Imaging prices at Rio Grande Regional Hospital
Mcallen, TX · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,521.52 | $1,521.52 | 14.5× |
| Acute gastrointestinal blood loss imaging (78278) | $4,620.91 | $4,620.91 | 11.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,590.07 | $7,590.07 | 2.4× |
| Angiography extremity bilateral rs&i (75716) | $7,106.89 | $7,106.89 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $7,604.59 | $7,604.59 | 2.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $5,859.91 | $5,859.91 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,189.24 | $9,189.24 | 2.9× |
| Angiography Spinal Selective Rs&I (75705) | $9,103.50 | $9,103.50 | 1.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $8,739.18 | $8,739.18 | 1.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $12,364.58 | $12,364.58 | 3.9× |
| Ankle 2 views (73600) | $964.65 | $964.65 | 11.0× |
| Antegrade urography radiological supvj & interpj (74425) | $2,690.77 | $2,690.77 | 7.7× |
| Aortogram thoracic (75605) | $8,255.62 | $8,255.62 | 1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $9,950.69 | $9,950.69 | 3.1× |
| Aortography abdominal serialography rs&i (75625) | $5,739.02 | $5,739.02 | 1.8× |
| Artery X-Rays Adrenal Gland (75731) | $6,841.33 | $6,841.33 | 2.2× |
| Arthrogram hip (73525) | $4,355.94 | $4,355.94 | 12.4× |
| Arthrogram shoulder (73040) | $2,307.31 | $2,307.31 | 6.6× |
| Arthrogram wrist (73115) | $4,257.16 | $4,257.16 | 12.1× |
| Arthrography knee lt (73580) | $4,257.16 | $4,257.16 | 12.1× |
| Basic radiation dosimetry calculation (77300) | $330 | $330 | 2.4× |
| Bone &/joint imaging whole body (78306) | $5,849.48 | $5,849.48 | 14.6× |
| Bone age studies (77072) | $1,475.38 | $1,475.38 | 14.0× |
| Bone Imaging 3 Phase (78315) | $7,941.81 | $7,941.81 | 19.8× |
| Bone survey complete (77075) | $4,243.51 | $4,243.51 | 40.4× |
| Brain image w/flow 4 + views (78606) | $5,263.88 | $5,263.88 | 9.7× |
| Cervical spine 2 or 3 views (72040) | $1,322 | $1,322 | 15.1× |
| Chest 1 view (71045) | $1,235.56 | $1,235.56 | 14.1× |
| Chest 3 views (71047) | $1,487.73 | $1,487.73 | 17.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,670.36 | $1,670.36 | 9.5× |
| Clavicle complete (73000) | $998.33 | $998.33 | 11.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $15,924.32 | $15,924.32 | 151.6× |
| CT abdomen and pelvis without and with contrast (74178) | $33,517.24 | $33,517.24 | 95.6× |
| CT abdomen and pelvis without contrast (74176) | $26,269.78 | $26,269.78 | 109.6× |
| CT abdomen w contrast (74160) | $14,693.79 | $14,693.79 | 83.4× |
| CT abdomen w wo contrast (74170) | $16,783.74 | $16,783.74 | 95.3× |
| CT abdomen w/o contrast (74150) | $13,271.28 | $13,271.28 | 126.4× |
| CT angio hrt w/3d image (75574) | $14,499.32 | $14,499.32 | 41.4× |
| CT angiography upper extremity lt (73206) | $14,984.10 | $14,984.10 | 85.0× |
| CT c-spine w/o contrast (72125) | $14,872.08 | $14,872.08 | 141.6× |
| CT cervical spine w&w/o contrast (72127) | $18,290.86 | $18,290.86 | 103.8× |
| CT cervical spine with contrast (72126) | $17,397.88 | $17,397.88 | 49.6× |
| CT chest w/wo contrast (71270) | $18,290.86 | $18,290.86 | 103.8× |
| CT chest with contrast (71260) | $15,715.54 | $15,715.54 | 89.2× |
| CT head/brain with contrast (70460) | $14,753.23 | $14,753.23 | 83.7× |
| CT head/brain without and with contrast (70470) | $17,311.02 | $17,311.02 | 98.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $14,100.26 | $14,100.26 | 40.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $891.46 | $891.46 | 10.2× |
| CT hrt w/3d image congen (75573) | $14,100.26 | $14,100.26 | 40.2× |
| CT iac w contrast (70481) | $14,970.37 | $14,970.37 | 85.0× |
| CT lower ext w/o (73700) | $13,595.86 | $13,595.86 | 129.5× |
| CT lower extremity w wo contrast (73702) | $18,290.86 | $18,290.86 | 103.8× |
| CT lower extremity with contrast (73701) | $15,237.20 | $15,237.20 | 86.5× |
| CT lumbar spine w & w/o contrast (72133) | $18,290.86 | $18,290.86 | 103.8× |
| CT lumbar spine w/o contrast (72131) | $14,718.18 | $14,718.18 | 140.1× |
| CT lumbar spine with contrast (72132) | $16,286.22 | $16,286.22 | 46.5× |
| CT maxillofacial w contrast (70487) | $14,970.37 | $14,970.37 | 85.0× |
| CT maxillofacial w/o contrast (70486) | $14,071.30 | $14,071.30 | 134.0× |
| CT maxillofacial w/wo contrast (70488) | $18,290.86 | $18,290.86 | 103.8× |
| CT neck soft tissue w contrast (70491) | $15,411.53 | $15,411.53 | 87.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $18,290.86 | $18,290.86 | 103.8× |
| CT orbits w/o contrast (70480) | $14,071.30 | $14,071.30 | 134.0× |
| CT pelvis w & w/o contrast (72194) | $18,301.53 | $18,301.53 | 103.9× |
| CT pelvis w/o contrast (72192) | $12,996.98 | $12,996.98 | 123.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $17,311.02 | $17,311.02 | 98.2× |
| CT soft tissue neck w/o contrast (70490) | $14,928.48 | $14,928.48 | 142.1× |
| CT thoracic spine w/contrast (72129) | $16,261.08 | $16,261.08 | 92.3× |
| CT thoracic spine w/o contrast (72128) | $15,069.43 | $15,069.43 | 143.5× |
| CT thoracic spine w/wo contrast (72130) | $15,395.15 | $15,395.15 | 87.4× |
| CT thorax w/o contrast (71250) | $15,069.43 | $15,069.43 | 143.5× |
| CT upper extremity w/o & w/contrast material (73202) | $15,308.91 | $15,308.91 | 86.9× |
| CT upper extremity w/o contrast rt (73200) | $13,731.47 | $13,731.47 | 130.8× |
| CT upper extremity with contrast (73201) | $14,344.07 | $14,344.07 | 40.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,779.20 | $16,779.20 | 95.2× |
| Cta Abdomen (74175) | $15,881.65 | $15,881.65 | 90.1× |
| CTA abdomen pelvis (74174) | $19,854.33 | $19,854.33 | 56.7× |
| CTA chest (71275) | $15,881.65 | $15,881.65 | 90.1× |
| Cta Head (70496) | $16,779.20 | $16,779.20 | 95.2× |
| CTA lwr ext w&w/o contrast (73706) | $15,764.24 | $15,764.24 | 89.5× |
| Cta Neck (70498) | $16,779.20 | $16,779.20 | 95.2× |
| Cta Pelvis (72191) | $16,779.20 | $16,779.20 | 95.2× |
| Cystography minimum 3 views rs&i (74430) | $2,919.56 | $2,919.56 | 8.3× |
| Diskography lumbar (72295) | $5,896.32 | $5,896.32 | 3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $3,938.28 | $3,938.28 | 37.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $833.24 | $833.24 | 7.9× |
| Echo exam of fetal heart (76825) | $18,802.57 | $18,802.57 | 34.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $18,802.57 | $18,802.57 | 78.4× |
| Echoencephalography real time imaging (76506) | $4,608.85 | $4,608.85 | 43.9× |
| Esophagus (74220) | $1,257 | $1,257 | 7.1× |
| Fetal biophysical profile non-stress testing (76818) | $4,975.86 | $4,975.86 | 47.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $5,255.64 | $5,255.64 | 50.0× |
| Fluoroscopy up to 1 hr (76000) | $2,786.97 | $2,786.97 | 11.6× |
| Foot 2 views (73620) | $1,170.56 | $1,170.56 | 13.4× |
| Forearm 2 views (73090) | $1,054.22 | $1,054.22 | 12.1× |
| Gated Heart Planar Single (78472) | $5,519.34 | $5,519.34 | 13.7× |
| Hand 2 views (73120) | $1,006.12 | $1,006.12 | 9.6× |
| Hand 3 views (73130) | $1,250.51 | $1,250.51 | 14.3× |
| Heart Infarct Image (78466) | $3,332.81 | $3,332.81 | 8.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $6,123.34 | $6,123.34 | 11.2× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,517 | $5,517 | 13.7× |
| Ht muscle image spect sing (78451) | $6,152.56 | $6,152.56 | 4.7× |
| Humerus Min 2 Views Left (73060) | $1,559.86 | $1,559.86 | 17.8× |
| Hysterosalpingogram (74740) | $2,697.27 | $2,697.27 | 11.3× |
| Kidney imaging morphology (78700) | $5,503.11 | $5,503.11 | 13.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,714.17 | $5,714.17 | 10.5× |
| Knee 3 views (73562) | $1,385.70 | $1,385.70 | 15.9× |
| Liver & spleen imaging static only (78215) | $4,702.09 | $4,702.09 | 11.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $5,112.35 | $5,112.35 | 12.7× |
| Liver imaging static only (78201) | $4,702.09 | $4,702.09 | 8.6× |
| Lymphoscintigraphy (78195) | $5,733.66 | $5,733.66 | 10.5× |
| Meckels Diverticulum (78290) | $4,377.36 | $4,377.36 | 10.9× |
| MRA head w & w/o contrast (70546) | $15,622.92 | $15,622.92 | 44.6× |
| MRA head w/o contrast (70544) | $11,119.92 | $11,119.92 | 46.4× |
| MRA head with contrast (70545) | $13,278.44 | $13,278.44 | 37.9× |
| MRA neck w contrast (70548) | $13,278.44 | $13,278.44 | 37.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $15,622.92 | $15,622.92 | 44.6× |
| MRA neck w/o contrast (70547) | $11,119.92 | $11,119.92 | 46.4× |
| MRI abdomen w contrast (74182) | $14,967.06 | $14,967.06 | 42.7× |
| MRI abdomen w/o & w/contrast material (74183) | $15,397.29 | $15,397.29 | 43.9× |
| MRI abdomen w/o contrast (74181) | $14,513.29 | $14,513.29 | 60.6× |
| MRI any jnt lwr ext with con lt (73722) | $13,013.73 | $13,013.73 | 16.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $12,591.57 | $12,591.57 | 16.0× |
| MRI breast w/o contrast bilateral (77047) | $10,542.16 | $10,542.16 | 44.0× |
| MRI breast w/o contrast unilat (77046) | $8,035.25 | $8,035.25 | 33.5× |
| MRI c-spine with contrast (72142) | $14,756.30 | $14,756.30 | 42.1× |
| MRI cervical spine w/o contrast (72141) | $13,344.15 | $13,344.15 | 55.7× |
| MRI chest w/o & w/contrast material (71552) | $14,810.85 | $14,810.85 | 42.3× |
| MRI chest w/o contrast (71550) | $8,035.25 | $8,035.25 | 33.5× |
| MRI chest with contrast (71551) | $12,367.17 | $12,367.17 | 15.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $12,591.57 | $12,591.57 | 35.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $12,591.57 | $12,591.57 | 35.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,910.39 | $10,910.39 | 45.5× |
| MRI orbit face &/neck w/o contrast (70540) | $10,542.16 | $10,542.16 | 44.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $14,810.85 | $14,810.85 | 42.3× |
| MRI orbit/face/neck w/contrast (70542) | $12,591.57 | $12,591.57 | 35.9× |
| MRI pelvis w contrast (72196) | $17,341.32 | $17,341.32 | 49.5× |
| MRI pelvis w/o & w/contrast material (72197) | $15,397.29 | $15,397.29 | 43.9× |
| MRI pelvis w/o contrast (72195) | $14,219.45 | $14,219.45 | 59.3× |
| MRI scan of arm joint before and after contrast (73223) | $15,399.14 | $15,399.14 | 43.9× |
| MRI scan of leg joint before and after contrast (73723) | $15,397.29 | $15,397.29 | 43.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $17,269.41 | $17,269.41 | 49.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $15,237.35 | $15,237.35 | 43.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $17,840.96 | $17,840.96 | 50.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $14,495.93 | $14,495.93 | 41.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $16,970.61 | $16,970.61 | 48.4× |
| MRI thoracic spine w/o contrast (72146) | $12,856.91 | $12,856.91 | 53.6× |
| MRI tmj (70336) | $12,662.24 | $12,662.24 | 52.8× |
| MRI upper ext joint w/o contrast (73221) | $12,926.33 | $12,926.33 | 53.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $15,399.14 | $15,399.14 | 43.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,534.55 | $12,534.55 | 52.3× |
| Myelogram Cervical (72240) | $6,483.86 | $6,483.86 | 8.2× |
| Myelogram Lumbar (72265) | $5,958.70 | $5,958.70 | 7.6× |
| Myelogram thoracic (72255) | $6,585.27 | $6,585.27 | 8.4× |
| Myocardial Spect Multiple Studies (78452) | $11,091.70 | $11,091.70 | 8.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $13,354.24 | $13,354.24 | 15.5× |
| Neck soft tissue (70360) | $1,156.90 | $1,156.90 | 13.2× |
| Nm cisternogram (78630) | $5,603.75 | $5,603.75 | 10.3× |
| Nm gastric emptying study (78264) | $4,157.63 | $4,157.63 | 10.4× |
| Nm peritoneal-venous shunt patency (78291) | $2,273.11 | $2,273.11 | 5.7× |
| Nuclear medicine study of kidney and blood flow (78701) | $5,261.72 | $5,261.72 | 13.1× |
| Nuclear Rx Oral Admin (79005) | $3,631.57 | $3,631.57 | 15.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,815.32 | $2,815.32 | 26.8× |
| Osseous survey infant (77076) | $1,253.10 | $1,253.10 | 11.9× |
| Parathyroid imaging (78070) | $3,193.19 | $3,193.19 | 8.0× |
| Pelvis 1 or 2 views (72170) | $1,284.30 | $1,284.30 | 12.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $14,810.85 | $14,810.85 | 42.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,739.81 | $3,739.81 | 9.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,556.30 | $6,556.30 | 12.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,420.40 | $2,420.40 | 4.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $981.42 | $981.42 | 11.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,357.09 | $1,357.09 | 12.9× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,263.41 | $1,263.41 | 12.0× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,117.15 | $2,117.15 | 20.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,049.54 | $3,049.54 | 29.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,957.64 | $1,957.64 | 18.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,348.64 | $1,348.64 | 15.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,455.88 | $1,455.88 | 13.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,311.60 | $1,311.60 | 15.0× |
| Radiologic exam colon single contrast study (74270) | $3,378.43 | $3,378.43 | 19.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,065.15 | $3,065.15 | 17.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,953.36 | $2,953.36 | 16.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,351.89 | $1,351.89 | 15.5× |
| Radiological examination surgical specimen (76098) | $733.06 | $733.06 | 1.3× |
| Ribs bilateral 3 views (71110) | $2,669.98 | $2,669.98 | 25.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,863.56 | $5,863.56 | 14.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $5,817.82 | $5,817.82 | 10.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $3,534.15 | $3,534.15 | 6.5× |
| Rp therapy intra-arterial particulate admn (79445) | $1,252.99 | $1,252.99 | 5.3× |
| Sacroiliac Joints < 3 Views (72200) | $1,316.80 | $1,316.80 | 12.5× |
| Scanogram (77073) | $1,730.15 | $1,730.15 | 16.5× |
| Scapula complete (73010) | $1,297.30 | $1,297.30 | 12.4× |
| Screening digital breast tomosynthesis (77063) | $436.03 | $436.03 | 18.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $4,781 | $4,781 | 45.5× |
| Sialogram (70390) | $1,628.76 | $1,628.76 | 6.8× |
| Small bowel series (74250) | $2,735.62 | $2,735.62 | 15.5× |
| Testicular Imaging With Vascular Flow (78761) | $3,106.58 | $3,106.58 | 7.7× |
| Ther rad simulaj-aided field setting complex (77290) | $550 | $550 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $3,248.44 | $3,248.44 | 8.1× |
| Thyroid uptake measurement (78012) | $2,345.63 | $2,345.63 | 5.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,213.92 | $4,213.92 | 10.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $7,491.53 | $7,491.53 | 13.7× |
| Ultrasound, abdomen limited (76705) | $4,184.46 | $4,184.46 | 39.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,654.03 | $1,654.03 | 15.7× |
| Unlisted Ultrasound Procedure (76999) | $3,502.06 | $3,502.06 | 40.1× |
| Upper Extremity Infant (73092) | $973.62 | $973.62 | 9.3× |
| Urethrocystography retrograde rs&i (74450) | $2,226.71 | $2,226.71 | 9.3× |
| Urethrocystography voiding (74455) | $2,226.71 | $2,226.71 | 9.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,690.77 | $2,690.77 | 15.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $3,240.63 | $3,240.63 | 18.4× |
| Us breast unilateral complete (76641) | $1,704.89 | $1,704.89 | 16.2× |
| Us breast unilateral limited (76642) | $1,704.89 | $1,704.89 | 19.5× |
| Us chest (76604) | $2,703.38 | $2,703.38 | 25.7× |
| Us compl joint r-t w/image documentation (76881) | $3,686.66 | $3,686.66 | 35.1× |
| Us guided compression repair (76936) | $3,555.12 | $3,555.12 | 16.4× |
| Us infant hips dynamic (76885) | $3,396.69 | $3,396.69 | 38.9× |
| Us kidney transplant (76776) | $4,943.15 | $4,943.15 | 47.1× |
| Us ob transvaginal (76817) | $4,759.28 | $4,759.28 | 45.3× |
| Us pelvic non ob complete (76856) | $4,436.63 | $4,436.63 | 42.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,252.80 | $3,252.80 | 31.0× |
| Us pregnancy ltd (76815) | $2,829.85 | $2,829.85 | 26.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,902.48 | $3,902.48 | 37.2× |
| Us retroperitoneal complete (76770) | $4,380.66 | $4,380.66 | 41.7× |
| Us retroperitoneal limited (76775) | $4,380.66 | $4,380.66 | 41.7× |
| Us scrotum and contents (76870) | $3,494.06 | $3,494.06 | 33.3× |
| Us soft tissue head/neck (76536) | $3,793.47 | $3,793.47 | 36.1× |
| Us spinal canal and contents (76800) | $2,497.01 | $2,497.01 | 23.8× |
| Us transrectal (76872) | $564.44 | $564.44 | 5.4× |
| Us transrectal prostate volume (76873) | $2,575.48 | $2,575.48 | 24.5× |
| Us xtr non-vasc lmtd (76882) | $1,841.51 | $1,841.51 | 17.5× |
| Venogram extremity bilateral (75822) | $6,991.70 | $6,991.70 | 4.4× |
| Venography caval inferior serialography rs&i (75825) | $7,097.42 | $7,097.42 | 2.2× |
| Venography caval superior serialography rs&i (75827) | $5,823.52 | $5,823.52 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $4,603.92 | $4,603.92 | 2.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $4,005.64 | $4,005.64 | 1.3× |
| Wrist 2 views (73100) | $1,006.12 | $1,006.12 | 11.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,605.37 | $1,605.37 | 15.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,211.76 | $1,211.76 | 13.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,364.89 | $1,364.89 | 15.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,496.71 | $3,496.71 | 19.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $912.52 | $912.52 | 10.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,250.51 | $1,250.51 | 14.3× |
| X-ray exam entire spi 4/5 vw (72083) | $2,478.89 | $2,478.89 | 23.6× |
| X-ray exam hip uni 1 view (73501) | $1,311.59 | $1,311.59 | 15.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,357.09 | $1,357.09 | 15.5× |
| X-ray exam hip uni 4/> views (73503) | $1,383.09 | $1,383.09 | 13.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,276.41 | $1,276.41 | 12.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,170.61 | $2,170.61 | 20.7× |
| X-ray exam of femur 1 (73551) | $1,311.59 | $1,311.59 | 15.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,033.94 | $3,033.94 | 17.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,155.22 | $2,155.22 | 20.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,388.29 | $1,388.29 | 15.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,272.60 | $1,272.60 | 14.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,181.60 | $1,181.60 | 13.5× |
| X-ray IV pyelogram+drip infusn (74410) | $3,054.74 | $3,054.74 | 17.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,388.29 | $1,388.29 | 15.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,742.56 | $1,742.56 | 16.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,679.02 | $2,679.02 | 30.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,151.71 | $1,151.71 | 13.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,479.92 | $1,479.92 | 14.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,740.17 | $2,740.17 | 26.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,255.70 | $1,255.70 | 14.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,033.15 | $1,033.15 | 11.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,995.34 | $1,995.34 | 19.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $3,491.51 | $3,491.51 | 10.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,780.85 | $1,780.85 | 20.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,882.24 | $1,882.24 | 17.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,692.07 | $2,692.07 | 25.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,262.20 | $1,262.20 | 12.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,461.74 | $1,461.74 | 16.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,615.76 | $1,615.76 | 18.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,925.14 | $1,925.14 | 22.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,445.10 | $2,445.10 | 23.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,534.52 | $1,534.52 | 14.6× |
| X-Ray Spine One View - Xr Spine (72020) | $1,300.42 | $1,300.42 | 14.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,529.96 | $1,529.96 | 17.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,532.58 | $1,532.58 | 17.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,928.39 | $1,928.39 | 18.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,183.56 | $1,183.56 | 13.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,250.51 | $1,250.51 | 14.3× |
| Xr c-spine 6 or more views (72052) | $2,870.16 | $2,870.16 | 27.3× |
| Xr chest 4+ views (71048) | $1,518.28 | $1,518.28 | 14.5× |
| Xr finger(s) 2+ views (73140) | $1,075.66 | $1,075.66 | 12.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $1,620.96 | $1,620.96 | 15.4× |
| Xr shoulder 1 view (73020) | $952.18 | $952.18 | 10.9× |
| Xr spine cervical 4 or 5 views (72050) | $2,389.20 | $2,389.20 | 22.7× |
| Xr tibia/fibula 2 views (73590) | $1,475.38 | $1,475.38 | 16.9× |
| Xr tmj bilateral (70330) | $1,497.30 | $1,497.30 | 17.1× |
| Xray knee 1 or 2 views rt (73560) | $1,351.89 | $1,351.89 | 15.5× |