Imaging prices at Texas Health Presbyterian Hospital Plano
Plano, TX · every code in this section with a posted price and a Medicare benchmark.
360 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) | $4,048.80 | $6,748 | 2.9× |
| Abdomen 1 View (74018) | $339.15 | $565.25 | 3.9× |
| Abdomen 2 views (74019) | $404.40 | $674 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,099.65 | $1,832.75 | 2.7× |
| Adrenal Cortex & Medulla Img (78075) | $1,193.40 | $1,989 | 0.9× |
| Angio internal mammary (75756) | $4,833.30 | $8,055.50 | 1.5× |
| Angio pulmonary bilat (75743) | $3,480 | $5,800 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $3,232.20 | $5,387 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,480 | $5,800 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,480 | $5,800 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,895.25 | $3,158.75 | 0.6× |
| Ankle 2 views (73600) | $317.85 | $529.75 | 3.6× |
| Aortography thoracic serialography rs&i (75605) | $3,267.30 | $5,445.50 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,432.20 | $7,387 | 1.4× |
| Artery X-Rays Abdomen (75726) | $3,267.30 | $5,445.50 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,267.30 | $5,445.50 | 0.6× |
| Artery X-Rays Spine (75705) | $3,267.30 | $5,445.50 | 0.6× |
| Arthrogram ankle (73615) | $571.35 | $952.25 | 1.6× |
| Arthrogram hip (73525) | $468 | $780 | 1.3× |
| Arthrogram Wrist (73115) | $564.45 | $940.75 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $306.75 | $511.25 | 2.3× |
| Bone age studies (77072) | $376.35 | $627.25 | 3.6× |
| Bone Imaging 3 Phase (78315) | $1,570.65 | $2,617.75 | 3.9× |
| Bone Imaging Limited Area (78300) | $820.20 | $1,367 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $1,194 | $1,990 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,570.65 | $2,617.75 | 3.9× |
| Bone marrow imaging limited area (78102) | $820.20 | $1,367 | 2.0× |
| Bone marrow imaging; multiple areas (78103) | $1,076.40 | $1,794 | 2.7× |
| Bone marrow imaging; whole body (78104) | $1,076.40 | $1,794 | 2.7× |
| Bone survey infant (77076) | $374.85 | $624.75 | 3.6× |
| Brain Image W/Flow < 4 Views (78601) | $479.10 | $798.50 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,132.80 | $1,888 | 2.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,663.35 | $2,772.25 | 3.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,902 | $3,170 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $789.60 | $1,316 | 9.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,132.80 | $1,888 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,132.80 | $1,888 | 2.1× |
| Chest 1 view (71045) | $383.10 | $638.50 | 4.4× |
| Chest 2 views (71046) | $457.05 | $761.75 | 5.2× |
| Chest 3 views (71047) | $464.10 | $773.50 | 5.3× |
| Chest 4 or more views (71048) | $490.20 | $817 | 4.7× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $277.80 | $463 | 2.6× |
| Clavicle complete (73000) | $371.85 | $619.75 | 4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $231 | $385 | 2.2× |
| Continuing medical physics consltj pr wk (77336) | $310.05 | $516.75 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $3,480 | $5,800 | 1.1× |
| Contrast X-Ray Bladder (74430) | $622.35 | $1,037.25 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $594.30 | $990.50 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $564.45 | $940.75 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,407.45 | $7,345.75 | 12.6× |
| CT abdomen and pelvis without contrast (74176) | $3,356.10 | $5,593.50 | 14.0× |
| CT abdomen w contrast (74160) | $2,612.85 | $4,354.75 | 14.8× |
| CT abdomen w wo contrast (74170) | $3,264.90 | $5,441.50 | 18.5× |
| CT abdomen w/o contrast (74150) | $2,394.15 | $3,990.25 | 22.8× |
| CT Angio Abdomen and Pelvis (74174) | $5,878.20 | $9,797 | 16.8× |
| CT Angio Chest (71275) | $3,264.90 | $5,441.50 | 18.5× |
| CT Angio Head (70496) | $2,830.05 | $4,716.75 | 16.1× |
| CT angio hrt w/3d image (75574) | $835.65 | $1,392.75 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,135.20 | $6,892 | 23.5× |
| CT Angio Neck (70498) | $2,830.05 | $4,716.75 | 16.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,135.20 | $6,892 | 23.5× |
| CT cervical spine w/ contrast (72126) | $2,612.85 | $4,354.75 | 7.5× |
| CT cervical spine w/o contrast (72125) | $2,394.15 | $3,990.25 | 22.8× |
| CT cervical spine w/wo cont (72127) | $3,264.90 | $5,441.50 | 18.5× |
| CT chest w contrast (71260) | $2,656.20 | $4,427 | 15.1× |
| CT chest w/wo contrast (71270) | $3,264.90 | $5,441.50 | 18.5× |
| CT colonography screening (74263) | $1,387.65 | $2,312.75 | 5.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $922.35 | $1,537.25 | 5.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $606.30 | $1,010.50 | 5.8× |
| CT head/brain with contrast (70460) | $2,275.80 | $3,793 | 12.9× |
| CT head/brain without and with contrast (70470) | $2,720.70 | $4,534.50 | 15.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $835.65 | $1,392.75 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $136.50 | $227.50 | 1.6× |
| CT hrt w/3d image congen (75573) | $835.65 | $1,392.75 | 2.4× |
| CT iac w contrast (70481) | $2,046.60 | $3,411 | 11.6× |
| CT l-spine w&w/o contrast (72133) | $3,264.90 | $5,441.50 | 18.5× |
| CT lower ext w/o (73700) | $2,394.15 | $3,990.25 | 22.8× |
| CT lower extremity w/contrast material (73701) | $2,612.85 | $4,354.75 | 14.8× |
| CT lumbar spine w contrast (72132) | $2,612.85 | $4,354.75 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $2,394.15 | $3,990.25 | 22.8× |
| CT maxillofacial w contrast (70487) | $1,767.90 | $2,946.50 | 10.0× |
| CT maxillofacial wo contrast (70486) | $1,666.95 | $2,778.25 | 15.9× |
| CT neck tissue combo (70492) | $2,927.85 | $4,879.75 | 16.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,264.55 | $3,774.25 | 12.9× |
| CT orbits w/o contrast (70480) | $2,046.60 | $3,411 | 19.5× |
| CT pelvis w&w/o contrast (72194) | $2,612.85 | $4,354.75 | 14.8× |
| CT pelvis w/o contrast (72192) | $2,081.55 | $3,469.25 | 19.8× |
| CT scan of leg combo (73702) | $3,264.90 | $5,441.50 | 18.5× |
| CT scans face/jaw combo (70488) | $2,312.25 | $3,853.75 | 13.1× |
| CT soft tissue neck w contrast (70491) | $2,394.15 | $3,990.25 | 13.6× |
| CT soft tissue neck w/o contrast (70490) | $2,068.50 | $3,447.50 | 19.7× |
| CT thoracic spine w contrast (72129) | $2,612.85 | $4,354.75 | 14.8× |
| CT thoracic spine w/o contrast (72128) | $2,394.15 | $3,990.25 | 22.8× |
| CT thoracic spine w/wo cont (72130) | $3,264.90 | $5,441.50 | 18.5× |
| CT thorax w/o contrast (71250) | $2,383.80 | $3,973 | 22.7× |
| CT upper ext wo (73200) | $1,991.85 | $3,319.75 | 19.0× |
| CT upper extremity w/o & w/contrast material (73202) | $3,264.90 | $5,441.50 | 18.5× |
| CT upper extremity with contrast (73201) | $1,991.85 | $3,319.75 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,229.10–$1,437.75 | $2,048.50–$2,396.25 | varies |
| Cta Abdomen (74175) | $3,264.90 | $5,441.50 | 18.5× |
| CTA pelvis (72191) | $2,612.85 | $4,354.75 | 14.8× |
| Dilation ureters/urethra rs&i (74485) | $3,009.45 | $5,015.75 | 1.4× |
| Dxa Bone Density Axial (77080) | $415.80 | $693 | 4.0× |
| Dxa bone density study (77085) | $200.85 | $334.75 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $143.25 | $238.75 | 1.6× |
| Echo exam uterus (76831) | $993.45 | $1,655.75 | 4.1× |
| Echo Guide For Artery Repair (76936) | $610.80 | $1,018 | 2.8× |
| Esophagram (74220) | $425.55 | $709.25 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $469.50 | $782.50 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $417.15 | $695.25 | 1.7× |
| Follow-Up Angiography (75898) | $2,416.65 | $4,027.75 | 0.8× |
| Foot 2 views (73620) | $333 | $555 | 3.8× |
| Forearm 2 views (73090) | $404.40 | $674 | 4.6× |
| Gastric emptying imaging study (78264) | $995.40 | $1,659 | 2.5× |
| Gated Heart Planar Single (78472) | $1,518.75 | $2,531.25 | 3.8× |
| Hand 2 views (73120) | $294.90 | $491.50 | 2.8× |
| Heart first pass single,planar (78481) | $1,381.05 | $2,301.75 | 2.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,634.90 | $4,391.50 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,502.15 | $4,170.25 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,602.75 | $2,671.25 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,602.75 | $2,671.25 | 4.0× |
| Ht Musc Image Planar Mult (78454) | $3,231.15 | $5,385.25 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $3,905.10 | $6,508.50 | 3.0× |
| Hysterosalpingogram (74740) | $828.75 | $1,381.25 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $484.95 | $808.25 | 5.5× |
| Infant hip ultrasound, limited static exam (76886) | $359.55 | $599.25 | 4.1× |
| Infusion Ivp (74410) | $591.75 | $986.25 | 3.4× |
| K Flow/Funct Image Multiple (78709) | $1,570.65 | $2,617.75 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,491.60 | $2,486 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,320.15 | $2,200.25 | 2.4× |
| Kidney Imaging Morphol (78700) | $747.90 | $1,246.50 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $747.90 | $1,246.50 | 1.9× |
| Knee 3 Views (73562) | $404.40 | $674 | 4.6× |
| Leveen/Shunt Patency Exam (78291) | $1,076.40 | $1,794 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,069.20 | $1,782 | 2.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,069.20 | $1,782 | 2.7× |
| Liver imaging static only (78201) | $777.90 | $1,296.50 | 1.4× |
| Liver imaging w/vascular flow (78202) | $820.20 | $1,367 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $3,479.55 | $5,799.25 | 6.4× |
| Lung perfusion differential (78597) | $2,029.05 | $3,381.75 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,199.15 | $3,665.25 | 4.0× |
| Lung Ventilation Imaging (78579) | $1,203.45 | $2,005.75 | 3.0× |
| Lymph System Imaging (78195) | $1,654.65 | $2,757.75 | 3.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,479.20 | $9,132 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,731.30 | $2,885.50 | 7.2× |
| Magnetic Resonance Elastography (76391) | $1,372.05 | $2,286.75 | 5.7× |
| Mammary ductogram or galactogram single (77053) | $646.65 | $1,077.75 | 2.7× |
| Meckels Divert Exam (78290) | $820.20 | $1,367 | 2.0× |
| Mlc imrt design & construction per imrt plan (77338) | $670.35 | $1,117.25 | 1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $51.45 | $85.75 | 1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $192.90 | $321.50 | 2.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $507.75 | $846.25 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,830.05 | $4,716.75 | 8.1× |
| MRA head w/o contrast (70544) | $2,394.15 | $3,990.25 | 10.0× |
| MRA head with contrast (70545) | $2,612.85 | $4,354.75 | 7.5× |
| MRA neck w contrast (70548) | $2,612.85 | $4,354.75 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,830.05 | $4,716.75 | 8.1× |
| MRA neck w/o contrast (70547) | $2,394.15 | $3,990.25 | 10.0× |
| MRI abdomen w contrast (74182) | $2,482.20 | $4,137 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,394.15 | $3,990.25 | 10.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,482.70 | $5,804.50 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,700.05 | $6,166.75 | 10.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,482.70 | $5,804.50 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,610.75 | $4,351.25 | 10.9× |
| MRI cardiac w/o cont stress (75559) | $1,137.15 | $1,895.25 | 2.1× |
| MRI cardiac w/o contrast (75557) | $1,244.85 | $2,074.75 | 5.2× |
| MRI cervical spine w contrast (72142) | $2,612.85 | $4,354.75 | 7.5× |
| MRI cervical spine w/o cont (72141) | $2,394.15 | $3,990.25 | 10.0× |
| MRI chest w/o contrast (71550) | $2,830.05 | $4,716.75 | 11.8× |
| MRI chest with contrast (71551) | $2,997.75 | $4,996.25 | 3.8× |
| MRI chest wo w contrast (71552) | $3,482.70 | $5,804.50 | 9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,482.70 | $5,804.50 | 9.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,700.05 | $6,166.75 | 10.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,264.90 | $5,441.50 | 13.6× |
| MRI lumbar spine w contrast (72149) | $2,612.85 | $4,354.75 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,264.90 | $5,441.50 | 9.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,830.05 | $4,716.75 | 11.8× |
| MRI orbit face neck w contrast (70542) | $3,156.60 | $5,261 | 9.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,482.70 | $5,804.50 | 9.9× |
| MRI pelvis w contrast (72196) | $2,997.75 | $4,996.25 | 8.6× |
| MRI pelvis w/o & w contrast (72197) | $3,482.70 | $5,804.50 | 9.9× |
| MRI pelvis w/o contrast (72195) | $2,830.05 | $4,716.75 | 11.8× |
| MRI spectroscopy (76390) | $1,742.10 | $2,903.50 | 19.9× |
| MRI thoracic spine w/o contrast (72146) | $2,394.15 | $3,990.25 | 10.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,687.10 | $4,478.50 | 7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,394.15 | $3,990.25 | 10.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,264.90 | $5,441.50 | 9.3× |
| MRI, abdomen, combo (74183) | $3,264.90 | $5,441.50 | 9.3× |
| MRI, dorsal spine combo (72157) | $3,264.90 | $5,441.50 | 9.3× |
| MRI, dorsal spine contrast (72147) | $2,612.85 | $4,354.75 | 7.5× |
| MRI, joint upper extrem (73221) | $3,264.90 | $5,441.50 | 13.6× |
| MRI, joint upper extrem combo (73223) | $3,700.05 | $6,166.75 | 10.6× |
| MRI, lumbar spine combo (72158) | $3,264.90 | $5,441.50 | 9.3× |
| Myelogram cervical (72240) | $1,198.65 | $1,997.75 | 1.5× |
| Myelogram Lumbar (72265) | $1,305.60 | $2,176 | 1.7× |
| Myelography thoracic (72255) | $1,255.35 | $2,092.25 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,459.50 | $2,432.50 | 1.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,788.05 | $4,646.75 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $4,138.95 | $6,898.25 | 3.2× |
| N-invas est c ffr sw aly CTA (75580) | $3,535.65 | $5,892.75 | 4.1× |
| Neck soft tissue (70360) | $175.80 | $293 | 2.0× |
| Nm myocard infarct spect (78469) | $1,076.40 | $1,794 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $453.15 | $755.25 | 4.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,658.45 | $4,430.75 | 1.9× |
| Nuclear Rx Intra-Arterial (79445) | $863.85 | $1,439.75 | 3.7× |
| Nuclear Rx Oral Admin (79005) | $1,305.90 | $2,176.50 | 5.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $460.50 | $767.50 | 5.3× |
| Panoramic X-ray of jaws (70355) | $285.15 | $475.25 | 3.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,634.30 | $4,390.50 | 4.8× |
| Parathyroid Planar Imaging (78070) | $1,132.80 | $1,888 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,883.70 | $3,139.50 | 4.7× |
| Pelvis 1 or 2 views (72170) | $371.85 | $619.75 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,502.15 | $4,170.25 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,257.45 | $2,095.75 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $339.15 | $565.25 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $404.40 | $674 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $404.40 | $674 | 4.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $289.65 | $482.75 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $383.10 | $638.50 | 4.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $381.75 | $636.25 | 3.6× |
| Radex fingr minimum 2 views (73140) | $241.05 | $401.75 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $371.85 | $619.75 | 4.3× |
| Radex Hand Minimum 3 Views (73130) | $404.40 | $674 | 4.6× |
| Radex lower extremity infant minimum 2 views (73592) | $302.55 | $504.25 | 3.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $300.60 | $501 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $274.65 | $457.75 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $280.65 | $467.75 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $282.15 | $470.25 | 3.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $208.50 | $347.50 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $328.35 | $547.25 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $274.65 | $457.75 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $406.80 | $678 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $313.35 | $522.25 | 3.6× |
| Radex upper extremity infant minimum 2 views (73092) | $215.70 | $359.50 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $502.05 | $836.75 | 5.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $383.10 | $638.50 | 3.6× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$407.55–$599.85 | $679.25–$999.75 | varies |
| Radiation treatment delivery level 3 (77412) | $682.80 | $1,138 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $411.30 | $685.50 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $404.40 | $674 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $785.55 | $1,309.25 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $742.20 | $1,237 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) | $425.55 | $709.25 | 4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $404.40 | $674 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $639.60 | $1,066 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $601.05 | $1,001.75 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $643.95 | $1,073.25 | 3.7× |
| Radiologic examination femur 1 view (73551) | $317.85 | $529.75 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) | $351 | $585 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $383.10 | $638.50 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $345.75 | $576.25 | 4.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $328.20 | $547 | 0.6× |
| Renal Cyst Study (74470) | $787.65 | $1,312.75 | 1.4× |
| Ribs bilateral 3 views (71110) | $436.80 | $728 | 4.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,132.80 | $1,888 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,125.30 | $1,875.50 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,912.25 | $4,853.75 | 5.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,051.70 | $3,419.50 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,795.35 | $2,992.25 | 3.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,199.20 | $5,332 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,199.20 | $5,332 | 2.5× |
| Salivary Gland Imaging (78230) | $747.90 | $1,246.50 | 1.9× |
| Salivary Gland Imaging Serial Images (78231) | $747.90 | $1,246.50 | 1.9× |
| Scapula (73010) | $270 | $450 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.15 | $110.25 | 2.8× |
| Sella turcica (70240) | $156.75 | $261.25 | 1.8× |
| Shoulder 1 view (73020) | $307.05 | $511.75 | 3.5× |
| Shoulder Arthrography (73040) | $594.30 | $990.50 | 1.7× |
| Skull less than 4 views (70250) | $351 | $585 | 3.3× |
| Special Physics Consult (77370) | $298.05 | $496.75 | 2.2× |
| Special treatment procedure (77470) | $2,228.55 | $3,714.25 | 4.0× |
| Sternoclavicular joints (71130) | $285.15 | $475.25 | 3.3× |
| Superior sagittal sinus venogram (75870) | $3,866.70 | $6,444.50 | 1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $872.85 | $1,454.75 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,084.65 | $1,807.75 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) | $549.30 | $915.50 | 4.1× |
| Thoracic spine 2 views (72070) | $404.40 | $674 | 3.9× |
| Thoracic spine 3 views (72072) | $371.85 | $619.75 | 3.5× |
| Thoracolumbar 2 views (72080) | $371.85 | $619.75 | 4.3× |
| Thyroid Imaging With Vascular Flow (78013) | $696.75 | $1,161.25 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,132.80 | $1,888 | 2.1× |
| Thyroid Uptake Measurement (78012) | $382.95 | $638.25 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,044.15 | $1,740.25 | 2.6× |
| Tx Devices Design & Construction Complex (77334) | $863.25 | $1,438.75 | 2.3× |
| Tx devices design & construction simple (77332) | $569.10 | $948.50 | 4.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$383.10–$766.05 | $638.50–$1,276.75 | varies |
| Ultrasound elastography first target lesion (76982) | $545.55 | $909.25 | 5.2× |
| Ultrasound Elastography Parenchyma (76981) | $545.55 | $909.25 | 5.2× |
| Ultrasound Exam Aaa Screen (76706) | $356.70 | $594.50 | 3.4× |
| Ultrasound, abdomen limited (76705) | $545.55 | $909.25 | 5.2× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$184.20–$483.30 | $307–$805.50 | varies |
| Upper gi w/o kub (74240) | $643.95 | $1,073.25 | 3.7× |
| Ureteral Reflux Study (78740) | $820.20 | $1,367 | 2.0× |
| Urethrocystogram voiding (74455) | $622.35 | $1,037.25 | 2.6× |
| Urethrocystography retrograde (74450) | $622.35 | $1,037.25 | 2.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$383.10–$766.05 | $638.50–$1,276.75 | varies |
| Us chest (76604) | $484.95 | $808.25 | 4.6× |
| Us complete joint (76881) | $484.95 | $808.25 | 4.6× |
| Us exam, pelvic, limited (76857) | $383.10 | $638.50 | 3.6× |
| Us head (76506) | $762.60 | $1,271 | 7.3× |
| Us kidney transplant (76776) | $545.55 | $909.25 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $277.80 | $463 | 2.6× |
| Us ob detailed single fetus (76811) | $641.40 | $1,069 | 2.7× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$381.75–$422.55 | $636.25–$704.25 | varies |
| Us ob transvaginal (76817) | $589.80 | $983 | 5.6× |
| Us pelvic non ob complete (76856) | $861.45 | $1,435.75 | 8.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $393 | $655 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $254.70 | $424.50 | 2.4× |
| Us retroperitoneal complete (76770) | $742.20 | $1,237 | 7.1× |
| Us retroperitoneal limited (76775) | $381.75 | $636.25 | 3.6× |
| Us scrotum and contents (76870) | $568.35 | $947.25 | 5.4× |
| Us spinal canal and contents (76800) | $545.55 | $909.25 | 5.2× |
| Us thyroid (76536) | $601.05 | $1,001.75 | 5.7× |
| Us transrectal (76872) | $557.40 | $929 | 5.3× |
| Vein X-Ray Chest (75827) | $1,633.50 | $2,722.50 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,837.30 | $6,395.50 | 1.2× |
| Venogram Sinus/Jugular (75860) | $4,833.30 | $8,055.50 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $2,899.95 | $4,833.25 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,931.40 | $3,219 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,448.70 | $2,414.50 | 0.9× |
| Venography Renal Unilateral (75831) | $2,634.90 | $4,391.50 | 0.8× |
| Venous sampling by catheter (75893) | $3,267.30 | $5,445.50 | 0.6× |
| Wrist 2 views (73100) | $328.35 | $547.25 | 3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $257.10 | $428.50 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $622.35 | $1,037.25 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $3,232.20 | $5,387 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $425.55 | $709.25 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $351 | $585 | 4.0× |
| X-Ray Exam Breast Specimen (76098) | $653.40 | $1,089 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $264 | $440 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $300.60 | $501 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $362.55 | $604.25 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $360.30 | $600.50 | 4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $404.40 | $674 | 4.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $491.70 | $819.50 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $491.70 | $819.50 | 4.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $507.75 | $846.25 | 4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $515.25 | $858.75 | 4.9× |
| X-Ray Exam L-S Spine Bending (72114) | $425.55 | $709.25 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $364.80 | $608 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $508.50 | $847.50 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $294.90 | $491.50 | 2.8× |
| X-ray humerus (73060) | $351 | $585 | 4.0× |
| X-ray IV pyelogram (ivp) (74400) | $622.35 | $1,037.25 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $622.35 | $1,037.25 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $322.35 | $537.25 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $491.70 | $819.50 | 5.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $524.40 | $874 | 5.0× |
| X-ray nose-rectum child f.b. (76010) | $415.80 | $693 | 4.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $491.70 | $819.50 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $230.55 | $384.25 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $307.05 | $511.75 | 3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $404.40 | $674 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $525 | $875 | 5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $622.35 | $1,037.25 | 1.8× |
| X-Rays Bone Length Studies (77073) | $285.30 | $475.50 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $578.10 | $963.50 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $545.55 | $909.25 | 5.2× |
| Xr facial bones less than 3 views (70140) | $252.60 | $421 | 2.9× |
| Xr orbits complete 4 views (70200) | $328.35 | $547.25 | 3.1× |
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.