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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,103.33 | $1,103.33 | 12.6× |
| 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) range across 4 matching MRF lines |
$665.05–$1,318.64 | $665.05–$1,318.64 | varies |
| 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 Imaging Whole Body (78306) | $3,886.38 | $3,886.38 | 9.7× |
| Bone marrow imaging; whole body (78104) | $3,912.81 | $3,912.81 | 9.7× |
| Bone survey infant (77076) | $2,689.51 | $2,689.51 | 25.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (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× |
| Cat Scan Follow-Up Study (76380) | $3,954.52 | $3,954.52 | 45.2× |
| Chest 1 view (71045) | $1,070.20 | $1,070.20 | 12.2× |
| Chest 2 views (71046) | $1,261.30 | $1,261.30 | 14.4× |
| Chest 3 views (71047) | $1,871.58 | $1,871.58 | 21.4× |
| Chest 4 or more views (71048) | $1,919.99 | $1,919.99 | 18.3× |
| Cholecystography Oral Contrast (74290) | $1,387.44 | $1,387.44 | 7.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$742.77–$1,475.34 | $742.77–$1,475.34 | varies |
| Contrast X-Ray Bladder (74430) | $1,886.86 | $1,886.86 | 5.4× |
| 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 Angio Abdomen and Pelvis (74174) | $11,149.71 | $11,149.71 | 31.8× |
| CT Angio Chest (71275) | $8,197.23 | $8,197.23 | 46.5× |
| CT Angio Head (70496) | $10,619.21 | $10,619.21 | 60.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $994.13 | $994.13 | 5.6× |
| CT Angio Neck (70498) | $10,619.21 | $10,619.21 | 60.3× |
| CT cervical spine w/ contrast (72126) | $8,270.58 | $8,270.58 | 23.6× |
| CT cervical spine w/o contrast (72125) | $7,331.40 | $7,331.40 | 69.8× |
| CT cervical spine w/wo cont (72127) | $9,539.86 | $9,539.86 | 54.1× |
| CT chest w contrast (71260) | $6,650.26 | $6,650.26 | 37.7× |
| CT chest w/wo contrast (71270) | $7,804.27 | $7,804.27 | 44.3× |
| 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 l-spine w&w/o contrast (72133) | $9,539.86 | $9,539.86 | 54.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,543.98–$9,094.50 | $4,543.98–$9,094.50 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$5,535.56–$11,067.18 | $5,535.56–$11,067.18 | varies |
| CT lumbar spine w contrast (72132) | $8,174.96 | $8,174.96 | 23.3× |
| CT lumbar spine w/o contrast (72131) | $7,142.78 | $7,142.78 | 68.0× |
| CT maxillofacial w contrast (70487) | $6,709.21 | $6,709.21 | 38.1× |
| CT maxillofacial wo contrast (70486) | $5,477.91 | $5,477.91 | 52.2× |
| CT neck tissue combo (70492) | $7,804.27 | $7,804.27 | 44.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) range across 3 matching MRF lines |
$6,552.02–$13,098.80 | $6,552.02–$13,098.80 | varies |
| CT scans face/jaw combo (70488) | $7,939.18 | $7,939.18 | 45.1× |
| CT soft tissue neck w contrast (70491) | $5,918.04 | $5,918.04 | 33.6× |
| 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 cont (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 ext wo (73200) range across 4 matching MRF lines |
$4,543.98–$9,094.50 | $4,543.98–$9,094.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$6,552.02–$13,098.80 | $6,552.02–$13,098.80 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$5,535.56–$11,067.18 | $5,535.56–$11,067.18 | varies |
| 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 head&neck c+ w/noncontrast img&post-pxessing (70471) | $13,804.97 | $13,804.97 | 39.4× |
| CTA pelvis (72191) | $9,428.52 | $9,428.52 | 53.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,224.76 | $1,224.76 | 11.7× |
| Dxa Bone Density Axial (77080) | $1,634.60 | $1,634.60 | 15.6× |
| Echo exam of fetal heart (76825) | $6,969.18 | $6,969.18 | 12.7× |
| Echo exam uterus (76831) | $1,745.48 | $1,745.48 | 7.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $3,484.59 | $3,484.59 | 14.5× |
| Esophagram (74220) | $2,034.65 | $2,034.65 | 11.5× |
| Fetal Biophys Profile W/Nst (76818) | $2,378.23 | $2,378.23 | 22.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$1,270.60–$2,356 | $1,270.60–$2,356 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $10,080.14 | $10,080.14 | 42.1× |
| Fluoroscopy up to 1 hr (76000) | $3,452.67 | $3,452.67 | 14.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$1,089.31–$2,170.98 | $1,089.31–$2,170.98 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$742.77–$1,493.18 | $742.77–$1,493.18 | varies |
| Gastric emptying imaging study (78264) | $3,963.05 | $3,963.05 | 9.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $5,257.18 | $5,257.18 | 13.1× |
| Gastroesophageal Reflux Exam (78262) | $2,831.50 | $2,831.50 | 7.1× |
| Gated Heart Planar Single (78472) | $6,240.68 | $6,240.68 | 15.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $6,136.25 | $6,136.25 | 11.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$607.72–$1,210.35 | $607.72–$1,210.35 | varies |
| Hepatobil Syst Image W/Drug (78227) | $5,119.72 | $5,119.72 | 9.4× |
| Hepatobiliary System Imaging (78226) | $4,452.15 | $4,452.15 | 11.1× |
| Hysterosalpingogram (74740) | $2,551.92 | $2,551.92 | 10.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,580.65 | $2,580.65 | 29.5× |
| Infant hip ultrasound, limited static exam (76886) | $2,191.08 | $2,191.08 | 25.1× |
| Joint Survey Single View (77077) | $756.79 | $756.79 | 7.2× |
| K Flow/Funct Image W/Drug (78708) | $7,339.17 | $7,339.17 | 13.5× |
| K Flow/Funct Image W/O Drug (78707) | $4,334.51 | $4,334.51 | 7.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$1,244.74–$2,494.58 | $1,244.74–$2,494.58 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,991.46 | $2,991.46 | 7.4× |
| Lung Ventilat&Perfus Imaging (78582) | $4,637.21 | $4,637.21 | 8.5× |
| Lung Ventilation Imaging (78579) | $2,220.79 | $2,220.79 | 5.5× |
| Lymph System Imaging (78195) | $2,991.46 | $2,991.46 | 5.5× |
| Magnetic Image Jaw Joint (70336) | $10,080.14 | $10,080.14 | 42.1× |
| Meckels Divert Exam (78290) | $2,294.81 | $2,294.81 | 5.7× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $12,958.49 | $12,958.49 | 54.1× |
| MRI any jt lower extrem w/contrast material (73722) | $18,427.01 | $18,427.01 | 23.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$17,276.70–$27,645.06 | $17,276.70–$27,645.06 | varies |
| 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 Without Contrast Material Unilateral (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 cont (72141) | $10,080.14 | $10,080.14 | 42.1× |
| 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 chest wo w contrast (71552) | $17,276.70 | $17,276.70 | 49.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$11,517.36–$18,427.01 | $11,517.36–$18,427.01 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$17,276.70–$27,645.06 | $17,276.70–$27,645.06 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$10,080.14–$16,125.09 | $10,080.14–$16,125.09 | varies |
| MRI lumbar spine w contrast (72149) | $11,517.36 | $11,517.36 | 32.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,276.70 | $17,276.70 | 49.3× |
| MRI orbit face &/neck w/o contrast (70540) | $10,080.14 | $10,080.14 | 42.1× |
| MRI orbit face neck w contrast (70542) | $11,517.36 | $11,517.36 | 32.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,276.70 | $17,276.70 | 49.3× |
| MRI pelvis w contrast (72196) | $11,517.36 | $11,517.36 | 32.9× |
| MRI pelvis w/o & w contrast (72197) | $17,276.70 | $17,276.70 | 49.3× |
| MRI pelvis w/o contrast (72195) | $10,080.14 | $10,080.14 | 42.1× |
| MRI spectroscopy (76390) | $10,080.14 | $10,080.14 | 115.3× |
| MRI thoracic spine w/o contrast (72146) | $10,080.14 | $10,080.14 | 42.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$11,517.36–$18,427.01 | $11,517.36–$18,427.01 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$10,080.14–$16,125.09 | $10,080.14–$16,125.09 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$17,276.70–$27,645.06 | $17,276.70–$27,645.06 | varies |
| MRI, abdomen, combo (74183) | $17,276.70 | $17,276.70 | 49.3× |
| MRI, dorsal spine combo (72157) | $17,276.70 | $17,276.70 | 49.3× |
| MRI, dorsal spine contrast (72147) | $11,517.36 | $11,517.36 | 32.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,080.14–$16,125.09 | $10,080.14–$16,125.09 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$17,276.70–$27,645.06 | $17,276.70–$27,645.06 | varies |
| MRI, lumbar spine combo (72158) | $17,276.70 | $17,276.70 | 49.3× |
| Myocardial Spect Multiple Studies (78452) | $14,893.82 | $14,893.82 | 11.5× |
| Neck soft tissue (70360) | $995.03 | $995.03 | 11.4× |
| Nuclear Rx Oral Admin (79005) | $1,647.08 | $1,647.08 | 7.0× |
| Optic foramina (70190) | $1,012.87 | $1,012.87 | 11.6× |
| Parathyroid Planar 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× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,637.21 | $4,637.21 | 11.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,470.39 | $2,470.39 | 4.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$742.77–$1,493.18 | $742.77–$1,493.18 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$1,043–$2,085.63 | $1,043–$2,085.63 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$991.21–$1,982.42 | $991.21–$1,982.42 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,570.89 | $1,570.89 | 15.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$1,039.87–$1,091.86 | $1,039.87–$1,091.86 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,011.60–$2,016.82 | $1,011.60–$2,016.82 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$684.17–$1,368.33 | $684.17–$1,368.33 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$530.01–$1,062.56 | $530.01–$1,062.56 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,588.73–$2,772.34 | $1,588.73–$2,772.34 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,262.58 | $1,262.58 | 14.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,184.87 | $1,184.87 | 13.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,488.09–$2,967.26 | $1,488.09–$2,967.26 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,458.79 | $1,458.79 | 16.7× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$875.28–$1,365.78 | $875.28–$1,365.78 | varies |
| Radex Sternum Minimum 2 Views (71120) | $845.97 | $845.97 | 9.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,434.58 | $1,434.58 | 16.4× |
| Radex Toe Minimum 2 Views (73660) | $676.52 | $676.52 | 7.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$1,011.60–$2,015.55 | $1,011.60–$2,015.55 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$923.69–$1,853.74 | $923.69–$1,853.74 | varies |
| 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 3+ Views - Xr Abdomen 3+ Views (74021) | $1,351.76 | $1,351.76 | 12.9× |
| Radiologic exam colon double contrast study (74280) | $2,864.06 | $2,864.06 | 16.3× |
| Radiologic exam colon single contrast study (74270) | $2,514.97 | $2,514.97 | 14.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,908.65–$5,822.40 | $2,908.65–$5,822.40 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,514.97 | $2,514.97 | 14.3× |
| Radiologic exam swallow function contrast study (74230) | $2,893.37 | $2,893.37 | 16.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,242.45 | $3,242.45 | 18.4× |
| Radiologic examination femur 1 view (73551) | $527.46 | $527.46 | 6.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$651.59–$684.17 | $651.59–$684.17 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$1,091.86–$2,187.55 | $1,091.86–$2,187.55 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$1,395.08–$2,782.52 | $1,395.08–$2,782.52 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,654.99 | $1,654.99 | 3.0× |
| Ribs bilateral 3 views (71110) | $1,784.95 | $1,784.95 | 17.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,391.98 | $3,391.98 | 8.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,584.98 | $3,584.98 | 8.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $10,177.29 | $10,177.29 | 18.7× |
| Scapula (73010) | $1,187.41 | $1,187.41 | 11.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $94.21 | $94.21 | 4.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$858.70–$1,712.33 | $858.70–$1,712.33 | varies |
| Skull less than 4 views (70250) | $1,321.19 | $1,321.19 | 12.6× |
| Sternoclavicular joints (71130) | $995.03 | $995.03 | 11.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,549.50 | $3,549.50 | 20.1× |
| Thoracic spine 2 views (72070) | $1,730.16 | $1,730.16 | 16.5× |
| Thoracic spine 3 views (72072) | $2,874.25 | $2,874.25 | 27.4× |
| Thoracolumbar 2 views (72080) | $2,038.48 | $2,038.48 | 23.3× |
| Thyroid Imaging With Vascular Flow (78013) | $2,391.31 | $2,391.31 | 6.0× |
| Thyroid Met Imaging Body (78018) | $4,282.95 | $4,282.95 | 7.9× |
| 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× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,581.24–$1,860.06 | $1,581.24–$1,860.06 | varies |
| Ultrasound elastography first target lesion (76982) | $477.43 | $477.43 | 4.5× |
| Ultrasound Elastography Parenchyma (76981) | $613.65 | $613.65 | 5.8× |
| Ultrasound Exam Aaa Screen (76706) | $2,613.76 | $2,613.76 | 24.9× |
| Ultrasound, abdomen limited (76705) | $2,613.76 | $2,613.76 | 24.9× |
| Umbilical-artery Doppler (OB) (76820) | $323.38 | $323.38 | 3.1× |
| Upper gi w/o kub (74240) | $2,514.97 | $2,514.97 | 14.3× |
| Ureteral Reflux Study (78740) | $2,831.50 | $2,831.50 | 7.1× |
| Urethrocystogram voiding (74455) | $2,960.88 | $2,960.88 | 12.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$1,860.06–$2,322.21 | $1,860.06–$2,322.21 | varies |
| Us chest (76604) | $2,000.11 | $2,000.11 | 19.0× |
| Us complete joint (76881) | $2,070.14 | $2,070.14 | 19.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$541.09–$1,582.51 | $541.09–$1,582.51 | varies |
| Us head (76506) | $3,232.51 | $3,232.51 | 30.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,751.84 | $1,751.84 | 16.7× |
| Us ob limited 1 or more fetuses (76815) | $1,745.48 | $1,745.48 | 16.6× |
| 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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,310.75 | $2,310.75 | 22.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,378.23 | $2,378.23 | 22.6× |
| 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 spinal canal and contents (76800) | $2,537.37 | $2,537.37 | 24.2× |
| Us thyroid (76536) | $2,089.23 | $2,089.23 | 19.9× |
| Venous thrombosis imaging (78457) | $1,887.67 | $1,887.67 | 3.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$926.24–$1,849.92 | $926.24–$1,849.92 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$742.77–$1,493.18 | $742.77–$1,493.18 | varies |
| X-Ray Exam Breast Specimen (76098) | $801.37 | $801.37 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,141.55 | $1,141.55 | 13.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,578.55 | $1,578.55 | 15.0× |
| 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) range across 3 matching MRF lines |
$1,087.19–$1,141.55 | $1,087.19–$1,141.55 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,228.19 | $1,228.19 | 11.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $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 L-S Spine Bending (72114) | $2,844.94 | $2,844.94 | 27.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,312.27 | $1,312.27 | 15.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,355.72 | $2,355.72 | 22.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$742.77–$1,493.18 | $742.77–$1,493.18 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,358.39 | $3,358.39 | 19.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,592.57 | $1,592.57 | 18.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,590.02 | $1,590.02 | 15.1× |
| X-ray nose-rectum child f.b. (76010) | $1,257.49 | $1,257.49 | 14.4× |
| 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 Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,730.16 | $1,730.16 | 19.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,886.86 | $1,886.86 | 18.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,638.68 | $3,638.68 | 10.4× |
| X-Rays Bone Length Studies (77073) | $2,228.31 | $2,228.31 | 21.2× |
| X-Rays Bone Survey Complete (77075) | $3,140.53 | $3,140.53 | 29.9× |
| Xr c-spine 4 or 5 views (72050) | $1,987.52 | $1,987.52 | 18.9× |
| Xr facial bones less than 3 views (70140) | $1,834.62 | $1,834.62 | 21.0× |
| Xr orbits complete 4 views (70200) | $1,238.37 | $1,238.37 | 11.8× |
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.