Imaging prices at Tops Surgical Specialty Hospital
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
161 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) | $267.40 | $764 | 3.1× |
| Abdomen 2 views (74019) | $267.40 | $764 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $9,905.35 | $28,301 | 3.1× |
| Angiography extremity unilateral rs&i (75710) | $1,495.20 | $4,272 | 0.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$221.55–$443.45 | $633–$1,267 | varies |
| Artery X-Rays Adrenal Gland (75731) | $809.20 | $2,312 | 0.3× |
| Arthrogram ankle (73615) range across 7 matching MRF lines |
$672.70–$1,342.60 | $1,922–$3,836 | varies |
| Arthrogram hip (73525) range across 7 matching MRF lines |
$763.70–$1,528.80 | $2,182–$4,368 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$672.70–$1,343.30 | $1,922–$3,838 | varies |
| Bone survey infant (77076) | $243.95 | $697 | 2.3× |
| Chest 1 view (71045) | $237.30 | $678 | 2.7× |
| Chest 2 views (71046) | $275.80 | $788 | 3.2× |
| Chest 4 or more views (71048) | $267.40 | $764 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$243.95–$488.95 | $697–$1,397 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,602.25 | $7,435 | 0.8× |
| Contrast X-Ray Bladder (74430) | $619.15 | $1,769 | 1.8× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$672.70–$1,343.30 | $1,922–$3,838 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$763.70–$1,528.80 | $2,182–$4,368 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,477.60 | $9,936 | 9.9× |
| CT abdomen and pelvis without contrast (74176) | $3,477.60 | $9,936 | 14.5× |
| CT abdomen w contrast (74160) | $1,542.80 | $4,408 | 8.8× |
| CT abdomen w wo contrast (74170) | $1,634.50 | $4,670 | 9.3× |
| CT abdomen w/o contrast (74150) | $749 | $2,140 | 7.1× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,083.25–$1,083.95 | $3,095–$3,097 | varies |
| CT Angio Head (70496) | $1,967.35 | $5,621 | 11.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 54 matching MRF lines |
$1,527.75–$3,055.15 | $4,365–$8,729 | varies |
| CT Angio Neck (70498) | $2,100 | $6,000 | 11.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 15 matching MRF lines |
$1,566.60–$3,132.15 | $4,476–$8,949 | varies |
| CT cervical spine w/ contrast (72126) | $1,412.25 | $4,035 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,412.25 | $4,035 | 13.4× |
| CT cervical spine w/wo cont (72127) | $1,412.25 | $4,035 | 8.0× |
| CT chest w contrast (71260) | $1,443.75 | $4,125 | 8.2× |
| CT chest w/wo contrast (71270) | $1,725.85 | $4,931 | 9.8× |
| CT head/brain with contrast (70460) | $1,107.75 | $3,165 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,527.75 | $4,365 | 8.7× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,203.30–$2,406.25 | $3,438–$6,875 | varies |
| CT l-spine w&w/o contrast (72133) | $1,412.25 | $4,035 | 8.0× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$962.50–$1,923.25 | $2,750–$5,495 | varies |
| CT lumbar spine w contrast (72132) | $1,412.25 | $4,035 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,587.95 | $4,537 | 15.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,127.70–$1,183.35 | $3,222–$3,381 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,185.80–$1,244.60 | $3,388–$3,556 | varies |
| CT neck tissue combo (70492) | $1,244.60 | $3,556 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,203.30–$2,406.25 | $3,438–$6,875 | varies |
| CT orbits w/o contrast (70480) | $1,203.30 | $3,438 | 11.5× |
| CT pelvis w&w/o contrast (72194) | $1,542.80 | $4,408 | 8.8× |
| CT pelvis w/o contrast (72192) | $1,244.60 | $3,556 | 11.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,542.80–$3,084.90 | $4,408–$8,814 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,127.70–$1,183.35 | $3,222–$3,381 | varies |
| CT soft tissue neck w contrast (70491) | $1,393.70 | $3,982 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,393.70 | $3,982 | 13.3× |
| CT thoracic spine w contrast (72129) | $1,412.25 | $4,035 | 8.0× |
| CT thoracic spine w/o contrast (72128) | $1,412.25 | $4,035 | 13.4× |
| CT thoracic spine w/wo cont (72130) | $1,412.25 | $4,035 | 8.0× |
| CT thorax w/o contrast (71250) | $1,725.85 | $4,931 | 16.4× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$1,244.60–$2,491.65 | $3,556–$7,119 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 22 matching MRF lines |
$916.30–$1,923.25 | $2,618–$5,495 | varies |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$916.65–$1,832.60 | $2,619–$5,236 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,006.20 | $5,732 | 11.4× |
| Cta Abdomen (74175) | $2,386.30 | $6,818 | 13.5× |
| CTA pelvis (72191) | $1,527.75 | $4,365 | 8.7× |
| Discography Cerv/Thor Spine (72285) | $2,459.45 | $7,027 | 1.3× |
| Diskography lumbar (72295) | $2,459.45 | $7,027 | 1.3× |
| Dxa Bone Density Axial (77080) | $253.05 | $723 | 2.4× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$313.60–$313.95 | $896–$897 | varies |
| Esophagram (74220) | $420 | $1,200 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $488.95 | $1,397 | 2.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$275.80–$550.20 | $788–$1,572 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$214.55–$427.35 | $613–$1,221 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$251.65–$504 | $719–$1,440 | varies |
| Interstitial radiation source applic complex (77778) | $1,244.60 | $3,556 | 1.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$305.20–$612.15 | $872–$1,749 | varies |
| Lymph System Imaging (78195) | $809.55 | $2,313 | 1.5× |
| Mammary ductogram or galactogram multiple (77054) range across 4 matching MRF lines |
$458.85–$917 | $1,311–$2,620 | varies |
| Mammary ductogram or galactogram single (77053) | $374.50 | $1,070 | 1.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,244.60 | $3,556 | 3.6× |
| Neck soft tissue (70360) | $175.35 | $501 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $778.40 | $2,224 | 7.4× |
| Pelvis 1 or 2 views (72170) | $221.55 | $633 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $313.60 | $896 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $365.75 | $1,045 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$267.40–$535.85 | $764–$1,531 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$199.15–$397.95 | $569–$1,137 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$251.65–$504 | $719–$1,440 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $160.65 | $459 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$190.75–$191.45 | $545–$547 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$298.20–$597.45 | $852–$1,707 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$283.50–$565.25 | $810–$1,615 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $228.90 | $654 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $228.90 | $654 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$160.65–$321.30 | $459–$918 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $175.70 | $502 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $267.40 | $764 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $206.15 | $589 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$206.15–$413 | $589–$1,180 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $320.95 | $917 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$305.20–$610.05 | $872–$1,743 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$183.40–$199.15 | $524–$569 | varies |
| Radiologic exam teeth complete full mouth (70320) | $313.60 | $896 | 1.3× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $313.60 | $896 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $619.15 | $1,769 | 3.5× |
| Radiologic examination femur 1 view (73551) | $237.30 | $678 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $237.30 | $678 | 2.7× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$283.50–$565.25 | $810–$1,615 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$251.65–$504 | $719–$1,440 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $313.60 | $896 | 3.6× |
| Ribs bilateral 3 views (71110) | $251.65 | $719 | 2.4× |
| Scapula (73010) range across 3 matching MRF lines |
$176.40–$353.50 | $504–$1,010 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$221.55–$443.45 | $633–$1,267 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$763.70–$1,528.80 | $2,182–$4,368 | varies |
| Skull less than 4 views (70250) | $228.90 | $654 | 2.2× |
| Thoracic spine 2 views (72070) | $313.60 | $896 | 3.0× |
| Thoracic spine 3 views (72072) | $335.65 | $959 | 3.2× |
| Thoracolumbar 2 views (72080) | $313.60 | $896 | 3.6× |
| Ultrasound, abdomen limited (76705) | $320.95 | $917 | 3.1× |
| Unlisted Dx Radiographic Procedure (76499) | $206.15 | $589 | 2.4× |
| Unlisted fluoroscopic procedure (76496) | $298.20 | $852 | 3.4× |
| Upper gi w/o kub (74240) | $619.15 | $1,769 | 3.5× |
| Urethrocystography retrograde (74450) | $542.50 | $1,550 | 2.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$228.90–$458.85 | $654–$1,311 | varies |
| Us exam, pelvic, limited (76857) | $228.90 | $654 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$290.15–$612.15 | $829–$1,749 | varies |
| Us ob limited 1 or more fetuses (76815) | $401.45 | $1,147 | 3.8× |
| Us ob transvaginal (76817) | $499.80 | $1,428 | 4.8× |
| Us pelvic non ob complete (76856) | $381.15 | $1,089 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $405.30 | $1,158 | 3.9× |
| Us retroperitoneal complete (76770) | $477.40 | $1,364 | 4.5× |
| Us retroperitoneal limited (76775) | $365.75 | $1,045 | 3.5× |
| Us scrotum and contents (76870) | $405.30 | $1,158 | 3.9× |
| Us spinal canal and contents (76800) | $340.20 | $972 | 3.2× |
| Us thyroid (76536) | $340.20 | $972 | 3.2× |
| Us transrectal (76872) | $313.60 | $896 | 3.0× |
| Venography caval inferior serialography rs&i (75825) | $778.40 | $2,224 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $1,561.70 | $4,462 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $778.40 | $2,224 | 0.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$214.55–$427.35 | $613–$1,221 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$228.90–$458.85 | $654–$1,311 | varies |
| X-Ray Exam Breast Specimen (76098) | $558.25 | $1,595 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $183.40 | $524 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $183.40 | $524 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $206.15 | $589 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $206.15 | $589 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $763.70 | $2,182 | 7.3× |
| X-Ray Exam L-S Spine Bending (72114) | $344.05 | $983 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$206.15–$210.70 | $589–$602 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $298.20 | $852 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $251.65 | $719 | 2.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$267.40–$535.85 | $764–$1,531 | varies |
| X-ray IV pyelogram (ivp) (74400) | $619.15 | $1,769 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $305.55 | $873 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $344.05 | $983 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $251.65 | $719 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $199.15 | $569 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$199.15–$397.95 | $569–$1,137 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $199.15 | $569 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $214.55 | $613 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $359.80 | $1,028 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $619.15 | $1,769 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $298.20 | $852 | 2.8× |
| Xr facial bones less than 3 views (70140) | $190.75 | $545 | 2.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$273–$287.35 | $780–$821 | varies |
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.