Imaging prices at AdventHealth Heart of Florida
Davenport, FL · every code in this section with a posted price and a Medicare benchmark.
290 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) | $266.88 | $266.88 | 2.9× |
| Abdomen 2 views (74019) | $1,552.82 | $1,552.82 | 14.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,448.43 | $4,448.43 | 10.7× |
| Angio pulmonary bilat (75743) | $13,361.12 | $13,361.12 | 4.1× |
| Angiography extremity bilateral rs&i (75716) | $13,361.12 | $13,361.12 | 4.1× |
| Angiography extremity unilateral rs&i (75710) | $13,361.12 | $13,361.12 | 4.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,361.12 | $13,361.12 | 4.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,221.44 | $7,221.44 | 2.2× |
| Ankle 2 views (73600) | $401.09 | $401.09 | 4.4× |
| Artery X-Rays Abdomen (75726) | $22,860.26 | $22,860.26 | 3.9× |
| Artery X-Rays Pelvis (75736) | $12,681.09 | $12,681.09 | 2.2× |
| Artery X-Rays Spine (75705) | $16,446.87 | $16,446.87 | 2.8× |
| Arthrogram hip (73525) | $3,757.33 | $3,757.33 | 10.3× |
| Bone age studies (77072) | $1,745.81 | $1,745.81 | 16.0× |
| Bone Imaging 3 Phase (78315) | $4,448.43 | $4,448.43 | 10.7× |
| Bone Imaging Limited Area (78300) | $3,000 | $3,000 | 7.2× |
| Bone Imaging Whole Body (78306) | $4,448.43 | $4,448.43 | 10.7× |
| Bone marrow imaging limited area (78102) | $3,634.53 | $3,634.53 | 8.7× |
| Bone survey infant (77076) | $1,650.19 | $1,650.19 | 15.1× |
| Brachytx isodose complex (77318) | $3,432.39 | $3,432.39 | 8.8× |
| Brachytx isodose intermed (77317) | $3,246.88 | $3,246.88 | 8.3× |
| Brachytx Isodose Plan Simple (77316) | $1,629.14 | $1,629.14 | 4.2× |
| Brain Flow Imaging Only (78610) | $1,073.30 | $1,073.30 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,782.29 | $2,782.29 | 4.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,095.27 | $7,095.27 | 19.5× |
| Cat Scan Follow-Up Study (76380) | $1,831.15 | $1,831.15 | 20.1× |
| Cerebrospinal Fluid Scan (78630) | $7,109.36 | $7,109.36 | 12.5× |
| Chest 1 view (71045) | $790.72 | $790.72 | 8.7× |
| Chest 2 views (71046) | $790.72 | $790.72 | 8.7× |
| Chest 3 views (71047) | $1,243.56 | $1,243.56 | 13.7× |
| Clavicle complete (73000) | $869.80 | $869.80 | 9.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,410.83 | $3,410.83 | 31.2× |
| Contrast Exam Abdominl Aorta (75625) | $13,361.12 | $13,361.12 | 4.1× |
| Contrast X-Ray Bladder (74430) | $2,628.91 | $2,628.91 | 7.2× |
| Contrast X-Ray Of Knee Joint (73580) | $3,717.33 | $3,717.33 | 10.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $826.42 | $826.42 | 4.5× |
| CT abdomen and pelvis without and with contrast (74178) | $7,450.72 | $7,450.72 | 20.5× |
| CT abdomen and pelvis without contrast (74176) | $7,229.61 | $7,229.61 | 29.0× |
| CT abdomen w contrast (74160) | $7,450.72 | $7,450.72 | 40.7× |
| CT abdomen w wo contrast (74170) | $7,450.72 | $7,450.72 | 40.7× |
| CT abdomen w/o contrast (74150) | $3,500.71 | $3,500.71 | 32.1× |
| CT Angio Abdomen and Pelvis (74174) | $7,450.72 | $7,450.72 | 20.5× |
| CT Angio Chest (71275) | $7,450.72 | $7,450.72 | 40.7× |
| CT Angio Head (70496) | $7,450.72 | $7,450.72 | 40.7× |
| CT angio hrt w/3d image (75574) | $5,123.10 | $5,123.10 | 14.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $7,450.72 | $7,450.72 | 40.7× |
| CT Angio Neck (70498) | $7,450.72 | $7,450.72 | 40.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $7,450.72 | $7,450.72 | 40.7× |
| CT cervical spine w/ contrast (72126) | $13,453.87 | $13,453.87 | 36.9× |
| CT cervical spine w/o contrast (72125) | $3,500.71 | $3,500.71 | 32.1× |
| CT cervical spine w/wo cont (72127) | $7,450.72 | $7,450.72 | 40.7× |
| CT chest w contrast (71260) | $7,450.72 | $7,450.72 | 40.7× |
| CT chest w/wo contrast (71270) | $7,450.72 | $7,450.72 | 40.7× |
| CT head/brain with contrast (70460) | $7,450.72 | $7,450.72 | 40.7× |
| CT head/brain without and with contrast (70470) | $7,450.72 | $7,450.72 | 40.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,850.88 | $3,850.88 | 10.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $538.07 | $538.07 | 5.9× |
| CT iac w contrast (70481) | $7,450.72 | $7,450.72 | 40.7× |
| CT l-spine w&w/o contrast (72133) | $7,450.72 | $7,450.72 | 40.7× |
| CT lower ext w/o (73700) | $3,500.71 | $3,500.71 | 32.1× |
| CT lower extremity w/contrast material (73701) | $7,450.72 | $7,450.72 | 40.7× |
| CT lumbar spine w contrast (72132) | $13,453.87 | $13,453.87 | 36.9× |
| CT lumbar spine w/o contrast (72131) | $3,500.71 | $3,500.71 | 32.1× |
| CT maxillofacial w contrast (70487) | $7,450.72 | $7,450.72 | 40.7× |
| CT maxillofacial wo contrast (70486) | $3,500.71 | $3,500.71 | 32.1× |
| CT neck tissue combo (70492) | $7,450.72 | $7,450.72 | 40.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $7,450.72 | $7,450.72 | 40.7× |
| CT orbits w/o contrast (70480) | $3,500.71 | $3,500.71 | 32.1× |
| CT pelvis w&w/o contrast (72194) | $7,450.72 | $7,450.72 | 40.7× |
| CT pelvis w/o contrast (72192) | $3,500.71 | $3,500.71 | 32.1× |
| CT scan of leg combo (73702) | $7,450.72 | $7,450.72 | 40.7× |
| CT scans face/jaw combo (70488) | $7,450.72 | $7,450.72 | 40.7× |
| CT soft tissue neck w contrast (70491) | $7,450.72 | $7,450.72 | 40.7× |
| CT soft tissue neck w/o contrast (70490) | $3,500.71 | $3,500.71 | 32.1× |
| CT thoracic spine w contrast (72129) | $7,450.72 | $7,450.72 | 40.7× |
| CT thoracic spine w/o contrast (72128) | $3,500.71 | $3,500.71 | 32.1× |
| CT thorax w/o contrast (71250) | $3,500.71 | $3,500.71 | 32.1× |
| CT upper ext wo (73200) | $3,500.71 | $3,500.71 | 32.1× |
| CT upper extremity w/o & w/contrast material (73202) | $4,434.96 | $4,434.96 | 24.2× |
| CT upper extremity with contrast (73201) | $7,450.72 | $7,450.72 | 20.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,450.72 | $7,450.72 | 40.7× |
| Cta Abdomen (74175) | $7,450.72 | $7,450.72 | 40.7× |
| CTA pelvis (72191) | $8,966.24 | $8,966.24 | 49.0× |
| Dxa Bone Density Axial (77080) | $1,662.83 | $1,662.83 | 15.2× |
| Dxa bone density study (77085) | $510.24 | $510.24 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,493.38 | $1,493.38 | 16.4× |
| Echograp Trans R Pros Study (76873) | $3,586.81 | $3,586.81 | 32.9× |
| Esophagram (74220) | $3,189.32 | $3,189.32 | 17.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,511.66 | $1,511.66 | 13.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $925.47 | $925.47 | 8.5× |
| Fluoroscopy up to 1 hr (76000) | $1,511.66 | $1,511.66 | 6.1× |
| Foot 2 views (73620) | $878.85 | $878.85 | 9.7× |
| Forearm 2 views (73090) | $869.80 | $869.80 | 9.6× |
| Gastric emptying imaging study (78264) | $4,448.43 | $4,448.43 | 10.7× |
| Gated Heart Planar Single (78472) | $4,448.43 | $4,448.43 | 10.7× |
| Gated Heart, Multiple (78473) | $5,216.99 | $5,216.99 | 12.5× |
| Hand 2 views (73120) | $963.10 | $963.10 | 8.8× |
| Hepatobil Syst Image W/Drug (78227) | $2,639.23 | $2,639.23 | 4.7× |
| Hepatobiliary System Imaging (78226) | $2,241.31 | $2,241.31 | 5.4× |
| Ht Muscle Image Spect Sing (78451) | $9,259.97 | $9,259.97 | 6.8× |
| Hysterosalpingogram (74740) | $2,054.73 | $2,054.73 | 8.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,195.05 | $3,195.05 | 4.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,443.67 | $2,443.67 | 4.2× |
| Intracavitary radiation source applic simple (77761) | $2,443.67 | $2,443.67 | 4.2× |
| K Flow/Funct Image Multiple (78709) | $4,828.35 | $4,828.35 | 8.5× |
| K Flow/Funct Image W/Drug (78708) | $5,617.67 | $5,617.67 | 9.9× |
| K Flow/Funct Image W/O Drug (78707) | $5,289.95 | $5,289.95 | 9.3× |
| Knee 3 Views (73562) | $443.49 | $443.49 | 4.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,738.64 | $1,738.64 | 4.2× |
| Lung Ventilat&Perfus Imaging (78582) | $4,371.58 | $4,371.58 | 7.7× |
| Lung Ventilation Imaging (78579) | $1,558 | $1,558 | 3.7× |
| Lymph System Imaging (78195) | $5,767.76 | $5,767.76 | 10.2× |
| Mr safety determination physician/other qhp (76016) | $252.89 | $252.89 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $70.61 | $70.61 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $265.09 | $265.09 | 2.7× |
| Mr safety implt pos&/immoblj (76019) | $168.42 | $168.42 | 2.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $696.84 | $696.84 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $7,373.59 | $7,373.59 | 20.2× |
| MRA head w/o contrast (70544) | $3,434.06 | $3,434.06 | 13.8× |
| MRA head with contrast (70545) | $8,385.41 | $8,385.41 | 23.0× |
| MRA neck w contrast (70548) | $9,801.59 | $9,801.59 | 26.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,390.59 | $6,390.59 | 17.5× |
| MRA neck w/o contrast (70547) | $3,434.06 | $3,434.06 | 13.8× |
| MRI abdomen w contrast (74182) | $9,657.95 | $9,657.95 | 26.5× |
| MRI abdomen w/o contrast (74181) | $3,434.06 | $3,434.06 | 13.8× |
| MRI any jt lower extrem w/contrast material (73722) | $9,548.36 | $9,548.36 | 11.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,390.59 | $6,390.59 | 17.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,548.36 | $9,548.36 | 11.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $10,287.23 | $10,287.23 | 41.3× |
| MRI cervical spine w contrast (72142) | $6,390.59 | $6,390.59 | 17.5× |
| MRI cervical spine w/o cont (72141) | $3,434.06 | $3,434.06 | 13.8× |
| MRI chest w/o contrast (71550) | $8,777.88 | $8,777.88 | 35.2× |
| MRI chest wo w contrast (71552) | $12,032.55 | $12,032.55 | 33.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,368.31 | $1,368.31 | 3.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,390.59 | $6,390.59 | 17.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,434.06 | $3,434.06 | 13.8× |
| MRI lumbar spine w contrast (72149) | $6,390.59 | $6,390.59 | 17.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,390.59 | $6,390.59 | 17.5× |
| MRI orbit face &/neck w/o contrast (70540) | $9,972.42 | $9,972.42 | 40.0× |
| MRI orbit face neck w contrast (70542) | $10,373.86 | $10,373.86 | 28.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,390.59 | $6,390.59 | 17.5× |
| MRI pelvis w contrast (72196) | $10,168.66 | $10,168.66 | 27.9× |
| MRI pelvis w/o & w contrast (72197) | $6,390.59 | $6,390.59 | 17.5× |
| MRI pelvis w/o contrast (72195) | $3,434.06 | $3,434.06 | 13.8× |
| MRI thoracic spine w/o contrast (72146) | $3,434.06 | $3,434.06 | 13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,434.06 | $3,434.06 | 13.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,187.70 | $6,187.70 | 17.0× |
| MRI, abdomen, combo (74183) | $6,390.59 | $6,390.59 | 17.5× |
| MRI, dorsal spine combo (72157) | $6,390.59 | $6,390.59 | 17.5× |
| MRI, dorsal spine contrast (72147) | $6,390.59 | $6,390.59 | 17.5× |
| MRI, joint upper extrem (73221) | $3,434.06 | $3,434.06 | 13.8× |
| MRI, joint upper extrem combo (73223) | $6,390.59 | $6,390.59 | 17.5× |
| MRI, lumbar spine combo (72158) | $6,390.59 | $6,390.59 | 17.5× |
| Myelogram Lumbar (72265) | $4,788.90 | $4,788.90 | 5.8× |
| Myelograpy 2/more regions rs&i (72270) | $5,241.86 | $5,241.86 | 6.4× |
| Myocardial Spect Multiple Studies (78452) | $15,467.57 | $15,467.57 | 11.4× |
| N-invas est c ffr sw aly CTA (75580) | $3,060.57 | $3,060.57 | 3.4× |
| Neck soft tissue (70360) | $812.26 | $812.26 | 8.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $27,591.78 | $27,591.78 | 19.1× |
| Nuclear Rx Oral Admin (79005) | $3,034.79 | $3,034.79 | 12.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $367.76 | $367.76 | 3.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,653.21 | $4,653.21 | 8.2× |
| Parathyroid Planar Imaging (78070) | $4,448.43 | $4,448.43 | 10.7× |
| Pelvis 1 or 2 views (72170) | $1,662.83 | $1,662.83 | 15.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,669.90 | $9,669.90 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,614.87 | $1,614.87 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $644.10 | $644.10 | 5.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,585.31 | $1,585.31 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $493.54 | $493.54 | 5.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $869.80 | $869.80 | 9.6× |
| Radex elbow complete minimum 3 views (73080) | $869.80 | $869.80 | 9.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,662.83 | $1,662.83 | 15.2× |
| Radex fingr minimum 2 views (73140) | $869.80 | $869.80 | 9.6× |
| Radex foot complete minimum 3 views (73630) | $767.11 | $767.11 | 8.4× |
| Radex Hand Minimum 3 Views (73130) | $857.37 | $857.37 | 9.4× |
| Radex lower extremity infant minimum 2 views (73592) | $869.80 | $869.80 | 9.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $889.94 | $889.94 | 9.8× |
| Radex Ribs Unilateral 2 Views (71100) | $745.74 | $745.74 | 8.2× |
| Radex shoulder complete minimum 2 views (73030) | $869.80 | $869.80 | 9.6× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$300.55–$869.80 | $300.55–$869.80 | varies |
| Radex Spine 1 View Specify Level (72020) | $838.73 | $838.73 | 9.2× |
| Radex Sternum Minimum 2 Views (71120) | $869.80 | $869.80 | 9.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $869.80 | $869.80 | 9.6× |
| Radex Toe Minimum 2 Views (73660) | $869.80 | $869.80 | 9.6× |
| Radex upper extremity infant minimum 2 views (73092) | $1,662.83 | $1,662.83 | 15.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $796.81 | $796.81 | 8.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $875.18 | $875.18 | 8.0× |
| Radiation treatment delivery level 1 (77402) | $404.64 | $404.64 | 3.8× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$816.52–$1,088.69 | $816.52–$1,088.69 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,662.83 | $1,662.83 | 15.2× |
| Radiologic exam colon double contrast study (74280) | $3,304.95 | $3,304.95 | 18.0× |
| Radiologic exam colon single contrast study (74270) | $3,304.95 | $3,304.95 | 18.0× |
| Radiologic exam knee complete 4/more views (73564) | $1,662.83 | $1,662.83 | 15.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,708.06 | $2,708.06 | 24.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,552.82 | $1,552.82 | 8.5× |
| Radiologic exam swallow function contrast study (74230) | $1,995.66 | $1,995.66 | 10.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,147.57 | $3,147.57 | 17.2× |
| Radiologic examination femur 1 view (73551) | $1,102.36 | $1,102.36 | 12.1× |
| Radiologic examination femur minimum 2 views (73552) | $869.80 | $869.80 | 9.6× |
| Radiologic examination knee 1/2 views (73560) | $444.76 | $444.76 | 4.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $2,184.21 | $2,184.21 | 20.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $869.80 | $869.80 | 9.6× |
| Ribs bilateral 3 views (71110) | $1,662.83 | $1,662.83 | 15.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,256.36 | $5,256.36 | 12.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,906.93 | $5,906.93 | 10.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,590.01 | $3,590.01 | 6.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,414.25 | $4,414.25 | 3.3× |
| Scapula (73010) | $1,662.83 | $1,662.83 | 15.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $301.02 | $301.02 | 12.9× |
| Shoulder 1 view (73020) | $869.80 | $869.80 | 9.6× |
| Shoulder Arthrography (73040) | $3,729.79 | $3,729.79 | 10.2× |
| Skull less than 4 views (70250) | $1,662.83 | $1,662.83 | 15.2× |
| Srs Multisource (77371) | $26,271.41 | $26,271.41 | 3.4× |
| Sternoclavicular joints (71130) | $457.79 | $457.79 | 5.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,629.14 | $1,629.14 | 4.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,629.14 | $1,629.14 | 4.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,081 | $2,081 | 11.4× |
| Thoracic spine 2 views (72070) | $862.47 | $862.47 | 7.9× |
| Thoracic spine 3 views (72072) | $1,662.83 | $1,662.83 | 15.2× |
| Thoracolumbar 2 views (72080) | $285.78 | $285.78 | 3.1× |
| Thyroid Met Imaging Body (78018) | $4,164.65 | $4,164.65 | 7.3× |
| Thyroid Uptake Measurement (78012) | $2,404.33 | $2,404.33 | 5.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,873.02 | $1,873.02 | 4.5× |
| Ultrasound Breast Limited (76642) | $416.17 | $416.17 | 4.6× |
| Ultrasound Elastography Parenchyma (76981) | $632.17 | $632.17 | 5.8× |
| Ultrasound Exam Aaa Screen (76706) | $737.09 | $737.09 | 6.8× |
| Ultrasound, abdomen limited (76705) | $1,511.66 | $1,511.66 | 13.8× |
| Umbilical-artery Doppler (OB) (76820) | $990.73 | $990.73 | 9.1× |
| Upper gi w/o kub (74240) | $3,643.31 | $3,643.31 | 19.9× |
| Urethrocystogram voiding (74455) | $3,206.88 | $3,206.88 | 12.9× |
| Urethrocystography retrograde (74450) | $2,826.80 | $2,826.80 | 11.3× |
| Us breast unilateral complete (76641) | $636.50 | $636.50 | 5.8× |
| Us chest (76604) | $1,511.66 | $1,511.66 | 13.8× |
| Us complete joint (76881) | $1,511.66 | $1,511.66 | 13.8× |
| Us exam, pelvic, limited (76857) | $1,511.66 | $1,511.66 | 13.8× |
| Us head (76506) | $1,511.66 | $1,511.66 | 13.8× |
| Us kidney transplant (76776) | $1,511.66 | $1,511.66 | 13.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,506.52 | $1,506.52 | 13.8× |
| Us ob detailed single fetus (76811) | $2,182.55 | $2,182.55 | 8.8× |
| Us ob limited 1 or more fetuses (76815) | $1,286.43 | $1,286.43 | 11.8× |
| Us ob transvaginal (76817) | $1,554.74 | $1,554.74 | 14.2× |
| Us pelvic non ob complete (76856) | $1,511.66 | $1,511.66 | 13.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,511.66 | $1,511.66 | 13.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,511.66 | $1,511.66 | 13.8× |
| Us retroperitoneal complete (76770) | $3,226.25 | $3,226.25 | 29.6× |
| Us retroperitoneal limited (76775) | $1,511.66 | $1,511.66 | 13.8× |
| Us scrotum and contents (76870) | $1,511.66 | $1,511.66 | 13.8× |
| Us spinal canal and contents (76800) | $1,511.66 | $1,511.66 | 13.8× |
| Us thyroid (76536) | $1,511.66 | $1,511.66 | 13.8× |
| Vein X-Ray Chest (75827) | $7,036.35 | $7,036.35 | 4.3× |
| Venography caval inferior serialography rs&i (75825) | $13,361.12 | $13,361.12 | 4.1× |
| Venography extremity bilateral rs&i (75822) | $9,580.26 | $9,580.26 | 5.8× |
| Venography extremity unilateral rs&i (75820) | $7,249.50 | $7,249.50 | 4.4× |
| Wrist 2 views (73100) | $869.80 | $869.80 | 9.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,461.57 | $1,461.57 | 16.1× |
| X-ray antegrade pyelogram tube (74425) | $2,506.01 | $2,506.01 | 6.9× |
| X-Ray Aorta Leg Arteries (75630) | $15,606.23 | $15,606.23 | 4.7× |
| X-Ray Bend Only L-S Spine (72120) | $1,527.58 | $1,527.58 | 14.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $869.80 | $869.80 | 9.6× |
| X-Ray Exam Breast Specimen (76098) | $1,632.18 | $1,632.18 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $869.80 | $869.80 | 9.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $869.80 | $869.80 | 9.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $869.80 | $869.80 | 9.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $340.04 | $340.04 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,371.17 | $2,371.17 | 21.7× |
| X-Ray Exam L-S Spine Bending (72114) | $2,879.37 | $2,879.37 | 26.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $869.80 | $869.80 | 9.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,854.43 | $2,854.43 | 26.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $700.15 | $700.15 | 6.4× |
| X-ray humerus (73060) | $869.80 | $869.80 | 9.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,552.66 | $1,552.66 | 17.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $300.55 | $300.55 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,662.83 | $1,662.83 | 15.2× |
| X-ray nose-rectum child f.b. (76010) | $812.26 | $812.26 | 8.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,102.36 | $1,102.36 | 10.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $869.80 | $869.80 | 9.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $869.80 | $869.80 | 9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,662.83 | $1,662.83 | 15.2× |
| X-ray thoracic spine 4 vw (72074) | $1,662.83 | $1,662.83 | 15.2× |
| X-Ray Tmj Unilat (70328) | $1,015.73 | $1,015.73 | 11.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,557.08 | $5,557.08 | 15.3× |
| X-Rays Bone Survey Complete (77075) | $1,662.83 | $1,662.83 | 15.2× |
| Xr c-spine 4 or 5 views (72050) | $875.18 | $875.18 | 8.0× |
| Xr facial bones less than 3 views (70140) | $1,523.01 | $1,523.01 | 16.8× |
| Xr orbits complete 4 views (70200) | $1,623.24 | $1,623.24 | 14.9× |
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.