Imaging prices at North Austin Medical Center
Austin, TX · every code in this section with a posted price and a Medicare benchmark.
402 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) | $12,401 | $12,401 | 8.9× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$113–$795 | $113–$795 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$119–$954 | $119–$954 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,079 | $2,079 | 5.2× |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$3,194–$5,255 | $3,194–$5,255 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,851–$5,859 | $4,851–$5,859 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,859 | $5,859 | 1.8× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,145–$6,584 | $4,145–$6,584 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$4,389–$5,859 | $4,389–$5,859 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$3,765–$5,859 | $3,765–$5,859 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,707–$10,404 | $3,707–$10,404 | varies |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$119–$766 | $119–$766 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,760–$5,859 | $4,760–$5,859 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,544 | $3,544 | 1.1× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,859–$7,886 | $5,859–$7,886 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 5 matching MRF lines |
$5,643–$5,859 | $5,643–$5,859 | varies |
| Artery X-Rays Pelvis (75736) | $5,859 | $5,859 | 1.0× |
| Artery X-Rays Spine (75705) | $5,859 | $5,859 | 1.0× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$815–$889 | $815–$889 | varies |
| Arthrogram hip (73525) | $815 | $815 | 2.3× |
| Arthrogram Wrist (73115) | $815 | $815 | 2.3× |
| Basic radiation dosimetry calculation (77300) | $373 | $373 | 2.8× |
| Bone age studies (77072) range across 3 matching MRF lines |
$119–$340 | $119–$340 | varies |
| Bone Imaging 3 Phase (78315) | $3,333 | $3,333 | 8.3× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$794–$1,606 | $794–$1,606 | varies |
| Bone Imaging Multiple Areas (78305) | $1,637 | $1,637 | 4.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$794–$3,120 | $794–$3,120 | varies |
| Bone marrow imaging limited area (78102) | $2,037 | $2,037 | 5.1× |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$2,037–$2,103 | $2,037–$2,103 | varies |
| Bone marrow imaging; whole body (78104) | $1,081 | $1,081 | 2.7× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$145–$170 | $145–$170 | varies |
| Brain Image W/Flow < 4 Views (78601) | $801 | $801 | 2.0× |
| Brain imaging < 4 static views (78600) | $868 | $868 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,553 | $1,553 | 2.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $868 | $868 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,619 | $1,619 | 4.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,619 | $1,619 | 2.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$513–$1,039 | $513–$1,039 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $799 | $799 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $2,612 | $2,612 | 4.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$119–$655 | $119–$655 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$111–$775 | $111–$775 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$125–$1,041 | $125–$1,041 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$111–$1,116 | $111–$1,116 | varies |
| Cholecystography Oral Contrast (74290) | $1,108 | $1,108 | 6.3× |
| Cisternography Positive Contrast Rs&I (70015) | $1,532 | $1,532 | 1.9× |
| Clavicle complete (73000) range across 9 matching MRF lines |
$119–$780 | $119–$780 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $206 | $206 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $1,779 | $1,779 | 13.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,145–$5,859 | $4,145–$5,859 | varies |
| Contrast X-Ray Bladder (74430) | $532 | $532 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $1,067 | $1,067 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,067 | $1,067 | 3.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,286 | $1,286 | 7.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,749–$10,514 | $1,749–$10,514 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,939–$10,514 | $1,939–$10,514 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$1,123–$5,837 | $1,123–$5,837 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,256–$6,407 | $1,256–$6,407 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$560–$5,319 | $560–$5,319 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$1,297–$10,993 | $1,297–$10,993 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,315–$4,419 | $1,315–$4,419 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,315–$3,638 | $1,315–$3,638 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,400–$6,046 | $1,400–$6,046 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 10 matching MRF lines |
$1,315–$5,597 | $1,315–$5,597 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,315–$3,638 | $1,315–$3,638 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 8 matching MRF lines |
$1,619–$5,597 | $1,619–$5,597 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,437–$3,316 | $1,437–$3,316 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$560–$3,160 | $560–$3,160 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,599–$3,461 | $1,599–$3,461 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,123–$4,766 | $1,123–$4,766 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,599–$6,401 | $1,599–$6,401 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $833 | $833 | 4.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $546 | $546 | 5.2× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,437–$4,811 | $1,437–$4,811 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$1,256–$5,851 | $1,256–$5,851 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $5,268 | $5,268 | 15.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$82–$124 | $82–$124 | varies |
| CT hrt w/3d image congen (75573) | $6,404 | $6,404 | 18.3× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,123–$4,188 | $1,123–$4,188 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,599–$7,480 | $1,599–$7,480 | varies |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$560–$3,419 | $560–$3,419 | varies |
| CT lower extremity w/contrast material (73701) range across 8 matching MRF lines |
$1,123–$4,548 | $1,123–$4,548 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,123–$7,287 | $1,123–$7,287 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$560–$5,336 | $560–$5,336 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,123–$5,388 | $1,123–$5,388 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$560–$4,630 | $560–$4,630 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$1,256–$3,880 | $1,256–$3,880 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,256–$4,928 | $1,256–$4,928 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$560–$4,644 | $560–$4,644 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,599–$5,359 | $1,599–$5,359 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$560–$5,319 | $560–$5,319 | varies |
| CT scan of leg combo (73702) range across 10 matching MRF lines |
$1,256–$6,614 | $1,256–$6,614 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,256–$6,128 | $1,256–$6,128 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$1,123–$2,668 | $1,123–$2,668 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$560–$3,509 | $560–$3,509 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,123–$5,623 | $1,123–$5,623 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$560–$4,872 | $560–$4,872 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,599–$6,369 | $1,599–$6,369 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$560–$5,645 | $560–$5,645 | varies |
| CT upper ext wo (73200) range across 9 matching MRF lines |
$560–$4,089 | $560–$4,089 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
$1,256–$6,614 | $1,256–$6,614 | varies |
| CT upper extremity with contrast (73201) range across 8 matching MRF lines |
$1,123–$6,188 | $1,123–$6,188 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,315–$4,413 | $1,315–$4,413 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,315–$6,279 | $1,315–$6,279 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,619–$5,251 | $1,619–$5,251 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $859 | $859 | 1.6× |
| Dilation ureters/urethra rs&i (74485) | $4,495 | $4,495 | 2.1× |
| Discography Cerv/Thor Spine (72285) | $4,096 | $4,096 | 2.1× |
| Diskography lumbar (72295) | $4,096 | $4,096 | 2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$183–$337 | $183–$337 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$183–$337 | $183–$337 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$319–$337 | $319–$337 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$784–$946 | $784–$946 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$629–$784 | $629–$784 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $751 | $751 | 8.6× |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$1,119–$1,761 | $1,119–$1,761 | varies |
| Echo exam uterus (76831) | $847 | $847 | 3.5× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$543–$2,299 | $543–$2,299 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$1,140–$1,329 | $1,140–$1,329 | varies |
| Esophageal Motility Study (78258) | $1,191 | $1,191 | 3.0× |
| Esophagram (74220) | $1,286 | $1,286 | 7.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$486–$1,224 | $486–$1,224 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $303 | $303 | 2.9× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $5,651 | $5,651 | 23.6× |
| Fluoroscopy up to 1 hr (76000) | $974 | $974 | 4.1× |
| Follow-Up Angiography (75898) | $1,233 | $1,233 | 0.4× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$125–$1,035 | $125–$1,035 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$119–$780 | $119–$780 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$782–$2,439 | $782–$2,439 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,439 | $2,439 | 6.1× |
| Gastroesophageal Reflux Exam (78262) | $1,479 | $1,479 | 3.7× |
| Gated Heart Planar Single (78472) | $2,617 | $2,617 | 6.5× |
| Gated Heart, Multiple (78473) | $4,066 | $4,066 | 10.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,645 | $2,645 | 4.8× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$125–$780 | $125–$780 | varies |
| Heart first pass single,planar (78481) | $859 | $859 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,859 | $5,859 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,859 | $5,859 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$892–$3,356 | $892–$3,356 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$892–$3,053 | $892–$3,053 | varies |
| Ht Musc Image Planar Mult (78454) | $3,664 | $3,664 | 2.8× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,726–$8,281 | $2,726–$8,281 | varies |
| Hysterosalpingogram (74740) | $756 | $756 | 3.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $544 | $544 | 6.2× |
| Infant hip ultrasound, limited static exam (76886) | $544 | $544 | 6.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,211 | $1,211 | 1.7× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$119–$157 | $119–$157 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,006–$1,081 | $1,006–$1,081 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,006–$1,950 | $1,006–$1,950 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,790 | $1,790 | 3.3× |
| Kidney Imaging Morphol (78700) | $1,499 | $1,499 | 3.7× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$125–$1,412 | $125–$1,412 | varies |
| Leveen/Shunt Patency Exam (78291) | $778 | $778 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$892–$2,363 | $892–$2,363 | varies |
| Liver imaging w/vascular flow (78202) | $2,147 | $2,147 | 3.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,331 | $2,331 | 4.3× |
| Lung perfusion differential (78597) | $2,039 | $2,039 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,631 | $1,631 | 3.0× |
| Lung Ventilation Imaging (78579) | $689 | $689 | 1.7× |
| Lymph System Imaging (78195) | $1,480 | $1,480 | 2.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,333–$4,476 | $1,333–$4,476 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,093 | $1,093 | 4.6× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$804–$1,127 | $804–$1,127 | varies |
| Meckels Divert Exam (78290) | $2,551 | $2,551 | 6.4× |
| Medical physics dose eval radiation expos w/rprt (76145) | $176 | $176 | 0.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,195 | $1,195 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $123 | $123 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,251–$6,585 | $2,251–$6,585 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,333–$5,616 | $1,333–$5,616 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,990–$5,990 | $1,990–$5,990 | varies |
| MRA neck w contrast (70548) | $5,616 | $5,616 | 16.0× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,251–$6,585 | $2,251–$6,585 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,333–$5,241 | $1,333–$5,241 | varies |
| MRI abdomen w contrast (74182) | $5,651 | $5,651 | 16.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,333–$6,370 | $1,333–$6,370 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,109–$4,662 | $3,109–$4,662 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$2,251–$7,097 | $2,251–$7,097 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,109–$4,662 | $3,109–$4,662 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,020 | $1,020 | 4.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $766 | $766 | 3.2× |
| MRI cardiac w/o cont stress (75559) | $1,184 | $1,184 | 2.2× |
| MRI cardiac w/o contrast (75557) | $1,184 | $1,184 | 4.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,990–$4,800 | $1,990–$4,800 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,333–$4,220 | $1,333–$4,220 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,333–$4,563 | $1,333–$4,563 | varies |
| MRI chest with contrast (71551) | $6,250 | $6,250 | 7.9× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,251–$6,625 | $2,251–$6,625 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,109–$4,662 | $3,109–$4,662 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$2,251–$6,632 | $2,251–$6,632 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,333–$4,107 | $1,333–$4,107 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,990–$6,591 | $1,990–$6,591 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,251–$5,745 | $2,251–$5,745 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,333–$4,965 | $1,333–$4,965 | varies |
| MRI orbit face neck w contrast (70542) | $5,895 | $5,895 | 16.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,251–$7,012 | $2,251–$7,012 | varies |
| MRI pelvis w contrast (72196) | $6,572 | $6,572 | 18.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,251–$4,287 | $2,251–$4,287 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,333–$4,022 | $1,333–$4,022 | varies |
| MRI spectroscopy (76390) | $4,896 | $4,896 | 56.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,333–$5,898 | $1,333–$5,898 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,109 | $3,109 | 8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$1,333–$4,107 | $1,333–$4,107 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$2,251–$6,632 | $2,251–$6,632 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,251–$7,094 | $2,251–$7,094 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,251–$9,736 | $2,251–$9,736 | varies |
| MRI, dorsal spine contrast (72147) | $7,369 | $7,369 | 21.0× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,333–$4,107 | $1,333–$4,107 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$2,251–$7,097 | $2,251–$7,097 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,251–$8,989 | $2,251–$8,989 | varies |
| Myelogram cervical (72240) | $2,168 | $2,168 | 2.8× |
| Myelogram Lumbar (72265) | $2,017 | $2,017 | 2.6× |
| Myelography thoracic (72255) | $1,883 | $1,883 | 2.4× |
| Myelograpy 2/more regions rs&i (72270) | $4,496 | $4,496 | 5.7× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $3,200 | $3,200 | 5.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,664 | $3,664 | 2.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,726–$9,863 | $2,726–$9,863 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$119–$524 | $119–$524 | varies |
| Nm csf leak detection (78650) | $1,553 | $1,553 | 1.2× |
| Nm myocard infarct spect (78469) | $1,376 | $1,376 | 2.5× |
| Nm whole blood volume (78122) | $2,012 | $2,012 | 3.7× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$220–$546 | $220–$546 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,723 | $16,723 | 12.0× |
| Nuclear Rx Intra-Arterial (79445) | $791 | $791 | 3.4× |
| Nuclear Rx Oral Admin (79005) | $782 | $782 | 3.3× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$319–$373 | $319–$373 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,015 | $3,015 | 5.5× |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$632–$2,001 | $632–$2,001 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $873 | $873 | 2.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$113–$458 | $113–$458 | varies |
| Peritoneogram Rs&I (74190) | $1,458 | $1,458 | 2.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,859 | $5,859 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,631 | $1,631 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$145–$974 | $145–$974 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $974 | $974 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$119–$1,040 | $119–$1,040 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$119–$862 | $119–$862 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$125–$970 | $125–$970 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$119–$748 | $119–$748 | varies |
| Radex fingr minimum 2 views (73140) range across 8 matching MRF lines |
$119–$781 | $119–$781 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$125–$1,289 | $125–$1,289 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$125–$1,029 | $125–$1,029 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 12 matching MRF lines |
$113–$816 | $113–$816 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$111–$415 | $111–$415 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$111–$557 | $111–$557 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$119–$2,099 | $119–$2,099 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$119–$515 | $119–$515 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,841 | $1,841 | 10.4× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$113–$520 | $113–$520 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$119–$751 | $119–$751 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$119–$759 | $119–$759 | varies |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$119–$804 | $119–$804 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 9 matching MRF lines |
$111–$816 | $111–$816 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$125–$1,412 | $125–$1,412 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$145–$1,693 | $145–$1,693 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$331–$779 | $331–$779 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$331–$845 | $331–$845 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$470–$842 | $470–$842 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$145–$974 | $145–$974 | varies |
| Radiologic exam colon double contrast study (74280) | $2,030 | $2,030 | 11.5× |
| Radiologic exam colon single contrast study (74270) | $1,526 | $1,526 | 8.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,286 | $1,286 | 7.3× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$125–$1,449 | $125–$1,449 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $816 | $816 | 4.6× |
| Radiologic exam swallow function contrast study (74230) | $1,642 | $1,642 | 9.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,434 | $1,434 | 8.1× |
| Radiologic examination femur 1 view (73551) range across 9 matching MRF lines |
$119–$664 | $119–$664 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 9 matching MRF lines |
$119–$780 | $119–$780 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$125–$780 | $125–$780 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$145–$1,015 | $145–$1,015 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 9 matching MRF lines |
$111–$780 | $111–$780 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,386 | $1,386 | 5.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $2,012 | $2,012 | 5.0× |
| Renal Cyst Study (74470) | $637 | $637 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,556 | $1,556 | 3.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,255 | $2,255 | 5.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,840–$3,997 | $2,840–$3,997 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,165 | $4,165 | 7.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,805 | $2,805 | 5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,504–$2,255 | $1,504–$2,255 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,846 | $3,846 | 2.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,556 | $1,556 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $811 | $811 | 3.5× |
| Salivary Gland Imaging Serial Images (78231) | $669 | $669 | 1.7× |
| Scapula (73010) range across 11 matching MRF lines |
$111–$965 | $111–$965 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$62–$92 | $62–$92 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$119–$384 | $119–$384 | varies |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$119–$1,281 | $119–$1,281 | varies |
| Shoulder Arthrography (73040) | $1,185 | $1,185 | 3.4× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$111–$681 | $111–$681 | varies |
| Special dosimetry (77331) | $306 | $306 | 2.3× |
| Special Physics Consult (77370) | $1,550 | $1,550 | 11.5× |
| Special teletherapy port plan (77321) | $632 | $632 | 1.7× |
| Special treatment procedure (77470) | $1,269 | $1,269 | 2.3× |
| Speech evaluation, complex (70371) | $1,642 | $1,642 | 6.9× |
| Spleen Imaging (78185) | $691 | $691 | 1.7× |
| Stereotactic Body Radiation Delivery (77373) | $12,721 | $12,721 | 7.1× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$119–$642 | $119–$642 | varies |
| Superior sagittal sinus venogram (75870) | $3,378 | $3,378 | 1.1× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $144 | $144 | 1.6× |
| Tbs technical calculation only (77091) | $144 | $144 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $816 | $816 | 2.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $373 | $373 | 1.0× |
| Testicular Imaging W/Flow (78761) | $1,296 | $1,296 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $816 | $816 | 2.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $816 | $816 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $373 | $373 | 2.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $339 | $339 | 1.9× |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$119–$974 | $119–$974 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$119–$756 | $119–$756 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,922 | $3,922 | 9.8× |
| Thyroid Imaging With Vascular Flow (78013) | $406 | $406 | 1.0× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$903–$3,378 | $903–$3,378 | varies |
| Thyroid Uptake Measurement (78012) | $310 | $310 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $632 | $632 | 1.6× |
| Tx Devices Design & Construction Complex (77334) | $1,932 | $1,932 | 5.1× |
| Tx devices design & construction intermediate (77333) | $770 | $770 | 5.7× |
| Tx devices design & construction simple (77332) | $598 | $598 | 4.4× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$193–$512 | $193–$512 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$270–$486 | $270–$486 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$323–$1,397 | $323–$1,397 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$319–$392 | $319–$392 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$98–$4,548 | $98–$4,548 | varies |
| Unlisted fluoroscopic procedure (76496) | $1,333 | $1,333 | 15.2× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $788 | $788 | 2.0× |
| Unlisted magnetic resonance procedure (76498) | $1,289 | $1,289 | 14.7× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$319–$2,363 | $319–$2,363 | varies |
| Upper gi w/o kub (74240) | $577 | $577 | 3.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $336 | $336 | 30.4× |
| Urea breath test c-14 isotopic analysis (78268) | $427 | $427 | 4.5× |
| Ureteral Reflux Study (78740) | $1,169 | $1,169 | 2.9× |
| Urethrocystogram voiding (74455) | $532 | $532 | 2.2× |
| Urethrocystography retrograde (74450) | $645 | $645 | 2.7× |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
$327–$943 | $327–$943 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$319–$988 | $319–$988 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,136–$1,705 | $1,136–$1,705 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$219–$942 | $219–$942 | varies |
| Us head (76506) range across 3 matching MRF lines |
$319–$1,516 | $319–$1,516 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$486–$1,419 | $486–$1,419 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$219–$1,370 | $219–$1,370 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$485–$770 | $485–$770 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$319–$1,350 | $319–$1,350 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$319–$478 | $319–$478 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$323–$1,417 | $323–$1,417 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$323–$486 | $323–$486 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$319–$1,050 | $319–$1,050 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$323–$1,687 | $323–$1,687 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$323–$895 | $323–$895 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$323–$1,307 | $323–$1,307 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$486–$608 | $486–$608 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$323–$1,168 | $323–$1,168 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,350–$3,733 | $3,350–$3,733 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,271 | $3,271 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $3,180 | $3,180 | 5.0× |
| Vein X-Ray Spleen/Liver (75810) | $5,859 | $5,859 | 1.8× |
| Venogram Sinus/Jugular (75860) | $3,378 | $3,378 | 1.1× |
| Venography Adrenal Unilateral (75840) | $5,859 | $5,859 | 1.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,746–$5,859 | $3,746–$5,859 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,898–$3,045 | $1,898–$3,045 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,898–$1,949 | $1,898–$1,949 | varies |
| Venography Orbital Rs&I (75880) | $2,252 | $2,252 | 3.6× |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$5,742–$11,829 | $5,742–$11,829 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$5,859–$7,886 | $5,859–$7,886 | varies |
| Venous sampling by catheter (75893) | $5,859 | $5,859 | 1.0× |
| Venous thrombosis imaging (78457) | $987 | $987 | 1.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,381 | $1,381 | 3.4× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$319–$465 | $319–$465 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$125–$735 | $125–$735 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$106–$681 | $106–$681 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$532–$796 | $532–$796 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,824–$5,859 | $4,824–$5,859 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$125–$874 | $125–$874 | varies |
| X-Ray Exam Breast Specimen (76098) | $265 | $265 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$145–$1,131 | $145–$1,131 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$145–$1,418 | $145–$1,418 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$145–$627 | $145–$627 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$145–$705 | $145–$705 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 8 matching MRF lines |
$145–$783 | $145–$783 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$145–$860 | $145–$860 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$145–$936 | $145–$936 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$145–$1,015 | $145–$1,015 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$145–$1,494 | $145–$1,494 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$125–$753 | $125–$753 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$156–$1,130 | $156–$1,130 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$113–$880 | $113–$880 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$125–$1,362 | $125–$1,362 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,881 | $1,881 | 10.7× |
| X-ray IV pyelogram+tomography (74415) | $1,881 | $1,881 | 10.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$119–$612 | $119–$612 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$125–$511 | $125–$511 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$111–$816 | $111–$816 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$113–$315 | $113–$315 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$124–$1,035 | $124–$1,035 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$113–$727 | $113–$727 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$119–$681 | $119–$681 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$119–$1,026 | $119–$1,026 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$136–$1,191 | $136–$1,191 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$119–$544 | $119–$544 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$125–$1,267 | $125–$1,267 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$145–$946 | $145–$946 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$111–$475 | $111–$475 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$119–$645 | $119–$645 | varies |
| Xr Tomogram Single Plane (76100) | $1,049 | $1,049 | 10.0× |
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.