Imaging prices at University of Texas Health Science Center at Tyler

Tyler, TX · every code in this section with a posted price and a Medicare benchmark.

284 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $383.10 $3,831 0.3×
Abdomen 1 View (74018) $31.70 $317 0.4×
Abdomen 2 views (74019) $33.50 $335 0.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $205.70 $2,057 0.5×
Ankle 2 views (73600) $42.10 $421 0.5×
Basic radiation dosimetry calculation (77300) $36.60 $366 0.3×
Bone age studies (77072) $47 $470 0.4×
Bone Imaging 3 Phase (78315) $349.40 $3,494 0.9×
Bone Imaging Limited Area (78300) $129 $1,290 0.3×
Bone Imaging Whole Body (78306) $251.50 $2,515 0.6×
Bone marrow imaging limited area (78102) $143.50 $1,435 0.4×
Bone survey infant (77076) $77.70 $777 0.7×
Cat Scan Follow-Up Study (76380) $139.50 $1,395 1.6×
Chest 1 view (71045) $57.20 $572 0.7×
Chest 2 views (71046) $50.10 $501 0.6×
Chest 3 views (71047) $37.70 $377 0.4×
Chest 4 or more views (71048) $49 $490 0.5×
Clavicle complete (73000) $54.30 $543 0.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $46.60 $466 0.4×
Continuing medical physics consltj pr wk (77336) $51.60 $516 0.4×
Contrast X-Ray Bladder (74430) $92.10 $921 0.3×
Contrast X-Ray Of Knee Joint (73580) $139.60 $1,396 0.4×
CT abdomen and pelvis without and with contrast (74178) $441.50 $4,415 1.3×
CT abdomen and pelvis without contrast (74176) $295.50 $2,955 1.2×
CT abdomen w contrast (74160) $423.60 $4,236 2.4×
CT abdomen w wo contrast (74170) $477.10 $4,771 2.7×
CT abdomen w/o contrast (74150) $341.20 $3,412 3.2×
CT Angio Abdomen and Pelvis (74174) $407.10 $4,071 1.2×
CT Angio Chest (71275) $454.10 $4,541 2.6×
CT Angio Head (70496) $328.50 $3,285 1.9×
CT angio hrt w/3d image (75574) $139.50 $1,395 0.4×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines		 $437.80–$656.70 $4,378–$6,567 varies
CT Angio Neck (70498) $347.80 $3,478 2.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $76.50 $765 0.4×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $57 $570 0.3×
CT cervical spine w/ contrast (72126) $387.10 $3,871 1.1×
CT cervical spine w/o contrast (72125) $368.80 $3,688 3.5×
CT cervical spine w/wo cont (72127) $418.20 $4,182 2.4×
CT chest w contrast (71260) $420.10 $4,201 2.4×
CT chest w/wo contrast (71270) $512.70 $5,127 2.9×
CT head/brain with contrast (70460) $363.10 $3,631 2.1×
CT head/brain without and with contrast (70470) $418.60 $4,186 2.4×
CT heart no contrast quant eval coronry calcium (75571) $34.80 $348 0.4×
CT iac w contrast (70481) $271 $2,710 1.5×
CT l-spine w&w/o contrast (72133) $446.90 $4,469 2.5×
CT lower ext w/o (73700) $298.60 $2,986 2.8×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines		 $331.70–$497.55 $3,317–$4,975.50 varies
CT lumbar spine w contrast (72132) $402.60 $4,026 1.1×
CT lumbar spine w/o contrast (72131) $377.50 $3,775 3.6×
CT maxillofacial w contrast (70487) $366.80 $3,668 2.1×
CT maxillofacial wo contrast (70486) $281.20 $2,812 2.7×
CT neck tissue combo (70492) $424.20 $4,242 2.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $412.90 $4,129 2.3×
CT orbits w/o contrast (70480) $262.50 $2,625 2.5×
CT pelvis w&w/o contrast (72194) $448.80 $4,488 2.5×
CT pelvis w/o contrast (72192) $358.10 $3,581 3.4×
CT scan of leg combo (73702) $400.40 $4,004 2.3×
CT scans face/jaw combo (70488) $387.10 $3,871 2.2×
CT soft tissue neck w contrast (70491) $368.10 $3,681 2.1×
CT soft tissue neck w/o contrast (70490) $321.10 $3,211 3.1×
CT thoracic spine w contrast (72129) $356.30 $3,563 2.0×
CT thoracic spine w/o contrast (72128) $338.20 $3,382 3.2×
CT thorax w/o contrast (71250) $359.60 $3,596 3.4×
CT upper ext wo (73200) $299.20 $2,992 2.8×
CT upper extremity w/o & w/contrast material (73202) $371.70 $3,717 2.1×
CT upper extremity with contrast (73201) $335.90 $3,359 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $437.80 $4,378 2.5×
Cta Abdomen (74175) $139.50 $1,395 0.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $676.30 $6,763 1.9×
Dilation ureters/urethra rs&i (74485) $319.40 $3,194 0.2×
Dxa Bone Density Axial (77080) $78.40 $784 0.7×
Dxa bone density study (77085) $50.40 $504 0.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $39.20 $392 0.4×
Echo Guide For Artery Repair (76936) $142.30 $1,423 0.7×
Esophagram (74220) $72.10 $721 0.4×
Fluoroscopy up to 1 hr (76000) $66.10 $661 0.3×
Foot 2 views (73620) $31.70 $317 0.4×
Forearm 2 views (73090) $31.70 $317 0.4×
Gastric emptying imaging study (78264) $205.40 $2,054 0.5×
Gastroesophageal Reflux Exam (78262) $127.50 $1,275 0.3×
Gated Heart Planar Single (78472) $245.90 $2,459 0.6×
Hand 2 views (73120) $40.50 $405 0.4×
Hepatobil Syst Image W/Drug (78227) $213.50 $2,135 0.4×
Hepatobiliary System Imaging (78226) $109.20 $1,092 0.3×
Ht Muscle Image Spect Sing (78451) $369.60 $3,696 0.3×
Hysterosalpingogram (74740) $110 $1,100 0.5×
Image fusion (77399) $43.70 $437 0.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $34.20 $342 0.4×
Infant hip ultrasound, limited static exam (76886) $89.80 $898 1.0×
K Flow/Funct Image W/Drug (78708) $259.60 $2,596 0.5×
K Flow/Funct Image W/O Drug (78707) $221.60 $2,216 0.4×
Kidney Imaging Morphol (78700) $164.70 $1,647 0.4×
Knee 3 Views (73562)
range across 2 matching MRF lines		 $33.50–$50.25 $335–$502.50 varies
Liver & Spleen Imaging Static Only (78215) $204.90 $2,049 0.5×
Lung Perf&Ventilat Diferentl (78598) $230.20 $2,302 0.4×
Lung Ventilat&Perfus Imaging (78582) $237.70 $2,377 0.4×
Lung Ventilation Imaging (78579) $147.30 $1,473 0.4×
Mammary ductogram or galactogram multiple (77054) $103.20 $1,032 0.4×
Mammary ductogram or galactogram single (77053) $131.40 $1,314 0.5×
Mlc imrt design & construction per imrt plan (77338) $284.90 $2,849 0.8×
Mra Head W/O & W/Contrast Material (70546) $109.20 $1,092 0.3×
MRA head w/o contrast (70544) $277.50 $2,775 1.2×
MRA head with contrast (70545) $118.90 $1,189 0.3×
MRA neck w contrast (70548) $294.40 $2,944 0.8×
Mra Neck W/O &W/Contrast Material (70549) $500.40 $5,004 1.4×
MRA neck w/o contrast (70547) $291.70 $2,917 1.2×
MRI abdomen w contrast (74182) $375.20 $3,752 1.1×
MRI abdomen w/o contrast (74181) $348 $3,480 1.5×
MRI any jt lower extrem w/contrast material (73722) $375.20 $3,752 0.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $446.40 $4,464 1.3×
MRI any jt upper extremity w/contrast matrl (73222) $346.20 $3,462 0.4×
MRI Breast W/O Contrast Bilateral (77047) $71.60 $716 0.3×
MRI Breast Without Contrast Material Unilateral (77046) $71.60 $716 0.3×
MRI cervical spine w contrast (72142) $356.70 $3,567 1.0×
MRI cervical spine w/o cont (72141) $333.70 $3,337 1.4×
MRI chest w/o contrast (71550) $327 $3,270 1.4×
MRI chest with contrast (71551) $375.20 $3,752 0.5×
MRI chest wo w contrast (71552) $532.40 $5,324 1.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $114.40 $1,144 0.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $417.10 $4,171 1.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines		 $327.60–$491.40 $3,276–$4,914 varies
MRI lumbar spine w contrast (72149) $414.10 $4,141 1.2×
Mri Neck Spine W/O & W/Dye (72156) $471.70 $4,717 1.3×
MRI orbit face &/neck w/o contrast (70540) $381.60 $3,816 1.6×
MRI orbit face neck w contrast (70542) $391.40 $3,914 1.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $401.80 $4,018 1.1×
MRI pelvis w contrast (72196) $343.10 $3,431 1.0×
MRI pelvis w/o & w contrast (72197) $475.30 $4,753 1.4×
MRI pelvis w/o contrast (72195) $313.20 $3,132 1.3×
MRI spectroscopy (76390) $177.20 $1,772 2.0×
MRI thoracic spine w/o contrast (72146) $347.70 $3,477 1.5×
MRI upper extremity oth than jt w/contr matrl (73219) $114.40 $1,144 0.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $284.90 $2,849 1.2×
Mri Uppr Extremity W/O&W/Dye (73220) $386.90 $3,869 1.1×
MRI, abdomen, combo (74183) $456.90 $4,569 1.3×
MRI, dorsal spine combo (72157) $545.20 $5,452 1.6×
MRI, dorsal spine contrast (72147) $340.50 $3,405 1.0×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines		 $308.60–$462.90 $3,086–$4,629 varies
MRI, joint upper extrem combo (73223) $417.10 $4,171 1.2×
MRI, lumbar spine combo (72158) $516.10 $5,161 1.5×
Myocardial Spect Multiple Studies (78452) $623.20 $6,232 0.5×
Neck soft tissue (70360) $48.30 $483 0.6×
Ntsty modul radthx pln dose-vol histos (77301) $302.60 $3,026 0.2×
Nuclear Rx Oral Admin (79005) $563.90 $5,639 2.4×
Parathyroid imaging w/tomographic spect & CT (78072) $144.90 $1,449 0.3×
Parathyroid Planar Imaging (78070) $156.10 $1,561 0.4×
Parathyroid planar imaging w/wo subtraction (78071) $150.30 $1,503 0.4×
Pelvis 1 or 2 views (72170) $33.50 $335 0.3×
Pet Image W/Ct Lmtd (78814) $959.30 $9,593 0.7×
PET image w/CT, full body (78816) $686.40 $6,864 0.5×
PET imaging CT attenuation skull base mid-thigh (78815) $686.40 $6,864 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $205 $2,050 0.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $68.60 $686 0.7×
Radex abscess/fistula/sinus tract rs&i (76080) $81.90 $819 0.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines		 $33.50–$50.25 $335–$502.50 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines		 $46.10–$69.15 $461–$691.50 varies
Radex elbow complete minimum 3 views (73080) $31.70 $317 0.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $65.40 $654 0.6×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines		 $31.70–$47.55 $317–$475.50 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines		 $46.40–$69.60 $464–$696 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines		 $37.10–$55.65 $371–$556.50 varies
Radex lower extremity infant minimum 2 views (73592) $36.50 $365 0.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $56.10 $561 0.6×
Radex Ribs Unilateral 2 Views (71100) $63.30 $633 0.7×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines		 $33.50–$50.25 $335–$502.50 varies
Radex Sinuses Paransl < 3 Views (70210) $31.70 $317 0.4×
Radex Spine 1 View Specify Level (72020) $38.90 $389 0.4×
Radex Sternum Minimum 2 Views (71120) $49.10 $491 0.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $31.20 $312 0.4×
Radex Toe Minimum 2 Views (73660) $47.20 $472 0.5×
Radex upper extremity infant minimum 2 views (73092) $32.50 $325 0.3×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines		 $46.40–$69.60 $464–$696 varies
Radiation Delivery Stereotactic Cranial Linear (77372)
unusually low: confirm this is the full procedure		 $2,501.10 $25,011 0.3×
Radiation treatment delivery level 1 (77402) $127.20 $1,272 1.2×
Radiation treatment delivery level 2 (77407) $148.10 $1,481 0.4×
Radiation treatment delivery level 3 (77412) $222 $2,220 0.4×
Radiolog exam mandible compl minimum 4 views (70110) $59.40 $594 0.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $46.40 $464 0.4×
Radiologic exam colon double contrast study (74280) $132.90 $1,329 0.8×
Radiologic exam colon single contrast study (74270) $115.80 $1,158 0.7×
Radiologic exam knee complete 4/more views (73564) $40.90 $409 0.4×
Radiologic exam pelvis compl minimum 3 views (72190) $69.90 $699 0.7×
Radiologic Exam Small Int Single Contrast Study (74250) $94.40 $944 0.5×
Radiologic exam swallow function contrast study (74230) $91.70 $917 0.5×
Radiologic exam upr gi trc double contrast study (74246) $121.20 $1,212 0.7×
Radiologic examination femur 1 view (73551) $31.70 $317 0.4×
Radiologic examination femur minimum 2 views (73552) $57.30 $573 0.7×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines		 $31.70–$47.55 $317–$475.50 varies
Radiologic examination tibia & fibula 2 views (73590) $50.90 $509 0.6×
Ribs bilateral 3 views (71110) $33.50 $335 0.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $147 $1,470 0.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $583.60 $5,836 1.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $368.60 $3,686 0.7×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $368.60 $3,686 0.3×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $368.60 $3,686 0.3×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $105.70 $1,057 0.5×
Rp Therapy Intravenous Administration (79101) $590.20 $5,902 2.5×
Scapula (73010) $47 $470 0.4×
Screening Digital Breast Tomosynthesis Bi (77063) $12.70 $127 0.5×
Shoulder 1 view (73020) $46.50 $465 0.5×
Shoulder Arthrography (73040) $137.30 $1,373 0.4×
Skull less than 4 views (70250) $33.50 $335 0.3×
Special Physics Consult (77370) $59 $590 0.4×
Special treatment procedure (77470) $148.10 $1,481 0.3×
Speech evaluation, complex (70371) $107.20 $1,072 0.4×
Stereotactic Body Radiation Delivery (77373) $554.30 $5,543 0.3×
Sternoclavicular joints (71130) $33.20 $332 0.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $78.10 $781 0.2×
Telethx isodose pln smpl w/dosimetry calculation (77306) $100.50 $1,005 0.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $164 $1,640 0.4×
Ther rad simulaj-aided field setting simple (77280) $33.10 $331 0.2×
Thoracic spine 2 views (72070) $33.50 $335 0.3×
Thoracic spine 3 views (72072) $75 $750 0.7×
Thoracolumbar 2 views (72080) $38.50 $385 0.4×
Thyroid Met Imaging Body (78018) $237.10 $2,371 0.4×
Thyroid Uptake Measurement (78012) $86.40 $864 0.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $286 $2,860 0.7×
Tx Devices Design & Construction Complex (77334) $104.70 $1,047 0.3×
Tx devices design & construction intermediate (77333) $83.80 $838 0.6×
Tx devices design & construction simple (77332) $63 $630 0.5×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $108.50–$162.75 $1,085–$1,627.50 varies
Ultrasound Elastography Parenchyma (76981) $40 $400 0.4×
Ultrasound Exam Aaa Screen (76706) $66.10 $661 0.6×
Ultrasound, abdomen limited (76705) $162.40 $1,624 1.5×
Upper gi w/o kub (74240) $42 $420 0.2×
Urethrocystogram voiding (74455) $97.50 $975 0.4×
Urethrocystography retrograde (74450) $104.60 $1,046 0.4×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $108.50–$162.75 $1,085–$1,627.50 varies
Us chest (76604) $119.80 $1,198 1.1×
Us complete joint (76881) $36 $360 0.3×
Us exam, pelvic, limited (76857) $39.10 $391 0.4×
Us head (76506) $59.70 $597 0.6×
Us kidney transplant (76776) $152.20 $1,522 1.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $61.50 $615 0.6×
Us ob limited 1 or more fetuses (76815) $50.50 $505 0.5×
Us ob transvaginal (76817) $213.10 $2,131 2.0×
Us pelvic non ob complete (76856) $177.20 $1,772 1.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $162.90 $1,629 1.6×
Us retroperitoneal complete (76770) $168.40 $1,684 1.6×
Us retroperitoneal limited (76775) $145.40 $1,454 1.4×
Us scrotum and contents (76870) $142 $1,420 1.4×
Us spinal canal and contents (76800) $58.90 $589 0.6×
Us thyroid (76536) $123.20 $1,232 1.2×
Us transrectal (76872) $143.20 $1,432 1.4×
Venogram Sinus/Jugular (75860) $1,225.80 $12,258 0.4×
Venography caval inferior serialography rs&i (75825) $897.30 $8,973 0.3×
Venography extremity bilateral rs&i (75822) $295.50 $2,955 0.2×
Wrist 2 views (73100) $28.30 $283 0.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $67.10 $671 0.8×
X-Ray Bend Only L-S Spine (72120) $49.10 $491 0.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $25 $250 0.3×
X-Ray Exam Breast Specimen (76098) $211.80 $2,118 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $25.30 $253 0.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $35.40 $354 0.3×
X-Ray Exam Hip Uni 1 View (73501) $29.30 $293 0.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $31.70 $317 0.4×
X-Ray Exam Hip Uni 4/> Views (73503) $42 $420 0.4×
X-Ray Exam Hips Bi 2 Views (73521) $42 $420 0.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $42 $420 0.4×
X-Ray Exam Hips Bi 5/> Views (73523) $79.80 $798 0.8×
X-Ray Exam L-S Spine Bending (72114) $93.30 $933 0.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $33.50 $335 0.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $53.40 $534 0.5×
X-Ray Exam Unilat Ribs/Chest (71101) $74.40 $744 0.7×
X-ray humerus (73060) $54 $540 0.6×
X-ray IV pyelogram (ivp) (74400) $139.60 $1,396 0.8×
X-ray IV pyelogram+tomography (74415) $80.10 $801 0.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $34.80 $348 0.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $31.70 $317 0.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $36 $360 0.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $63 $630 0.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $58.60 $586 0.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $25 $250 0.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $51.90 $519 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $33.50 $335 0.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $70.80 $708 0.7×
X-ray thoracic spine 4 vw (72074) $89.50 $895 0.9×
X-Ray Tmj Unilat (70328) $29.30 $293 0.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $145.80 $1,458 0.4×
X-Rays Bone Length Studies (77073) $25 $250 0.2×
X-Rays Bone Survey Complete (77075) $138.20 $1,382 1.3×
Xr c-spine 4 or 5 views (72050) $53.40 $534 0.5×
Xr facial bones less than 3 views (70140) $55.10 $551 0.6×
Xr orbits complete 4 views (70200) $44.10 $441 0.4×

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.