Imaging prices at Texas Orthopedic Hospital
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
162 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,185.71 | $1,185.71 | 11.3× |
| Ankle 2 views (73600) | $1,119.20 | $1,119.20 | 12.8× |
| Arthrogram elbow (73085) | $2,695.41 | $2,695.41 | 7.7× |
| Arthrogram hip (73525) | $6,923.20 | $6,923.20 | 19.8× |
| Arthrogram shoulder (73040) | $6,923.20 | $6,923.20 | 19.8× |
| Arthrogram wrist (73115) | $2,695.41 | $2,695.41 | 7.7× |
| Arthrography knee lt (73580) | $6,923.20 | $6,923.20 | 19.8× |
| Cervical spine 2 or 3 views (72040) | $1,693.67 | $1,693.67 | 19.4× |
| Chest 1 view (71045) | $1,389.45 | $1,389.45 | 15.9× |
| Chest 3 views (71047) | $2,137.95 | $2,137.95 | 24.5× |
| Clavicle complete (73000) | $834.80 | $834.80 | 9.5× |
| CT abdomen and pelvis without and with contrast (74178) | $18,134.08 | $18,134.08 | 51.7× |
| CT abdomen and pelvis without contrast (74176) | $14,971.31 | $14,971.31 | 62.5× |
| CT abdomen w contrast (74160) | $7,752.73 | $7,752.73 | 44.0× |
| CT abdomen w wo contrast (74170) | $9,104.19 | $9,104.19 | 51.7× |
| CT abdomen w/o contrast (74150) | $7,487.74 | $7,487.74 | 71.3× |
| CT c-spine w/o contrast (72125) | $8,692.02 | $8,692.02 | 82.8× |
| CT cervical spine w&w/o contrast (72127) | $11,073.93 | $11,073.93 | 62.8× |
| CT cervical spine with contrast (72126) | $10,815.95 | $10,815.95 | 30.9× |
| CT chest w/wo contrast (71270) | $9,104.19 | $9,104.19 | 51.7× |
| CT head/brain without and with contrast (70470) | $8,502.76 | $8,502.76 | 48.3× |
| CT limited/localized follow up study (76380) | $3,806.27 | $3,806.27 | 43.5× |
| CT lower ext w/o (73700) | $5,372.23 | $5,372.23 | 51.2× |
| CT lower extremity w wo contrast (73702) | $7,012.50 | $7,012.50 | 39.8× |
| CT lower extremity with contrast (73701) | $5,806.84 | $5,806.84 | 33.0× |
| CT lumbar spine w & w/o contrast (72133) | $17,215.81 | $17,215.81 | 97.7× |
| CT lumbar spine w/o contrast (72131) | $9,025.69 | $9,025.69 | 85.9× |
| CT lumbar spine with contrast (72132) | $9,470.09 | $9,470.09 | 27.0× |
| CT maxillofacial w contrast (70487) | $7,728.89 | $7,728.89 | 43.9× |
| CT maxillofacial w/o contrast (70486) | $6,497.99 | $6,497.99 | 61.9× |
| CT maxillofacial w/wo contrast (70488) | $8,410.24 | $8,410.24 | 47.7× |
| CT neck soft tissue w contrast (70491) | $7,934.98 | $7,934.98 | 45.0× |
| CT orbits w/o contrast (70480) | $6,683.34 | $6,683.34 | 63.6× |
| CT pelvis w & w/o contrast (72194) | $9,027.09 | $9,027.09 | 51.2× |
| CT pelvis w/o contrast (72192) | $7,487.74 | $7,487.74 | 71.3× |
| CT scan for measuring calcium and other minerals in bone (77078) | $2,356.66 | $2,356.66 | 27.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $8,502.76 | $8,502.76 | 48.3× |
| CT soft tissue neck w/o contrast (70490) | $8,692.02 | $8,692.02 | 82.8× |
| CT thoracic spine w/contrast (72129) | $10,350.52 | $10,350.52 | 58.7× |
| CT thoracic spine w/o contrast (72128) | $9,245.79 | $9,245.79 | 88.0× |
| CT thoracic spine w/wo contrast (72130) | $11,073.93 | $11,073.93 | 62.8× |
| CT thorax w/o contrast (71250) | $7,030.73 | $7,030.73 | 66.9× |
| CT upper extremity w/o & w/contrast material (73202) | $7,012.50 | $7,012.50 | 39.8× |
| CT upper extremity w/o contrast rt (73200) | $5,372.23 | $5,372.23 | 51.2× |
| CT upper extremity with contrast (73201) | $5,806.84 | $5,806.84 | 16.6× |
| Diskogram cervical (72285) | $5,530.93 | $5,530.93 | 2.8× |
| Diskography lumbar (72295) | $5,530.93 | $5,530.93 | 2.8× |
| Esophagus (74220) | $1,414.93 | $1,414.93 | 8.0× |
| Fluoroscopy up to 1 hr (76000) | $2,297.84 | $2,297.84 | 9.6× |
| Foot 2 views (73620) | $888.58 | $888.58 | 10.2× |
| Forearm 2 views (73090) | $1,443.22 | $1,443.22 | 16.5× |
| Hand 2 views (73120) | $734.35 | $734.35 | 7.0× |
| Hand 3 views (73130) | $1,318.70 | $1,318.70 | 15.1× |
| Humerus Min 2 Views Left (73060) | $1,451.71 | $1,451.71 | 16.6× |
| Knee 3 views (73562) | $922.53 | $922.53 | 10.6× |
| MRI abdomen w contrast (74182) | $14,491.69 | $14,491.69 | 41.4× |
| MRI abdomen w/o & w/contrast material (74183) | $14,491.69 | $14,491.69 | 41.4× |
| MRI abdomen w/o contrast (74181) | $13,744.43 | $13,744.43 | 57.3× |
| MRI any jnt lwr ext with con lt (73722) | $13,646.57 | $13,646.57 | 17.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,576.21 | $14,576.21 | 18.5× |
| MRI c-spine with contrast (72142) | $15,026.95 | $15,026.95 | 42.9× |
| MRI cervical spine w/o contrast (72141) | $13,744.43 | $13,744.43 | 57.3× |
| MRI chest w/o & w/contrast material (71552) | $21,334.26 | $21,334.26 | 60.9× |
| MRI chest w/o contrast (71550) | $13,744.43 | $13,744.43 | 57.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $11,965.22 | $11,965.22 | 34.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,520.55 | $13,520.55 | 38.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,622.84 | $13,622.84 | 56.8× |
| MRI pelvis w/o & w/contrast material (72197) | $21,710.87 | $21,710.87 | 61.9× |
| MRI pelvis w/o contrast (72195) | $13,886.77 | $13,886.77 | 57.9× |
| MRI scan of arm joint before and after contrast (73223) | $15,026.95 | $15,026.95 | 42.9× |
| MRI scan of leg joint before and after contrast (73723) | $14,823.82 | $14,823.82 | 42.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $17,692.80 | $17,692.80 | 50.5× |
| MRI spinal canal lumbar w/contrast material (72149) | $14,665.18 | $14,665.18 | 41.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $23,074.94 | $23,074.94 | 65.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $15,006.19 | $15,006.19 | 42.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $23,583.48 | $23,583.48 | 67.3× |
| MRI thoracic spine w/o contrast (72146) | $13,723.66 | $13,723.66 | 57.3× |
| MRI upper ext joint w/o contrast (73221) | $13,742.95 | $13,742.95 | 57.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $12,804.41 | $12,804.41 | 36.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,672.45 | $12,672.45 | 52.9× |
| Myelogram Cervical (72240) | $9,283.29 | $9,283.29 | 11.8× |
| Myelogram Lumbar (72265) | $11,954.66 | $11,954.66 | 15.2× |
| Myelogram thoracic (72255) | $9,283.29 | $9,283.29 | 11.8× |
| Myelography 2 or more regions (72270) | $19,499.01 | $19,499.01 | 24.8× |
| Neck soft tissue (70360) | $800.85 | $800.85 | 9.2× |
| Pelvis 1 or 2 views (72170) | $1,407.85 | $1,407.85 | 13.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $13,646.57 | $13,646.57 | 38.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $718.79 | $718.79 | 8.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,842.23 | $1,842.23 | 17.5× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,011.67 | $1,011.67 | 9.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,053.39 | $3,053.39 | 29.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $785.29 | $785.29 | 7.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $857.44 | $857.44 | 9.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,513.98 | $1,513.98 | 14.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,764.40 | $1,764.40 | 20.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,036.07 | $2,036.07 | 11.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,499.83 | $1,499.83 | 17.2× |
| Ribs bilateral 3 views (71110) | $1,123.45 | $1,123.45 | 10.7× |
| Sacroiliac Joints < 3 Views (72200) | $1,059.78 | $1,059.78 | 10.1× |
| Scanogram (77073) | $1,280.50 | $1,280.50 | 12.2× |
| Scapula complete (73010) | $488.15 | $488.15 | 4.6× |
| Sella turcica (70240) | $527.76 | $527.76 | 6.0× |
| Spine thoracic 3 views (72072) | $2,582.22 | $2,582.22 | 24.6× |
| Thoracolumbar 2 views (72080) | $1,912.96 | $1,912.96 | 21.9× |
| Ultrasound, abdomen limited (76705) | $2,614.18 | $2,614.18 | 24.9× |
| Us compl joint r-t w/image documentation (76881) | $2,572.76 | $2,572.76 | 24.5× |
| Us infant hips dynamic (76885) | $2,781.32 | $2,781.32 | 31.8× |
| Us infant hips limited static (76886) | $2,781.32 | $2,781.32 | 31.8× |
| Us retroperitoneal limited (76775) | $3,221.31 | $3,221.31 | 30.7× |
| Us soft tissue head/neck (76536) | $2,009.93 | $2,009.93 | 19.1× |
| Us spinal canal and contents (76800) | $2,167.06 | $2,167.06 | 20.6× |
| Wrist 2 views (73100) | $1,300.31 | $1,300.31 | 14.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,552.18 | $1,552.18 | 17.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,649.79 | $1,649.79 | 9.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,195.61 | $1,195.61 | 13.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,443.22 | $1,443.22 | 16.5× |
| X-ray exam entire spi 4/5 vw (72083) | $2,050.21 | $2,050.21 | 19.5× |
| X-ray exam hip uni 1 view (73501) | $889.10 | $889.10 | 10.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $889.10 | $889.10 | 10.2× |
| X-ray exam hip uni 4/> views (73503) | $1,068.10 | $1,068.10 | 10.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,160.23 | $1,160.23 | 11.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,407.85 | $1,407.85 | 13.4× |
| X-ray exam of femur 1 (73551) | $1,332.85 | $1,332.85 | 15.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $921.12 | $921.12 | 8.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $554.65 | $554.65 | 6.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,420.59 | $1,420.59 | 16.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $834.80 | $834.80 | 9.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $554.65 | $554.65 | 6.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,124.86 | $1,124.86 | 10.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $748.50 | $748.50 | 8.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,223.91 | $1,223.91 | 14.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,842.23 | $1,842.23 | 17.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $725.86 | $725.86 | 6.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $718.79 | $718.79 | 6.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $925.36 | $925.36 | 10.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,270.60 | $1,270.60 | 12.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $870.19 | $870.19 | 8.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $860.27 | $860.27 | 9.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,100.81 | $1,100.81 | 10.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,006.32 | $1,006.32 | 9.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,324.36 | $1,324.36 | 12.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $493.81 | $493.81 | 5.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,730.44 | $1,730.44 | 19.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,059.78 | $1,059.78 | 12.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,362.56 | $1,362.56 | 13.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,088.07 | $1,088.07 | 10.4× |
| X-Ray Spine One View - Xr Spine (72020) | $1,332.85 | $1,332.85 | 15.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $605.60 | $605.60 | 6.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $605.60 | $605.60 | 6.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,037.49 | $2,037.49 | 19.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,911.56 | $1,911.56 | 18.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $670.66 | $670.66 | 7.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,225.32 | $1,225.32 | 14.0× |
| Xr arthrogram ankle (73615) | $2,695.41 | $2,695.41 | 7.7× |
| Xr c-spine 6 or more views (72052) | $2,623.26 | $2,623.26 | 25.0× |
| Xr chest 4+ views (71048) | $2,512.90 | $2,512.90 | 23.9× |
| Xr finger(s) 2+ views (73140) | $1,164.47 | $1,164.47 | 13.3× |
| Xr shoulder 1 view (73020) | $1,301.72 | $1,301.72 | 14.9× |
| Xr spine cervical 4 or 5 views (72050) | $966.38 | $966.38 | 9.2× |
| Xr tibia/fibula 2 views (73590) | $1,506.89 | $1,506.89 | 17.2× |
| Xr tmj bilateral (70330) | $759.81 | $759.81 | 8.7× |
| Xray knee 1 or 2 views rt (73560) | $1,332.85 | $1,332.85 | 15.2× |