Imaging prices at UT Health East Texas Tyler Regional Hospital
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
328 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) | $88.80 | $888 | 1.0× |
| Abdomen 2 views (74019) | $97.80 | $978 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $387.50 | $3,875 | 1.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,249.70–$1,874.55 | $12,497–$18,745.50 | varies |
| Angiography extremity bilateral rs&i (75716) | $1,659.50 | $16,595 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,249.70 | $12,497 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,249.70 | $12,497 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,001 | $10,010 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,659.50 | $16,595 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,249.70 | $12,497 | 0.2× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,249.70–$1,874.55 | $12,497–$18,745.50 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,249.70 | $12,497 | 0.2× |
| Arthrogram hip (73525) | $208.30 | $2,083 | 0.6× |
| Arthrogram Wrist (73115) | $156.80 | $1,568 | 0.4× |
| Basic radiation dosimetry calculation (77300) | $39.20 | $392 | 0.3× |
| Bone age studies (77072) | $75.90 | $759 | 0.7× |
| Bone Imaging 3 Phase (78315) | $336.20 | $3,362 | 0.8× |
| Bone Imaging Limited Area (78300) | $130.20 | $1,302 | 0.3× |
| Bone Imaging Multiple Areas (78305) | $294.90 | $2,949 | 0.7× |
| Bone Imaging Whole Body (78306) | $315.70 | $3,157 | 0.8× |
| Bone survey infant (77076) | $147.10 | $1,471 | 1.4× |
| Brain Flow Imaging Only (78610) | $315.70 | $3,157 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,227.50 | $12,275 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $588.70 | $5,887 | 1.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $638.30 | $6,383 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $26.80 | $268 | 0.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $307.60 | $3,076 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $390.90 | $3,909 | 0.7× |
| Chest 1 view (71045) | $112.70 | $1,127 | 1.3× |
| Chest 2 views (71046) | $124 | $1,240 | 1.4× |
| Chest 3 views (71047) | $136.40 | $1,364 | 1.6× |
| Chest 4 or more views (71048) | $150.20 | $1,502 | 1.4× |
| Cisternography Positive Contrast Rs&I (70015) | $96.90 | $969 | 0.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $114 | $1,140 | 1.1× |
| Continuing medical physics consltj pr wk (77336) | $86.30 | $863 | 0.6× |
| Contrast Exam Abdominl Aorta (75625) | $1,659.50 | $16,595 | 0.5× |
| Contrast X-Ray Bladder (74430) | $130.40 | $1,304 | 0.4× |
| Contrast X-Ray Of Elbow (73085) | $208.30 | $2,083 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $261.40 | $2,614 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,808.40 | $18,084 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,220.60 | $12,206 | 5.1× |
| CT abdomen w contrast (74160) | $797.30 | $7,973 | 4.5× |
| CT abdomen w wo contrast (74170) | $904.20 | $9,042 | 5.1× |
| CT abdomen w/o contrast (74150) | $610.30 | $6,103 | 5.8× |
| CT Angio Abdomen and Pelvis (74174) | $359.60 | $3,596 | 1.0× |
| CT Angio Chest (71275) | $1,011.10 | $10,111 | 5.7× |
| CT Angio Head (70496) | $974.80 | $9,748 | 5.5× |
| CT angio hrt w/3d image (75574) | $663.90 | $6,639 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,011.10–$1,516.65 | $10,111–$15,166.50 | varies |
| CT Angio Neck (70498) | $974.80 | $9,748 | 5.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,011.10 | $10,111 | 5.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $57 | $570 | 0.3× |
| CT cervical spine w/ contrast (72126) | $768.80 | $7,688 | 2.2× |
| CT cervical spine w/o contrast (72125) | $588.50 | $5,885 | 5.6× |
| CT cervical spine w/wo cont (72127) | $871.70 | $8,717 | 4.9× |
| CT chest w contrast (71260) | $797.30 | $7,973 | 4.5× |
| CT chest w/wo contrast (71270) | $904.20 | $9,042 | 5.1× |
| CT head/brain with contrast (70460) | $768.80 | $7,688 | 4.4× |
| CT head/brain without and with contrast (70470) | $871.70 | $8,717 | 4.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $663.90 | $6,639 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $27.20 | $272 | 0.3× |
| CT hrt w/3d image congen (75573) | $58 | $580 | 0.2× |
| CT iac w contrast (70481) | $768.80 | $7,688 | 4.4× |
| CT l-spine w&w/o contrast (72133) | $904.20 | $9,042 | 5.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$610.30–$915.45 | $6,103–$9,154.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$797.30–$1,195.95 | $7,973–$11,959.50 | varies |
| CT lumbar spine w contrast (72132) | $797.30 | $7,973 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $610.30 | $6,103 | 5.8× |
| CT maxillofacial w contrast (70487) | $768.80 | $7,688 | 4.4× |
| CT maxillofacial wo contrast (70486) | $588.50 | $5,885 | 5.6× |
| CT neck tissue combo (70492) | $871.70 | $8,717 | 4.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $871.70 | $8,717 | 4.9× |
| CT orbits w/o contrast (70480) | $588.50 | $5,885 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $904.20 | $9,042 | 5.1× |
| CT pelvis w/o contrast (72192) | $610.30 | $6,103 | 5.8× |
| CT scan of leg combo (73702) | $904.20 | $9,042 | 5.1× |
| CT scans face/jaw combo (70488) | $871.70 | $8,717 | 4.9× |
| CT soft tissue neck w contrast (70491) | $768.80 | $7,688 | 4.4× |
| CT soft tissue neck w/o contrast (70490) | $588.50 | $5,885 | 5.6× |
| CT thoracic spine w contrast (72129) | $797.30 | $7,973 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $610.30 | $6,103 | 5.8× |
| CT thoracic spine w/wo cont (72130) | $904.20 | $9,042 | 5.1× |
| CT thorax w/o contrast (71250) | $610.30 | $6,103 | 5.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$610.30–$915.45 | $6,103–$9,154.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $904.20 | $9,042 | 5.1× |
| CT upper extremity with contrast (73201) | $797.30 | $7,973 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,011.10 | $10,111 | 5.7× |
| Cta Abdomen (74175) | $1,011.10 | $10,111 | 5.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $974.80 | $9,748 | 2.8× |
| CTA pelvis (72191) | $1,011.10 | $10,111 | 5.7× |
| Discography Cerv/Thor Spine (72285) | $936 | $9,360 | 0.5× |
| Diskography lumbar (72295) | $838.70 | $8,387 | 0.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $83.70 | $837 | 0.8× |
| Dxa Bone Density Axial (77080) | $232.60 | $2,326 | 2.2× |
| Dxa bone density study (77085) | $37.70 | $377 | 0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $65.20 | $652 | 0.7× |
| Echo Guide For Artery Repair (76936) | $974 | $9,740 | 4.5× |
| Esophagram (74220) | $100.80 | $1,008 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $157.10 | $1,571 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $118.50 | $1,185 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $157.90 | $1,579 | 0.7× |
| Follow-Up Angiography (75898) | $463.80 | $4,638 | 0.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Gastric emptying imaging study (78264) | $341.40 | $3,414 | 0.9× |
| Gastroesophageal Reflux Exam (78262) | $122.30 | $1,223 | 0.3× |
| Gated Heart Planar Single (78472) | $514.10 | $5,141 | 1.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,887.40 | $18,874 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,887.40 | $18,874 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $330 | $3,300 | 0.6× |
| Hepatobiliary System Imaging (78226) | $330 | $3,300 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $566.80 | $5,668 | 0.4× |
| Hysterosalpingogram (74740) | $79.40 | $794 | 0.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $62 | $620 | 0.7× |
| Infant hip ultrasound, limited static exam (76886) | $26.80 | $268 | 0.3× |
| Joint Survey Single View (77077) | $37.70 | $377 | 0.4× |
| K Flow/Funct Image W/Drug (78708) | $401.60 | $4,016 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $347.40 | $3,474 | 0.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $122.30 | $1,223 | 0.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$108.80–$163.20 | $1,088–$1,632 | varies |
| Liver & Spleen Imaging Static Only (78215) | $351.70 | $3,517 | 0.9× |
| Liver imaging static only (78201) | $171.20 | $1,712 | 0.3× |
| Lung Perf&Ventilat Diferentl (78598) | $194.40 | $1,944 | 0.4× |
| Lung perfusion differential (78597) | $130.20 | $1,302 | 0.3× |
| Lung Ventilat&Perfus Imaging (78582) | $479.30 | $4,793 | 0.9× |
| Lymph System Imaging (78195) | $341.40 | $3,414 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $910.50 | $9,105 | 3.8× |
| Mammary ductogram or galactogram multiple (77054) | $95.30 | $953 | 0.4× |
| Mammary ductogram or galactogram single (77053) | $211 | $2,110 | 0.9× |
| Meckels Divert Exam (78290) | $294.40 | $2,944 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) | $118.60 | $1,186 | 0.3× |
| Mra Head W/O & W/Contrast Material (70546) | $873.90 | $8,739 | 2.5× |
| MRA head w/o contrast (70544) | $645.90 | $6,459 | 2.7× |
| MRA head with contrast (70545) | $768.60 | $7,686 | 2.2× |
| MRA neck w contrast (70548) | $768.60 | $7,686 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $873.90 | $8,739 | 2.5× |
| MRA neck w/o contrast (70547) | $645.90 | $6,459 | 2.7× |
| MRI abdomen w contrast (74182) | $1,083.40 | $10,834 | 3.1× |
| MRI abdomen w/o contrast (74181) | $910.50 | $9,105 | 3.8× |
| MRI any jt lower extrem w/contrast material (73722) | $1,083.40 | $10,834 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,231.70 | $12,317 | 3.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,083.40 | $10,834 | 1.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,129.70 | $11,297 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,129.70 | $11,297 | 4.7× |
| MRI cardiac w/o contrast (75557) | $75.90 | $759 | 0.3× |
| MRI cervical spine w contrast (72142) | $768.60 | $7,686 | 2.2× |
| MRI cervical spine w/o cont (72141) | $645.90 | $6,459 | 2.7× |
| MRI chest w/o contrast (71550) | $910.50 | $9,105 | 3.8× |
| MRI chest with contrast (71551) | $1,083.40 | $10,834 | 1.4× |
| MRI chest wo w contrast (71552) | $1,231.70 | $12,317 | 3.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,083.40 | $10,834 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,231.70 | $12,317 | 3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$910.50–$1,365.75 | $9,105–$13,657.50 | varies |
| MRI lumbar spine w contrast (72149) | $1,083.40 | $10,834 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $873.90 | $8,739 | 2.5× |
| MRI orbit face &/neck w/o contrast (70540) | $645.90 | $6,459 | 2.7× |
| MRI orbit face neck w contrast (70542) | $768.60 | $7,686 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $873.90 | $8,739 | 2.5× |
| MRI pelvis w contrast (72196) | $1,083.40 | $10,834 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,231.70 | $12,317 | 3.5× |
| MRI pelvis w/o contrast (72195) | $910.50 | $9,105 | 3.8× |
| MRI thoracic spine w/o contrast (72146) | $910.50 | $9,105 | 3.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,083.40 | $10,834 | 3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$910.50–$1,365.75 | $9,105–$13,657.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,231.70 | $12,317 | 3.5× |
| MRI, abdomen, combo (74183) | $1,231.70 | $12,317 | 3.5× |
| MRI, dorsal spine combo (72157) | $1,231.70 | $12,317 | 3.5× |
| MRI, dorsal spine contrast (72147) | $1,083.40 | $10,834 | 3.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$910.50–$1,365.75 | $9,105–$13,657.50 | varies |
| MRI, joint upper extrem combo (73223) | $1,231.70 | $12,317 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,231.70 | $12,317 | 3.5× |
| Myocardial Spect Multiple Studies (78452) | $869.10 | $8,691 | 0.7× |
| Neck soft tissue (70360) | $76.50 | $765 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $125 | $1,250 | 1.2× |
| Nuclear Rx Intra-Arterial (79445) | $109.20 | $1,092 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $147.30 | $1,473 | 0.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $35.20 | $352 | 0.3× |
| Panoramic X-ray of jaws (70355) | $86.10 | $861 | 1.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $123.30 | $1,233 | 0.2× |
| Parathyroid Planar Imaging (78070) | $130.20 | $1,302 | 0.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $124.10 | $1,241 | 0.3× |
| Pelvis 1 or 2 views (72170) | $98.30 | $983 | 0.9× |
| Pet Image W/Ct Lmtd (78814) | $959.30 | $9,593 | 0.7× |
| PET image w/CT, full body (78816) | $1,294.70 | $12,947 | 0.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,294.70 | $12,947 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $309.90 | $3,099 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $118.40 | $1,184 | 1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $155.20 | $1,552 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$108.80–$163.20 | $1,088–$1,632 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$108.10–$162.15 | $1,081–$1,621.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $108.80 | $1,088 | 1.0× |
| Radex fingr minimum 2 views (73140) | $98.30 | $983 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$108.80–$163.20 | $1,088–$1,632 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$108.80–$163.20 | $1,088–$1,632 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $108.80 | $1,088 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $98.30 | $983 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $108.80 | $1,088 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $28.10 | $281 | 0.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $98.30 | $983 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $86.10 | $861 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $98.30 | $983 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $119.50 | $1,195 | 1.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $22.80 | $228 | 0.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$108.80–$163.20 | $1,088–$1,632 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $36.70 | $367 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $108.80 | $1,088 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $107.60 | $1,076 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $190.40 | $1,904 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $145.50 | $1,455 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) | $119.50 | $1,195 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $119.50 | $1,195 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $111 | $1,110 | 0.6× |
| Radiologic exam swallow function contrast study (74230) | $133.60 | $1,336 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $143.90 | $1,439 | 0.8× |
| Radiologic examination femur 1 view (73551) | $29.20 | $292 | 0.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$28.60–$42.90 | $286–$429 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$86.10–$129.15 | $861–$1,291.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $144.10 | $1,441 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| Renal Cyst Study (74470) | $166.50 | $1,665 | 0.3× |
| Ribs bilateral 3 views (71110) | $37.70 | $377 | 0.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $333.60 | $3,336 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $366.90 | $3,669 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $444 | $4,440 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $403.60 | $4,036 | 0.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $527.50 | $5,275 | 1.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $638.10 | $6,381 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $488.70 | $4,887 | 0.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $580.10 | $5,801 | 0.4× |
| Salivary Gland Function Study (78232) | $135.60 | $1,356 | 0.3× |
| Scapula (73010) | $98.30 | $983 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $18.60 | $186 | 0.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$86.10–$129.15 | $861–$1,291.50 | varies |
| Shoulder Arthrography (73040) | $208.30 | $2,083 | 0.6× |
| Skull less than 4 views (70250) | $108.80 | $1,088 | 1.0× |
| Speech evaluation, complex (70371) | $79.40 | $794 | 0.3× |
| Sternoclavicular joints (71130) | $108.80 | $1,088 | 1.2× |
| Superior sagittal sinus venogram (75870) | $1,249.70 | $12,497 | 0.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $315.80 | $3,158 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $224.90 | $2,249 | 1.3× |
| Thoracic spine 2 views (72070) | $98.30 | $983 | 0.9× |
| Thoracic spine 3 views (72072) | $108.80 | $1,088 | 1.0× |
| Thoracolumbar 2 views (72080) | $98.30 | $983 | 1.1× |
| Thyroid Met Imaging Body (78018) | $301.70 | $3,017 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $231.60 | $2,316 | 0.6× |
| Tx Devices Design & Construction Complex (77334) | $94 | $940 | 0.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$72.10–$108.15 | $721–$1,081.50 | varies |
| Ultrasound Elastography Parenchyma (76981) | $41.90 | $419 | 0.4× |
| Ultrasound Exam Aaa Screen (76706) | $32.30 | $323 | 0.3× |
| Ultrasound, abdomen limited (76705) | $97.10 | $971 | 0.9× |
| Umbilical-artery Doppler (OB) (76820) | $35.40 | $354 | 0.3× |
| Upper gi w/o kub (74240) | $126.70 | $1,267 | 0.7× |
| Urethrocystogram voiding (74455) | $134.40 | $1,344 | 0.6× |
| Urethrocystography retrograde (74450) | $165 | $1,650 | 0.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$79.30–$118.95 | $793–$1,189.50 | varies |
| Us chest (76604) | $131.30 | $1,313 | 1.3× |
| Us complete joint (76881) | $110.10 | $1,101 | 1.0× |
| Us exam, pelvic, limited (76857) | $117.60 | $1,176 | 1.1× |
| Us head (76506) | $119.10 | $1,191 | 1.1× |
| Us kidney transplant (76776) | $152.20 | $1,522 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$94.20–$141.30 | $942–$1,413 | varies |
| Us ob detailed single fetus (76811) | $79.40 | $794 | 0.3× |
| Us ob limited 1 or more fetuses (76815) | $96.10 | $961 | 0.9× |
| Us ob transvaginal (76817) | $65.80 | $658 | 0.6× |
| Us pelvic non ob complete (76856) | $128.40 | $1,284 | 1.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $116.90 | $1,169 | 1.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $83.70 | $837 | 0.8× |
| Us retroperitoneal complete (76770) | $154.20 | $1,542 | 1.5× |
| Us retroperitoneal limited (76775) | $140.10 | $1,401 | 1.3× |
| Us scrotum and contents (76870) | $110.10 | $1,101 | 1.0× |
| Us spinal canal and contents (76800) | $67.60 | $676 | 0.6× |
| Us thyroid (76536) | $108.90 | $1,089 | 1.0× |
| Us transrectal (76872) | $154.40 | $1,544 | 1.5× |
| Vein X-Ray Chest (75827) | $1,249.70 | $12,497 | 0.8× |
| Venogram Sinus/Jugular (75860) | $465.80 | $4,658 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $1,249.70 | $12,497 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $525.20 | $5,252 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $384.90 | $3,849 | 0.2× |
| Venography Renal Bilateral (75833) | $1,249.70 | $12,497 | 0.4× |
| Venography Renal Unilateral (75831) | $1,249.70 | $12,497 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$75.30–$112.95 | $753–$1,129.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $108.80 | $1,088 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $183.10 | $1,831 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,814.80 | $18,148 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $86 | $860 | 0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$98.30–$147.45 | $983–$1,474.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $232.80 | $2,328 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $28.60 | $286 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $19.30 | $193 | 0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $36.70 | $367 | 0.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $11.70 | $117 | 0.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $28.60 | $286 | 0.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $37.70 | $377 | 0.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $38.70 | $387 | 0.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $39.80 | $398 | 0.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $36.70 | $367 | 0.3× |
| X-Ray Exam L-S Spine Bending (72114) | $118.90 | $1,189 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $98.30 | $983 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $118.90 | $1,189 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $108.80 | $1,088 | 1.0× |
| X-ray eye for foreign body (70030) | $76.50 | $765 | 0.9× |
| X-ray humerus (73060) | $98.30 | $983 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $143.90 | $1,439 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $98.30 | $983 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $108.80 | $1,088 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $98.30 | $983 | 0.9× |
| X-ray nose-rectum child f.b. (76010) | $106.10 | $1,061 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $86 | $860 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $108.80 | $1,088 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $38.70 | $387 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $98.30 | $983 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $108.80 | $1,088 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $119.70 | $1,197 | 1.1× |
| X-Ray Stress View (77071) | $25.80 | $258 | 0.3× |
| X-ray thoracic spine 4 vw (72074) | $117.10 | $1,171 | 1.1× |
| X-Ray Tmj Unilat (70328) | $26.80 | $268 | 0.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $224.20 | $2,242 | 0.6× |
| X-Rays Bone Length Studies (77073) | $98.30 | $983 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $210.70 | $2,107 | 2.0× |
| Xr c-spine 4 or 5 views (72050) | $108.10 | $1,081 | 1.0× |
| Xr facial bones less than 3 views (70140) | $98.30 | $983 | 1.1× |
| Xr orbits complete 4 views (70200) | $119.50 | $1,195 | 1.1× |
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.