Imaging prices at Texoma Medical Center
Denison, TX · every code in this section with a posted price and a Medicare benchmark.
339 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $950.25 | $1,267 | 10.9× |
| Abdomen 2 views (74019) | $1,164 | $1,552 | 11.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,745 | $3,660 | 6.8× |
| Adrenal Cortex & Medulla Img (78075) | $5,116.50 | $6,822 | 3.9× |
| Angio pulmonary bilat (75743) | $13,859.25 | $18,479 | 4.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,908–$9,775.50 | $6,544–$13,034 | varies |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$5,370–$10,452.75 | $7,160–$13,937 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$11,087.25–$13,859.25 | $14,783–$18,479 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$738–$1,731.75 | $984–$2,309 | varies |
| Aortography thoracic serialography rs&i (75605) | $16,725 | $22,300 | 3.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,590.25–$20,906.25 | $12,787–$27,875 | varies |
| Artery X-Rays Pelvis (75736) | $5,520 | $7,360 | 1.0× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,806.75–$2,709 | $2,409–$3,612 | varies |
| Arthrogram hip (73525) | $1,806.75 | $2,409 | 5.2× |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$1,764–$3,315.75 | $2,352–$4,421 | varies |
| Bone age studies (77072) | $1,279.50 | $1,706 | 12.2× |
| Bone Imaging 3 Phase (78315) | $4,226.25 | $5,635 | 10.5× |
| Bone Imaging Limited Area (78300) | $1,984.50 | $2,646 | 4.9× |
| Bone Imaging Multiple Areas (78305) | $2,292 | $3,056 | 5.7× |
| Bone Imaging Whole Body (78306) | $4,556.25 | $6,075 | 11.3× |
| Bone marrow imaging limited area (78102) | $1,968.75 | $2,625 | 4.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$557.25–$746.25 | $743–$995 | varies |
| Brain Flow Imaging Only (78610) | $3,509.25 | $4,679 | 6.4× |
| Brain Image W/Flow < 4 Views (78601) | $2,256 | $3,008 | 5.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,004.50 | $4,006 | 5.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,691.25 | $14,255 | 7.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$5,075.25–$5,076 | $6,767–$6,768 | varies |
| Cardiac Shunt Detection (78428) | $3,210 | $4,280 | 8.0× |
| Cat Scan Follow-Up Study (76380) | $199.50 | $266 | 2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,210 | $4,280 | 5.9× |
| Cerebrospinal Fluid Scan (78630) | $4,450.50 | $5,934 | 8.2× |
| Chest 1 view (71045) | $802.50 | $1,070 | 9.2× |
| Chest 2 views (71046) | $1,230.75 | $1,641 | 14.1× |
| Chest 3 views (71047) | $1,139.25 | $1,519 | 13.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,353–$1,448.25 | $1,804–$1,931 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,107.50 | $2,810 | 2.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$897–$1,483.50 | $1,196–$1,978 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$1,023.75–$1,135.50 | $1,365–$1,514 | varies |
| Contrast Exam Abdominl Aorta (75625) | $9,775.50 | $13,034 | 3.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,432.50–$1,915.50 | $1,910–$2,554 | varies |
| Contrast X-Ray Of Elbow (73085) range across 5 matching MRF lines |
$1,947–$2,578.50 | $2,596–$3,438 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$1,806.75–$2,709 | $2,409–$3,612 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $16,098.75 | $21,465 | 45.9× |
| CT abdomen and pelvis without contrast (74176) | $9,637.50 | $12,850 | 40.2× |
| CT abdomen w contrast (74160) | $8,187.75 | $10,917 | 46.5× |
| CT abdomen w wo contrast (74170) | $8,988.75 | $11,985 | 51.0× |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$1,658.25–$4,815 | $2,211–$6,420 | varies |
| CT Angio Abdomen and Pelvis (74174) | $12,256.50 | $16,342 | 35.0× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$3,972–$6,580.50 | $5,296–$8,774 | varies |
| CT Angio Head (70496) | $5,525.25 | $7,367 | 31.4× |
| CT angio hrt w/3d image (75574) | $6,845.25 | $9,127 | 19.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$3,980.25–$5,324.25 | $5,307–$7,099 | varies |
| CT Angio Neck (70498) | $6,012.75 | $8,017 | 34.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,430.75 | $7,241 | 30.8× |
| CT bone density (77078) | $1,068.75 | $1,425 | 12.2× |
| CT cervical spine w/ contrast (72126) | $8,457.75 | $11,277 | 24.1× |
| CT cervical spine w/o contrast (72125) | $7,935 | $10,580 | 75.6× |
| CT cervical spine w/wo cont (72127) | $10,948.50 | $14,598 | 62.1× |
| CT chest w contrast (71260) | $7,580.25 | $10,107 | 43.0× |
| CT chest w/wo contrast (71270) | $8,094 | $10,792 | 45.9× |
| CT head/brain with contrast (70460) | $7,284.75 | $9,713 | 41.3× |
| CT head/brain without and with contrast (70470) | $8,228.25 | $10,971 | 46.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$657–$788.25 | $876–$1,051 | varies |
| CT iac w contrast (70481) | $5,912.25 | $7,883 | 33.6× |
| CT l-spine w&w/o contrast (72133) | $8,967.75 | $11,957 | 50.9× |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$5,596.50–$10,657.50 | $7,462–$14,210 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$6,554.25–$11,407.50 | $8,739–$15,210 | varies |
| CT lumbar spine w contrast (72132) | $8,252.25 | $11,003 | 23.5× |
| CT lumbar spine w/o contrast (72131) | $7,818 | $10,424 | 74.4× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$4,633.50–$6,427.50 | $6,178–$8,570 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$3,624.75–$5,139.75 | $4,833–$6,853 | varies |
| CT neck tissue combo (70492) | $7,941.75 | $10,589 | 45.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,084 | $8,112 | 34.5× |
| CT orbits w/o contrast (70480) | $5,056.50 | $6,742 | 48.1× |
| CT pelvis w&w/o contrast (72194) | $8,172 | $10,896 | 46.4× |
| CT pelvis w/o contrast (72192) | $4,708.50 | $6,278 | 44.8× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$6,873–$11,835 | $9,164–$15,780 | varies |
| CT scans face/jaw combo (70488) | $7,544.25 | $10,059 | 42.8× |
| CT soft tissue neck w contrast (70491) | $6,554.25 | $8,739 | 37.2× |
| CT soft tissue neck w/o contrast (70490) | $5,163 | $6,884 | 49.2× |
| CT thoracic spine w contrast (72129) | $7,667.25 | $10,223 | 43.5× |
| CT thoracic spine w/o contrast (72128) | $6,362.25 | $8,483 | 60.6× |
| CT thoracic spine w/wo cont (72130) | $9,435.75 | $12,581 | 53.6× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$2,566.50–$6,206.25 | $3,422–$8,275 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$1,823.25–$2,191.50 | $2,431–$2,922 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$5,487–$8,751.75 | $7,316–$11,669 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$7,836–$13,068 | $10,448–$17,424 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$5,661–$9,595.50 | $7,548–$12,794 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,432.50 | $9,910 | 42.2× |
| Cta Abdomen (74175) | $6,845.25 | $9,127 | 38.8× |
| CTA pelvis (72191) | $4,603.50 | $6,138 | 26.1× |
| Discography Cerv/Thor Spine (72285) | $10,452.75 | $13,937 | 5.3× |
| Diskography lumbar (72295) | $10,452.75 | $13,937 | 5.3× |
| Dxa Bone Density Axial (77080) | $675.75 | $901 | 6.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $456.75 | $609 | 5.2× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$2,076.75–$2,474.25 | $2,769–$3,299 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$2,763–$2,957.25 | $3,684–$3,943 | varies |
| Esophagram (74220) | $1,470.75 | $1,961 | 8.3× |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$788.25–$1,159.50 | $1,051–$1,546 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $966.75 | $1,289 | 9.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$738–$912.75 | $984–$1,217 | varies |
| Follow-Up Angiography (75898) | $4,818.75 | $6,425 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$894–$1,551 | $1,192–$2,068 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$826.50–$1,450.50 | $1,102–$1,934 | varies |
| Gastric emptying imaging study (78264) | $3,836.25 | $5,115 | 9.6× |
| Gated Heart Planar Single (78472) | $5,788.50 | $7,718 | 14.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$997.50–$1,729.50 | $1,330–$2,306 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $12,948 | $17,264 | 4.1× |
| Hepatobil Syst Image W/Drug (78227) | $5,625 | $7,500 | 10.3× |
| Hepatobiliary System Imaging (78226) | $4,684.50 | $6,246 | 11.7× |
| Ht Muscle Image Spect Sing (78451) | $7,349.25 | $9,799 | 5.7× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$2,402.25–$3,003 | $3,203–$4,004 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,446–$1,917 | $1,928–$2,556 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,446 | $1,928 | 16.5× |
| K Flow/Funct Image Multiple (78709) | $2,999.25 | $3,999 | 5.5× |
| K Flow/Funct Image W/Drug (78708) | $3,201 | $4,268 | 5.9× |
| K Flow/Funct Image W/O Drug (78707) | $2,736 | $3,648 | 5.0× |
| Kidney Imaging Morphol (78700) | $2,466 | $3,288 | 6.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $4,693.50 | $6,258 | 11.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$888–$1,540.50 | $1,184–$2,054 | varies |
| Liver & Spleen Imaging Static Only (78215) | $4,716.75 | $6,289 | 11.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,080 | $5,440 | 10.2× |
| Liver imaging static only (78201) | $2,061 | $2,748 | 3.8× |
| Liver imaging w/vascular flow (78202) | $2,061 | $2,748 | 3.8× |
| Lung Perf&Ventilat Diferentl (78598) | $7,058.25 | $9,411 | 12.9× |
| Lung perfusion differential (78597) | $4,116 | $5,488 | 10.2× |
| Lung Ventilat&Perfus Imaging (78582) | $4,879.50 | $6,506 | 8.9× |
| Lung Ventilation Imaging (78579) | $2,680.50 | $3,574 | 6.7× |
| Lymph System Imaging (78195) | $3,938.25 | $5,251 | 7.2× |
| Magnetic Image Jaw Joint (70336) range across 11 matching MRF lines |
$4,414.50–$5,709 | $5,886–$7,612 | varies |
| Mammary ductogram or galactogram single (77053) | $1,495.50 | $1,994 | 6.2× |
| Meckels Divert Exam (78290) | $4,812 | $6,416 | 12.0× |
| Mra Head W/O & W/Contrast Material (70546) | $11,211.75 | $14,949 | 32.0× |
| MRA head w/o contrast (70544) | $6,255 | $8,340 | 26.1× |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$6,691.50–$7,293.75 | $8,922–$9,725 | varies |
| MRA neck w contrast (70548) | $5,787 | $7,716 | 16.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,336 | $12,448 | 26.6× |
| MRA neck w/o contrast (70547) | $6,160.50 | $8,214 | 25.7× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$7,551.75–$7,620.75 | $10,069–$10,161 | varies |
| MRI abdomen w/o contrast (74181) | $7,689 | $10,252 | 32.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$9,945–$14,950.50 | $13,260–$19,934 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$10,301.25–$17,601.75 | $13,735–$23,469 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$8,586.75–$14,253.75 | $11,449–$19,005 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $6,849.75 | $9,133 | 28.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,091.75 | $6,789 | 21.2× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$4,443–$4,443.75 | $5,924–$5,925 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$9,935.25–$10,830 | $13,247–$14,440 | varies |
| MRI cervical spine w/o cont (72141) | $8,964 | $11,952 | 37.4× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$6,537.75–$8,547 | $8,717–$11,396 | varies |
| MRI chest with contrast (71551) | $7,220.25 | $9,627 | 9.2× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$9,388.50–$11,220.75 | $12,518–$14,961 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$6,500.25–$12,942.75 | $8,667–$17,257 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$9,442.50–$16,612.50 | $12,590–$22,150 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$7,812.75–$13,179 | $10,417–$17,572 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$10,133.25–$11,045.25 | $13,511–$14,727 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $11,450.25 | $15,267 | 32.7× |
| MRI orbit face &/neck w/o contrast (70540) | $8,633.25 | $11,511 | 36.0× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$7,728–$9,572.25 | $10,304–$12,763 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,785.25 | $13,047 | 27.9× |
| MRI pelvis w contrast (72196) | $4,761.75 | $6,349 | 13.6× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$7,857–$8,217 | $10,476–$10,956 | varies |
| MRI pelvis w/o contrast (72195) | $2,972.25 | $3,963 | 12.4× |
| MRI spectroscopy (76390) | $7,290 | $9,720 | 83.4× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$4,086–$8,907.75 | $5,448–$11,877 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$6,830.25–$13,104 | $9,107–$17,472 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$7,596.75–$13,109.25 | $10,129–$17,479 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$8,594.25–$14,518.50 | $11,459–$19,358 | varies |
| MRI, abdomen, combo (74183) | $9,147 | $12,196 | 26.1× |
| MRI, dorsal spine combo (72157) | $10,738.50 | $14,318 | 30.6× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$9,385.50–$10,230.75 | $12,514–$13,641 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$7,883.25–$9,855 | $10,511–$13,140 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$9,750–$16,611.75 | $13,000–$22,149 | varies |
| MRI, lumbar spine combo (72158) | $11,344.50 | $15,126 | 32.4× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$3,426–$3,426.75 | $4,568–$4,569 | varies |
| Myelogram Lumbar (72265) | $4,620 | $6,160 | 5.9× |
| Myelography thoracic (72255) | $4,692.75 | $6,257 | 6.0× |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$4,790.25–$5,988 | $6,387–$7,984 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,562 | $3,416 | 6.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $17,697 | $23,596 | 13.6× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,562 | $3,416 | 4.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$7,704.75–$8,547 | $10,273–$11,396 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,334.75 | $3,113 | 2.7× |
| Neck soft tissue (70360) | $826.50 | $1,102 | 9.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $860.25 | $1,147 | 2.1× |
| Nm myocard infarct spect (78469) | $4,446.75 | $5,929 | 8.2× |
| Nonvascular Shunt X-Ray (75809) | $1,812.75 | $2,417 | 17.3× |
| Nuclear Rx Intra-Arterial (79445) | $638.25 | $851 | 2.7× |
| Nuclear Rx Oral Admin (79005) | $5,384.25 | $7,179 | 23.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,788 | $6,384 | 8.8× |
| Parathyroid Planar Imaging (78070) | $4,419.75 | $5,893 | 11.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,907.50 | $9,210 | 17.2× |
| Pelvis 1 or 2 views (72170) | $822 | $1,096 | 7.8× |
| Peritoneogram Rs&I (74190) | $1,738.50 | $2,318 | 3.2× |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$9,857.25–$10,935 | $13,143–$14,580 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$11,877–$12,712.50 | $15,836–$16,950 | varies |
| PET image w/CT, full body (78816) | $17,733 | $23,644 | 12.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$12,207.75–$16,928.25 | $16,277–$22,571 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $9,315.75 | $12,421 | 7.2× |
| PET whole body (78813) range across 2 matching MRF lines |
$20,686.50–$26,798.25 | $27,582–$35,731 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,195 | $4,260 | 8.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,329.75 | $1,773 | 12.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 6 matching MRF lines |
$1,495.50–$2,001 | $1,994–$2,668 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$1,096.50–$1,758.75 | $1,462–$2,345 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$640.50–$1,477.50 | $854–$1,970 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$802.50–$1,459.50 | $1,070–$1,946 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,633.50 | $2,178 | 15.6× |
| Radex fingr minimum 2 views (73140) range across 25 matching MRF lines |
$865.50–$1,389.75 | $1,154–$1,853 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$903–$1,582.50 | $1,204–$2,110 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$1,035.75–$1,879.50 | $1,381–$2,506 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$335.25–$690.75 | $447–$921 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$831.75–$1,664.25 | $1,109–$2,219 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,016.25 | $1,355 | 11.6× |
| Radex Ribs Unilateral 2 Views (71100) | $969 | $1,292 | 11.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,020–$1,707 | $1,360–$2,276 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $407.25 | $543 | 4.7× |
| Radex Spine 1 View Specify Level (72020) | $927 | $1,236 | 10.6× |
| Radex Sternum Minimum 2 Views (71120) | $708.75 | $945 | 8.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,605–$2,006.25 | $2,140–$2,675 | varies |
| Radex Toe Minimum 2 Views (73660) range across 24 matching MRF lines |
$741.75–$794.25 | $989–$1,059 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$453–$738.75 | $604–$985 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$997.50–$1,731.75 | $1,330–$2,309 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$1,638.75–$2,048.25 | $2,185–$2,731 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,071.75 | $1,429 | 10.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$1,087.50–$1,419 | $1,450–$1,892 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$2,241–$2,998.50 | $2,988–$3,998 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$2,139.75–$2,864.25 | $2,853–$3,819 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$857.25–$1,667.25 | $1,143–$2,223 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,715.25–$2,144.25 | $2,287–$2,859 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,810.50 | $2,414 | 10.3× |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$851.25–$1,427.25 | $1,135–$1,903 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $5,031 | $6,708 | 28.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$897–$1,575.75 | $1,196–$2,101 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$807–$1,512 | $1,076–$2,016 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$1,001.25–$1,090.50 | $1,335–$1,454 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$948.75–$1,662 | $1,265–$2,216 | varies |
| Renal Cyst Study (74470) range across 4 matching MRF lines |
$1,352.25–$4,498.50 | $1,803–$5,998 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,514.25–$1,569.75 | $2,019–$2,093 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,195 | $4,260 | 8.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,195 | $4,260 | 8.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,736.25 | $6,315 | 8.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$2,061–$4,056 | $2,748–$5,408 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,546.75 | $4,729 | 2.7× |
| Rp Therapy Intravenous Administration (79101) | $7,422 | $9,896 | 31.7× |
| Scapula (73010) range across 5 matching MRF lines |
$873–$1,576.50 | $1,164–$2,102 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$132.75–$157.50 | $177–$210 | varies |
| Sella turcica (70240) | $454.50 | $606 | 5.2× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$756–$1,393.50 | $1,008–$1,858 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$2,220.75–$3,435.75 | $2,961–$4,581 | varies |
| Sialogram (70390) | $1,495.50 | $1,994 | 6.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$726.75–$908.25 | $969–$1,211 | varies |
| Sternoclavicular joints (71130) | $557.25 | $743 | 6.4× |
| Testicular Imaging W/Flow (78761) | $2,466 | $3,288 | 6.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $660.19 | $880.25 | 1.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$1,752.75–$1,753.50 | $2,337–$2,338 | varies |
| Thoracic spine 2 views (72070) | $992.25 | $1,323 | 9.4× |
| Thoracic spine 3 views (72072) | $796.50 | $1,062 | 7.6× |
| Thoracolumbar 2 views (72080) | $938.25 | $1,251 | 10.7× |
| Thyroid Imaging With Vascular Flow (78013) | $2,434.50 | $3,246 | 6.1× |
| Thyroid Met Imaging Body (78018) | $4,788 | $6,384 | 8.8× |
| Thyroid Uptake Measurement (78012) | $1,073.25 | $1,431 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,976–$3,301.50 | $3,968–$4,402 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$1,196.25–$1,695 | $1,595–$2,260 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$1,429.50–$1,586.25 | $1,906–$2,115 | varies |
| Ultrasound, abdomen limited (76705) range across 17 matching MRF lines |
$1,837.50–$1,966.50 | $2,450–$2,622 | varies |
| Umbilical-artery Doppler (OB) (76820) | $708.75 | $945 | 6.7× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$3,498.75–$4,334.25 | $4,665–$5,779 | varies |
| Upper gi w/o kub (74240) | $4,560.75 | $6,081 | 25.9× |
| Ureteral Reflux Study (78740) | $2,466 | $3,288 | 6.1× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,611–$2,156.25 | $2,148–$2,875 | varies |
| Urethrocystography retrograde (74450) | $1,395.75 | $1,861 | 5.8× |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$1,287.75–$1,886.25 | $1,717–$2,515 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$396–$650.25 | $528–$867 | varies |
| Us complete joint (76881) range across 12 matching MRF lines |
$1,398–$1,550.25 | $1,864–$2,067 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$1,166.25–$1,720.50 | $1,555–$2,294 | varies |
| Us head (76506) range across 3 matching MRF lines |
$1,219.50–$1,616.25 | $1,626–$2,155 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$1,559.25–$2,068.50 | $2,079–$2,758 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$1,398–$1,482 | $1,864–$1,976 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$1,957.50–$3,000 | $2,610–$4,000 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$1,882.50–$2,496 | $2,510–$3,328 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$1,206–$1,599.75 | $1,608–$2,133 | varies |
| Us pelvic non ob complete (76856) range across 7 matching MRF lines |
$1,720.50–$1,924.50 | $2,294–$2,566 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$1,554–$1,648.50 | $2,072–$2,198 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$598.50–$1,645.50 | $798–$2,194 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$1,692.75–$2,367 | $2,257–$3,156 | varies |
| Us retroperitoneal limited (76775) range across 9 matching MRF lines |
$747–$2,427 | $996–$3,236 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,228.50–$1,699.50 | $1,638–$2,266 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$1,259.25–$2,471.25 | $1,679–$3,295 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$789–$1,600.50 | $1,052–$2,134 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$794.25–$1,365 | $1,059–$1,820 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,466.25–$5,116.50 | $5,955–$6,822 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,981.75 | $9,309 | 2.2× |
| Vein X-Ray Spleen/Liver (75810) | $5,694.38 | $7,592.50 | 1.8× |
| Venogram Sinus/Jugular (75860) | $7,611 | $10,148 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $13,859.25 | $18,479 | 4.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,818.75–$5,116.50 | $6,425–$6,822 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$2,402.25–$5,116.50 | $3,203–$6,822 | varies |
| Venography Renal Bilateral (75833) | $13,859.25 | $18,479 | 4.4× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$10,452.75–$12,948 | $13,937–$17,264 | varies |
| Venous sampling by catheter (75893) | $10,452.75 | $13,937 | 1.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,695 | $2,260 | 4.2× |
| Vertebral fracture assessment via dxa (77086) | $98.25 | $131 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$851.25–$1,495.50 | $1,135–$1,994 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,005.75–$1,006.50 | $1,341–$1,342 | varies |
| X-ray antegrade pyelogram tube (74425) | $896.25 | $1,195 | 2.6× |
| X-Ray Aorta Leg Arteries (75630) | $9,775.50 | $13,034 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $1,867.50 | $2,490 | 17.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$738–$1,225.50 | $984–$1,634 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$648.75–$2,517 | $865–$3,356 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$1,076.25–$1,135.50 | $1,435–$1,514 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$500.25–$595.50 | $667–$794 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $859.50 | $1,146 | 9.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$336–$661.50 | $448–$882 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$2,070–$2,070.75 | $2,760–$2,761 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $2,089.50 | $2,786 | 19.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,671 | $2,228 | 19.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,671 | $2,228 | 15.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,343.25 | $1,791 | 12.8× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$900–$1,578.75 | $1,200–$2,105 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,988 | $3,984 | 17.0× |
| X-ray IV pyelogram+tomography (74415) | $3,678 | $4,904 | 20.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $945.75 | $1,261 | 10.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $633.75 | $845 | 7.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,050 | $1,400 | 10.0× |
| X-ray nose-rectum child f.b. (76010) | $1,142.25 | $1,523 | 13.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,671 | $2,228 | 15.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,432.50 | $1,910 | 13.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,038.75 | $1,385 | 9.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $927.75 | $1,237 | 10.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,546.50 | $2,062 | 17.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,321.25 | $3,095 | 22.1× |
| X-ray thoracic spine 4 vw (72074) | $907.50 | $1,210 | 8.6× |
| X-Ray Tmj Unilat (70328) | $831.75 | $1,109 | 9.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,138.25 | $2,851 | 6.1× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$925.50–$1,017.75 | $1,234–$1,357 | varies |
| X-Rays Bone Survey Complete (77075) | $2,202 | $2,936 | 21.0× |
| Xr c-spine 4 or 5 views (72050) | $1,444.50 | $1,926 | 13.8× |
| Xr facial bones less than 3 views (70140) | $804.75 | $1,073 | 9.2× |
| Xr orbits complete 4 views (70200) | $1,633.50 | $2,178 | 15.6× |
| Xr Tomogram Single Plane (76100) | $1,374.75 | $1,833 | 13.1× |
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.