 | $1,036.34 | 1.0× |
| Us spinal canal and contents (76800) | $104 | $929.07 | 1.0× |
| Us thyroid (76536) | $104 | $1,060.50 | 1.0× |
| Us transrectal (76872) | $104 | $534.40 | 1.0× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,573 | $1,660–$3,100.05 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,156 | $5,468.15 | 1.0× |
| Venogram Sinus/Jugular (75860) | $3,156 | $7,924.56 | 1.0× |
| Venography Adrenal Unilateral (75840) | $3,156 | $13,207.60 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,156 | $13,207.60 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,573 | $5,468.15 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,573 | $3,100.05 | 1.0× |
| Venography Orbital Rs&I (75880) | $627 | $7,172.34 | 1.0× |
| Venography Renal Bilateral (75833) | $3,156 | $13,207.60 | 1.0× |
| Venography Renal Unilateral (75831) | $3,156 | $13,207.60 | 1.0× |
| Venous sampling by catheter (75893) | $5,562 | $21,882.60 | 1.0× |
| Venous thrombosis imaging (78457) | $542 | $6,146.90 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $399 | $1,767.45 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $86 | $311.50 | 1.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$86 | $472.10–$700.89 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $86 | $311.50 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $348 | $1,929.40 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,156 | $14,053.50–$15,185 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $104 | $827.55 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$86 | $489.60–$593.44 | 1.0× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$546 | $1,492.47–$2,487.45 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $86 | $783.71 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$104 | $562.55–$803.32 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $86 | $552.67 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$86 | $975–$997.58 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $104 | $803.32 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $104 | $622.04 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$86 | $635.20–$858.59 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $104 | $634.48 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $104 | $890.50 | 1.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$86 | $726.35–$741.10 | 1.0× |
| X-ray IV pyelogram+tomography (74415) | $175 | $1,008.70 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $86 | $752.51 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $86 | $764.93 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$104 | $583.76–$803.32 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $86 | $755.66 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $104 | $634.48 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $104 | $803.32 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $86 | $749.36 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $86 | $1,036.40 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $104 | $902.91 | 1.0× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$104 | $766.51–$955.18 | 1.0× |
| X-Ray Tmj Unilat (70328) | $86 | $400.60 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $348 | $1,695.55 | 1.0× |
| X-Rays Bone Length Studies (77073) | $104 | $803.32 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $104 | $1,332.39 | 1.0× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$104 | $562.55–$904.74 | 1.0× |
| Xr facial bones less than 3 views (70140) | $86 | $534.48 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $104 | $484.70 | 1.0× |
| Xr orbits complete 4 views (70200) | $104 | $803.32 | 1.0× |
| Xr Tomogram Single Plane (76100) | $104 | $562.55 | 1.0× |
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.