Imaging prices at Val Verde Regional Medical Center
Del Rio, TX · every code in this section with a posted price and a Medicare benchmark.
305 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) | $218.40 | $336 | 2.5× |
| Abdomen 2 views (74019) | $278.20 | $428 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $941.65 | $1,448.69 | 2.3× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,130.12 | $1,738.64 | 0.9× |
| Adrenal Cortex & Medulla Img (78075) | $1,984.71 | $3,053.40 | 1.5× |
| Angio internal mammary (75756) | $4,490.07 | $6,907.80 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$5,265.65–$5,542.38 | $8,101–$8,526.74 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$250.89–$5,542.38 | $385.98–$8,526.74 | varies |
| Ankle 2 views (73600) | $159.25 | $245 | 1.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,812.04 | $2,787.75 | 0.3× |
| Artery X-Rays Abdomen (75726) | $3,149.90 | $4,846 | 0.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$566.15–$595.71 | $871–$916.48 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$766.35–$806.20 | $1,179–$1,240.31 | varies |
| Arthrogram Wrist (73115) | $595.71 | $916.48 | 1.7× |
| Bone age studies (77072) | $153.40 | $236 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,998.10 | $3,074 | 5.0× |
| Bone Imaging Limited Area (78300) | $588.35 | $905.15 | 1.5× |
| Bone Imaging Multiple Areas (78305) | $689.40 | $1,060.61 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,186.90 | $1,826 | 3.0× |
| Brain Flow Imaging Only (78610) | $434.99 | $669.22 | 0.8× |
| Brain Image W/Flow < 4 Views (78601) | $724.51 | $1,114.63 | 1.8× |
| Brain imaging < 4 static views (78600) | $434.99 | $669.22 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,158.78 | $1,782.74 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $941.65 | $1,448.69 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $717.34 | $1,103.60 | 8.2× |
| Chest 1 view (71045) | $161.85 | $249 | 1.9× |
| Chest 2 views (71046) | $284.05 | $437 | 3.2× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$286–$300.98 | $440–$463.05 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$310.70–$326.78 | $478–$502.74 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $988.94 | $1,521.45 | 1.3× |
| Clavicle complete (73000) | $198.90 | $306 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $5,265.65 | $8,101 | 1.7× |
| Contrast X-Ray Bladder (74430) | $268.45 | $413 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $595.71 | $916.48 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $806.20 | $1,240.31 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,261.10 | $8,094 | 15.0× |
| CT abdomen and pelvis without contrast (74176) | $3,520.40 | $5,416 | 14.7× |
| CT abdomen w contrast (74160) | $2,167.75 | $3,335 | 12.3× |
| CT abdomen w wo contrast (74170) | $2,692.30 | $4,142 | 15.3× |
| CT abdomen w/o contrast (74150) | $1,518.40 | $2,336 | 14.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,427.45 | $5,273 | 9.8× |
| CT Angio Chest (71275) | $1,714.05 | $2,637 | 9.7× |
| CT Angio Head (70496) | $1,714.05 | $2,637 | 9.7× |
| CT angio hrt w/3d image (75574) | $1,994.85 | $3,069 | 5.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,704.95 | $2,623 | 9.7× |
| CT Angio Neck (70498) | $1,714.05 | $2,637 | 9.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,704.95 | $2,623 | 9.7× |
| CT cervical spine w/ contrast (72126) | $1,407.25 | $2,165 | 4.0× |
| CT cervical spine w/o contrast (72125) | $2,081.95 | $3,203 | 19.8× |
| CT cervical spine w/wo cont (72127) | $1,584.70 | $2,438 | 9.0× |
| CT chest w contrast (71260) | $1,642.55 | $2,527 | 9.3× |
| CT chest w/wo contrast (71270) | $2,322.45 | $3,573 | 13.2× |
| CT head/brain with contrast (70460) | $976.95 | $1,503 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,597.05 | $2,457 | 9.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,723.80 | $2,652 | 4.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $135.85 | $209 | 1.6× |
| CT iac w contrast (70481) | $2,234.70 | $3,438 | 12.7× |
| CT l-spine w&w/o contrast (72133) | $2,144.35 | $3,299 | 12.2× |
| CT lower ext w/o (73700) | $1,453.40 | $2,236 | 13.8× |
| CT lower extremity w/contrast material (73701) | $1,651.65 | $2,541 | 9.4× |
| CT lumbar spine w contrast (72132) | $1,407.25 | $2,165 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,264.25 | $1,945 | 12.0× |
| CT maxillofacial w contrast (70487) | $2,303.60 | $3,544 | 13.1× |
| CT maxillofacial wo contrast (70486) | $1,913.60 | $2,944 | 18.2× |
| CT neck tissue combo (70492) | $2,445.95 | $3,763 | 13.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,789.45 | $2,753 | 10.2× |
| CT orbits w/o contrast (70480) | $2,156.05 | $3,317 | 20.5× |
| CT pelvis w&w/o contrast (72194) | $2,441.40 | $3,756 | 13.9× |
| CT pelvis w/o contrast (72192) | $1,890.85 | $2,909 | 18.0× |
| CT scan of leg combo (73702) | $1,789.45 | $2,753 | 10.2× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,514.20–$2,646.49 | $3,868–$4,071.53 | varies |
| CT soft tissue neck w contrast (70491) | $1,904.50 | $2,930 | 10.8× |
| CT soft tissue neck w/o contrast (70490) | $1,264.25 | $1,945 | 12.0× |
| CT thoracic spine w contrast (72129) | $1,584.70 | $2,438 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,407.25 | $2,165 | 13.4× |
| CT thoracic spine w/wo cont (72130) | $1,711.45 | $2,633 | 9.7× |
| CT thorax w/o contrast (71250) | $1,476.80 | $2,272 | 14.1× |
| CT upper ext wo (73200) | $1,593.80 | $2,452 | 15.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,789.45 | $2,753 | 10.2× |
| CT upper extremity with contrast (73201) | $2,464.15 | $3,791 | 7.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,704.95 | $2,623 | 9.7× |
| Cta Abdomen (74175) | $1,704.95 | $2,623 | 9.7× |
| CTA pelvis (72191) | $1,794.43 | $2,760.66 | 10.2× |
| Dxa Bone Density Axial (77080) | $400.40 | $616 | 3.8× |
| Echo exam uterus (76831) | $487.85 | $750.54 | 2.0× |
| Echo Guide For Artery Repair (76936) | $378.38 | $582.12 | 1.7× |
| Esophagram (74220) | $307.45 | $473 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $807.30 | $1,242 | 7.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$206.05–$216.29 | $317–$332.76 | varies |
| Follow-Up Angiography (75898) | $1,107.18 | $1,703.36 | 0.3× |
| Foot 2 views (73620) | $167.70 | $258 | 1.9× |
| Forearm 2 views (73090) | $190.45 | $293 | 2.2× |
| Gastric emptying imaging study (78264) | $1,239.55 | $1,907 | 3.1× |
| Gastroesophageal Reflux Exam (78262) | $1,231.17 | $1,894.10 | 3.1× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$62.40–$1,126.53 | $96–$1,733.13 | varies |
| Gated Heart, Multiple (78473) | $111.56 | $171.63 | 0.3× |
| Hand 2 views (73120) | $167.05 | $257 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,225 | $6,500 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,770 | $5,800 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,539.20 | $2,368 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,245.40 | $1,916 | 3.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$434.20–$2,868.45 | $668–$4,413 | varies |
| Hysterosalpingogram (74740) | $534.95 | $823 | 2.2× |
| Infant hip ultrasound, limited static exam (76886) | $456.30 | $702 | 5.2× |
| Infusion Ivp (74410) | $368.35 | $566.69 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,014.03 | $1,560.04 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,117.35 | $1,719 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $796.89 | $1,225.98 | 1.5× |
| Kidney Imaging Morphol (78700) | $434.99 | $669.22 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $579.75 | $891.92 | 1.4× |
| Knee 3 Views (73562) | $196.95 | $303 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $936.65 | $1,441 | 2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,231.17 | $1,894.10 | 3.1× |
| Liver imaging static only (78201) | $724.51 | $1,114.63 | 1.3× |
| Liver imaging w/vascular flow (78202) | $1,014.03 | $1,560.04 | 1.9× |
| Lung perfusion differential (78597) | $652.98 | $1,004.58 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $941.65 | $1,448.69 | 1.7× |
| Lymph System Imaging (78195) | $975 | $1,500 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $884.65 | $1,361 | 3.7× |
| Meckels Divert Exam (78290) | $1,274.16 | $1,960.25 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,753.28 | $4,235.81 | 7.9× |
| MRA head w/o contrast (70544) | $1,827.15 | $2,811 | 7.6× |
| MRA head with contrast (70545) | $1,966.42 | $3,025.26 | 5.6× |
| MRA neck w contrast (70548) | $1,966.42 | $3,025.26 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,973.75 | $4,575 | 8.5× |
| MRA neck w/o contrast (70547) | $1,884.35 | $2,899 | 7.9× |
| MRI abdomen w contrast (74182) | $3,639.03 | $5,598.50 | 10.4× |
| MRI abdomen w/o contrast (74181) | $3,584.10 | $5,514 | 15.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$1,922.05–$2,023.03 | $2,957–$3,112.36 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$3,612.70–$3,802.42 | $5,558–$5,849.87 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,499.59 | $3,845.52 | 3.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $338 | $520 | 1.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $355.55 | $547 | 1.5× |
| MRI cervical spine w contrast (72142) | $2,030.92 | $3,124.49 | 5.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$96.20–$2,775.50 | $148–$4,270 | varies |
| MRI chest w/o contrast (71550) | $3,276.41 | $5,040.63 | 13.7× |
| MRI chest with contrast (71551) | $3,639.03 | $5,598.50 | 4.6× |
| MRI chest wo w contrast (71552) | $3,992.30 | $6,142 | 11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,023.03 | $3,112.36 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,670.20 | $4,108 | 7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,315.95 | $3,563 | 9.7× |
| MRI lumbar spine w contrast (72149) | $1,929.85 | $2,969 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,856.75 | $4,395 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,242.50 | $3,450 | 9.4× |
| MRI orbit face neck w contrast (70542) | $2,527.20 | $3,888 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,539.25 | $5,445 | 10.1× |
| MRI pelvis w contrast (72196) | $2,665.85 | $4,101.30 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $3,911.70 | $6,018 | 11.2× |
| MRI pelvis w/o contrast (72195) | $2,322.45 | $3,573 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $1,913.60 | $2,944 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,023.03 | $3,112.36 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,358.85 | $3,629 | 9.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,035.50 | $4,670 | 8.7× |
| MRI, abdomen, combo (74183) | $4,013.75 | $6,175 | 11.5× |
| MRI, dorsal spine combo (72157) | $2,700.75 | $4,155 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,030.92 | $3,124.49 | 5.8× |
| MRI, joint upper extrem (73221) | $2,202.85 | $3,389 | 9.2× |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$2,670.20–$2,810.61 | $4,108–$4,324.01 | varies |
| MRI, lumbar spine combo (72158) | $2,978.30 | $4,582 | 8.5× |
| Myelogram cervical (72240) | $1,348.95 | $2,075.30 | 1.7× |
| Myelogram Lumbar (72265) | $738.86 | $1,136.70 | 0.9× |
| Myelography thoracic (72255) | $1,348.95 | $2,075.30 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,062.12 | $1,634.03 | 1.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$102.05–$3,523.65 | $157–$5,421 | varies |
| Neck soft tissue (70360) | $167.70 | $258 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $864.50 | $1,330 | 3.7× |
| Optic foramina (70190) | $124.70 | $191.84 | 1.4× |
| Parathyroid Planar Imaging (78070) | $1,283.75 | $1,975 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $602.41 | $926.79 | 1.5× |
| Pelvis 1 or 2 views (72170) | $180.05 | $277 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $551.20 | $848 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $516.10 | $794 | 4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$401.70–$422.50 | $618–$650 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $222.95 | $343 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$101.76–$178.10 | $156.56–$274 | varies |
| Radex elbow complete minimum 3 views (73080) | $246.35 | $379 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $141.70 | $218 | 1.3× |
| Radex fingr minimum 2 views (73140) | $152.10 | $234 | 1.7× |
| Radex foot complete minimum 3 views (73630) | $211.90 | $326 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $198.25 | $305 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $208.54 | $320.83 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.50 | $270 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $241.80 | $372 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $224.25 | $345 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $254.15 | $391 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $156.65 | $241 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$176.29–$234 | $271.22–$360 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $118.95 | $183 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $183.95 | $283 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $193.05 | $297 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $185.90 | $286 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $275.60 | $424 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $716.95 | $1,103 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $498.55 | $767 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $257.40 | $396 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $235.30 | $362 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $498.55 | $767 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $227.50 | $350 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $685.10 | $1,054 | 3.9× |
| Radiologic examination femur 1 view (73551) | $94.59 | $145.53 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $98.80 | $152 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $163.80 | $252 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $346.85 | $533.61 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $212.55 | $327 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $652.13 | $1,003.28 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,158.78 | $1,782.74 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,158.78–$2,040.99 | $1,782.74–$3,139.98 | varies |
| Salivary Gland Imaging (78230) | $869.26 | $1,337.33 | 2.2× |
| Salivary Gland Imaging Serial Images (78231) | $1,158.78 | $1,782.74 | 2.9× |
| Scapula (73010) | $175.50 | $270 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $41.60 | $64 | 1.8× |
| Sella turcica (70240) | $116.10 | $178.61 | 1.3× |
| Shoulder 1 view (73020) | $185.25 | $285 | 2.1× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$766.35–$806.20 | $1,179–$1,240.31 | varies |
| Skull less than 4 views (70250) | $225.55 | $347 | 2.1× |
| Sternoclavicular joints (71130) | $226.20 | $348 | 2.6× |
| Superior sagittal sinus venogram (75870) | $1,237.35 | $1,903.62 | 0.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $363.60 | $559.38 | 1.5× |
| Testicular Imaging W/Flow (78761) | $724.51 | $1,114.63 | 1.8× |
| Thoracic spine 2 views (72070) | $300.30 | $462 | 2.9× |
| Thoracic spine 3 views (72072) | $273.65 | $421 | 2.6× |
| Thoracolumbar 2 views (72080) | $313.89 | $482.90 | 3.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $652.13 | $1,003.28 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $507.37 | $780.57 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,014.03 | $1,560.04 | 1.9× |
| Thyroid Uptake Measurement (78012) | $685.81 | $1,055.09 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,210.95 | $1,863 | 3.0× |
| Ultrasound Breast Limited (76642) | $367.90 | $566 | 4.2× |
| Ultrasound elastography first target lesion (76982) | $451.41 | $694.47 | 4.3× |
| Ultrasound Elastography Parenchyma (76981) | $451.41 | $694.47 | 4.3× |
| Ultrasound Exam Aaa Screen (76706) | $516.10 | $794 | 4.9× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$612.72–$642.20 | $942.64–$988 | varies |
| Unlisted us procedure (76999) | $124.53 | $191.58 | 1.4× |
| Upper gi w/o kub (74240) | $428.35 | $659 | 2.4× |
| Urethrocystogram voiding (74455) | $451.10 | $694 | 1.9× |
| Us breast unilateral complete (76641) | $403.65 | $621 | 3.8× |
| Us chest (76604) | $237.25 | $365 | 2.3× |
| Us complete joint (76881) | $514.80 | $792 | 4.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$434.99–$456.30 | $669.22–$702 | varies |
| Us head (76506) | $500.50 | $770 | 4.8× |
| Us kidney transplant (76776) | $536.90 | $826 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $343.85 | $529 | 3.3× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$392–$410.80 | $603.07–$632 | varies |
| Us ob transvaginal (76817) | $685.10 | $1,054 | 6.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$49.52–$736.45 | $76.18–$1,133 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$80.63–$462.80 | $124.05–$712 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $372.45 | $573 | 3.5× |
| Us retroperitoneal complete (76770) | $474.50 | $730 | 4.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$516.10–$543.21 | $794–$835.70 | varies |
| Us scrotum and contents (76870) | $807.30 | $1,242 | 7.7× |
| Us spinal canal and contents (76800) | $260 | $400 | 2.5× |
| Us thyroid (76536) range across 3 matching MRF lines |
$144.95–$599.30 | $223–$922 | varies |
| Us transrectal (76872) | $399.10 | $614 | 3.8× |
| Vascular Flow Imaging (78445) | $574.29 | $883.53 | 1.4× |
| Vein X-Ray Chest (75827) | $1,175.85 | $1,809 | 0.7× |
| Vein X-Ray Skull Epidural (75872) | $1,425.20 | $2,192.61 | 2.3× |
| Venogram Sinus/Jugular (75860) | $1,833 | $2,820 | 0.6× |
| Venography Adrenal Unilateral (75840) | $4,215.12 | $6,484.80 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $4,964.04 | $7,636.98 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$492.32–$918.45 | $757.42–$1,413 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$887.67–$918.45 | $1,365.64–$1,413 | varies |
| Venography Renal Bilateral (75833) | $4,917.64 | $7,565.60 | 1.6× |
| Venography Renal Unilateral (75831) | $3,855.42 | $5,931.42 | 1.2× |
| Venous thrombosis imaging (78457) | $507.37 | $780.57 | 0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $724.51 | $1,114.63 | 1.8× |
| Wrist 2 views (73100) | $183.30 | $282 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $61.10 | $94 | 0.7× |
| X-ray antegrade pyelogram tube (74425) | $588.90 | $906 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$5,542.38 | $232.65–$8,526.74 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $173.43 | $266.81 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $204.75 | $315 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $316.55 | $487 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $339.30 | $522 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $246.35 | $379 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $196.30 | $302 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $161.85 | $249 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $213.20 | $328 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $354.25 | $545 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $287.30 | $442 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $321.75 | $495 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $244.40 | $376 | 2.3× |
| X-ray eye for foreign body (70030) | $140.46 | $216.09 | 1.6× |
| X-ray humerus (73060) | $180.05 | $277 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $631.35 | $971.30 | 3.6× |
| X-ray IV pyelogram+tomography (74415) | $754.60 | $1,160.93 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $227.50 | $350 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $137.80 | $212 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $294.53 | $453.13 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $328.25 | $505 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $206.70 | $318 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $183.95 | $283 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $181.35 | $279 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $319.15 | $491 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $358.15 | $551 | 3.4× |
| X-Ray Stress View (77071) | $125.45 | $193 | 1.4× |
| X-ray thoracic spine 4 vw (72074) | $275.60 | $424 | 2.6× |
| X-Ray Tmj Unilat (70328) | $90.35 | $139 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $592.15 | $911 | 1.7× |
| X-Rays Bone Length Studies (77073) | $210.60 | $324 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $566.80 | $872 | 5.4× |
| Xr c-spine 4 or 5 views (72050) | $267.80 | $412 | 2.5× |
| Xr facial bones less than 3 views (70140) | $124.15 | $191 | 1.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $167.70 | $258 | 1.6× |
| Xr orbits complete 4 views (70200) | $162.68 | $250.27 | 1.5× |
| Xr Tomogram Single Plane (76100) | $394.15 | $606.38 | 3.8× |
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.