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Patients’ First

PATIENTS’ FIRST
Telephone 214-483-5904     Facsimile 972-395-4398

- Sample Radiology Fee Schedule -

 Modality

Average DFW
Price

Patients’ First
Price

Bone Density

$380.00

$120.00

Breast MRI

$1,500.00

$1,055.00

CT Abdomen with contrast

$1,247.00

$365.00

CT Chest with contrast

$1,279.00

$365.00

CT Head/Brain without contrast

$925.00

$240.00

CT Pelvis with contrast

$1,107.00

$365.00

GI X-ray esophagus with barium

$300.00

$80.00

GI upper with/KUB

$550.00

$105.00

GI small bowel follow through

$550.00

$170.00

GI upper & small bowel

$265.00

$160.00

GI colon w/barium enemas

$725.00

$125.00

MRA Brain without contrast

$1,400.00

$570.00

MRI Any Joint of Lower Extremity w/o contrast

$1,949.00

$550.00

MRI Brain with and without contrast

$2,903.00

$1,090.00

MRI Cervical without contrast

$2,043.00

$560.00

MRI Lumbar without contrast

$2,043.00

$590.00

MRI Thoracic without contrast

$2,150.00

$655.00

MRI Upper Extremity Joint without contrast

$2,043.00

$550.00

PET

$6,200.00

$1,200.00

Ultrasound Abdomen

$431.00

$135.00

Ultrasound Carotid

$382.00

$265.00

Ultrasound Pelvis

$396.00

$110.00

Ultrasound Transvaginal

$227.00

$110.00

Ultrasound, Venous and DVT unilateral

$360.00

$180.00

X-Ray Abdomen (KUB)

$113.00

$45.00

X-Ray Chest

$134.00

$40.00

X-Ray Spine, Cervical

$188.00

$40.00

X-Ray Spine, Lumbosacral

$151.00

$40.00

X-Ray Spine, Thoracic

$161.00

$40.00

For additional radiology tests not shown on this schedule,
please contact Patients’ First.

04/19/2007

 
   
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