Imaging prices at AdventHealth Deland

Deland, FL · every code in this section with a posted price and a Medicare benchmark.

285 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,794.10 $5,794.10 4.0×
Abdomen 1 View (74018) $445.22 $445.22 4.9×
Abdomen 2 views (74019) $681.04 $681.04 6.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,788.10 $2,788.10 6.7×
Angio internal mammary (75756) $4,924.85 $4,924.85 1.5×
Angio pulmonary bilat (75743) $9,453.57 $9,453.57 2.9×
Angiography extremity bilateral rs&i (75716) $9,453.57 $9,453.57 2.9×
Angiography extremity unilateral rs&i (75710) $9,453.57 $9,453.57 2.9×
Angiography pulmonary unilateral slctv rs&i (75741) $9,453.57 $9,453.57 2.9×
Ankle 2 views (73600) $605.25 $605.25 6.7×
Artery X-Rays Abdomen (75726) $19,659.49 $19,659.49 3.4×
Artery X-Rays Pelvis (75736) $9,453.57 $9,453.57 1.6×
Arthrogram hip (73525) $944.76 $944.76 2.6×
Basic radiation dosimetry calculation (77300) $1,009.14 $1,009.14 7.2×
Bone age studies (77072) $592.65 $592.65 5.4×
Bone Imaging 3 Phase (78315) $5,128.19 $5,128.19 12.3×
Bone Imaging Limited Area (78300) $2,299.14 $2,299.14 5.5×
Bone Imaging Whole Body (78306) $4,243.53 $4,243.53 10.2×
Bone survey infant (77076) $949.89 $949.89 8.7×
Brachytx isodose complex (77318) $1,277.55 $1,277.55 3.3×
Brachytx isodose intermed (77317) $1,277.55 $1,277.55 3.3×
Brachytx Isodose Plan Simple (77316) $459.61 $459.61 1.2×
Brain Image W/Flow < 4 Views (78601) $2,774.45 $2,774.45 6.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $3,624.97 $3,624.97 6.4×
Cat Scan Follow-Up Study (76380) $1,437.73 $1,437.73 15.8×
Chest 1 view (71045) $736.64 $736.64 8.1×
Chest 2 views (71046) $1,257.74 $1,257.74 13.8×
Chest 3 views (71047) $972.74 $972.74 10.7×
Chest 4 or more views (71048) $1,334.67 $1,334.67 12.2×
Cholecystography Oral Contrast (74290) $887.95 $887.95 4.8×
Clavicle complete (73000) $556.91 $556.91 6.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,211.69 $2,211.69 20.3×
Continuing medical physics consltj pr wk (77336) $960.77 $960.77 6.8×
Contrast Exam Abdominl Aorta (75625) $9,453.57 $9,453.57 2.9×
Contrast X-Ray Bladder (74430) $1,399.30 $1,399.30 3.8×
CT abdomen and pelvis without and with contrast (74178) $13,309.46 $13,309.46 36.5×
CT abdomen and pelvis without contrast (74176) $9,679.06 $9,679.06 38.8×
CT abdomen w contrast (74160) $6,192.24 $6,192.24 33.8×
CT abdomen w wo contrast (74170) $7,083.46 $7,083.46 38.7×
CT abdomen w/o contrast (74150) $4,656.86 $4,656.86 42.7×
CT Angio Abdomen and Pelvis (74174) $8,576.59 $8,576.59 23.5×
CT Angio Chest (71275) $5,247.52 $5,247.52 28.6×
CT Angio Head (70496) $6,401.42 $6,401.42 34.9×
CT angio hrt w/3d image (75574) $1,395.80 $1,395.80 3.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $5,011.62 $5,011.62 27.4×
CT Angio Neck (70498) $5,534.91 $5,534.91 30.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $5,807.84 $5,807.84 31.7×
CT cervical spine w/ contrast (72126) $3,685.36 $3,685.36 10.1×
CT cervical spine w/o contrast (72125) $3,621.98 $3,621.98 33.2×
CT chest w contrast (71260) $5,049.64 $5,049.64 27.6×
CT chest w/wo contrast (71270) $5,474.19 $5,474.19 29.9×
CT head/brain with contrast (70460) $4,281.87 $4,281.87 23.4×
CT head/brain without and with contrast (70470) $4,802.62 $4,802.62 26.2×
CT heart no contrast quant eval coronry calcium (75571) $115.76 $115.76 1.3×
CT iac w contrast (70481) $4,170 $4,170 22.8×
CT lower ext w/o (73700) $3,984.31 $3,984.31 36.5×
CT lower extremity w/contrast material (73701) $4,008.47 $4,008.47 21.9×
CT lumbar spine w contrast (72132) $3,733.93 $3,733.93 10.2×
CT lumbar spine w/o contrast (72131) $3,328.43 $3,328.43 30.5×
CT maxillofacial w contrast (70487) $2,845.76 $2,845.76 15.5×
CT maxillofacial wo contrast (70486) $2,154.14 $2,154.14 19.7×
CT neck tissue combo (70492) $3,946.26 $3,946.26 21.5×
CT orbits w/o contrast (70480) $3,799.77 $3,799.77 34.8×
CT pelvis w&w/o contrast (72194) $5,647.19 $5,647.19 30.8×
CT pelvis w/o contrast (72192) $5,022.20 $5,022.20 46.0×
CT soft tissue neck w contrast (70491) $3,618.76 $3,618.76 19.8×
CT soft tissue neck w/o contrast (70490) $3,277.02 $3,277.02 30.0×
CT thoracic spine w contrast (72129) $4,280.91 $4,280.91 23.4×
CT thoracic spine w/o contrast (72128) $3,907.08 $3,907.08 35.8×
CT thorax w/o contrast (71250) $4,544.88 $4,544.88 41.6×
CT unlisted procedure (76497) $5,419.40 $5,419.40 59.6×
CT upper ext wo (73200) $3,609.30 $3,609.30 33.1×
CT upper extremity with contrast (73201) $4,008.47 $4,008.47 11.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $9,814.20 $9,814.20 53.6×
Cta Abdomen (74175) $8,576.59 $8,576.59 46.8×
Dxa Bone Density Axial (77080) $605.25 $605.25 5.5×
Dxa bone density study (77085) $550.85 $550.85 5.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $548.52 $548.52 6.0×
Echograp Trans R Pros Study (76873) $1,621.69 $1,621.69 14.9×
Esophagram (74220) $932.35 $932.35 5.1×
Fetal Biophys Profile W/Nst (76818) $1,729.70 $1,729.70 15.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,117.57 $1,117.57 10.2×
Fluoroscopy up to 1 hr (76000) $977.56 $977.56 3.9×
Foot 2 views (73620) $526.95 $526.95 5.8×
Forearm 2 views (73090) $600.98 $600.98 6.6×
Gastric emptying imaging study (78264) $2,949.56 $2,949.56 7.1×
Gated Heart Planar Single (78472) $2,865.42 $2,865.42 6.9×
Hand 2 views (73120) $632.58 $632.58 5.8×
Hepatobil Syst Image W/Drug (78227) $1,413.42 $1,413.42 2.5×
Hepatobiliary System Imaging (78226) $1,413.42 $1,413.42 3.4×
Ht Muscle Image Spect Sing (78451) $4,661.98 $4,661.98 3.4×
Hysterosalpingogram (74740) $1,244.88 $1,244.88 5.0×
Intracavitary Radiation Source Applic Complex (77763) $1,996.90 $1,996.90 2.7×
Intracavitary Radiation Source Applic Intermed (77762) $1,527.30 $1,527.30 2.6×
Intracavitary radiation source applic simple (77761) $1,527.30 $1,527.30 2.6×
K Flow/Funct Image W/Drug (78708) $3,488.52 $3,488.52 6.2×
Knee 3 Views (73562) $994.02 $994.02 10.9×
Lung Perf&Ventilat Diferentl (78598) $1,524.16 $1,524.16 2.7×
Lung Ventilat&Perfus Imaging (78582) $1,524.16 $1,524.16 2.7×
Lymph System Imaging (78195) $3,088.29 $3,088.29 5.4×
Magnetic Image Jaw Joint (70336) $3,816.39 $3,816.39 15.3×
Meckels Divert Exam (78290) $2,524.29 $2,524.29 6.0×
Mlc imrt design & construction per imrt plan (77338) $2,066.62 $2,066.62 5.3×
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) $5,996.36 $5,996.36 16.5×
MRA head w/o contrast (70544) $4,842.58 $4,842.58 19.4×
Mra Neck W/O &W/Contrast Material (70549) $5,996.36 $5,996.36 16.5×
MRA neck w/o contrast (70547) $4,797.45 $4,797.45 19.3×
MRI abdomen w contrast (74182) $3,969.66 $3,969.66 10.9×
MRI abdomen w/o contrast (74181) $5,303.46 $5,303.46 21.3×
MRI any jt lower extrem w/contrast material (73722) $5,556.92 $5,556.92 6.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $7,370.84 $7,370.84 20.2×
MRI any jt upper extremity w/contrast matrl (73222) $6,263.52 $6,263.52 7.7×
MRI Breast W/O Contrast Bilateral (77047) $2,790.66 $2,790.66 11.2×
MRI cervical spine w contrast (72142) $6,584.89 $6,584.89 18.1×
MRI cervical spine w/o cont (72141) $5,918.21 $5,918.21 23.8×
MRI chest w/o contrast (71550) $3,991.31 $3,991.31 16.0×
MRI chest wo w contrast (71552) $6,628.82 $6,628.82 18.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $7,513.07 $7,513.07 20.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $5,034.17 $5,034.17 20.2×
MRI lumbar spine w contrast (72149) $7,036 $7,036 19.3×
Mri Neck Spine W/O & W/Dye (72156) $7,449.15 $7,449.15 20.4×
MRI orbit face &/neck w/o contrast (70540) $4,884.11 $4,884.11 19.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,023.15 $5,023.15 13.8×
MRI pelvis w/o & w contrast (72197) $6,628.82 $6,628.82 18.2×
MRI pelvis w/o contrast (72195) $5,303.46 $5,303.46 21.3×
MRI thoracic spine w/o contrast (72146) $5,812.43 $5,812.43 23.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $5,812.43 $5,812.43 23.3×
Mri Uppr Extremity W/O&W/Dye (73220) $7,171.70 $7,171.70 19.7×
MRI, abdomen, combo (74183) $6,692.67 $6,692.67 18.4×
MRI, dorsal spine combo (72157) $7,287.49 $7,287.49 20.0×
MRI, dorsal spine contrast (72147) $5,918.21 $5,918.21 16.2×
MRI, joint upper extrem (73221) $6,033.99 $6,033.99 24.2×
MRI, joint upper extrem combo (73223) $7,171.70 $7,171.70 19.7×
MRI, lumbar spine combo (72158) $8,035.99 $8,035.99 22.1×
Myelogram cervical (72240) $1,495.86 $1,495.86 1.8×
Myelograpy 2/more regions rs&i (72270) $1,997.79 $1,997.79 2.4×
Myocardial Spect Multiple Studies (78452) $9,158.19 $9,158.19 6.8×
Neck soft tissue (70360) $558.48 $558.48 6.1×
Ntsty modul radthx pln dose-vol histos (77301) $14,775.41 $14,775.41 10.2×
Nuclear Rx Oral Admin (79005) $617.57 $617.57 2.5×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $367.76 $367.76 3.4×
Parathyroid Planar Imaging (78070) $1,373.87 $1,373.87 3.3×
Parathyroid planar imaging w/wo subtraction (78071) $2,135.62 $2,135.62 5.1×
Pelvis 1 or 2 views (72170) $777.60 $777.60 7.1×
Peritoneogram Rs&I (74190) $741.18 $741.18 1.3×
PET image w/CT, full body (78816) $11,532.35 $11,532.35 7.7×
PET imaging CT attenuation skull base mid-thigh (78815) $10,520.87 $10,520.87 7.0×
PET whole body (78813) $3,346.64 $3,346.64 2.2×
Pulmonary Perfusion Imaging Particulate (78580) $4,016.12 $4,016.12 9.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $983.55 $983.55 9.0×
Radex abscess/fistula/sinus tract rs&i (76080) $890.46 $890.46 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $796.48 $796.48 8.8×
Radex Calcaneus Minimum 2 Views (73650) $529.63 $529.63 5.8×
Radex elbow complete minimum 3 views (73080) $764.98 $764.98 8.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,277.77 $1,277.77 11.7×
Radex fingr minimum 2 views (73140) $596.85 $596.85 6.6×
Radex foot complete minimum 3 views (73630) $767.08 $767.08 8.4×
Radex Hand Minimum 3 Views (73130) $857.44 $857.44 9.4×
Radex lower extremity infant minimum 2 views (73592) $1,023.49 $1,023.49 11.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $849.02 $849.02 9.3×
Radex Ribs Unilateral 2 Views (71100) $977.24 $977.24 10.8×
Radex shoulder complete minimum 2 views (73030) $819.62 $819.62 9.0×
Radex Sinuses Paransl < 3 Views (70210) $794.40 $794.40 8.7×
Radex Spine 1 View Specify Level (72020) $273.23 $273.23 3.0×
Radex Sternum Minimum 2 Views (71120) $701.93 $701.93 7.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,069.70 $1,069.70 11.8×
Radex Toe Minimum 2 Views (73660) $529.63 $529.63 5.8×
Radex upper extremity infant minimum 2 views (73092) $653.61 $653.61 6.0×
Radex Wrist Complete Minimum 3 Views (73110) $838.55 $838.55 9.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $912.10 $912.10 8.4×
Radiation treatment delivery level 1 (77402) $733.95 $733.95 6.9×
Radiation treatment delivery level 2 (77407)
range across 2 matching MRF lines
$680.44–$940 $680.44–$940 varies
Radiation treatment delivery level 3 (77412)
range across 2 matching MRF lines
$866.65–$1,240.38 $866.65–$1,240.38 varies
Radiolog exam mandible compl minimum 4 views (70110) $1,155.87 $1,155.87 10.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $589.52 $589.52 5.4×
Radiologic exam colon double contrast study (74280) $1,959.33 $1,959.33 10.7×
Radiologic exam colon single contrast study (74270) $1,142.20 $1,142.20 6.2×
Radiologic exam knee complete 4/more views (73564) $1,092.80 $1,092.80 10.0×
Radiologic exam pelvis compl minimum 3 views (72190) $790.19 $790.19 7.2×
Radiologic Exam Small Int Single Contrast Study (74250) $1,046.50 $1,046.50 5.7×
Radiologic exam swallow function contrast study (74230) $918.39 $918.39 5.0×
Radiologic exam upr gi trc double contrast study (74246) $1,532.72 $1,532.72 8.4×
Radiologic examination femur 1 view (73551) $529.63 $529.63 5.8×
Radiologic examination femur minimum 2 views (73552) $943.60 $943.60 10.4×
Radiologic examination knee 1/2 views (73560) $1,008.78 $1,008.78 11.1×
Radiologic Examination Osseous Survey Limited (77074) $1,875.38 $1,875.38 17.2×
Radiologic examination tibia & fibula 2 views (73590) $987.76 $987.76 10.9×
Ribs bilateral 3 views (71110) $1,191.61 $1,191.61 10.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $3,131.48 $3,131.48 7.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,754.60 $3,754.60 6.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,746.44 $3,746.44 6.6×
Scapula (73010) $628.39 $628.39 5.8×
Screening Digital Breast Tomosynthesis Bi (77063) $98.27 $98.27 4.2×
Shoulder 1 view (73020) $264.16 $264.16 2.9×
Shoulder Arthrography (73040) $928.37 $928.37 2.5×
Skull less than 4 views (70250) $668.31 $668.31 6.1×
Special dosimetry (77331) $819.89 $819.89 5.8×
Special Physics Consult (77370) $1,501.10 $1,501.10 10.7×
Special teletherapy port plan (77321) $2,119.18 $2,119.18 5.4×
Special treatment procedure (77470) $2,821.36 $2,821.36 4.9×
Srs Multisource (77371) $26,271.41 $26,271.41 3.4×
Stereotactic Body Radiation Delivery (77373) $5,994.68 $5,994.68 3.2×
Sternoclavicular joints (71130) $517 $517 5.7×
Tbs technical calculation only (77091) $210.01 $210.01 2.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $459.61 $459.61 1.2×
Telethx isodose pln smpl w/dosimetry calculation (77306) $459.61 $459.61 1.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,621.66 $2,621.66 6.7×
Ther rad simulaj-aided field setting simple (77280) $1,454.84 $1,454.84 10.4×
Thoracic spine 2 views (72070) $1,006.66 $1,006.66 9.2×
Thoracic spine 3 views (72072) $1,181.09 $1,181.09 10.8×
Thoracolumbar 2 views (72080) $779.70 $779.70 8.6×
Thyroid Met Imaging Body (78018) $2,572.88 $2,572.88 4.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,085.18 $2,085.18 5.0×
Tx Devices Design & Construction Complex (77334) $1,946.79 $1,946.79 5.0×
Tx devices design & construction intermediate (77333) $817.81 $817.81 5.8×
Tx devices design & construction simple (77332) $616 $616 4.4×
Ultrasound Breast Limited (76642) $338.55 $338.55 3.7×
Ultrasound Exam Aaa Screen (76706) $1,173.95 $1,173.95 10.8×
Ultrasound, abdomen limited (76705) $1,268.58 $1,268.58 11.6×
Umbilical-artery Doppler (OB) (76820) $396.81 $396.81 3.6×
Upper gi w/o kub (74240) $1,150.51 $1,150.51 6.3×
Urethrocystogram voiding (74455) $2,645.01 $2,645.01 10.6×
Urethrocystography retrograde (74450) $1,189.88 $1,189.88 4.8×
Us breast unilateral complete (76641) $423.80 $423.80 3.9×
Us chest (76604) $714.86 $714.86 6.5×
Us complete joint (76881) $890.66 $890.66 8.2×
Us exam, pelvic, limited (76857) $928.32 $928.32 8.5×
Us head (76506) $1,119.87 $1,119.87 10.3×
Us kidney transplant (76776) $465.12 $465.12 4.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $321.57 $321.57 2.9×
Us ob limited 1 or more fetuses (76815) $1,742.29 $1,742.29 16.0×
Us ob transvaginal (76817) $966.55 $966.55 8.9×
Us pelvic non ob complete (76856) $1,960.68 $1,960.68 18.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,117.57 $1,117.57 10.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $367.76 $367.76 3.4×
Us retroperitoneal complete (76770) $1,860.59 $1,860.59 17.0×
Us retroperitoneal limited (76775) $1,612.91 $1,612.91 14.8×
Us scrotum and contents (76870) $1,129.65 $1,129.65 10.3×
Us thyroid (76536) $1,318.96 $1,318.96 12.1×
Vein X-Ray Chest (75827) $3,485.17 $3,485.17 2.1×
Venography caval inferior serialography rs&i (75825) $9,669.90 $9,669.90 2.9×
Venography extremity bilateral rs&i (75822) $2,717.91 $2,717.91 1.7×
Venography extremity unilateral rs&i (75820) $3,055.36 $3,055.36 1.9×
Wrist 2 views (73100) $601.05 $601.05 6.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $668.31 $668.31 7.4×
X-Ray Aorta Leg Arteries (75630) $9,453.57 $9,453.57 2.9×
X-Ray Bend Only L-S Spine (72120) $760.76 $760.76 7.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $605.25 $605.25 6.7×
X-Ray Exam Breast Specimen (76098) $1,360.16 $1,360.16 2.4×
X-Ray Exam Entire Spi 1 Vw (72081) $453.57 $453.57 5.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $758.69 $758.69 6.9×
X-Ray Exam Hip Uni 1 View (73501) $273.23 $273.23 3.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,256.77 $1,256.77 13.8×
X-Ray Exam Hip Uni 4/> Views (73503) $1,862.07 $1,862.07 17.1×
X-Ray Exam Hips Bi 2 Views (73521) $1,122.26 $1,122.26 10.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $270 $270 2.5×
X-Ray Exam Hips Bi 5/> Views (73523) $974.61 $974.61 8.9×
X-Ray Exam L-S Spine Bending (72114) $2,437.86 $2,437.86 22.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,019.28 $1,019.28 11.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,437.86 $2,437.86 22.3×
X-Ray Exam Unilat Ribs/Chest (71101) $1,076.02 $1,076.02 9.9×
X-ray eye for foreign body (70030) $339.75 $339.75 3.7×
X-ray humerus (73060) $601.05 $601.05 6.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $554.83 $554.83 6.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $479.17 $479.17 5.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $949.89 $949.89 8.7×
X-ray nose-rectum child f.b. (76010) $482.46 $482.46 5.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,477.39 $1,477.39 13.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $926.79 $926.79 8.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $453.11 $453.11 4.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $977.24 $977.24 10.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,191.61 $1,191.61 13.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,178.98 $1,178.98 10.8×
X-ray thoracic spine 4 vw (72074) $1,214.72 $1,214.72 11.1×
X-Ray Tmj Unilat (70328) $1,069.70 $1,069.70 11.8×
X-Rays Bone Length Studies (77073) $470.35 $470.35 4.3×
X-Rays Bone Survey Complete (77075) $2,133.13 $2,133.13 19.5×
Xr c-spine 4 or 5 views (72050) $2,303.34 $2,303.34 21.1×
Xr facial bones less than 3 views (70140) $514.90 $514.90 5.7×
Xr orbits complete 4 views (70200) $504.40 $504.40 4.6×

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.