Imaging prices at Resolute Health Hospital
New Braunfels, TX · every code in this section with a posted price and a Medicare benchmark.
429 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) | $720 | $960 | 8.2× |
| Abdomen 2 views (74019) | $1,090.50 | $1,454 | 10.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,771.75 | $5,029 | 9.4× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $2,651.25 | $3,535 | 2.0× |
| Adrenal Cortex & Medulla Img (78075) | $3,421.50 | $4,562 | 2.6× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$5,883–$8,112 | $7,844–$10,816 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $11,892 | $15,856 | 3.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,719.75–$8,959.50 | $10,293–$11,946 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$6,765.75–$18,203.25 | $9,021–$24,271 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$6,832.50–$14,040 | $9,110–$18,720 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$4,978.50–$7,851 | $6,638–$10,468 | varies |
| Ankle 2 views (73600) | $762 | $1,016 | 8.7× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,116.50–$28,809.75 | $10,822–$38,413 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $14,523.75 | $19,365 | 4.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,597–$28,809.75 | $12,796–$38,413 | varies |
| Artery X-Rays Adrenal Gland (75731) | $14,040 | $18,720 | 4.4× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$5,769–$8,292.75 | $7,692–$11,057 | varies |
| Artery X-Rays Spine (75705) | $14,040 | $18,720 | 2.5× |
| Arthrogram ankle (73615) | $2,099.25 | $2,799 | 6.0× |
| Arthrogram hip (73525) | $1,826.25 | $2,435 | 5.2× |
| Arthrogram Wrist (73115) | $1,590 | $2,120 | 4.5× |
| Bone age studies (77072) | $725.25 | $967 | 6.9× |
| Bone Imaging 3 Phase (78315) | $3,367.50 | $4,490 | 8.4× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$2,172.75–$2,769.75 | $2,897–$3,693 | varies |
| Bone Imaging Multiple Areas (78305) | $3,276 | $4,368 | 8.2× |
| Bone Imaging Whole Body (78306) | $4,371 | $5,828 | 10.9× |
| Bone marrow imaging limited area (78102) | $1,223.25 | $1,631 | 3.0× |
| Bone marrow imaging; multiple areas (78103) | $1,626.75 | $2,169 | 4.1× |
| Bone marrow imaging; whole body (78104) | $2,905.50 | $3,874 | 7.2× |
| Bone survey infant (77076) | $1,662 | $2,216 | 15.8× |
| Brain Flow Imaging Only (78610) | $1,860 | $2,480 | 3.4× |
| Brain Image W/Flow < 4 Views (78601) | $1,990.50 | $2,654 | 5.0× |
| Brain imaging < 4 static views (78600) | $1,743.75 | $2,325 | 4.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,895.50 | $5,194 | 7.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,450.75 | $8,601 | 11.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,940.50 | $13,254 | 6.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,798 | $5,064 | 9.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $8,648.25 | $11,531 | 15.9× |
| Cardiac Shunt Detection (78428) | $1,411.50 | $1,882 | 3.5× |
| Cat Scan Follow-Up Study (76380) range across 7 matching MRF lines |
$2,185.50–$4,833.75 | $2,914–$6,445 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,747.25 | $3,663 | 5.0× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $2,486.25 | $3,315 | 4.6× |
| Cerebrospinal Fluid Scan (78630) | $2,800.50 | $3,734 | 5.1× |
| Chest 1 view (71045) | $834.75 | $1,113 | 9.5× |
| Chest 2 views (71046) | $1,283.25 | $1,711 | 14.7× |
| Chest 3 views (71047) | $950.25 | $1,267 | 10.9× |
| Chest 4 or more views (71048) | $1,610.25 | $2,147 | 15.3× |
| Cholecystography Oral Contrast (74290) | $456 | $608 | 2.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $579 | $772 | 5.5× |
| Cisternography Positive Contrast Rs&I (70015) | $3,457.50 | $4,610 | 4.4× |
| Clavicle complete (73000) | $880.50 | $1,174 | 10.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $516 | $688 | 4.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,591–$8,507.25 | $8,788–$11,343 | varies |
| Contrast X-Ray Bladder (74430) | $1,714.50 | $2,286 | 4.9× |
| Contrast X-Ray Of Elbow (73085) | $2,327.25 | $3,103 | 6.6× |
| Contrast X-Ray Of Knee Joint (73580) | $2,327.25 | $3,103 | 6.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $531 | $708 | 3.0× |
| Corpora cavernosography (74445) | $1,219.50 | $1,626 | 11.6× |
| CT abdomen and pelvis without and with contrast (74178) | $12,696 | $16,928 | 36.2× |
| CT abdomen and pelvis without contrast (74176) | $12,135.75 | $16,181 | 50.6× |
| CT abdomen w contrast (74160) | $6,345.75 | $8,461 | 36.0× |
| CT abdomen w wo contrast (74170) | $7,002 | $9,336 | 39.7× |
| CT abdomen w/o contrast (74150) | $5,349.75 | $7,133 | 50.9× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$8,604–$11,808.75 | $11,472–$15,745 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$5,438.25–$7,918.50 | $7,251–$10,558 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$5,666.25–$8,194.50 | $7,555–$10,926 | varies |
| CT angio hrt w/3d image (75574) | $3,742.50 | $4,990 | 10.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$4,514.25–$5,900.25 | $6,019–$7,867 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$5,160.75–$7,134 | $6,881–$9,512 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$5,697–$5,778 | $7,596–$7,704 | varies |
| CT bone density (77078) | $517.50 | $690 | 5.9× |
| CT cervical spine w/ contrast (72126) | $5,795.25 | $7,727 | 16.5× |
| CT cervical spine w/o contrast (72125) | $7,003.50 | $9,338 | 66.7× |
| CT cervical spine w/wo cont (72127) | $7,469.25 | $9,959 | 42.4× |
| CT chest w contrast (71260) | $5,253.75 | $7,005 | 29.8× |
| CT chest w/wo contrast (71270) | $5,685 | $7,580 | 32.3× |
| CT colonography screening (74263) | $6,191.25 | $8,255 | 25.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,076.75 | $2,769 | 11.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,120.75 | $4,161 | 29.7× |
| CT head/brain with contrast (70460) | $5,123.25 | $6,831 | 29.1× |
| CT head/brain without and with contrast (70470) | $6,505.50 | $8,674 | 36.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $4,890.75 | $6,521 | 14.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,106.25 | $1,475 | 12.7× |
| CT hrt w/3d image congen (75573) | $2,028.75 | $2,705 | 5.8× |
| CT iac w contrast (70481) | $5,687.25 | $7,583 | 32.3× |
| CT l-spine w&w/o contrast (72133) | $5,559.75 | $7,413 | 31.6× |
| CT lower ext w/o (73700) | $3,361.50 | $4,482 | 32.0× |
| CT lower extremity w/contrast material (73701) | $3,242.25 | $4,323 | 18.4× |
| CT lumbar spine w contrast (72132) | $5,031.75 | $6,709 | 14.4× |
| CT lumbar spine w/o contrast (72131) | $5,568.75 | $7,425 | 53.0× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$5,446.50–$6,069.75 | $7,262–$8,093 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$5,688–$5,820 | $7,584–$7,760 | varies |
| CT neck tissue combo (70492) | $6,381.75 | $8,509 | 36.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,994.50 | $9,326 | 39.7× |
| CT orbits w/o contrast (70480) | $6,057 | $8,076 | 57.7× |
| CT pelvis w&w/o contrast (72194) | $6,814.50 | $9,086 | 38.7× |
| CT pelvis w/o contrast (72192) | $5,358.75 | $7,145 | 51.0× |
| CT scan of leg combo (73702) | $4,218.75 | $5,625 | 23.9× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$7,627.50–$7,903.50 | $10,170–$10,538 | varies |
| CT soft tissue neck w contrast (70491) | $5,695.50 | $7,594 | 32.3× |
| CT soft tissue neck w/o contrast (70490) | $4,868.25 | $6,491 | 46.4× |
| CT thoracic spine w contrast (72129) | $6,445.50 | $8,594 | 36.6× |
| CT thoracic spine w/o contrast (72128) | $5,065.50 | $6,754 | 48.2× |
| CT thoracic spine w/wo cont (72130) | $8,418.75 | $11,225 | 47.8× |
| CT thorax w/o contrast (71250) | $4,677.75 | $6,237 | 44.5× |
| CT upper ext wo (73200) | $4,159.50 | $5,546 | 39.6× |
| CT upper extremity w/o & w/contrast material (73202) | $5,776.50 | $7,702 | 32.8× |
| CT upper extremity with contrast (73201) | $4,197 | $5,596 | 12.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$8,611.50–$11,948.25 | $11,482–$15,931 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$6,050.25–$7,431.75 | $8,067–$9,909 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,947.25–$7,230 | $5,263–$9,640 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,829.25 | $2,439 | 7.6× |
| Dilation ureters/urethra rs&i (74485) | $8,384.25 | $11,179 | 4.0× |
| Discography Cerv/Thor Spine (72285) | $15,021 | $20,028 | 7.7× |
| Diskography lumbar (72295) | $13,908.75 | $18,545 | 7.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $559.50 | $746 | 5.3× |
| Dxa Bone Density Axial (77080) | $966 | $1,288 | 9.2× |
| Dxa bone density study (77085) | $936.75 | $1,249 | 8.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $154.50 | $206 | 1.8× |
| Echo exam of fetal heart (76825) | $1,195.50 | $1,594 | 2.2× |
| Echo exam uterus (76831) | $1,332 | $1,776 | 5.6× |
| Echo Guide For Artery Repair (76936) | $1,164 | $1,552 | 5.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $723.75 | $965 | 3.0× |
| Echograp Trans R Pros Study (76873) | $906 | $1,208 | 8.6× |
| Esophageal Motility Study (78258) | $1,696.50 | $2,262 | 4.2× |
| Esophagram (74220) | $1,555.50 | $2,074 | 8.8× |
| Fetal Biophys Profile W/Nst (76818) | $2,010 | $2,680 | 19.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,341 | $1,788 | 12.8× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,087.50–$1,714.50 | $1,450–$2,286 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$5,351.25–$14,133 | $7,135–$18,844 | varies |
| Foot 2 views (73620) | $809.25 | $1,079 | 9.3× |
| Forearm 2 views (73090) | $969 | $1,292 | 11.1× |
| Gastric emptying imaging study (78264) | $3,225 | $4,300 | 8.0× |
| Gastric Mucosa Imaging (78261) | $1,883.25 | $2,511 | 4.7× |
| Gastroesophageal Reflux Exam (78262) | $5,770.50 | $7,694 | 14.4× |
| Gated Heart Planar Single (78472) | $3,893.25 | $5,191 | 9.7× |
| Gated Heart, Multiple (78473) | $5,177.25 | $6,903 | 12.9× |
| GI Endoscopic US S&I (76975) | $1,061.25 | $1,415 | 4.4× |
| Hand 2 views (73120) | $647.25 | $863 | 6.2× |
| Heart first pass single,planar (78481) | $4,233 | $5,644 | 7.8× |
| Heart Image (Pet) Multiple (78492) | $8,148 | $10,864 | 5.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,040 | $18,720 | 4.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,040 | $18,720 | 4.4× |
| Hepatobil Syst Image W/Drug (78227) | $4,506 | $6,008 | 8.3× |
| Hepatobiliary System Imaging (78226) | $3,386.25 | $4,515 | 8.4× |
| Ht Musc Image Planar Mult (78454) | $8,224.50 | $10,966 | 6.3× |
| Ht Muscle Image Spect Sing (78451) | $5,907.75 | $7,877 | 4.5× |
| Hysterosalpingogram (74740) | $1,928.25 | $2,571 | 8.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,259.25 | $1,679 | 14.4× |
| Infant hip ultrasound, limited static exam (76886) | $907.50 | $1,210 | 10.4× |
| Infusion Ivp (74410) | $2,043 | $2,724 | 11.6× |
| Joint Survey Single View (77077) | $961.50 | $1,282 | 9.2× |
| K Flow/Funct Image Multiple (78709) | $4,475.25 | $5,967 | 8.2× |
| K Flow/Funct Image W/Drug (78708) | $3,990.75 | $5,321 | 7.3× |
| K Flow/Funct Image W/O Drug (78707) | $3,405 | $4,540 | 6.2× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $3,480.75 | $4,641 | 8.7× |
| Kidney Imaging Morphol (78700) | $3,119.25 | $4,159 | 7.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,929.75 | $2,573 | 4.8× |
| Knee 3 Views (73562) | $1,001.25 | $1,335 | 11.5× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,109.25 | $1,479 | 2.8× |
| Leveen/Shunt Patency Exam (78291) | $1,815.75 | $2,421 | 4.5× |
| Liver & Spleen Imaging Static Only (78215) | $3,272.25 | $4,363 | 8.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,145.75 | $2,861 | 5.3× |
| Liver imaging static only (78201) | $4,806 | $6,408 | 8.8× |
| Liver imaging w/vascular flow (78202) | $3,216.75 | $4,289 | 5.9× |
| Lung Perf&Ventilat Diferentl (78598) | $3,911.25 | $5,215 | 7.2× |
| Lung perfusion differential (78597) | $5,075.25 | $6,767 | 12.6× |
| Lung Ventilat&Perfus Imaging (78582) | $4,140 | $5,520 | 7.6× |
| Lung Ventilation Imaging (78579) | $3,580.50 | $4,774 | 8.9× |
| Lymph System Imaging (78195) | $2,601.75 | $3,469 | 4.8× |
| Magnetic Image Jaw Joint (70336) | $5,059.50 | $6,746 | 21.1× |
| Mammary ductogram or galactogram multiple (77054) | $1,599.75 | $2,133 | 6.7× |
| Mammary ductogram or galactogram single (77053) | $1,264.50 | $1,686 | 5.3× |
| Meckels Divert Exam (78290) | $3,512.25 | $4,683 | 8.7× |
| Mr safety determination physician/other qhp (76016) | $360 | $480 | 4.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $99.75 | $133 | 3.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $375 | $500 | 3.9× |
| Mr safety implt pos&/immoblj (76019) | $243 | $324 | 4.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $987.75 | $1,317 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $6,726.75 | $8,969 | 19.2× |
| MRA head w/o contrast (70544) | $7,981.50 | $10,642 | 33.3× |
| MRA neck w contrast (70548) | $5,676 | $7,568 | 16.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,640.50 | $16,854 | 36.1× |
| MRA neck w/o contrast (70547) | $7,981.50 | $10,642 | 33.3× |
| MRI abdomen w contrast (74182) | $7,290 | $9,720 | 20.8× |
| MRI abdomen w/o contrast (74181) | $5,583.75 | $7,445 | 23.3× |
| MRI any jt lower extrem w/contrast material (73722) | $5,901.75 | $7,869 | 7.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,613.25 | $10,151 | 21.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,358.75 | $7,145 | 6.8× |
| MRI bone marrow blood supply (77084) | $4,285.50 | $5,714 | 17.9× |
| MRI brain functional w/o physician admnistration (70554) | $2,376.75 | $3,169 | 9.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,714.75 | $8,953 | 28.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,460.50 | $8,614 | 27.0× |
| MRI cervical spine w contrast (72142) | $10,769.25 | $14,359 | 30.7× |
| MRI cervical spine w/o cont (72141) | $8,568.75 | $11,425 | 35.7× |
| MRI chest w/o contrast (71550) | $3,746.25 | $4,995 | 15.6× |
| MRI chest with contrast (71551) | $4,568.25 | $6,091 | 5.8× |
| MRI chest wo w contrast (71552) | $5,185.50 | $6,914 | 14.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,469.50 | $8,626 | 18.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,981.75 | $9,309 | 19.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,629.50 | $7,506 | 23.5× |
| MRI lumbar spine w contrast (72149) | $7,130.25 | $9,507 | 20.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $13,680.75 | $18,241 | 39.0× |
| MRI orbit face &/neck w/o contrast (70540) | $5,800.50 | $7,734 | 24.2× |
| MRI orbit face neck w contrast (70542) | $6,596.25 | $8,795 | 18.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,942.50 | $10,590 | 22.7× |
| MRI pelvis w contrast (72196) | $6,461.25 | $8,615 | 18.4× |
| MRI pelvis w/o & w contrast (72197) | $6,609.75 | $8,813 | 18.9× |
| MRI pelvis w/o contrast (72195) | $4,754.25 | $6,339 | 19.8× |
| MRI spectroscopy (76390) | $2,978.25 | $3,971 | 34.1× |
| MRI thoracic spine w/o contrast (72146) | $5,676.75 | $7,569 | 23.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $6,828 | $9,104 | 19.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,809 | $6,412 | 20.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,820.75 | $7,761 | 16.6× |
| MRI, abdomen, combo (74183) | $7,409.25 | $9,879 | 21.1× |
| MRI, dorsal spine combo (72157) | $8,520 | $11,360 | 24.3× |
| MRI, dorsal spine contrast (72147) | $7,773.75 | $10,365 | 22.2× |
| MRI, joint upper extrem (73221) | $5,506.50 | $7,342 | 23.0× |
| MRI, joint upper extrem combo (73223) | $7,243.50 | $9,658 | 20.7× |
| MRI, lumbar spine combo (72158) | $7,619.25 | $10,159 | 21.7× |
| Myelogram cervical (72240) | $3,808.50 | $5,078 | 4.8× |
| Myelogram Lumbar (72265) | $3,516.75 | $4,689 | 4.5× |
| Myelography thoracic (72255) | $4,210.50 | $5,614 | 5.3× |
| Myelograpy 2/more regions rs&i (72270) | $5,680.50 | $7,574 | 7.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,357 | $8,476 | 15.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $8,148 | $10,864 | 6.3× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,634.25 | $2,179 | 3.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,148.75 | $2,865 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $9,756 | $13,008 | 7.5× |
| Neck soft tissue (70360) | $930 | $1,240 | 10.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $812.25 | $1,083 | 2.0× |
| Nm csf leak detection (78650) | $2,596.50 | $3,462 | 2.0× |
| Nm myocard infarct spect (78469) | $4,614 | $6,152 | 8.5× |
| Nm red cell survival study (78130) | $1,109.25 | $1,479 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $923.25 | $1,231 | 8.8× |
| Nuclear Rx Intra-Arterial (79445) | $966 | $1,288 | 4.1× |
| Nuclear Rx Oral Admin (79005) | $3,733.50 | $4,978 | 15.9× |
| Ob us nuchal meas 1 gest (76813) | $2,382.75 | $3,177 | 22.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $368.25 | $491 | 3.5× |
| Ophthalmic us dx quantitative a-scan only (76511) | $435 | $580 | 4.1× |
| Optic foramina (70190) | $310.50 | $414 | 3.6× |
| Panoramic X-ray of jaws (70355) | $1,436.25 | $1,915 | 16.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,428.50 | $3,238 | 4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,382.75 | $3,177 | 5.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$772.50–$917.25 | $1,030–$1,223 | varies |
| Perineogram (74775) | $1,293.75 | $1,725 | 5.4× |
| Pet Image Skull-Thigh (78812) | $9,000 | $12,000 | 6.3× |
| Pet Image W/Ct Lmtd (78814) | $9,940.50 | $13,254 | 6.9× |
| PET image w/CT, full body (78816) | $10,802.25 | $14,403 | 7.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,113 | $13,484 | 7.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $7,666.50 | $10,222 | 5.9× |
| Pet Myocardial Sngl Study (78491) | $8,148 | $10,864 | 5.7× |
| PET whole body (78813) | $7,666.50 | $10,222 | 5.3× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $8,123.25 | $10,831 | 6.2× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $8,123.25 | $10,831 | 6.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $14,040 | $18,720 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,298 | $3,064 | 5.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,185.75 | $1,581 | 11.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,895.25 | $2,527 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $977.25 | $1,303 | 11.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $817.50 | $1,090 | 9.4× |
| Radex elbow complete minimum 3 views (73080) | $806.25 | $1,075 | 9.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,052.25 | $1,403 | 10.0× |
| Radex fingr minimum 2 views (73140) | $824.25 | $1,099 | 9.4× |
| Radex foot complete minimum 3 views (73630) | $1,110 | $1,480 | 12.7× |
| Radex Hand Minimum 3 Views (73130) | $843 | $1,124 | 9.6× |
| Radex lower extremity infant minimum 2 views (73592) | $459.75 | $613 | 5.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $911.25 | $1,215 | 8.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,185.75 | $1,581 | 13.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $579 | $772 | 6.6× |
| Radex Ribs Unilateral 2 Views (71100) | $1,017 | $1,356 | 11.6× |
| Radex shoulder complete minimum 2 views (73030) | $843 | $1,124 | 9.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $817.50 | $1,090 | 9.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,770.50 | $3,694 | 15.7× |
| Radex Spine 1 View Specify Level (72020) | $600.75 | $801 | 6.9× |
| Radex Sternum Minimum 2 Views (71120) | $705 | $940 | 8.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,273.50 | $1,698 | 14.6× |
| Radex Toe Minimum 2 Views (73660) | $941.25 | $1,255 | 10.8× |
| Radex upper extremity infant minimum 2 views (73092) | $499.50 | $666 | 4.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,068.75 | $1,425 | 12.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $886.50 | $1,182 | 8.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,034.25 | $1,379 | 9.8× |
| Radiologic exam colon double contrast study (74280) | $2,220 | $2,960 | 12.6× |
| Radiologic exam colon single contrast study (74270) | $1,899.75 | $2,533 | 10.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,555.50 | $2,074 | 8.8× |
| Radiologic exam knee complete 4/more views (73564) | $880.50 | $1,174 | 8.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,702.50 | $2,270 | 16.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,537.50 | $2,050 | 8.7× |
| Radiologic exam swallow function contrast study (74230) | $1,185.75 | $1,581 | 6.7× |
| Radiologic exam teeth complete full mouth (70320) | $336.75 | $449 | 1.4× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $1,568.25 | $2,091 | 6.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,277.75 | $3,037 | 12.9× |
| Radiologic examination femur 1 view (73551) | $529.50 | $706 | 6.1× |
| Radiologic examination femur minimum 2 views (73552) | $1,021.50 | $1,362 | 11.7× |
| Radiologic examination knee 1/2 views (73560) | $1,010.25 | $1,347 | 11.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $938.25 | $1,251 | 8.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $310.50 | $414 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $979.50 | $1,306 | 11.2× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $600 | $800 | 2.6× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,002 | $1,336 | 4.3× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,109.25 | $1,479 | 2.8× |
| Renal Cyst Study (74470) | $1,592.25 | $2,123 | 2.9× |
| Ribs bilateral 3 views (71110) | $1,554 | $2,072 | 14.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,607.75 | $3,477 | 6.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,281.75 | $5,709 | 10.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,504.75 | $8,673 | 11.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,396 | $4,528 | 6.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,613.25 | $6,151 | 8.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,002 | $1,336 | 4.3× |
| Rp Therapy Intravenous Administration (79101) | $2,901 | $3,868 | 12.4× |
| Salivary Gland Function Study (78232) | $928.50 | $1,238 | 2.3× |
| Salivary Gland Imaging (78230) | $4,652.25 | $6,203 | 11.6× |
| Salivary Gland Imaging Serial Images (78231) | $2,861.25 | $3,815 | 7.1× |
| Scapula (73010) | $728.25 | $971 | 6.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $69.75 | $93 | 3.0× |
| Sella turcica (70240) | $310.50 | $414 | 3.6× |
| Shoulder 1 view (73020) | $585 | $780 | 6.7× |
| Shoulder Arthrography (73040) | $1,929.75 | $2,573 | 5.5× |
| Sialogram (70390) | $2,064 | $2,752 | 8.6× |
| Skull less than 4 views (70250) | $879 | $1,172 | 8.4× |
| Speech evaluation, complex (70371) | $579 | $772 | 2.4× |
| Spleen Imaging (78185) | $1,555.50 | $2,074 | 3.9× |
| Sternoclavicular joints (71130) | $679.50 | $906 | 7.8× |
| Superior sagittal sinus venogram (75870) | $4,978.50 | $6,638 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,074.50 | $2,766 | 8.7× |
| Testicular Imaging W/Flow (78761) | $1,270.50 | $1,694 | 3.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $942.75 | $1,257 | 5.4× |
| Thoracic spine 2 views (72070) | $1,527 | $2,036 | 14.5× |
| Thoracic spine 3 views (72072) | $1,423.50 | $1,898 | 13.6× |
| Thoracolumbar 2 views (72080) | $1,181.25 | $1,575 | 13.5× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $2,422.50 | $3,230 | 6.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,507 | $4,676 | 8.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,283.25 | $1,711 | 3.2× |
| Thyroid Met Imaging Body (78018) | $4,171.50 | $5,562 | 7.6× |
| Thyroid Uptake Measurement (78012) | $1,181.25 | $1,575 | 2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,778.25 | $2,371 | 4.4× |
| Ultrasound Breast Limited (76642) | $1,293.75 | $1,725 | 14.8× |
| Ultrasound Exam Aaa Screen (76706) | $1,137 | $1,516 | 10.8× |
| Ultrasound, abdomen limited (76705) | $1,949.25 | $2,599 | 18.6× |
| Umbilical-artery Doppler (OB) (76820) | $577.50 | $770 | 5.5× |
| Unlisted Dx Radiographic Procedure (76499) | $808.50 | $1,078 | 9.2× |
| Unlisted us procedure (76999) | $543 | $724 | 6.2× |
| Upper gi w/o kub (74240) | $1,797.75 | $2,397 | 10.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $4,485.75 | $5,981 | 405.6× |
| Urea breath test c-14 isotopic analysis (78268) | $950.25 | $1,267 | 10.1× |
| Ureteral Reflux Study (78740) | $1,638 | $2,184 | 4.1× |
| Urethrocystogram voiding (74455) | $2,043 | $2,724 | 8.5× |
| Urethrocystography retrograde (74450) | $1,356.75 | $1,809 | 5.7× |
| Us breast unilateral complete (76641) | $1,026 | $1,368 | 9.8× |
| Us chest (76604) | $1,464 | $1,952 | 13.9× |
| Us complete joint (76881) | $1,083 | $1,444 | 10.3× |
| Us exam, pelvic, limited (76857) | $952.50 | $1,270 | 9.1× |
| Us head (76506) | $1,813.50 | $2,418 | 17.3× |
| Us kidney transplant (76776) | $996.75 | $1,329 | 9.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $735.75 | $981 | 7.0× |
| Us ob detailed single fetus (76811) | $2,370.75 | $3,161 | 9.9× |
| Us ob limited 1 or more fetuses (76815) | $1,551.75 | $2,069 | 14.8× |
| Us ob transvaginal (76817) | $1,798.50 | $2,398 | 17.1× |
| Us pelvic non ob complete (76856) | $2,554.50 | $3,406 | 24.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,668.75 | $2,225 | 15.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$897.75–$1,109.25 | $1,197–$1,479 | varies |
| Us retroperitoneal complete (76770) | $1,674.75 | $2,233 | 15.9× |
| Us retroperitoneal limited (76775) | $1,828.50 | $2,438 | 17.4× |
| Us scrotum and contents (76870) | $1,956 | $2,608 | 18.6× |
| Us spinal canal and contents (76800) | $863.25 | $1,151 | 8.2× |
| Us thyroid (76536) | $1,818 | $2,424 | 17.3× |
| Us transrectal (76872) | $2,063.25 | $2,751 | 19.6× |
| Vascular Flow Imaging (78445) | $1,538.25 | $2,051 | 3.8× |
| Vasogram (74440) | $1,219.50 | $1,626 | 5.1× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,539.50–$9,716.25 | $7,386–$12,955 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,978.50 | $6,638 | 1.6× |
| Vein X-Ray Skull Epidural (75872) | $4,978.50 | $6,638 | 7.9× |
| Vein X-Ray Spleen/Liver (75810) | $14,040 | $18,720 | 4.4× |
| Venogram Sinus/Jugular (75860) | $4,800 | $6,400 | 1.5× |
| Venography Adrenal Unilateral (75840) | $14,040 | $18,720 | 4.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,656.50–$6,115.50 | $7,542–$8,154 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,937–$6,456.75 | $3,916–$8,609 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,513.50–$6,456.75 | $2,018–$8,609 | varies |
| Venography Orbital Rs&I (75880) | $4,978.50 | $6,638 | 7.9× |
| Venography Renal Bilateral (75833) | $14,040 | $18,720 | 4.4× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$6,910.50–$14,040 | $9,214–$18,720 | varies |
| Venous sampling by catheter (75893) | $14,040 | $18,720 | 2.5× |
| Venous thrombosis imaging (78457) | $4,365 | $5,820 | 8.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $5,314.50 | $7,086 | 13.2× |
| Vertebral fracture assessment via dxa (77086) | $403.50 | $538 | 4.6× |
| Wrist 2 views (73100) | $889.50 | $1,186 | 10.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $726.75 | $969 | 8.3× |
| X-ray antegrade pyelogram tube (74425) | $1,581.75 | $2,109 | 4.5× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$7,730.25–$9,522 | $10,307–$12,696 | varies |
| X-Ray Bend Only L-S Spine (72120) | $806.25 | $1,075 | 7.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $855.75 | $1,141 | 9.8× |
| X-Ray Exam Breast Specimen (76098) | $3,035.25 | $4,047 | 5.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,084.50 | $1,446 | 12.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $618.75 | $825 | 5.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$600.75–$810 | $801–$1,080 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$636.75–$746.25 | $849–$995 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $910.50 | $1,214 | 8.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,177.50 | $1,570 | 11.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,914.75 | $2,553 | 18.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,161–$1,197.75 | $1,548–$1,597 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,509.75 | $2,013 | 14.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,342.50 | $1,790 | 12.8× |
| X-ray eye for foreign body (70030) | $968.25 | $1,291 | 11.1× |
| X-ray head for orthodontia (70350) | $310.50 | $414 | 3.6× |
| X-ray humerus (73060) | $880.50 | $1,174 | 10.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,938 | $2,584 | 11.0× |
| X-ray IV pyelogram+tomography (74415) | $3,432.75 | $4,577 | 19.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $801.75 | $1,069 | 9.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $699 | $932 | 8.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$954–$1,255.50 | $1,272–$1,674 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,002.75 | $1,337 | 11.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,287 | $1,716 | 12.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $717 | $956 | 6.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $503.25 | $671 | 4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,146 | $1,528 | 13.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,527 | $2,036 | 17.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,293.75 | $1,725 | 12.3× |
| X-Ray Stress View (77071) | $401.25 | $535 | 4.6× |
| X-ray thoracic spine 4 vw (72074) | $915 | $1,220 | 8.7× |
| X-Ray Tmj Unilat (70328) | $669.75 | $893 | 7.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,751.25 | $2,335 | 5.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$310.50–$951.75 | $414–$1,269 | varies |
| X-Rays Bone Survey Complete (77075) | $1,524.75 | $2,033 | 14.5× |
| Xr c-spine 4 or 5 views (72050) | $1,687.50 | $2,250 | 16.1× |
| Xr facial bones less than 3 views (70140) | $936.75 | $1,249 | 10.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $289.50 | $386 | 2.8× |
| Xr myelogram posterior fossa (70010) | $3,457.50 | $4,610 | 9.9× |
| Xr orbits complete 4 views (70200) | $961.50 | $1,282 | 9.2× |
| Xr Tomogram Single Plane (76100) | $1,982.25 | $2,643 | 18.9× |
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.