Imaging prices at UT Health San Antonio Multispecialty & Research Ho

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,574.60 $4,291 1.9×
Abdomen 1 View (74018) $169.20 $282 1.9×
Abdomen 2 views (74019) $204.60 $341 1.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $766.80 $1,278 1.9×
Angio internal mammary (75756) $5,922.60 $9,871 1.9×
Angiography extremity bilateral rs&i (75716) $5,922.60 $9,871 1.9×
Angiography extremity unilateral rs&i (75710) $5,922.60 $9,871 1.9×
Angiography pulmonary unilateral slctv rs&i (75741) $5,922.60 $9,871 1.9×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $5,922.60 $9,871 1.9×
Ankle 2 views (73600) $169.20 $282 1.9×
Aortography thoracic serialography rs&i (75605) $10,210.20 $17,017 1.8×
Aortography thoracic w/o serialography rs&i (75600) $5,922.60 $9,871 1.9×
Artery X-Rays Abdomen (75726) $10,210.20 $17,017 1.8×
Artery X-Rays Adrenal Gland (75731) $5,922.60 $9,871 1.9×
Artery X-Rays Pelvis (75736) $10,210.20 $17,017 1.8×
Artery X-Rays Spine (75705) $10,210.20 $17,017 1.8×
Arthrogram ankle (73615) $714.60 $1,191 2.0×
Arthrogram hip (73525) $714.60 $1,191 2.0×
Arthrogram Wrist (73115) $714.60 $1,191 2.0×
Basic radiation dosimetry calculation (77300) $252.60 $421 1.9×
Bone age studies (77072) $204.60 $341 1.9×
Bone Imaging 3 Phase (78315) $766.80 $1,278 1.9×
Bone Imaging Limited Area (78300) $766.80 $1,278 1.9×
Bone Imaging Multiple Areas (78305) $766.80 $1,278 1.9×
Bone Imaging Whole Body (78306) $766.80 $1,278 1.9×
Bone marrow imaging limited area (78102) $766.80 $1,278 1.9×
Bone marrow imaging; multiple areas (78103) $766.80 $1,278 1.9×
Bone marrow imaging; whole body (78104) $766.80 $1,278 1.9×
Bone survey infant (77076) $204.60 $341 1.9×
Brachytx isodose complex (77318) $687 $1,145 1.8×
Brachytx isodose intermed (77317) $687 $1,145 1.8×
Brachytx Isodose Plan Simple (77316) $687 $1,145 1.8×
Brain Flow Imaging Only (78610) $1,004.40 $1,674 1.8×
Brain Image W/Flow < 4 Views (78601) $766.80 $1,278 1.9×
Brain imaging < 4 static views (78600) $766.80 $1,278 1.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,004.40 $1,674 1.8×
Brain Imaging Minimum 4 Static Views (78605) $1,004.40 $1,674 1.8×
Brain Imaging Pet Metabolic Evaluation (78608) $2,907 $4,845 2.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $766.80 $1,278 1.9×
Cardiac MRI w/w/o contrast & further seq (75561) $2,224.20 $3,707 6.3×
Cardiac MRI w/w/o contrast w/stress (75563) $2,224.20 $3,707 2.8×
Cardiac Shunt Detection (78428) $766.80 $1,278 1.9×
Cat Scan Follow-Up Study (76380) $630 $1,050 7.2×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,004.40 $1,674 1.8×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $1,004.40 $1,674 1.8×
Cerebrospinal Fluid Scan (78630) $1,004.40 $1,674 1.8×
Chest 1 view (71045) $169.20 $282 1.9×
Chest 2 views (71046) $156 $260 1.8×
Chest 3 views (71047) $169.20 $282 1.9×
Chest 4 or more views (71048) $204.60 $341 1.9×
Cisternography Positive Contrast Rs&I (70015) $1,488 $2,480 1.9×
Clavicle complete (73000) $169.20 $282 1.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $630 $1,050 6.0×
Continuing medical physics consltj pr wk (77336) $252.60 $421 1.9×
Contrast Exam Abdominl Aorta (75625) $5,922.60 $9,871 1.9×
Contrast X-Ray Bladder (74430) $714.60 $1,191 2.0×
Contrast X-Ray Of Elbow (73085) $714.60 $1,191 2.0×
Contrast X-Ray Of Knee Joint (73580) $714.60 $1,191 2.0×
Contrast Xray Throat/Cerv Esopha (74210) $341.40 $569 1.9×
Corpora cavernosography (74445) $204.60 $341 1.9×
CT abdomen and pelvis without and with contrast (74178) $3,168 $5,280 9.0×
CT abdomen and pelvis without contrast (74176) $878.40 $1,464 3.7×
CT abdomen w contrast (74160) $834 $1,390 4.7×
CT abdomen w wo contrast (74170) $1,584 $2,640 9.0×
CT abdomen w/o contrast (74150) $630 $1,050 6.0×
CT Angio Abdomen and Pelvis (74174) $3,880.80 $6,468 11.1×
CT Angio Chest (71275) $2,605.80 $4,343 14.8×
CT Angio Head (70496) $2,499 $4,165 14.2×
CT angio hrt w/3d image (75574) $630 $1,050 1.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,584.80 $4,308 14.7×
CT Angio Neck (70498) $2,463.60 $4,106 14.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,100 $3,500 11.9×
CT cervical spine w/ contrast (72126) $834 $1,390 2.4×
CT cervical spine w/o contrast (72125) $630 $1,050 6.0×
CT cervical spine w/wo cont (72127) $1,584 $2,640 9.0×
CT chest w contrast (71260) $834 $1,390 4.7×
CT chest w/wo contrast (71270) $1,584 $2,640 9.0×
CT colonography screening (74263) $1,320 $2,200 5.5×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $834 $1,390 4.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $630 $1,050 6.0×
CT head/brain with contrast (70460) $834 $1,390 4.7×
CT head/brain without and with contrast (70470) $1,584 $2,640 9.0×
CT heart contrast eval cardiac structure&morph (75572) $630 $1,050 1.8×
CT heart no contrast quant eval coronry calcium (75571) $630 $1,050 7.2×
CT hrt w/3d image congen (75573) $630 $1,050 1.8×
CT iac w contrast (70481) $834 $1,390 4.7×
CT l-spine w&w/o contrast (72133) $1,584 $2,640 9.0×
CT lower ext w/o (73700) $630 $1,050 6.0×
CT lower extremity w/contrast material (73701) $834 $1,390 4.7×
CT lumbar spine w contrast (72132) $834 $1,390 2.4×
CT lumbar spine w/o contrast (72131) $630 $1,050 6.0×
CT maxillofacial w contrast (70487) $834 $1,390 4.7×
CT maxillofacial wo contrast (70486) $630 $1,050 6.0×
CT neck tissue combo (70492) $1,584 $2,640 9.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,584 $2,640 9.0×
CT orbits w/o contrast (70480) $630 $1,050 6.0×
CT pelvis w&w/o contrast (72194) $1,584 $2,640 9.0×
CT pelvis w/o contrast (72192) $630 $1,050 6.0×
CT scan of leg combo (73702) $1,584 $2,640 9.0×
CT scans face/jaw combo (70488) $1,584 $2,640 9.0×
CT soft tissue neck w contrast (70491) $834 $1,390 4.7×
CT soft tissue neck w/o contrast (70490) $630 $1,050 6.0×
CT thoracic spine w contrast (72129) $834 $1,390 4.7×
CT thoracic spine w/o contrast (72128) $630 $1,050 6.0×
CT thoracic spine w/wo cont (72130) $1,584 $2,640 9.0×
CT thorax w/o contrast (71250) $630 $1,050 6.0×
CT unlisted procedure (76497) $630 $1,050 7.2×
CT upper ext wo (73200) $630 $1,050 6.0×
CT upper extremity w/o & w/contrast material (73202) $1,584 $2,640 9.0×
CT upper extremity with contrast (73201) $834 $1,390 2.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $834 $1,390 4.7×
Cta Abdomen (74175) $2,484.60 $4,141 14.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,499 $4,165 7.1×
CTA pelvis (72191) $2,282.40 $3,804 13.0×
Dilation ureters/urethra rs&i (74485) $3,784.80 $6,308 1.8×
Discography Cerv/Thor Spine (72285) $3,587.40 $5,979 1.8×
Diskography lumbar (72295) $3,587.40 $5,979 1.8×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $204.60 $341 1.9×
Doppler Echo Fetal Spectral Display Complete (76827) $204.60 $341 1.9×
Doppler Fetal Mid Cerebral Artery (76821) $204.60 $341 1.9×
Dxa Bone Density Axial (77080) $204.60 $341 1.9×
Dxa bone density study (77085) $204.60 $341 1.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $169.20 $282 1.9×
Echo exam of fetal heart (76825) $1,025.40 $1,709 1.9×
Echo exam uterus (76831) $455.40 $759 1.9×
Echo Guide For Artery Repair (76936) $583.20 $972 2.7×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $455.40 $759 1.9×
Echograp Trans R Pros Study (76873) $204.60 $341 1.9×
Esophageal Motility Study (78258) $766.80 $1,278 1.9×
Esophagram (74220) $341.40 $569 1.9×
Fetal Biophys Profile W/Nst (76818) $204.60 $341 1.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $204.60 $341 1.9×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $945 $1,575 3.9×
Fluoroscopy up to 1 hr (76000) $455.40 $759 1.9×
Follow-Up Angiography (75898) $5,922.60 $9,871 1.9×
Foot 2 views (73620) $169.20 $282 1.9×
Forearm 2 views (73090) $169.20 $282 1.9×
Gastric emptying imaging study (78264) $766.80 $1,278 1.9×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $766.80 $1,278 1.9×
Gastroesophageal Reflux Exam (78262) $766.80 $1,278 1.9×
Gated Heart Planar Single (78472) $766.80 $1,278 1.9×
Gated Heart, Multiple (78473) $766.80 $1,278 1.9×
GI Endoscopic US S&I (76975) $455.40 $759 1.9×
Hand 2 views (73120) $216 $360 2.1×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $1,332.60 $2,221 1.9×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $1,332.60 $2,221 1.9×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $1,332.60 $2,221 1.9×
Heart first pass single,planar (78481) $1,004.40 $1,674 1.8×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,922.60 $9,871 1.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $5,922.60 $9,871 1.9×
Hepatobil Syst Image W/Drug (78227) $1,004.40 $1,674 1.8×
Hepatobiliary System Imaging (78226) $766.80 $1,278 1.9×
Ht Musc Image Planar Mult (78454) $2,638.80 $4,398 2.0×
Ht Muscle Image Spect Sing (78451) $2,638.80 $4,398 2.0×
Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) $1,332.60 $2,221 1.9×
Hysterosalpingogram (74740) $455.40 $759 1.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $169.20 $282 1.9×
Infant hip ultrasound, limited static exam (76886) $169.20 $282 1.9×
Infusion Ivp (74410) $341.40 $569 1.9×
Interstitial radiation source applic complex (77778) $1,332.60 $2,221 1.9×
Joint Survey Single View (77077) $204.60 $341 1.9×
K Flow/Funct Image Multiple (78709) $1,004.40 $1,674 1.8×
K Flow/Funct Image W/Drug (78708) $1,004.40 $1,674 1.8×
K Flow/Funct Image W/O Drug (78707) $1,004.40 $1,674 1.8×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $766.80 $1,278 1.9×
Kidney Imaging Morphol (78700) $766.80 $1,278 1.9×
Knee 3 Views (73562) $169.20 $282 1.9×
Leveen/Shunt Patency Exam (78291) $766.80 $1,278 1.9×
Liver & Spleen Imaging Static Only (78215) $766.80 $1,278 1.9×
Liver & Spleen Imaging W/Vascular Flow (78216) $766.80 $1,278 1.9×
Liver imaging static only (78201) $1,004.40 $1,674 1.8×
Liver imaging w/vascular flow (78202) $1,004.40 $1,674 1.8×
Lung Perf&Ventilat Diferentl (78598) $1,004.40 $1,674 1.8×
Lung Ventilat&Perfus Imaging (78582) $1,004.40 $1,674 1.8×
Lung Ventilation Imaging (78579) $766.80 $1,278 1.9×
Lymph System Imaging (78195) $1,004.40 $1,674 1.8×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $2,976 $4,960 1.9×
Lymphangiography extremity only unilateral rs&i (75801) $1,167.60 $1,946 1.9×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $5,922.60 $9,871 1.9×
Lymphangiography, pelvic/abdominal, unilateral (75805) $5,922.60 $9,871 1.9×
Magnetic Image Jaw Joint (70336) $1,019.40 $1,699 4.3×
Magnetic Resonance Elastography (76391) $945 $1,575 3.9×
Mammary ductogram or galactogram multiple (77054) $455.40 $759 1.9×
Mammary ductogram or galactogram single (77053) $455.40 $759 1.9×
Meckels Divert Exam (78290) $766.80 $1,278 1.9×
Mlc imrt design & construction per imrt plan (77338) $687 $1,145 1.8×
Mra Head W/O & W/Contrast Material (70546) $2,224.20 $3,707 6.3×
MRA head w/o contrast (70544) $1,019.40 $1,699 4.3×
MRA head with contrast (70545) $1,621.80 $2,703 4.6×
MRA neck w contrast (70548) $1,621.80 $2,703 4.6×
Mra Neck W/O &W/Contrast Material (70549) $2,224.20 $3,707 6.3×
MRA neck w/o contrast (70547) $1,019.40 $1,699 4.3×
MRI abdomen w contrast (74182) $1,621.80 $2,703 4.6×
MRI abdomen w/o contrast (74181) $1,019.40 $1,699 4.3×
MRI any jt lower extrem w/contrast material (73722) $1,621.80 $2,703 2.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,224.20 $3,707 6.3×
MRI any jt upper extremity w/contrast matrl (73222) $1,621.80 $2,703 2.1×
MRI brain functional w/o physician admnistration (70554) $1,019.40 $1,699 4.3×
MRI brain functional w/physician admnistration (70555) $945 $1,575 3.9×
MRI Breast W/O Contrast Bilateral (77047) $1,529.40 $2,549 6.4×
MRI Breast Without Contrast Material Unilateral (77046) $1,019.40 $1,699 4.3×
MRI cardiac w/o cont stress (75559) $1,019.40 $1,699 1.9×
MRI cardiac w/o contrast (75557) $1,019.40 $1,699 4.3×
MRI cervical spine w contrast (72142) $1,621.80 $2,703 4.6×
MRI cervical spine w/o cont (72141) $1,019.40 $1,699 4.3×
MRI chest w/o contrast (71550) $1,019.40 $1,699 4.3×
MRI chest with contrast (71551) $1,621.80 $2,703 2.1×
MRI chest wo w contrast (71552) $2,224.20 $3,707 6.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,621.80 $2,703 4.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,224.20 $3,707 6.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,019.40 $1,699 4.3×
MRI lumbar spine w contrast (72149) $1,621.80 $2,703 4.6×
Mri Neck Spine W/O & W/Dye (72156) $2,224.20 $3,707 6.3×
MRI orbit face &/neck w/o contrast (70540) $1,019.40 $1,699 4.3×
MRI orbit face neck w contrast (70542) $1,621.80 $2,703 4.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,224.20 $3,707 6.3×
MRI pelvis w contrast (72196) $1,621.80 $2,703 4.6×
MRI pelvis w/o & w contrast (72197) $2,224.20 $3,707 6.3×
MRI pelvis w/o contrast (72195) $1,019.40 $1,699 4.3×
MRI spectroscopy (76390) $945 $1,575 10.8×
MRI thoracic spine w/o contrast (72146) $1,019.40 $1,699 4.3×
MRI upper extremity oth than jt w/contr matrl (73219) $1,621.80 $2,703 4.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,019.40 $1,699 4.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,224.20 $3,707 6.3×
MRI, abdomen, combo (74183) $2,224.20 $3,707 6.3×
MRI, dorsal spine combo (72157) $2,224.20 $3,707 6.3×
MRI, dorsal spine contrast (72147) $1,621.80 $2,703 4.6×
MRI, joint upper extrem (73221) $1,019.40 $1,699 4.3×
MRI, joint upper extrem combo (73223) $2,224.20 $3,707 6.3×
MRI, lumbar spine combo (72158) $2,224.20 $3,707 6.3×
Musculoskeletal Nuclear Exam (78399) $766.80 $1,278 1.9×
Myelogram cervical (72240) $1,488 $2,480 1.9×
Myelogram Lumbar (72265) $1,488 $2,480 1.9×
Myelography thoracic (72255) $1,488 $2,480 1.9×
Myelograpy 2/more regions rs&i (72270) $1,488 $2,480 1.9×
Myocardial Spect Multiple Studies (78452) $732.60 $1,221 0.6×
N-invas est c ffr sw aly CTA (75580) $1,603.80 $2,673 1.9×
Neck soft tissue (70360) $169.20 $282 1.9×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $499.80 $833 1.3×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $766.80 $1,278 1.9×
Nm csf leak detection (78650) $2,638.80 $4,398 2.0×
Nm unlisted gi procedure (78299) $766.80 $1,278 1.9×
Nonvascular Shunt X-Ray (75809) $204.60 $341 1.9×
Ntsty modul radthx pln dose-vol histos (77301) $2,574.60 $4,291 1.9×
Nuclear medicine study of endocrine organs (78099) $766.80 $1,278 1.9×
Nuclear Rx Intra-Arterial (79445) $462.60 $771 2.0×
Nuclear Rx Oral Admin (79005) $462.60 $771 2.0×
Ob us nuchal meas 1 gest (76813) $204.60 $341 1.9×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $204.60 $341 1.9×
Oph us dx ant sgm us immersion b-scan/hr biom (76513) $204.60 $341 1.9×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) $237.60 $396 1.8×
Ophthalmic Biometry US Echograpy a-Scan (76516) $204.60 $341 1.9×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $204.60 $341 1.9×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $55.80 $93 1.9×
Optic foramina (70190) $169.20 $282 1.9×
Panoramic X-ray of jaws (70355) $169.20 $282 1.9×
Parathyroid imaging w/tomographic spect & CT (78072) $1,004.40 $1,674 1.8×
Parathyroid Planar Imaging (78070) $766.80 $1,278 1.9×
Parathyroid planar imaging w/wo subtraction (78071) $766.80 $1,278 1.9×
Pelvis 1 or 2 views (72170) $204.60 $341 1.9×
Peritoneogram Rs&I (74190) $1,025.40 $1,709 1.9×
Pet Image W/Ct Lmtd (78814) $2,907 $4,845 2.0×
PET image w/CT, full body (78816) $2,907 $4,845 2.0×
PET imaging CT attenuation skull base mid-thigh (78815) $2,907 $4,845 2.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $5,922.60 $9,871 1.9×
Pulmonary Perfusion Imaging Particulate (78580) $766.80 $1,278 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $204.60 $341 1.9×
Radex abscess/fistula/sinus tract rs&i (76080) $1,025.40 $1,709 1.9×
Radex Ankle Complete Minimum 3 Views (73610) $169.20 $282 1.9×
Radex Calcaneus Minimum 2 Views (73650) $169.20 $282 1.9×
Radex elbow complete minimum 3 views (73080) $169.20 $282 1.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $204.60 $341 1.9×
Radex fingr minimum 2 views (73140) $169.20 $282 1.9×
Radex foot complete minimum 3 views (73630) $169.20 $282 1.9×
Radex Hand Minimum 3 Views (73130) $169.20 $282 1.9×
Radex lower extremity infant minimum 2 views (73592) $169.20 $282 1.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $204.60 $341 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $169.20 $282 1.9×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $169.20 $282 1.9×
Radex Ribs Unilateral 2 Views (71100) $169.20 $282 1.9×
Radex shoulder complete minimum 2 views (73030) $156 $260 1.8×
Radex Sinuses Paransl < 3 Views (70210) $169.20 $282 1.9×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $341.40 $569 1.9×
Radex Spine 1 View Specify Level (72020) $169.20 $282 1.9×
Radex Sternum Minimum 2 Views (71120) $169.20 $282 1.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $169.20 $282 1.9×
Radex Toe Minimum 2 Views (73660) $169.20 $282 1.9×
Radex upper extremity infant minimum 2 views (73092) $204.60 $341 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $169.20 $282 1.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $204.60 $341 1.9×
Radiation Delivery Stereotactic Cranial Linear (77372) $13,974 $23,290 1.9×
Radiation treatment delivery level 1 (77402) $200.40 $334 2.0×
Radiation treatment delivery level 2 (77407) $481.20 $802 1.2×
Radiation treatment delivery level 3 (77412) $481.20 $802 0.9×
Radiolog exam mandible compl minimum 4 views (70110) $204.60 $341 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $204.60 $341 1.9×
Radiologic exam colon double contrast study (74280) $341.40 $569 1.9×
Radiologic exam colon single contrast study (74270) $341.40 $569 1.9×
Radiologic exam knee complete 4/more views (73564) $204.60 $341 1.9×
Radiologic exam pelvis compl minimum 3 views (72190) $204.60 $341 1.9×
Radiologic Exam Small Int Single Contrast Study (74250) $341.40 $569 1.9×
Radiologic exam swallow function contrast study (74230) $341.40 $569 1.9×
Radiologic exam teeth complete full mouth (70320) $455.40 $759 1.9×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $455.40 $759 1.9×
Radiologic exam upr gi trc double contrast study (74246) $341.40 $569 1.9×
Radiologic examination femur 1 view (73551) $169.20 $282 1.9×
Radiologic examination femur minimum 2 views (73552) $169.20 $282 1.9×
Radiologic examination knee 1/2 views (73560) $169.20 $282 1.9×
Radiologic Examination Osseous Survey Limited (77074) $204.60 $341 1.9×
Radiologic examination tibia & fibula 2 views (73590) $169.20 $282 1.9×
Radiologic examination, teeth; single view Non-Facility (70300) $169.20 $282 1.9×
Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) $462.60 $771 2.0×
Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) $462.60 $771 2.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $766.80 $1,278 1.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $766.80 $1,278 1.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,638.80 $4,398 4.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,638.80 $4,398 4.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,638.80 $4,398 4.8×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,638.80 $4,398 2.0×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,907 $4,845 2.0×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,638.80 $4,398 2.0×
Rp Therapy Intravenous Administration (79101) $462.60 $771 2.0×
Salivary Gland Imaging (78230) $766.80 $1,278 1.9×
Salivary Gland Imaging Serial Images (78231) $766.80 $1,278 1.9×
Scapula (73010) $204.60 $341 1.9×
Screening Digital Breast Tomosynthesis Bi (77063) $44.40 $74 1.9×
Sella turcica (70240) $169.20 $282 1.9×
Shoulder 1 view (73020) $169.20 $282 1.9×
Shoulder Arthrography (73040) $714.60 $1,191 2.0×
Sialogram (70390) $455.40 $759 1.9×
Skull less than 4 views (70250) $204.60 $341 1.9×
Special dosimetry (77331) $252.60 $421 1.9×
Special Physics Consult (77370) $252.60 $421 1.9×
Special teletherapy port plan (77321) $687 $1,145 1.8×
Special treatment procedure (77470) $1,093.80 $1,823 2.0×
Speech evaluation, complex (70371) $455.40 $759 1.9×
Stereotactic Body Radiation Delivery (77373) $3,210 $5,350 1.8×
Sternoclavicular joints (71130) $169.20 $282 1.9×
Superior sagittal sinus venogram (75870) $5,922.60 $9,871 1.9×
Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) $190.80 $318 1.9×
Surf radj ther supfc dlvr<=150 kv per fraction (77437) $190.80 $318 1.9×
Surf radj ther supfc/orthvlt treatment planning (77436) $70.20 $117 1.9×
Surface Applic Low Dose Rate Radionuclide Source (77789) $223.20 $372 2.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $687 $1,145 1.8×
Telethx isodose pln smpl w/dosimetry calculation (77306) $687 $1,145 1.8×
Temporomandble Jt Arthrography Rs&I (70332) $455.40 $759 1.9×
Testicular Imaging W/Flow (78761) $766.80 $1,278 1.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $687 $1,145 1.8×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $687 $1,145 1.8×
Ther rad simulaj-aided field setting simple (77280) $252.60 $421 1.9×
Thoracic spine 2 views (72070) $204.60 $341 1.9×
Thoracic spine 3 views (72072) $204.60 $341 1.9×
Thoracolumbar 2 views (72080) $169.20 $282 1.9×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $766.80 $1,278 1.9×
Thyroid Imaging With Vascular Flow (78013) $766.80 $1,278 1.9×
Thyroid Met Imaging Body (78018) $1,004.40 $1,674 1.8×
Thyroid Uptake Measurement (78012) $766.80 $1,278 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $766.80 $1,278 1.9×
Tx Devices Design & Construction Complex (77334) $687 $1,145 1.8×
Tx devices design & construction intermediate (77333) $252.60 $421 1.9×
Tx devices design & construction simple (77332) $252.60 $421 1.9×
Ultrasound Breast Limited (76642) $169.20 $282 1.9×
Ultrasound elastography first target lesion (76982) $204.60 $341 1.9×
Ultrasound Elastography Parenchyma (76981) $204.60 $341 1.9×
Ultrasound Exam Aaa Screen (76706) $204.60 $341 1.9×
Ultrasound, abdomen limited (76705) $204.60 $341 1.9×
Umbilical-artery Doppler (OB) (76820) $204.60 $341 1.9×
Unlis px ther radiol clinical tx planning (77299) $252.60 $421 1.9×
Unlisted Dx Radiographic Procedure (76499) $169.20 $282 1.9×
Unlisted fluoroscopic procedure (76496) $169.20 $282 1.9×
Unlisted genitourinary px dx nuclear medicine (78799) $766.80 $1,278 1.9×
Unlisted magnetic resonance procedure (76498) $945 $1,575 10.8×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $766.80 $1,278 1.9×
Unlisted respiratory px dx nuclear medicine (78599) $766.80 $1,278 1.9×
Upper gi w/o kub (74240) $341.40 $569 1.9×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $21.60 $36 2.0×
Urea breath test c-14 isotopic analysis (78268) $184.20 $307 2.0×
Ureteral Reflux Study (78740) $766.80 $1,278 1.9×
Urethrocystogram voiding (74455) $455.40 $759 1.9×
Urethrocystography retrograde (74450) $455.40 $759 1.9×
Us bone density measurement (76977) $204.60 $341 1.9×
Us breast unilateral complete (76641) $204.60 $341 1.9×
Us chest (76604) $204.60 $341 1.9×
Us complete joint (76881) $204.60 $341 1.9×
Us exam, pelvic, limited (76857) $204.60 $341 1.9×
Us head (76506) $204.60 $341 1.9×
Us kidney transplant (76776) $204.60 $341 1.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $204.60 $341 1.9×
Us ob detailed single fetus (76811) $455.40 $759 1.9×
Us ob limited 1 or more fetuses (76815) $204.60 $341 1.9×
Us ob transvaginal (76817) $204.60 $341 1.9×
Us pelvic non ob complete (76856) $204.60 $341 1.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $204.60 $341 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $204.60 $341 1.9×
Us retroperitoneal complete (76770) $204.60 $341 1.9×
Us retroperitoneal limited (76775) $204.60 $341 1.9×
Us scrotum and contents (76870) $204.60 $341 1.9×
Us spinal canal and contents (76800) $204.60 $341 1.9×
Us thyroid (76536) $204.60 $341 1.9×
Us transrectal (76872) $204.60 $341 1.9×
Vascular Flow Imaging (78445) $766.80 $1,278 1.9×
Vein X-Ray Chest (75827) $2,976 $4,960 1.9×
Vein X-Ray Liver W/O Hemodyn (75887) $5,922.60 $9,871 1.9×
Vein X-Ray Skull Epidural (75872) $1,167.60 $1,946 1.9×
Vein X-Ray Spleen/Liver (75810) $5,922.60 $9,871 1.9×
Venogram Sinus/Jugular (75860) $5,922.60 $9,871 1.9×
Venography Adrenal Unilateral (75840) $5,922.60 $9,871 1.9×
Venography caval inferior serialography rs&i (75825) $5,922.60 $9,871 1.9×
Venography extremity bilateral rs&i (75822) $2,976 $4,960 1.9×
Venography extremity unilateral rs&i (75820) $2,976 $4,960 1.9×
Venography Orbital Rs&I (75880) $1,167.60 $1,946 1.9×
Venography Renal Bilateral (75833) $5,922.60 $9,871 1.9×
Venography Renal Unilateral (75831) $5,922.60 $9,871 1.9×
Venous sampling by catheter (75893) $10,210.20 $17,017 1.8×
Vertebral fracture assessment via dxa (77086) $169.20 $282 1.9×
Wrist 2 views (73100) $156 $260 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $169.20 $282 1.9×
X-ray antegrade pyelogram tube (74425) $714.60 $1,191 2.0×
X-Ray Aorta Leg Arteries (75630) $5,922.60 $9,871 1.9×
X-Ray Bend Only L-S Spine (72120) $204.60 $341 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $169.20 $282 1.9×
X-Ray Exam Breast Specimen (76098) $1,025.40 $1,709 1.9×
X-Ray Exam Entire Spi 1 Vw (72081) $169.20 $282 1.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $204.60 $341 1.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $204.60 $341 1.9×
X-Ray Exam Hip Uni 1 View (73501) $169.20 $282 1.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $169.20 $282 1.9×
X-Ray Exam Hip Uni 4/> Views (73503) $204.60 $341 1.9×
X-Ray Exam Hips Bi 2 Views (73521) $204.60 $341 1.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $204.60 $341 1.9×
X-Ray Exam Hips Bi 5/> Views (73523) $204.60 $341 1.9×
X-Ray Exam L-S Spine Bending (72114) $204.60 $341 1.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $161.40 $269 1.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $204.60 $341 1.9×
X-Ray Exam Unilat Ribs/Chest (71101) $204.60 $341 1.9×
X-ray head for orthodontia (70350) $169.20 $282 1.9×
X-ray humerus (73060) $169.20 $282 1.9×
X-ray IV pyelogram (ivp) (74400) $341.40 $569 1.9×
X-ray IV pyelogram+tomography (74415) $341.40 $569 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $169.20 $282 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $169.20 $282 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $204.60 $341 1.9×
X-ray nose-rectum child f.b. (76010) $169.20 $282 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $204.60 $341 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $204.60 $341 1.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $204.60 $341 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $169.20 $282 1.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $169.20 $282 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $204.60 $341 1.9×
X-Ray Stress View (77071) $169.20 $282 1.9×
X-ray thoracic spine 4 vw (72074) $204.60 $341 1.9×
X-Ray Tmj Unilat (70328) $169.20 $282 1.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $714.60 $1,191 2.0×
X-Rays Bone Length Studies (77073) $204.60 $341 1.9×
X-Rays Bone Survey Complete (77075) $204.60 $341 1.9×
Xr c-spine 4 or 5 views (72050) $204.60 $341 1.9×
Xr facial bones less than 3 views (70140) $169.20 $282 1.9×
XR Mastoids < 3 Views Bilateral (70120) $204.60 $341 1.9×
Xr orbits complete 4 views (70200) $204.60 $341 1.9×
Xr Tomogram Single Plane (76100) $204.60 $341 1.9×