Imaging prices at Texas Health Hospital Mansfield
Mansfield, TX · every code in this section with a posted price and a Medicare benchmark.
437 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) | $4,864.98 | $4,864.98 | 3.5× |
| Abdomen 1 View (74018) | $586 | $586 | 6.7× |
| Abdomen 2 views (74019) | $725.84 | $725.84 | 6.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,502.99 | $1,502.99 | 3.7× |
| Angio internal mammary (75756) | $4,637.45 | $4,637.45 | 1.5× |
| Angio pulmonary bilat (75743) | $5,477.62 | $5,477.62 | 1.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,025.32 | $6,025.32 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $8,444.88 | $8,444.88 | 2.7× |
| Angiography extremity unilateral rs&i (75710) | $3,090.78 | $3,090.78 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,304.13 | $2,304.13 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,957.88 | $3,957.88 | 1.2× |
| Ankle 2 views (73600) | $626.05 | $626.05 | 7.2× |
| Aortography thoracic serialography rs&i (75605) | $3,550.56 | $3,550.56 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,318.51 | $6,318.51 | 2.0× |
| Artery X-Rays Abdomen (75726) | $4,740.26 | $4,740.26 | 0.8× |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$12,564.20–$15,039.68 | $12,564.20–$15,039.68 | varies |
| Artery X-Rays Pelvis (75736) | $5,477.62 | $5,477.62 | 1.0× |
| Artery X-Rays Spine (75705) | $25,933.55 | $25,933.55 | 4.6× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$2,126.22–$4,025.49 | $2,126.22–$4,025.49 | varies |
| Arthrogram hip (73525) | $674.82 | $674.82 | 1.9× |
| Arthrogram Wrist (73115) | $642.66 | $642.66 | 1.8× |
| Basic radiation dosimetry calculation (77300) | $789.68 | $789.68 | 5.8× |
| Bone age studies (77072) | $620.45 | $620.45 | 5.9× |
| Bone Imaging 3 Phase (78315) | $2,874.29 | $2,874.29 | 7.2× |
| Bone Imaging Limited Area (78300) | $2,207.96 | $2,207.96 | 5.5× |
| Bone Imaging Multiple Areas (78305) | $2,027.46 | $2,027.46 | 5.0× |
| Bone Imaging Whole Body (78306) | $2,812.40 | $2,812.40 | 7.0× |
| Bone marrow imaging limited area (78102) | $2,246.87 | $2,246.87 | 5.6× |
| Bone survey infant (77076) | $651.64 | $651.64 | 6.2× |
| Brachytx isodose complex (77318) | $2,550.08 | $2,550.08 | 6.8× |
| Brachytx isodose intermed (77317) | $4,297.17 | $4,297.17 | 11.4× |
| Brachytx Isodose Plan Simple (77316) | $4,084.12 | $4,084.12 | 10.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,356 | $4,356 | 8.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $11,679.95 | $11,679.95 | 8.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $4,356 | $4,356 | 8.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,947.24 | $3,947.24 | 11.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,528.72 | $7,528.72 | 9.6× |
| Cat Scan Follow-Up Study (76380) | $1,438.53 | $1,438.53 | 16.5× |
| Cerebrospinal Fluid Scan (78630) | $4,318.02 | $4,318.02 | 7.9× |
| Chest 1 view (71045) | $601.47 | $601.47 | 6.9× |
| Chest 2 views (71046) | $810.40 | $810.40 | 9.3× |
| Chest 3 views (71047) | $821.94 | $821.94 | 9.4× |
| Chest 4 or more views (71048) | $827.91 | $827.91 | 7.9× |
| Cholecystography Oral Contrast (74290) | $1,695.86 | $1,695.86 | 9.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $1,385.29 | $1,385.29 | 13.2× |
| Cisternography Positive Contrast Rs&I (70015) | $7,528.72 | $7,528.72 | 9.6× |
| Clavicle complete (73000) | $454.75 | $454.75 | 5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,003.94 | $3,003.94 | 28.6× |
| Continuing medical physics consltj pr wk (77336) | $803.78 | $803.78 | 6.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,372.60 | $3,372.60 | 1.1× |
| Contrast X-Ray Bladder (74430) | $996.74 | $996.74 | 2.8× |
| Contrast X-Ray Of Elbow (73085) | $642.66 | $642.66 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $741.66 | $741.66 | 2.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,176.41 | $1,176.41 | 6.7× |
| Corpora cavernosography (74445) | $1,385.29 | $1,385.29 | 13.2× |
| CT abdomen and pelvis without and with contrast (74178) | $11,690.74 | $11,690.74 | 33.4× |
| CT abdomen and pelvis without contrast (74176) | $9,009.61 | $9,009.61 | 37.6× |
| CT abdomen w contrast (74160) | $5,711.13 | $5,711.13 | 32.4× |
| CT abdomen w wo contrast (74170) | $6,280 | $6,280 | 35.6× |
| CT abdomen w/o contrast (74150) | $4,947.21 | $4,947.21 | 47.1× |
| CT Angio Abdomen and Pelvis (74174) | $10,353.26 | $10,353.26 | 29.5× |
| CT Angio Chest (71275) | $4,548.06 | $4,548.06 | 25.8× |
| CT Angio Head (70496) | $5,009.92 | $5,009.92 | 28.4× |
| CT angio hrt w/3d image (75574) | $10,787.26 | $10,787.26 | 30.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,523.94 | $3,523.94 | 20.0× |
| CT Angio Neck (70498) | $6,384.19 | $6,384.19 | 36.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,184.15 | $3,184.15 | 18.1× |
| CT cervical spine w/ contrast (72126) | $6,293.40 | $6,293.40 | 18.0× |
| CT cervical spine w/o contrast (72125) | $4,023.93 | $4,023.93 | 38.3× |
| CT cervical spine w/wo cont (72127) | $6,698.08 | $6,698.08 | 38.0× |
| CT chest w contrast (71260) | $4,698.57 | $4,698.57 | 26.7× |
| CT chest w/wo contrast (71270) | $5,227.64 | $5,227.64 | 29.7× |
| CT colonography screening (74263) | $2,699.50 | $2,699.50 | 11.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,695.86 | $1,695.86 | 9.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,385.29 | $1,385.29 | 13.2× |
| CT head/brain with contrast (70460) | $4,201.94 | $4,201.94 | 23.8× |
| CT head/brain without and with contrast (70470) | $4,559.39 | $4,559.39 | 25.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $8,790.32 | $8,790.32 | 25.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $634.07 | $634.07 | 7.3× |
| CT hrt w/3d image congen (75573) | $1,850.02 | $1,850.02 | 5.3× |
| CT iac w contrast (70481) | $4,483.35 | $4,483.35 | 25.4× |
| CT l-spine w&w/o contrast (72133) | $4,761.56 | $4,761.56 | 27.0× |
| CT lower ext w/o (73700) | $2,919.60 | $2,919.60 | 27.8× |
| CT lower extremity w/contrast material (73701) | $3,043.75 | $3,043.75 | 17.3× |
| CT lumbar spine w contrast (72132) | $4,112.34 | $4,112.34 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $3,740.70 | $3,740.70 | 35.6× |
| CT maxillofacial w contrast (70487) | $3,830.52 | $3,830.52 | 21.7× |
| CT maxillofacial wo contrast (70486) | $3,743.14 | $3,743.14 | 35.6× |
| CT neck tissue combo (70492) | $5,948.97 | $5,948.97 | 33.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,320.84 | $6,320.84 | 35.9× |
| CT orbits w/o contrast (70480) | $4,022.35 | $4,022.35 | 38.3× |
| CT pelvis w&w/o contrast (72194) | $5,411.48 | $5,411.48 | 30.7× |
| CT pelvis w/o contrast (72192) | $4,062.78 | $4,062.78 | 38.7× |
| CT scan of leg combo (73702) | $3,809.10 | $3,809.10 | 21.6× |
| CT scans face/jaw combo (70488) | $4,017.97 | $4,017.97 | 22.8× |
| CT soft tissue neck w contrast (70491) | $5,419.79 | $5,419.79 | 30.8× |
| CT soft tissue neck w/o contrast (70490) | $4,118.03 | $4,118.03 | 39.2× |
| CT thoracic spine w contrast (72129) | $4,693.17 | $4,693.17 | 26.6× |
| CT thoracic spine w/o contrast (72128) | $4,266.14 | $4,266.14 | 40.6× |
| CT thoracic spine w/wo cont (72130) | $5,164.69 | $5,164.69 | 29.3× |
| CT thorax w/o contrast (71250) | $3,003.94 | $3,003.94 | 28.6× |
| CT upper ext wo (73200) | $2,576.03 | $2,576.03 | 24.5× |
| CT upper extremity w/o & w/contrast material (73202) | $6,053.98 | $6,053.98 | 34.4× |
| CT upper extremity with contrast (73201) | $2,858.86 | $2,858.86 | 8.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,702.21 | $4,702.21 | 26.7× |
| Cta Abdomen (74175) | $6,341.16 | $6,341.16 | 36.0× |
| CTA pelvis (72191) | $3,821.05 | $3,821.05 | 21.7× |
| Dilation ureters/urethra rs&i (74485) | $8,795.40 | $8,795.40 | 4.2× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$11,553.53–$21,284.82 | $11,553.53–$21,284.82 | varies |
| Diskography lumbar (72295) | $6,771.13 | $6,771.13 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,589.79 | $1,589.79 | 15.1× |
| Dxa Bone Density Axial (77080) | $1,125.65 | $1,125.65 | 10.7× |
| Dxa bone density study (77085) | $770.26 | $770.26 | 7.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $218.49 | $218.49 | 2.5× |
| Echo exam uterus (76831) | $844.76 | $844.76 | 3.5× |
| Echo Guide For Artery Repair (76936) | $857.11 | $857.11 | 4.0× |
| Echograp Trans R Pros Study (76873) | $1,629.65 | $1,629.65 | 15.5× |
| Esophageal Motility Study (78258) | $4,070.67 | $4,070.67 | 10.1× |
| Esophagram (74220) | $768.22 | $768.22 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,396.25 | $1,396.25 | 13.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,151.36 | $1,151.36 | 11.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $4,011.53 | $4,011.53 | 16.7× |
| Fluoroscopy up to 1 hr (76000) | $677.15 | $677.15 | 2.8× |
| Follow-Up Angiography (75898) | $4,483.71 | $4,483.71 | 1.4× |
| Foot 2 views (73620) | $603.99 | $603.99 | 6.9× |
| Forearm 2 views (73090) | $576.10 | $576.10 | 6.6× |
| Gastric emptying imaging study (78264) | $2,279.72 | $2,279.72 | 5.7× |
| Gastroesophageal Reflux Exam (78262) | $4,070.67 | $4,070.67 | 10.1× |
| Gated Heart Planar Single (78472) | $2,159.85 | $2,159.85 | 5.4× |
| Gated Heart, Multiple (78473) | $4,533.94 | $4,533.94 | 11.3× |
| Hand 2 views (73120) | $581.92 | $581.92 | 5.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $9,454.63 | $9,454.63 | 13.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,455.93 | $7,455.93 | 10.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,308.78 | $4,308.78 | 6.2× |
| Heart first pass single,planar (78481) | $4,356 | $4,356 | 8.0× |
| Heart Image (Pet) Multiple (78492) | $11,420.52 | $11,420.52 | 8.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,430.02 | $9,430.02 | 3.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $27,662.85 | $27,662.85 | 8.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,884.09 | $2,884.09 | 5.3× |
| Hepatobiliary System Imaging (78226) | $2,884.09 | $2,884.09 | 7.2× |
| Ht Musc Image Planar Mult (78454) | $7,204.15 | $7,204.15 | 5.5× |
| Ht Muscle Image Spect Sing (78451) | $5,941.23 | $5,941.23 | 4.6× |
| Hysterosalpingogram (74740) | $1,774.99 | $1,774.99 | 7.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,246.59 | $1,246.59 | 14.3× |
| Infusion Ivp (74410) | $1,225.29 | $1,225.29 | 7.0× |
| Interstitial radiation source applic complex (77778) | $4,543.34 | $4,543.34 | 6.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $9,043.56 | $9,043.56 | 12.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $6,880.11 | $6,880.11 | 12.4× |
| Intracavitary radiation source applic simple (77761) | $6,880.11 | $6,880.11 | 12.4× |
| Intraop radiaj tx deliver xray single tx session (77424) | $52,867.38 | $52,867.38 | 7.1× |
| K Flow/Funct Image Multiple (78709) | $3,791.85 | $3,791.85 | 7.0× |
| K Flow/Funct Image W/Drug (78708) | $2,718.53 | $2,718.53 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,173.05 | $2,173.05 | 4.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $2,838.16 | $2,838.16 | 7.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,939.44 | $2,939.44 | 7.3× |
| Knee 3 Views (73562) | $613.10 | $613.10 | 7.0× |
| Leveen/Shunt Patency Exam (78291) | $4,070.67 | $4,070.67 | 10.1× |
| Liver & Spleen Imaging Static Only (78215) | $3,460.65 | $3,460.65 | 8.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,255.71 | $4,255.71 | 10.6× |
| Liver imaging w/vascular flow (78202) | $4,716.89 | $4,716.89 | 8.6× |
| Lung Perf&Ventilat Diferentl (78598) | $4,801.30 | $4,801.30 | 8.8× |
| Lung perfusion differential (78597) | $1,899.18 | $1,899.18 | 4.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,074.52 | $2,074.52 | 3.8× |
| Lung Ventilation Imaging (78579) | $1,899.18 | $1,899.18 | 4.7× |
| Lymph System Imaging (78195) | $1,319.14 | $1,319.14 | 2.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $8,122.48 | $8,122.48 | 5.1× |
| Lymphangiography extremity only unilateral rs&i (75801) range across 3 matching MRF lines |
$3,620.42–$6,507.96 | $3,620.42–$6,507.96 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $22,512.70 | $22,512.70 | 7.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 3 matching MRF lines |
$16,699.84–$31,746.42 | $16,699.84–$31,746.42 | varies |
| Magnetic Image Jaw Joint (70336) | $2,431.26 | $2,431.26 | 10.1× |
| Magnetic Resonance Elastography (76391) | $1,222.69 | $1,222.69 | 5.1× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$1,998.31–$3,349.47 | $1,998.31–$3,349.47 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,595.09–$1,917.70 | $1,595.09–$1,917.70 | varies |
| Meckels Divert Exam (78290) | $1,707.84 | $1,707.84 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $2,126.51 | $2,126.51 | 5.7× |
| Mr safety determination physician/other qhp (76016) | $420.07 | $420.07 | 4.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $117.30 | $117.30 | 4.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $440.34 | $440.34 | 4.6× |
| Mr safety implt pos&/immoblj (76019) | $279.75 | $279.75 | 4.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,157.50 | $1,157.50 | 4.8× |
| Mra Head W/O & W/Contrast Material (70546) | $5,882.70 | $5,882.70 | 16.8× |
| MRA head w/o contrast (70544) | $4,154.01 | $4,154.01 | 17.3× |
| MRA head with contrast (70545) | $4,552.43 | $4,552.43 | 13.0× |
| MRA neck w contrast (70548) | $4,122.46 | $4,122.46 | 11.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,427.85 | $4,427.85 | 12.6× |
| MRA neck w/o contrast (70547) | $3,817.38 | $3,817.38 | 15.9× |
| MRI abdomen w contrast (74182) | $4,622.06 | $4,622.06 | 13.2× |
| MRI abdomen w/o contrast (74181) | $3,587.63 | $3,587.63 | 15.0× |
| MRI any jt lower extrem w/contrast material (73722) | $4,639.91 | $4,639.91 | 5.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,842.61 | $4,842.61 | 13.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,635.24 | $4,635.24 | 5.9× |
| MRI brain functional w/o physician admnistration (70554) | $4,011.53 | $4,011.53 | 16.7× |
| MRI brain functional w/physician admnistration (70555) | $4,011.53 | $4,011.53 | 16.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,928.66 | $6,928.66 | 28.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,086.44 | $3,086.44 | 12.9× |
| MRI cardiac w/o cont stress (75559) | $7,008.30 | $7,008.30 | 12.8× |
| MRI cardiac w/o contrast (75557) | $4,043.10 | $4,043.10 | 16.9× |
| MRI cervical spine w contrast (72142) | $5,869.41 | $5,869.41 | 16.7× |
| MRI cervical spine w/o cont (72141) | $5,117.37 | $5,117.37 | 21.3× |
| MRI chest w/o contrast (71550) | $2,877.35 | $2,877.35 | 12.0× |
| MRI chest with contrast (71551) | $5,475.42 | $5,475.42 | 7.0× |
| MRI chest wo w contrast (71552) | $3,154.27 | $3,154.27 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,045.56 | $4,045.56 | 11.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,113.89 | $4,113.89 | 11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,953.66 | $3,953.66 | 16.5× |
| MRI lumbar spine w contrast (72149) | $6,162.86 | $6,162.86 | 17.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,256.12 | $7,256.12 | 20.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,552.55 | $3,552.55 | 14.8× |
| MRI orbit face neck w contrast (70542) | $4,636.79 | $4,636.79 | 13.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,303.49 | $4,303.49 | 12.3× |
| MRI pelvis w contrast (72196) | $4,262.95 | $4,262.95 | 12.2× |
| MRI pelvis w/o & w contrast (72197) | $4,847.52 | $4,847.52 | 13.8× |
| MRI pelvis w/o contrast (72195) | $3,874.95 | $3,874.95 | 16.2× |
| MRI spectroscopy (76390) | $4,236.54 | $4,236.54 | 48.5× |
| MRI thoracic spine w/o contrast (72146) | $4,251.74 | $4,251.74 | 17.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$3,690.03–$4,331.66 | $3,690.03–$4,331.66 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,347.48 | $3,347.48 | 14.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,412.87 | $4,412.87 | 12.6× |
| MRI, abdomen, combo (74183) | $5,661.42 | $5,661.42 | 16.2× |
| MRI, dorsal spine combo (72157) | $7,256.12 | $7,256.12 | 20.7× |
| MRI, dorsal spine contrast (72147) | $4,561.11 | $4,561.11 | 13.0× |
| MRI, joint upper extrem (73221) | $4,097.34 | $4,097.34 | 17.1× |
| MRI, joint upper extrem combo (73223) | $4,802.80 | $4,802.80 | 13.7× |
| MRI, lumbar spine combo (72158) | $7,256.12 | $7,256.12 | 20.7× |
| Myelogram cervical (72240) | $1,358.23 | $1,358.23 | 1.7× |
| Myelogram Lumbar (72265) | $1,801.18 | $1,801.18 | 2.3× |
| Myelography thoracic (72255) | $8,640.10 | $8,640.10 | 11.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,920.02 | $1,920.02 | 2.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,928.50 | $2,928.50 | 7.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $11,102.79 | $11,102.79 | 8.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,562.13 | $4,562.13 | 3.5× |
| Myocardial Spect Multiple Studies (78452) | $8,729.81 | $8,729.81 | 6.7× |
| N-invas est c ffr sw aly CTA (75580) | $11,936.70 | $11,936.70 | 13.8× |
| Neck soft tissue (70360) | $391.99 | $391.99 | 4.5× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $2,019.59 | $2,019.59 | 5.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,421.21 | $1,421.21 | 3.5× |
| Nm csf leak detection (78650) | $8,621.65 | $8,621.65 | 6.6× |
| Nm myocard infarct spect (78469) | $4,356 | $4,356 | 8.0× |
| Nonvascular Shunt X-Ray (75809) | $1,385.29 | $1,385.29 | 13.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,844.59 | $5,844.59 | 4.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,124.68 | $1,124.68 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $2,132.47 | $2,132.47 | 9.1× |
| Ob us nuchal meas 1 gest (76813) | $1,101.94 | $1,101.94 | 10.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $854.18 | $854.18 | 8.1× |
| Panoramic X-ray of jaws (70355) | $811.90 | $811.90 | 9.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,356 | $4,356 | 8.0× |
| Parathyroid Planar Imaging (78070) | $1,838.87 | $1,838.87 | 4.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,800.04 | $1,800.04 | 4.5× |
| Pelvis 1 or 2 views (72170) | $495.73 | $495.73 | 4.7× |
| Perineogram (74775) | $1,953.64 | $1,953.64 | 8.2× |
| Pet Image Skull-Thigh (78812) | $17,252.10 | $17,252.10 | 12.0× |
| Pet Image W/Ct Lmtd (78814) | $15,032.95 | $15,032.95 | 10.5× |
| PET image w/CT, full body (78816) | $12,661.43 | $12,661.43 | 8.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,952.59 | $10,952.59 | 7.6× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $12,081.11 | $12,081.11 | 9.3× |
| Pet Myocardial Sngl Study (78491) | $11,291.32 | $11,291.32 | 7.9× |
| PET whole body (78813) | $10,988.35 | $10,988.35 | 7.6× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $5,074.89 | $5,074.89 | 3.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $15,039.68 | $15,039.68 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,838.87 | $1,838.87 | 4.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $903.66 | $903.66 | 8.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,677.54 | $1,677.54 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $692.46 | $692.46 | 7.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $427.84 | $427.84 | 4.9× |
| Radex elbow complete minimum 3 views (73080) | $613.10 | $613.10 | 7.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $751.12 | $751.12 | 7.2× |
| Radex fingr minimum 2 views (73140) | $508.72 | $508.72 | 5.8× |
| Radex foot complete minimum 3 views (73630) | $655.72 | $655.72 | 7.5× |
| Radex Hand Minimum 3 Views (73130) | $644.05 | $644.05 | 7.4× |
| Radex lower extremity infant minimum 2 views (73592) | $431.62 | $431.62 | 4.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,385.29 | $1,385.29 | 13.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $469.46 | $469.46 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) | $700.34 | $700.34 | 8.0× |
| Radex shoulder complete minimum 2 views (73030) | $663.24 | $663.24 | 7.6× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$603.99–$814.52 | $603.99–$814.52 | varies |
| Radex Spine 1 View Specify Level (72020) | $531.12 | $531.12 | 6.1× |
| Radex Sternum Minimum 2 Views (71120) | $445.64 | $445.64 | 5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $786.16 | $786.16 | 9.0× |
| Radex Toe Minimum 2 Views (73660) | $470.95 | $470.95 | 5.4× |
| Radex upper extremity infant minimum 2 views (73092) | $592.26 | $592.26 | 5.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $641.67 | $641.67 | 7.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $565.79 | $565.79 | 5.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $34,094.20 | $34,094.20 | 4.6× |
| Radiation treatment delivery level 1 (77402) | $611.72 | $611.72 | 6.0× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$885.57–$1,877.36 | $885.57–$1,877.36 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$847.29–$964.29 | $847.29–$964.29 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $773.19 | $773.19 | 7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $839.88 | $839.88 | 8.0× |
| Radiologic exam colon double contrast study (74280) | $1,373 | $1,373 | 7.8× |
| Radiologic exam colon single contrast study (74270) | $1,305.68 | $1,305.68 | 7.4× |
| Radiologic exam knee complete 4/more views (73564) | $738.51 | $738.51 | 7.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $558.44 | $558.44 | 5.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,664.46 | $1,664.46 | 9.4× |
| Radiologic exam swallow function contrast study (74230) | $910.22 | $910.22 | 5.2× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $1,328.20 | $1,328.20 | 5.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,019.70 | $2,019.70 | 11.5× |
| Radiologic examination femur 1 view (73551) | $551.45 | $551.45 | 6.3× |
| Radiologic examination femur minimum 2 views (73552) | $551.45 | $551.45 | 6.3× |
| Radiologic examination knee 1/2 views (73560) | $519.37 | $519.37 | 5.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,120.30 | $1,120.30 | 10.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $584.93 | $584.93 | 6.7× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,803.59 | $1,803.59 | 3.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $3,065.78 | $3,065.78 | 7.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $3,065.78 | $3,065.78 | 7.9× |
| Renal Cyst Study (74470) | $3,341.54 | $3,341.54 | 6.1× |
| Ribs bilateral 3 views (71110) | $711.53 | $711.53 | 6.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,138.99 | $3,138.99 | 7.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,070.67 | $4,070.67 | 10.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,685.19 | $3,685.19 | 6.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,424.63 | $4,424.63 | 8.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,167.98 | $2,167.98 | 4.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,666.68 | $6,666.68 | 5.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,228.31 | $3,228.31 | 13.8× |
| Rp Therapy Intravenous Administration (79101) | $2,516.68 | $2,516.68 | 10.7× |
| Salivary Gland Imaging Serial Images (78231) | $1,714.86 | $1,714.86 | 4.3× |
| Scapula (73010) | $454.75 | $454.75 | 4.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $354.68 | $354.68 | 15.2× |
| Shoulder 1 view (73020) | $474.71 | $474.71 | 5.4× |
| Shoulder Arthrography (73040) | $870.40 | $870.40 | 2.5× |
| Skull less than 4 views (70250) | $433.02 | $433.02 | 4.1× |
| Special dosimetry (77331) | $2,110.84 | $2,110.84 | 15.6× |
| Special Physics Consult (77370) | $703.62 | $703.62 | 5.2× |
| Special teletherapy port plan (77321) | $1,597.16 | $1,597.16 | 4.2× |
| Special treatment procedure (77470) | $2,322.53 | $2,322.53 | 4.2× |
| Speech evaluation, complex (70371) | $1,204.60 | $1,204.60 | 5.0× |
| Srs Multisource (77371) | $96,478.93 | $96,478.93 | 13.0× |
| Stereotactic Body Radiation Delivery (77373) | $12,490.34 | $12,490.34 | 7.0× |
| Sternoclavicular joints (71130) | $280.96 | $280.96 | 3.2× |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$13,382.82–$15,039.68 | $13,382.82–$15,039.68 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,236.27 | $1,236.27 | 12.1× |
| Tbs technical calculation only (77091) | $216.33 | $216.33 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,760.35 | $1,760.35 | 4.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,594.16 | $3,594.16 | 9.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,703.89 | $2,703.89 | 7.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $4,297.17 | $4,297.17 | 11.4× |
| Ther rad simulaj-aided field setting simple (77280) | $1,019.44 | $1,019.44 | 7.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,695.86 | $1,695.86 | 9.6× |
| Thoracic spine 2 views (72070) | $562.32 | $562.32 | 5.4× |
| Thoracic spine 3 views (72072) | $849.59 | $849.59 | 8.1× |
| Thoracolumbar 2 views (72080) | $329.66 | $329.66 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,307.97 | $1,307.97 | 3.3× |
| Thyroid Met Imaging Body (78018) | $3,024.94 | $3,024.94 | 5.5× |
| Thyroid Uptake Measurement (78012) | $1,357.06 | $1,357.06 | 3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,049.66 | $3,049.66 | 7.6× |
| Tx Devices Design & Construction Complex (77334) | $1,621.04 | $1,621.04 | 4.3× |
| Tx devices design & construction intermediate (77333) | $1,017.64 | $1,017.64 | 7.5× |
| Tx devices design & construction simple (77332) | $875.76 | $875.76 | 6.5× |
| Ultrasound Breast Limited (76642) | $1,011.61 | $1,011.61 | 11.6× |
| Ultrasound Elastography Parenchyma (76981) | $841.74 | $841.74 | 8.0× |
| Ultrasound Exam Aaa Screen (76706) | $1,155.07 | $1,155.07 | 11.0× |
| Ultrasound, abdomen limited (76705) | $1,361.02 | $1,361.02 | 13.0× |
| Umbilical-artery Doppler (OB) (76820) | $1,765.39 | $1,765.39 | 16.8× |
| Unlisted fluoroscopic procedure (76496) | $1,016.39 | $1,016.39 | 11.6× |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$3,115.96–$7,981.67 | $3,115.96–$7,981.67 | varies |
| Upper gi w/o kub (74240) | $2,019.70 | $2,019.70 | 11.5× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $866.24 | $866.24 | 78.3× |
| Urea breath test c-14 isotopic analysis (78268) | $1,576.56 | $1,576.56 | 16.7× |
| Ureteral Reflux Study (78740) | $4,070.67 | $4,070.67 | 10.1× |
| Urethrocystogram voiding (74455) | $854.70 | $854.70 | 3.6× |
| Urethrocystography retrograde (74450) | $1,387.82 | $1,387.82 | 5.8× |
| Us breast unilateral complete (76641) | $1,011.61 | $1,011.61 | 9.6× |
| Us chest (76604) | $587.53 | $587.53 | 5.6× |
| Us complete joint (76881) | $783.47 | $783.47 | 7.5× |
| Us exam, pelvic, limited (76857) | $695.12 | $695.12 | 6.6× |
| Us head (76506) | $1,271.15 | $1,271.15 | 12.1× |
| Us kidney transplant (76776) | $1,283.70 | $1,283.70 | 12.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $506.54 | $506.54 | 4.8× |
| Us ob detailed single fetus (76811) | $1,222.69 | $1,222.69 | 5.1× |
| Us ob limited 1 or more fetuses (76815) | $601.19 | $601.19 | 5.7× |
| Us ob transvaginal (76817) | $704.72 | $704.72 | 6.7× |
| Us pelvic non ob complete (76856) | $1,461.76 | $1,461.76 | 13.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,383.93 | $1,383.93 | 13.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $530.35 | $530.35 | 5.0× |
| Us retroperitoneal complete (76770) | $1,224.94 | $1,224.94 | 11.7× |
| Us retroperitoneal limited (76775) | $1,121.05 | $1,121.05 | 10.7× |
| Us scrotum and contents (76870) | $1,145.83 | $1,145.83 | 10.9× |
| Us spinal canal and contents (76800) | $2,101.59 | $2,101.59 | 20.0× |
| Us thyroid (76536) | $1,429.79 | $1,429.79 | 13.6× |
| Us transrectal (76872) | $608.56 | $608.56 | 5.8× |
| Vascular Flow Imaging (78445) | $3,235.07 | $3,235.07 | 8.1× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$9,073.81–$10,197.49 | $9,073.81–$10,197.49 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,122.29 | $13,122.29 | 4.1× |
| Vein X-Ray Skull Epidural (75872) | $6,507.96 | $6,507.96 | 10.3× |
| Vein X-Ray Spleen/Liver (75810) | $27,662.85 | $27,662.85 | 8.7× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$12,652.35–$14,751.30 | $12,652.35–$14,751.30 | varies |
| Venography Adrenal Unilateral (75840) | $27,662.85 | $27,662.85 | 8.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,287.48–$16,940.83 | $2,287.48–$16,940.83 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$5,812.20–$9,794.73 | $5,812.20–$9,794.73 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,640.64–$8,594.29 | $1,640.64–$8,594.29 | varies |
| Venography Orbital Rs&I (75880) | $6,507.96 | $6,507.96 | 10.3× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$18,037.96–$18,151.16 | $18,037.96–$18,151.16 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,304.13–$16,940.83 | $2,304.13–$16,940.83 | varies |
| Venous sampling by catheter (75893) | $24,511.96 | $24,511.96 | 4.4× |
| Vertebral fracture assessment via dxa (77086) | $306.32 | $306.32 | 3.5× |
| Wrist 2 views (73100) | $536.73 | $536.73 | 6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $462.45 | $462.45 | 5.3× |
| X-ray antegrade pyelogram tube (74425) | $1,629.05 | $1,629.05 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) | $3,913.34 | $3,913.34 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $495.22 | $495.22 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $495.03 | $495.03 | 5.7× |
| X-Ray Exam Breast Specimen (76098) | $419.73 | $419.73 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $565.79 | $565.79 | 6.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $565.79 | $565.79 | 5.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $380.47 | $380.47 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $414.79 | $414.79 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $467.71 | $467.71 | 5.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $932.96 | $932.96 | 8.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $576.67 | $576.67 | 5.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $561.30 | $561.30 | 5.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,385.29 | $1,385.29 | 13.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,136.86 | $1,136.86 | 10.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $849.59 | $849.59 | 9.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,209.38 | $1,209.38 | 11.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $823.47 | $823.47 | 7.8× |
| X-ray eye for foreign body (70030) | $444.60 | $444.60 | 5.1× |
| X-ray humerus (73060) | $561.54 | $561.54 | 6.4× |
| X-ray IV pyelogram (ivp) (74400) | $2,129.83 | $2,129.83 | 12.1× |
| X-ray IV pyelogram+tomography (74415) | $1,931.38 | $1,931.38 | 11.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $456.85 | $456.85 | 5.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $804.56 | $804.56 | 9.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $797.02 | $797.02 | 7.6× |
| X-ray nose-rectum child f.b. (76010) | $427.79 | $427.79 | 4.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $732.90 | $732.90 | 7.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $576.49 | $576.49 | 5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $561.30 | $561.30 | 5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $713.28 | $713.28 | 8.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $967.65 | $967.65 | 11.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $918.60 | $918.60 | 8.7× |
| X-Ray Stress View (77071) | $1,016.39 | $1,016.39 | 11.6× |
| X-Ray Tmj Unilat (70328) | $1,016.39 | $1,016.39 | 11.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,030.83 | $1,030.83 | 2.9× |
| X-Rays Bone Length Studies (77073) | $620.32 | $620.32 | 5.9× |
| X-Rays Bone Survey Complete (77075) | $1,338.29 | $1,338.29 | 12.7× |
| Xr c-spine 4 or 5 views (72050) | $968.88 | $968.88 | 9.2× |
| Xr facial bones less than 3 views (70140) | $713.28 | $713.28 | 8.2× |
| Xr orbits complete 4 views (70200) | $609.59 | $609.59 | 5.8× |
| Xr Tomogram Single Plane (76100) | $1,385.29 | $1,385.29 | 13.2× |
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.