Imaging prices at Womans Hospital of Texas,the
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
253 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) | $1,294.43 | $1,294.43 | 12.3× |
| Acute gastrointestinal blood loss imaging (78278) | $2,831.50 | $2,831.50 | 7.1× |
| Ankle 2 views (73600) | $665.05 | $665.05 | 7.6× |
| Bone &/joint imaging whole body (78306) | $3,886.38 | $3,886.38 | 9.7× |
| Bone age studies (77072) | $1,239.65 | $1,239.65 | 11.8× |
| Bone Imaging 3 Phase (78315) | $4,034.44 | $4,034.44 | 10.0× |
| Bone survey complete (77075) | $3,140.53 | $3,140.53 | 29.9× |
| Brain image w/flow 4 + views (78606) | $1,730.36 | $1,730.36 | 3.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,887.67 | $1,887.67 | 3.5× |
| Cardiac shunt detection (78428) | $2,204.93 | $2,204.93 | 5.5× |
| Cervical spine 2 or 3 views (72040) | $1,312.27 | $1,312.27 | 15.0× |
| Chest 1 view (71045) | $1,070.20 | $1,070.20 | 12.2× |
| Chest 3 views (71047) | $1,871.58 | $1,871.58 | 21.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,893.37 | $2,893.37 | 16.4× |
| Clavicle complete (73000) | $742.77 | $742.77 | 8.5× |
| CT abdomen and pelvis without and with contrast (74178) | $15,603.29 | $15,603.29 | 44.5× |
| CT abdomen and pelvis without contrast (74176) | $11,846.56 | $11,846.56 | 49.4× |
| CT abdomen w contrast (74160) | $6,650.26 | $6,650.26 | 37.7× |
| CT abdomen w wo contrast (74170) | $7,804.27 | $7,804.27 | 44.3× |
| CT abdomen w/o contrast (74150) | $5,929.83 | $5,929.83 | 56.5× |
| CT c-spine w/o contrast (72125) | $7,331.40 | $7,331.40 | 69.8× |
| CT cervical spine w&w/o contrast (72127) | $9,539.86 | $9,539.86 | 54.1× |
| CT cervical spine with contrast (72126) | $8,270.58 | $8,270.58 | 23.6× |
| CT chest w/wo contrast (71270) | $7,804.27 | $7,804.27 | 44.3× |
| CT chest with contrast (71260) | $6,650.26 | $6,650.26 | 37.7× |
| CT head/brain with contrast (70460) | $5,929.83 | $5,929.83 | 33.7× |
| CT head/brain without and with contrast (70470) | $7,817.37 | $7,817.37 | 44.4× |
| CT iac w contrast (70481) | $7,277.69 | $7,277.69 | 41.3× |
| CT limited/localized follow up study (76380) | $3,954.52 | $3,954.52 | 45.2× |
| CT lower ext w/o (73700) | $4,543.98 | $4,543.98 | 43.3× |
| CT lower extremity w wo contrast (73702) | $6,552.02 | $6,552.02 | 37.2× |
| CT lower extremity with contrast (73701) | $5,535.56 | $5,535.56 | 31.4× |
| CT lumbar spine w & w/o contrast (72133) | $9,539.86 | $9,539.86 | 54.1× |
| CT lumbar spine w/o contrast (72131) | $7,142.78 | $7,142.78 | 68.0× |
| CT lumbar spine with contrast (72132) | $8,174.96 | $8,174.96 | 23.3× |
| CT maxillofacial w contrast (70487) | $6,709.21 | $6,709.21 | 38.1× |
| CT maxillofacial w/o contrast (70486) | $5,477.91 | $5,477.91 | 52.2× |
| CT maxillofacial w/wo contrast (70488) | $7,939.18 | $7,939.18 | 45.1× |
| CT neck soft tissue w contrast (70491) | $5,918.04 | $5,918.04 | 33.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $9,597.49 | $9,597.49 | 54.5× |
| CT orbits w/o contrast (70480) | $6,211.45 | $6,211.45 | 59.1× |
| CT pelvis w & w/o contrast (72194) | $7,804.27 | $7,804.27 | 44.3× |
| CT pelvis w/o contrast (72192) | $5,918.04 | $5,918.04 | 56.4× |
| CT soft tissue neck w/o & w/contrast material (70492) | $7,804.27 | $7,804.27 | 44.3× |
| CT soft tissue neck w/o contrast (70490) | $4,101.24 | $4,101.24 | 39.1× |
| CT thoracic spine w/contrast (72129) | $8,367.51 | $8,367.51 | 47.5× |
| CT thoracic spine w/o contrast (72128) | $7,311.75 | $7,311.75 | 69.6× |
| CT thoracic spine w/wo contrast (72130) | $9,521.53 | $9,521.53 | 54.0× |
| CT thorax w/o contrast (71250) | $5,918.04 | $5,918.04 | 56.4× |
| CT upper extremity w/o & w/contrast material (73202) | $6,552.02 | $6,552.02 | 37.2× |
| CT upper extremity w/o contrast rt (73200) | $4,543.98 | $4,543.98 | 43.3× |
| CT upper extremity with contrast (73201) | $5,535.56 | $5,535.56 | 15.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $994.13 | $994.13 | 5.6× |
| Cta Abdomen (74175) | $9,428.52 | $9,428.52 | 53.5× |
| CTA abdomen pelvis (74174) | $11,149.71 | $11,149.71 | 31.8× |
| CTA chest (71275) | $8,197.23 | $8,197.23 | 46.5× |
| Cta Head (70496) | $10,619.21 | $10,619.21 | 60.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $13,804.97 | $13,804.97 | 39.4× |
| CTA lwr ext w&w/o contrast (73706) | $994.13 | $994.13 | 5.6× |
| Cta Neck (70498) | $10,619.21 | $10,619.21 | 60.3× |
| Cta Pelvis (72191) | $9,428.52 | $9,428.52 | 53.5× |
| Cystography minimum 3 views rs&i (74430) | $1,886.86 | $1,886.86 | 5.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,224.76 | $1,224.76 | 11.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,634.60 | $1,634.60 | 15.6× |
| Echo exam of fetal heart (76825) | $6,969.18 | $6,969.18 | 12.7× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $3,484.59 | $3,484.59 | 14.5× |
| Echoencephalography real time imaging (76506) | $3,232.51 | $3,232.51 | 30.8× |
| Esophagus (74220) | $2,034.65 | $2,034.65 | 11.5× |
| Fetal biophysical profile non-stress testing (76818) | $2,378.23 | $2,378.23 | 22.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,182.17 | $2,182.17 | 20.8× |
| Fluoroscopy up to 1 hr (76000) | $3,452.67 | $3,452.67 | 14.4× |
| Foot 2 views (73620) | $1,137.09 | $1,137.09 | 13.0× |
| Forearm 2 views (73090) | $742.77 | $742.77 | 8.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) | $6,136.25 | $6,136.25 | 11.3× |
| Gated Heart Planar Single (78472) | $6,240.68 | $6,240.68 | 15.5× |
| Hand 2 views (73120) | $636.38 | $636.38 | 6.1× |
| Hand 3 views (73130) | $713.47 | $713.47 | 8.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,119.72 | $5,119.72 | 9.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,452.15 | $4,452.15 | 11.1× |
| Humerus Min 2 Views Left (73060) | $742.77 | $742.77 | 8.5× |
| Hysterosalpingogram (74740) | $2,551.92 | $2,551.92 | 10.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $756.79 | $756.79 | 7.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,334.51 | $4,334.51 | 7.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,339.17 | $7,339.17 | 13.5× |
| Knee 3 views (73562) | $1,244.74 | $1,244.74 | 14.2× |
| Liver & spleen imaging static only (78215) | $2,991.46 | $2,991.46 | 7.4× |
| Lung Ventilation Imaging (78579) | $2,220.79 | $2,220.79 | 5.5× |
| Lymphoscintigraphy (78195) | $2,991.46 | $2,991.46 | 5.5× |
| Meckels Diverticulum (78290) | $2,294.81 | $2,294.81 | 5.7× |
| MRA head w & w/o contrast (70546) | $9,503.68 | $9,503.68 | 27.1× |
| MRA head w/o contrast (70544) | $9,503.68 | $9,503.68 | 39.6× |
| MRA head with contrast (70545) | $9,503.68 | $9,503.68 | 27.1× |
| MRA neck w contrast (70548) | $5,332.99 | $5,332.99 | 15.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,503.68 | $9,503.68 | 27.1× |
| MRA neck w/o contrast (70547) | $9,503.68 | $9,503.68 | 39.6× |
| MRI abdomen w/o & w/contrast material (74183) | $17,276.70 | $17,276.70 | 49.3× |
| MRI abdomen w/o contrast (74181) | $12,958.49 | $12,958.49 | 54.1× |
| MRI any jnt lwr ext with con lt (73722) | $18,427.01 | $18,427.01 | 23.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,517.36 | $11,517.36 | 14.6× |
| MRI bone marrow blood supply (77084) | $8,063.84 | $8,063.84 | 33.6× |
| MRI breast w/o contrast bilateral (77047) | $16,125.09 | $16,125.09 | 67.3× |
| MRI breast w/o contrast unilat (77046) | $10,080.14 | $10,080.14 | 42.1× |
| MRI cardiac w/o cont stress (75559) | $8,636.41 | $8,636.41 | 15.7× |
| MRI cervical spine w/o contrast (72141) | $10,080.14 | $10,080.14 | 42.1× |
| MRI chest w/o & w/contrast material (71552) | $17,276.70 | $17,276.70 | 49.3× |
| MRI chest w/o contrast (71550) | $10,080.14 | $10,080.14 | 42.1× |
| MRI chest with contrast (71551) | $11,517.36 | $11,517.36 | 14.6× |
| MRI fetal sngl/1st gestation (74712) | $10,080.14 | $10,080.14 | 42.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $11,517.36 | $11,517.36 | 32.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $11,517.36 | $11,517.36 | 32.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,080.14 | $10,080.14 | 42.1× |
| MRI orbit face &/neck w/o contrast (70540) | $10,080.14 | $10,080.14 | 42.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $17,276.70 | $17,276.70 | 49.3× |
| MRI orbit/face/neck w/contrast (70542) | $11,517.36 | $11,517.36 | 32.9× |
| MRI pelvis w contrast (72196) | $11,517.36 | $11,517.36 | 32.9× |
| MRI pelvis w/o & w/contrast material (72197) | $17,276.70 | $17,276.70 | 49.3× |
| MRI pelvis w/o contrast (72195) | $10,080.14 | $10,080.14 | 42.1× |
| MRI scan of arm joint before and after contrast (73223) | $17,276.70 | $17,276.70 | 49.3× |
| MRI scan of leg joint before and after contrast (73723) | $17,276.70 | $17,276.70 | 49.3× |
| MRI spectroscopy (76390) | $10,080.14 | $10,080.14 | 115.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $17,276.70 | $17,276.70 | 49.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,517.36 | $11,517.36 | 32.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $17,276.70 | $17,276.70 | 49.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,517.36 | $11,517.36 | 32.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $17,276.70 | $17,276.70 | 49.3× |
| MRI thoracic spine w/o contrast (72146) | $10,080.14 | $10,080.14 | 42.1× |
| MRI tmj (70336) | $10,080.14 | $10,080.14 | 42.1× |
| MRI upper ext joint w/o contrast (73221) | $10,080.14 | $10,080.14 | 42.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $17,276.70 | $17,276.70 | 49.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,080.14 | $10,080.14 | 42.1× |
| Myocardial Spect Multiple Studies (78452) | $14,893.82 | $14,893.82 | 11.5× |
| Neck soft tissue (70360) | $995.03 | $995.03 | 11.4× |
| Nm bone marrow wb (78104) | $3,912.81 | $3,912.81 | 9.7× |
| Nm gastric emptying study (78264) | $3,963.05 | $3,963.05 | 9.9× |
| Nm gastroesophageal reflux study (78262) | $2,831.50 | $2,831.50 | 7.1× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) | $5,257.18 | $5,257.18 | 13.1× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $1,887.67 | $1,887.67 | 3.5× |
| Nuclear Rx Oral Admin (79005) | $1,647.08 | $1,647.08 | 7.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,378.23 | $2,378.23 | 22.6× |
| Osseous survey infant (77076) | $2,689.51 | $2,689.51 | 25.6× |
| Parathyroid imaging (78070) | $3,139.51 | $3,139.51 | 7.8× |
| Pelvis 1 or 2 views (72170) | $1,140.27 | $1,140.27 | 10.9× |
| Perineogram (74775) | $2,689.51 | $2,689.51 | 11.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $17,276.70 | $17,276.70 | 49.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,637.21 | $4,637.21 | 11.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $4,637.21 | $4,637.21 | 8.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,470.39 | $2,470.39 | 4.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,141.55 | $1,141.55 | 13.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,578.55 | $1,578.55 | 15.0× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,228.19 | $1,228.19 | 11.7× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,180.54 | $2,180.54 | 20.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,893.37 | $2,893.37 | 27.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,592.57 | $1,592.57 | 15.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,103.33 | $1,103.33 | 12.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,351.76 | $1,351.76 | 12.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,261.30 | $1,261.30 | 14.4× |
| Radiologic exam colon single contrast study (74270) | $2,514.97 | $2,514.97 | 14.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,242.45 | $3,242.45 | 18.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,514.97 | $2,514.97 | 14.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $684.17 | $684.17 | 7.8× |
| Radiological examination surgical specimen (76098) | $801.37 | $801.37 | 1.5× |
| Ribs bilateral 3 views (71110) | $1,784.95 | $1,784.95 | 17.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,584.98 | $3,584.98 | 8.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $1,745.48 | $1,745.48 | 7.3× |
| Scanogram (77073) | $2,228.31 | $2,228.31 | 21.2× |
| Scapula complete (73010) | $1,187.41 | $1,187.41 | 11.3× |
| Screening digital breast tomosynthesis (77063) | $94.21 | $94.21 | 4.0× |
| Small bowel series (74250) | $2,514.97 | $2,514.97 | 14.3× |
| Spine thoracic 3 views (72072) | $2,874.25 | $2,874.25 | 27.4× |
| Therapeutic Enema (74283) | $3,549.50 | $3,549.50 | 20.1× |
| Thoracolumbar 2 views (72080) | $2,038.48 | $2,038.48 | 23.3× |
| Thyroid carcinoma metastases img whole body (78018) | $4,282.95 | $4,282.95 | 7.9× |
| Thyroid Imaging With Vascular Flow (78013) | $2,391.31 | $2,391.31 | 6.0× |
| Thyroid uptake measurement (78012) | $1,534.72 | $1,534.72 | 3.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,898.27 | $3,898.27 | 9.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $10,177.29 | $10,177.29 | 18.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $3,391.98 | $3,391.98 | 8.4× |
| Ultrasound elastography first target lesion (76982) | $477.43 | $477.43 | 4.5× |
| Ultrasound, abdomen limited (76705) | $2,613.76 | $2,613.76 | 24.9× |
| Umbilical-artery Doppler (OB) (76820) | $323.38 | $323.38 | 3.1× |
| Upper Extremity Infant (73092) | $1,011.60 | $1,011.60 | 9.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $2,831.50 | $2,831.50 | 7.1× |
| Urethrocystography voiding (74455) | $2,960.88 | $2,960.88 | 12.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $3,358.39 | $3,358.39 | 19.1× |
| Us abdl aorta screen aaa (76706) | $2,613.76 | $2,613.76 | 24.9× |
| Us breast unilateral complete (76641) | $1,860.06 | $1,860.06 | 17.7× |
| Us breast unilateral limited (76642) | $1,581.24 | $1,581.24 | 18.1× |
| Us chest (76604) | $2,000.11 | $2,000.11 | 19.0× |
| Us compl joint r-t w/image documentation (76881) | $2,070.14 | $2,070.14 | 19.7× |
| Us elastography parenchyma (76981) | $613.65 | $613.65 | 5.8× |
| Us infant hips dynamic (76885) | $2,580.65 | $2,580.65 | 29.5× |
| Us infant hips limited static (76886) | $2,191.08 | $2,191.08 | 25.1× |
| Us ob transvaginal (76817) | $1,270.60 | $1,270.60 | 12.1× |
| Us pelvic non ob complete (76856) | $2,303.11 | $2,303.11 | 21.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,061.80 | $1,061.80 | 10.1× |
| Us pregnancy ltd (76815) | $1,745.48 | $1,745.48 | 16.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,310.75 | $2,310.75 | 22.0× |
| Us retroperitoneal complete (76770) | $2,613.76 | $2,613.76 | 24.9× |
| Us retroperitoneal limited (76775) | $2,040.84 | $2,040.84 | 19.4× |
| Us scrotum and contents (76870) | $2,096.86 | $2,096.86 | 20.0× |
| Us soft tissue head/neck (76536) | $2,089.23 | $2,089.23 | 19.9× |
| Us spinal canal and contents (76800) | $2,537.37 | $2,537.37 | 24.2× |
| Us xtr non-vasc lmtd (76882) | $1,751.84 | $1,751.84 | 16.7× |
| Wrist 2 views (73100) | $926.24 | $926.24 | 10.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $742.77 | $742.77 | 8.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,864.06 | $2,864.06 | 16.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $742.77 | $742.77 | 8.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $991.21 | $991.21 | 11.3× |
| X-ray exam entire spi 4/5 vw (72083) | $2,630.91 | $2,630.91 | 25.1× |
| X-ray exam hip uni 1 view (73501) | $1,051.09 | $1,051.09 | 12.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,141.55 | $1,141.55 | 13.1× |
| X-ray exam hip uni 4/> views (73503) | $1,228.19 | $1,228.19 | 11.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,314.82 | $1,314.82 | 12.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,401.46 | $1,401.46 | 13.3× |
| X-ray exam of femur 1 (73551) | $527.46 | $527.46 | 6.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,570.89 | $1,570.89 | 15.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,834.62 | $1,834.62 | 21.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,011.60 | $1,011.60 | 11.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,091.64 | $1,091.64 | 12.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,592.57 | $1,592.57 | 18.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,908.65 | $2,908.65 | 27.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $530.01 | $530.01 | 6.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,590.02 | $1,590.02 | 15.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,844.94 | $2,844.94 | 27.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,262.58 | $1,262.58 | 14.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,257.49 | $1,257.49 | 14.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,238.37 | $1,238.37 | 11.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $3,638.68 | $3,638.68 | 10.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,184.87 | $1,184.87 | 13.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $946.62 | $946.62 | 9.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $894.38 | $894.38 | 10.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,488.09 | $1,488.09 | 17.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,730.16 | $1,730.16 | 19.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,458.79 | $1,458.79 | 16.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,886.86 | $1,886.86 | 18.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,321.19 | $1,321.19 | 12.6× |
| X-Ray Spine One View - Xr Spine (72020) | $1,062.56 | $1,062.56 | 12.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $995.03 | $995.03 | 11.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $845.97 | $845.97 | 9.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,730.16 | $1,730.16 | 16.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $676.52 | $676.52 | 7.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $925.60 | $925.60 | 10.6× |
| Xr c-spine 6 or more views (72052) | $2,355.72 | $2,355.72 | 22.4× |
| Xr chest 4+ views (71048) | $1,919.99 | $1,919.99 | 18.3× |
| Xr Cholecystography Oral Contrast (74290) | $1,387.44 | $1,387.44 | 7.9× |
| Xr finger(s) 2+ views (73140) | $1,091.86 | $1,091.86 | 12.5× |
| Xr internal auditory meati complete (70134) | $1,654.99 | $1,654.99 | 3.0× |
| Xr optic foramina (70190) | $1,012.87 | $1,012.87 | 11.6× |
| Xr shoulder 1 view (73020) | $858.70 | $858.70 | 9.8× |
| Xr spine cervical 4 or 5 views (72050) | $1,987.52 | $1,987.52 | 18.9× |
| Xr tibia/fibula 2 views (73590) | $1,395.08 | $1,395.08 | 16.0× |
| Xr tmj bilateral (70330) | $1,434.58 | $1,434.58 | 16.4× |
| Xray knee 1 or 2 views rt (73560) | $1,091.86 | $1,091.86 | 12.5× |