Imaging prices at Northwest Texas Hospital
Amarillo, TX · every code in this section with a posted price and a Medicare benchmark.
365 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) | $385.20 | $963 | 4.4× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$163.60–$469.20 | $409–$1,173 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$778.40–$2,554.80 | $1,946–$6,387 | varies |
| Adrenal Cortex & Medulla Img (78075) | $1,153.60 | $2,884 | 0.9× |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$1,224.40–$2,838.80 | $3,061–$7,097 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$1,740.80–$2,397.20 | $4,352–$5,993 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,280.40 | $8,201 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,320.40–$5,615.20 | $8,301–$14,038 | varies |
| Angiography extremity unilateral rs&i (75710) range across 10 matching MRF lines |
$2,015.20–$3,265.60 | $5,038–$8,164 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,848.40 | $4,621 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,954.40 | $4,886 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$403.20–$603.20 | $1,008–$1,508 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,370–$3,041.20 | $5,925–$7,603 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $2,961.20 | $7,403 | 0.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,329.20–$7,900.40 | $5,823–$19,751 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,532.40 | $6,331 | 0.8× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$2,329.20–$4,256.40 | $5,823–$10,641 | varies |
| Artery X-Rays Spine (75705) | $5,080 | $12,700 | 0.9× |
| Arthrogram ankle (73615) | $764.80 | $1,912 | 2.2× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$599.20–$1,712 | $1,498–$4,280 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$616–$869.20 | $1,540–$2,173 | varies |
| Basic radiation dosimetry calculation (77300) | $146.80 | $367 | 1.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$304.40–$679.20 | $761–$1,698 | varies |
| Bone Imaging 3 Phase (78315) | $3,035.20 | $7,588 | 7.6× |
| Bone Imaging Limited Area (78300) | $1,206 | $3,015 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,566 | $3,915 | 3.9× |
| Bone Imaging Whole Body (78306) | $2,948.80 | $7,372 | 7.3× |
| Bone marrow imaging limited area (78102) | $795.20 | $1,988 | 2.0× |
| Bone marrow imaging; whole body (78104) | $1,353.60 | $3,384 | 3.4× |
| Bone survey infant (77076) | $1,113.60 | $2,784 | 10.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,429.20 | $6,073 | 4.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $799.60 | $1,999 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $1,527.60 | $3,819 | 17.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,415.60 | $3,539 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $3,280.80 | $8,202 | 6.0× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$388–$453.20 | $970–$1,133 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$101.60–$801.60 | $254–$2,004 | varies |
| Chest 3 views (71047) | $899.60 | $2,249 | 10.3× |
| Chest 4 or more views (71048) | $817.60 | $2,044 | 7.8× |
| Cisternography Positive Contrast Rs&I (70015) | $1,000.40 | $2,501 | 1.3× |
| Clavicle complete (73000) range across 9 matching MRF lines |
$101.60–$818.40 | $254–$2,046 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $218 | $545 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$1,610–$6,185.60 | $4,025–$15,464 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$498.80–$787.60 | $1,247–$1,969 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,054.80 | $2,637 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$228.80–$1,513.60 | $572–$3,784 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $507.60 | $1,269 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $10,158 | $25,395 | 29.0× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$6,179.20–$6,554 | $15,448–$16,385 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,849.20–$3,885.20 | $4,623–$9,713 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,179.20–$4,994 | $5,448–$12,485 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,432.40–$2,968.40 | $3,581–$7,421 | varies |
| CT Angio Abdomen and Pelvis (74174) | $10,697.20 | $26,743 | 30.5× |
| CT Angio Chest (71275) | $5,322 | $13,305 | 30.2× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$968–$4,066 | $2,420–$10,165 | varies |
| CT angio hrt w/3d image (75574) | $6,750.80 | $16,877 | 19.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,063.20–$6,774.40 | $12,658–$16,936 | varies |
| CT Angio Neck (70498) | $4,276.40 | $10,691 | 24.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,050 | $12,625 | 28.7× |
| CT cervical spine w/ contrast (72126) | $4,274.80 | $10,687 | 12.2× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,653.60–$3,794 | $4,134–$9,485 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,912.40–$7,103.60 | $4,781–$17,759 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,442.40–$3,864 | $6,106–$9,660 | varies |
| CT chest w/wo contrast (71270) | $4,348 | $10,870 | 24.7× |
| CT head/brain with contrast (70460) | $3,786.80 | $9,467 | 21.5× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,227.20–$5,286 | $5,568–$13,215 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $6,250.40 | $15,626 | 17.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,200.40 | $8,001 | 36.6× |
| CT hrt w/3d image congen (75573) | $6,500.40 | $16,251 | 18.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,075.20–$3,595.20 | $5,188–$8,988 | varies |
| CT l-spine w&w/o contrast (72133) | $7,284 | $18,210 | 41.3× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$1,327.20–$4,136 | $3,318–$10,340 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$1,714–$4,640.40 | $4,285–$11,601 | varies |
| CT lumbar spine w contrast (72132) | $4,206.80 | $10,517 | 12.0× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,653.60–$3,577.60 | $4,134–$8,944 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,075.20–$3,812 | $5,188–$9,530 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,606.40–$3,280.40 | $4,016–$8,201 | varies |
| CT neck tissue combo (70492) | $3,629.20 | $9,073 | 20.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,079.20 | $15,198 | 34.5× |
| CT orbits w/o contrast (70480) | $3,280.40 | $8,201 | 31.2× |
| CT pelvis w&w/o contrast (72194) | $5,164.40 | $12,911 | 29.3× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,755.20–$3,585.20 | $4,388–$8,963 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,880–$4,930.80 | $9,700–$12,327 | varies |
| CT scans face/jaw combo (70488) | $4,308.80 | $10,772 | 24.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,557.60–$3,404 | $3,894–$8,510 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,242–$1,908 | $3,105–$4,770 | varies |
| CT thoracic spine w contrast (72129) | $4,292.40 | $10,731 | 24.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,705.60–$3,902 | $4,264–$9,755 | varies |
| CT thoracic spine w/wo cont (72130) | $5,980.40 | $14,951 | 33.9× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,161.20–$4,348 | $5,403–$10,870 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,756.80–$4,091.60 | $4,392–$10,229 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$5,035.20–$5,264 | $12,588–$13,160 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$3,331.20–$4,775.60 | $8,328–$11,939 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,570.80 | $11,427 | 25.9× |
| Cta Abdomen (74175) | $6,409.60 | $16,024 | 36.4× |
| CTA pelvis (72191) | $6,450 | $16,125 | 36.6× |
| Discography Cerv/Thor Spine (72285) | $2,858.40 | $7,146 | 1.5× |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$658–$2,858.40 | $1,645–$7,146 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $333.20 | $833 | 3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $250.40 | $626 | 2.4× |
| Dxa Bone Density Axial (77080) | $598.40 | $1,496 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $259.60 | $649 | 3.0× |
| Echo exam of fetal heart (76825) | $2,874.40 | $7,186 | 5.2× |
| Echo exam uterus (76831) | $1,105.20 | $2,763 | 4.6× |
| Echo Guide For Artery Repair (76936) | $670.40 | $1,676 | 3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $884 | $2,210 | 3.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$463.20–$734 | $1,158–$1,835 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$564–$1,197.60 | $1,410–$2,994 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$848.40–$1,197.60 | $2,121–$2,994 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$808–$1,033.60 | $2,020–$2,584 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,063.60–$1,320 | $2,659–$3,300 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$101.60–$634 | $254–$1,585 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$101.60–$720 | $254–$1,800 | varies |
| Gastric emptying imaging study (78264) | $2,101.60 | $5,254 | 5.2× |
| Gastroesophageal Reflux Exam (78262) | $1,237.20 | $3,093 | 3.1× |
| Gated Heart Planar Single (78472) | $1,816.40 | $4,541 | 4.5× |
| Gated Heart, Multiple (78473) | $3,432.80 | $8,582 | 8.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$410.40–$616 | $1,026–$1,540 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$1,959.60–$2,666.40 | $4,899–$6,666 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$1,844–$2,346 | $4,610–$5,865 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,528.40 | $6,321 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,528.40 | $6,321 | 6.3× |
| Ht Musc Image Planar Mult (78454) | $3,252 | $8,130 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $3,626 | $9,065 | 2.8× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$766–$1,262 | $1,915–$3,155 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$156.40–$1,131.60 | $391–$2,829 | varies |
| Infant hip ultrasound, limited static exam (76886) | $766 | $1,915 | 8.8× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$772.80–$1,095.60 | $1,932–$2,739 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$668.40–$835.60 | $1,671–$2,089 | varies |
| K Flow/Funct Image W/Drug (78708) | $3,056.80 | $7,642 | 5.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,347.60 | $5,869 | 4.3× |
| Kidney Imaging Morphol (78700) | $1,700 | $4,250 | 4.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,276.80–$2,704.80 | $3,192–$6,762 | varies |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$163.20–$1,016.80 | $408–$2,542 | varies |
| Leveen/Shunt Patency Exam (78291) | $991.60 | $2,479 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $2,254 | $5,635 | 5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,029.60 | $5,074 | 5.1× |
| Liver imaging static only (78201) | $900.80 | $2,252 | 1.7× |
| Liver imaging w/vascular flow (78202) | $1,693.20 | $4,233 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $3,043.20 | $7,608 | 5.6× |
| Lung perfusion differential (78597) | $4,047.60 | $10,119 | 10.1× |
| Lung Ventilat&Perfus Imaging (78582) | $3,940.80 | $9,852 | 7.2× |
| Lung Ventilation Imaging (78579) | $1,971.60 | $4,929 | 4.9× |
| Lymph System Imaging (78195) | $2,312.40 | $5,781 | 4.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,047.60 | $7,619 | 1.0× |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
$1,699.60–$2,416.40 | $4,249–$6,041 | varies |
| Mammary ductogram or galactogram multiple (77054) | $745.20 | $1,863 | 3.1× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$416.40–$440.40 | $1,041–$1,101 | varies |
| Meckels Divert Exam (78290) | $2,592.80 | $6,482 | 6.5× |
| Mra Head W/O & W/Contrast Material (70546) | $4,541.20 | $11,353 | 13.0× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,953.20–$2,817.20 | $4,883–$7,043 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,652–$2,864 | $6,630–$7,160 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,312.80–$3,221.20 | $5,782–$8,053 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $5,930.40 | $14,826 | 16.9× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,737.60–$2,817.20 | $4,344–$7,043 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$2,821.60–$3,648.80 | $7,054–$9,122 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,810–$3,785.20 | $7,025–$9,463 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,778.40–$4,527.20 | $9,446–$11,318 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,885.20–$9,137.20 | $9,713–$22,843 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,244–$3,377.20 | $8,110–$8,443 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,571.20 | $3,928 | 6.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,233.20–$6,594.40 | $8,083–$16,486 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,404–$5,080 | $8,510–$12,700 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,485.60–$4,768.40 | $6,214–$11,921 | varies |
| MRI chest with contrast (71551) | $3,868.80 | $9,672 | 4.9× |
| MRI chest wo w contrast (71552) | $6,694 | $16,735 | 19.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,831.20–$5,404.40 | $9,578–$13,511 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$6,409.20–$6,570.80 | $16,023–$16,427 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$2,276.40–$4,490.40 | $5,691–$11,226 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,290.40–$5,602.40 | $8,226–$14,006 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $7,012 | $17,530 | 20.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,850.40–$3,580.40 | $4,626–$8,951 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,998–$2,429.20 | $4,995–$6,073 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,577.60–$3,496 | $6,444–$8,740 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,853.20–$5,015.20 | $9,633–$12,538 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,821.60–$5,313.20 | $7,054–$13,283 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,648.80–$3,405.20 | $6,622–$8,513 | varies |
| MRI spectroscopy (76390) | $2,862.40 | $7,156 | 32.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,484.80–$5,484.80 | $8,712–$13,712 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$3,377.20–$3,656 | $8,443–$9,140 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,146.80–$3,156 | $7,867–$7,890 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,384–$4,680 | $8,460–$11,700 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$3,560.40–$5,313.20 | $8,901–$13,283 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$5,008.80–$7,179.60 | $12,522–$17,949 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,933.60–$6,185.60 | $9,834–$15,464 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$2,227.20–$3,717.20 | $5,568–$9,293 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,248.80–$3,967.20 | $5,622–$9,918 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,192–$6,005.20 | $10,480–$15,013 | varies |
| Myelogram cervical (72240) | $2,084.80 | $5,212 | 2.6× |
| Myelogram Lumbar (72265) | $2,343.20 | $5,858 | 3.0× |
| Myelography thoracic (72255) | $2,314 | $5,785 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $2,594.80 | $6,487 | 3.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,009.20 | $5,023 | 5.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,682 | $4,205 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,038.80 | $5,097 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,789.20–$4,018.80 | $9,473–$10,047 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$236–$397.20 | $590–$993 | varies |
| Nm csf leak detection (78650) | $1,160 | $2,900 | 0.9× |
| Nm myocard infarct spect (78469) | $4,429.60 | $11,074 | 8.1× |
| Nonvascular Shunt X-Ray (75809) | $1,363.60 | $3,409 | 13.0× |
| Nuclear Rx Oral Admin (79005) | $1,435.60 | $3,589 | 6.1× |
| Ob us nuchal meas 1 gest (76813) | $232.40 | $581 | 2.2× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $170 | $425 | 1.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$272.40–$362.40 | $681–$906 | varies |
| Panoramic X-ray of jaws (70355) | $522.80 | $1,307 | 6.0× |
| Parathyroid Planar Imaging (78070) | $2,236 | $5,590 | 5.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,816 | $7,040 | 7.0× |
| Pelvis 1 or 2 views (72170) | $504.80 | $1,262 | 4.8× |
| Peritoneogram Rs&I (74190) | $790.80 | $1,977 | 1.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,009.60 | $7,524 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,004.80–$1,803.60 | $2,512–$4,509 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $814.40 | $2,036 | 7.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
$686.40–$1,276.80 | $1,716–$3,192 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$101.60–$796.80 | $254–$1,992 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$101.60–$664 | $254–$1,660 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$101.60–$775.60 | $254–$1,939 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$101.60–$738 | $254–$1,845 | varies |
| Radex fingr minimum 2 views (73140) range across 30 matching MRF lines |
$101.60–$616 | $254–$1,540 | varies |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$101.60–$829.60 | $254–$2,074 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$101.60–$752 | $254–$1,880 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$101.60–$361.60 | $254–$904 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $344.80 | $862 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$101.60–$741.60 | $254–$1,854 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $170 | $425 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$101.60–$551.60 | $254–$1,379 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$163.20–$919.60 | $408–$2,299 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$101.60–$483.20 | $254–$1,208 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,106.80 | $5,267 | 12.0× |
| Radex Spine 1 View Specify Level (72020) | $656 | $1,640 | 7.5× |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$101.60–$806.40 | $254–$2,016 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$200.40–$430.40 | $501–$1,076 | varies |
| Radex Toe Minimum 2 Views (73660) range across 28 matching MRF lines |
$101.60–$480 | $254–$1,200 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$288–$452.40 | $720–$1,131 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$101.60–$676 | $254–$1,690 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $751.60 | $1,879 | 7.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$163.20–$676.80 | $408–$1,692 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$445.20–$781.60 | $1,113–$1,954 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$738.80–$1,751.20 | $1,847–$4,378 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$843.20–$1,266 | $2,108–$3,165 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$712.80–$1,069.60 | $1,782–$2,674 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $671.20 | $1,678 | 6.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$533.20–$849.60 | $1,333–$2,124 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$478–$610.80 | $1,195–$1,527 | varies |
| Radiologic exam teeth complete full mouth (70320) | $352 | $880 | 1.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $250.40 | $626 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
$548.40–$1,341.60 | $1,371–$3,354 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$101.60–$734 | $254–$1,835 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$510.80–$764.40 | $1,277–$1,911 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,082 | $2,705 | 10.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 9 matching MRF lines |
$101.60–$812.40 | $254–$2,031 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $859.20 | $2,148 | 3.7× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$157.60–$1,025.60 | $394–$2,564 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,450.40 | $3,626 | 3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,610 | $4,025 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,180.40 | $10,451 | 7.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,550 | $3,875 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$3,474.80–$3,757.60 | $8,687–$9,394 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,355.20 | $3,388 | 1.0× |
| Salivary Gland Imaging (78230) | $748.80 | $1,872 | 1.9× |
| Scapula (73010) range across 3 matching MRF lines |
$741.60–$788.40 | $1,854–$1,971 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $127.60 | $319 | 5.5× |
| Sella turcica (70240) | $186.40 | $466 | 2.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$461.60–$651.60 | $1,154–$1,629 | varies |
| Shoulder Arthrography (73040) | $1,129.60 | $2,824 | 3.2× |
| Sialogram (70390) | $708.40 | $1,771 | 3.0× |
| Skull less than 4 views (70250) | $664 | $1,660 | 6.3× |
| Special treatment procedure (77470) | $896.40 | $2,241 | 1.6× |
| Speech evaluation, complex (70371) | $374 | $935 | 1.6× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$108–$530.40 | $270–$1,326 | varies |
| Testicular Imaging W/Flow (78761) | $1,196.80 | $2,992 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $696.40 | $1,741 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $599.60 | $1,499 | 1.6× |
| Ther rad simulaj-aided field setting simple (77280) | $507.20 | $1,268 | 3.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,423.60 | $3,559 | 8.1× |
| Thoracic spine 2 views (72070) | $598 | $1,495 | 5.7× |
| Thoracic spine 3 views (72072) | $645.20 | $1,613 | 6.1× |
| Thoracolumbar 2 views (72080) | $564.80 | $1,412 | 6.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,293.60 | $3,234 | 3.2× |
| Thyroid Met Imaging Body (78018) | $2,886 | $7,215 | 5.3× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$398.80–$708 | $997–$1,770 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,023.20–$1,846 | $2,558–$4,615 | varies |
| Ultrasound Breast Limited (76642) | $498.40 | $1,246 | 5.7× |
| Ultrasound elastography first target lesion (76982) | $180 | $450 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $409.60 | $1,024 | 3.9× |
| Ultrasound, abdomen limited (76705) range across 19 matching MRF lines |
$232.40–$1,004.40 | $581–$2,511 | varies |
| Umbilical-artery Doppler (OB) (76820) | $333.20 | $833 | 3.2× |
| Unlisted Dx Radiographic Procedure (76499) | $122 | $305 | 1.4× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$501.20–$666.40 | $1,253–$1,666 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,498.80–$3,381.20 | $6,247–$8,453 | varies |
| Unlisted us procedure (76999) | $508.80 | $1,272 | 5.8× |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$579.20–$1,354.40 | $1,448–$3,386 | varies |
| Ureteral Reflux Study (78740) | $994.80 | $2,487 | 2.5× |
| Urethrocystogram voiding (74455) | $864.80 | $2,162 | 3.6× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$362.40–$1,150 | $906–$2,875 | varies |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$156.40–$908 | $391–$2,270 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$232.40–$612.40 | $581–$1,531 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$232.40–$1,318.40 | $581–$3,296 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$156.40–$924.40 | $391–$2,311 | varies |
| Us head (76506) range across 2 matching MRF lines |
$498.40–$1,112 | $1,246–$2,780 | varies |
| Us kidney transplant (76776) | $825.60 | $2,064 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$156.40–$630 | $391–$1,575 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$325.60–$1,088 | $814–$2,720 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$232.40–$677.60 | $581–$1,694 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$232.40–$1,156.40 | $581–$2,891 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$232.40–$1,172 | $581–$2,930 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$232.40–$1,241.20 | $581–$3,103 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$451.60–$636.80 | $1,129–$1,592 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$232.40–$887.20 | $581–$2,218 | varies |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$232.40–$1,182.80 | $581–$2,957 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$232.40–$843.20 | $581–$2,108 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$156.40–$982.80 | $391–$2,457 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$232.40–$1,116.80 | $581–$2,792 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$313.60–$469.60 | $784–$1,174 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,259.20–$2,940.80 | $3,148–$7,352 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,581.20 | $6,453 | 0.8× |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$1,124.40–$1,640 | $2,811–$4,100 | varies |
| Venography Adrenal Unilateral (75840) | $2,828 | $7,070 | 0.9× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,315.60–$3,118 | $3,289–$7,795 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$1,171.60–$4,676.40 | $2,929–$11,691 | varies |
| Venography extremity unilateral rs&i (75820) range across 10 matching MRF lines |
$877.20–$2,184 | $2,193–$5,460 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$2,828–$3,956 | $7,070–$9,890 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$1,804–$2,828 | $4,510–$7,070 | varies |
| Venous sampling by catheter (75893) | $6,117.20 | $15,293 | 1.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,034.80 | $2,587 | 2.6× |
| Vertebral fracture assessment via dxa (77086) | $212.40 | $531 | 2.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$335.60–$504.80 | $839–$1,262 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$248–$583.20 | $620–$1,458 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$455.60–$1,022 | $1,139–$2,555 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$2,850–$3,914.40 | $7,125–$9,786 | varies |
| X-Ray Bend Only L-S Spine (72120) | $490 | $1,225 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$410.40–$616 | $1,026–$1,540 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$644.80–$846 | $1,612–$2,115 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $501.60 | $1,254 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $358.80 | $897 | 4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$101.60–$504.80 | $254–$1,262 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$285.20–$456.80 | $713–$1,142 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$163.60–$538.40 | $409–$1,346 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$157.60–$1,263.20 | $394–$3,158 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $399.60 | $999 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$163.60–$910.80 | $409–$2,277 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $696.40 | $1,741 | 6.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$179.20–$266.80 | $448–$667 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$101.60–$791.60 | $254–$1,979 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$772.80–$1,544 | $1,932–$3,860 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$661.60–$686.80 | $1,654–$1,717 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $614 | $1,535 | 7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $377.20 | $943 | 4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$163.20–$561.20 | $408–$1,403 | varies |
| X-ray nose-rectum child f.b. (76010) | $292 | $730 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $726.80 | $1,817 | 6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $464.40 | $1,161 | 4.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $516.40 | $1,291 | 4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$503.20–$533.20 | $1,258–$1,333 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$598–$795.20 | $1,495–$1,988 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$163.20–$1,109.20 | $408–$2,773 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$559.20–$743.60 | $1,398–$1,859 | varies |
| X-Ray Tmj Unilat (70328) | $364.80 | $912 | 4.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$513.20–$1,082 | $1,283–$2,705 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$520.40–$551.60 | $1,301–$1,379 | varies |
| X-Rays Bone Survey Complete (77075) | $1,367.60 | $3,419 | 13.0× |
| Xr c-spine 4 or 5 views (72050) | $782 | $1,955 | 7.4× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$475.60–$632.40 | $1,189–$1,581 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$259.20–$344.80 | $648–$862 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$377.20–$752.40 | $943–$1,881 | varies |
| Xr Tomogram Single Plane (76100) | $608.80 | $1,522 | 5.8× |
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.