Imaging prices at St. David's Medical Center
Austin, TX · every code in this section with a posted price and a Medicare benchmark.
417 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$7,044–$13,144 | $7,044–$13,144 | varies |
| Abdomen 1 View (74018) | $982 | $982 | 11.2× |
| Abdomen 2 views (74019) | $1,361 | $1,361 | 13.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,290 | $2,290 | 5.7× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,255–$2,436 | $2,255–$2,436 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$4,996–$7,325 | $4,996–$7,325 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,457 | $7,457 | 2.4× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$4,725–$11,137 | $4,725–$11,137 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$2,115–$5,614 | $2,115–$5,614 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 7 matching MRF lines |
$5,828–$7,325 | $5,828–$7,325 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,647–$3,940 | $3,647–$3,940 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$885–$2,112 | $885–$2,112 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$6,225–$6,723 | $6,225–$6,723 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$4,413–$7,325 | $4,413–$7,325 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$10,312–$11,137 | $10,312–$11,137 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 4 matching MRF lines |
$6,438–$6,951 | $6,438–$6,951 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$6,548–$7,637 | $6,548–$7,637 | varies |
| Artery X-Rays Spine (75705) | $5,412 | $5,412 | 1.0× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,417–$2,131 | $1,417–$2,131 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,585–$2,376 | $1,585–$2,376 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,138–$1,711 | $1,138–$1,711 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$631–$701 | $631–$701 | varies |
| Bone age studies (77072) | $1,115 | $1,115 | 10.6× |
| Bone Imaging 3 Phase (78315) | $4,731 | $4,731 | 11.8× |
| Bone Imaging Limited Area (78300) | $1,635 | $1,635 | 4.1× |
| Bone Imaging Multiple Areas (78305) | $2,520 | $2,520 | 6.3× |
| Bone Imaging Whole Body (78306) | $4,656 | $4,656 | 11.6× |
| Bone marrow imaging limited area (78102) | $1,658 | $1,658 | 4.1× |
| Bone marrow imaging; multiple areas (78103) | $2,360 | $2,360 | 5.9× |
| Bone marrow imaging; whole body (78104) | $3,015 | $3,015 | 7.5× |
| Bone survey infant (77076) | $3,230 | $3,230 | 30.8× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$2,335–$2,339 | $2,335–$2,339 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$1,638–$2,307 | $1,638–$2,307 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$1,117–$2,060 | $1,117–$2,060 | varies |
| Brain Flow Imaging Only (78610) | $563 | $563 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $1,180 | $1,180 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,887 | $3,887 | 7.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,119 | $3,119 | 5.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,844 | $2,844 | 2.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $873 | $873 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,157 | $5,157 | 14.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $5,426 | $5,426 | 6.9× |
| Cardiac Shunt Detection (78428) | $910 | $910 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $1,764 | $1,764 | 20.2× |
| Cerebrospinal Fluid Scan (78630) | $3,195 | $3,195 | 5.9× |
| Chest 1 view (71045) | $881 | $881 | 10.1× |
| Chest 2 views (71046) | $1,105 | $1,105 | 12.6× |
| Chest 3 views (71047) | $1,115 | $1,115 | 12.8× |
| Chest 4 or more views (71048) | $1,198 | $1,198 | 11.4× |
| Cholecystography Oral Contrast (74290) | $1,437 | $1,437 | 8.2× |
| Cisternography Positive Contrast Rs&I (70015) | $698 | $698 | 0.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,997–$3,003 | $1,997–$3,003 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $217 | $217 | 2.1× |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$1,302–$2,451 | $1,302–$2,451 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$5,095–$7,325 | $5,095–$7,325 | varies |
| Contrast X-Ray Bladder (74430) | $1,815 | $1,815 | 5.2× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,544–$2,311 | $1,544–$2,311 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,518–$2,279 | $1,518–$2,279 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $7,076 | $7,076 | 20.2× |
| CT abdomen and pelvis without contrast (74176) | $7,076 | $7,076 | 29.5× |
| CT abdomen w contrast (74160) | $3,434 | $3,434 | 19.5× |
| CT abdomen w wo contrast (74170) | $4,621 | $4,621 | 26.2× |
| CT abdomen w/o contrast (74150) | $2,844 | $2,844 | 27.1× |
| CT Angio Abdomen and Pelvis (74174) | $6,109 | $6,109 | 17.4× |
| CT Angio Chest (71275) | $4,759 | $4,759 | 27.0× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,217–$3,919 | $1,217–$3,919 | varies |
| CT angio hrt w/3d image (75574) | $4,759 | $4,759 | 13.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,025–$5,809 | $4,025–$5,809 | varies |
| CT Angio Neck (70498) | $3,919 | $3,919 | 22.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$4,025–$5,809 | $4,025–$5,809 | varies |
| CT cervical spine w/ contrast (72126) | $3,286 | $3,286 | 9.4× |
| CT cervical spine w/o contrast (72125) | $2,966 | $2,966 | 28.2× |
| CT cervical spine w/wo cont (72127) | $4,105 | $4,105 | 23.3× |
| CT chest w contrast (71260) | $3,552 | $3,552 | 20.2× |
| CT chest w/wo contrast (71270) | $4,437 | $4,437 | 25.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,357 | $1,357 | 7.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,357 | $1,357 | 12.9× |
| CT head/brain with contrast (70460) | $2,844 | $2,844 | 16.1× |
| CT head/brain without and with contrast (70470) | $3,552 | $3,552 | 20.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,523 | $1,523 | 4.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$135–$1,162 | $135–$1,162 | varies |
| CT hrt w/3d image congen (75573) | $1,523 | $1,523 | 4.3× |
| CT iac w contrast (70481) | $2,844 | $2,844 | 16.1× |
| CT l-spine w&w/o contrast (72133) | $4,105 | $4,105 | 23.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,493–$4,312 | $2,493–$4,312 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,966–$4,451 | $2,966–$4,451 | varies |
| CT lumbar spine w contrast (72132) | $3,552 | $3,552 | 10.1× |
| CT lumbar spine w/o contrast (72131) | $2,966 | $2,966 | 28.2× |
| CT maxillofacial w contrast (70487) | $2,844 | $2,844 | 16.1× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$376–$2,374 | $376–$2,374 | varies |
| CT neck tissue combo (70492) | $3,552 | $3,552 | 20.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,286 | $3,286 | 18.6× |
| CT orbits w/o contrast (70480) | $2,374 | $2,374 | 22.6× |
| CT pelvis w&w/o contrast (72194) | $4,256 | $4,256 | 24.2× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,305–$3,631 | $1,305–$3,631 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,454–$5,180 | $3,454–$5,180 | varies |
| CT scans face/jaw combo (70488) | $3,552 | $3,552 | 20.2× |
| CT soft tissue neck w contrast (70491) | $2,844 | $2,844 | 16.1× |
| CT soft tissue neck w/o contrast (70490) | $2,374 | $2,374 | 22.6× |
| CT thoracic spine w contrast (72129) | $3,286 | $3,286 | 18.6× |
| CT thoracic spine w/o contrast (72128) | $2,966 | $2,966 | 28.2× |
| CT thoracic spine w/wo cont (72130) | $4,105 | $4,105 | 23.3× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,491–$4,045 | $1,491–$4,045 | varies |
| CT unlisted procedure (76497) | $3,259 | $3,259 | 37.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,608–$3,980 | $2,608–$3,980 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,454–$5,809 | $3,454–$5,809 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,966–$5,118 | $2,966–$5,118 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,579 | $4,579 | 26.0× |
| Cta Abdomen (74175) | $4,579 | $4,579 | 26.0× |
| CTA pelvis (72191) | $4,579 | $4,579 | 26.0× |
| Dilation ureters/urethra rs&i (74485) | $3,251 | $3,251 | 1.5× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$3,181–$4,768 | $3,181–$4,768 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,308–$4,510 | $2,308–$4,510 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $334 | $334 | 3.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $334 | $334 | 3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $334 | $334 | 3.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$808–$832 | $808–$832 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$808–$832 | $808–$832 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $955 | $955 | 10.9× |
| Echo exam of fetal heart (76825) | $1,498 | $1,498 | 2.7× |
| Echo exam uterus (76831) | $665 | $665 | 2.8× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,248–$1,261 | $1,248–$1,261 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,131 | $1,131 | 4.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$1,795–$1,873 | $1,795–$1,873 | varies |
| Fetal Biophys Profile W/Nst (76818) | $1,134 | $1,134 | 10.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,688 | $1,688 | 16.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $530 | $530 | 2.2× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,159–$2,578 | $2,159–$2,578 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,679–$1,822 | $1,679–$1,822 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,053–$2,272 | $1,053–$2,272 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,054–$1,752 | $1,054–$1,752 | varies |
| Gastric emptying imaging study (78264) | $2,014 | $2,014 | 5.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $646 | $646 | 1.6× |
| Gastroesophageal Reflux Exam (78262) | $1,806 | $1,806 | 4.5× |
| Gated Heart Planar Single (78472) | $2,725 | $2,725 | 6.8× |
| Gated Heart, Multiple (78473) | $2,031 | $2,031 | 5.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $858 | $858 | 1.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$810–$1,785 | $810–$1,785 | varies |
| Heart first pass single,planar (78481) | $2,063 | $2,063 | 3.8× |
| Heart Image (Pet) Multiple (78492) | $4,362 | $4,362 | 3.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,268 | $3,268 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $8,052 | $8,052 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $773 | $773 | 1.4× |
| Hepatobiliary System Imaging (78226) | $773 | $773 | 1.9× |
| Ht Musc Image Planar Mult (78454) | $4,418 | $4,418 | 3.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,084–$11,893 | $3,084–$11,893 | varies |
| Hysterosalpingogram (74740) | $1,865 | $1,865 | 7.8× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,338–$2,549 | $2,338–$2,549 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $1,507 | $1,507 | 2.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,151 | $2,151 | 3.9× |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$1,147–$2,073 | $1,147–$2,073 | varies |
| K Flow/Funct Image Multiple (78709) | $3,240 | $3,240 | 5.9× |
| K Flow/Funct Image W/Drug (78708) | $2,659 | $2,659 | 4.9× |
| K Flow/Funct Image W/O Drug (78707) | $3,327 | $3,327 | 6.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,840 | $1,840 | 4.6× |
| Kidney Imaging Morphol (78700) | $3,092 | $3,092 | 7.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $791 | $791 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,227–$2,435 | $1,227–$2,435 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,852 | $1,852 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) | $3,311 | $3,311 | 8.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,231 | $1,231 | 3.1× |
| Liver imaging static only (78201) | $829 | $829 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $834 | $834 | 1.5× |
| Lung perfusion differential (78597) | $534 | $534 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $834 | $834 | 1.5× |
| Lung Ventilation Imaging (78579) | $534 | $534 | 1.3× |
| Lymph System Imaging (78195) | $4,135 | $4,135 | 7.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,611 | $4,611 | 1.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,435 | $3,435 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $5,881 | $5,881 | 24.5× |
| Mammary ductogram or galactogram multiple (77054) | $1,306 | $1,306 | 5.4× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,161–$1,196 | $1,161–$1,196 | varies |
| Meckels Divert Exam (78290) | $2,429 | $2,429 | 6.0× |
| Medical physics dose eval radiation expos w/rprt (76145) | $888 | $888 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $6,077 | $6,077 | 17.3× |
| MRA head w/o contrast (70544) | $5,301 | $5,301 | 22.1× |
| MRA head with contrast (70545) | $5,301 | $5,301 | 15.1× |
| MRA neck w contrast (70548) | $5,301 | $5,301 | 15.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,077 | $6,077 | 17.3× |
| MRA neck w/o contrast (70547) | $5,301 | $5,301 | 22.1× |
| MRI abdomen w contrast (74182) | $4,399 | $4,399 | 12.6× |
| MRI abdomen w/o contrast (74181) | $4,903 | $4,903 | 20.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,716–$6,531 | $3,716–$6,531 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,157–$8,128 | $4,157–$8,128 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,226–$6,264 | $3,226–$6,264 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $5,740 | $5,740 | 23.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,591 | $4,591 | 19.2× |
| MRI cardiac w/o cont stress (75559) | $4,905 | $4,905 | 8.9× |
| MRI cardiac w/o contrast (75557) | $4,905 | $4,905 | 20.5× |
| MRI cervical spine w contrast (72142) | $5,884 | $5,884 | 16.8× |
| MRI cervical spine w/o cont (72141) | $4,903 | $4,903 | 20.5× |
| MRI chest w/o contrast (71550) | $4,903 | $4,903 | 20.5× |
| MRI chest with contrast (71551) | $5,814 | $5,814 | 7.4× |
| MRI chest wo w contrast (71552) | $5,322 | $5,322 | 15.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,418–$5,799 | $2,418–$5,799 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,493–$7,256 | $4,493–$7,256 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,130–$5,223 | $2,130–$5,223 | varies |
| MRI lumbar spine w contrast (72149) | $5,884 | $5,884 | 16.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,941 | $6,941 | 19.8× |
| MRI orbit face &/neck w/o contrast (70540) | $4,539 | $4,539 | 18.9× |
| MRI orbit face neck w contrast (70542) | $5,799 | $5,799 | 16.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,780 | $6,780 | 19.3× |
| MRI pelvis w contrast (72196) | $5,635 | $5,635 | 16.1× |
| MRI pelvis w/o & w contrast (72197) | $6,800 | $6,800 | 19.4× |
| MRI pelvis w/o contrast (72195) | $5,246 | $5,246 | 21.9× |
| MRI spectroscopy (76390) | $4,903 | $4,903 | 56.1× |
| MRI thoracic spine w/o contrast (72146) | $5,439 | $5,439 | 22.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$3,214–$6,218 | $3,214–$6,218 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,158–$5,814 | $3,158–$5,814 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$6,425–$6,780 | $6,425–$6,780 | varies |
| MRI, abdomen, combo (74183) | $6,800 | $6,800 | 19.4× |
| MRI, dorsal spine combo (72157) | $6,941 | $6,941 | 19.8× |
| MRI, dorsal spine contrast (72147) | $5,884 | $5,884 | 16.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,562–$4,903 | $4,562–$4,903 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,421–$6,780 | $3,421–$6,780 | varies |
| MRI, lumbar spine combo (72158) | $6,941 | $6,941 | 19.8× |
| Myelogram cervical (72240) | $4,661 | $4,661 | 5.9× |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$3,750–$4,051 | $3,750–$4,051 | varies |
| Myelography thoracic (72255) | $4,325 | $4,325 | 5.5× |
| Myelograpy 2/more regions rs&i (72270) | $6,129 | $6,129 | 7.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,274 | $2,274 | 5.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,418 | $4,418 | 3.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,084–$11,893 | $3,084–$11,893 | varies |
| Neck soft tissue (70360) | $847 | $847 | 9.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $609 | $609 | 1.6× |
| Nm csf leak detection (78650) | $1,493 | $1,493 | 1.1× |
| Nm myocard infarct spect (78469) | $3,874 | $3,874 | 7.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$462–$1,420 | $462–$1,420 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$7,394–$17,728 | $7,394–$17,728 | varies |
| Nuclear medicine study of endocrine organs (78099) | $522 | $522 | 1.3× |
| Nuclear Rx Intra-Arterial (79445) | $621 | $621 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $923 | $923 | 3.9× |
| Ob us nuchal meas 1 gest (76813) | $368 | $368 | 3.5× |
| Panoramic X-ray of jaws (70355) | $911 | $911 | 10.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,589 | $3,589 | 6.6× |
| Parathyroid Planar Imaging (78070) | $1,787 | $1,787 | 4.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,447 | $2,447 | 6.1× |
| Pelvis 1 or 2 views (72170) | $876 | $876 | 8.3× |
| Perineogram (74775) | $650 | $650 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,631–$9,633 | $2,631–$9,633 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,391 | $8,391 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,829 | $2,829 | 7.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,355 | $1,355 | 12.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$1,210–$2,338 | $1,210–$2,338 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,394–$1,765 | $1,394–$1,765 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$873–$1,309 | $873–$1,309 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,054–$1,946 | $1,054–$1,946 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,552 | $1,552 | 14.8× |
| Radex fingr minimum 2 views (73140) | $789 | $789 | 9.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,060–$2,112 | $1,060–$2,112 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,009–$2,012 | $1,009–$2,012 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$920–$1,378 | $920–$1,378 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$1,575–$2,364 | $1,575–$2,364 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,082 | $1,082 | 12.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,243 | $1,243 | 14.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,243–$1,988 | $1,243–$1,988 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $855 | $855 | 9.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,805 | $2,805 | 15.9× |
| Radex Spine 1 View Specify Level (72020) | $1,115 | $1,115 | 12.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,029 | $1,029 | 11.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,306 | $1,306 | 14.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$936–$1,401 | $936–$1,401 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$486–$733 | $486–$733 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,019–$2,026 | $1,019–$2,026 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,815 | $1,815 | 17.3× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$803–$837 | $803–$837 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$931–$987 | $931–$987 | varies |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$1,101–$1,380 | $1,101–$1,380 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,612 | $1,612 | 15.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,437 | $1,437 | 13.7× |
| Radiologic exam colon double contrast study (74280) | $2,700 | $2,700 | 15.3× |
| Radiologic exam colon single contrast study (74270) | $2,583 | $2,583 | 14.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,341 | $2,341 | 13.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,263–$2,524 | $1,263–$2,524 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,115 | $1,115 | 10.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,556 | $2,556 | 14.5× |
| Radiologic exam swallow function contrast study (74230) | $2,114 | $2,114 | 12.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,527 | $1,527 | 8.7× |
| Radiologic examination femur 1 view (73551) | $683 | $683 | 7.8× |
| Radiologic examination femur minimum 2 views (73552) | $1,196 | $1,196 | 13.7× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,103–$2,199 | $1,103–$2,199 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,385 | $1,385 | 13.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,121–$2,213 | $1,121–$2,213 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$617–$4,664 | $617–$4,664 | varies |
| Ribs bilateral 3 views (71110) | $1,073 | $1,073 | 10.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,334 | $2,334 | 5.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,196 | $3,196 | 8.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,528 | $3,528 | 6.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,384 | $3,384 | 6.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,802 | $3,802 | 7.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,911 | $3,911 | 3.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,284 | $4,284 | 3.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,656 | $3,656 | 2.8× |
| Salivary Gland Function Study (78232) | $1,894 | $1,894 | 4.7× |
| Salivary Gland Imaging Serial Images (78231) | $1,929 | $1,929 | 4.8× |
| Scapula (73010) range across 3 matching MRF lines |
$997–$1,075 | $997–$1,075 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$70–$97 | $70–$97 | varies |
| Sella turcica (70240) | $357 | $357 | 4.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$834–$1,544 | $834–$1,544 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,836–$3,272 | $1,836–$3,272 | varies |
| Sialogram (70390) | $961 | $961 | 4.0× |
| Skull less than 4 views (70250) | $1,308 | $1,308 | 12.5× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$237–$873 | $237–$873 | varies |
| Special Physics Consult (77370) range across 4 matching MRF lines |
$1,382–$6,806 | $1,382–$6,806 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$1,592–$1,902 | $1,592–$1,902 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$2,232–$6,806 | $2,232–$6,806 | varies |
| Speech evaluation, complex (70371) | $1,610 | $1,610 | 6.7× |
| Spleen Imaging (78185) | $2,186 | $2,186 | 5.4× |
| Srs Multisource (77371) range across 3 matching MRF lines |
$88,215–$111,740 | $88,215–$111,740 | varies |
| Stereotactic Body Radiation Delivery (77373) | $14,244 | $14,244 | 7.9× |
| Sternoclavicular joints (71130) | $752 | $752 | 8.6× |
| Superior sagittal sinus venogram (75870) | $2,143 | $2,143 | 0.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $208 | $208 | 2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,250 | $1,250 | 3.3× |
| Testicular Imaging W/Flow (78761) | $2,215 | $2,215 | 5.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,943–$3,068 | $1,943–$3,068 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$1,592–$2,624 | $1,592–$2,624 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$761–$1,638 | $761–$1,638 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,700 | $2,700 | 15.3× |
| Thoracic spine 2 views (72070) | $1,454 | $1,454 | 13.8× |
| Thoracic spine 3 views (72072) | $1,635 | $1,635 | 15.6× |
| Thoracolumbar 2 views (72080) | $533 | $533 | 6.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,877 | $1,877 | 4.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,724 | $1,724 | 4.3× |
| Thyroid Met Imaging Body (78018) | $3,467 | $3,467 | 6.4× |
| Thyroid Uptake Measurement (78012) | $1,009 | $1,009 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,878 | $1,878 | 4.7× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,531–$1,701 | $1,531–$1,701 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$896–$1,166 | $896–$1,166 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$631–$1,138 | $631–$1,138 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$204–$548 | $204–$548 | varies |
| Ultrasound Exam Aaa Screen (76706) | $267 | $267 | 2.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,348–$1,361 | $1,348–$1,361 | varies |
| Umbilical-artery Doppler (OB) (76820) | $389 | $389 | 3.7× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$222–$6,318 | $222–$6,318 | varies |
| Unlisted fluoroscopic procedure (76496) | $302 | $302 | 3.5× |
| Unlisted magnetic resonance procedure (76498) | $968 | $968 | 11.1× |
| Unlisted us procedure (76999) | $1,994 | $1,994 | 22.8× |
| Upper gi w/o kub (74240) | $800 | $800 | 4.5× |
| Urethrocystogram voiding (74455) | $2,263 | $2,263 | 9.4× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$661–$736 | $661–$736 | varies |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$448–$904 | $448–$904 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$688–$6,895 | $688–$6,895 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,054–$1,585 | $1,054–$1,585 | varies |
| Us exam, pelvic, limited (76857) | $1,066 | $1,066 | 10.2× |
| Us head (76506) | $1,442 | $1,442 | 13.7× |
| Us kidney transplant (76776) | $1,285 | $1,285 | 12.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$847–$1,269 | $847–$1,269 | varies |
| Us ob detailed single fetus (76811) | $1,464 | $1,464 | 6.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$902–$1,080 | $902–$1,080 | varies |
| Us ob transvaginal (76817) | $410 | $410 | 3.9× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,396–$1,410 | $1,396–$1,410 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $407 | $407 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $726 | $726 | 6.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,672–$1,688 | $1,672–$1,688 | varies |
| Us retroperitoneal limited (76775) | $1,366 | $1,366 | 13.0× |
| Us scrotum and contents (76870) | $1,373 | $1,373 | 13.1× |
| Us spinal canal and contents (76800) | $1,147 | $1,147 | 10.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$957–$967 | $957–$967 | varies |
| Us transrectal (76872) | $2,557 | $2,557 | 24.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,802–$6,265 | $5,802–$6,265 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,520 | $3,520 | 1.1× |
| Vein X-Ray Spleen/Liver (75810) | $3,520 | $3,520 | 1.1× |
| Venogram Sinus/Jugular (75860) | $2,213 | $2,213 | 0.7× |
| Venography Adrenal Unilateral (75840) | $7,049 | $7,049 | 2.2× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$5,250–$5,850 | $5,250–$5,850 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,132–$3,452 | $2,132–$3,452 | varies |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$2,303–$2,485 | $2,303–$2,485 | varies |
| Venography Renal Bilateral (75833) | $10,579 | $10,579 | 3.3× |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$9,341–$10,312 | $9,341–$10,312 | varies |
| Venous sampling by catheter (75893) | $8,276 | $8,276 | 1.5× |
| Venous thrombosis imaging (78457) | $571 | $571 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $571 | $571 | 1.4× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$479–$493 | $479–$493 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$800–$1,612 | $800–$1,612 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,065 | $1,065 | 12.2× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$723–$2,411 | $723–$2,411 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$5,650–$8,069 | $5,650–$8,069 | varies |
| X-Ray Bend Only L-S Spine (72120) | $973 | $973 | 9.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$974–$2,109 | $974–$2,109 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$150–$468 | $150–$468 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $125 | $125 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,634 | $1,634 | 15.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,347 | $1,347 | 12.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$1,029–$1,030 | $1,029–$1,030 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,161 | $1,161 | 13.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,260 | $1,260 | 12.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,115 | $1,115 | 10.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,196 | $1,196 | 11.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,243 | $1,243 | 11.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,410 | $1,410 | 13.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,271 | $1,271 | 14.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,960 | $1,960 | 18.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $943 | $943 | 9.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$380–$575 | $380–$575 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$836–$1,656 | $836–$1,656 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,194 | $3,194 | 18.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $872 | $872 | 10.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,343 | $1,343 | 15.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,374 | $1,374 | 13.1× |
| X-ray nose-rectum child f.b. (76010) | $280 | $280 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,160 | $1,160 | 11.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,282 | $1,282 | 12.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,111 | $1,111 | 12.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,441 | $1,441 | 16.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,705 | $1,705 | 16.2× |
| X-ray thoracic spine 4 vw (72074) | $1,889 | $1,889 | 18.0× |
| X-Ray Tmj Unilat (70328) | $836 | $836 | 9.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,492 | $2,492 | 7.1× |
| X-Rays Bone Length Studies (77073) | $920 | $920 | 8.8× |
| X-Rays Bone Survey Complete (77075) | $3,362 | $3,362 | 32.0× |
| Xr c-spine 4 or 5 views (72050) | $1,349 | $1,349 | 12.8× |
| Xr facial bones less than 3 views (70140) | $927 | $927 | 10.6× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$1,385–$2,081 | $1,385–$2,081 | varies |
| Xr myelogram posterior fossa (70010) | $3,599 | $3,599 | 10.3× |
| Xr orbits complete 4 views (70200) | $1,277 | $1,277 | 12.2× |
| Xr Tomogram Single Plane (76100) | $1,276 | $1,276 | 12.2× |
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.