Imaging prices at Valley Baptist Medical Center- Brownsville
Brownsville, TX · every code in this section with a posted price and a Medicare benchmark.
301 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) range across 2 matching MRF lines |
$778.50–$914.25 | $1,038–$1,219 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$825.75–$865.50 | $1,101–$1,154 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,143.75 | $5,525 | 10.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$5,423.25–$5,930.25 | $7,231–$7,907 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,436.25–$9,280.50 | $9,915–$12,374 | varies |
| Angiography extremity unilateral rs&i (75710) | $8,507.25 | $11,343 | 2.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,402 | $8,536 | 2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,457.50 | $4,610 | 1.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$351.75–$1,246.50 | $469–$1,662 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,161 | $9,548 | 1.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,302 | $9,736 | 2.3× |
| Artery X-Rays Abdomen (75726) | $10,905 | $14,540 | 2.0× |
| Artery X-Rays Adrenal Gland (75731) | $6,342.75 | $8,457 | 2.0× |
| Artery X-Rays Pelvis (75736) | $6,342.75 | $8,457 | 1.1× |
| Artery X-Rays Spine (75705) | $23,622.75 | $31,497 | 4.2× |
| Arthrogram ankle (73615) | $1,933.50 | $2,578 | 5.5× |
| Arthrogram hip (73525) | $1,933.50 | $2,578 | 5.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$933–$1,332.75 | $1,244–$1,777 | varies |
| Bone Imaging 3 Phase (78315) | $3,502.50 | $4,670 | 8.7× |
| Bone Imaging Limited Area (78300) | $3,762 | $5,016 | 9.4× |
| Bone Imaging Multiple Areas (78305) | $4,121.25 | $5,495 | 10.3× |
| Bone Imaging Whole Body (78306) | $3,858 | $5,144 | 9.6× |
| Bone survey infant (77076) | $1,219.50 | $1,626 | 11.6× |
| Brain Flow Imaging Only (78610) | $3,388.50 | $4,518 | 6.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,725.25 | $4,967 | 6.8× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $17,718 | $23,624 | 32.5× |
| Cat Scan Follow-Up Study (76380) | $2,381.25 | $3,175 | 27.2× |
| Cerebrospinal Fluid Scan (78630) | $4,036.50 | $5,382 | 7.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$1,206–$1,918.50 | $1,608–$2,558 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,726.50–$1,978.50 | $2,302–$2,638 | varies |
| Chest 3 views (71047) | $345.75 | $461 | 4.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$975.75–$1,029 | $1,301–$1,372 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,133.50–$8,341.50 | $8,178–$11,122 | varies |
| Contrast X-Ray Bladder (74430) | $3,040.50 | $4,054 | 8.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,892.25 | $2,523 | 5.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$14,415.75–$16,811.25 | $19,221–$22,415 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$11,505–$13,456.50 | $15,340–$17,942 | varies |
| CT abdomen w contrast (74160) | $5,946 | $7,928 | 33.7× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$7,206.75–$9,010.50 | $9,609–$12,014 | varies |
| CT abdomen w/o contrast (74150) | $5,625.75 | $7,501 | 53.6× |
| CT Angio Abdomen and Pelvis (74174) | $12,754.50 | $17,006 | 36.4× |
| CT Angio Chest (71275) | $12,364.50 | $16,486 | 70.2× |
| CT Angio Head (70496) | $8,493 | $11,324 | 48.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$6,504–$8,193.75 | $8,672–$10,925 | varies |
| CT Angio Neck (70498) | $8,493 | $11,324 | 48.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,702 | $8,936 | 38.0× |
| CT cervical spine w/ contrast (72126) | $9,664.50 | $12,886 | 27.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$6,330–$13,223.25 | $8,440–$17,631 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$10,425–$12,045.75 | $13,900–$16,061 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$7,574.25–$9,539.25 | $10,099–$12,719 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$8,977.50–$10,376.25 | $11,970–$13,835 | varies |
| CT head/brain with contrast (70460) | $5,892 | $7,856 | 33.4× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$7,381.50–$8,948.25 | $9,842–$11,931 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $3,479.25 | $4,639 | 9.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $681 | $908 | 7.8× |
| CT iac w contrast (70481) | $5,892 | $7,856 | 33.4× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$10,104.75–$12,728.25 | $13,473–$16,971 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$4,050.75–$5,751 | $5,401–$7,668 | varies |
| CT lower extremity w/contrast material (73701) | $4,630.50 | $6,174 | 26.3× |
| CT lumbar spine w contrast (72132) | $7,869 | $10,492 | 22.5× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$7,936.50–$8,937 | $10,582–$11,916 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$5,892–$8,266.50 | $7,856–$11,022 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$5,137.50–$6,394.50 | $6,850–$8,526 | varies |
| CT neck tissue combo (70492) | $7,014 | $9,352 | 39.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$7,140.75–$9,802.50 | $9,521–$13,070 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,543.50–$5,197.50 | $6,058–$6,930 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$6,978–$8,290.50 | $9,304–$11,054 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$4,455–$8,067.75 | $5,940–$10,757 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$5,985.75–$8,168.25 | $7,981–$10,891 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$7,614.75–$9,048.75 | $10,153–$12,065 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$8,800.50–$10,716.75 | $11,734–$14,289 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$4,881.75–$8,637 | $6,509–$11,516 | varies |
| CT thoracic spine w contrast (72129) | $9,199.50 | $12,266 | 52.2× |
| CT thoracic spine w/o contrast (72128) | $9,912.75 | $13,217 | 94.4× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$10,909.50–$14,885.25 | $14,546–$19,847 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$5,732.25–$5,976.75 | $7,643–$7,969 | varies |
| CT upper ext wo (73200) | $4,777.50 | $6,370 | 45.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$7,888.50–$9,115.50 | $10,518–$12,154 | varies |
| CT upper extremity with contrast (73201) | $5,892 | $7,856 | 16.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,878.75 | $10,505 | 44.7× |
| Cta Abdomen (74175) | $6,674.25 | $8,899 | 37.9× |
| CTA pelvis (72191) | $12,044.25 | $16,059 | 68.4× |
| Dilation ureters/urethra rs&i (74485) | $3,739.50 | $4,986 | 1.8× |
| Diskography lumbar (72295) | $11,210.25 | $14,947 | 5.7× |
| Esophagram (74220) | $1,539 | $2,052 | 8.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$2,088.75–$2,112.75 | $2,785–$2,817 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,139.25 | $1,519 | 10.8× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$947.25–$1,304.25 | $1,263–$1,739 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,095.75–$4,536.75 | $5,461–$6,049 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$305.25–$1,431 | $407–$1,908 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$1,185.75–$1,858.50 | $1,581–$2,478 | varies |
| Gastric emptying imaging study (78264) | $4,143.75 | $5,525 | 10.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,386.75 | $1,849 | 3.5× |
| Gated Heart Planar Single (78472) | $3,531.75 | $4,709 | 8.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,838.25 | $2,451 | 3.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$1,213.50–$1,574.25 | $1,618–$2,099 | varies |
| Heart first pass single,planar (78481) | $1,914.75 | $2,553 | 3.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,448 | $11,264 | 2.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,402 | $8,536 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $3,885.75 | $5,181 | 7.1× |
| Hepatobiliary System Imaging (78226) | $3,501 | $4,668 | 8.7× |
| Ht Muscle Image Spect Sing (78451) | $3,279 | $4,372 | 2.5× |
| Hysterosalpingogram (74740) | $1,882.50 | $2,510 | 7.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,254 | $1,672 | 14.3× |
| Infant hip ultrasound, limited static exam (76886) | $606.75 | $809 | 6.9× |
| K Flow/Funct Image W/Drug (78708) | $5,880 | $7,840 | 10.8× |
| K Flow/Funct Image W/O Drug (78707) | $3,840.75 | $5,121 | 7.0× |
| Kidney Imaging Morphol (78700) | $4,917.75 | $6,557 | 12.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$1,188.75–$1,498.50 | $1,585–$1,998 | varies |
| Liver & Spleen Imaging Static Only (78215) | $6,414 | $8,552 | 16.0× |
| Lung Perf&Ventilat Diferentl (78598) | $5,484 | $7,312 | 10.1× |
| Lung Ventilat&Perfus Imaging (78582) | $4,017 | $5,356 | 7.4× |
| Lung Ventilation Imaging (78579) | $2,853.75 | $3,805 | 7.1× |
| Lymph System Imaging (78195) | $1,470 | $1,960 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $4,740.75 | $6,321 | 19.8× |
| Mammary ductogram or galactogram single (77053) | $1,604.25 | $2,139 | 6.7× |
| Meckels Divert Exam (78290) | $4,923 | $6,564 | 12.3× |
| Mr safety determination physician/other qhp (76016) | $338.25 | $451 | 3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $93.75 | $125 | 3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $352.50 | $470 | 3.7× |
| Mr safety implt pos&/immoblj (76019) | $228 | $304 | 3.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $927.75 | $1,237 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $9,874.50 | $13,166 | 28.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$5,594.25–$7,282.50 | $7,459–$9,710 | varies |
| MRA head with contrast (70545) | $8,220 | $10,960 | 23.5× |
| MRA neck w contrast (70548) | $6,455.25 | $8,607 | 18.4× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$8,379–$11,646.75 | $11,172–$15,529 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$5,367.75–$6,593.25 | $7,157–$8,791 | varies |
| MRI abdomen w contrast (74182) | $5,937 | $7,916 | 16.9× |
| MRI abdomen w/o contrast (74181) | $6,039 | $8,052 | 25.2× |
| MRI any jt lower extrem w/contrast material (73722) | $8,800.50 | $11,734 | 11.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,663.25 | $11,551 | 24.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$11,763–$12,822 | $15,684–$17,096 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$7,846.50–$9,321 | $10,462–$12,428 | varies |
| MRI chest w/o contrast (71550) | $5,534.25 | $7,379 | 23.1× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$8,602.50–$9,939 | $11,470–$13,252 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,669.25 | $11,559 | 24.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $8,663.25 | $11,551 | 24.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$6,042.75–$6,983.25 | $8,057–$9,311 | varies |
| MRI lumbar spine w contrast (72149) | $8,822.25 | $11,763 | 25.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,350.25 | $16,467 | 35.2× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$5,952.75–$6,411.75 | $7,937–$8,549 | varies |
| MRI orbit face neck w contrast (70542) | $8,809.50 | $11,746 | 25.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$8,483.25–$10,698 | $11,311–$14,264 | varies |
| MRI pelvis w contrast (72196) | $7,613.25 | $10,151 | 21.7× |
| MRI pelvis w/o & w contrast (72197) | $8,724 | $11,632 | 24.9× |
| MRI pelvis w/o contrast (72195) | $5,520 | $7,360 | 23.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$6,124.50–$7,077 | $8,166–$9,436 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$6,324.75–$6,895.50 | $8,433–$9,194 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$10,538.25–$14,380.50 | $14,051–$19,174 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$8,505–$10,710.75 | $11,340–$14,281 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$10,143–$11,721 | $13,524–$15,628 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$7,671.75–$10,533 | $10,229–$14,044 | varies |
| MRI, joint upper extrem (73221) | $6,843 | $9,124 | 28.5× |
| MRI, joint upper extrem combo (73223) | $9,669.75 | $12,893 | 27.6× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$10,656.75–$12,315.75 | $14,209–$16,421 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$2,754.75–$3,443.25 | $3,673–$4,591 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$2,645.25–$3,231.75 | $3,527–$4,309 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$2,712–$3,524.25 | $3,616–$4,699 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,477.50–$4,111.50 | $1,970–$5,482 | varies |
| Myocardial Spect Multiple Studies (78452) | $6,969.75 | $9,293 | 5.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$889.50–$1,057.50 | $1,186–$1,410 | varies |
| Nm csf leak detection (78650) | $1,994.25 | $2,659 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $593.25 | $791 | 5.6× |
| Nuclear Rx Oral Admin (79005) | $6,507 | $8,676 | 27.8× |
| Ob us nuchal meas 1 gest (76813) | $2,861.25 | $3,815 | 27.2× |
| Parathyroid Planar Imaging (78070) | $2,271 | $3,028 | 5.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$772.50–$1,271.25 | $1,030–$1,695 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,448 | $11,264 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,453.25 | $3,271 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,872–$2,358 | $2,496–$3,144 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$399.75–$2,103.75 | $533–$2,805 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $747.75 | $997 | 8.6× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$1,233–$1,365 | $1,644–$1,820 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,086–$1,615.50 | $1,448–$2,154 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$825.75–$1,029 | $1,101–$1,372 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$291–$1,373.25 | $388–$1,831 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$1,205.25–$1,445.25 | $1,607–$1,927 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$746.25–$1,320.75 | $995–$1,761 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,761.75–$2,270.25 | $2,349–$3,027 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$627.75–$792 | $837–$1,056 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$1,212–$1,473.75 | $1,616–$1,965 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$1,534.50–$2,178 | $2,046–$2,904 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,317.75 | $1,757 | 15.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $724.50 | $966 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $1,014 | $1,352 | 11.6× |
| Radex Sternum Minimum 2 Views (71120) | $859.50 | $1,146 | 9.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,438.50–$1,578 | $1,918–$2,104 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$979.50–$1,340.25 | $1,306–$1,787 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$762–$1,120.50 | $1,016–$1,494 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$778.50–$1,029 | $1,038–$1,372 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,011 | $1,348 | 9.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $825.75 | $1,101 | 7.9× |
| Radiologic exam colon double contrast study (74280) | $2,567.25 | $3,423 | 14.6× |
| Radiologic exam colon single contrast study (74270) | $1,413.75 | $1,885 | 8.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,539 | $2,052 | 8.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$1,188.75–$1,874.25 | $1,585–$2,499 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $365.25 | $487 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,846.50 | $2,462 | 10.5× |
| Radiologic exam swallow function contrast study (74230) | $1,278 | $1,704 | 7.3× |
| Radiologic exam teeth complete full mouth (70320) | $234.75 | $313 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $410.25 | $547 | 2.3× |
| Radiologic examination femur 1 view (73551) | $173.25 | $231 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$778.50–$906 | $1,038–$1,208 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$1,089–$1,254 | $1,452–$1,672 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$2,267.25–$2,853 | $3,023–$3,804 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$1,149.75–$1,473.75 | $1,533–$1,965 | varies |
| Renal Cyst Study (74470) | $3,695.25 | $4,927 | 6.7× |
| Ribs bilateral 3 views (71110) | $1,212 | $1,616 | 11.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,418.50 | $4,558 | 8.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,604 | $7,472 | 14.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,614.75 | $6,153 | 8.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,942 | $5,256 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,677.75 | $6,237 | 8.6× |
| Scapula (73010) range across 2 matching MRF lines |
$1,218–$2,526.75 | $1,624–$3,369 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $293.25 | $391 | 12.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$1,743–$2,318.25 | $2,324–$3,091 | varies |
| Shoulder Arthrography (73040) | $1,183.50 | $1,578 | 3.4× |
| Sialogram (70390) | $1,478.25 | $1,971 | 6.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$824.25–$1,029 | $1,099–$1,372 | varies |
| Speech evaluation, complex (70371) | $1,420.50 | $1,894 | 5.9× |
| Sternoclavicular joints (71130) | $681.75 | $909 | 7.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,104–$1,313.25 | $1,472–$1,751 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,115.25–$1,655.25 | $1,487–$2,207 | varies |
| Thoracolumbar 2 views (72080) | $457.50 | $610 | 5.2× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,585.50 | $2,114 | 3.9× |
| Thyroid Imaging With Vascular Flow (78013) | $905.25 | $1,207 | 2.3× |
| Thyroid Met Imaging Body (78018) | $3,501 | $4,668 | 6.4× |
| Thyroid Uptake Measurement (78012) | $3,388.50 | $4,518 | 8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,711.75 | $4,949 | 9.2× |
| Ultrasound Breast Limited (76642) | $534.75 | $713 | 6.1× |
| Ultrasound elastography first target lesion (76982) | $511.50 | $682 | 4.9× |
| Ultrasound Elastography Parenchyma (76981) | $552 | $736 | 5.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$3,252–$5,258.25 | $4,336–$7,011 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,265.25 | $1,687 | 12.0× |
| Upper gi w/o kub (74240) | $1,159.50 | $1,546 | 6.6× |
| Urethrocystogram voiding (74455) | $2,681.25 | $3,575 | 11.2× |
| Urethrocystography retrograde (74450) | $2,664 | $3,552 | 11.1× |
| Us breast unilateral complete (76641) | $1,784.25 | $2,379 | 17.0× |
| Us chest (76604) | $1,131.75 | $1,509 | 10.8× |
| Us complete joint (76881) | $2,016 | $2,688 | 19.2× |
| Us exam, pelvic, limited (76857) | $2,244 | $2,992 | 21.4× |
| Us head (76506) | $1,256.25 | $1,675 | 12.0× |
| Us kidney transplant (76776) | $3,404.25 | $4,539 | 32.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,490.25 | $1,987 | 14.2× |
| Us ob detailed single fetus (76811) | $3,441.75 | $4,589 | 14.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,761–$1,967.25 | $2,348–$2,623 | varies |
| Us ob transvaginal (76817) | $1,677.75 | $2,237 | 16.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,460–$4,155 | $3,280–$5,540 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,703.75 | $3,605 | 25.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,378.25–$3,810 | $3,171–$5,080 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,378.25–$3,977.25 | $3,171–$5,303 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$2,198.25–$4,016.25 | $2,931–$5,355 | varies |
| Us spinal canal and contents (76800) | $1,547.25 | $2,063 | 14.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,920–$2,950.50 | $2,560–$3,934 | varies |
| Vein X-Ray Chest (75827) | $4,539.75 | $6,053 | 2.9× |
| Venogram Sinus/Jugular (75860) | $5,600.25 | $7,467 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $5,868 | $7,824 | 1.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,586–$6,867 | $3,448–$9,156 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,959–$2,940.75 | $2,612–$3,921 | varies |
| Venography Renal Unilateral (75831) | $5,873.25 | $7,831 | 1.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$825.75–$975.75 | $1,101–$1,301 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $975.75 | $1,301 | 11.2× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,177.50–$1,434 | $1,570–$1,912 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,850.25–$1,968 | $2,467–$2,624 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$1,053–$1,172.25 | $1,404–$1,563 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$479.25–$636.75 | $639–$849 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $254.25 | $339 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $418.50 | $558 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$173.25–$1,584 | $231–$2,112 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$245.25–$1,584 | $327–$2,112 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $397.50 | $530 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,787.25 | $2,383 | 17.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$335.25–$2,026.50 | $447–$2,702 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $677.25 | $903 | 6.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,850.25–$2,685.75 | $2,467–$3,581 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$981.75–$1,455 | $1,309–$1,940 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,580.25–$2,168.25 | $2,107–$2,891 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$1,405.50–$1,426.50 | $1,874–$1,902 | varies |
| X-ray eye for foreign body (70030) | $880.50 | $1,174 | 10.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$996–$1,478.25 | $1,328–$1,971 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,040.50 | $4,054 | 17.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,122.75–$1,539 | $1,497–$2,052 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $975.75 | $1,301 | 11.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$1,281–$1,614 | $1,708–$2,152 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,831.50 | $2,442 | 17.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$778.50–$889.50 | $1,038–$1,186 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$733.50–$736.50 | $978–$982 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,021.50–$1,308.75 | $1,362–$1,745 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,320–$1,461 | $1,760–$1,948 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,184.25–$1,366.50 | $1,579–$1,822 | varies |
| X-ray thoracic spine 4 vw (72074) | $1,391.25 | $1,855 | 13.2× |
| X-Ray Tmj Unilat (70328) | $339 | $452 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,524.25 | $4,699 | 10.1× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$1,492.50–$2,220 | $1,990–$2,960 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$2,312.25–$2,455.50 | $3,083–$3,274 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,974.75–$2,750.25 | $2,633–$3,667 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,365–$1,368.75 | $1,820–$1,825 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $1,320.75 | $1,761 | 12.6× |
| Xr orbits complete 4 views (70200) | $859.50 | $1,146 | 8.2× |
| Xr Tomogram Single Plane (76100) | $1,397.25 | $1,863 | 13.3× |
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.