Imaging prices at Parkland Memorial Hospital
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
427 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) range across 2 matching MRF lines |
$776.40–$2,219.20 | $1,941–$5,548 | varies |
| Abdomen 1 View (74018) | $271.60 | $679 | 3.1× |
| Abdomen 2 views (74019) | $519.60 | $1,299 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $902.80 | $2,257 | 2.2× |
| Adrenal Cortex & Medulla Img (78075) | $2,378.40 | $5,946 | 1.8× |
| Angio internal mammary (75756) | $2,318 | $5,795 | 0.7× |
| Angio pulmonary bilat (75743) | $4,462 | $11,155 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,528 | $6,320 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $3,028.40 | $7,571 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,200.40 | $5,501 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,968 | $4,920 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,654.80 | $4,137 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$219.20–$438.40 | $548–$1,096 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,849.60 | $7,124 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,048 | $7,620 | 1.0× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,526 | $6,315 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $4,462 | $11,155 | 1.4× |
| Artery X-Rays Pelvis (75736) | $2,960 | $7,400 | 0.5× |
| Artery X-Rays Spine (75705) | $3,348 | $8,370 | 0.6× |
| Arthrogram ankle (73615) | $690.80 | $1,727 | 2.0× |
| Arthrogram hip (73525) | $682 | $1,705 | 1.9× |
| Arthrogram Wrist (73115) | $337.60 | $844 | 1.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$86.80–$458.80 | $217–$1,147 | varies |
| Bone age studies (77072) | $202 | $505 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,052.40 | $2,631 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $694.80 | $1,737 | 1.7× |
| Bone Imaging Whole Body (78306) | $765.60 | $1,914 | 1.9× |
| Bone marrow imaging limited area (78102) | $568.80 | $1,422 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $748 | $1,870 | 1.9× |
| Bone marrow imaging; whole body (78104) | $842 | $2,105 | 2.1× |
| Bone survey infant (77076) | $607.20 | $1,518 | 5.8× |
| Brachytx isodose complex (77318) | $329.20 | $823 | 0.9× |
| Brachytx isodose intermed (77317) | $329.20 | $823 | 0.9× |
| Brachytx Isodose Plan Simple (77316) | $118 | $295 | 0.3× |
| Brain Image W/Flow < 4 Views (78601) | $534.80 | $1,337 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,711.60 | $4,279 | 3.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$3,028–$4,060 | $7,570–$10,150 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,274 | $3,185 | 3.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,561.60 | $3,904 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $934.80 | $2,337 | 10.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,320.40 | $3,301 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $1,365.60 | $3,414 | 2.5× |
| Chest 1 view (71045) | $271.60 | $679 | 3.1× |
| Chest 2 views (71046) | $271.60 | $679 | 3.1× |
| Chest 3 views (71047) | $271.60 | $679 | 3.1× |
| Chest 4 or more views (71048) | $519.60 | $1,299 | 4.9× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $176.80 | $442 | 1.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$248.40–$497.60 | $621–$1,244 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $292.40 | $731 | 2.8× |
| Continuing medical physics consltj pr wk (77336) | $86.80 | $217 | 0.6× |
| Contrast Exam Abdominl Aorta (75625) | $2,542.80 | $6,357 | 0.8× |
| Contrast X-Ray Bladder (74430) | $501.60 | $1,254 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $617.60 | $1,544 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $784 | $1,960 | 2.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $457.60 | $1,144 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,150.80 | $5,377 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,521.60 | $3,804 | 6.3× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,153.60–$2,756.40 | $2,884–$6,891 | varies |
| CT abdomen w wo contrast (74170) | $1,322.80 | $3,307 | 7.5× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$907.20–$3,547.20 | $2,268–$8,868 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,922.40 | $4,806 | 5.5× |
| CT Angio Chest (71275) | $1,360.80 | $3,402 | 7.7× |
| CT Angio Head (70496) | $1,288 | $3,220 | 7.3× |
| CT angio hrt w/3d image (75574) | $1,098.80 | $2,747 | 3.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,243.20–$4,152.40 | $3,108–$10,381 | varies |
| CT Angio Neck (70498) | $1,295.60 | $3,239 | 7.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,207.60 | $3,019 | 6.9× |
| CT cervical spine w/ contrast (72126) | $2,551.20 | $6,378 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,199.20 | $5,498 | 20.9× |
| CT cervical spine w/wo cont (72127) | $3,113.60 | $7,784 | 17.7× |
| CT chest w contrast (71260) | $1,971.20 | $4,928 | 11.2× |
| CT chest w/wo contrast (71270) | $2,437.60 | $6,094 | 13.8× |
| CT colonography screening (74263) | $636.40 | $1,591 | 2.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $966.80 | $2,417 | 5.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $636.40 | $1,591 | 6.1× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,002–$2,494.80 | $2,505–$6,237 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,180.80–$3,009.60 | $2,952–$7,524 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $877.60 | $2,194 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $146.40 | $366 | 1.7× |
| CT hrt w/3d image congen (75573) | $877.60 | $2,194 | 2.5× |
| CT iac w contrast (70481) | $2,162 | $5,405 | 12.3× |
| CT l-spine w&w/o contrast (72133) | $3,355.20 | $8,388 | 19.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,616.80–$3,233.20 | $4,042–$8,083 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,968.80–$3,936.80 | $4,922–$9,842 | varies |
| CT lumbar spine w contrast (72132) | $2,740.80 | $6,852 | 7.8× |
| CT lumbar spine w/o contrast (72131) | $2,356.40 | $5,891 | 22.4× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$862.40–$2,071.60 | $2,156–$5,179 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$693.20–$1,774 | $1,733–$4,435 | varies |
| CT neck tissue combo (70492) | $2,518 | $6,295 | 14.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,453.20 | $6,133 | 13.9× |
| CT orbits w/o contrast (70480) | $1,860.80 | $4,652 | 17.7× |
| CT pelvis w&w/o contrast (72194) | $2,860 | $7,150 | 16.2× |
| CT pelvis w/o contrast (72192) | $1,809.60 | $4,524 | 17.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,541.20–$5,082.80 | $6,353–$12,707 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$903.20–$2,527.20 | $2,258–$6,318 | varies |
| CT soft tissue neck w contrast (70491) | $2,069.60 | $5,174 | 11.7× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,376.80–$1,708.80 | $3,442–$4,272 | varies |
| CT thoracic spine w contrast (72129) | $2,792 | $6,980 | 15.8× |
| CT thoracic spine w/o contrast (72128) | $2,416.40 | $6,041 | 23.0× |
| CT thoracic spine w/wo cont (72130) | $3,416 | $8,540 | 19.4× |
| CT thorax w/o contrast (71250) | $1,630 | $4,075 | 15.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,631.20–$3,262.40 | $4,078–$8,156 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,564.40 | $6,411 | 14.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,976.80–$3,954 | $4,942–$9,885 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,429.20 | $3,573 | 8.1× |
| Cta Abdomen (74175) | $1,335.60 | $3,339 | 7.6× |
| CTA pelvis (72191) | $1,307.60 | $3,269 | 7.4× |
| Dilation ureters/urethra rs&i (74485) | $1,137.60 | $2,844 | 0.5× |
| Diskography lumbar (72295) | $1,726.40 | $4,316 | 0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $485.60 | $1,214 | 4.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $668 | $1,670 | 6.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $501.60 | $1,254 | 4.8× |
| Dxa Bone Density Axial (77080) | $425.60 | $1,064 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $425.60 | $1,064 | 4.9× |
| Echo exam of fetal heart (76825) | $782.80 | $1,957 | 1.4× |
| Echo exam uterus (76831) | $579.60 | $1,449 | 2.4× |
| Echo Guide For Artery Repair (76936) | $956.40 | $2,391 | 4.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $455.60 | $1,139 | 1.9× |
| Echograp Trans R Pros Study (76873) | $535.20 | $1,338 | 5.1× |
| Esophageal Motility Study (78258) | $1,278 | $3,195 | 3.2× |
| Esophagram (74220) | $398 | $995 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $380 | $950 | 3.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $771.60 | $1,929 | 3.2× |
| Fluoroscopy up to 1 hr (76000) | $407.20 | $1,018 | 1.7× |
| Follow-Up Angiography (75898) | $4,837.20 | $12,093 | 1.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$234.80–$469.20 | $587–$1,173 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$262.80–$525.60 | $657–$1,314 | varies |
| Gastric emptying imaging study (78264) | $1,202 | $3,005 | 3.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $938.40 | $2,346 | 2.3× |
| Gated Heart Planar Single (78472) | $1,380.40 | $3,451 | 3.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,244.40 | $3,111 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$247.60–$496 | $619–$1,240 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $516.80 | $1,292 | 0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $516.80 | $1,292 | 0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $516.80 | $1,292 | 0.7× |
| Heart Image (Pet) Multiple (78492) | $3,957.60 | $9,894 | 2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,968 | $4,920 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,968 | $4,920 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,077.20 | $2,693 | 2.0× |
| Hepatobiliary System Imaging (78226) | $836.80 | $2,092 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,526 | $6,315 | 1.9× |
| Hysterosalpingogram (74740) | $570.80 | $1,427 | 2.4× |
| Image fusion (77399) | $211.60 | $529 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $508 | $1,270 | 5.8× |
| Infant hip ultrasound, limited static exam (76886) | $452 | $1,130 | 5.2× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$886–$2,562.40 | $2,215–$6,406 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $278 | $695 | 0.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $278 | $695 | 0.5× |
| Intracavitary radiation source applic simple (77761) | $278 | $695 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $786.40 | $1,966 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,059.60 | $2,649 | 1.9× |
| Kidney Imaging Morphol (78700) | $784 | $1,960 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$282–$564 | $705–$1,410 | varies |
| Leveen/Shunt Patency Exam (78291) | $784 | $1,960 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $650.40 | $1,626 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $510.40 | $1,276 | 1.3× |
| Liver imaging static only (78201) | $1,770 | $4,425 | 3.2× |
| Liver imaging w/vascular flow (78202) | $4,614 | $11,535 | 8.5× |
| Lung Perf&Ventilat Diferentl (78598) | $902.40 | $2,256 | 1.7× |
| Lung perfusion differential (78597) | $1,221.20 | $3,053 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $902.40 | $2,256 | 1.7× |
| Lung Ventilation Imaging (78579) | $742.80 | $1,857 | 1.8× |
| Lymph System Imaging (78195) | $1,278.40 | $3,196 | 2.3× |
| Lymphangiography extremity only unilateral rs&i (75801) | $933.60 | $2,334 | 1.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,582.80 | $3,957 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,796.40 | $11,991 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,929.20 | $4,823 | 8.0× |
| Magnetic Resonance Elastography (76391) | $892.40 | $2,231 | 3.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,003.60 | $2,509 | 4.2× |
| Mammary ductogram or galactogram single (77053) | $420.40 | $1,051 | 1.8× |
| Meckels Divert Exam (78290) | $556 | $1,390 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $725.60 | $1,814 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$854–$3,242.40 | $2,135–$8,106 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$867.60–$2,166.40 | $2,169–$5,416 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$646.40–$2,152.80 | $1,616–$5,382 | varies |
| MRA neck w contrast (70548) | $646.40 | $1,616 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$854–$1,816 | $2,135–$4,540 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$559.20–$1,287.20 | $1,398–$3,218 | varies |
| MRI abdomen w contrast (74182) | $2,285.20 | $5,713 | 6.5× |
| MRI abdomen w/o contrast (74181) | $1,844.80 | $4,612 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,580–$5,160 | $6,450–$12,900 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,202.40–$6,404.40 | $8,006–$16,011 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,765.60–$5,531.60 | $6,914–$13,829 | varies |
| MRI bone marrow blood supply (77084) | $2,110.80 | $5,277 | 8.8× |
| MRI brain functional w/o physician admnistration (70554) | $830.80 | $2,077 | 3.5× |
| MRI brain functional w/physician admnistration (70555) | $1,062.40 | $2,656 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $892.40 | $2,231 | 3.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $892.40 | $2,231 | 3.7× |
| MRI cardiac w/o cont stress (75559) | $1,716.80 | $4,292 | 3.1× |
| MRI cardiac w/o contrast (75557) | $1,189.20 | $2,973 | 5.0× |
| MRI cervical spine w contrast (72142) | $2,780.40 | $6,951 | 7.9× |
| MRI cervical spine w/o cont (72141) | $2,805.20 | $7,013 | 11.7× |
| MRI chest w/o contrast (71550) | $1,900 | $4,750 | 7.9× |
| MRI chest with contrast (71551) | $2,193.20 | $5,483 | 2.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,595.20–$3,741.60 | $3,988–$9,354 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,764.80–$5,529.60 | $6,912–$13,824 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,517.60–$7,035.60 | $8,794–$17,589 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$559.20–$5,114 | $1,398–$12,785 | varies |
| MRI lumbar spine w contrast (72149) | $3,558.80 | $8,897 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,184.80 | $10,462 | 11.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,219.60 | $5,549 | 9.3× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$646.40–$2,413.60 | $1,616–$6,034 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,037.20 | $7,593 | 8.7× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,254–$2,423.20 | $3,135–$6,058 | varies |
| MRI pelvis w/o & w contrast (72197) | $3,031.20 | $7,578 | 8.6× |
| MRI pelvis w/o contrast (72195) | $2,555.60 | $6,389 | 10.7× |
| MRI spectroscopy (76390) range across 3 matching MRF lines |
$544.80–$1,688.40 | $1,362–$4,221 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,658.80 | $6,647 | 11.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,239.20 | $5,598 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,523.20–$5,046.40 | $6,308–$12,616 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,393.20–$6,785.60 | $8,483–$16,964 | varies |
| MRI, abdomen, combo (74183) | $4,096.80 | $10,242 | 11.7× |
| MRI, dorsal spine combo (72157) | $3,887.20 | $9,718 | 11.1× |
| MRI, dorsal spine contrast (72147) | $2,931.20 | $7,328 | 8.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,573.60–$5,146.80 | $6,434–$12,867 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,482–$6,964 | $8,705–$17,410 | varies |
| MRI, lumbar spine combo (72158) | $4,124.40 | $10,311 | 11.8× |
| Musculoskeletal Nuclear Exam (78399) | $588.40 | $1,471 | 1.5× |
| Myelogram cervical (72240) | $1,260 | $3,150 | 1.6× |
| Myelogram Lumbar (72265) | $1,353.60 | $3,384 | 1.7× |
| Myelography thoracic (72255) | $1,199.60 | $2,999 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,992.40 | $4,981 | 2.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,397.60 | $8,494 | 2.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,644.40 | $4,111 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $2,526 | $6,315 | 1.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $5,233.20 | $13,083 | 3.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $5,233.20 | $13,083 | 3.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $8,162.80 | $20,407 | 3.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $9,974.80 | $24,937 | 4.5× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $9,974.80 | $24,937 | 6.5× |
| Neck soft tissue (70360) | $258 | $645 | 3.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $129.20 | $323 | 0.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,366.80 | $3,417 | 3.4× |
| Nm csf leak detection (78650) | $1,363.60 | $3,409 | 1.0× |
| Nm myocard infarct spect (78469) | $1,014.80 | $2,537 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $463.60 | $1,159 | 4.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,897.20 | $4,743 | 1.4× |
| Nuclear Rx Intra-Arterial (79445) | $581.20 | $1,453 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $928.80 | $2,322 | 4.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $174.40 | $436 | 1.7× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $358.80 | $897 | 2.7× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $163.20 | $408 | 1.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $204.40 | $511 | 1.9× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $34 | $85 | 1.2× |
| Ophthalmic us dx quantitative a-scan only (76511) | $217.60 | $544 | 2.1× |
| Panoramic X-ray of jaws (70355) | $275.20 | $688 | 3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,190.80 | $2,977 | 2.2× |
| Parathyroid Planar Imaging (78070) | $864 | $2,160 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,190.80 | $2,977 | 3.0× |
| Pelvis 1 or 2 views (72170) | $253.20 | $633 | 2.4× |
| Peritoneogram Rs&I (74190) | $492.40 | $1,231 | 0.9× |
| Pet Image Skull-Thigh (78812) | $4,672.80 | $11,682 | 3.3× |
| Pet Image W/Ct Lmtd (78814) | $3,581.20 | $8,953 | 2.5× |
| PET image w/CT, full body (78816) | $5,738.40 | $14,346 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,580.40 | $13,951 | 3.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,564.40 | $6,411 | 2.0× |
| Pet Myocardial Sngl Study (78491) | $3,150.80 | $7,877 | 2.2× |
| PET whole body (78813) | $3,294.40 | $8,236 | 2.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,969.60 | $4,924 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $607.20 | $1,518 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $477.60 | $1,194 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $465.60 | $1,164 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$255.60–$510 | $639–$1,275 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$204.40–$408.80 | $511–$1,022 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$308.40–$616.80 | $771–$1,542 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $292.40 | $731 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$207.20–$414.80 | $518–$1,037 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$278–$556 | $695–$1,390 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$285.20–$569.60 | $713–$1,424 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $257.60 | $644 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $264 | $660 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $343.60 | $859 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$261.60–$523.20 | $654–$1,308 | varies |
| Radex Spine 1 View Specify Level (72020) | $248 | $620 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $241.60 | $604 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $365.20 | $913 | 4.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$216.80–$433.60 | $542–$1,084 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$273.20–$546.80 | $683–$1,367 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$321.60–$642.80 | $804–$1,607 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $541.60 | $1,354 | 5.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$868–$10,210.40 | $2,170–$25,526 | varies |
| Radiation treatment delivery level 1 (77402) | $146 | $365 | 1.4× |
| Radiation treatment delivery level 2 (77407) | $238.40 | $596 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $226.40 | $566 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $314 | $785 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $519.60 | $1,299 | 4.9× |
| Radiologic exam colon double contrast study (74280) | $904 | $2,260 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $653.60 | $1,634 | 3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $661.20 | $1,653 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$329.60–$659.60 | $824–$1,649 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $400 | $1,000 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $448.40 | $1,121 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $422.40 | $1,056 | 2.4× |
| Radiologic exam teeth complete full mouth (70320) | $423.20 | $1,058 | 1.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $313.60 | $784 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $661.20 | $1,653 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$170.80–$342 | $427–$855 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$170.80–$342 | $427–$855 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$226.40–$453.20 | $566–$1,133 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $502.80 | $1,257 | 4.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$244.40–$488.80 | $611–$1,222 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $113.20 | $283 | 1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $144 | $360 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $144 | $360 | 0.4× |
| Ribs bilateral 3 views (71110) | $424.80 | $1,062 | 4.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,513.20 | $3,783 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,064.40 | $5,161 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,233.20 | $13,083 | 9.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,723.60 | $6,809 | 5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,943.20 | $7,358 | 5.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,614 | $11,535 | 3.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,233.20 | $13,083 | 3.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,614 | $11,535 | 3.5× |
| Rp Therapy Intravenous Administration (79101) | $938.80 | $2,347 | 4.0× |
| Salivary Gland Imaging (78230) | $671.20 | $1,678 | 1.7× |
| Scapula (73010) range across 2 matching MRF lines |
$262.80–$525.60 | $657–$1,314 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $46 | $115 | 2.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$203.60–$407.20 | $509–$1,018 | varies |
| Shoulder Arthrography (73040) | $676.80 | $1,692 | 1.9× |
| Skull less than 4 views (70250) | $278 | $695 | 2.6× |
| Special dosimetry (77331) | $86.80 | $217 | 0.6× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$119.60–$458.80 | $299–$1,147 | varies |
| Special teletherapy port plan (77321) | $222.80 | $557 | 0.6× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$319.60–$1,961.60 | $799–$4,904 | varies |
| Speech evaluation, complex (70371) | $488.80 | $1,222 | 2.0× |
| Srs Multisource (77371) | $10,210.40 | $25,526 | 1.4× |
| Stereotactic Body Radiation Delivery (77373) | $1,610.40 | $4,026 | 0.9× |
| Sternoclavicular joints (71130) | $424.80 | $1,062 | 4.9× |
| Superior sagittal sinus venogram (75870) | $5,914.80 | $14,787 | 1.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $78 | $195 | 0.8× |
| Tbs technical calculation only (77091) | $286.40 | $716 | 3.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $118 | $295 | 0.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $118 | $295 | 0.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $446 | $1,115 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $278 | $695 | 0.7× |
| Ther rad simulaj-aided field setting simple (77280) | $156.40 | $391 | 1.2× |
| Thoracic spine 2 views (72070) | $336 | $840 | 3.2× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $783.20 | $1,958 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$402.80–$554.40 | $1,007–$1,386 | varies |
| Thyroid Met Imaging Body (78018) | $1,148.40 | $2,871 | 2.1× |
| Thyroid Uptake Measurement (78012) | $422 | $1,055 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $861.20 | $2,153 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $159.60 | $399 | 0.4× |
| Tx devices design & construction intermediate (77333) | $159.60 | $399 | 1.2× |
| Tx devices design & construction simple (77332) | $159.60 | $399 | 1.2× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$255.20–$509.20 | $638–$1,273 | varies |
| Ultrasound elastography first target lesion (76982) | $434.80 | $1,087 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $434.80 | $1,087 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $413.20 | $1,033 | 3.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $780.40 | $1,951 | 2.2× |
| Ultrasound, abdomen limited (76705) | $588.80 | $1,472 | 5.6× |
| Umbilical-artery Doppler (OB) (76820) | $226 | $565 | 2.2× |
| Unlisted Dx Radiographic Procedure (76499) | $298.40 | $746 | 3.4× |
| Unlisted fluoroscopic procedure (76496) | $437.60 | $1,094 | 5.0× |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$2,927.60–$7,152 | $7,319–$17,880 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $116.80 | $292 | 1.1× |
| Upper gi w/o kub (74240) | $648.40 | $1,621 | 3.7× |
| Urethrocystogram voiding (74455) | $700 | $1,750 | 2.9× |
| Urethrocystography retrograde (74450) | $546.80 | $1,367 | 2.3× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$255.20–$509.20 | $638–$1,273 | varies |
| Us chest (76604) | $480.40 | $1,201 | 4.6× |
| Us complete joint (76881) | $365.20 | $913 | 3.5× |
| Us exam, pelvic, limited (76857) | $536.40 | $1,341 | 5.1× |
| Us head (76506) | $325.20 | $813 | 3.1× |
| Us kidney transplant (76776) | $606 | $1,515 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$203.60–$407.20 | $509–$1,018 | varies |
| Us ob detailed single fetus (76811) | $636.40 | $1,591 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $304.80 | $762 | 2.9× |
| Us ob transvaginal (76817) | $300.40 | $751 | 2.9× |
| Us pelvic non ob complete (76856) | $658.80 | $1,647 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $302.40 | $756 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $302.40 | $756 | 2.9× |
| Us retroperitoneal complete (76770) | $559.60 | $1,399 | 5.3× |
| Us retroperitoneal limited (76775) | $456 | $1,140 | 4.3× |
| Us scrotum and contents (76870) | $502.80 | $1,257 | 4.8× |
| Us spinal canal and contents (76800) | $701.20 | $1,753 | 6.7× |
| Us thyroid (76536) | $558.40 | $1,396 | 5.3× |
| Us transrectal (76872) | $678.40 | $1,696 | 6.5× |
| Vasogram (74440) | $418.80 | $1,047 | 1.7× |
| Vein X-Ray Chest (75827) | $2,318 | $5,795 | 1.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,445.20 | $3,613 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $4,462 | $11,155 | 1.4× |
| Venogram Sinus/Jugular (75860) | $1,622 | $4,055 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,326.80 | $5,817 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,070 | $2,675 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,003.20 | $2,508 | 0.6× |
| Venography Renal Bilateral (75833) | $10,050 | $25,125 | 3.2× |
| Venography Renal Unilateral (75831) | $1,968 | $4,920 | 0.6× |
| Venous sampling by catheter (75893) | $2,926.80 | $7,317 | 0.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$262–$524 | $655–$1,310 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $239.20 | $598 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $434 | $1,085 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,536 | $6,340 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $400 | $1,000 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$232–$463.20 | $580–$1,158 | varies |
| X-Ray Exam Breast Specimen (76098) | $374.80 | $937 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $170.80 | $427 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $284.80 | $712 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $541.60 | $1,354 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $170.80 | $427 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $170.80 | $427 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $284.80 | $712 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $284.80 | $712 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $284.80 | $712 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $541.60 | $1,354 | 5.2× |
| X-Ray Exam L-S Spine Bending (72114) | $668.80 | $1,672 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $313.60 | $784 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $553.20 | $1,383 | 5.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $266 | $665 | 2.5× |
| X-ray head for orthodontia (70350) | $206.80 | $517 | 2.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$190.80–$381.20 | $477–$953 | varies |
| X-ray IV pyelogram (ivp) (74400) | $540 | $1,350 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $240 | $600 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $374.80 | $937 | 4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $360.40 | $901 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $559.60 | $1,399 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $252.40 | $631 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $252.40 | $631 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $370 | $925 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $365.60 | $914 | 3.5× |
| X-Ray Tmj Unilat (70328) | $240 | $600 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $556 | $1,390 | 1.6× |
| X-Rays Bone Length Studies (77073) | $264.80 | $662 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $748 | $1,870 | 7.1× |
| Xr c-spine 4 or 5 views (72050) | $440 | $1,100 | 4.2× |
| Xr orbits complete 4 views (70200) | $133.60 | $334 | 1.3× |
| Xr Tomogram Single Plane (76100) | $416 | $1,040 | 4.0× |
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.