Imaging prices at Round Rock Medical Center
Round Rock, TX · every code in this section with a posted price and a Medicare benchmark.
367 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) | $16,990 | $16,990 | 12.2× |
| Abdomen 1 View (74018) | $1,118 | $1,118 | 12.8× |
| Abdomen 2 views (74019) | $1,581 | $1,581 | 15.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,169 | $3,169 | 7.9× |
| Adrenal Cortex & Medulla Img (78075) | $3,244 | $3,244 | 2.5× |
| Angio internal mammary (75756) | $4,352 | $4,352 | 1.4× |
| Angio pulmonary bilat (75743) | $7,428 | $7,428 | 2.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,730 | $5,730 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $6,802 | $6,802 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $6,594 | $6,594 | 2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,787 | $5,787 | 1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,047 | $5,047 | 1.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$313–$784 | $313–$784 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,325 | $4,325 | 0.8× |
| Artery X-Rays Abdomen (75726) | $4,323 | $4,323 | 0.8× |
| Artery X-Rays Adrenal Gland (75731) | $6,069 | $6,069 | 1.9× |
| Artery X-Rays Pelvis (75736) | $6,299 | $6,299 | 1.1× |
| Artery X-Rays Spine (75705) | $4,752 | $4,752 | 0.9× |
| Arthrogram ankle (73615) | $2,209 | $2,209 | 6.3× |
| Arthrogram hip (73525) | $2,576 | $2,576 | 7.4× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$2,015–$2,217 | $2,015–$2,217 | varies |
| Basic radiation dosimetry calculation (77300) | $1,169 | $1,169 | 8.7× |
| Bone age studies (77072) | $1,086 | $1,086 | 10.3× |
| Bone Imaging 3 Phase (78315) | $2,789 | $2,789 | 6.9× |
| Bone Imaging Limited Area (78300) | $3,055 | $3,055 | 7.6× |
| Bone Imaging Whole Body (78306) | $4,037 | $4,037 | 10.1× |
| Bone marrow imaging limited area (78102) | $2,577 | $2,577 | 6.4× |
| Bone survey infant (77076) | $1,466 | $1,466 | 14.0× |
| Brain Flow Imaging Only (78610) | $616 | $616 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,022 | $3,022 | 5.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,586 | $3,586 | 10.2× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$154–$4,135 | $154–$4,135 | varies |
| Cerebrospinal Fluid Scan (78630) | $3,528 | $3,528 | 6.5× |
| Chest 1 view (71045) | $1,005 | $1,005 | 11.5× |
| Chest 2 views (71046) | $1,267 | $1,267 | 14.5× |
| Chest 3 views (71047) | $1,581 | $1,581 | 18.1× |
| Chest 4 or more views (71048) | $2,006 | $2,006 | 19.1× |
| Cholecystography Oral Contrast (74290) | $1,892 | $1,892 | 10.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,086–$2,168 | $1,086–$2,168 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $513 | $513 | 4.9× |
| Continuing medical physics consltj pr wk (77336) | $3,014 | $3,014 | 22.3× |
| Contrast Exam Abdominl Aorta (75625) | $6,225 | $6,225 | 2.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$2,026–$2,750 | $2,026–$2,750 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,164 | $2,164 | 6.2× |
| Contrast X-Ray Of Knee Joint (73580) | $3,061 | $3,061 | 8.7× |
| CT abdomen and pelvis without and with contrast (74178) | $14,805 | $14,805 | 42.2× |
| CT abdomen and pelvis without contrast (74176) | $14,805 | $14,805 | 61.8× |
| CT abdomen w contrast (74160) | $7,751 | $7,751 | 44.0× |
| CT abdomen w wo contrast (74170) | $8,666 | $8,666 | 49.2× |
| CT abdomen w/o contrast (74150) | $7,327 | $7,327 | 69.8× |
| CT Angio Abdomen and Pelvis (74174) | $13,635 | $13,635 | 38.9× |
| CT Angio Chest (71275) | $5,061 | $5,061 | 28.7× |
| CT Angio Head (70496) | $4,521 | $4,521 | 25.7× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$161–$6,765 | $161–$6,765 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,646–$6,704 | $4,646–$6,704 | varies |
| CT Angio Neck (70498) | $4,521 | $4,521 | 25.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$4,646–$6,704 | $4,646–$6,704 | varies |
| CT cervical spine w/ contrast (72126) | $7,643 | $7,643 | 21.8× |
| CT cervical spine w/o contrast (72125) | $7,286 | $7,286 | 69.4× |
| CT cervical spine w/wo cont (72127) | $7,035 | $7,035 | 39.9× |
| CT chest w contrast (71260) | $6,971 | $6,971 | 39.6× |
| CT chest w/wo contrast (71270) | $7,419 | $7,419 | 42.1× |
| CT head/brain with contrast (70460) | $6,340 | $6,340 | 36.0× |
| CT head/brain without and with contrast (70470) | $7,279 | $7,279 | 41.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,765 | $6,765 | 19.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$137–$344 | $137–$344 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$5,502–$6,973 | $5,502–$6,973 | varies |
| CT l-spine w&w/o contrast (72133) | $7,004 | $7,004 | 39.8× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$2,821–$5,402 | $2,821–$5,402 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$3,337–$5,739 | $3,337–$5,739 | varies |
| CT lumbar spine w contrast (72132) | $11,252 | $11,252 | 32.1× |
| CT lumbar spine w/o contrast (72131) | $6,360 | $6,360 | 60.6× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$5,243–$5,451 | $5,243–$5,451 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$4,534–$5,495 | $4,534–$5,495 | varies |
| CT neck tissue combo (70492) | $5,590 | $5,590 | 31.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$4,772–$6,382 | $4,772–$6,382 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$4,468–$6,735 | $4,468–$6,735 | varies |
| CT pelvis w&w/o contrast (72194) | $7,348 | $7,348 | 41.7× |
| CT pelvis w/o contrast (72192) | $6,902 | $6,902 | 65.7× |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$3,737–$6,080 | $3,737–$6,080 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,854–$5,079 | $4,854–$5,079 | varies |
| CT soft tissue neck w contrast (70491) | $7,510 | $7,510 | 42.6× |
| CT soft tissue neck w/o contrast (70490) | $7,097 | $7,097 | 67.6× |
| CT thoracic spine w contrast (72129) | $6,764 | $6,764 | 38.4× |
| CT thoracic spine w/o contrast (72128) | $7,145 | $7,145 | 68.0× |
| CT thoracic spine w/wo cont (72130) | $6,351 | $6,351 | 36.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$6,806–$6,918 | $6,806–$6,918 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$2,938–$5,402 | $2,938–$5,402 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$3,737–$6,080 | $3,737–$6,080 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$3,337–$5,739 | $3,337–$5,739 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,284 | $5,284 | 30.0× |
| Cta Abdomen (74175) | $5,284 | $5,284 | 30.0× |
| CTA pelvis (72191) | $5,284 | $5,284 | 30.0× |
| Dilation ureters/urethra rs&i (74485) | $1,042 | $1,042 | 0.5× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,779–$4,081 | $3,779–$4,081 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $428 | $428 | 4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $405 | $405 | 3.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$854–$1,339 | $854–$1,339 | varies |
| Dxa bone density study (77085) | $854 | $854 | 8.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$1,115–$1,179 | $1,115–$1,179 | varies |
| Echo exam of fetal heart (76825) | $1,809 | $1,809 | 3.3× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,537–$2,851 | $1,537–$2,851 | varies |
| Echograp Trans R Pros Study (76873) | $431 | $431 | 4.1× |
| Esophagram (74220) | $1,919 | $1,919 | 10.9× |
| Fetal Biophys Profile W/Nst (76818) | $1,977 | $1,977 | 18.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,464 | $1,464 | 13.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,456–$1,647 | $1,456–$1,647 | varies |
| Follow-Up Angiography (75898) | $2,158 | $2,158 | 0.7× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$164–$751 | $164–$751 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$151–$1,543 | $151–$1,543 | varies |
| Gastric emptying imaging study (78264) | $4,316 | $4,316 | 10.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,023 | $3,023 | 7.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,892–$4,113 | $2,892–$4,113 | varies |
| Gated Heart, Multiple (78473) | $2,155 | $2,155 | 5.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,282 | $3,282 | 6.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$164–$785 | $164–$785 | varies |
| Heart Image (Pet) Multiple (78492) | $10,495 | $10,495 | 7.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,789 | $5,789 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,733 | $5,733 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $4,596 | $4,596 | 8.4× |
| Hepatobiliary System Imaging (78226) | $4,019 | $4,019 | 10.0× |
| Ht Musc Image Planar Mult (78454) | $4,826 | $4,826 | 3.7× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$12,074–$12,989 | $12,074–$12,989 | varies |
| Hysterosalpingogram (74740) | $1,935 | $1,935 | 8.1× |
| Interstitial radiation source applic complex (77778) | $5,303 | $5,303 | 7.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,154 | $2,154 | 3.1× |
| Joint Survey Single View (77077) | $164 | $164 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $3,836 | $3,836 | 7.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,711 | $1,711 | 3.1× |
| Kidney Imaging Morphol (78700) | $1,810 | $1,810 | 4.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,251 | $2,251 | 5.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$164–$2,458 | $164–$2,458 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$2,392–$3,256 | $2,392–$3,256 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,447 | $3,447 | 8.6× |
| Liver imaging w/vascular flow (78202) | $3,447 | $3,447 | 6.3× |
| Lung Perf&Ventilat Diferentl (78598) | $3,068 | $3,068 | 5.6× |
| Lung perfusion differential (78597) | $2,684 | $2,684 | 6.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,144 | $2,144 | 3.9× |
| Lung Ventilation Imaging (78579) | $908 | $908 | 2.3× |
| Lymph System Imaging (78195) | $3,468 | $3,468 | 6.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $5,400 | $5,400 | 3.4× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$8,550–$10,511 | $8,550–$10,511 | varies |
| Mammary ductogram or galactogram single (77053) | $1,229 | $1,229 | 5.1× |
| Meckels Divert Exam (78290) | $2,439 | $2,439 | 6.1× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,050 | $1,050 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $2,252 | $2,252 | 6.0× |
| Mra Head W/O & W/Contrast Material (70546) | $7,610 | $7,610 | 21.7× |
| MRA head w/o contrast (70544) | $12,095 | $12,095 | 50.5× |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$8,739–$9,130 | $8,739–$9,130 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$8,190–$9,130 | $8,190–$9,130 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $9,608 | $9,608 | 27.4× |
| MRA neck w/o contrast (70547) | $12,095 | $12,095 | 50.5× |
| MRI abdomen w contrast (74182) | $8,245 | $8,245 | 23.5× |
| MRI abdomen w/o contrast (74181) | $10,293 | $10,293 | 42.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$5,891–$10,353 | $5,891–$10,353 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$6,592–$11,500 | $6,592–$11,500 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,616–$9,217 | $4,616–$9,217 | varies |
| MRI bone marrow blood supply (77084) | $11,956 | $11,956 | 49.9× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,593–$6,083 | $1,593–$6,083 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,047 | $3,047 | 12.7× |
| MRI cervical spine w contrast (72142) | $9,331 | $9,331 | 26.6× |
| MRI cervical spine w/o cont (72141) | $8,764 | $8,764 | 36.6× |
| MRI chest w/o contrast (71550) | $8,445 | $8,445 | 35.2× |
| MRI chest wo w contrast (71552) | $10,435 | $10,435 | 29.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,834–$7,232 | $3,834–$7,232 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$7,122–$11,500 | $7,122–$11,500 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,375–$6,574 | $3,375–$6,574 | varies |
| MRI lumbar spine w contrast (72149) | $9,833 | $9,833 | 28.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,150 | $9,150 | 26.1× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$9,268–$10,511 | $9,268–$10,511 | varies |
| MRI orbit face neck w contrast (70542) | $10,267 | $10,267 | 29.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$8,865–$10,905 | $8,865–$10,905 | varies |
| MRI pelvis w contrast (72196) | $10,293 | $10,293 | 29.4× |
| MRI pelvis w/o & w contrast (72197) | $12,095 | $12,095 | 34.5× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$8,779–$9,967 | $8,779–$9,967 | varies |
| MRI thoracic spine w/o contrast (72146) | $9,988 | $9,988 | 41.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$9,196–$9,861 | $9,196–$9,861 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$8,282–$9,217 | $8,282–$9,217 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$9,413–$11,717 | $9,413–$11,717 | varies |
| MRI, abdomen, combo (74183) | $12,095 | $12,095 | 34.5× |
| MRI, dorsal spine combo (72157) | $11,409 | $11,409 | 32.6× |
| MRI, dorsal spine contrast (72147) | $10,189 | $10,189 | 29.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$7,453–$11,177 | $7,453–$11,177 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,031–$9,861 | $7,031–$9,861 | varies |
| MRI, lumbar spine combo (72158) | $11,002 | $11,002 | 31.4× |
| Myelogram cervical (72240) | $2,989 | $2,989 | 3.8× |
| Myelogram Lumbar (72265) | $4,490 | $4,490 | 5.7× |
| Myelography thoracic (72255) | $3,670 | $3,670 | 4.7× |
| Myelograpy 2/more regions rs&i (72270) | $7,134 | $7,134 | 9.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,567 | $3,567 | 8.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,826 | $4,826 | 3.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,270–$12,989 | $3,270–$12,989 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $12,530 | $12,530 | 5.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $9,776 | $9,776 | 4.4× |
| Neck soft tissue (70360) | $1,049 | $1,049 | 12.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $612 | $612 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $22,672 | $22,672 | 16.3× |
| Nuclear Rx Intra-Arterial (79445) | $983 | $983 | 4.2× |
| Nuclear Rx Oral Admin (79005) | $2,293 | $2,293 | 9.8× |
| Ob us nuchal meas 1 gest (76813) | $445 | $445 | 4.2× |
| Optic foramina (70190) range across 3 matching MRF lines |
$846–$1,171 | $846–$1,171 | varies |
| Panoramic X-ray of jaws (70355) | $948 | $948 | 10.8× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$830–$1,786 | $830–$1,786 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,148 | $1,148 | 2.9× |
| Pelvis 1 or 2 views (72170) | $1,398 | $1,398 | 13.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $14,691 | $14,691 | 10.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,772 | $8,772 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,224 | $3,224 | 8.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$2,089–$2,123 | $2,089–$2,123 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$954–$1,538 | $954–$1,538 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$151–$2,361 | $151–$2,361 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$164–$905 | $164–$905 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$164–$3,244 | $164–$3,244 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$1,029–$1,848 | $1,029–$1,848 | varies |
| Radex fingr minimum 2 views (73140) | $905 | $905 | 10.4× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$164–$2,291 | $164–$2,291 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$164–$2,310 | $164–$2,310 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$586–$740 | $586–$740 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,047 | $2,047 | 19.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,029 | $1,029 | 11.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$1,263–$1,389 | $1,263–$1,389 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$164–$2,683 | $164–$2,683 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$821–$1,086 | $821–$1,086 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,574 | $3,574 | 20.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$689–$1,575 | $689–$1,575 | varies |
| Radex Sternum Minimum 2 Views (71120) | $1,093 | $1,093 | 12.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,449 | $1,449 | 16.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,005–$1,510 | $1,005–$1,510 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$586–$662 | $586–$662 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$164–$1,705 | $164–$1,705 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,034 | $12,034 | 1.6× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$1,115–$1,698 | $1,115–$1,698 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,115–$1,790 | $1,115–$1,790 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,297–$1,784 | $1,297–$1,784 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,900 | $1,900 | 18.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,006 | $2,006 | 19.1× |
| Radiologic exam colon double contrast study (74280) | $3,129 | $3,129 | 17.8× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$2,215–$2,849 | $2,215–$2,849 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,292 | $1,292 | 7.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$164–$1,605 | $164–$1,605 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,297 | $1,297 | 12.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,310 | $2,310 | 13.1× |
| Radiologic exam swallow function contrast study (74230) | $1,803 | $1,803 | 10.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,416 | $3,416 | 19.4× |
| Radiologic examination femur 1 view (73551) | $673 | $673 | 7.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$789–$1,417 | $789–$1,417 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$164–$2,486 | $164–$2,486 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $200 | $200 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$986–$2,533 | $986–$2,533 | varies |
| Ribs bilateral 3 views (71110) | $1,608 | $1,608 | 15.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,087 | $2,087 | 5.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,149 | $3,149 | 7.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,253 | $5,253 | 9.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,106 | $4,106 | 7.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,392 | $5,392 | 9.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,110 | $6,110 | 4.7× |
| Salivary Gland Function Study (78232) | $4,316 | $4,316 | 10.7× |
| Salivary Gland Imaging (78230) | $4,316 | $4,316 | 10.7× |
| Salivary Gland Imaging Serial Images (78231) | $4,316 | $4,316 | 10.7× |
| Scapula (73010) range across 3 matching MRF lines |
$1,138–$1,437 | $1,138–$1,437 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$82–$97 | $82–$97 | varies |
| Sella turcica (70240) | $955 | $955 | 10.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,065–$1,917 | $1,065–$1,917 | varies |
| Shoulder Arthrography (73040) | $2,853 | $2,853 | 8.1× |
| Sialogram (70390) | $1,758 | $1,758 | 7.3× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$738–$1,280 | $738–$1,280 | varies |
| Special dosimetry (77331) | $1,078 | $1,078 | 8.0× |
| Special Physics Consult (77370) | $2,715 | $2,715 | 20.1× |
| Special teletherapy port plan (77321) | $1,507 | $1,507 | 4.0× |
| Special treatment procedure (77470) | $2,346 | $2,346 | 4.2× |
| Stereotactic Body Radiation Delivery (77373) | $2,912 | $2,912 | 1.6× |
| Sternoclavicular joints (71130) | $908 | $908 | 10.4× |
| Superior sagittal sinus venogram (75870) | $4,594 | $4,594 | 1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,752 | $1,752 | 4.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,169 | $1,169 | 3.1× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,332 | $2,332 | 9.7× |
| Testicular Imaging W/Flow (78761) | $2,672 | $2,672 | 6.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,752 | $1,752 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,752 | $1,752 | 4.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,169 | $1,169 | 8.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,129 | $3,129 | 17.8× |
| Thoracic spine 2 views (72070) | $1,005 | $1,005 | 9.6× |
| Thoracic spine 3 views (72072) | $1,354 | $1,354 | 12.9× |
| Thyroid Met Imaging Body (78018) | $4,108 | $4,108 | 7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $830 | $830 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $3,218 | $3,218 | 8.6× |
| Tx devices design & construction intermediate (77333) | $1,685 | $1,685 | 12.5× |
| Tx devices design & construction simple (77332) | $1,461 | $1,461 | 10.8× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$203–$1,134 | $203–$1,134 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$328–$445 | $328–$445 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,343–$1,496 | $1,343–$1,496 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$405–$516 | $405–$516 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $348 | $348 | 4.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$2,692–$3,040 | $2,692–$3,040 | varies |
| Urethrocystogram voiding (74455) | $3,146 | $3,146 | 13.1× |
| Urethrocystography retrograde (74450) | $3,146 | $3,146 | 13.1× |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$446–$1,134 | $446–$1,134 | varies |
| Us chest (76604) | $1,037 | $1,037 | 9.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,385–$2,077 | $1,385–$2,077 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$449–$1,961 | $449–$1,961 | varies |
| Us head (76506) | $3,250 | $3,250 | 30.9× |
| Us kidney transplant (76776) | $2,152 | $2,152 | 20.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$963–$1,668 | $963–$1,668 | varies |
| Us ob detailed single fetus (76811) | $580 | $580 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $1,977 | $1,977 | 18.8× |
| Us ob transvaginal (76817) | $643 | $643 | 6.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,391–$2,245 | $1,391–$2,245 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $643 | $643 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,259 | $1,259 | 12.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,666–$2,152 | $1,666–$2,152 | varies |
| Us retroperitoneal limited (76775) | $2,152 | $2,152 | 20.5× |
| Us scrotum and contents (76870) | $1,830 | $1,830 | 17.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$953–$1,797 | $953–$1,797 | varies |
| Us transrectal (76872) | $3,361 | $3,361 | 32.0× |
| Vein X-Ray Chest (75827) | $5,082 | $5,082 | 3.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,445 | $4,445 | 1.4× |
| Vein X-Ray Skull Epidural (75872) | $4,323 | $4,323 | 6.9× |
| Venogram Sinus/Jugular (75860) | $4,594 | $4,594 | 1.4× |
| Venography Adrenal Unilateral (75840) | $6,069 | $6,069 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $6,660 | $6,660 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $2,481 | $2,481 | 1.6× |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$2,697–$2,929 | $2,697–$2,929 | varies |
| Venography Orbital Rs&I (75880) | $3,064 | $3,064 | 4.9× |
| Venography Renal Bilateral (75833) | $5,316 | $5,316 | 1.7× |
| Venography Renal Unilateral (75831) | $6,069 | $6,069 | 1.9× |
| Venous sampling by catheter (75893) | $4,089 | $4,089 | 0.7× |
| Venous thrombosis imaging (78457) | $2,813 | $2,813 | 5.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,856 | $2,856 | 7.1× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$507–$607 | $507–$607 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$164–$751 | $164–$751 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $846 | $846 | 9.7× |
| X-ray antegrade pyelogram tube (74425) range across 6 matching MRF lines |
$1,063–$2,026 | $1,063–$2,026 | varies |
| X-Ray Aorta Leg Arteries (75630) | $7,059 | $7,059 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,425 | $1,425 | 13.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$151–$1,346 | $151–$1,346 | varies |
| X-Ray Exam Breast Specimen (76098) | $400 | $400 | 0.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,075 | $1,075 | 12.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,075 | $1,075 | 12.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,191 | $1,191 | 11.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,310 | $1,310 | 12.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,429 | $1,429 | 13.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,545 | $1,545 | 14.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,705 | $1,705 | 16.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,086–$1,267 | $1,086–$1,267 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,391 | $2,391 | 22.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$151–$1,680 | $151–$1,680 | varies |
| X-ray eye for foreign body (70030) | $350 | $350 | 4.0× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$164–$1,631 | $164–$1,631 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,090 | $3,090 | 17.5× |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,701–$3,466 | $1,701–$3,466 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,413 | $1,413 | 16.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$164–$2,300 | $164–$2,300 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,378–$1,459 | $1,378–$1,459 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,174 | $1,174 | 13.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,026 | $2,026 | 19.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,408 | $1,408 | 13.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,219 | $1,219 | 13.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,487–$1,705 | $1,487–$1,705 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,900 | $1,900 | 18.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,858 | $2,858 | 8.2× |
| X-Rays Bone Length Studies (77073) | $1,065 | $1,065 | 10.1× |
| X-Rays Bone Survey Complete (77075) | $3,509 | $3,509 | 33.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,575–$1,879 | $1,575–$1,879 | varies |
| Xr facial bones less than 3 views (70140) | $751 | $751 | 8.6× |
| Xr myelogram posterior fossa (70010) | $4,187 | $4,187 | 11.9× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,603–$1,669 | $1,603–$1,669 | varies |
| Xr Tomogram Single Plane (76100) | $1,810 | $1,810 | 17.2× |
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.