Imaging prices at Texas Health Huguley Hospital Fort Worth South

Burleson, TX · every code in this section with a posted price and a Medicare benchmark.

278 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $725.84 $725.84 6.9×
Acute gastrointestinal blood loss imaging (78278) $1,502.99 $1,502.99 3.7×
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 pelvic slctv/supraslctv rs&i (75736) $5,477.62 $5,477.62 1.0×
Angiography pulmonary bilateral slctv rs&i (75743) $5,477.62 $5,477.62 1.7×
Angiography pulmonary unilateral slctv rs&i (75741) $2,304.13 $2,304.13 0.7×
Angiography visceral slctv/supraslctv rs&i (75726) $4,740.26 $4,740.26 0.8×
Ankle 2 views (73600) $626.05 $626.05 7.1×
Antegrade urography radiological supvj & interpj (74425) $1,629.05 $1,629.05 4.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $3,913.34 $3,913.34 1.2×
Aortography abdominal serialography rs&i (75625) $3,372.60 $3,372.60 1.1×
Arthrogram hip (73525) $674.82 $674.82 1.9×
Arthrogram shoulder (73040) $870.40 $870.40 2.5×
Arthrography knee lt (73580) $741.66 $741.66 2.1×
Bone &/Joint Imaging Limited Area (78300) $2,207.96 $2,207.96 5.5×
Bone &/joint imaging whole body (78306) $2,812.40 $2,812.40 7.0×
Bone age studies (77072) $620.45 $620.45 5.9×
Bone Imaging 3 Phase (78315) $2,874.29 $2,874.29 7.1×
Bone Marrow Imaging Limited Area (78102) $2,246.87 $2,246.87 5.6×
Bone survey complete (77075) $1,338.29 $1,338.29 12.7×
Brain imaging < 4 static views w vascular flow (78601) $1,589.65 $1,589.65 4.0×
Cardiac MRI w/w/o contrast & further seq (75561) $3,947.24 $3,947.24 11.2×
Cervical spine 2 or 3 views (72040) $849.59 $849.59 9.7×
Chest 1 view (71045) $601.47 $601.47 6.9×
Chest 3 views (71047) $821.94 $821.94 9.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $910.22 $910.22 5.2×
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×
Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) $1,176.41 $1,176.41 6.7×
CT abdomen and pelvis without and with contrast (74178) $11,690.74 $11,690.74 33.3×
CT abdomen and pelvis without contrast (74176) $9,009.61 $9,009.61 37.5×
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 47.0×
CT angio hrt w/3d image (75574) $10,787.26 $10,787.26 30.7×
CT angiography upper extremity lt (73206) $3,184.15 $3,184.15 18.0×
CT c-spine w/o contrast (72125) $4,023.93 $4,023.93 38.3×
CT cervical spine w&w/o contrast (72127) $6,698.08 $6,698.08 38.0×
CT cervical spine with contrast (72126) $6,293.40 $6,293.40 17.9×
CT chest w/wo contrast (71270) $5,227.64 $5,227.64 29.6×
CT chest with contrast (71260) $4,698.57 $4,698.57 26.6×
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 25.8×
CT heart contrast eval cardiac structure&morph (75572) $8,790.32 $8,790.32 25.0×
CT heart no contrast quant eval coronry calcium (75571) $634.07 $634.07 7.2×
CT iac w contrast (70481) $4,483.35 $4,483.35 25.4×
CT lower ext w/o (73700) $2,919.60 $2,919.60 27.8×
CT lower extremity w wo contrast (73702) $3,809.10 $3,809.10 21.6×
CT lower extremity with contrast (73701) $3,043.75 $3,043.75 17.2×
CT lumbar spine w & w/o contrast (72133) $4,761.56 $4,761.56 27.0×
CT lumbar spine w/o contrast (72131) $3,740.70 $3,740.70 35.6×
CT lumbar spine with contrast (72132) $4,112.34 $4,112.34 11.7×
CT maxillofacial w contrast (70487) $3,830.52 $3,830.52 21.7×
CT maxillofacial w/o contrast (70486) $3,743.14 $3,743.14 35.6×
CT maxillofacial w/wo contrast (70488) $4,017.97 $4,017.97 22.8×
CT neck soft tissue w contrast (70491) $5,419.79 $5,419.79 30.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $6,320.84 $6,320.84 35.8×
CT orbits w/o contrast (70480) $4,022.35 $4,022.35 38.2×
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 38.6×
CT soft tissue neck w/o & w/contrast material (70492) $5,948.97 $5,948.97 33.7×
CT soft tissue neck w/o contrast (70490) $4,118.03 $4,118.03 39.1×
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 contrast (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 extremity w/o & w/contrast material (73202) $6,053.98 $6,053.98 34.3×
CT upper extremity w/o contrast rt (73200) $2,576.03 $2,576.03 24.5×
CT upper extremity with contrast (73201) $2,858.86 $2,858.86 8.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,702.21 $4,702.21 26.6×
Cta Abdomen (74175) $6,341.16 $6,341.16 35.9×
CTA abdomen pelvis (74174) $10,353.26 $10,353.26 29.5×
CTA chest (71275) $4,548.06 $4,548.06 25.8×
Cta Head (70496) $5,009.92 $5,009.92 28.4×
CTA lwr ext w&w/o contrast (73706) $3,523.94 $3,523.94 20.0×
Cta Neck (70498) $6,384.19 $6,384.19 36.2×
Cta Pelvis (72191) $3,821.05 $3,821.05 21.7×
Cystography minimum 3 views rs&i (74430) $996.74 $996.74 2.8×
Dxa bone density study 1/> sites axial skel (77080) $1,125.65 $1,125.65 10.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $218.49 $218.49 2.5×
Dxa bone density study axial skeleton (77085) $770.26 $770.26 7.3×
Echoencephalography real time imaging (76506) $1,271.15 $1,271.15 12.1×
Esophagus (74220) $768.22 $768.22 4.4×
Fetal biophysical profile non-stress testing (76818) $1,396.25 $1,396.25 13.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,151.36 $1,151.36 10.9×
Fluoroscopy up to 1 hr (76000) $677.15 $677.15 2.8×
Foot 2 views (73620) $603.99 $603.99 6.9×
Forearm 2 views (73090) $576.10 $576.10 6.6×
Gated Heart Planar Single (78472) $2,159.85 $2,159.85 5.4×
Hand 2 views (73120) $581.92 $581.92 5.5×
Hand 3 views (73130) $644.05 $644.05 7.4×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $27,662.85 $27,662.85 8.7×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,884.09 $2,884.09 5.3×
Hepatobiliary syst imaging including gallbladder (78226) $2,884.09 $2,884.09 7.2×
Ht muscle image spect sing (78451) $5,941.23 $5,941.23 4.6×
Humerus Min 2 Views Left (73060) $561.54 $561.54 6.4×
Hysterosalpingogram (74740) $1,774.99 $1,774.99 7.4×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $2,173.05 $2,173.05 4.0×
Kidney img morphology vascular flow 1 w/rx (78708) $2,718.53 $2,718.53 5.0×
Kidney Img Morphology Vascular Flow Multiple (78709) $3,791.85 $3,791.85 6.9×
Knee 3 views (73562) $613.10 $613.10 7.0×
Liver & spleen imaging static only (78215) $3,460.65 $3,460.65 8.6×
Lung Ventilation Imaging (78579) $1,899.18 $1,899.18 4.7×
Lymphoscintigraphy (78195) $1,319.14 $1,319.14 2.4×
Meckels Diverticulum (78290) $1,707.84 $1,707.84 4.2×
Mr safety determination physician/other qhp (76016) $420.07 $420.07 4.8×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $279.75 $279.75 4.7×
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 med physics xm customization plng&mntr (76017) $1,157.50 $1,157.50 4.8×
MRA head w & w/o contrast (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 11.7×
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 & w/contrast material (74183) $5,661.42 $5,661.42 16.1×
MRI abdomen w/o contrast (74181) $3,587.63 $3,587.63 14.9×
MRI any jnt lwr ext with con lt (73722) $4,639.91 $4,639.91 5.9×
MRI any jt upper extremity w/contrast matrl (73222) $4,635.24 $4,635.24 5.9×
MRI breast w/o contrast bilateral (77047) $6,928.66 $6,928.66 28.9×
MRI c-spine with contrast (72142) $5,869.41 $5,869.41 16.7×
MRI cervical spine w/o contrast (72141) $5,117.37 $5,117.37 21.3×
MRI chest w/o contrast (71550) $2,877.35 $2,877.35 12.0×
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 contr matrl (73718) $3,953.66 $3,953.66 16.5×
MRI orbit face &/neck w/o contrast (70540) $3,552.55 $3,552.55 14.8×
MRI orbit/face/neck w&w/o cont (70543) $4,303.49 $4,303.49 12.3×
MRI orbit/face/neck w/contrast (70542) $4,636.79 $4,636.79 13.2×
MRI pelvis w contrast (72196) $4,262.95 $4,262.95 12.1×
MRI pelvis w/o & w/contrast material (72197) $4,847.52 $4,847.52 13.8×
MRI pelvis w/o contrast (72195) $3,874.95 $3,874.95 16.1×
MRI scan of arm joint before and after contrast (73223) $4,802.80 $4,802.80 13.7×
MRI scan of leg joint before and after contrast (73723) $4,842.61 $4,842.61 13.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $7,256.12 $7,256.12 20.7×
MRI spinal canal lumbar w/contrast material (72149) $6,162.86 $6,162.86 17.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $7,256.12 $7,256.12 20.7×
MRI spinal canal thoracic w/contrast matrl (72147) $4,561.11 $4,561.11 13.0×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $7,256.12 $7,256.12 20.7×
MRI thoracic spine w/o contrast (72146) $4,251.74 $4,251.74 17.7×
MRI upper ext joint w/o contrast (73221) $4,097.34 $4,097.34 17.1×
MRI upper extrem other than jt w/o & w/contras (73220) $4,412.87 $4,412.87 12.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,347.48 $3,347.48 13.9×
Myelogram Cervical (72240) $1,358.23 $1,358.23 1.7×
Myelogram Lumbar (72265) $1,801.18 $1,801.18 2.3×
Myelography 2 or more regions (72270) $1,920.02 $1,920.02 2.4×
Myocardial Spect Multiple Studies (78452) $8,729.81 $8,729.81 6.7×
Neck soft tissue (70360) $391.99 $391.99 4.5×
Nm cisternogram (78630) $4,318.02 $4,318.02 7.9×
Nm gastric emptying study (78264) $2,279.72 $2,279.72 5.7×
Nuclear Rx Oral Admin (79005) $2,132.47 $2,132.47 9.1×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $530.35 $530.35 5.0×
Osseous survey infant (77076) $651.64 $651.64 6.2×
Osseous survey limited (77074) $1,120.30 $1,120.30 10.6×
Parathyrd planar w/wo subtrj (78071) $1,800.04 $1,800.04 4.5×
Parathyroid imaging (78070) $1,838.87 $1,838.87 4.6×
Pelvis 1 or 2 views (72170) $495.73 $495.73 4.7×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,113.89 $4,113.89 11.7×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $13,122.29 $13,122.29 4.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,838.87 $1,838.87 4.6×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,074.52 $2,074.52 3.8×
Radex abscess/fistula/sinus tract rs&i (76080) $1,677.54 $1,677.54 3.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $565.79 $565.79 5.4×
Radex hips bilateral with pelvis 2 views (73521) $576.67 $576.67 5.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $565.79 $565.79 5.4×
Radiolog exam mandible compl minimum 4 views (70110) $773.19 $773.19 7.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $586 $586 6.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $839.88 $839.88 8.0×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $810.40 $810.40 9.3×
Radiologic exam colon single contrast study (74270) $1,305.68 $1,305.68 7.4×
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 11.4×
Radiologic exam upr gi trc single contrast study (74240) $2,019.70 $2,019.70 11.4×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $551.45 $551.45 6.3×
Radiological examination surgical specimen (76098) $419.73 $419.73 0.8×
Review by radiologist of liver vein image with assessment of blood flow (75889) $9,430.02 $9,430.02 3.0×
Ribs bilateral 3 views (71110) $711.53 $711.53 6.8×
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 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 1 day imaging (78830) $6,666.68 $6,666.68 5.1×
Sacroiliac Joints < 3 Views (72200) $561.30 $561.30 5.3×
Scapula complete (73010) $454.75 $454.75 4.3×
Screening digital breast tomosynthesis (77063) $354.68 $354.68 15.2×
Small bowel series (74250) $1,664.46 $1,664.46 9.4×
Spine thoracic 3 views (72072) $849.59 $849.59 8.1×
Tbs Technical Calculation Only (77091) $216.33 $216.33 2.5×
Therapeutic Enema (74283) $1,695.86 $1,695.86 9.6×
Thoracolumbar 2 views (72080) $329.66 $329.66 3.8×
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×
Tmj unilateral (70328) $1,016.39 $1,016.39 11.6×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $3,138.99 $3,138.99 7.8×
Ultrasound, abdomen limited (76705) $1,361.02 $1,361.02 12.9×
Umbilical-artery Doppler (OB) (76820) $1,765.39 $1,765.39 16.8×
Upper Extremity Infant (73092) $592.26 $592.26 5.6×
Urethrocystography retrograde rs&i (74450) $1,387.82 $1,387.82 5.8×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $2,129.83 $2,129.83 12.1×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $1,931.38 $1,931.38 10.9×
Us abdl aorta screen aaa (76706) $1,155.07 $1,155.07 11.0×
Us breast unilateral complete (76641) $1,011.61 $1,011.61 9.6×
Us breast unilateral limited (76642) $1,011.61 $1,011.61 11.6×
Us chest (76604) $587.53 $587.53 5.6×
Us compl joint r-t w/image documentation (76881) $783.47 $783.47 7.4×
Us kidney transplant (76776) $1,283.70 $1,283.70 12.2×
Us ob detailed single fetus (76811) $1,222.69 $1,222.69 5.1×
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 pelvic nonobstetric image dcmtn limited/f/u (76857) $695.12 $695.12 6.6×
Us pregnancy ltd (76815) $601.19 $601.19 5.7×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $1,383.93 $1,383.93 13.2×
Us retroperitoneal complete (76770) $1,224.94 $1,224.94 11.6×
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 soft tissue head/neck (76536) $1,429.79 $1,429.79 13.6×
Us spinal canal and contents (76800) $2,101.59 $2,101.59 20.0×
Us transrectal (76872) $608.56 $608.56 5.8×
Us xtr non-vasc lmtd (76882) $506.54 $506.54 4.8×
Venogram extremity bilateral (75822) $5,812.20 $5,812.20 3.7×
Venography caval inferior serialography rs&i (75825) $2,287.48 $2,287.48 0.7×
Venography caval superior serialography rs&i (75827) $9,073.81 $9,073.81 5.7×
Venography extremity unilateral rs&i (75820) $1,640.64 $1,640.64 1.0×
Venography venous sinus/jugular cath rs&i (75860) $12,652.35 $12,652.35 4.0×
Wrist 2 views (73100) $536.73 $536.73 6.1×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $903.66 $903.66 8.6×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $692.46 $692.46 7.9×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,373 $1,373 7.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $495.03 $495.03 5.7×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $613.10 $613.10 7.0×
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 5.3×
X-ray exam hip uni 4/> views (73503) $932.96 $932.96 8.9×
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 of femur 1 (73551) $551.45 $551.45 6.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $751.12 $751.12 7.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $713.28 $713.28 8.1×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $655.72 $655.72 7.5×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $8,795.40 $8,795.40 4.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $427.84 $427.84 4.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $456.85 $456.85 5.2×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $738.51 $738.51 7.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $804.56 $804.56 9.2×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $431.62 $431.62 4.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $797.02 $797.02 7.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,136.86 $1,136.86 10.8×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $495.22 $495.22 4.7×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $469.46 $469.46 5.4×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $427.79 $427.79 4.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $609.59 $609.59 5.8×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $558.44 $558.44 5.3×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,030.83 $1,030.83 2.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $700.34 $700.34 8.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $823.47 $823.47 7.8×
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 Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $713.28 $713.28 8.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $663.24 $663.24 7.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $967.65 $967.65 11.1×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $709.26 $709.26 8.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $918.60 $918.60 8.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $433.02 $433.02 4.1×
X-Ray Spine One View - Xr Spine (72020) $531.12 $531.12 6.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $445.64 $445.64 5.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $562.32 $562.32 5.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $470.95 $470.95 5.4×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $641.67 $641.67 7.3×
Xr c-spine 6 or more views (72052) $1,209.38 $1,209.38 11.5×
Xr Cholecystography Oral Contrast (74290) $1,695.86 $1,695.86 9.6×
Xr finger(s) 2+ views (73140) $508.72 $508.72 5.8×
Xr shoulder 1 view (73020) $474.71 $474.71 5.4×
Xr spine cervical 4 or 5 views (72050) $968.88 $968.88 9.2×
Xr tibia/fibula 2 views (73590) $584.93 $584.93 6.7×
Xr tmj bilateral (70330) $786.16 $786.16 9.0×
Xray knee 1 or 2 views rt (73560) $519.37 $519.37 5.9×