Imaging prices at Valley Regional Medical Center
Brownsville, TX · every code in this section with a posted price and a Medicare benchmark.
291 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,712.94 | $1,712.94 | 16.3× |
| Acute gastrointestinal blood loss imaging (78278) | $6,678.02 | $6,678.02 | 16.6× |
| Angiography extremity bilateral rs&i (75716) | $10,544.96 | $10,544.96 | 3.3× |
| Angiography extremity unilateral rs&i (75710) | $11,479.90 | $11,479.90 | 3.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,469.29 | $14,469.29 | 2.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $24,233.53 | $24,233.53 | 7.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $24,233.53 | $24,233.53 | 7.6× |
| Angiography Spinal Selective Rs&I (75705) likely a partial charge, not the full procedure |
$857.43 | $857.43 | 0.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $8,602.43 | $8,602.43 | 1.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $1,470.47 | $1,470.47 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $25,277.08 | $25,277.08 | 8.0× |
| Ankle 2 views (73600) | $956.17 | $956.17 | 10.9× |
| Antegrade urography radiological supvj & interpj (74425) | $4,554.22 | $4,554.22 | 13.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $23,638.16 | $23,638.16 | 7.5× |
| Aortography abdominal serialography rs&i (75625) | $25,277.08 | $25,277.08 | 8.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,430.25 | $7,430.25 | 2.3× |
| Arthrogram elbow (73085) | $4,211.33 | $4,211.33 | 12.0× |
| Arthrogram hip (73525) | $2,894.16 | $2,894.16 | 8.3× |
| Arthrogram shoulder (73040) | $9,588.80 | $9,588.80 | 27.4× |
| Arthrogram wrist (73115) | $4,211.33 | $4,211.33 | 12.0× |
| Arthrography knee lt (73580) | $7,537.51 | $7,537.51 | 21.5× |
| Bone &/Joint Imaging Limited Area (78300) | $2,036.19 | $2,036.19 | 5.1× |
| Bone &/Joint Imaging Multiple Areas (78305) | $2,036.19 | $2,036.19 | 5.1× |
| Bone &/joint imaging whole body (78306) | $6,630.44 | $6,630.44 | 16.5× |
| Bone age studies (77072) | $1,620.78 | $1,620.78 | 15.4× |
| Bone Imaging 3 Phase (78315) | $7,486.15 | $7,486.15 | 18.6× |
| Bone Marrow Imaging Limited Area (78102) | $4,456.27 | $4,456.27 | 11.1× |
| Bone survey complete (77075) | $5,601.01 | $5,601.01 | 53.3× |
| Brain Imaging Vascular Flow Only (78610) | $3,188.71 | $3,188.71 | 5.8× |
| Cervical spine 2 or 3 views (72040) | $2,626.80 | $2,626.80 | 30.0× |
| Chest 1 view (71045) | $1,620.78 | $1,620.78 | 18.5× |
| Chest 3 views (71047) | $1,469.73 | $1,469.73 | 16.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,974.18 | $3,974.18 | 22.6× |
| Cisternography Positive Contrast Rs&I (70015) | $3,158.44 | $3,158.44 | 4.0× |
| Clavicle complete (73000) | $2,060.35 | $2,060.35 | 23.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $13,269.81 | $13,269.81 | 126.4× |
| CT abdomen and pelvis without and with contrast (74178) | $23,758.47 | $23,758.47 | 67.8× |
| CT abdomen and pelvis without contrast (74176) | $14,507.02 | $14,507.02 | 60.5× |
| CT abdomen w contrast (74160) | $17,475.14 | $17,475.14 | 99.2× |
| CT abdomen w wo contrast (74170) | $25,986.07 | $25,986.07 | 147.5× |
| CT abdomen w/o contrast (74150) | $17,002.40 | $17,002.40 | 161.9× |
| CT angio hrt w/3d image (75574) | $5,466.26 | $5,466.26 | 15.6× |
| CT angiography upper extremity lt (73206) | $11,022.76 | $11,022.76 | 62.6× |
| CT c-spine w/o contrast (72125) | $15,593.14 | $15,593.14 | 148.5× |
| CT cervical spine w&w/o contrast (72127) | $27,932.40 | $27,932.40 | 158.5× |
| CT cervical spine with contrast (72126) | $19,042.99 | $19,042.99 | 54.3× |
| CT chest w/wo contrast (71270) | $21,608.68 | $21,608.68 | 122.6× |
| CT chest with contrast (71260) | $16,221.47 | $16,221.47 | 92.1× |
| CT head/brain with contrast (70460) | $16,356.11 | $16,356.11 | 92.8× |
| CT head/brain without and with contrast (70470) | $21,792.69 | $21,792.69 | 123.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,749.06 | $3,749.06 | 42.9× |
| CT iac w contrast (70481) | $13,628.86 | $13,628.86 | 77.3× |
| CT limited/localized follow up study (76380) | $11,923.37 | $11,923.37 | 136.4× |
| CT lower ext w/o (73700) | $12,955.63 | $12,955.63 | 123.4× |
| CT lower extremity w wo contrast (73702) | $23,216.92 | $23,216.92 | 131.8× |
| CT lower extremity with contrast (73701) | $15,829.52 | $15,829.52 | 89.8× |
| CT lumbar spine w & w/o contrast (72133) | $24,189.34 | $24,189.34 | 137.3× |
| CT lumbar spine w/o contrast (72131) | $15,962.67 | $15,962.67 | 152.0× |
| CT lumbar spine with contrast (72132) | $19,158.17 | $19,158.17 | 54.7× |
| CT maxillofacial w contrast (70487) | $12,556.19 | $12,556.19 | 71.3× |
| CT maxillofacial w/o contrast (70486) | $11,402.74 | $11,402.74 | 108.6× |
| CT maxillofacial w/wo contrast (70488) | $22,015.60 | $22,015.60 | 124.9× |
| CT neck soft tissue w contrast (70491) | $14,607.25 | $14,607.25 | 82.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,780.79 | $14,780.79 | 83.9× |
| CT orbits w/o contrast (70480) | $13,628.86 | $13,628.86 | 129.8× |
| CT pelvis w & w/o contrast (72194) | $21,361.84 | $21,361.84 | 121.2× |
| CT pelvis w/o contrast (72192) | $11,923.37 | $11,923.37 | 113.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $21,418.68 | $21,418.68 | 121.6× |
| CT soft tissue neck w/o contrast (70490) | $11,944.31 | $11,944.31 | 113.7× |
| CT thoracic spine w/contrast (72129) | $19,792.50 | $19,792.50 | 112.3× |
| CT thoracic spine w/o contrast (72128) | $13,495.70 | $13,495.70 | 128.5× |
| CT thoracic spine w/wo contrast (72130) | $24,189.34 | $24,189.34 | 137.3× |
| CT thorax w/o contrast (71250) | $13,283.27 | $13,283.27 | 126.5× |
| CT upper extremity w/o & w/contrast material (73202) | $19,443.91 | $19,443.91 | 110.4× |
| CT upper extremity w/o contrast rt (73200) | $11,727.39 | $11,727.39 | 111.7× |
| CT upper extremity with contrast (73201) | $14,342.46 | $14,342.46 | 40.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,646.61 | $11,646.61 | 66.1× |
| Cta Abdomen (74175) | $13,975.93 | $13,975.93 | 79.3× |
| CTA abdomen pelvis (74174) | $12,405.10 | $12,405.10 | 35.4× |
| CTA chest (71275) | $11,646.61 | $11,646.61 | 66.1× |
| Cta Head (70496) | $20,381.56 | $20,381.56 | 115.7× |
| CTA lwr ext w&w/o contrast (73706) | $11,646.61 | $11,646.61 | 66.1× |
| Cta Neck (70498) | $20,381.56 | $20,381.56 | 115.7× |
| Cta Pelvis (72191) | $11,646.61 | $11,646.61 | 66.1× |
| Cystography minimum 3 views rs&i (74430) | $3,150.94 | $3,150.94 | 9.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,339.18 | $1,339.18 | 12.8× |
| Dxa bone density study 1/> sites axial skel (77080) | $992.41 | $992.41 | 9.4× |
| Echoencephalography real time imaging (76506) | $4,888.35 | $4,888.35 | 46.5× |
| Esophagus (74220) | $3,974.18 | $3,974.18 | 22.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $6,830.53 | $6,830.53 | 65.0× |
| Fluoroscopy up to 1 hr (76000) | $2,614.71 | $2,614.71 | 10.9× |
| Foot 2 views (73620) | $1,829.24 | $1,829.24 | 20.9× |
| Forearm 2 views (73090) | $1,919.88 | $1,919.88 | 22.0× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $5,129.73 | $5,129.73 | 9.4× |
| Gated Heart Planar Single (78472) | $13,259.35 | $13,259.35 | 33.0× |
| Hand 2 views (73120) | $1,809.60 | $1,809.60 | 17.2× |
| Hand 3 views (73130) | $2,008.99 | $2,008.99 | 23.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $6,517.90 | $6,517.90 | 2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,937.86 | $5,937.86 | 10.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,937.86 | $5,937.86 | 14.8× |
| Ht muscle image spect sing (78451) | $7,182.54 | $7,182.54 | 5.5× |
| Humerus Min 2 Views Left (73060) | $2,005.97 | $2,005.97 | 22.9× |
| Hysterosalpingogram (74740) | $4,339.73 | $4,339.73 | 18.1× |
| Kidney imaging morphology (78700) | $9,496.65 | $9,496.65 | 23.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $10,165.80 | $10,165.80 | 18.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $3,372.99 | $3,372.99 | 6.2× |
| Knee 3 views (73562) | $2,279.38 | $2,279.38 | 26.1× |
| Liver & spleen imaging static only (78215) | $7,887.94 | $7,887.94 | 19.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $7,887.94 | $7,887.94 | 19.6× |
| Lung perf&ventilat diferentl (78598) | $6,400.08 | $6,400.08 | 11.7× |
| Lung perfusion differential (78597) | $4,092 | $4,092 | 10.2× |
| Lung Ventilation Imaging (78579) | $4,092 | $4,092 | 10.2× |
| Lymphoscintigraphy (78195) | $3,248.13 | $3,248.13 | 6.0× |
| Mammary ductogram or galactogram multiple (77054) | $1,990.87 | $1,990.87 | 8.3× |
| Mammary ductogram or galactogram single (77053) | $1,895.71 | $1,895.71 | 7.9× |
| Meckels Diverticulum (78290) | $7,233.88 | $7,233.88 | 18.0× |
| Medical physics dose eval radiation expos w/rprt (76145) | $755.25 | $755.25 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $32.75 | $32.75 | 1.1× |
| MRA head w & w/o contrast (70546) | $19,037.75 | $19,037.75 | 54.3× |
| MRA head w/o contrast (70544) | $18,091.35 | $18,091.35 | 75.5× |
| MRA neck w contrast (70548) | $18,091.35 | $18,091.35 | 51.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $18,091.35 | $18,091.35 | 51.6× |
| MRA neck w/o contrast (70547) | $18,091.35 | $18,091.35 | 75.5× |
| MRI abdomen w contrast (74182) | $23,199.77 | $23,199.77 | 66.2× |
| MRI abdomen w/o & w/contrast material (74183) | $23,199.77 | $23,199.77 | 66.2× |
| MRI abdomen w/o contrast (74181) | $20,037.47 | $20,037.47 | 83.6× |
| MRI any jnt lwr ext with con lt (73722) | $20,206.65 | $20,206.65 | 25.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $20,773.58 | $20,773.58 | 26.4× |
| MRI c-spine with contrast (72142) | $22,553.60 | $22,553.60 | 64.4× |
| MRI cervical spine w/o contrast (72141) | $21,919.61 | $21,919.61 | 91.4× |
| MRI chest w/o & w/contrast material (71552) | $21,857.14 | $21,857.14 | 62.4× |
| MRI chest w/o contrast (71550) | $17,292.76 | $17,292.76 | 72.1× |
| MRI fetal sngl/1st gestation (74712) | $3,297.92 | $3,297.92 | 13.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $20,773.58 | $20,773.58 | 59.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $21,259.72 | $21,259.72 | 88.7× |
| MRI orbit face &/neck w/o contrast (70540) | $24,472.31 | $24,472.31 | 102.1× |
| MRI pelvis w contrast (72196) | $20,773.58 | $20,773.58 | 59.3× |
| MRI pelvis w/o & w/contrast material (72197) | $21,848 | $21,848 | 62.3× |
| MRI pelvis w/o contrast (72195) | $20,762.90 | $20,762.90 | 86.6× |
| MRI scan of arm joint before and after contrast (73223) | $21,848 | $21,848 | 62.3× |
| MRI scan of leg joint before and after contrast (73723) | $20,206.65 | $20,206.65 | 57.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $23,042.81 | $23,042.81 | 65.8× |
| MRI spinal canal lumbar w/contrast material (72149) | $22,553.60 | $22,553.60 | 64.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $23,042.81 | $23,042.81 | 65.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $20,951.88 | $20,951.88 | 59.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $23,042.81 | $23,042.81 | 65.8× |
| MRI thoracic spine w/o contrast (72146) | $19,926.24 | $19,926.24 | 83.1× |
| MRI tmj (70336) | $17,628.06 | $17,628.06 | 73.5× |
| MRI upper ext joint w/o contrast (73221) | $20,773.58 | $20,773.58 | 86.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $21,848 | $21,848 | 62.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $20,773.58 | $20,773.58 | 86.7× |
| Myelogram Cervical (72240) | $8,338.08 | $8,338.08 | 10.6× |
| Myelogram Lumbar (72265) | $8,338.08 | $8,338.08 | 10.6× |
| Myelogram thoracic (72255) | $8,338.08 | $8,338.08 | 10.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $5,475.47 | $5,475.47 | 6.3× |
| Neck soft tissue (70360) | $1,845.86 | $1,845.86 | 21.1× |
| Nm cisternogram (78630) | $6,415.19 | $6,415.19 | 11.8× |
| Nm gastric emptying study (78264) | $6,022.45 | $6,022.45 | 15.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $19,757.63 | $19,757.63 | 15.2× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $16,896.71 | $16,896.71 | 13.0× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $3,865.43 | $3,865.43 | 9.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,173.62 | $3,173.62 | 30.2× |
| Osseous survey infant (77076) | $4,386.55 | $4,386.55 | 41.8× |
| Parathyrd planar w/spect&CT (78072) | $8,652.27 | $8,652.27 | 15.9× |
| Parathyrd planar w/wo subtrj (78071) | $8,652.27 | $8,652.27 | 21.5× |
| Parathyroid imaging (78070) | $8,652.27 | $8,652.27 | 21.5× |
| Pelvis 1 or 2 views (72170) | $2,138.90 | $2,138.90 | 20.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $20,206.65 | $20,206.65 | 57.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,593.35 | $8,593.35 | 2.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $15,331.80 | $15,331.80 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,788.89 | $3,788.89 | 9.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,400.08 | $6,400.08 | 11.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $5,682.58 | $5,682.58 | 10.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $705.41 | $705.41 | 8.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,169.14 | $1,169.14 | 11.1× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,169.14 | $1,169.14 | 11.1× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,007.48 | $2,007.48 | 19.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,868.48 | $2,868.48 | 27.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,806.59 | $1,806.59 | 20.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,631.36 | $1,631.36 | 15.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,895.71 | $1,895.71 | 21.7× |
| Radiologic exam colon single contrast study (74270) | $6,421.22 | $6,421.22 | 36.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,622.19 | $4,622.19 | 26.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,622.19 | $4,622.19 | 26.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $705.41 | $705.41 | 8.1× |
| Radiological examination surgical specimen (76098) | $6,608.53 | $6,608.53 | 12.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $9,914.01 | $9,914.01 | 3.1× |
| Ribs bilateral 3 views (71110) | $2,138.90 | $2,138.90 | 20.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,632.78 | $4,632.78 | 11.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,652.31 | $7,652.31 | 14.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $2,623.78 | $2,623.78 | 4.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $22,417.51 | $22,417.51 | 17.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $27,211.91 | $27,211.91 | 18.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $22,417.51 | $22,417.51 | 17.2× |
| Salivary gland imaging (78230) | $4,499.84 | $4,499.84 | 11.2× |
| Scanogram (77073) | $1,882.11 | $1,882.11 | 17.9× |
| Scapula complete (73010) | $1,865.49 | $1,865.49 | 17.8× |
| Screening digital breast tomosynthesis (77063) | $448.88 | $448.88 | 19.2× |
| Small bowel series (74250) | $3,951.53 | $3,951.53 | 22.4× |
| Spine thoracic 3 views (72072) | $2,436.48 | $2,436.48 | 23.2× |
| Testicular Imaging With Vascular Flow (78761) | $2,836.75 | $2,836.75 | 7.1× |
| Thoracolumbar 2 views (72080) | $921.42 | $921.42 | 10.5× |
| Thyroid Imaging With Vascular Flow (78013) | $4,968.11 | $4,968.11 | 12.4× |
| Thyroid uptake measurement (78012) | $2,412.31 | $2,412.31 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,921.28 | $4,921.28 | 12.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $9,351.64 | $9,351.64 | 17.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $2,036.19 | $2,036.19 | 5.1× |
| Ultrasound, abdomen limited (76705) | $4,044.45 | $4,044.45 | 38.5× |
| Umbilical-artery Doppler (OB) (76820) | $1,460.37 | $1,460.37 | 13.9× |
| Unlisted Ultrasound Procedure (76999) | $1,132.68 | $1,132.68 | 13.0× |
| Upper Extremity Infant (73092) | $1,463.69 | $1,463.69 | 13.9× |
| Urethrocystography voiding (74455) | $3,995.33 | $3,995.33 | 16.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $5,188.63 | $5,188.63 | 29.4× |
| Us abdl aorta screen aaa (76706) | $983.81 | $983.81 | 9.4× |
| Us breast unilateral complete (76641) | $5,029.01 | $5,029.01 | 47.9× |
| Us breast unilateral limited (76642) | $5,029.01 | $5,029.01 | 57.5× |
| Us chest (76604) | $2,548.17 | $2,548.17 | 24.3× |
| Us compl joint r-t w/image documentation (76881) | $5,760.68 | $5,760.68 | 54.9× |
| Us guided compression repair (76936) | $1,997.54 | $1,997.54 | 9.2× |
| Us ob transvaginal (76817) | $8,995.65 | $8,995.65 | 85.7× |
| Us pelvic non ob complete (76856) | $6,122.79 | $6,122.79 | 58.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,629.98 | $3,629.98 | 34.6× |
| Us pregnancy ltd (76815) | $4,539.72 | $4,539.72 | 43.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $6,133.25 | $6,133.25 | 58.4× |
| Us retroperitoneal complete (76770) | $3,145.19 | $3,145.19 | 29.9× |
| Us scrotum and contents (76870) | $5,564.67 | $5,564.67 | 53.0× |
| Us soft tissue head/neck (76536) | $6,239.49 | $6,239.49 | 59.4× |
| Us spinal canal and contents (76800) | $1,493.28 | $1,493.28 | 14.2× |
| Us xtr non-vasc lmtd (76882) | $3,730.23 | $3,730.23 | 35.5× |
| Venogram extremity bilateral (75822) | $15,014.58 | $15,014.58 | 9.5× |
| Venography caval inferior serialography rs&i (75825) | $12,482.95 | $12,482.95 | 3.9× |
| Venography caval superior serialography rs&i (75827) | $12,288.09 | $12,288.09 | 7.8× |
| Venography extremity unilateral rs&i (75820) | $8,054.11 | $8,054.11 | 5.1× |
| Venography Renal Bilateral (75833) | $9,292.58 | $9,292.58 | 2.9× |
| Venography renal unilateral selective rs&i (75831) | $9,292.58 | $9,292.58 | 2.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $3,655.61 | $3,655.61 | 1.2× |
| Wrist 2 views (73100) | $1,519.58 | $1,519.58 | 17.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,614.71 | $2,614.71 | 24.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,217.45 | $2,217.45 | 25.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,060.35 | $2,060.35 | 23.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $5,486.22 | $5,486.22 | 31.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,036.19 | $2,036.19 | 23.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,178.93 | $2,178.93 | 24.9× |
| X-ray exam entire spi 4/5 vw (72083) | $2,231.03 | $2,231.03 | 21.2× |
| X-ray exam hip uni 1 view (73501) | $705.41 | $705.41 | 8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $705.41 | $705.41 | 8.1× |
| X-ray exam hip uni 4/> views (73503) | $1,169.14 | $1,169.14 | 11.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,169.14 | $1,169.14 | 11.1× |
| X-ray exam of femur 1 (73551) | $705.41 | $705.41 | 8.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $3,098.08 | $3,098.08 | 29.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,036.19 | $2,036.19 | 23.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $6,847.20 | $6,847.20 | 3.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,829.24 | $1,829.24 | 20.9× |
| X-ray IV pyelogram+drip infusn (74410) | $5,188.63 | $5,188.63 | 29.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $921.42 | $921.42 | 10.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,060.35 | $2,060.35 | 19.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $4,114.65 | $4,114.65 | 47.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,042.26 | $1,042.26 | 11.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,788.42 | $2,788.42 | 26.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,788.42 | $2,788.42 | 26.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,305.05 | $2,305.05 | 21.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,101.14 | $2,101.14 | 24.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,916.82 | $2,916.82 | 33.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,687.22 | $2,687.22 | 25.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,599.60 | $2,599.60 | 24.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $4,122.21 | $4,122.21 | 11.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $921.42 | $921.42 | 10.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,001.42 | $2,001.42 | 19.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $118.79 | $118.79 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,851.90 | $1,851.90 | 17.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,240.10 | $2,240.10 | 25.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,240.10 | $2,240.10 | 25.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,989.32 | $2,989.32 | 34.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,919.88 | $1,919.88 | 22.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,092 | $4,092 | 39.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,865.49 | $1,865.49 | 17.8× |
| X-Ray Spine One View - Xr Spine (72020) | $1,439.52 | $1,439.52 | 16.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,696.32 | $1,696.32 | 19.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,197.81 | $2,197.81 | 25.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,481.82 | $1,481.82 | 14.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,829.24 | $1,829.24 | 20.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,660.06 | $1,660.06 | 19.0× |
| Xr arthrogram ankle (73615) | $4,211.33 | $4,211.33 | 12.0× |
| Xr c-spine 6 or more views (72052) | $3,874.49 | $3,874.49 | 36.9× |
| Xr chest 4+ views (71048) | $1,277.90 | $1,277.90 | 12.2× |
| Xr finger(s) 2+ views (73140) | $1,681.21 | $1,681.21 | 19.2× |
| Xr shoulder 1 view (73020) | $956.17 | $956.17 | 10.9× |
| Xr spine cervical 4 or 5 views (72050) | $2,391.15 | $2,391.15 | 22.8× |
| Xr tibia/fibula 2 views (73590) | $2,197.81 | $2,197.81 | 25.1× |
| Xr tmj bilateral (70330) | $2,138.90 | $2,138.90 | 24.5× |
| Xray knee 1 or 2 views rt (73560) | $2,060.35 | $2,060.35 | 23.6× |