Imaging prices at St. Joseph Medical Center
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $11,283.97 | $11,283.97 | 8.1× |
| Abdomen 1 View (74018) | $666.20 | $666.20 | 7.6× |
| Abdomen 2 views (74019) | $571.89 | $571.89 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,321.22 | $1,321.22 | 3.3× |
| Angio pulmonary bilat (75743) | $9,158.81 | $9,158.81 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $7,449.03 | $7,449.03 | 2.3× |
| Angiography extremity unilateral rs&i (75710) | $6,751.10 | $6,751.10 | 2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,395.80 | $8,395.80 | 2.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,303.12–$1,954.68 | $1,303.12–$1,954.68 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,502.19 | $6,502.19 | 1.2× |
| Artery X-Rays Abdomen (75726) | $14,740.56 | $14,740.56 | 2.6× |
| Artery X-Rays Pelvis (75736) | $5,925.05 | $5,925.05 | 1.1× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,105.69–$1,658.53 | $1,105.69–$1,658.53 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$851.26–$1,276.88 | $851.26–$1,276.88 | varies |
| Basic radiation dosimetry calculation (77300) | $1,172.40 | $1,172.40 | 8.7× |
| Bone Imaging 3 Phase (78315) | $4,225.39 | $4,225.39 | 10.5× |
| Bone Imaging Whole Body (78306) | $3,789.79 | $3,789.79 | 9.4× |
| Bone survey infant (77076) | $1,338.51 | $1,338.51 | 12.7× |
| Brachytx isodose complex (77318) | $1,220.15 | $1,220.15 | 3.2× |
| Brachytx Isodose Plan Simple (77316) | $439.26 | $439.26 | 1.2× |
| Brain Flow Imaging Only (78610) | $1,933.94 | $1,933.94 | 3.5× |
| Brain imaging < 4 static views (78600) | $1,119.60 | $1,119.60 | 2.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $824.72 | $824.72 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $3,401.78 | $3,401.78 | 6.2× |
| Chest 1 view (71045) | $633.75 | $633.75 | 7.2× |
| Chest 2 views (71046) | $893.16 | $893.16 | 10.2× |
| Chest 3 views (71047) | $1,027.49 | $1,027.49 | 11.8× |
| Chest 4 or more views (71048) | $850.45 | $850.45 | 8.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,532.51–$2,298.77 | $1,532.51–$2,298.77 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $5,676.13 | $5,676.13 | 54.0× |
| Continuing medical physics consltj pr wk (77336) | $1,269.58 | $1,269.58 | 9.4× |
| Contrast Exam Abdominl Aorta (75625) | $8,233.58 | $8,233.58 | 2.6× |
| Contrast X-Ray Bladder (74430) | $1,663.07 | $1,663.07 | 4.7× |
| CT abdomen and pelvis without and with contrast (74178) | $7,808.57 | $7,808.57 | 22.3× |
| CT abdomen and pelvis without contrast (74176) | $5,642.64 | $5,642.64 | 23.5× |
| CT abdomen w contrast (74160) | $6,719.37 | $6,719.37 | 38.1× |
| CT abdomen w wo contrast (74170) | $7,907.81 | $7,907.81 | 44.9× |
| CT abdomen w/o contrast (74150) | $5,617.58 | $5,617.58 | 53.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,292.56 | $2,292.56 | 6.5× |
| CT Angio Chest (71275) | $5,406.32 | $5,406.32 | 30.7× |
| CT Angio Head (70496) | $3,850.11 | $3,850.11 | 21.9× |
| CT angio hrt w/3d image (75574) | $679.48 | $679.48 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,822.21–$4,233.32 | $2,822.21–$4,233.32 | varies |
| CT Angio Neck (70498) | $7,466.10 | $7,466.10 | 42.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,822.21 | $2,822.21 | 16.0× |
| CT cervical spine w/ contrast (72126) | $6,237.41 | $6,237.41 | 17.8× |
| CT cervical spine w/o contrast (72125) | $6,583.93 | $6,583.93 | 62.7× |
| CT cervical spine w/wo cont (72127) | $2,489.10 | $2,489.10 | 14.1× |
| CT chest w contrast (71260) | $6,184.94 | $6,184.94 | 35.1× |
| CT chest w/wo contrast (71270) | $6,554.65 | $6,554.65 | 37.2× |
| CT head/brain with contrast (70460) | $5,850.63 | $5,850.63 | 33.2× |
| CT head/brain without and with contrast (70470) | $6,615.66 | $6,615.66 | 37.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $179.72 | $179.72 | 2.1× |
| CT iac w contrast (70481) | $5,978.74 | $5,978.74 | 33.9× |
| CT l-spine w&w/o contrast (72133) | $8,057.88 | $8,057.88 | 45.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,242.99–$7,864.48 | $5,242.99–$7,864.48 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,123.94–$12,247.87 | $6,123.94–$12,247.87 | varies |
| CT lumbar spine w contrast (72132) | $7,396.55 | $7,396.55 | 21.1× |
| CT lumbar spine w/o contrast (72131) | $6,116.61 | $6,116.61 | 58.2× |
| CT maxillofacial w contrast (70487) | $6,568.08 | $6,568.08 | 37.3× |
| CT maxillofacial wo contrast (70486) | $5,050.61 | $5,050.61 | 48.1× |
| CT neck tissue combo (70492) | $6,137.35 | $6,137.35 | 34.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,667.50 | $6,667.50 | 37.8× |
| CT orbits w/o contrast (70480) | $5,718.86 | $5,718.86 | 54.5× |
| CT pelvis w&w/o contrast (72194) | $6,683.98 | $6,683.98 | 37.9× |
| CT pelvis w/o contrast (72192) | $4,929.41 | $4,929.41 | 46.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$5,352.80–$8,029.21 | $5,352.80–$8,029.21 | varies |
| CT scans face/jaw combo (70488) | $6,524.14 | $6,524.14 | 37.0× |
| CT soft tissue neck w contrast (70491) | $6,370.42 | $6,370.42 | 36.2× |
| CT soft tissue neck w/o contrast (70490) | $5,538.27 | $5,538.27 | 52.7× |
| CT thoracic spine w contrast (72129) | $5,540.70 | $5,540.70 | 31.4× |
| CT thoracic spine w/o contrast (72128) | $5,888.45 | $5,888.45 | 56.1× |
| CT thoracic spine w/wo cont (72130) | $2,636.75 | $2,636.75 | 15.0× |
| CT thorax w/o contrast (71250) | $5,676.13 | $5,676.13 | 54.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,374.77–$7,946.85 | $5,374.77–$7,946.85 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$4,756.15–$7,134.24 | $4,756.15–$7,134.24 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$5,374.77–$8,062.15 | $5,374.77–$8,062.15 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,996.87 | $7,996.87 | 45.4× |
| Cta Abdomen (74175) | $8,279.93 | $8,279.93 | 47.0× |
| CTA pelvis (72191) | $7,206.21 | $7,206.21 | 40.9× |
| Dilation ureters/urethra rs&i (74485) | $4,336.41 | $4,336.41 | 2.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $966.36 | $966.36 | 9.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $726.02 | $726.02 | 6.9× |
| Dxa Bone Density Axial (77080) | $1,100.86 | $1,100.86 | 10.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $272.90 | $272.90 | 3.1× |
| Echo exam of fetal heart (76825) | $1,978.52 | $1,978.52 | 3.6× |
| Echo exam uterus (76831) | $1,382.44 | $1,382.44 | 5.8× |
| Echograp Trans R Pros Study (76873) | $378.95 | $378.95 | 3.6× |
| Esophagram (74220) | $1,359.10 | $1,359.10 | 7.7× |
| Fetal Biophys Profile W/Nst (76818) | $2,688.01 | $2,688.01 | 25.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,312.88 | $1,312.88 | 12.5× |
| Fluoroscopy up to 1 hr (76000) | $1,160.64 | $1,160.64 | 4.8× |
| Follow-Up Angiography (75898) | $1,577.52 | $1,577.52 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,317.76–$1,976.64 | $1,317.76–$1,976.64 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,525.22–$2,287.81 | $1,525.22–$2,287.81 | varies |
| Gastric emptying imaging study (78264) | $3,313.93 | $3,313.93 | 8.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,378.78–$2,068.18 | $1,378.78–$2,068.18 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $12,555.35 | $12,555.35 | 17.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,879.39 | $4,879.39 | 7.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,879.39 | $4,879.39 | 7.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,596.87 | $1,596.87 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,532.73 | $1,532.73 | 3.8× |
| Ht Muscle Image Spect Sing (78451) | $5,918.95 | $5,918.95 | 4.6× |
| Hysterosalpingogram (74740) | $672.01 | $672.01 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $3,520.13 | $3,520.13 | 6.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,271.02 | $1,271.02 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,081.56–$1,622.35 | $1,081.56–$1,622.35 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,771.65 | $1,771.65 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,895.66 | $1,895.66 | 3.5× |
| Lung Ventilation Imaging (78579) | $989.55 | $989.55 | 2.5× |
| Lymph System Imaging (78195) | $1,458.52 | $1,458.52 | 2.7× |
| Mlc imrt design & construction per imrt plan (77338) | $3,074.61 | $3,074.61 | 8.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,936.51 | $2,936.51 | 8.4× |
| MRA head w/o contrast (70544) | $8,621.58 | $8,621.58 | 36.0× |
| MRA head with contrast (70545) | $1,957.67 | $1,957.67 | 5.6× |
| MRA neck w contrast (70548) | $2,936.51 | $2,936.51 | 8.4× |
| MRA neck w/o contrast (70547) | $8,109.12 | $8,109.12 | 33.8× |
| MRI abdomen w contrast (74182) | $1,286.11 | $1,286.11 | 3.7× |
| MRI abdomen w/o contrast (74181) | $8,488.59 | $8,488.59 | 35.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,410.39 | $2,410.39 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,747.08–$21,494.16 | $10,747.08–$21,494.16 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$9,037.66–$13,556.49 | $9,037.66–$13,556.49 | varies |
| MRI cervical spine w/o cont (72141) | $7,860.22 | $7,860.22 | 32.8× |
| MRI chest w/o contrast (71550) | $7,961.49 | $7,961.49 | 33.2× |
| MRI chest wo w contrast (71552) | $1,286.11 | $1,286.11 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,044.26 | $1,044.26 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$11,717.12–$17,575.67 | $11,717.12–$17,575.67 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,721.11–$11,581.68 | $7,721.11–$11,581.68 | varies |
| MRI lumbar spine w contrast (72149) | $8,951.01 | $8,951.01 | 25.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,933.07 | $11,933.07 | 34.0× |
| MRI orbit face &/neck w/o contrast (70540) | $8,328.76 | $8,328.76 | 34.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,495.73 | $10,495.73 | 29.9× |
| MRI pelvis w contrast (72196) | $362.40 | $362.40 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $10,925.23 | $10,925.23 | 31.2× |
| MRI pelvis w/o contrast (72195) | $8,228.69 | $8,228.69 | 34.3× |
| MRI thoracic spine w/o contrast (72146) | $8,192.09 | $8,192.09 | 34.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$7,663.78–$11,495.66 | $7,663.78–$11,495.66 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,717.46 | $7,717.46 | 22.0× |
| MRI, abdomen, combo (74183) | $11,934.30 | $11,934.30 | 34.1× |
| MRI, dorsal spine combo (72157) | $12,986.06 | $12,986.06 | 37.1× |
| MRI, dorsal spine contrast (72147) | $9,714.83 | $9,714.83 | 27.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$7,411.19–$11,116.78 | $7,411.19–$11,116.78 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$10,538.45–$15,807.67 | $10,538.45–$15,807.67 | varies |
| MRI, lumbar spine combo (72158) | $12,073.40 | $12,073.40 | 34.5× |
| Myelogram cervical (72240) | $4,194.88 | $4,194.88 | 5.3× |
| Myelogram Lumbar (72265) | $3,728.78 | $3,728.78 | 4.7× |
| Myelography thoracic (72255) | $3,738.55 | $3,738.55 | 4.7× |
| Myocardial Spect Multiple Studies (78452) | $8,486.14 | $8,486.14 | 6.5× |
| Neck soft tissue (70360) | $701.09 | $701.09 | 8.0× |
| Nonvascular Shunt X-Ray (75809) | $1,412.93 | $1,412.93 | 13.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,395.34 | $14,395.34 | 10.4× |
| Nuclear Rx Intra-Arterial (79445) | $838.59 | $838.59 | 3.6× |
| Ob us nuchal meas 1 gest (76813) | $756.49 | $756.49 | 7.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,526.02 | $1,526.02 | 2.8× |
| Parathyroid Planar Imaging (78070) | $3,518.91 | $3,518.91 | 8.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,271.02 | $1,271.02 | 3.2× |
| Pelvis 1 or 2 views (72170) | $747.96 | $747.96 | 7.1× |
| Peritoneogram Rs&I (74190) | $1,772.98 | $1,772.98 | 3.2× |
| Pet Image W/Ct Lmtd (78814) | $4,985.93 | $4,985.93 | 3.5× |
| PET image w/CT, full body (78816) | $22,839.99 | $22,839.99 | 15.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,905.53 | $12,905.53 | 9.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,965.64 | $2,965.64 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,982.04 | $2,982.04 | 7.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,308 | $1,308 | 12.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,338.51 | $1,338.51 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,635.01–$2,452.51 | $1,635.01–$2,452.51 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,388.53–$2,082.80 | $1,388.53–$2,082.80 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,627.69–$2,441.53 | $1,627.69–$2,441.53 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,122.55 | $1,122.55 | 10.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$606.41–$909.63 | $606.41–$909.63 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,647.23–$2,470.83 | $1,647.23–$2,470.83 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,635.01–$2,452.51 | $1,635.01–$2,452.51 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $805.54 | $805.54 | 9.2× |
| Radex Ribs Unilateral 2 Views (71100) | $916.50 | $916.50 | 10.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$900.47–$1,350.71 | $900.47–$1,350.71 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $669.38 | $669.38 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $586.90 | $586.90 | 6.7× |
| Radex Sternum Minimum 2 Views (71120) | $699.15 | $699.15 | 8.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,032.24 | $1,032.24 | 11.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$579.59–$869.37 | $579.59–$869.37 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$734.54–$1,101.80 | $734.54–$1,101.80 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,647.23–$2,470.83 | $1,647.23–$2,470.83 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,179.43 | $26,179.43 | 3.5× |
| Radiation treatment delivery level 1 (77402) | $465.21 | $465.21 | 4.5× |
| Radiation treatment delivery level 2 (77407) | $814 | $814 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $1,989.68 | $1,989.68 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $970.02 | $970.02 | 9.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $876.07 | $876.07 | 8.3× |
| Radiologic exam colon double contrast study (74280) | $2,096.21 | $2,096.21 | 11.9× |
| Radiologic exam colon single contrast study (74270) | $1,890.46 | $1,890.46 | 10.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,717.98–$2,576.97 | $1,717.98–$2,576.97 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $866.31 | $866.31 | 8.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,637.44 | $1,637.44 | 9.3× |
| Radiologic exam swallow function contrast study (74230) | $1,387.32 | $1,387.32 | 7.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$866.89–$1,300.34 | $866.89–$1,300.34 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,322.65–$1,983.97 | $1,322.65–$1,983.97 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $360.82 | $360.82 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,632.56–$2,448.85 | $1,632.56–$2,448.85 | varies |
| Ribs bilateral 3 views (71110) | $1,304.26 | $1,304.26 | 12.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,271.78 | $1,271.78 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,271.02 | $1,271.02 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,334.30 | $4,334.30 | 7.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,401.44 | $4,401.44 | 8.1× |
| Scapula (73010) range across 3 matching MRF lines |
$783.34–$1,175.02 | $783.34–$1,175.02 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $898.64 | $898.64 | 38.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$600.32–$900.48 | $600.32–$900.48 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$2,257.28–$3,385.92 | $2,257.28–$3,385.92 | varies |
| Skull less than 4 views (70250) | $748.09 | $748.09 | 7.1× |
| Special Physics Consult (77370) | $2,802.68 | $2,802.68 | 20.8× |
| Special treatment procedure (77470) | $5,560.23 | $5,560.23 | 10.0× |
| Stereotactic Body Radiation Delivery (77373) | $7,454.75 | $7,454.75 | 4.2× |
| Sternoclavicular joints (71130) | $268.80 | $268.80 | 3.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $466.41 | $466.41 | 1.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,088.20 | $1,088.20 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,801.85 | $4,801.85 | 12.8× |
| Ther rad simulaj-aided field setting simple (77280) | $2,028.84 | $2,028.84 | 15.0× |
| Thoracic spine 2 views (72070) | $867.53 | $867.53 | 8.3× |
| Thoracic spine 3 views (72072) | $1,097.98 | $1,097.98 | 10.5× |
| Thyroid Imaging With Vascular Flow (78013) | $666.20 | $666.20 | 1.7× |
| Thyroid Met Imaging Body (78018) | $4,419.38 | $4,419.38 | 8.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,922.67 | $1,922.67 | 4.8× |
| Tx Devices Design & Construction Complex (77334) | $3,074.61 | $3,074.61 | 8.2× |
| Tx devices design & construction simple (77332) | $1,366.58 | $1,366.58 | 10.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$355.07–$532.60 | $355.07–$532.60 | varies |
| Ultrasound Exam Aaa Screen (76706) | $394.87 | $394.87 | 3.8× |
| Ultrasound, abdomen limited (76705) | $1,696.01 | $1,696.01 | 16.1× |
| Umbilical-artery Doppler (OB) (76820) | $687.40 | $687.40 | 6.5× |
| Unlisted fluoroscopic procedure (76496) | $255.21 | $255.21 | 2.9× |
| Upper gi w/o kub (74240) | $1,827.79 | $1,827.79 | 10.4× |
| Urethrocystogram voiding (74455) | $762.60 | $762.60 | 3.2× |
| Urethrocystography retrograde (74450) | $1,301.91 | $1,301.91 | 5.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$355.07–$532.60 | $355.07–$532.60 | varies |
| Us chest (76604) | $1,472.72 | $1,472.72 | 14.0× |
| Us complete joint (76881) | $3,138.22 | $3,138.22 | 29.9× |
| Us exam, pelvic, limited (76857) | $1,815.58 | $1,815.58 | 17.3× |
| Us head (76506) | $381.91 | $381.91 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,354.91 | $2,354.91 | 22.4× |
| Us ob detailed single fetus (76811) | $1,489.37 | $1,489.37 | 6.2× |
| Us ob limited 1 or more fetuses (76815) | $1,312.88 | $1,312.88 | 12.5× |
| Us ob transvaginal (76817) | $960.27 | $960.27 | 9.1× |
| Us pelvic non ob complete (76856) | $1,942.67 | $1,942.67 | 18.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,820.47 | $1,820.47 | 17.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,237.24 | $1,237.24 | 11.8× |
| Us retroperitoneal complete (76770) | $1,848.54 | $1,848.54 | 17.6× |
| Us retroperitoneal limited (76775) | $739.71 | $739.71 | 7.0× |
| Us scrotum and contents (76870) | $1,617.92 | $1,617.92 | 15.4× |
| Us spinal canal and contents (76800) | $850.45 | $850.45 | 8.1× |
| Us thyroid (76536) | $1,572.78 | $1,572.78 | 15.0× |
| Us transrectal (76872) | $2,390.28 | $2,390.28 | 22.8× |
| Vascular Flow Imaging (78445) | $1,241.68 | $1,241.68 | 3.1× |
| Vein X-Ray Chest (75827) | $5,394.29 | $5,394.29 | 3.4× |
| Venography caval inferior serialography rs&i (75825) | $4,840.34 | $4,840.34 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $2,856.38 | $2,856.38 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $2,412.25 | $2,412.25 | 1.5× |
| Venous sampling by catheter (75893) | $14,740.56 | $14,740.56 | 2.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,251.88–$1,877.82 | $1,251.88–$1,877.82 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $260.73 | $260.73 | 3.0× |
| X-ray antegrade pyelogram tube (74425) | $1,558.14 | $1,558.14 | 4.4× |
| X-Ray Aorta Leg Arteries (75630) | $13,094.92 | $13,094.92 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,344.61–$2,016.91 | $1,344.61–$2,016.91 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,693.98 | $1,693.98 | 3.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $716.89 | $716.89 | 8.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $373.37 | $373.37 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $672.27 | $672.27 | 7.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $818.73 | $818.73 | 9.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $368.57 | $368.57 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $751.88 | $751.88 | 7.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,446.74 | $1,446.74 | 13.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $918.78 | $918.78 | 10.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,499.57 | $1,499.57 | 14.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $870.03 | $870.03 | 8.3× |
| X-ray humerus (73060) | $820.58 | $820.58 | 9.4× |
| X-ray IV pyelogram (ivp) (74400) | $2,352.45 | $2,352.45 | 13.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $938.29 | $938.29 | 10.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $758.93 | $758.93 | 8.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $988.32 | $988.32 | 9.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,500.09 | $1,500.09 | 14.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $773.57 | $773.57 | 7.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $725.99 | $725.99 | 8.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,101.89 | $1,101.89 | 12.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,443.44 | $1,443.44 | 13.7× |
| X-Ray Tmj Unilat (70328) | $268.07 | $268.07 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,998.61 | $1,998.61 | 5.7× |
| X-Rays Bone Length Studies (77073) | $536.41 | $536.41 | 5.1× |
| X-Rays Bone Survey Complete (77075) | $2,347.57 | $2,347.57 | 22.4× |
| Xr c-spine 4 or 5 views (72050) | $1,300.69 | $1,300.69 | 12.4× |
| Xr facial bones less than 3 views (70140) | $524.37 | $524.37 | 6.0× |
| Xr orbits complete 4 views (70200) | $1,015.17 | $1,015.17 | 9.7× |
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.