Imaging prices at United Regional Health Care System
Wichita Falls, TX · every code in this section with a posted price and a Medicare benchmark.
370 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) | $5,847.30 | $6,155.05 | 4.2× |
| Abdomen 1 View (74018) | $311.84 | $328.25 | 3.6× |
| Abdomen 2 views (74019) | $361.90 | $380.95 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,749.40 | $2,894.10 | 6.8× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,294.76 | $1,362.90 | 1.0× |
| Adrenal Cortex & Medulla Img (78075) | $3,467.50 | $3,650 | 2.7× |
| Angio internal mammary (75756) | $3,918.70 | $4,124.95 | 1.2× |
| Angio pulmonary bilat (75743) | $3,918.70 | $4,124.95 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,918.70 | $4,124.95 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $3,918.70 | $4,124.95 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $3,918.70 | $4,124.95 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,193.93 | $2,309.40 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,918.70 | $4,124.95 | 1.2× |
| Ankle 2 views (73600) | $370.22 | $389.70 | 4.2× |
| Aortography thoracic serialography rs&i (75605) | $6,527.88 | $6,871.45 | 1.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,918.70 | $4,124.95 | 1.2× |
| Artery X-Rays Abdomen (75726) | $6,527.88 | $6,871.45 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $3,918.70 | $4,124.95 | 1.2× |
| Artery X-Rays Pelvis (75736) | $6,527.88 | $6,871.45 | 1.2× |
| Artery X-Rays Spine (75705) | $6,527.88 | $6,871.45 | 1.2× |
| Arthrogram ankle (73615) | $1,316.70 | $1,386 | 3.8× |
| Arthrogram hip (73525) | $1,196.95 | $1,259.95 | 3.4× |
| Arthrogram Wrist (73115) | $1,139.38 | $1,199.35 | 3.3× |
| Basic radiation dosimetry calculation (77300) | $453.06 | $476.90 | 3.4× |
| Bone age studies (77072) | $319.77 | $336.60 | 3.0× |
| Bone Imaging 3 Phase (78315) | $2,171.46 | $2,285.75 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,251.86 | $1,317.75 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,616.33 | $1,701.40 | 4.0× |
| Bone marrow imaging limited area (78102) | $1,097.25 | $1,155 | 2.7× |
| Bone marrow imaging; multiple areas (78103) | $1,645.88 | $1,732.50 | 4.1× |
| Bone marrow imaging; whole body (78104) | $2,023.12 | $2,129.60 | 5.0× |
| Bone survey infant (77076) | $457.90 | $482 | 4.4× |
| Brain Flow Imaging Only (78610) | $780.62 | $821.70 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $1,600.94 | $1,685.20 | 4.0× |
| Brain imaging < 4 static views (78600) | $1,361.64 | $1,433.30 | 3.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,852.78 | $1,950.30 | 3.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $11,022.66 | $11,602.80 | 7.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,302.20 | $3,476 | 8.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,284.38 | $5,562.50 | 15.1× |
| Cat Scan Follow-Up Study (76380) | $1,304.54 | $1,373.20 | 14.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,642.74 | $1,729.20 | 3.0× |
| Cerebrospinal Fluid Scan (78630) | $2,287.93 | $2,408.35 | 4.2× |
| Chest 1 view (71045) | $242.87 | $255.65 | 2.8× |
| Chest 2 views (71046) | $281.58 | $296.40 | 3.2× |
| Chest 3 views (71047) | $271.80 | $286.10 | 3.1× |
| Chest 4 or more views (71048) | $324.19 | $341.25 | 3.1× |
| Cholecystography Oral Contrast (74290) | $482.08 | $507.45 | 2.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $7,068 | $7,440 | 67.3× |
| Clavicle complete (73000) | $374.92 | $394.65 | 4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $408.50 | $430 | 3.9× |
| Continuing medical physics consltj pr wk (77336) | $977.41 | $1,028.85 | 7.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,085.22 | $3,247.60 | 1.0× |
| Contrast X-Ray Bladder (74430) | $610.80 | $642.95 | 1.7× |
| Contrast X-Ray Of Elbow (73085) | $1,200.80 | $1,264 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,635.09 | $1,721.15 | 4.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $684.81 | $720.85 | 3.9× |
| Corpora cavernosography (74445) | $1,110.50 | $1,168.95 | 10.6× |
| CT abdomen and pelvis without and with contrast (74178) | $6,623.78 | $6,972.40 | 18.9× |
| CT abdomen and pelvis without contrast (74176) | $5,042.74 | $5,308.15 | 21.0× |
| CT abdomen w contrast (74160) | $2,767.92 | $2,913.60 | 15.7× |
| CT abdomen w wo contrast (74170) | $3,353.07 | $3,529.55 | 19.0× |
| CT abdomen w/o contrast (74150) | $2,352.91 | $2,476.75 | 22.4× |
| CT Angio Abdomen and Pelvis (74174) | $4,915.92 | $5,174.65 | 14.0× |
| CT Angio Chest (71275) | $3,065.36 | $3,226.70 | 17.4× |
| CT Angio Head (70496) | $2,073.90 | $2,183.05 | 11.8× |
| CT angio hrt w/3d image (75574) | $3,027.03 | $3,186.35 | 8.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,429.15 | $2,557 | 13.8× |
| CT Angio Neck (70498) | $1,963.22 | $2,066.55 | 11.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,188.18 | $2,303.35 | 12.4× |
| CT cervical spine w/ contrast (72126) | $2,165.81 | $2,279.80 | 6.2× |
| CT cervical spine w/o contrast (72125) | $2,165.81 | $2,279.80 | 20.6× |
| CT cervical spine w/wo cont (72127) | $3,045.84 | $3,206.15 | 17.3× |
| CT chest w contrast (71260) | $2,827.44 | $2,976.25 | 16.0× |
| CT chest w/wo contrast (71270) | $3,455.48 | $3,637.35 | 19.6× |
| CT head/brain with contrast (70460) | $1,734.60 | $1,825.90 | 9.8× |
| CT head/brain without and with contrast (70470) | $2,116.98 | $2,228.40 | 12.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,425 | $1,500 | 4.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,009 | $1,062.10 | 11.5× |
| CT iac w contrast (70481) | $2,028.72 | $2,135.50 | 11.5× |
| CT l-spine w&w/o contrast (72133) | $3,228.86 | $3,398.80 | 18.3× |
| CT lower ext w/o (73700) | $1,733.61 | $1,824.85 | 16.5× |
| CT lower extremity w/contrast material (73701) | $2,016.61 | $2,122.75 | 11.4× |
| CT lumbar spine w contrast (72132) | $2,817.89 | $2,966.20 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $2,421.41 | $2,548.85 | 23.1× |
| CT maxillofacial w contrast (70487) | $2,147.33 | $2,260.35 | 12.2× |
| CT maxillofacial wo contrast (70486) | $1,814.64 | $1,910.15 | 17.3× |
| CT neck tissue combo (70492) | $2,611.22 | $2,748.65 | 14.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,256.25 | $2,375 | 12.8× |
| CT orbits w/o contrast (70480) | $1,568.26 | $1,650.80 | 14.9× |
| CT pelvis w&w/o contrast (72194) | $3,270.71 | $3,442.85 | 18.6× |
| CT pelvis w/o contrast (72192) | $2,387.11 | $2,512.75 | 22.7× |
| CT scan of leg combo (73702) | $4,147.80 | $4,366.10 | 23.5× |
| CT scans face/jaw combo (70488) | $2,601 | $2,737.90 | 14.8× |
| CT soft tissue neck w contrast (70491) | $2,178.64 | $2,293.30 | 12.4× |
| CT soft tissue neck w/o contrast (70490) | $1,871.78 | $1,970.30 | 17.8× |
| CT thoracic spine w contrast (72129) | $2,817.89 | $2,966.20 | 16.0× |
| CT thoracic spine w/o contrast (72128) | $2,421.41 | $2,548.85 | 23.1× |
| CT thorax w/o contrast (71250) | $2,421.41 | $2,548.85 | 23.1× |
| CT upper ext wo (73200) | $3,467.17 | $3,649.65 | 33.0× |
| CT upper extremity w/o & w/contrast material (73202) | $4,147.80 | $4,366.10 | 23.5× |
| CT upper extremity with contrast (73201) | $2,016.61 | $2,122.75 | 5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,396.71 | $2,522.85 | 13.6× |
| Cta Abdomen (74175) | $2,422.93 | $2,550.45 | 13.8× |
| CTA pelvis (72191) | $2,518.31 | $2,650.85 | 14.3× |
| Dilation ureters/urethra rs&i (74485) | $1,578.47 | $1,661.55 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $1,726.01 | $1,816.85 | 0.9× |
| Diskography lumbar (72295) | $3,641.92 | $3,833.60 | 1.9× |
| Dxa Bone Density Axial (77080) | $552.80 | $581.90 | 5.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $180.98 | $190.50 | 2.1× |
| Echo exam uterus (76831) | $382.47 | $402.60 | 1.6× |
| Echo Guide For Artery Repair (76936) | $1,048.28 | $1,103.45 | 4.8× |
| Esophageal Motility Study (78258) | $1,522.56 | $1,602.70 | 3.8× |
| Esophagram (74220) | $743.71 | $782.85 | 4.2× |
| Fetal Biophys Profile W/Nst (76818) | $1,564.36 | $1,646.70 | 14.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $384.13 | $404.35 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $675.45 | $711 | 2.8× |
| Follow-Up Angiography (75898) | $3,918.70 | $4,124.95 | 1.2× |
| Foot 2 views (73620) | $369.84 | $389.30 | 4.2× |
| Forearm 2 views (73090) | $374.54 | $394.25 | 4.3× |
| Gastric emptying imaging study (78264) | $2,033.57 | $2,140.60 | 5.1× |
| Gastric Mucosa Imaging (78261) | $1,976.10 | $2,080.10 | 4.9× |
| Gastroesophageal Reflux Exam (78262) | $2,024.16 | $2,130.70 | 5.0× |
| Gated Heart Planar Single (78472) | $2,687.74 | $2,829.20 | 6.7× |
| Gated Heart, Multiple (78473) | $4,010.71 | $4,221.80 | 10.0× |
| Hand 2 views (73120) | $369.84 | $389.30 | 3.5× |
| Heart first pass single,planar (78481) | $2,574.88 | $2,710.40 | 4.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,879.96 | $1,978.90 | 3.4× |
| Ht Musc Image Planar Mult (78454) | $2,513.22 | $2,645.50 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $3,344 | $3,520 | 2.6× |
| Hysterosalpingogram (74740) | $744.99 | $784.20 | 3.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $287.38 | $302.50 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $259.16 | $272.80 | 3.0× |
| Infusion Ivp (74410) | $1,066.52 | $1,122.65 | 6.1× |
| K Flow/Funct Image Multiple (78709) | $2,258.24 | $2,377.10 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $2,175.69 | $2,290.20 | 4.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,073.28 | $2,182.40 | 3.8× |
| Kidney Imaging Morphol (78700) | $537.13 | $565.40 | 1.3× |
| Knee 3 Views (73562) | $422.08 | $444.30 | 4.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,335.37 | $1,405.65 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,660.50 | $1,747.90 | 4.1× |
| Liver imaging w/vascular flow (78202) | $1,397.16 | $1,470.70 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $3,439.10 | $3,620.10 | 6.3× |
| Lung perfusion differential (78597) | $516.04 | $543.20 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $3,344 | $3,520 | 6.1× |
| Lung Ventilation Imaging (78579) | $1,607.21 | $1,691.80 | 4.0× |
| Lymph System Imaging (78195) | $2,197.64 | $2,313.30 | 4.0× |
| Magnetic Image Jaw Joint (70336) | $2,337.10 | $2,460.10 | 9.8× |
| Mammary ductogram or galactogram multiple (77054) | $771.64 | $812.25 | 3.2× |
| Mammary ductogram or galactogram single (77053) | $2,176.64 | $2,291.20 | 9.1× |
| Meckels Divert Exam (78290) | $1,558.10 | $1,640.10 | 3.9× |
| Medical physics dose eval radiation expos w/rprt (76145) | $346.75 | $365 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $2,170.28 | $2,284.50 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,785.68 | $2,932.30 | 7.9× |
| MRA head w/o contrast (70544) | $2,013.95 | $2,119.95 | 8.4× |
| MRA head with contrast (70545) | $2,222.43 | $2,339.40 | 6.3× |
| MRA neck w contrast (70548) | $2,333.91 | $2,456.75 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,709.83 | $2,852.45 | 7.7× |
| MRA neck w/o contrast (70547) | $2,064.54 | $2,173.20 | 8.6× |
| MRI abdomen w contrast (74182) | $2,505.48 | $2,637.35 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,732.91 | $2,876.75 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) | $3,449.26 | $3,630.80 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,538.72 | $4,777.60 | 13.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,550.34 | $3,737.20 | 4.5× |
| MRI bone marrow blood supply (77084) | $2,036.04 | $2,143.20 | 8.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,914.88 | $3,068.30 | 12.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,915.12 | $3,068.55 | 12.2× |
| MRI cardiac w/o contrast (75557) | $4,227.50 | $4,450 | 17.6× |
| MRI cervical spine w contrast (72142) | $2,686.08 | $2,827.45 | 7.7× |
| MRI cervical spine w/o cont (72141) | $2,318.43 | $2,440.45 | 9.7× |
| MRI chest w/o contrast (71550) | $2,632.64 | $2,771.20 | 11.0× |
| MRI chest with contrast (71551) | $2,755.66 | $2,900.70 | 3.5× |
| MRI chest wo w contrast (71552) | $3,707.28 | $3,902.40 | 10.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,755.66 | $2,900.70 | 7.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,776.96 | $3,975.75 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,837.65 | $2,987 | 11.8× |
| MRI lumbar spine w contrast (72149) | $3,572.24 | $3,760.25 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,195.70 | $3,363.90 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,357.80 | $2,481.90 | 9.8× |
| MRI orbit face neck w contrast (70542) | $1,986.74 | $2,091.30 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,999.77 | $3,157.65 | 8.6× |
| MRI pelvis w contrast (72196) | $2,443.30 | $2,571.90 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,906.45 | $4,112.05 | 11.1× |
| MRI pelvis w/o contrast (72195) | $2,513.60 | $2,645.90 | 10.5× |
| MRI thoracic spine w/o contrast (72146) | $2,984.47 | $3,141.55 | 12.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,755.66 | $2,900.70 | 7.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,755.66 | $2,900.70 | 11.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,833.77 | $4,035.55 | 10.9× |
| MRI, abdomen, combo (74183) | $3,959.03 | $4,167.40 | 11.3× |
| MRI, dorsal spine combo (72157) | $4,171.74 | $4,391.30 | 11.9× |
| MRI, dorsal spine contrast (72147) | $2,761.89 | $2,907.25 | 7.9× |
| MRI, joint upper extrem (73221) | $2,837.70 | $2,987.05 | 11.8× |
| MRI, joint upper extrem combo (73223) | $3,637.17 | $3,828.60 | 10.4× |
| MRI, lumbar spine combo (72158) | $4,228.59 | $4,451.15 | 12.1× |
| Myelogram cervical (72240) | $2,516.26 | $2,648.70 | 3.2× |
| Myelogram Lumbar (72265) | $2,188.18 | $2,303.35 | 2.8× |
| Myelography thoracic (72255) | $2,340.61 | $2,463.80 | 3.0× |
| Myelograpy 2/more regions rs&i (72270) | $2,377.18 | $2,502.30 | 3.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,400.30 | $1,474 | 3.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,905.04 | $2,005.30 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $7,294.10 | $7,678 | 5.6× |
| Neck soft tissue (70360) | $254.22 | $267.60 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $166.16 | $174.90 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,125 | $7,500 | 5.1× |
| Nuclear Rx Oral Admin (79005) | $2,003.26 | $2,108.70 | 8.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $445.17 | $468.60 | 5.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $489.06 | $514.80 | 4.7× |
| Optic foramina (70190) | $373.06 | $392.70 | 4.3× |
| Panoramic X-ray of jaws (70355) | $345.70 | $363.90 | 4.0× |
| Parathyroid Planar Imaging (78070) | $1,166.74 | $1,228.15 | 2.9× |
| Pelvis 1 or 2 views (72170) | $250.99 | $264.20 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $9,185.89 | $9,669.36 | 6.4× |
| PET image w/CT, full body (78816) | $7,654.62 | $8,057.50 | 5.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,185.89 | $9,669.36 | 6.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,781.79 | $2,928.20 | 6.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $481.74 | $507.10 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $734.21 | $772.85 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $389.40 | $409.90 | 4.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $360.29 | $379.25 | 4.1× |
| Radex elbow complete minimum 3 views (73080) | $412.54 | $434.25 | 4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $572 | $602.10 | 5.4× |
| Radex fingr minimum 2 views (73140) | $295.88 | $311.45 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $389.40 | $409.90 | 4.5× |
| Radex Hand Minimum 3 Views (73130) | $389.40 | $409.90 | 4.5× |
| Radex lower extremity infant minimum 2 views (73592) | $307.66 | $323.85 | 3.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $509.10 | $535.90 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $419.52 | $441.60 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) | $269.14 | $283.30 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $417.38 | $439.35 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $349.03 | $367.40 | 4.0× |
| Radex Spine 1 View Specify Level (72020) | $252.22 | $265.50 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $246.62 | $259.60 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $479.84 | $505.10 | 5.5× |
| Radex Toe Minimum 2 Views (73660) | $311.41 | $327.80 | 3.6× |
| Radex upper extremity infant minimum 2 views (73092) | $271.70 | $286 | 2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $389.40 | $409.90 | 4.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $829.49 | $873.15 | 7.9× |
| Radiation treatment delivery level 1 (77402) | $453.06 | $476.90 | 4.4× |
| Radiation treatment delivery level 3 (77412) | $959.02 | $1,009.50 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $426.64 | $449.10 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $406.27 | $427.65 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,465.28 | $1,542.40 | 8.3× |
| Radiologic exam colon single contrast study (74270) | $1,085.56 | $1,142.70 | 6.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $783.75 | $825 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) | $942.40 | $992 | 9.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $416.38 | $438.30 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $792.73 | $834.45 | 4.5× |
| Radiologic exam swallow function contrast study (74230) | $828.68 | $872.30 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,060.48 | $1,116.30 | 6.0× |
| Radiologic examination femur 1 view (73551) | $273.03 | $287.40 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) | $412.25 | $433.95 | 4.7× |
| Radiologic examination knee 1/2 views (73560) | $384.56 | $404.80 | 4.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $659.40 | $694.10 | 6.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $368.27 | $387.65 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $384.56 | $404.80 | 4.4× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $490.44 | $516.25 | 0.9× |
| Renal Cyst Study (74470) | $810.49 | $853.15 | 1.5× |
| Ribs bilateral 3 views (71110) | $343.04 | $361.10 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,684.54 | $1,773.20 | 4.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,074.32 | $2,183.50 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,339.82 | $3,515.60 | 6.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,622.95 | $2,761 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,795.39 | $3,995.15 | 7.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,657.50 | $3,850 | 2.8× |
| Scapula (73010) | $384.84 | $405.10 | 3.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $57 | $60 | 2.4× |
| Sella turcica (70240) | $281.72 | $296.55 | 3.2× |
| Shoulder 1 view (73020) | $350.50 | $368.95 | 4.0× |
| Shoulder Arthrography (73040) | $1,874.11 | $1,972.75 | 5.3× |
| Sialogram (70390) | $937.46 | $986.80 | 3.9× |
| Skull less than 4 views (70250) | $388.93 | $409.40 | 3.7× |
| Special treatment procedure (77470) | $4,170.50 | $4,390 | 7.5× |
| Spleen Imaging (78185) | $1,140.10 | $1,200.10 | 2.8× |
| Stereotactic Body Radiation Delivery (77373) | $2,388.02 | $2,513.70 | 1.3× |
| Sternoclavicular joints (71130) | $331.79 | $349.25 | 3.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,290.05 | $1,357.95 | 3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $584.82 | $615.60 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,158.72 | $1,219.70 | 4.8× |
| Testicular Imaging W/Flow (78761) | $1,634.38 | $1,720.40 | 4.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,591.96 | $1,675.75 | 4.2× |
| Ther rad simulaj-aided field setting simple (77280) | $759 | $798.95 | 5.6× |
| Thoracic spine 2 views (72070) | $388.31 | $408.75 | 3.7× |
| Thoracic spine 3 views (72072) | $145.35 | $153 | 1.4× |
| Thoracolumbar 2 views (72080) | $494.95 | $521 | 5.7× |
| Thyroid Imaging With Vascular Flow (78013) | $970.38 | $1,021.45 | 2.4× |
| Thyroid Met Imaging Body (78018) | $3,583.88 | $3,772.50 | 6.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,274.90 | $1,342 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $1,209.97 | $1,273.65 | 3.2× |
| Tx devices design & construction simple (77332) | $430.49 | $453.15 | 3.2× |
| Ultrasound Breast Limited (76642) | $402.32 | $423.50 | 4.6× |
| Ultrasound Elastography Parenchyma (76981) | $844.55 | $889 | 8.0× |
| Ultrasound Exam Aaa Screen (76706) | $558.03 | $587.40 | 5.3× |
| Ultrasound, abdomen limited (76705) | $903.92 | $951.50 | 8.6× |
| Umbilical-artery Doppler (OB) (76820) | $449.44 | $473.10 | 4.3× |
| Unlisted Dx Radiographic Procedure (76499) | $1,151.68 | $1,212.30 | 13.2× |
| Unlisted us procedure (76999) | $523.54 | $551.10 | 6.0× |
| Upper gi w/o kub (74240) | $984.06 | $1,035.85 | 5.6× |
| Ureteral Reflux Study (78740) | $1,134.87 | $1,194.60 | 2.8× |
| Urethrocystogram voiding (74455) | $826.26 | $869.75 | 3.4× |
| Urethrocystography retrograde (74450) | $778.19 | $819.15 | 3.2× |
| Us bone density measurement (76977) | $175.56 | $184.80 | 1.7× |
| Us breast unilateral complete (76641) | $729.41 | $767.80 | 6.9× |
| Us chest (76604) | $764.94 | $805.20 | 7.3× |
| Us complete joint (76881) | $764.75 | $805 | 7.3× |
| Us exam, pelvic, limited (76857) | $641.63 | $675.40 | 6.1× |
| Us head (76506) | $934.23 | $983.40 | 8.9× |
| Us kidney transplant (76776) | $907.25 | $955 | 8.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $903.92 | $951.50 | 8.6× |
| Us ob detailed single fetus (76811) | $1,162.13 | $1,223.29 | 4.8× |
| Us ob limited 1 or more fetuses (76815) | $731.50 | $770 | 7.0× |
| Us ob transvaginal (76817) | $1,004.24 | $1,057.10 | 9.6× |
| Us pelvic non ob complete (76856) | $1,003.20 | $1,056 | 9.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $906.02 | $953.70 | 8.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $600.88 | $632.50 | 5.7× |
| Us retroperitoneal complete (76770) | $1,209.06 | $1,272.70 | 11.5× |
| Us retroperitoneal limited (76775) | $900.79 | $948.20 | 8.6× |
| Us scrotum and contents (76870) | $974.98 | $1,026.30 | 9.3× |
| Us spinal canal and contents (76800) | $1,211.16 | $1,274.90 | 11.5× |
| Us thyroid (76536) | $887.20 | $933.90 | 8.4× |
| Us transrectal (76872) | $1,007.38 | $1,060.40 | 9.6× |
| Vascular Flow Imaging (78445) | $996.93 | $1,049.40 | 2.5× |
| Vasogram (74440) | $644.34 | $678.25 | 2.7× |
| Vein X-Ray Chest (75827) | $1,977.85 | $2,081.95 | 1.3× |
| Vein X-Ray Skull Epidural (75872) | $2,553.50 | $2,687.90 | 4.1× |
| Venogram Sinus/Jugular (75860) | $5,094.08 | $5,362.19 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $3,126.02 | $3,290.55 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,924.98 | $2,026.30 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,924.98 | $2,026.30 | 1.2× |
| Venography Renal Bilateral (75833) | $3,918.70 | $4,124.95 | 1.2× |
| Venography Renal Unilateral (75831) | $2,157.54 | $2,271.10 | 0.7× |
| Venous sampling by catheter (75893) | $6,527.88 | $6,871.45 | 1.2× |
| Wrist 2 views (73100) | $369.84 | $389.30 | 4.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $384.04 | $404.25 | 4.4× |
| X-ray antegrade pyelogram tube (74425) | $729.41 | $767.80 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,378.48 | $3,556.30 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $490.20 | $516 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $369.69 | $389.15 | 4.2× |
| X-Ray Exam Breast Specimen (76098) | $661.44 | $696.25 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $410.16 | $431.75 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $535.70 | $563.90 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $221.21 | $232.85 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $533.62 | $561.70 | 6.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $796.81 | $838.75 | 7.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,018.88 | $1,072.50 | 9.7× |
| X-Ray Exam L-S Spine Bending (72114) | $859.80 | $905.05 | 8.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $461.65 | $485.95 | 5.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $661.48 | $696.30 | 6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $322.19 | $339.15 | 3.1× |
| X-ray eye for foreign body (70030) | $269.70 | $283.90 | 3.1× |
| X-ray humerus (73060) | $412.25 | $433.95 | 4.7× |
| X-ray IV pyelogram+tomography (74415) | $1,133.64 | $1,193.30 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $315.68 | $332.30 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $517.28 | $544.50 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $494.95 | $521 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $312.03 | $328.45 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $480.46 | $505.75 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $276.97 | $291.55 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $271.13 | $285.40 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $283.91 | $298.85 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $460.84 | $485.10 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $554.28 | $583.45 | 5.3× |
| X-ray thoracic spine 4 vw (72074) | $196.65 | $207 | 1.9× |
| X-Ray Tmj Unilat (70328) | $308.18 | $324.40 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,262.26 | $1,328.70 | 3.6× |
| X-Rays Bone Length Studies (77073) | $472.86 | $497.75 | 4.5× |
| X-Rays Bone Survey Complete (77075) | $889.91 | $936.75 | 8.5× |
| Xr c-spine 4 or 5 views (72050) | $493.19 | $519.15 | 4.7× |
| Xr facial bones less than 3 views (70140) | $354.21 | $372.85 | 4.1× |
| Xr myelogram posterior fossa (70010) | $2,415.71 | $2,542.85 | 6.9× |
| Xr orbits complete 4 views (70200) | $477.04 | $502.15 | 4.5× |
| Xr Tomogram Single Plane (76100) | $834.43 | $878.35 | 7.9× |