Imaging prices at AdventHealth Daytona Beach
Daytona Beach, FL · every code in this section with a posted price and a Medicare benchmark.
328 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $6,347.06 | $6,347.06 | 4.4× |
| Abdomen 1 View (74018) | $773.68 | $773.68 | 8.5× |
| Abdomen 2 views (74019) | $962.76 | $962.76 | 8.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,747.13 | $2,747.13 | 6.6× |
| Angio internal mammary (75756) | $10,046.69 | $10,046.69 | 3.0× |
| Angio pulmonary bilat (75743) | $9,926.25 | $9,926.25 | 3.0× |
| Angiography extremity bilateral rs&i (75716) | $9,926.25 | $9,926.25 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $9,926.25 | $9,926.25 | 3.0× |
| Ankle 2 views (73600) | $596.61 | $596.61 | 6.6× |
| Artery X-Rays Abdomen (75726) | $20,642.46 | $20,642.46 | 3.6× |
| Artery X-Rays Pelvis (75736) | $11,557.23 | $11,557.23 | 2.0× |
| Artery X-Rays Spine (75705) | $11,524.16 | $11,524.16 | 2.0× |
| Basic radiation dosimetry calculation (77300) | $544.50 | $544.50 | 3.9× |
| Bone age studies (77072) | $547.64 | $547.64 | 5.0× |
| Bone Imaging 3 Phase (78315) | $2,493.42 | $2,493.42 | 6.0× |
| Bone Imaging Limited Area (78300) | $4,608.45 | $4,608.45 | 11.0× |
| Bone Imaging Whole Body (78306) | $5,053.66 | $5,053.66 | 12.1× |
| Bone marrow imaging limited area (78102) | $1,582.37 | $1,582.37 | 3.8× |
| Bone survey infant (77076) | $719.29 | $719.29 | 6.6× |
| Brachytx isodose complex (77318) | $1,341.43 | $1,341.43 | 3.4× |
| Brachytx isodose intermed (77317) | $1,342.65 | $1,342.65 | 3.4× |
| Brachytx Isodose Plan Simple (77316) | $482.59 | $482.59 | 1.2× |
| Brain Image W/Flow < 4 Views (78601) | $1,151.98 | $1,151.98 | 2.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,206.31 | $3,206.31 | 5.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,514.36 | $6,514.36 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,326.50 | $4,326.50 | 11.9× |
| Cat Scan Follow-Up Study (76380) | $526.69 | $526.69 | 5.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,550.73 | $1,550.73 | 2.7× |
| Chest 1 view (71045) | $761.67 | $761.67 | 8.4× |
| Chest 2 views (71046) | $1,474.34 | $1,474.34 | 16.2× |
| Chest 3 views (71047) | $1,403.50 | $1,403.50 | 15.4× |
| Cholecystography Oral Contrast (74290) | $1,314.27 | $1,314.27 | 7.2× |
| Clavicle complete (73000) | $796.43 | $796.43 | 8.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,172.18 | $2,172.18 | 19.9× |
| Continuing medical physics consltj pr wk (77336) | $849.78 | $849.78 | 6.1× |
| Contrast Exam Abdominl Aorta (75625) | $9,926.25 | $9,926.25 | 3.0× |
| Contrast X-Ray Bladder (74430) | $1,811.23 | $1,811.23 | 5.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,572.77 | $1,572.77 | 4.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $527.96 | $527.96 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $9,704.56 | $9,704.56 | 26.6× |
| CT abdomen and pelvis without contrast (74176) | $8,469.36 | $8,469.36 | 34.0× |
| CT abdomen w contrast (74160) | $5,916.05 | $5,916.05 | 32.3× |
| CT abdomen w wo contrast (74170) | $6,469.69 | $6,469.69 | 35.3× |
| CT abdomen w/o contrast (74150) | $5,646.44 | $5,646.44 | 51.7× |
| CT Angio Abdomen and Pelvis (74174) | $8,296.52 | $8,296.52 | 22.8× |
| CT Angio Chest (71275) | $5,278.40 | $5,278.40 | 28.8× |
| CT Angio Head (70496) | $6,211.22 | $6,211.22 | 33.9× |
| CT angio hrt w/3d image (75574) | $1,959.57 | $1,959.57 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,320.89 | $5,320.89 | 29.0× |
| CT Angio Neck (70498) | $5,414.69 | $5,414.69 | 29.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,565.41 | $4,565.41 | 24.9× |
| CT cervical spine w/ contrast (72126) | $5,959.59 | $5,959.59 | 16.4× |
| CT cervical spine w/o contrast (72125) | $4,798.99 | $4,798.99 | 44.0× |
| CT cervical spine w/wo cont (72127) | $6,051 | $6,051 | 33.0× |
| CT chest w contrast (71260) | $5,278.40 | $5,278.40 | 28.8× |
| CT chest w/wo contrast (71270) | $5,582.20 | $5,582.20 | 30.5× |
| CT head/brain with contrast (70460) | $4,055.36 | $4,055.36 | 22.1× |
| CT head/brain without and with contrast (70470) | $4,321 | $4,321 | 23.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $851.96 | $851.96 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $121.55 | $121.55 | 1.3× |
| CT iac w contrast (70481) | $2,572.07 | $2,572.07 | 14.0× |
| CT l-spine w&w/o contrast (72133) | $5,105.26 | $5,105.26 | 27.9× |
| CT lower ext w/o (73700) | $3,716.42 | $3,716.42 | 34.0× |
| CT lower extremity w/contrast material (73701) | $4,087.84 | $4,087.84 | 22.3× |
| CT lumbar spine w contrast (72132) | $4,644.91 | $4,644.91 | 12.7× |
| CT lumbar spine w/o contrast (72131) | $4,489.05 | $4,489.05 | 41.1× |
| CT maxillofacial w contrast (70487) | $2,222.93 | $2,222.93 | 12.1× |
| CT maxillofacial wo contrast (70486) | $2,134.35 | $2,134.35 | 19.6× |
| CT neck tissue combo (70492) | $3,247.93 | $3,247.93 | 17.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,163.77 | $3,163.77 | 17.3× |
| CT orbits w/o contrast (70480) | $1,952.72 | $1,952.72 | 17.9× |
| CT pelvis w&w/o contrast (72194) | $5,495.57 | $5,495.57 | 30.0× |
| CT pelvis w/o contrast (72192) | $4,282.37 | $4,282.37 | 39.2× |
| CT scan of leg combo (73702) | $7,517.87 | $7,517.87 | 41.0× |
| CT scans face/jaw combo (70488) | $2,879.32 | $2,879.32 | 15.7× |
| CT soft tissue neck w contrast (70491) | $2,871.30 | $2,871.30 | 15.7× |
| CT soft tissue neck w/o contrast (70490) | $2,210.83 | $2,210.83 | 20.3× |
| CT thoracic spine w contrast (72129) | $5,582.20 | $5,582.20 | 30.5× |
| CT thoracic spine w/o contrast (72128) | $4,614.13 | $4,614.13 | 42.3× |
| CT thoracic spine w/wo cont (72130) | $5,783.07 | $5,783.07 | 31.6× |
| CT thorax w/o contrast (71250) | $4,344.31 | $4,344.31 | 39.8× |
| CT unlisted procedure (76497) | $6,092.04 | $6,092.04 | 67.0× |
| CT upper ext wo (73200) | $3,778.58 | $3,778.58 | 34.6× |
| CT upper extremity w/o & w/contrast material (73202) | $6,947.76 | $6,947.76 | 37.9× |
| CT upper extremity with contrast (73201) | $4,266.15 | $4,266.15 | 11.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,800.42 | $8,800.42 | 48.0× |
| Cta Abdomen (74175) | $8,296.52 | $8,296.52 | 45.3× |
| CTA pelvis (72191) | $7,199 | $7,199 | 39.3× |
| Dxa Bone Density Axial (77080) | $455.10 | $455.10 | 4.2× |
| Dxa bone density study (77085) | $501.44 | $501.44 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $425.83 | $425.83 | 4.7× |
| Echograp Trans R Pros Study (76873) | $1,283.85 | $1,283.85 | 11.8× |
| Esophagram (74220) | $1,090.75 | $1,090.75 | 6.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,012.36 | $1,012.36 | 9.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,014.90 | $1,014.90 | 9.3× |
| Fluoroscopy up to 1 hr (76000) | $1,243.01 | $1,243.01 | 5.0× |
| Follow-Up Angiography (75898) | $6,921.01 | $6,921.01 | 2.1× |
| Foot 2 views (73620) | $796.43 | $796.43 | 8.8× |
| Forearm 2 views (73090) | $796.43 | $796.43 | 8.8× |
| Gastric emptying imaging study (78264) | $3,048.97 | $3,048.97 | 7.3× |
| Gated Heart Planar Single (78472) | $3,919.46 | $3,919.46 | 9.4× |
| Hand 2 views (73120) | $688.44 | $688.44 | 6.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,794.84 | $6,794.84 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,203.02 | $1,203.02 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,203.02 | $1,203.02 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $2,707.20 | $2,707.20 | 2.0× |
| Hysterosalpingogram (74740) | $1,386.85 | $1,386.85 | 5.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,319.92 | $1,319.92 | 14.5× |
| Interstitial radiation source applic complex (77778) | $3,143.28 | $3,143.28 | 4.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,096.75 | $2,096.75 | 2.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,603.67 | $1,603.67 | 2.8× |
| Intracavitary radiation source applic simple (77761) | $1,603.67 | $1,603.67 | 2.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $25,375.10 | $25,375.10 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $2,285.63 | $2,285.63 | 4.0× |
| K Flow/Funct Image W/O Drug (78707) | $4,179.74 | $4,179.74 | 7.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,426.83 | $3,426.83 | 8.2× |
| Knee 3 Views (73562) | $873.56 | $873.56 | 9.6× |
| Liver & Spleen Imaging Static Only (78215) | $3,790.45 | $3,790.45 | 9.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,297.23 | $1,297.23 | 2.3× |
| Lung perfusion differential (78597) | $830.08 | $830.08 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,295.84 | $1,295.84 | 2.3× |
| Lymph System Imaging (78195) | $2,801.82 | $2,801.82 | 4.9× |
| Magnetic Image Jaw Joint (70336) | $4,613.86 | $4,613.86 | 18.5× |
| Meckels Divert Exam (78290) | $3,499.52 | $3,499.52 | 8.4× |
| Mlc imrt design & construction per imrt plan (77338) | $727.48 | $727.48 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $210.74 | $210.74 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $58.85 | $58.85 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $220.91 | $220.91 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $140.35 | $140.35 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $580.70 | $580.70 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $5,995.41 | $5,995.41 | 16.5× |
| MRA head w/o contrast (70544) | $4,913.48 | $4,913.48 | 19.7× |
| MRA head with contrast (70545) | $5,404.82 | $5,404.82 | 14.8× |
| MRA neck w contrast (70548) | $5,404.82 | $5,404.82 | 14.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,995.41 | $5,995.41 | 16.5× |
| MRA neck w/o contrast (70547) | $4,913.48 | $4,913.48 | 19.7× |
| MRI abdomen w contrast (74182) | $6,689.73 | $6,689.73 | 18.4× |
| MRI abdomen w/o contrast (74181) | $6,155.65 | $6,155.65 | 24.7× |
| MRI any jt lower extrem w/contrast material (73722) | $10,343.68 | $10,343.68 | 12.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,714.10 | $9,714.10 | 26.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,889.59 | $5,889.59 | 7.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,673.55 | $2,673.55 | 10.7× |
| MRI cervical spine w contrast (72142) | $5,962.04 | $5,962.04 | 16.4× |
| MRI cervical spine w/o cont (72141) | $5,962.04 | $5,962.04 | 23.9× |
| MRI chest w/o contrast (71550) | $3,683.42 | $3,683.42 | 14.8× |
| MRI chest wo w contrast (71552) | $6,295.83 | $6,295.83 | 17.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,095.18 | $9,095.18 | 25.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,700.76 | $9,700.76 | 26.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,204.40 | $7,204.40 | 28.9× |
| MRI lumbar spine w contrast (72149) | $6,599.61 | $6,599.61 | 18.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,651.15 | $7,651.15 | 21.0× |
| MRI orbit face &/neck w/o contrast (70540) | $4,043.82 | $4,043.82 | 16.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,306.05 | $7,306.05 | 20.1× |
| MRI pelvis w contrast (72196) | $6,088.87 | $6,088.87 | 16.7× |
| MRI pelvis w/o & w contrast (72197) | $7,430.81 | $7,430.81 | 20.4× |
| MRI pelvis w/o contrast (72195) | $4,972.46 | $4,972.46 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $6,449.38 | $6,449.38 | 25.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,472.88 | $5,472.88 | 22.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,023.57 | $7,023.57 | 19.3× |
| MRI, abdomen, combo (74183) | $7,507.61 | $7,507.61 | 20.6× |
| MRI, dorsal spine combo (72157) | $7,888.14 | $7,888.14 | 21.7× |
| MRI, dorsal spine contrast (72147) | $6,599.61 | $6,599.61 | 18.1× |
| MRI, joint upper extrem (73221) | $5,664.91 | $5,664.91 | 22.7× |
| MRI, joint upper extrem combo (73223) | $6,880.03 | $6,880.03 | 18.9× |
| MRI, lumbar spine combo (72158) | $7,531 | $7,531 | 20.7× |
| Myelogram cervical (72240) | $5,727.92 | $5,727.92 | 7.0× |
| Myelogram Lumbar (72265) | $5,062.69 | $5,062.69 | 6.2× |
| Myelograpy 2/more regions rs&i (72270) | $6,165.19 | $6,165.19 | 7.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,522.13 | $5,522.13 | 4.1× |
| Myocardial Spect Multiple Studies (78452) | $9,875.04 | $9,875.04 | 7.3× |
| Neck soft tissue (70360) | $649.49 | $649.49 | 7.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $706.86 | $706.86 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $344.17 | $344.17 | 3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $17,613.98 | $17,613.98 | 12.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,104.46 | $1,104.46 | 4.5× |
| Nuclear Rx Oral Admin (79005) | $1,030.07 | $1,030.07 | 4.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $386.15 | $386.15 | 3.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,364.98 | $2,364.98 | 4.2× |
| Parathyroid Planar Imaging (78070) | $1,314.35 | $1,314.35 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,603.53 | $2,603.53 | 6.2× |
| Pelvis 1 or 2 views (72170) | $779.08 | $779.08 | 7.1× |
| Peritoneogram Rs&I (74190) | $4,547.25 | $4,547.25 | 8.0× |
| Pet Image W/Ct Lmtd (78814) | $13,813.44 | $13,813.44 | 9.3× |
| PET image w/CT, full body (78816) | $12,351.33 | $12,351.33 | 8.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,857.95 | $10,857.95 | 7.3× |
| PET whole body (78813) | $7,854.48 | $7,854.48 | 5.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,741.87 | $4,741.87 | 11.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,446.06 | $1,446.06 | 13.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $781.96 | $781.96 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $796.43 | $796.43 | 8.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $698.07 | $698.07 | 7.7× |
| Radex elbow complete minimum 3 views (73080) | $898.60 | $898.60 | 9.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,261.16 | $1,261.16 | 11.6× |
| Radex fingr minimum 2 views (73140) | $620.93 | $620.93 | 6.8× |
| Radex foot complete minimum 3 views (73630) | $734.70 | $734.70 | 8.1× |
| Radex Hand Minimum 3 Views (73130) | $752.05 | $752.05 | 8.3× |
| Radex lower extremity infant minimum 2 views (73592) | $804.12 | $804.12 | 8.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $796.43 | $796.43 | 8.8× |
| Radex Ribs Unilateral 2 Views (71100) | $929.48 | $929.48 | 10.2× |
| Radex shoulder complete minimum 2 views (73030) | $848.48 | $848.48 | 9.3× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$286.89–$387.60 | $286.89–$387.60 | varies |
| Radex Spine 1 View Specify Level (72020) | $655.66 | $655.66 | 7.2× |
| Radex Sternum Minimum 2 Views (71120) | $898.60 | $898.60 | 9.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $705.79 | $705.79 | 7.8× |
| Radex Toe Minimum 2 Views (73660) | $617.09 | $617.09 | 6.8× |
| Radex upper extremity infant minimum 2 views (73092) | $781 | $781 | 7.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $765.33 | $765.33 | 8.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,334.45 | $1,334.45 | 12.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,680.93 | $26,680.93 | 3.5× |
| Radiation treatment delivery level 1 (77402) | $770.65 | $770.65 | 7.2× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$714.46–$988.96 | $714.46–$988.96 | varies |
| Radiation treatment delivery level 3 (77412) | $909.98 | $909.98 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,303.61 | $1,303.61 | 11.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,014.35 | $1,014.35 | 9.3× |
| Radiologic exam colon double contrast study (74280) | $1,933.20 | $1,933.20 | 10.6× |
| Radiologic exam colon single contrast study (74270) | $1,184.35 | $1,184.35 | 6.5× |
| Radiologic exam knee complete 4/more views (73564) | $827.49 | $827.49 | 7.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $522.59 | $522.59 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,388.76 | $1,388.76 | 7.6× |
| Radiologic exam swallow function contrast study (74230) | $1,249.30 | $1,249.30 | 6.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,717.31 | $1,717.31 | 9.4× |
| Radiologic examination femur 1 view (73551) | $306.76 | $306.76 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $840.79 | $840.79 | 9.3× |
| Radiologic examination knee 1/2 views (73560) | $796.43 | $796.43 | 8.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,631.41 | $1,631.41 | 14.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $605.51 | $605.51 | 6.7× |
| Ribs bilateral 3 views (71110) | $1,168.59 | $1,168.59 | 10.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,853.42 | $4,853.42 | 11.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,842.02 | $5,842.02 | 10.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,933.76 | $3,933.76 | 6.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,862.48 | $3,862.48 | 2.9× |
| Rp Therapy Intravenous Administration (79101) | $2,035.07 | $2,035.07 | 8.4× |
| Scapula (73010) | $898.60 | $898.60 | 8.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $103.18 | $103.18 | 4.4× |
| Shoulder 1 view (73020) | $315.77 | $315.77 | 3.5× |
| Shoulder Arthrography (73040) | $3,579.19 | $3,579.19 | 9.8× |
| Skull less than 4 views (70250) | $678.79 | $678.79 | 6.2× |
| Special dosimetry (77331) | $621.19 | $621.19 | 4.4× |
| Special Physics Consult (77370) | $1,300.75 | $1,300.75 | 9.3× |
| Special teletherapy port plan (77321) | $1,581.26 | $1,581.26 | 4.0× |
| Special treatment procedure (77470) | $2,623.53 | $2,623.53 | 4.5× |
| Srs Multisource (77371) | $128,049.54 | $128,049.54 | 16.6× |
| Stereotactic Body Radiation Delivery (77373) | $14,194.32 | $14,194.32 | 7.6× |
| Tbs technical calculation only (77091) | $220.51 | $220.51 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $482.59 | $482.59 | 1.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $482.59 | $482.59 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,170.80 | $3,170.80 | 8.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,866.55 | $1,866.55 | 4.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,881.04 | $1,881.04 | 13.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,057.65 | $1,057.65 | 5.8× |
| Thoracic spine 2 views (72070) | $549.60 | $549.60 | 5.0× |
| Thoracic spine 3 views (72072) | $1,014.34 | $1,014.34 | 9.3× |
| Thoracolumbar 2 views (72080) | $1,014.34 | $1,014.34 | 11.2× |
| Thyroid Met Imaging Body (78018) | $3,444.84 | $3,444.84 | 6.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,557.24 | $1,557.24 | 3.7× |
| Tx Devices Design & Construction Complex (77334) | $1,333.75 | $1,333.75 | 3.4× |
| Tx devices design & construction intermediate (77333) | $656.30 | $656.30 | 4.7× |
| Tx devices design & construction simple (77332) | $635.26 | $635.26 | 4.5× |
| Ultrasound Breast Limited (76642) | $370.01 | $370.01 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $300.55 | $300.55 | 2.8× |
| Ultrasound, abdomen limited (76705) | $2,008.97 | $2,008.97 | 18.4× |
| Umbilical-artery Doppler (OB) (76820) | $1,064.69 | $1,064.69 | 9.8× |
| Unlisted fluoroscopic procedure (76496) | $286.89 | $286.89 | 3.2× |
| Upper gi w/o kub (74240) | $1,077.38 | $1,077.38 | 5.9× |
| Urethrocystogram voiding (74455) | $2,575.45 | $2,575.45 | 10.3× |
| Urethrocystography retrograde (74450) | $1,213.50 | $1,213.50 | 4.9× |
| Us breast unilateral complete (76641) | $444.03 | $444.03 | 4.1× |
| Us chest (76604) | $1,145.26 | $1,145.26 | 10.5× |
| Us complete joint (76881) | $949.63 | $949.63 | 8.7× |
| Us exam, pelvic, limited (76857) | $978.85 | $978.85 | 9.0× |
| Us head (76506) | $1,487.83 | $1,487.83 | 13.6× |
| Us kidney transplant (76776) | $1,702.61 | $1,702.61 | 15.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $758.82 | $758.82 | 7.0× |
| Us ob limited 1 or more fetuses (76815) | $2,010.39 | $2,010.39 | 18.4× |
| Us ob transvaginal (76817) | $1,039.84 | $1,039.84 | 9.5× |
| Us pelvic non ob complete (76856) | $1,580.85 | $1,580.85 | 14.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,216.88 | $1,216.88 | 11.1× |
| Us retroperitoneal complete (76770) | $1,322.71 | $1,322.71 | 12.1× |
| Us retroperitoneal limited (76775) | $928.91 | $928.91 | 8.5× |
| Us scrotum and contents (76870) | $1,098.09 | $1,098.09 | 10.1× |
| Us spinal canal and contents (76800) | $967.75 | $967.75 | 8.9× |
| Us thyroid (76536) | $804.12 | $804.12 | 7.4× |
| Vein X-Ray Chest (75827) | $6,921.01 | $6,921.01 | 4.2× |
| Venogram Sinus/Jugular (75860) | $2,229.52 | $2,229.52 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $9,926.25 | $9,926.25 | 3.0× |
| Venography extremity bilateral rs&i (75822) | $3,152.67 | $3,152.67 | 1.9× |
| Venography extremity unilateral rs&i (75820) | $3,208.13 | $3,208.13 | 2.0× |
| Venography Renal Unilateral (75831) | $5,906.26 | $5,906.26 | 1.8× |
| Wrist 2 views (73100) | $731.35 | $731.35 | 8.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $873.56 | $873.56 | 9.6× |
| X-ray antegrade pyelogram tube (74425) | $1,028.35 | $1,028.35 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $9,926.25 | $9,926.25 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $592 | $592 | 5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $796.43 | $796.43 | 8.8× |
| X-Ray Exam Breast Specimen (76098) | $1,428.17 | $1,428.17 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $509.86 | $509.86 | 5.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,722.05 | $1,722.05 | 15.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $590.09 | $590.09 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $752.05 | $752.05 | 8.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $992.18 | $992.18 | 10.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,093.19 | $2,093.19 | 19.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,118.41 | $1,118.41 | 10.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $270.12 | $270.12 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,095.58 | $1,095.58 | 10.0× |
| X-Ray Exam L-S Spine Bending (72114) | $1,934.17 | $1,934.17 | 17.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $796.43 | $796.43 | 8.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,795.32 | $1,795.32 | 16.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,151.26 | $1,151.26 | 10.5× |
| X-ray eye for foreign body (70030) | $330.47 | $330.47 | 3.6× |
| X-ray humerus (73060) | $796.43 | $796.43 | 8.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $669.18 | $669.18 | 7.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $286.89 | $286.89 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,261.16 | $1,261.16 | 11.6× |
| X-ray nose-rectum child f.b. (76010) | $106.96 | $106.96 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,349.88 | $1,349.88 | 12.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $898.60 | $898.60 | 8.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $383.76 | $383.76 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $898.60 | $898.60 | 9.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,023.98 | $1,023.98 | 11.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,091.46 | $1,091.46 | 10.0× |
| X-ray thoracic spine 4 vw (72074) | $977.70 | $977.70 | 9.0× |
| X-Ray Tmj Unilat (70328) | $330.18 | $330.18 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,291.72 | $1,291.72 | 3.5× |
| X-Rays Bone Length Studies (77073) | $507.14 | $507.14 | 4.6× |
| X-Rays Bone Survey Complete (77075) | $2,360.37 | $2,360.37 | 21.6× |
| Xr c-spine 4 or 5 views (72050) | $1,560.08 | $1,560.08 | 14.3× |
| Xr facial bones less than 3 views (70140) | $401.10 | $401.10 | 4.4× |
| Xr orbits complete 4 views (70200) | $1,180.07 | $1,180.07 | 10.8× |
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.