Imaging prices at St. David's South Austin Medical Center
Austin, TX · every code in this section with a posted price and a Medicare benchmark.
366 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) | $928 | $928 | 10.6× |
| Abdomen 2 views (74019) | $1,289 | $1,289 | 12.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,165 | $4,165 | 10.4× |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$6,502–$7,155 | $6,502–$7,155 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$14,091–$16,108 | $14,091–$16,108 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $14,091 | $14,091 | 4.4× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$7,155–$14,884 | $7,155–$14,884 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$3,722–$14,355 | $3,722–$14,355 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 7 matching MRF lines |
$12,715–$14,355 | $12,715–$14,355 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$12,715–$15,054 | $12,715–$15,054 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$740–$1,335 | $740–$1,335 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$5,017–$14,355 | $5,017–$14,355 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $4,349 | $4,349 | 1.4× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$4,400–$14,091 | $4,400–$14,091 | varies |
| Artery X-Rays Adrenal Gland (75731) | $5,274 | $5,274 | 1.7× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$7,155–$14,091 | $7,155–$14,091 | varies |
| Artery X-Rays Spine (75705) | $5,349 | $5,349 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,723–$4,083 | $2,723–$4,083 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,108–$3,681 | $2,108–$3,681 | varies |
| Basic radiation dosimetry calculation (77300) | $1,101 | $1,101 | 8.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$575–$620 | $575–$620 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$4,136–$5,122 | $4,136–$5,122 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$2,584–$3,097 | $2,584–$3,097 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$3,454–$4,038 | $3,454–$4,038 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$3,689–$4,473 | $3,689–$4,473 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$2,821–$3,048 | $2,821–$3,048 | varies |
| Brachytx isodose complex (77318) | $2,030 | $2,030 | 5.4× |
| Brachytx isodose intermed (77317) | $1,635 | $1,635 | 4.3× |
| Brachytx Isodose Plan Simple (77316) | $1,316 | $1,316 | 3.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,543 | $3,543 | 6.5× |
| Cardiac Shunt Detection (78428) | $4,154 | $4,154 | 10.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,646–$2,752 | $2,646–$2,752 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,912 | $4,912 | 9.0× |
| Cerebrospinal Fluid Scan (78630) | $4,923 | $4,923 | 9.0× |
| Chest 1 view (71045) | $833 | $833 | 9.5× |
| Chest 2 views (71046) | $1,045 | $1,045 | 12.0× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,054–$1,260 | $1,054–$1,260 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,132–$1,708 | $1,132–$1,708 | varies |
| Cholecystography Oral Contrast (74290) | $1,538 | $1,538 | 8.7× |
| Cisternography Positive Contrast Rs&I (70015) | $5,787 | $5,787 | 7.3× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$710–$1,166 | $710–$1,166 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,770 | $1,770 | 16.9× |
| Continuing medical physics consltj pr wk (77336) | $1,358 | $1,358 | 10.1× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$3,722–$14,355 | $3,722–$14,355 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$1,750–$2,110 | $1,750–$2,110 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,195–$3,291 | $2,195–$3,291 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$17,101–$21,656 | $17,101–$21,656 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$13,657–$14,182 | $13,657–$14,182 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$7,974–$8,928 | $7,974–$8,928 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$9,632–$10,827 | $9,632–$10,827 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$2,668–$6,942 | $2,668–$6,942 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$19,151–$19,916 | $19,151–$19,916 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$9,255–$9,627 | $9,255–$9,627 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$8,741–$9,089 | $8,741–$9,089 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$2,512–$9,089 | $2,512–$9,089 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$9,139–$17,012 | $9,139–$17,012 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$7,616–$7,920 | $7,616–$7,920 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$9,960–$10,356 | $9,960–$10,356 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$8,170–$8,498 | $8,170–$8,498 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$7,354–$7,647 | $7,354–$7,647 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$9,311–$9,686 | $9,311–$9,686 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$7,631–$8,548 | $7,631–$8,548 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$9,214–$10,360 | $9,214–$10,360 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$6,061–$6,807 | $6,061–$6,807 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$7,163–$8,203 | $7,163–$8,203 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$2,512–$7,920 | $2,512–$7,920 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$86–$7,143 | $86–$7,143 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$2,512–$9,627 | $2,512–$9,627 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$6,464–$6,723 | $6,464–$6,723 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$9,410–$9,785 | $9,410–$9,785 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$7,221–$15,015 | $7,221–$15,015 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$8,177–$17,012 | $8,177–$17,012 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$8,170–$8,498 | $8,170–$8,498 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$7,517–$7,819 | $7,517–$7,819 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$8,098–$8,421 | $8,098–$8,421 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$5,877–$6,113 | $5,877–$6,113 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$7,690–$7,999 | $7,690–$7,999 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$7,690–$7,999 | $7,690–$7,999 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$5,827–$6,061 | $5,827–$6,061 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$7,465–$8,384 | $7,465–$8,384 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$3,131–$6,149 | $3,131–$6,149 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$8,861–$18,433 | $8,861–$18,433 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$8,136–$8,461 | $8,136–$8,461 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$7,517–$7,819 | $7,517–$7,819 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$6,768–$7,040 | $6,768–$7,040 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$7,616–$7,920 | $7,616–$7,920 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$6,928–$7,206 | $6,928–$7,206 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$8,724–$9,076 | $8,724–$9,076 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$3,131–$6,647 | $3,131–$6,647 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$6,126–$11,139 | $6,126–$11,139 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$8,129–$15,308 | $8,129–$15,308 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$7,032–$14,320 | $7,032–$14,320 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$8,861–$9,214 | $8,861–$9,214 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$9,255–$9,627 | $9,255–$9,627 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$8,741–$9,089 | $8,741–$9,089 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,069 | $3,069 | 1.5× |
| Discography Cerv/Thor Spine (72285) | $8,401 | $8,401 | 4.3× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,859–$6,656 | $3,859–$6,656 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $405 | $405 | 3.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $405 | $405 | 3.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,719 | $1,719 | 16.4× |
| Dxa Bone Density Axial (77080) | $784 | $784 | 7.5× |
| Dxa bone density study (77085) | $784 | $784 | 7.5× |
| Echo exam of fetal heart (76825) | $2,742 | $2,742 | 5.0× |
| Echo Guide For Artery Repair (76936) | $1,413 | $1,413 | 6.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,719 | $1,719 | 7.2× |
| Echograp Trans R Pros Study (76873) | $2,923 | $2,923 | 27.8× |
| Esophagram (74220) range across 3 matching MRF lines |
$1,379–$1,652 | $1,379–$1,652 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$2,268–$2,450 | $2,268–$2,450 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,546–$2,090 | $1,546–$2,090 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,153–$1,379 | $1,153–$1,379 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,822–$4,453 | $1,822–$4,453 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$643–$1,035 | $643–$1,035 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$821–$1,497 | $821–$1,497 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$3,773–$4,526 | $3,773–$4,526 | varies |
| Gastroesophageal Reflux Exam (78262) | $3,076 | $3,076 | 7.7× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$4,309–$5,160 | $4,309–$5,160 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$678–$1,278 | $678–$1,278 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,776 | $14,776 | 4.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $13,402 | $13,402 | 4.2× |
| Hepatobil Syst Image W/Drug (78227) | $5,122 | $5,122 | 9.4× |
| Hepatobiliary System Imaging (78226) | $4,595 | $4,595 | 11.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$4,912–$9,257 | $4,912–$9,257 | varies |
| Hysterosalpingogram (74740) | $1,043 | $1,043 | 4.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,053 | $2,053 | 23.5× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$1,256–$1,357 | $1,256–$1,357 | varies |
| K Flow/Funct Image Multiple (78709) | $6,965 | $6,965 | 12.8× |
| K Flow/Funct Image W/Drug (78708) | $4,661 | $4,661 | 8.5× |
| K Flow/Funct Image W/O Drug (78707) | $4,311 | $4,311 | 7.9× |
| Kidney Imaging Morphol (78700) | $2,392 | $2,392 | 6.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,598 | $2,598 | 6.5× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$1,065–$1,705 | $1,065–$1,705 | varies |
| Leveen/Shunt Patency Exam (78291) | $3,190 | $3,190 | 7.9× |
| Liver & Spleen Imaging Static Only (78215) | $2,864 | $2,864 | 7.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,754 | $3,754 | 9.3× |
| Liver imaging static only (78201) | $2,510 | $2,510 | 4.6× |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$3,076–$4,189 | $3,076–$4,189 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $6,181 | $6,181 | 11.3× |
| Lung perfusion differential (78597) | $9,995 | $9,995 | 24.9× |
| Lung Ventilat&Perfus Imaging (78582) | $6,945 | $6,945 | 12.7× |
| Lung Ventilation Imaging (78579) | $3,813 | $3,813 | 9.5× |
| Lymph System Imaging (78195) | $4,740 | $4,740 | 8.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $12,811 | $12,811 | 8.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $11,561 | $11,561 | 18.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $12,811 | $12,811 | 4.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $11,561 | $11,561 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $6,839 | $6,839 | 28.5× |
| Mammary ductogram or galactogram single (77053) | $1,127 | $1,127 | 4.7× |
| Meckels Divert Exam (78290) | $3,670 | $3,670 | 9.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,571 | $3,571 | 9.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $122 | $122 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) | $6,645 | $6,645 | 19.0× |
| MRA head w/o contrast (70544) | $6,375 | $6,375 | 26.6× |
| MRA head with contrast (70545) | $5,800 | $5,800 | 16.5× |
| MRA neck w contrast (70548) | $5,684 | $5,684 | 16.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,956 | $4,956 | 14.1× |
| MRA neck w/o contrast (70547) | $6,171 | $6,171 | 25.7× |
| MRI abdomen w contrast (74182) | $7,613 | $7,613 | 21.7× |
| MRI abdomen w/o contrast (74181) | $7,399 | $7,399 | 30.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$7,611–$11,418 | $7,611–$11,418 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,733–$11,601 | $7,733–$11,601 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$7,611–$11,426 | $7,611–$11,426 | varies |
| MRI bone marrow blood supply (77084) | $10,183 | $10,183 | 42.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,670 | $5,670 | 23.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,665 | $3,665 | 15.3× |
| MRI cervical spine w contrast (72142) | $7,015 | $7,015 | 20.0× |
| MRI cervical spine w/o cont (72141) | $6,794 | $6,794 | 28.3× |
| MRI chest w/o contrast (71550) | $6,839 | $6,839 | 28.5× |
| MRI chest with contrast (71551) | $7,716 | $7,716 | 9.8× |
| MRI chest wo w contrast (71552) | $8,025 | $8,025 | 22.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$7,316–$10,975 | $7,316–$10,975 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$8,206–$12,307 | $8,206–$12,307 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,151–$11,915 | $7,151–$11,915 | varies |
| MRI lumbar spine w contrast (72149) | $7,611 | $7,611 | 21.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,856 | $7,856 | 22.4× |
| MRI orbit face &/neck w/o contrast (70540) | $6,839 | $6,839 | 28.5× |
| MRI orbit face neck w contrast (70542) | $7,285 | $7,285 | 20.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,730 | $7,730 | 22.1× |
| MRI pelvis w contrast (72196) | $7,112 | $7,112 | 20.3× |
| MRI pelvis w/o & w contrast (72197) | $7,316 | $7,316 | 20.9× |
| MRI pelvis w/o contrast (72195) | $6,783 | $6,783 | 28.3× |
| MRI thoracic spine w/o contrast (72146) | $7,573 | $7,573 | 31.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$7,316–$11,601 | $7,316–$11,601 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$6,567–$10,925 | $6,567–$10,925 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$8,206–$12,032 | $8,206–$12,032 | varies |
| MRI, abdomen, combo (74183) | $8,331 | $8,331 | 23.8× |
| MRI, dorsal spine combo (72157) | $8,074 | $8,074 | 23.0× |
| MRI, dorsal spine contrast (72147) | $7,316 | $7,316 | 20.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$7,151–$11,621 | $7,151–$11,621 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,733–$11,601 | $7,733–$11,601 | varies |
| MRI, lumbar spine combo (72158) | $8,074 | $8,074 | 23.0× |
| Myelogram cervical (72240) | $7,785 | $7,785 | 9.9× |
| Myelography thoracic (72255) | $7,020 | $7,020 | 8.9× |
| Myelograpy 2/more regions rs&i (72270) | $14,041 | $14,041 | 17.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$9,777–$12,282 | $9,777–$12,282 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,078–$1,166 | $1,078–$1,166 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,859 | $1,859 | 4.6× |
| Nm csf leak detection (78650) | $4,087 | $4,087 | 3.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,857–$3,398 | $1,857–$3,398 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $10,244 | $10,244 | 7.4× |
| Nuclear Rx Intra-Arterial (79445) | $4,437 | $4,437 | 18.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,800–$4,742 | $2,800–$4,742 | varies |
| Ob us nuchal meas 1 gest (76813) | $2,655 | $2,655 | 25.3× |
| Parathyroid Planar Imaging (78070) | $2,671 | $2,671 | 6.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,374 | $4,374 | 10.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$622–$817 | $622–$817 | varies |
| Peritoneogram Rs&I (74190) | $1,067 | $1,067 | 1.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $14,776 | $14,776 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,384 | $3,384 | 8.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,248–$1,348 | $1,248–$1,348 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,629–$2,869 | $2,629–$2,869 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$923–$1,435 | $923–$1,435 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$798–$1,202 | $798–$1,202 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$984–$1,626 | $984–$1,626 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,317–$1,419 | $1,317–$1,419 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$721–$779 | $721–$779 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$961–$1,379 | $961–$1,379 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$835–$1,323 | $835–$1,323 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$850–$1,182 | $850–$1,182 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,530–$1,652 | $1,530–$1,652 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$861–$928 | $861–$928 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$1,156–$1,249 | $1,156–$1,249 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,078–$1,375 | $1,078–$1,375 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,040–$1,124 | $1,040–$1,124 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,735 | $2,735 | 15.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,010–$1,093 | $1,010–$1,093 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$992–$1,071 | $992–$1,071 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$825–$1,402 | $825–$1,402 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$709–$1,325 | $709–$1,325 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$850–$1,252 | $850–$1,252 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$864–$1,323 | $864–$1,323 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $10,055 | $10,055 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $905 | $905 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,162–$1,255 | $1,162–$1,255 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,361 | $1,361 | 13.0× |
| Radiologic exam colon double contrast study (74280) | $2,869 | $2,869 | 16.3× |
| Radiologic exam colon single contrast study (74270) | $2,428 | $2,428 | 13.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,652 | $1,652 | 9.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$1,142–$1,888 | $1,142–$1,888 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,073–$1,158 | $1,073–$1,158 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,164 | $2,164 | 12.3× |
| Radiologic exam swallow function contrast study (74230) | $2,172 | $2,172 | 12.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,505 | $2,505 | 14.2× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$557–$816 | $557–$816 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$779–$1,169 | $779–$1,169 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$821–$1,218 | $821–$1,218 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$2,821–$3,048 | $2,821–$3,048 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$1,048–$1,473 | $1,048–$1,473 | varies |
| Renal Cyst Study (74470) | $2,659 | $2,659 | 4.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,860–$2,007 | $1,860–$2,007 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,473 | $4,473 | 11.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,332 | $6,332 | 15.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,921 | $5,921 | 10.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,923 | $4,923 | 9.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,638 | $5,638 | 10.3× |
| Rp Therapy Intravenous Administration (79101) | $4,231 | $4,231 | 18.1× |
| Salivary Gland Imaging Serial Images (78231) | $2,793 | $2,793 | 7.0× |
| Scapula (73010) range across 6 matching MRF lines |
$945–$1,782 | $945–$1,782 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91 | $91 | 3.9× |
| Sella turcica (70240) range across 2 matching MRF lines |
$890–$961 | $890–$961 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$690–$1,301 | $690–$1,301 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,938–$3,387 | $1,938–$3,387 | varies |
| Sialogram (70390) | $1,972 | $1,972 | 8.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$779–$861 | $779–$861 | varies |
| Special dosimetry (77331) | $807 | $807 | 6.0× |
| Special Physics Consult (77370) | $1,480 | $1,480 | 11.0× |
| Special teletherapy port plan (77321) | $1,973 | $1,973 | 5.2× |
| Special treatment procedure (77470) | $3,639 | $3,639 | 6.6× |
| Spleen Imaging (78185) | $2,274 | $2,274 | 5.7× |
| Stereotactic Body Radiation Delivery (77373) | $17,928 | $17,928 | 10.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$867–$937 | $867–$937 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,419 | $1,419 | 3.8× |
| Testicular Imaging W/Flow (78761) | $3,169 | $3,169 | 7.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,569 | $2,569 | 6.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,282 | $2,282 | 6.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,703 | $1,703 | 12.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,057 | $3,057 | 17.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$733–$790 | $733–$790 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,093–$1,180 | $1,093–$1,180 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$942–$1,017 | $942–$1,017 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,659 | $2,659 | 6.6× |
| Thyroid Imaging With Vascular Flow (78013) | $2,393 | $2,393 | 6.0× |
| Thyroid Met Imaging Body (78018) | $4,738 | $4,738 | 8.7× |
| Thyroid Uptake Measurement (78012) | $2,466 | $2,466 | 6.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,175 | $4,175 | 10.4× |
| Tx Devices Design & Construction Complex (77334) | $1,617 | $1,617 | 4.3× |
| Tx devices design & construction intermediate (77333) | $1,195 | $1,195 | 8.9× |
| Tx devices design & construction simple (77332) | $1,033 | $1,033 | 7.7× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$190–$4,662 | $190–$4,662 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,696 | $1,696 | 16.1× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$1,258–$2,248 | $1,258–$2,248 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,719 | $1,719 | 16.4× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$1,367–$1,475 | $1,367–$1,475 | varies |
| Upper gi w/o kub (74240) | $1,927 | $1,927 | 10.9× |
| Ureteral Reflux Study (78740) | $3,811 | $3,811 | 9.5× |
| Urethrocystogram voiding (74455) | $2,047 | $2,047 | 8.5× |
| Urethrocystography retrograde (74450) | $2,110 | $2,110 | 8.8× |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
$418–$1,238 | $418–$1,238 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,902–$2,053 | $1,902–$2,053 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,569–$1,695 | $1,569–$1,695 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,529–$1,652 | $1,529–$1,652 | varies |
| Us head (76506) | $2,773 | $2,773 | 26.4× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$2,876–$3,106 | $2,876–$3,106 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$844–$912 | $844–$912 | varies |
| Us ob detailed single fetus (76811) | $2,655 | $2,655 | 11.1× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$611–$2,143 | $611–$2,143 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$844–$912 | $844–$912 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$370–$3,508 | $370–$3,508 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,902–$2,053 | $1,902–$2,053 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,982–$2,143 | $1,982–$2,143 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,561–$2,205 | $1,561–$2,205 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,570–$1,696 | $1,570–$1,696 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$1,695–$2,053 | $1,695–$2,053 | varies |
| Us spinal canal and contents (76800) | $2,053 | $2,053 | 19.5× |
| Us thyroid (76536) range across 4 matching MRF lines |
$893–$1,833 | $893–$1,833 | varies |
| Us transrectal (76872) | $3,269 | $3,269 | 31.1× |
| Vascular Flow Imaging (78445) | $1,859 | $1,859 | 4.6× |
| Vein X-Ray Chest (75827) | $12,341 | $12,341 | 7.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,402 | $13,402 | 4.2× |
| Vein X-Ray Spleen/Liver (75810) | $10,316 | $10,316 | 3.3× |
| Venogram Sinus/Jugular (75860) | $5,345 | $5,345 | 1.7× |
| Venography Adrenal Unilateral (75840) | $14,776 | $14,776 | 4.7× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$12,641–$15,054 | $12,641–$15,054 | varies |
| Venography extremity bilateral rs&i (75822) range across 5 matching MRF lines |
$2,869–$6,833 | $2,869–$6,833 | varies |
| Venography extremity unilateral rs&i (75820) range across 14 matching MRF lines |
$2,443–$5,515 | $2,443–$5,515 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$10,939–$12,731 | $10,939–$12,731 | varies |
| Venography Renal Unilateral (75831) | $12,211 | $12,211 | 3.8× |
| Venous sampling by catheter (75893) | $12,641 | $12,641 | 2.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,962 | $3,962 | 9.9× |
| Vertebral fracture assessment via dxa (77086) | $465 | $465 | 5.3× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$622–$1,067 | $622–$1,067 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$893–$964 | $893–$964 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$1,199–$2,394 | $1,199–$2,394 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$15,472–$15,762 | $15,472–$15,762 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,672–$1,808 | $1,672–$1,808 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$711–$1,170 | $711–$1,170 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,428 | $1,428 | 16.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,568 | $2,568 | 24.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,428 | $1,428 | 16.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,579 | $1,579 | 18.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,880 | $1,880 | 17.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,030 | $2,030 | 19.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,030 | $2,030 | 19.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,183 | $2,183 | 20.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,652–$1,783 | $1,652–$1,783 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$1,010–$1,671 | $1,010–$1,671 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$2,087–$2,252 | $2,087–$2,252 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$1,412–$1,524 | $1,412–$1,524 | varies |
| X-ray eye for foreign body (70030) | $387 | $387 | 4.4× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$821–$1,284 | $821–$1,284 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,958–$2,464 | $1,958–$2,464 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,045–$1,130 | $1,045–$1,130 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$818–$884 | $818–$884 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$1,158–$1,357 | $1,158–$1,357 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$712–$733 | $712–$733 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$2,299–$2,505 | $2,299–$2,505 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$1,034–$1,235 | $1,034–$1,235 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,065–$1,149 | $1,065–$1,149 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,480–$1,601 | $1,480–$1,601 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,463–$1,582 | $1,463–$1,582 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$971–$1,048 | $971–$1,048 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,250 | $2,250 | 6.4× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$4,325–$4,672 | $4,325–$4,672 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,577–$1,705 | $1,577–$1,705 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,045–$1,130 | $1,045–$1,130 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,117–$1,205 | $1,117–$1,205 | varies |
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.