Imaging prices at Shriners Hospitals For Children
Galveston, TX · every code in this section with a posted price and a Medicare benchmark.
221 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) | $237 | $237 | 2.7× |
| Abdomen 2 views (74019) | $284.40 | $284.40 | 2.7× |
| Ankle 2 views (73600) | $296.40 | $296.40 | 3.4× |
| Arthrogram ankle (73615) | $1,400.70 | $1,400.70 | 4.0× |
| Arthrogram hip (73525) | $1,400.70 | $1,400.70 | 4.0× |
| Arthrogram Wrist (73115) | $1,400.70 | $1,400.70 | 4.0× |
| Bone age studies (77072) | $237 | $237 | 2.3× |
| Bone Imaging 3 Phase (78315) | $715.34 | $715.34 | 1.8× |
| Bone Imaging Limited Area (78300) | $1,092.40 | $1,092.40 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $1,213.80 | $1,213.80 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,335.20 | $1,335.20 | 3.3× |
| Bone survey infant (77076) | $397.20 | $397.20 | 3.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,159.01 | $2,159.01 | 4.0× |
| Cat Scan Follow-Up Study (76380) | $362.40 | $362.40 | 4.1× |
| Chest 1 view (71045) | $237 | $237 | 2.7× |
| Chest 2 views (71046) | $284.40 | $284.40 | 3.3× |
| Chest 4 or more views (71048) | $409.80 | $409.80 | 3.9× |
| Clavicle complete (73000) | $237 | $237 | 2.7× |
| Contrast X-Ray Bladder (74430) | $925.50 | $925.50 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $1,400.70 | $1,400.70 | 4.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,400.70 | $1,400.70 | 4.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $450.80 | $450.80 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,942.20 | $2,942.20 | 8.4× |
| CT abdomen and pelvis without contrast (74176) | $2,074.10 | $2,074.10 | 8.7× |
| CT abdomen w contrast (74160) | $1,568.20 | $1,568.20 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,760.90 | $1,760.90 | 10.0× |
| CT abdomen w/o contrast (74150) | $1,029.80 | $1,029.80 | 9.8× |
| CT Angio Chest (71275) | $1,797.40 | $1,797.40 | 10.2× |
| CT Angio Head (70496) | $1,797.40 | $1,797.40 | 10.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,797.40 | $1,797.40 | 10.2× |
| CT Angio Neck (70498) | $1,797.40 | $1,797.40 | 10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,797.40 | $1,797.40 | 10.2× |
| CT cervical spine w/ contrast (72126) | $4,704.40 | $4,704.40 | 13.4× |
| CT cervical spine w/o contrast (72125) | $3,089.60 | $3,089.60 | 29.4× |
| CT cervical spine w/wo cont (72127) | $5,282.20 | $5,282.20 | 30.0× |
| CT chest w contrast (71260) | $1,568.20 | $1,568.20 | 8.9× |
| CT chest w/wo contrast (71270) | $1,760.90 | $1,760.90 | 10.0× |
| CT head/brain with contrast (70460) | $1,568.20 | $1,568.20 | 8.9× |
| CT head/brain without and with contrast (70470) | $1,760.90 | $1,760.90 | 10.0× |
| CT iac w contrast (70481) | $1,568.20 | $1,568.20 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $5,282.20 | $5,282.20 | 30.0× |
| CT lower ext w/o (73700) | $1,029.80 | $1,029.80 | 9.8× |
| CT lower extremity w/contrast material (73701) | $1,568.20 | $1,568.20 | 8.9× |
| CT lumbar spine w contrast (72132) | $4,704.40 | $4,704.40 | 13.4× |
| CT lumbar spine w/o contrast (72131) | $3,089.60 | $3,089.60 | 29.4× |
| CT maxillofacial w contrast (70487) | $1,568.20 | $1,568.20 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,029.80 | $1,029.80 | 9.8× |
| CT neck tissue combo (70492) | $1,760.90 | $1,760.90 | 10.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,760.90 | $1,760.90 | 10.0× |
| CT orbits w/o contrast (70480) | $1,029.80 | $1,029.80 | 9.8× |
| CT pelvis w&w/o contrast (72194) | $1,760.90 | $1,760.90 | 10.0× |
| CT pelvis w/o contrast (72192) | $1,029.80 | $1,029.80 | 9.8× |
| CT scan of leg combo (73702) | $1,760.90 | $1,760.90 | 10.0× |
| CT scans face/jaw combo (70488) | $1,760.90 | $1,760.90 | 10.0× |
| CT soft tissue neck w contrast (70491) | $1,568.20 | $1,568.20 | 8.9× |
| CT soft tissue neck w/o contrast (70490) | $1,029.80 | $1,029.80 | 9.8× |
| CT thoracic spine w contrast (72129) | $4,704.40 | $4,704.40 | 26.7× |
| CT thoracic spine w/o contrast (72128) | $3,089.60 | $3,089.60 | 29.4× |
| CT thoracic spine w/wo cont (72130) | $5,282.20 | $5,282.20 | 30.0× |
| CT thorax w/o contrast (71250) | $1,029.80 | $1,029.80 | 9.8× |
| CT upper ext wo (73200) | $1,029.80 | $1,029.80 | 9.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,760.90 | $1,760.90 | 10.0× |
| CT upper extremity with contrast (73201) | $1,568.20 | $1,568.20 | 4.5× |
| Cta Abdomen (74175) | $1,797.40 | $1,797.40 | 10.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,525.34 | $1,525.34 | 4.4× |
| CTA pelvis (72191) | $1,797.40 | $1,797.40 | 10.2× |
| Dxa Bone Density Axial (77080) | $382.80 | $382.80 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $153.80 | $153.80 | 1.8× |
| Esophagram (74220) | $462.10 | $462.10 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $119.30 | $119.30 | 0.5× |
| Foot 2 views (73620) | $296.40 | $296.40 | 3.4× |
| Forearm 2 views (73090) | $296.40 | $296.40 | 3.4× |
| Hand 2 views (73120) | $296.40 | $296.40 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $395.80 | $395.80 | 4.5× |
| Infant hip ultrasound, limited static exam (76886) | $330 | $330 | 3.8× |
| Knee 3 Views (73562) | $296.40 | $296.40 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $1,845.30 | $1,845.30 | 7.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,826.80 | $2,826.80 | 8.1× |
| MRA head w/o contrast (70544) | $1,845.30 | $1,845.30 | 7.7× |
| MRA head with contrast (70545) | $2,238.50 | $2,238.50 | 6.4× |
| MRA neck w contrast (70548) | $2,238.50 | $2,238.50 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,826.80 | $2,826.80 | 8.1× |
| MRA neck w/o contrast (70547) | $1,845.30 | $1,845.30 | 7.7× |
| MRI abdomen w contrast (74182) | $2,238.50 | $2,238.50 | 6.4× |
| MRI abdomen w/o contrast (74181) | $1,845.30 | $1,845.30 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,238.50 | $2,238.50 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,826.80 | $2,826.80 | 8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,238.50 | $2,238.50 | 2.8× |
| MRI cervical spine w contrast (72142) | $6,395.60 | $6,395.60 | 18.2× |
| MRI cervical spine w/o cont (72141) | $5,272.30 | $5,272.30 | 22.0× |
| MRI chest w/o contrast (71550) | $1,845.30 | $1,845.30 | 7.7× |
| MRI chest with contrast (71551) | $2,238.50 | $2,238.50 | 2.8× |
| MRI chest wo w contrast (71552) | $2,826.80 | $2,826.80 | 8.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,238.50 | $2,238.50 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,826.80 | $2,826.80 | 8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,845.30 | $1,845.30 | 7.7× |
| MRI lumbar spine w contrast (72149) | $6,239.60 | $6,239.60 | 17.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,076.30 | $8,076.30 | 23.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,845.30 | $1,845.30 | 7.7× |
| MRI orbit face neck w contrast (70542) | $2,238.50 | $2,238.50 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,826.80 | $2,826.80 | 8.1× |
| MRI pelvis w contrast (72196) | $2,238.50 | $2,238.50 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,826.80 | $2,826.80 | 8.1× |
| MRI pelvis w/o contrast (72195) | $1,845.30 | $1,845.30 | 7.7× |
| MRI thoracic spine w/o contrast (72146) | $5,143.70 | $5,143.70 | 21.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,238.50 | $2,238.50 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,845.30 | $1,845.30 | 7.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,826.80 | $2,826.80 | 8.1× |
| MRI, abdomen, combo (74183) | $2,826.80 | $2,826.80 | 8.1× |
| MRI, dorsal spine combo (72157) | $7,879.30 | $7,879.30 | 22.5× |
| MRI, dorsal spine contrast (72147) | $6,239.60 | $6,239.60 | 17.8× |
| MRI, joint upper extrem (73221) | $1,845.30 | $1,845.30 | 7.7× |
| MRI, joint upper extrem combo (73223) | $2,826.80 | $2,826.80 | 8.1× |
| MRI, lumbar spine combo (72158) | $7,879.30 | $7,879.30 | 22.5× |
| Myelograpy 2/more regions rs&i (72270) | $3,085.80 | $3,085.80 | 3.9× |
| Neck soft tissue (70360) | $237 | $237 | 2.7× |
| Nonvascular Shunt X-Ray (75809) | $2,665.50 | $2,665.50 | 25.4× |
| Panoramic X-ray of jaws (70355) | $237 | $237 | 2.7× |
| Pelvis 1 or 2 views (72170) | $237 | $237 | 2.3× |
| PET whole body (78813) | $6,258.90 | $6,258.90 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $397.20 | $397.20 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $370.40 | $370.40 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $296.40 | $296.40 | 3.4× |
| Radex elbow complete minimum 3 views (73080) | $370.40 | $370.40 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $284.40 | $284.40 | 2.7× |
| Radex fingr minimum 2 views (73140) | $296.40 | $296.40 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $370.40 | $370.40 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $370.40 | $370.40 | 4.2× |
| Radex lower extremity infant minimum 2 views (73592) | $237.90 | $237.90 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $341.20 | $341.20 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $296.40 | $296.40 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) | $296.40 | $296.40 | 3.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $237 | $237 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $237 | $237 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $284.40 | $284.40 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $284.40 | $284.40 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $355.80 | $355.80 | 4.1× |
| Radex upper extremity infant minimum 2 views (73092) | $237.90 | $237.90 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $370.40 | $370.40 | 4.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $487.70 | $487.70 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $284.40 | $284.40 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $341.20 | $341.20 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $462.10 | $462.10 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $370.40 | $370.40 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $284.40 | $284.40 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $462.10 | $462.10 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $462.10 | $462.10 | 2.6× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $190.70 | $190.70 | 0.8× |
| Radiologic examination femur 1 view (73551) | $102 | $102 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $120.70 | $120.70 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $237 | $237 | 2.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $397.20 | $397.20 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $296.40 | $296.40 | 3.4× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $159.10 | $159.10 | 1.8× |
| Ribs bilateral 3 views (71110) | $444.50 | $444.50 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,077.80 | $2,077.80 | 3.8× |
| Scapula (73010) | $237 | $237 | 2.3× |
| Shoulder 1 view (73020) | $237 | $237 | 2.7× |
| Shoulder Arthrography (73040) | $1,400.70 | $1,400.70 | 4.0× |
| Skull less than 4 views (70250) | $237 | $237 | 2.3× |
| Speech evaluation, complex (70371) | $296.10 | $296.10 | 1.2× |
| Sternoclavicular joints (71130) | $341.20 | $341.20 | 3.9× |
| Thoracic spine 2 views (72070) | $232.20 | $232.20 | 2.2× |
| Thoracic spine 3 views (72072) | $284.40 | $284.40 | 2.7× |
| Thoracolumbar 2 views (72080) | $284.40 | $284.40 | 3.3× |
| Ultrasound, abdomen limited (76705) | $513.60 | $513.60 | 4.9× |
| Unlisted Dx Radiographic Procedure (76499) | $237 | $237 | 2.7× |
| Unlisted fluoroscopic procedure (76496) | $451.70 | $451.70 | 5.2× |
| Unlisted us procedure (76999) | $330 | $330 | 3.8× |
| Upper gi w/o kub (74240) | $747.30 | $747.30 | 4.2× |
| Urethrocystogram voiding (74455) | $925.50 | $925.50 | 3.9× |
| Us chest (76604) | $330 | $330 | 3.1× |
| Us complete joint (76881) | $513.60 | $513.60 | 4.9× |
| Us exam, pelvic, limited (76857) | $491.60 | $491.60 | 4.7× |
| Us head (76506) | $330 | $330 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $513.60 | $513.60 | 4.9× |
| Us pelvic non ob complete (76856) | $491.60 | $491.60 | 4.7× |
| Us retroperitoneal complete (76770) | $616.40 | $616.40 | 5.9× |
| Us retroperitoneal limited (76775) | $513.60 | $513.60 | 4.9× |
| Us scrotum and contents (76870) | $490 | $490 | 4.7× |
| Us spinal canal and contents (76800) | $513.60 | $513.60 | 4.9× |
| Us thyroid (76536) | $513.60 | $513.60 | 4.9× |
| Vertebral fracture assessment via dxa (77086) | $237 | $237 | 2.7× |
| Wrist 2 views (73100) | $296.40 | $296.40 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $237 | $237 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $487.70 | $487.70 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $296.40 | $296.40 | 3.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $237 | $237 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $242.70 | $242.70 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $263.30 | $263.30 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$107.60–$215.20 | $107.60–$215.20 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $158.40 | $158.40 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $195.80 | $195.80 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $148.90 | $148.90 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $177 | $177 | 1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $212.60 | $212.60 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $436.90 | $436.90 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $237 | $237 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $436.90 | $436.90 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $370.40 | $370.40 | 3.5× |
| X-ray eye for foreign body (70030) | $362.40 | $362.40 | 4.1× |
| X-ray head for orthodontia (70350) | $237 | $237 | 2.7× |
| X-ray humerus (73060) | $296.40 | $296.40 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $906 | $906 | 5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $237 | $237 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $463 | $463 | 5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $237 | $237 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $463 | $463 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $284.40 | $284.40 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $237 | $237 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $284.40 | $284.40 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $284.40 | $284.40 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $397.20 | $397.20 | 3.8× |
| X-Ray Stress View (77071) | $237 | $237 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $341.20 | $341.20 | 3.2× |
| X-Ray Tmj Unilat (70328) | $237 | $237 | 2.7× |
| X-Rays Bone Length Studies (77073) | $237.90 | $237.90 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $476.60 | $476.60 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $397.20 | $397.20 | 3.8× |
| Xr facial bones less than 3 views (70140) | $237 | $237 | 2.7× |
| Xr orbits complete 4 views (70200) | $487.70 | $487.70 | 4.6× |
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.