Imaging prices at AdventHealth Fish Memorial
Orange City, FL · every code in this section with a posted price and a Medicare benchmark.
291 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) | $6,556.53 | $6,556.53 | 4.5× |
| Abdomen 1 View (74018) | $589.48 | $589.48 | 6.5× |
| Abdomen 2 views (74019) | $924.56 | $924.56 | 8.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,237.50 | $2,237.50 | 5.4× |
| Angio pulmonary bilat (75743) | $11,911.49 | $11,911.49 | 3.6× |
| Angiography extremity bilateral rs&i (75716) | $10,796.09 | $10,796.09 | 3.3× |
| Angiography extremity unilateral rs&i (75710) | $11,404.50 | $11,404.50 | 3.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $11,911.49 | $11,911.49 | 3.6× |
| Ankle 2 views (73600) | $935.55 | $935.55 | 10.3× |
| Aortography thoracic serialography rs&i (75605) | $11,911.49 | $11,911.49 | 2.0× |
| Artery X-Rays Abdomen (75726) | $24,770.93 | $24,770.93 | 4.3× |
| Artery X-Rays Pelvis (75736) | $7,212.01 | $7,212.01 | 1.2× |
| Arthrogram hip (73525) | $417.54 | $417.54 | 1.1× |
| Basic radiation dosimetry calculation (77300) | $1,177 | $1,177 | 8.4× |
| Bone age studies (77072) | $582.32 | $582.32 | 5.3× |
| Bone Imaging 3 Phase (78315) | $4,333.62 | $4,333.62 | 10.4× |
| Bone Imaging Limited Area (78300) | $1,977.24 | $1,977.24 | 4.7× |
| Bone Imaging Whole Body (78306) | $3,339.54 | $3,339.54 | 8.0× |
| Bone marrow imaging limited area (78102) | $1,983.63 | $1,983.63 | 4.8× |
| Bone survey infant (77076) | $877.57 | $877.57 | 8.0× |
| Brachytx isodose complex (77318) | $1,609.70 | $1,609.70 | 4.1× |
| Brachytx isodose intermed (77317) | $1,609.70 | $1,609.70 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $579.11 | $579.11 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,930.29 | $1,930.29 | 3.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,206.25 | $3,206.25 | 8.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,393.15 | $4,393.15 | 5.4× |
| Chest 1 view (71045) | $769.76 | $769.76 | 8.5× |
| Chest 2 views (71046) | $998.59 | $998.59 | 11.0× |
| Chest 3 views (71047) | $1,169.30 | $1,169.30 | 12.9× |
| Chest 4 or more views (71048) | $1,106.54 | $1,106.54 | 10.1× |
| Clavicle complete (73000) | $761.68 | $761.68 | 8.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,627.66 | $1,627.66 | 14.9× |
| Continuing medical physics consltj pr wk (77336) | $1,119.29 | $1,119.29 | 8.0× |
| Contrast Exam Abdominl Aorta (75625) | $11,350.05 | $11,350.05 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,402.21 | $1,402.21 | 3.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $527.96 | $527.96 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $11,648.22 | $11,648.22 | 32.0× |
| CT abdomen and pelvis without contrast (74176) | $8,774.12 | $8,774.12 | 35.2× |
| CT abdomen w contrast (74160) | $4,886.85 | $4,886.85 | 26.7× |
| CT abdomen w wo contrast (74170) | $5,726.68 | $5,726.68 | 31.3× |
| CT abdomen w/o contrast (74150) | $4,602.68 | $4,602.68 | 42.2× |
| CT Angio Abdomen and Pelvis (74174) | $10,816.28 | $10,816.28 | 29.7× |
| CT Angio Chest (71275) | $6,286.58 | $6,286.58 | 34.3× |
| CT Angio Head (70496) | $4,492.07 | $4,492.07 | 24.5× |
| CT angio hrt w/3d image (75574) | $2,315.05 | $2,315.05 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,486.72 | $4,486.72 | 24.5× |
| CT Angio Neck (70498) | $4,492.07 | $4,492.07 | 24.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,091.75 | $4,091.75 | 22.3× |
| CT cervical spine w/ contrast (72126) | $3,109.75 | $3,109.75 | 8.5× |
| CT cervical spine w/o contrast (72125) | $4,246.15 | $4,246.15 | 38.9× |
| CT cervical spine w/wo cont (72127) | $5,642.35 | $5,642.35 | 30.8× |
| CT chest w contrast (71260) | $5,046.70 | $5,046.70 | 27.6× |
| CT chest w/wo contrast (71270) | $6,536.07 | $6,536.07 | 35.7× |
| CT head/brain with contrast (70460) | $4,539.58 | $4,539.58 | 24.8× |
| CT head/brain without and with contrast (70470) | $5,080.62 | $5,080.62 | 27.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,740.15 | $1,740.15 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $243.15 | $243.15 | 2.7× |
| CT iac w contrast (70481) | $4,579.24 | $4,579.24 | 25.0× |
| CT l-spine w&w/o contrast (72133) | $5,907.26 | $5,907.26 | 32.3× |
| CT lower ext w/o (73700) | $4,246.15 | $4,246.15 | 38.9× |
| CT lower extremity w/contrast material (73701) | $5,144.54 | $5,144.54 | 28.1× |
| CT lumbar spine w contrast (72132) | $4,253.83 | $4,253.83 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $3,619.06 | $3,619.06 | 33.2× |
| CT maxillofacial w contrast (70487) | $3,595.60 | $3,595.60 | 19.6× |
| CT maxillofacial wo contrast (70486) | $2,310.12 | $2,310.12 | 21.2× |
| CT neck tissue combo (70492) | $5,122.46 | $5,122.46 | 28.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,832.28 | $5,832.28 | 31.8× |
| CT orbits w/o contrast (70480) | $3,816.82 | $3,816.82 | 35.0× |
| CT pelvis w&w/o contrast (72194) | $4,786.71 | $4,786.71 | 26.1× |
| CT pelvis w/o contrast (72192) | $4,171.44 | $4,171.44 | 38.2× |
| CT scan of leg combo (73702) | $5,296.82 | $5,296.82 | 28.9× |
| CT soft tissue neck w contrast (70491) | $4,510.04 | $4,510.04 | 24.6× |
| CT soft tissue neck w/o contrast (70490) | $3,864.30 | $3,864.30 | 35.4× |
| CT thoracic spine w contrast (72129) | $2,293.26 | $2,293.26 | 12.5× |
| CT thoracic spine w/o contrast (72128) | $4,246.15 | $4,246.15 | 38.9× |
| CT thoracic spine w/wo cont (72130) | $5,385.09 | $5,385.09 | 29.4× |
| CT thorax w/o contrast (71250) | $4,529.07 | $4,529.07 | 41.5× |
| CT upper ext wo (73200) | $4,458.57 | $4,458.57 | 40.8× |
| CT upper extremity with contrast (73201) | $5,144.54 | $5,144.54 | 14.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,929.55 | $4,929.55 | 26.9× |
| Cta Abdomen (74175) | $4,486.72 | $4,486.72 | 24.5× |
| CTA pelvis (72191) | $6,329.53 | $6,329.53 | 34.6× |
| Dilation ureters/urethra rs&i (74485) | $4,549.28 | $4,549.28 | 2.1× |
| Dxa Bone Density Axial (77080) | $841.76 | $841.76 | 7.7× |
| Dxa bone density study (77085) | $490.41 | $490.41 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $690.67 | $690.67 | 7.6× |
| Esophagram (74220) | $761.50 | $761.50 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,278.24 | $2,278.24 | 20.9× |
| Fluoroscopy up to 1 hr (76000) | $771.91 | $771.91 | 3.1× |
| Follow-Up Angiography (75898) | $3,849.74 | $3,849.74 | 1.2× |
| Foot 2 views (73620) | $811.36 | $811.36 | 8.9× |
| Forearm 2 views (73090) | $764.45 | $764.45 | 8.4× |
| Gastric emptying imaging study (78264) | $2,955.23 | $2,955.23 | 7.1× |
| Gated Heart Planar Single (78472) | $3,341.31 | $3,341.31 | 8.0× |
| Hand 2 views (73120) | $874.85 | $874.85 | 8.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,592.91 | $5,592.91 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,122.17 | $4,122.17 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $3,862.14 | $3,862.14 | 6.8× |
| Hepatobiliary System Imaging (78226) | $3,862.14 | $3,862.14 | 9.3× |
| Ht Muscle Image Spect Sing (78451) | $8,689.20 | $8,689.20 | 6.4× |
| Hysterosalpingogram (74740) | $1,725.37 | $1,725.37 | 6.9× |
| 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× |
| K Flow/Funct Image W/Drug (78708) | $3,267.89 | $3,267.89 | 5.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,987.87 | $2,987.87 | 5.3× |
| Knee 3 Views (73562) | $736.85 | $736.85 | 8.1× |
| Leveen/Shunt Patency Exam (78291) | $2,512.43 | $2,512.43 | 6.0× |
| Lung Perf&Ventilat Diferentl (78598) | $4,496.77 | $4,496.77 | 7.9× |
| Lung Ventilat&Perfus Imaging (78582) | $6,240.18 | $6,240.18 | 11.0× |
| Lung Ventilation Imaging (78579) | $2,996 | $2,996 | 7.2× |
| Lymph System Imaging (78195) | $3,746.43 | $3,746.43 | 6.6× |
| Magnetic Image Jaw Joint (70336) | $4,696.91 | $4,696.91 | 18.9× |
| Meckels Divert Exam (78290) | $1,431.69 | $1,431.69 | 3.4× |
| Mlc imrt design & construction per imrt plan (77338) | $2,268.57 | $2,268.57 | 5.8× |
| 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) | $7,001.54 | $7,001.54 | 19.2× |
| MRA head w/o contrast (70544) | $6,324.40 | $6,324.40 | 25.4× |
| MRA head with contrast (70545) | $7,184.93 | $7,184.93 | 19.7× |
| MRA neck w contrast (70548) | $6,378.17 | $6,378.17 | 17.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,867.12 | $6,867.12 | 18.8× |
| MRA neck w/o contrast (70547) | $6,265.72 | $6,265.72 | 25.1× |
| MRI abdomen w contrast (74182) | $6,281.01 | $6,281.01 | 17.2× |
| MRI abdomen w/o contrast (74181) | $5,029.17 | $5,029.17 | 20.2× |
| MRI any jt lower extrem w/contrast material (73722) | $11,063.10 | $11,063.10 | 13.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,720.66 | $7,720.66 | 21.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,116.36 | $7,116.36 | 8.7× |
| MRI cardiac w/o contrast (75557) | $3,427.76 | $3,427.76 | 13.8× |
| MRI cervical spine w contrast (72142) | $8,079.37 | $8,079.37 | 22.2× |
| MRI cervical spine w/o cont (72141) | $6,148.60 | $6,148.60 | 24.7× |
| MRI chest w/o contrast (71550) | $6,533.80 | $6,533.80 | 26.2× |
| MRI chest wo w contrast (71552) | $6,533.80 | $6,533.80 | 17.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,720.66 | $7,720.66 | 21.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,075.94 | $5,075.94 | 20.4× |
| MRI lumbar spine w contrast (72149) | $6,781.76 | $6,781.76 | 18.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,429.95 | $9,429.95 | 25.9× |
| MRI orbit face &/neck w/o contrast (70540) | $5,515.21 | $5,515.21 | 22.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,155.70 | $6,155.70 | 16.9× |
| MRI pelvis w contrast (72196) | $4,595.07 | $4,595.07 | 12.6× |
| MRI pelvis w/o & w contrast (72197) | $6,894.94 | $6,894.94 | 18.9× |
| MRI pelvis w/o contrast (72195) | $6,100.43 | $6,100.43 | 24.5× |
| MRI thoracic spine w/o contrast (72146) | $7,224.72 | $7,224.72 | 29.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,633.42 | $5,633.42 | 22.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,720.66 | $7,720.66 | 21.2× |
| MRI, abdomen, combo (74183) | $6,035.46 | $6,035.46 | 16.6× |
| MRI, dorsal spine combo (72157) | $8,885.90 | $8,885.90 | 24.4× |
| MRI, dorsal spine contrast (72147) | $7,773.65 | $7,773.65 | 21.3× |
| MRI, joint upper extrem (73221) | $7,000.85 | $7,000.85 | 28.1× |
| MRI, joint upper extrem combo (73223) | $7,720.66 | $7,720.66 | 21.2× |
| MRI, lumbar spine combo (72158) | $9,429.95 | $9,429.95 | 25.9× |
| Myelogram Lumbar (72265) | $2,124 | $2,124 | 2.6× |
| Myelograpy 2/more regions rs&i (72270) | $2,508.49 | $2,508.49 | 3.1× |
| Myocardial Spect Multiple Studies (78452) | $10,470.71 | $10,470.71 | 7.7× |
| Neck soft tissue (70360) | $517.82 | $517.82 | 5.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $17,202.50 | $17,202.50 | 11.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $386.15 | $386.15 | 3.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,815.64 | $2,815.64 | 5.0× |
| Parathyroid Planar Imaging (78070) | $1,622.60 | $1,622.60 | 3.9× |
| Pelvis 1 or 2 views (72170) | $971.42 | $971.42 | 8.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,534.35 | $3,534.35 | 8.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $955.01 | $955.01 | 8.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,725.37 | $1,725.37 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $805.86 | $805.86 | 8.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $662.31 | $662.31 | 7.3× |
| Radex elbow complete minimum 3 views (73080) | $760.33 | $760.33 | 8.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,244.64 | $1,244.64 | 11.4× |
| Radex fingr minimum 2 views (73140) | $582.32 | $582.32 | 6.4× |
| Radex foot complete minimum 3 views (73630) | $891.41 | $891.41 | 9.8× |
| Radex Hand Minimum 3 Views (73130) | $761.68 | $761.68 | 8.4× |
| Radex lower extremity infant minimum 2 views (73592) | $1,178.44 | $1,178.44 | 13.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $742.36 | $742.36 | 8.2× |
| Radex Ribs Unilateral 2 Views (71100) | $1,015.61 | $1,015.61 | 11.2× |
| Radex shoulder complete minimum 2 views (73030) | $761.68 | $761.68 | 8.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $286.89 | $286.89 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $792.07 | $792.07 | 8.7× |
| Radex Sternum Minimum 2 Views (71120) | $805.86 | $805.86 | 8.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $985.23 | $985.23 | 10.8× |
| Radex Toe Minimum 2 Views (73660) | $618.20 | $618.20 | 6.8× |
| Radex upper extremity infant minimum 2 views (73092) | $568.51 | $568.51 | 5.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,131.52 | $1,131.52 | 12.5× |
| Radiation treatment delivery level 1 (77402) | $860.82 | $860.82 | 8.1× |
| 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) | $1,125.97 | $1,125.97 | 10.3× |
| Radiologic exam colon double contrast study (74280) | $1,394.02 | $1,394.02 | 7.6× |
| Radiologic exam colon single contrast study (74270) | $951.44 | $951.44 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) | $896.90 | $896.90 | 8.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $838.97 | $838.97 | 7.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $987.27 | $987.27 | 5.4× |
| Radiologic exam swallow function contrast study (74230) | $879.76 | $879.76 | 4.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,625.21 | $1,625.21 | 8.9× |
| Radiologic examination femur 1 view (73551) | $498.15 | $498.15 | 5.5× |
| Radiologic examination femur minimum 2 views (73552) | $935.55 | $935.55 | 10.3× |
| Radiologic examination knee 1/2 views (73560) | $585.08 | $585.08 | 6.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $963.13 | $963.13 | 10.6× |
| Ribs bilateral 3 views (71110) | $1,156.29 | $1,156.29 | 10.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,093.89 | $3,093.89 | 7.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,757.10 | $5,757.10 | 10.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,319.58 | $3,319.58 | 5.9× |
| 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) | $4,634.96 | $4,634.96 | 3.4× |
| Scapula (73010) | $775.48 | $775.48 | 7.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $103.18 | $103.18 | 4.4× |
| Shoulder 1 view (73020) | $695.48 | $695.48 | 7.7× |
| Shoulder Arthrography (73040) | $1,402.21 | $1,402.21 | 3.8× |
| Skull less than 4 views (70250) | $725.80 | $725.80 | 6.6× |
| Special Physics Consult (77370) | $1,700.87 | $1,700.87 | 12.1× |
| Special treatment procedure (77470) | $3,288.63 | $3,288.63 | 5.7× |
| Srs Multisource (77371) | $27,584.98 | $27,584.98 | 3.6× |
| Tbs technical calculation only (77091) | $220.51 | $220.51 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $579.11 | $579.11 | 1.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $579.11 | $579.11 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,053.24 | $3,053.24 | 7.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,645.47 | $1,645.47 | 11.7× |
| Thoracic spine 2 views (72070) | $825.16 | $825.16 | 7.6× |
| Thoracic spine 3 views (72072) | $883.12 | $883.12 | 8.1× |
| Thoracolumbar 2 views (72080) | $874.85 | $874.85 | 9.6× |
| Thyroid Met Imaging Body (78018) | $3,229.82 | $3,229.82 | 5.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,997.01 | $1,997.01 | 4.8× |
| Tx Devices Design & Construction Complex (77334) | $2,268.57 | $2,268.57 | 5.8× |
| Tx devices design & construction simple (77332) | $722.36 | $722.36 | 5.1× |
| Ultrasound Breast Limited (76642) | $426.60 | $426.60 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $709.25 | $709.25 | 6.5× |
| Ultrasound, abdomen limited (76705) | $1,647.89 | $1,647.89 | 15.1× |
| Umbilical-artery Doppler (OB) (76820) | $1,377.30 | $1,377.30 | 12.6× |
| Upper gi w/o kub (74240) | $946.07 | $946.07 | 5.2× |
| Urethrocystography retrograde (74450) | $633.23 | $633.23 | 2.5× |
| Us breast unilateral complete (76641) | $525.95 | $525.95 | 4.8× |
| Us chest (76604) | $865.71 | $865.71 | 7.9× |
| Us complete joint (76881) | $1,506.90 | $1,506.90 | 13.8× |
| Us exam, pelvic, limited (76857) | $1,802.34 | $1,802.34 | 16.5× |
| Us kidney transplant (76776) | $1,647.89 | $1,647.89 | 15.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,011.43 | $1,011.43 | 9.3× |
| Us ob limited 1 or more fetuses (76815) | $1,845.32 | $1,845.32 | 16.9× |
| Us ob transvaginal (76817) | $1,166.93 | $1,166.93 | 10.7× |
| Us pelvic non ob complete (76856) | $1,645.37 | $1,645.37 | 15.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,503.62 | $1,503.62 | 13.8× |
| Us retroperitoneal complete (76770) | $1,614.97 | $1,614.97 | 14.8× |
| Us retroperitoneal limited (76775) | $1,174.55 | $1,174.55 | 10.8× |
| Us scrotum and contents (76870) | $1,599.79 | $1,599.79 | 14.7× |
| Us thyroid (76536) | $1,652.98 | $1,652.98 | 15.1× |
| Vein X-Ray Chest (75827) | $5,744.91 | $5,744.91 | 3.5× |
| Venography caval inferior serialography rs&i (75825) | $11,911.49 | $11,911.49 | 3.6× |
| Venography extremity bilateral rs&i (75822) | $3,783.16 | $3,783.16 | 2.3× |
| Venography extremity unilateral rs&i (75820) | $2,819.51 | $2,819.51 | 1.7× |
| Venography Renal Unilateral (75831) | $5,769.14 | $5,769.14 | 1.7× |
| Vertebral fracture assessment via dxa (77086) | $272 | $272 | 3.0× |
| Wrist 2 views (73100) | $874.85 | $874.85 | 9.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $612.63 | $612.63 | 6.7× |
| X-ray antegrade pyelogram tube (74425) | $899.48 | $899.48 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) | $11,911.49 | $11,911.49 | 3.6× |
| X-Ray Bend Only L-S Spine (72120) | $690.30 | $690.30 | 6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $778.23 | $778.23 | 8.6× |
| X-Ray Exam Breast Specimen (76098) | $1,713.79 | $1,713.79 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,402.75 | $1,402.75 | 12.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $582.32 | $582.32 | 6.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,705.50 | $1,705.50 | 18.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $453.04 | $453.04 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,101.17 | $1,101.17 | 10.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $270.12 | $270.12 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,071.49 | $1,071.49 | 9.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,820 | $1,820 | 16.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,092.88 | $1,092.88 | 12.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,097.43 | $2,097.43 | 19.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,043.20 | $1,043.20 | 9.6× |
| X-ray eye for foreign body (70030) | $358.35 | $358.35 | 3.9× |
| X-ray humerus (73060) | $778.23 | $778.23 | 8.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,798.95 | $1,798.95 | 9.8× |
| X-ray IV pyelogram+tomography (74415) | $1,173.63 | $1,173.63 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $717.53 | $717.53 | 7.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $582.32 | $582.32 | 6.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,079.05 | $1,079.05 | 9.9× |
| X-ray nose-rectum child f.b. (76010) | $532.16 | $532.16 | 5.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,435.07 | $1,435.07 | 13.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $858.28 | $858.28 | 7.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $498.15 | $498.15 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,040.41 | $1,040.41 | 11.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,034.87 | $1,034.87 | 11.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,007.31 | $1,007.31 | 9.2× |
| X-ray thoracic spine 4 vw (72074) | $1,081.82 | $1,081.82 | 9.9× |
| X-Ray Tmj Unilat (70328) | $459.01 | $459.01 | 5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,940.48 | $1,940.48 | 5.3× |
| X-Rays Bone Length Studies (77073) | $577.47 | $577.47 | 5.3× |
| X-Rays Bone Survey Complete (77075) | $1,004.55 | $1,004.55 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $1,744.18 | $1,744.18 | 16.0× |
| Xr facial bones less than 3 views (70140) | $688.23 | $688.23 | 7.6× |
| Xr orbits complete 4 views (70200) | $582.32 | $582.32 | 5.3× |
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.