Imaging prices at Terrebonne General Health System
Houma, LA · every code in this section with a posted price and a Medicare benchmark.
319 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) | $2,575.13 | $3,478.50 | 2.1× |
| Abdomen 1 View (74018) | $161.57 | $218.25 | 2.1× |
| Abdomen 2 views (74019) | $233.93 | $316 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,278.13 | $1,726.50 | 3.5× |
| Angio internal mammary (75756) | $983.30 | $1,328.25 | 0.3× |
| Angio pulmonary bilat (75743) | $1,169.49 | $1,579.75 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $5,781.37 | $7,809.50 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $5,781.37 | $7,809.50 | 2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $588.17 | $794.50 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,554.63 | $2,100 | 0.5× |
| Ankle 2 views (73600) | $277.61 | $375 | 3.5× |
| Aortography thoracic serialography rs&i (75605) | $2,591.05 | $3,500 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,192.81 | $1,611.25 | 0.4× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,351.60 | $1,825.75 | 0.3× |
| Arthrogram ankle (73615) | $423.82 | $572.50 | 1.3× |
| Arthrogram hip (73525) | $436.59 | $589.75 | 1.4× |
| Arthrogram Wrist (73115) | $436.78 | $590 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $162.87 | $220 | 1.3× |
| Bone age studies (77072) | $244.30 | $330 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,253.14 | $1,692.75 | 3.5× |
| Bone Imaging Limited Area (78300) | $501.74 | $677.75 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $675.15 | $912 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,178.74 | $1,592.25 | 3.3× |
| Bone survey infant (77076) | $212.65 | $287.25 | 2.2× |
| Brachytx isodose complex (77318) | $665.53 | $899 | 2.0× |
| Brachytx isodose intermed (77317) | $527.09 | $712 | 1.6× |
| Brachytx Isodose Plan Simple (77316) | $527.09 | $712 | 1.6× |
| Brain Flow Imaging Only (78610) | $424.38 | $573.25 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $992.19 | $1,340.25 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,264.72 | $4,410 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $643.88 | $869.75 | 8.2× |
| Chest 1 view (71045) | $166.57 | $225 | 2.1× |
| Chest 2 views (71046) | $176.75 | $238.75 | 2.2× |
| Chest 3 views (71047) | $179.52 | $242.50 | 2.3× |
| Chest 4 or more views (71048) | $171.19 | $231.25 | 1.8× |
| Clavicle complete (73000) | $166.94 | $225.50 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $222.09 | $300 | 2.3× |
| Continuing medical physics consltj pr wk (77336) | $290.20 | $392 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,285.72 | $1,736.75 | 0.4× |
| Contrast X-Ray Bladder (74430) | $421.60 | $569.50 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $466.20 | $629.75 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $915.01 | $1,236 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,165.93 | $2,925.75 | 6.9× |
| CT abdomen and pelvis without contrast (74176) | $1,396.21 | $1,886 | 6.5× |
| CT abdomen w contrast (74160) | $1,339.39 | $1,809.25 | 8.4× |
| CT abdomen w wo contrast (74170) | $1,707.13 | $2,306 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,038.64 | $1,403 | 11.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,961.20 | $4,000 | 9.4× |
| CT Angio Chest (71275) | $1,401.76 | $1,893.50 | 8.8× |
| CT Angio Head (70496) | $3,177.92 | $4,292.75 | 20.0× |
| CT angio hrt w/3d image (75574) | $1,135.25 | $1,533.50 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,783.34 | $3,759.75 | 17.5× |
| CT Angio Neck (70498) | $2,783.34 | $3,759.75 | 17.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,783.34 | $3,759.75 | 17.5× |
| CT cervical spine w/ contrast (72126) | $1,924.78 | $2,600 | 6.1× |
| CT cervical spine w/o contrast (72125) | $1,790.05 | $2,418 | 18.9× |
| CT cervical spine w/wo cont (72127) | $2,197.21 | $2,968 | 13.8× |
| CT chest w contrast (71260) | $1,269.80 | $1,715.25 | 8.0× |
| CT chest w/wo contrast (71270) | $1,318.10 | $1,780.50 | 8.3× |
| CT head/brain with contrast (70460) | $1,216.50 | $1,643.25 | 7.7× |
| CT head/brain without and with contrast (70470) | $1,471.16 | $1,987.25 | 9.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,091.76 | $1,474.75 | 13.9× |
| CT iac w contrast (70481) | $1,267.58 | $1,712.25 | 8.0× |
| CT l-spine w&w/o contrast (72133) | $1,776.72 | $2,400 | 11.2× |
| CT lower ext w/o (73700) | $1,272.21 | $1,718.50 | 13.4× |
| CT lumbar spine w contrast (72132) | $1,554.63 | $2,100 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,520.39 | $2,053.75 | 16.1× |
| CT maxillofacial w contrast (70487) | $1,396.21 | $1,886 | 8.8× |
| CT maxillofacial wo contrast (70486) | $1,406.57 | $1,900 | 14.9× |
| CT neck tissue combo (70492) | $1,777.09 | $2,400.50 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,437.29 | $1,941.50 | 9.0× |
| CT orbits w/o contrast (70480) | $1,188.92 | $1,606 | 12.6× |
| CT pelvis w&w/o contrast (72194) | $1,610.52 | $2,175.50 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,038.64 | $1,403 | 11.0× |
| CT scan of leg combo (73702) | $1,436.74 | $1,940.75 | 9.0× |
| CT scans face/jaw combo (70488) | $1,541.30 | $2,082 | 9.7× |
| CT soft tissue neck w contrast (70491) | $1,421.01 | $1,919.50 | 8.9× |
| CT soft tissue neck w/o contrast (70490) | $1,310.15 | $1,769.75 | 13.8× |
| CT thoracic spine w contrast (72129) | $1,406.57 | $1,900 | 8.9× |
| CT thoracic spine w/o contrast (72128) | $1,335.87 | $1,804.50 | 14.1× |
| CT thoracic spine w/wo cont (72130) | $1,628.66 | $2,200 | 10.3× |
| CT thorax w/o contrast (71250) | $1,406.57 | $1,900 | 14.9× |
| CT upper ext wo (73200) | $1,254.99 | $1,695.25 | 13.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,394.91 | $1,884.25 | 8.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,823.46 | $5,164.75 | 24.1× |
| Cta Abdomen (74175) | $2,783.34 | $3,759.75 | 17.5× |
| CTA pelvis (72191) | $533.76 | $721 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $555.41 | $750.25 | 5.9× |
| Dxa Bone Density Axial (77080) | $359.60 | $485.75 | 3.8× |
| Dxa bone density study (77085) | $343.13 | $463.50 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $185.08 | $250 | 2.3× |
| Echo Guide For Artery Repair (76936) | $703.29 | $950 | 3.6× |
| Esophagram (74220) | $380.14 | $513.50 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $360.90 | $487.50 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $254.11 | $343.25 | 2.7× |
| Fluoroscopy up to 1 hr (76000) | $377.74 | $510.25 | 1.7× |
| Follow-Up Angiography (75898) | $564.29 | $762.25 | 0.2× |
| Foot 2 views (73620) | $185.08 | $250 | 2.3× |
| Forearm 2 views (73090) | $250.41 | $338.25 | 3.2× |
| Gastric emptying imaging study (78264) | $920.93 | $1,244 | 2.5× |
| Gated Heart Planar Single (78472) | $1,096.57 | $1,481.25 | 3.0× |
| Gated Heart, Multiple (78473) | $1,342.16 | $1,813 | 3.7× |
| Hand 2 views (73120) | $233.19 | $315 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,428.41 | $1,929.50 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,196.70 | $1,616.50 | 3.3× |
| Ht Muscle Image Spect Sing (78451) | $1,570.55 | $2,121.50 | 1.3× |
| Hysterosalpingogram (74740) | $542.83 | $733.25 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $468.80 | $633.25 | 5.9× |
| Infusion Ivp (74410) | $419.01 | $566 | 2.6× |
| Interstitial radiation source applic complex (77778) | $1,341.98 | $1,812.75 | 2.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,015.32 | $1,371.50 | 1.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $707.17 | $955.25 | 1.4× |
| Intracavitary radiation source applic simple (77761) | $489.52 | $661.25 | 1.0× |
| Joint Survey Single View (77077) | $259.11 | $350 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,628.66 | $2,200 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,524.28 | $2,059 | 3.1× |
| Knee 3 Views (73562) | $267.90 | $361.88 | 3.4× |
| Liver & Spleen Imaging Static Only (78215) | $853.20 | $1,152.50 | 2.4× |
| Liver imaging static only (78201) | $828.40 | $1,119 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,332.54 | $1,800 | 2.7× |
| Lung perfusion differential (78597) | $814.33 | $1,100 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,760.80 | $2,378.50 | 3.6× |
| Lymph System Imaging (78195) | $1,344.01 | $1,815.50 | 2.7× |
| Meckels Divert Exam (78290) | $609.45 | $823.25 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $347.94 | $470 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,072.84 | $2,800 | 6.6× |
| MRA head w/o contrast (70544) | $1,861.48 | $2,514.50 | 8.6× |
| MRA head with contrast (70545) | $1,184.48 | $1,600 | 3.7× |
| MRA neck w contrast (70548) | $1,725.64 | $2,331 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $796.75 | $1,076.25 | 2.5× |
| MRA neck w/o contrast (70547) | $1,554.63 | $2,100 | 7.2× |
| MRI abdomen w contrast (74182) | $2,209.98 | $2,985.25 | 7.0× |
| MRI abdomen w/o contrast (74181) | $1,745.63 | $2,358 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,951.25 | $2,635.75 | 2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,822.25 | $2,461.50 | 2.6× |
| MRI cardiac w/o contrast (75557) | $1,745.63 | $2,358 | 8.1× |
| MRI cervical spine w contrast (72142) | $1,973.82 | $2,666.25 | 6.2× |
| MRI cervical spine w/o cont (72141) | $2,076.91 | $2,805.50 | 9.6× |
| MRI chest w/o contrast (71550) | $1,850.75 | $2,500 | 8.6× |
| MRI chest wo w contrast (71552) | $1,977.90 | $2,671.75 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $814.33 | $1,100 | 2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,368.96 | $3,200 | 11.0× |
| MRI lumbar spine w contrast (72149) | $2,008.99 | $2,713.75 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,186.66 | $2,953.75 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,798.37 | $2,429.25 | 8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,916.27 | $2,588.50 | 6.1× |
| MRI pelvis w contrast (72196) | $2,008.99 | $2,713.75 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,289.38 | $3,092.50 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,745.63 | $2,358 | 8.1× |
| MRI spectroscopy (76390) | $1,009.21 | $1,363.25 | 12.8× |
| MRI thoracic spine w/o contrast (72146) | $1,745.63 | $2,358 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,789.31 | $2,417 | 8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,008.99 | $2,713.75 | 6.4× |
| MRI, abdomen, combo (74183) | $2,563.29 | $3,462.50 | 8.1× |
| MRI, dorsal spine combo (72157) | $1,971.05 | $2,662.50 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,916.27 | $2,588.50 | 6.1× |
| MRI, joint upper extrem (73221) | $1,917.19 | $2,589.75 | 8.9× |
| MRI, joint upper extrem combo (73223) | $2,342.49 | $3,164.25 | 7.4× |
| MRI, lumbar spine combo (72158) | $2,186.66 | $2,953.75 | 6.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $753.81 | $1,018.25 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $3,240.85 | $4,377.75 | 2.8× |
| Neck soft tissue (70360) | $166.94 | $225.50 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $794.34 | $1,073 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $213.02 | $287.75 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,035.23 | $4,100 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $626.48 | $846.25 | 3.0× |
| Ob us nuchal meas 1 gest (76813) | $236.90 | $320 | 2.5× |
| Panoramic X-ray of jaws (70355) | $217.46 | $293.75 | 2.8× |
| Parathyroid Planar Imaging (78070) | $999.41 | $1,350 | 2.8× |
| Pelvis 1 or 2 views (72170) | $233.93 | $316 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $2,961.20 | $4,000 | 2.3× |
| PET image w/CT, full body (78816) | $3,784.78 | $5,112.50 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,784.78 | $5,112.50 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $886.14 | $1,197 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $206.91 | $279.50 | 2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $758.81 | $1,025 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $299.82 | $405 | 3.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $231.25 | $312.38 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $247.36 | $334.13 | 3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $268.73 | $363 | 2.8× |
| Radex fingr minimum 2 views (73140) | $192.48 | $260 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $279.83 | $378 | 3.6× |
| Radex Hand Minimum 3 Views (73130) | $170.08 | $229.75 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $285.94 | $386.25 | 3.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $360.34 | $486.75 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $226.72 | $306.25 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $183.04 | $247.25 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $211.54 | $285.75 | 2.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $179.71 | $242.75 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $198.22 | $267.75 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $162.31 | $219.25 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $351.46 | $474.75 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $186.56 | $252 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) | $185.08 | $250 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $287.33 | $388.13 | 3.6× |
| Radiation treatment delivery level 1 (77402) | $240.04 | $324.25 | 2.6× |
| Radiation treatment delivery level 2 (77407) | $291.31 | $393.50 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $342.76 | $463 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $316.48 | $427.50 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $222.09 | $300 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $426.23 | $575.75 | 2.7× |
| Radiologic exam colon single contrast study (74270) | $377.74 | $510.25 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $259.11 | $350 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $222.09 | $300 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $380.14 | $513.50 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $422.90 | $571.25 | 2.7× |
| Radiologic exam teeth complete full mouth (70320) | $217.46 | $293.75 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $555.23 | $750 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) | $182.67 | $246.75 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $161.57 | $218.25 | 2.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $514.14 | $694.50 | 5.4× |
| Radiologic Examination Salivary Gland Calculus (70380) | $242.08 | $327 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $277.34 | $374.63 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,478.56 | $1,997.25 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,517.02 | $3,400 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,097.31 | $1,482.25 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,517.02 | $3,400 | 5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,813.14 | $3,800 | 2.4× |
| Scapula (73010) | $183.22 | $247.50 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $92.54 | $125 | 4.0× |
| Shoulder 1 view (73020) | $166.57 | $225 | 2.1× |
| Shoulder Arthrography (73040) | $480.45 | $649 | 1.5× |
| Sialogram (70390) | $319.25 | $431.25 | 1.5× |
| Skull less than 4 views (70250) | $220.98 | $298.50 | 2.3× |
| Special dosimetry (77331) | $183.59 | $248 | 1.5× |
| Special Physics Consult (77370) | $359.97 | $486.25 | 3.0× |
| Special teletherapy port plan (77321) | $366.45 | $495 | 1.1× |
| Special treatment procedure (77470) | $852.27 | $1,151.25 | 1.7× |
| Spleen Imaging (78185) | $596.13 | $805.25 | 1.6× |
| Sternoclavicular joints (71130) | $184.70 | $249.50 | 2.3× |
| Tbs technical calculation only (77091) | $172.49 | $233 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $872.81 | $1,179 | 2.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $345.72 | $467 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,038.64 | $1,403 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $416.97 | $563.25 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) | $370.15 | $500 | 3.0× |
| Thoracic spine 2 views (72070) | $233.93 | $316 | 2.5× |
| Thoracic spine 3 views (72072) | $241.89 | $326.75 | 2.6× |
| Thoracolumbar 2 views (72080) | $162.31 | $219.25 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $565.96 | $764.50 | 1.6× |
| Thyroid Met Imaging Body (78018) | $1,295.53 | $1,750 | 2.6× |
| Thyroid Uptake Measurement (78012) | $498.59 | $673.50 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $775.65 | $1,047.75 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $412.16 | $556.75 | 1.2× |
| Tx devices design & construction intermediate (77333) | $278.54 | $376.25 | 2.3× |
| Tx devices design & construction simple (77332) | $278.54 | $376.25 | 2.3× |
| Ultrasound Breast Limited (76642) | $204.32 | $276 | 2.6× |
| Ultrasound elastography first target lesion (76982) | $370.15 | $500 | 3.9× |
| Ultrasound Elastography Parenchyma (76981) | $370.15 | $500 | 3.9× |
| Ultrasound Exam Aaa Screen (76706) | $259.11 | $350 | 2.7× |
| Ultrasound, abdomen limited (76705) | $470.83 | $636 | 5.0× |
| Umbilical-artery Doppler (OB) (76820) | $507.48 | $685.50 | 5.4× |
| Unlisted magnetic resonance procedure (76498) | $740.30 | $1,000 | 9.4× |
| Upper gi w/o kub (74240) | $555.23 | $750 | 3.5× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $570.40 | $770.50 | 51.6× |
| Urethrocystogram voiding (74455) | $361.45 | $488.25 | 1.7× |
| Urethrocystography retrograde (74450) | $397.54 | $537 | 1.8× |
| Us breast unilateral complete (76641) | $377 | $509.25 | 4.0× |
| Us chest (76604) | $370.15 | $500 | 3.9× |
| Us complete joint (76881) | $439.37 | $593.50 | 4.6× |
| Us exam, pelvic, limited (76857) | $250.04 | $337.75 | 2.6× |
| Us head (76506) | $339.43 | $458.50 | 3.6× |
| Us ob detailed single fetus (76811) | $468.80 | $633.25 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $610.75 | $825 | 6.5× |
| Us ob transvaginal (76817) | $250.04 | $337.75 | 2.6× |
| Us pelvic non ob complete (76856) | $505.62 | $683 | 5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $510.44 | $689.50 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $372 | $502.50 | 3.9× |
| Us retroperitoneal complete (76770) | $481.20 | $650 | 5.1× |
| Us retroperitoneal limited (76775) | $454.54 | $614 | 4.8× |
| Us scrotum and contents (76870) | $394.39 | $532.75 | 4.2× |
| Us spinal canal and contents (76800) | $469.72 | $634.50 | 5.0× |
| Us thyroid (76536) | $501.37 | $677.25 | 5.3× |
| Us transrectal (76872) | $333.14 | $450 | 3.5× |
| Vein X-Ray Chest (75827) | $1,373.63 | $1,855.50 | 1.0× |
| Venogram Sinus/Jugular (75860) | $1,601.27 | $2,163 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $1,303.48 | $1,760.75 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $678.30 | $916.25 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $864.86 | $1,168.25 | 0.6× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$935.92 | $1,264.25 | 0.2× |
| Wrist 2 views (73100) | $249.85 | $337.50 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $206.91 | $279.50 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $610.01 | $824 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,047.11 | $2,765.25 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $282.24 | $381.25 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $280.39 | $378.75 | 3.6× |
| X-Ray Exam Breast Specimen (76098) | $814.33 | $1,100 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $244.30 | $330 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $313.89 | $424 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $268.73 | $363 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $244.30 | $330 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $219.31 | $296.25 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $266.88 | $360.50 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $332.02 | $448.50 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $192.85 | $260.50 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $352.01 | $475.50 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.93 | $316 | 2.5× |
| X-ray eye for foreign body (70030) | $186 | $251.25 | 2.4× |
| X-ray humerus (73060) | $217.65 | $294 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $406.79 | $549.50 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $277.61 | $375 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $196.18 | $265 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $282.24 | $381.25 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $247.82 | $334.75 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $247.63 | $334.50 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $277.61 | $375 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $192.48 | $260 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $183.04 | $247.25 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $250.04 | $337.75 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $288.90 | $390.25 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $274.28 | $370.50 | 2.9× |
| X-Ray Tmj Unilat (70328) | $234.31 | $316.50 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $823.95 | $1,113 | 2.6× |
| X-Rays Bone Length Studies (77073) | $242.08 | $327 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $518.21 | $700 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $335.36 | $453 | 3.5× |
| Xr facial bones less than 3 views (70140) | $166.94 | $225.50 | 2.1× |
| Xr orbits complete 4 views (70200) | $269.84 | $364.50 | 2.9× |
| Xr Tomogram Single Plane (76100) | $498.96 | $674 | 5.3× |