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.

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,574.60 $4,291 1.9×
Abdomen 2 views (74019) $204.60 $341 1.9×
Acute gastrointestinal blood loss imaging (78278) $766.80 $1,278 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 internal mammary rs&i (75756) $5,922.60 $9,871 1.9×
Angiography pelvic slctv/supraslctv rs&i (75736) $10,210.20 $17,017 1.8×
Angiography pulmonary unilateral slctv rs&i (75741) $5,922.60 $9,871 1.9×
Angiography Spinal Selective Rs&I (75705) $10,210.20 $17,017 1.8×
Angiography visceral slctv/supraslctv rs&i (75726) $10,210.20 $17,017 1.8×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $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×
Antegrade urography radiological supvj & interpj (74425) $714.60 $1,191 2.0×
Aortogram thoracic (75605) $10,210.20 $17,017 1.8×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $5,922.60 $9,871 1.9×
Aortography abdominal serialography rs&i (75625) $5,922.60 $9,871 1.9×
Aortography thoracic w/o serialography rs&i (75600) $5,922.60 $9,871 1.9×
Artery X-Rays Adrenal Gland (75731) $5,922.60 $9,871 1.9×
Arthrogram elbow (73085) $714.60 $1,191 2.0×
Arthrogram hip (73525) $714.60 $1,191 2.0×
Arthrogram shoulder (73040) $714.60 $1,191 2.0×
Arthrogram wrist (73115) $714.60 $1,191 2.0×
Arthrography knee lt (73580) $714.60 $1,191 2.0×
Basic radiation dosimetry calculation (77300) $252.60 $421 1.9×
Bone &/Joint Imaging Limited Area (78300) $766.80 $1,278 1.9×
Bone &/Joint Imaging Multiple Areas (78305) $766.80 $1,278 1.9×
Bone &/joint imaging whole body (78306) $766.80 $1,278 1.9×
Bone age studies (77072) $204.60 $341 1.9×
Bone Imaging 3 Phase (78315) $766.80 $1,278 1.9×
Bone Marrow Imaging Limited Area (78102) $766.80 $1,278 1.9×
Bone survey complete (77075) $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 pln smpl w/dosimetry cal (77316) $687 $1,145 1.8×
Brain image w/flow 4 + views (78606) $1,004.40 $1,674 1.8×
Brain imaging < 4 static views (78600) $766.80 $1,278 1.9×
Brain imaging < 4 static views w vascular flow (78601) $766.80 $1,278 1.9×
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×
Brain Imaging Vascular Flow Only (78610) $1,004.40 $1,674 1.8×
Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) $21.60 $36 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 shunt detection (78428) $766.80 $1,278 1.9×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,004.40 $1,674 1.8×
Cervical spine 2 or 3 views (72040) $161.40 $269 1.8×
Chest 1 view (71045) $169.20 $282 1.9×
Chest 3 views (71047) $169.20 $282 1.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $341.40 $569 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 Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (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 hrt w/3d image (75574) $630 $1,050 1.8×
CT angiography upper extremity lt (73206) $2,100 $3,500 11.9×
CT c-spine w/o contrast (72125) $630 $1,050 6.0×
CT cervical spine w&w/o contrast (72127) $1,584 $2,640 9.0×
CT cervical spine with contrast (72126) $834 $1,390 2.4×
CT chest w/wo contrast (71270) $1,584 $2,640 9.0×
CT chest with contrast (71260) $834 $1,390 4.7×
CT colonography screening (74263) $1,320 $2,200 5.5×
CT colonography w/dye (74262) $834 $1,390 4.7×
CT colonography w/o cntrst (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 limited/localized follow up study (76380) $630 $1,050 7.2×
CT lower ext w/o (73700) $630 $1,050 6.0×
CT lower extremity w wo contrast (73702) $1,584 $2,640 9.0×
CT lower extremity with contrast (73701) $834 $1,390 4.7×
CT lumbar spine w & w/o contrast (72133) $1,584 $2,640 9.0×
CT lumbar spine w/o contrast (72131) $630 $1,050 6.0×
CT lumbar spine with contrast (72132) $834 $1,390 2.4×
CT maxillofacial w contrast (70487) $834 $1,390 4.7×
CT maxillofacial w/o contrast (70486) $630 $1,050 6.0×
CT maxillofacial w/wo contrast (70488) $1,584 $2,640 9.0×
CT neck soft tissue w contrast (70491) $834 $1,390 4.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) $1,584 $2,640 9.0×
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 contrast (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 extremity w/o & w/contrast material (73202) $1,584 $2,640 9.0×
CT upper extremity w/o contrast rt (73200) $630 $1,050 6.0×
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 abdomen pelvis (74174) $3,880.80 $6,468 11.1×
CTA chest (71275) $2,605.80 $4,343 14.8×
Cta Head (70496) $2,499 $4,165 14.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,499 $4,165 7.1×
CTA lwr ext w&w/o contrast (73706) $2,584.80 $4,308 14.7×
Cta Neck (70498) $2,463.60 $4,106 14.0×
Cta Pelvis (72191) $2,282.40 $3,804 13.0×
Cystography minimum 3 views rs&i (74430) $714.60 $1,191 2.0×
Diskogram cervical (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×
Dx ophthalmic us ant segment immersion uni/bi (76513) $204.60 $341 1.9×
Dxa bone density study 1/> sites axial skel (77080) $204.60 $341 1.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $169.20 $282 1.9×
Dxa bone density study axial skeleton (77085) $204.60 $341 1.9×
Echo exam of fetal heart (76825) $1,025.40 $1,709 1.9×
Echo fetal cardiovasc w/wo m-mode repeat std (76826) $455.40 $759 1.9×
Echoencephalography real time imaging (76506) $204.60 $341 1.9×
Esophageal motility (78258) $766.80 $1,278 1.9×
Esophagus (74220) $341.40 $569 1.9×
Fetal biophysical profile non-stress testing (76818) $204.60 $341 1.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $204.60 $341 1.9×
Fluoroscopy up to 1 hr (76000) $455.40 $759 1.9×
Foot 2 views (73620) $169.20 $282 1.9×
Forearm 2 views (73090) $169.20 $282 1.9×
Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) $455.40 $759 1.9×
Functional MRI brain by phys/psych (70555) $945 $1,575 3.9×
Functional MRI brain by tech (70554) $1,019.40 $1,699 4.3×
Gated Heart Planar Single (78472) $766.80 $1,278 1.9×
Hand 2 views (73120) $216 $360 2.1×
Hand 3 views (73130) $169.20 $282 1.9×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $1,332.60 $2,221 1.9×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $1,332.60 $2,221 1.9×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $1,332.60 $2,221 1.9×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $5,922.60 $9,871 1.9×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,004.40 $1,674 1.8×
Hepatobiliary syst imaging including gallbladder (78226) $766.80 $1,278 1.9×
Ht muscle image spect sing (78451) $2,638.80 $4,398 2.0×
Humerus Min 2 Views Left (73060) $169.20 $282 1.9×
Hysterosalpingogram (74740) $455.40 $759 1.9×
Interstitial radiation source applic complex (77778) $1,332.60 $2,221 1.9×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $204.60 $341 1.9×
Kidney funcj study non-img radioisotopic study (78725) $766.80 $1,278 1.9×
Kidney imaging morphology (78700) $766.80 $1,278 1.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,004.40 $1,674 1.8×
Kidney img morphology vascular flow 1 w/rx (78708) $1,004.40 $1,674 1.8×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,004.40 $1,674 1.8×
Knee 3 views (73562) $169.20 $282 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 Ventilation Imaging (78579) $766.80 $1,278 1.9×
Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) $5,922.60 $9,871 1.9×
Lymphangio extrem unilat - ir lymphangiogram extremity (75801) $1,167.60 $1,946 1.9×
Lymphangiography extremity only bilateral rs&i (75803) $2,976 $4,960 1.9×
Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) $5,922.60 $9,871 1.9×
Lymphoscintigraphy (78195) $1,004.40 $1,674 1.8×
Mammary ductogram or galactogram multiple (77054) $455.40 $759 1.9×
Mammary ductogram or galactogram single (77053) $455.40 $759 1.9×
Manual appl stress pfrmd phys/qhp joint films (77071) $169.20 $282 1.9×
Meckels Diverticulum (78290) $766.80 $1,278 1.9×
Mlc imrt design & construction per imrt plan (77338) $687 $1,145 1.8×
Mr elastography (76391) $945 $1,575 3.9×
MRA head w & w/o contrast (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 & w/contrast material (74183) $2,224.20 $3,707 6.3×
MRI abdomen w/o contrast (74181) $1,019.40 $1,699 4.3×
MRI any jnt lwr ext with con lt (73722) $1,621.80 $2,703 2.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,621.80 $2,703 2.1×
MRI breast w/o contrast bilateral (77047) $1,529.40 $2,549 6.4×
MRI breast w/o contrast unilat (77046) $1,019.40 $1,699 4.3×
MRI c-spine with contrast (72142) $1,621.80 $2,703 4.6×
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/o contrast (72141) $1,019.40 $1,699 4.3×
MRI chest w/o & w/contrast material (71552) $2,224.20 $3,707 6.3×
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 fetal sngl/1st gestation (74712) $945 $1,575 3.9×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,621.80 $2,703 4.6×
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 contr matrl (73718) $1,019.40 $1,699 4.3×
MRI orbit face &/neck w/o contrast (70540) $1,019.40 $1,699 4.3×
MRI orbit/face/neck w&w/o cont (70543) $2,224.20 $3,707 6.3×
MRI orbit/face/neck w/contrast (70542) $1,621.80 $2,703 4.6×
MRI pelvis w contrast (72196) $1,621.80 $2,703 4.6×
MRI pelvis w/o & w/contrast material (72197) $2,224.20 $3,707 6.3×
MRI pelvis w/o contrast (72195) $1,019.40 $1,699 4.3×
MRI scan of arm joint before and after contrast (73223) $2,224.20 $3,707 6.3×
MRI scan of heart before and after contrast with stress imaging (75563) $2,224.20 $3,707 2.8×
MRI scan of leg joint before and after contrast (73723) $2,224.20 $3,707 6.3×
MRI spectroscopy (76390) $945 $1,575 10.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,224.20 $3,707 6.3×
MRI spinal canal lumbar w/contrast material (72149) $1,621.80 $2,703 4.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,224.20 $3,707 6.3×
MRI spinal canal thoracic w/contrast matrl (72147) $1,621.80 $2,703 4.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,224.20 $3,707 6.3×
MRI thoracic spine w/o contrast (72146) $1,019.40 $1,699 4.3×
MRI tmj (70336) $1,019.40 $1,699 4.3×
MRI upper ext joint w/o contrast (73221) $1,019.40 $1,699 4.3×
MRI upper extrem other than jt w/o & w/contras (73220) $2,224.20 $3,707 6.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,019.40 $1,699 4.3×
Myelogram Cervical (72240) $1,488 $2,480 1.9×
Myelogram Lumbar (72265) $1,488 $2,480 1.9×
Myelogram thoracic (72255) $1,488 $2,480 1.9×
Myelography 2 or more regions (72270) $1,488 $2,480 1.9×
Myocardial Spect Multiple Studies (78452) $732.60 $1,221 0.6×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (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 bone marrow multiple (78103) $766.80 $1,278 1.9×
Nm bone marrow wb (78104) $766.80 $1,278 1.9×
Nm cisternogram (78630) $1,004.40 $1,674 1.8×
Nm csf leak detection (78650) $2,638.80 $4,398 2.0×
Nm gastric emptying study (78264) $766.80 $1,278 1.9×
Nm gastroesophageal reflux study (78262) $766.80 $1,278 1.9×
Nm peritoneal-venous shunt patency (78291) $766.80 $1,278 1.9×
Ntsty modul radthx pln dose-vol histos (77301) $2,574.60 $4,291 1.9×
Nuclear medicine of heart muscle at rest with stress (78454) $2,638.80 $4,398 2.0×
Nuclear medicine of heart pumping function (78473) $766.80 $1,278 1.9×
Nuclear medicine study of digestive tracts (78299) $766.80 $1,278 1.9×
Nuclear medicine study of endocrine organs (78099) $766.80 $1,278 1.9×
Nuclear medicine study of limited area for thyroid cancer (78015) $766.80 $1,278 1.9×
Nuclear medicine study of stomach to assess emptying small bowel movement (78265) $766.80 $1,278 1.9×
Nuclear Rx Oral Admin (79005) $462.60 $771 2.0×
Nuclr Rx Interstit Colloid (79300) $462.60 $771 2.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $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×
Orthopantogram (70355) $169.20 $282 1.9×
Osseous survey infant (77076) $204.60 $341 1.9×
Osseous survey limited (77074) $204.60 $341 1.9×
Parathyrd planar w/spect&CT (78072) $1,004.40 $1,674 1.8×
Parathyrd planar w/wo subtrj (78071) $766.80 $1,278 1.9×
Parathyroid imaging (78070) $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, skull-thigh (78815) $2,907 $4,845 2.0×
PET imaging CT for attenuation limited area (78814) $2,907 $4,845 2.0×
PET imaging for CT attenuation whole body (78816) $2,907 $4,845 2.0×
Pr csf ventriculography (78635) $1,004.40 $1,674 1.8×
Pr gi endoscopic ultrasound (76975) $455.40 $759 1.9×
Pr heart first pass single,planar (78481) $1,004.40 $1,674 1.8×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,224.20 $3,707 6.3×
Pr sono bone density measure,peripheral (76977) $204.60 $341 1.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $5,922.60 $9,871 1.9×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $5,922.60 $9,871 1.9×
Pulmonary Perfusion Imaging Particulate (78580) $766.80 $1,278 1.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,004.40 $1,674 1.8×
Radex abscess/fistula/sinus tract rs&i (76080) $1,025.40 $1,709 1.9×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $169.20 $282 1.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $204.60 $341 1.9×
Radex hips bilateral with pelvis 2 views (73521) $204.60 $341 1.9×
Radex mastoids compl minimum 3 views pr side (70130) $204.60 $341 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 1 mev >= complex (77412) $481.20 $802 0.9×
Radiation treatment delivery 1 mev >= simple (77402) $200.40 $334 2.0×
Radiation tx delivery 1 mev >= intermediate (77407) $481.20 $802 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $204.60 $341 1.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $169.20 $282 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $204.60 $341 1.9×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $156 $260 1.8×
Radiologic exam colon single contrast study (74270) $341.40 $569 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 exam upr gi trc single contrast study (74240) $341.40 $569 1.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $169.20 $282 1.9×
Radiological examination surgical specimen (76098) $1,025.40 $1,709 1.9×
Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) $462.60 $771 2.0×
Review by radiologist of adrenal gland vein image (75840) $5,922.60 $9,871 1.9×
Review by radiologist of liver vein image with assessment of blood flow (75889) $5,922.60 $9,871 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 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 1 day imaging (78830) $2,638.80 $4,398 2.0×
Rp therapy intra-arterial particulate admn (79445) $462.60 $771 2.0×
Rp Therapy Intravenous Administration (79101) $462.60 $771 2.0×
Sacroiliac Joints < 3 Views (72200) $204.60 $341 1.9×
Saline Infus Sonohysterography W/Color Doppler (76831) $455.40 $759 1.9×
Salivary gland imaging (78230) $766.80 $1,278 1.9×
Salivary gland imaging serial images (78231) $766.80 $1,278 1.9×
Scanogram (77073) $204.60 $341 1.9×
Scapula complete (73010) $204.60 $341 1.9×
Screening digital breast tomosynthesis (77063) $44.40 $74 1.9×
Sella turcica (70240) $169.20 $282 1.9×
Shuntogram indwelling nonvascular shunt rs&i (75809) $204.60 $341 1.9×
Sialogram (70390) $455.40 $759 1.9×
Simulation intermediate (77285) $687 $1,145 1.8×
Small bowel series (74250) $341.40 $569 1.9×
Spec medical radj physics consltj (77370) $252.60 $421 1.9×
Spec telethx port pln parts hemibdy tot bdy (77321) $687 $1,145 1.8×
Special dosimetry (77331) $252.60 $421 1.9×
Special treatment procedure (77470) $1,093.80 $1,823 2.0×
Speech evaluation complex (70371) $455.40 $759 1.9×
Spine thoracic 3 views (72072) $204.60 $341 1.9×
Splenoportograpy rs&i (75810) $5,922.60 $9,871 1.9×
Stereotactic body radiation delivery (77373) $3,210 $5,350 1.8×
Superior sagittal sinus venogram (75870) $5,922.60 $9,871 1.9×
Surface Applic Low Dose Rate Radionuclide Source (77789) $223.20 $372 2.2×
Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions (77438) $190.80 $318 1.9×
Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) $70.20 $117 1.9×
Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th… (77437) $190.80 $318 1.9×
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 With Vascular 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 simple (77280) $252.60 $421 1.9×
Thoracolumbar 2 views (72080) $169.20 $282 1.9×
Thyroid carcinoma metastases img whole body (78018) $1,004.40 $1,674 1.8×
Thyroid Imaging With Vascular Flow (78013) $766.80 $1,278 1.9×
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×
Tmj unilateral (70328) $169.20 $282 1.9×
Tomogram (76100) $204.60 $341 1.9×
Treatment device intermediate (77333) $252.60 $421 1.9×
Treatment devices simple (77332) $252.60 $421 1.9×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $2,638.80 $4,398 4.8×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $766.80 $1,278 1.9×
Tx devices design & construction complex (77334) $687 $1,145 1.8×
Ultrasound elastography first target lesion (76982) $204.60 $341 1.9×
Ultrasound scan of cornea to determine thickness (76514) $55.80 $93 1.9×
Ultrasound scan to determine eye length and lens power (76519) $204.60 $341 1.9×
Ultrasound, abdomen limited (76705) $204.60 $341 1.9×
Umbilical-artery Doppler (OB) (76820) $204.60 $341 1.9×
Unlisted Diagnostic Radiographic Procedure (76499) $169.20 $282 1.9×
Unlisted fluoroscopic procedure (76496) $169.20 $282 1.9×
Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (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 musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) $766.80 $1,278 1.9×
Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) $252.60 $421 1.9×
Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) $766.80 $1,278 1.9×
Upper Extremity Infant (73092) $204.60 $341 1.9×
Urea breath test, C-14 (isotopic); analysis (78268) $184.20 $307 2.0×
Ureteral Reflux Study Rp Voiding Cystogram (78740) $766.80 $1,278 1.9×
Urethrocystography retrograde rs&i (74450) $455.40 $759 1.9×
Urethrocystography voiding (74455) $455.40 $759 1.9×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $341.40 $569 1.9×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $341.40 $569 1.9×
Us abdl aorta screen aaa (76706) $204.60 $341 1.9×
Us breast unilateral complete (76641) $204.60 $341 1.9×
Us breast unilateral limited (76642) $169.20 $282 1.9×
Us chest (76604) $204.60 $341 1.9×
Us compl joint r-t w/image documentation (76881) $204.60 $341 1.9×
Us elastography parenchyma (76981) $204.60 $341 1.9×
Us fetal nuchal translucency 1st gestation (76813) $204.60 $341 1.9×
Us guided compression repair (76936) $583.20 $972 2.7×
Us infant hips dynamic (76885) $169.20 $282 1.9×
Us infant hips limited static (76886) $169.20 $282 1.9×
Us kidney transplant (76776) $204.60 $341 1.9×
Us ob detailed single fetus (76811) $455.40 $759 1.9×
Us ob transvaginal (76817) $204.60 $341 1.9×
Us pelvic non ob complete (76856) $204.60 $341 1.9×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $204.60 $341 1.9×
Us pregnancy ltd (76815) $204.60 $341 1.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $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 soft tissue head/neck (76536) $204.60 $341 1.9×
Us spinal canal and contents (76800) $204.60 $341 1.9×
Us transrectal (76872) $204.60 $341 1.9×
Us transrectal prostate volume (76873) $204.60 $341 1.9×
Us xtr non-vasc lmtd (76882) $204.60 $341 1.9×
Us, eye b-scan (76512) $204.60 $341 1.9×
Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm (77605) $1,332.60 $2,221 1.9×
Vascular flow imaging (78445) $766.80 $1,278 1.9×
Venogram extremity bilateral (75822) $2,976 $4,960 1.9×
Venogram orbital (75880) $1,167.60 $1,946 1.9×
Venography caval inferior serialography rs&i (75825) $5,922.60 $9,871 1.9×
Venography caval superior serialography rs&i (75827) $2,976 $4,960 1.9×
Venography epidural rs&i (75872) $1,167.60 $1,946 1.9×
Venography extremity unilateral rs&i (75820) $2,976 $4,960 1.9×
Venography Renal Bilateral (75833) $5,922.60 $9,871 1.9×
Venography renal unilateral selective rs&i (75831) $5,922.60 $9,871 1.9×
Venography venous sinus/jugular cath rs&i (75860) $5,922.60 $9,871 1.9×
Venous sampling thru cath w/wo angiography rs& (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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $204.60 $341 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $169.20 $282 1.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $169.20 $282 1.9×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $341.40 $569 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $169.20 $282 1.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $169.20 $282 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 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 of femur 1 (73551) $169.20 $282 1.9×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $341.40 $569 1.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $204.60 $341 1.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $169.20 $282 1.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $169.20 $282 1.9×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $3,784.80 $6,308 1.8×
X-ray head for orthodontia (70350) $169.20 $282 1.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $169.20 $282 1.9×
X-ray IV pyelogram+drip infusn (74410) $341.40 $569 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $169.20 $282 1.9×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $204.60 $341 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $169.20 $282 1.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $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 Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $204.60 $341 1.9×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $204.60 $341 1.9×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $169.20 $282 1.9×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $169.20 $282 1.9×
X-ray of voice box or throat (70370) $169.20 $282 1.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $204.60 $341 1.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $204.60 $341 1.9×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $714.60 $1,191 2.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $169.20 $282 1.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $204.60 $341 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 Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $169.20 $282 1.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $156 $260 1.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $169.20 $282 1.9×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $169.20 $282 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $204.60 $341 1.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $204.60 $341 1.9×
X-Ray Spine One View - Xr Spine (72020) $169.20 $282 1.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $169.20 $282 1.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $169.20 $282 1.9×
X-Ray Teeth Single - Xr Teeth 1 View (70300) $169.20 $282 1.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $204.60 $341 1.9×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $204.60 $341 1.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $169.20 $282 1.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $169.20 $282 1.9×
Xr arthrogram ankle (73615) $714.60 $1,191 2.0×
Xr c-spine 6 or more views (72052) $204.60 $341 1.9×
Xr chest 4+ views (71048) $204.60 $341 1.9×
Xr finger(s) 2+ views (73140) $169.20 $282 1.9×
XR Mastoids < 3 Views Bilateral (70120) $204.60 $341 1.9×
Xr optic foramina (70190) $169.20 $282 1.9×
Xr shoulder 1 view (73020) $169.20 $282 1.9×
Xr spine cervical 4 or 5 views (72050) $204.60 $341 1.9×
Xr tibia/fibula 2 views (73590) $169.20 $282 1.9×
Xr tmj bilateral (70330) $169.20 $282 1.9×
Xray knee 1 or 2 views rt (73560) $169.20 $282 1.9×