Imaging prices at AdventHealth New Smyrna Beach
New Smyrna Beach, FL · every code in this section with a posted price and a Medicare benchmark.
275 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) | $8,244.55 | $8,244.55 | 5.7× |
| Abdomen 1 View (74018) | $509.12 | $509.12 | 5.6× |
| Abdomen 2 views (74019) | $626.60 | $626.60 | 5.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $867.47 | $867.47 | 2.1× |
| Angio pulmonary bilat (75743) | $3,307.82 | $3,307.82 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $4,635.91 | $4,635.91 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $4,141.64 | $4,141.64 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,447.93 | $2,447.93 | 0.7× |
| Ankle 2 views (73600) | $558.28 | $558.28 | 6.1× |
| Aortography thoracic serialography rs&i (75605) | $6,670.38 | $6,670.38 | 1.1× |
| Artery X-Rays Abdomen (75726) | $3,552.24 | $3,552.24 | 0.6× |
| Arthrogram hip (73525) | $1,018.52 | $1,018.52 | 2.8× |
| Arthrogram Wrist (73115) | $1,430.50 | $1,430.50 | 3.9× |
| Basic radiation dosimetry calculation (77300) | $768.63 | $768.63 | 5.5× |
| Bone age studies (77072) | $270 | $270 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,763.46 | $1,763.46 | 4.2× |
| Bone Imaging Limited Area (78300) | $1,075.58 | $1,075.58 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,475.80 | $1,475.80 | 3.5× |
| Bone marrow imaging limited area (78102) | $1,483.34 | $1,483.34 | 3.6× |
| Bone survey infant (77076) | $622.99 | $622.99 | 5.7× |
| Brachytx isodose complex (77318) | $1,637.68 | $1,637.68 | 4.2× |
| Brachytx isodose intermed (77317) | $1,549.18 | $1,549.18 | 4.0× |
| Brachytx Isodose Plan Simple (77316) | $777.31 | $777.31 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $1,657.75 | $1,657.75 | 18.2× |
| Chest 1 view (71045) | $438.53 | $438.53 | 4.8× |
| Chest 2 views (71046) | $595.49 | $595.49 | 6.6× |
| Chest 3 views (71047) | $601.97 | $601.97 | 6.6× |
| Clavicle complete (73000) | $584.17 | $584.17 | 6.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,991.50 | $1,991.50 | 18.2× |
| Continuing medical physics consltj pr wk (77336) | $1,003.27 | $1,003.27 | 7.1× |
| Contrast Exam Abdominl Aorta (75625) | $4,061.29 | $4,061.29 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $2,458.01 | $2,458.01 | 6.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $578.24 | $578.24 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $6,184.63 | $6,184.63 | 17.0× |
| CT abdomen and pelvis without contrast (74176) | $4,961.28 | $4,961.28 | 19.9× |
| CT abdomen w contrast (74160) | $3,804.32 | $3,804.32 | 20.8× |
| CT abdomen w wo contrast (74170) | $4,584.28 | $4,584.28 | 25.0× |
| CT abdomen w/o contrast (74150) | $3,200.73 | $3,200.73 | 29.3× |
| CT Angio Abdomen and Pelvis (74174) | $4,584.28 | $4,584.28 | 12.6× |
| CT Angio Chest (71275) | $3,970.98 | $3,970.98 | 21.7× |
| CT Angio Head (70496) | $4,119.84 | $4,119.84 | 22.5× |
| CT angio hrt w/3d image (75574) | $1,610.08 | $1,610.08 | 4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,294.56 | $2,294.56 | 12.5× |
| CT Angio Neck (70498) | $3,713.70 | $3,713.70 | 20.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,298.99 | $2,298.99 | 12.6× |
| CT cervical spine w/ contrast (72126) | $3,001.71 | $3,001.71 | 8.2× |
| CT cervical spine w/o contrast (72125) | $2,823.69 | $2,823.69 | 25.9× |
| CT chest w contrast (71260) | $3,970.98 | $3,970.98 | 21.7× |
| CT chest w/wo contrast (71270) | $4,208.85 | $4,208.85 | 23.0× |
| CT head/brain with contrast (70460) | $2,624.67 | $2,624.67 | 14.3× |
| CT head/brain without and with contrast (70470) | $4,553.52 | $4,553.52 | 24.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,610.08 | $1,610.08 | 4.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $133.12 | $133.12 | 1.5× |
| CT iac w contrast (70481) | $2,946.68 | $2,946.68 | 16.1× |
| CT l-spine w&w/o contrast (72133) | $4,265.48 | $4,265.48 | 23.3× |
| CT lower ext w/o (73700) | $2,182.80 | $2,182.80 | 20.0× |
| CT lower extremity w/contrast material (73701) | $2,347.99 | $2,347.99 | 12.8× |
| CT lumbar spine w contrast (72132) | $2,880.34 | $2,880.34 | 7.9× |
| CT lumbar spine w/o contrast (72131) | $2,833.42 | $2,833.42 | 26.0× |
| CT maxillofacial w contrast (70487) | $3,807.41 | $3,807.41 | 20.8× |
| CT maxillofacial wo contrast (70486) | $2,863.98 | $2,863.98 | 26.2× |
| CT neck tissue combo (70492) | $4,558.36 | $4,558.36 | 24.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,072.89 | $3,072.89 | 16.8× |
| CT orbits w/o contrast (70480) | $2,265.44 | $2,265.44 | 20.8× |
| CT pelvis w&w/o contrast (72194) | $4,254.16 | $4,254.16 | 23.2× |
| CT pelvis w/o contrast (72192) | $3,116.59 | $3,116.59 | 28.5× |
| CT scan of leg combo (73702) | $2,524.35 | $2,524.35 | 13.8× |
| CT scans face/jaw combo (70488) | $4,279.12 | $4,279.12 | 23.4× |
| CT soft tissue neck w contrast (70491) | $4,121.45 | $4,121.45 | 22.5× |
| CT soft tissue neck w/o contrast (70490) | $2,631.12 | $2,631.12 | 24.1× |
| CT thoracic spine w contrast (72129) | $3,707.23 | $3,707.23 | 20.2× |
| CT thoracic spine w/o contrast (72128) | $3,137.63 | $3,137.63 | 28.7× |
| CT thoracic spine w/wo cont (72130) | $5,903.51 | $5,903.51 | 32.2× |
| CT thorax w/o contrast (71250) | $3,223.38 | $3,223.38 | 29.5× |
| CT upper ext wo (73200) | $1,675.15 | $1,675.15 | 15.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,043.68 | $2,043.68 | 11.2× |
| CT upper extremity with contrast (73201) | $1,943.17 | $1,943.17 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,312.41 | $4,312.41 | 23.5× |
| Cta Abdomen (74175) | $4,584.28 | $4,584.28 | 25.0× |
| CTA pelvis (72191) | $4,226.66 | $4,226.66 | 23.1× |
| Dxa Bone Density Axial (77080) | $681.26 | $681.26 | 6.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $622.02 | $622.02 | 6.8× |
| Echograp Trans R Pros Study (76873) | $1,711.36 | $1,711.36 | 15.7× |
| Esophagram (74220) | $639.18 | $639.18 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $830.03 | $830.03 | 3.3× |
| Foot 2 views (73620) | $558.28 | $558.28 | 6.1× |
| Forearm 2 views (73090) | $579.32 | $579.32 | 6.4× |
| Gastric emptying imaging study (78264) | $1,225.86 | $1,225.86 | 2.9× |
| Gated Heart Planar Single (78472) | $1,566.53 | $1,566.53 | 3.8× |
| Hand 2 views (73120) | $680.46 | $680.46 | 6.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,765.34 | $1,765.34 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,765.34 | $1,765.34 | 4.2× |
| Ht Muscle Image Spect Sing (78451) | $2,632.82 | $2,632.82 | 1.9× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,296.44 | $2,296.44 | 3.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,756.40 | $1,756.40 | 3.0× |
| Intracavitary radiation source applic simple (77761) | $1,756.40 | $1,756.40 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $981.46 | $981.46 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $773.27 | $773.27 | 1.4× |
| Knee 3 Views (73562) | $729.30 | $729.30 | 8.0× |
| Liver & Spleen Imaging Static Only (78215) | $825.70 | $825.70 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $2,271.90 | $2,271.90 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,016.09 | $2,016.09 | 3.6× |
| Lymph System Imaging (78195) | $1,579.20 | $1,579.20 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $987.08 | $987.08 | 2.5× |
| 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 contrast (70544) | $2,940.61 | $2,940.61 | 11.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,452.15 | $5,452.15 | 15.0× |
| MRA neck w/o contrast (70547) | $2,814.78 | $2,814.78 | 11.3× |
| MRI abdomen w contrast (74182) | $4,872.85 | $4,872.85 | 13.4× |
| MRI abdomen w/o contrast (74181) | $3,503.34 | $3,503.34 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,678.05 | $2,678.05 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,322.09 | $3,322.09 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,678.05 | $2,678.05 | 3.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,765.75 | $2,765.75 | 11.1× |
| MRI cervical spine w contrast (72142) | $5,736.05 | $5,736.05 | 15.7× |
| MRI cervical spine w/o cont (72141) | $5,684.42 | $5,684.42 | 22.8× |
| MRI chest w/o contrast (71550) | $3,872.43 | $3,872.43 | 15.5× |
| MRI chest wo w contrast (71552) | $5,994.31 | $5,994.31 | 16.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,451.54 | $3,451.54 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,619.83 | $2,619.83 | 10.5× |
| MRI lumbar spine w contrast (72149) | $5,754.20 | $5,754.20 | 15.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,329.67 | $6,329.67 | 17.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,347.21 | $4,347.21 | 17.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,374.81 | $6,374.81 | 17.5× |
| MRI pelvis w/o & w contrast (72197) | $6,419.28 | $6,419.28 | 17.6× |
| MRI pelvis w/o contrast (72195) | $4,113.39 | $4,113.39 | 16.5× |
| MRI thoracic spine w/o contrast (72146) | $5,702.40 | $5,702.40 | 22.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,770.21 | $2,770.21 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,308.51 | $2,308.51 | 9.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,676.52 | $3,676.52 | 10.1× |
| MRI, abdomen, combo (74183) | $6,482.38 | $6,482.38 | 17.8× |
| MRI, dorsal spine combo (72157) | $6,349.69 | $6,349.69 | 17.4× |
| MRI, dorsal spine contrast (72147) | $5,754.20 | $5,754.20 | 15.8× |
| MRI, joint upper extrem (73221) | $2,645.71 | $2,645.71 | 10.6× |
| MRI, joint upper extrem combo (73223) | $3,322.09 | $3,322.09 | 9.1× |
| MRI, lumbar spine combo (72158) | $6,349.69 | $6,349.69 | 17.4× |
| Myocardial Spect Multiple Studies (78452) | $3,106.45 | $3,106.45 | 2.3× |
| Neck soft tissue (70360) | $451.47 | $451.47 | 5.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,746.19 | $8,746.19 | 6.1× |
| Nuclear Rx Oral Admin (79005) | $1,024.52 | $1,024.52 | 4.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $422.92 | $422.92 | 3.9× |
| Pelvis 1 or 2 views (72170) | $585.95 | $585.95 | 5.4× |
| Peritoneogram Rs&I (74190) | $723.91 | $723.91 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,059.97 | $1,059.97 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $881.15 | $881.15 | 8.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $446.60 | $446.60 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $679.63 | $679.63 | 7.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $580.93 | $580.93 | 6.4× |
| Radex elbow complete minimum 3 views (73080) | $585.78 | $585.78 | 6.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $754.06 | $754.06 | 6.9× |
| Radex fingr minimum 2 views (73140) | $302.60 | $302.60 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $705.51 | $705.51 | 7.8× |
| Radex Hand Minimum 3 Views (73130) | $708.80 | $708.80 | 7.8× |
| Radex lower extremity infant minimum 2 views (73592) | $268.62 | $268.62 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $682.88 | $682.88 | 7.5× |
| Radex Ribs Unilateral 2 Views (71100) | $558.28 | $558.28 | 6.1× |
| Radex shoulder complete minimum 2 views (73030) | $737.87 | $737.87 | 8.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $558.28 | $558.28 | 6.1× |
| Radex Spine 1 View Specify Level (72020) | $503.25 | $503.25 | 5.5× |
| Radex Sternum Minimum 2 Views (71120) | $744.37 | $744.37 | 8.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $476.15 | $476.15 | 5.2× |
| Radex Toe Minimum 2 Views (73660) | $578.11 | $578.11 | 6.4× |
| Radex upper extremity infant minimum 2 views (73092) | $751.65 | $751.65 | 6.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $690.97 | $690.97 | 7.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $866.01 | $866.01 | 7.9× |
| Radiation treatment delivery level 1 (77402) | $423.27 | $423.27 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $523.31 | $523.31 | 1.3× |
| Radiation treatment delivery level 3 (77412) | $769.27 | $769.27 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $707.14 | $707.14 | 6.5× |
| Radiologic exam colon double contrast study (74280) | $917.50 | $917.50 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $796.15 | $796.15 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $891.37 | $891.37 | 8.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $843.77 | $843.77 | 7.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $589.82 | $589.82 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $639.18 | $639.18 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,260.55 | $1,260.55 | 6.9× |
| Radiologic examination femur 1 view (73551) | $178.01 | $178.01 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $398.07 | $398.07 | 4.4× |
| Radiologic examination knee 1/2 views (73560) | $648.27 | $648.27 | 7.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $584.17 | $584.17 | 6.4× |
| Ribs bilateral 3 views (71110) | $746.43 | $746.43 | 6.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,056.98 | $2,056.98 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,463.85 | $2,463.85 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,345.41 | $3,345.41 | 5.9× |
| Scapula (73010) | $642.40 | $642.40 | 5.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $113.01 | $113.01 | 4.8× |
| Shoulder 1 view (73020) | $417.47 | $417.47 | 4.6× |
| Shoulder Arthrography (73040) | $1,720.50 | $1,720.50 | 4.7× |
| Skull less than 4 views (70250) | $642.40 | $642.40 | 5.9× |
| Special dosimetry (77331) | $724.95 | $724.95 | 5.2× |
| Special Physics Consult (77370) | $1,440.15 | $1,440.15 | 10.3× |
| Special teletherapy port plan (77321) | $671.54 | $671.54 | 1.7× |
| Special treatment procedure (77470) | $2,524.35 | $2,524.35 | 4.4× |
| Srs Multisource (77371) | $30,212.12 | $30,212.12 | 3.9× |
| Stereotactic Body Radiation Delivery (77373) | $18,827.36 | $18,827.36 | 10.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,909.45 | $1,909.45 | 4.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $930.45 | $930.45 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,195.87 | $3,195.87 | 8.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,359.25 | $1,359.25 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,359.25 | $1,359.25 | 9.7× |
| Thoracic spine 2 views (72070) | $624.60 | $624.60 | 5.7× |
| Thoracic spine 3 views (72072) | $689.21 | $689.21 | 6.3× |
| Thoracolumbar 2 views (72080) | $669.92 | $669.92 | 7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,334.78 | $1,334.78 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $1,571.53 | $1,571.53 | 4.0× |
| Tx devices design & construction intermediate (77333) | $1,021.50 | $1,021.50 | 7.3× |
| Tx devices design & construction simple (77332) | $619.88 | $619.88 | 4.4× |
| Ultrasound Breast Limited (76642) | $404.46 | $404.46 | 4.5× |
| Ultrasound Elastography Parenchyma (76981) | $381.47 | $381.47 | 3.5× |
| Ultrasound Exam Aaa Screen (76706) | $81.10 | $81.10 | 0.7× |
| Ultrasound, abdomen limited (76705) | $1,126.70 | $1,126.70 | 10.3× |
| Upper gi w/o kub (74240) | $1,234.65 | $1,234.65 | 6.7× |
| Urethrocystogram voiding (74455) | $652.13 | $652.13 | 2.6× |
| Urethrocystography retrograde (74450) | $527.52 | $527.52 | 2.1× |
| Us breast unilateral complete (76641) | $433.95 | $433.95 | 4.0× |
| Us chest (76604) | $1,522.69 | $1,522.69 | 13.9× |
| Us complete joint (76881) | $755.68 | $755.68 | 6.9× |
| Us exam, pelvic, limited (76857) | $385.15 | $385.15 | 3.5× |
| Us kidney transplant (76776) | $1,425.60 | $1,425.60 | 13.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $488.69 | $488.69 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $610.04 | $610.04 | 5.6× |
| Us ob transvaginal (76817) | $373.80 | $373.80 | 3.4× |
| Us pelvic non ob complete (76856) | $584.17 | $584.17 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $587.39 | $587.39 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $422.92 | $422.92 | 3.9× |
| Us retroperitoneal complete (76770) | $1,272.19 | $1,272.19 | 11.7× |
| Us retroperitoneal limited (76775) | $990.84 | $990.84 | 9.1× |
| Us scrotum and contents (76870) | $1,155.36 | $1,155.36 | 10.6× |
| Us spinal canal and contents (76800) | $631.09 | $631.09 | 5.8× |
| Us thyroid (76536) | $951.48 | $951.48 | 8.7× |
| Vein X-Ray Chest (75827) | $2,871.70 | $2,871.70 | 1.7× |
| Venogram Sinus/Jugular (75860) | $1,628.50 | $1,628.50 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $3,311.61 | $3,311.61 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,956.07 | $1,956.07 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,397.19 | $1,397.19 | 0.8× |
| Venography Renal Unilateral (75831) | $4,314.11 | $4,314.11 | 1.3× |
| Wrist 2 views (73100) | $579.32 | $579.32 | 6.4× |
| X-Ray Aorta Leg Arteries (75630) | $5,632.73 | $5,632.73 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $880.05 | $880.05 | 8.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $495.16 | $495.16 | 5.4× |
| X-Ray Exam Breast Specimen (76098) | $1,564.18 | $1,564.18 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $660.51 | $660.51 | 6.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $748.58 | $748.58 | 6.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $239.51 | $239.51 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $398.07 | $398.07 | 4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $438.04 | $438.04 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $369.87 | $369.87 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $485.46 | $485.46 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $520.13 | $520.13 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,055.06 | $1,055.06 | 9.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $691.24 | $691.24 | 7.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $928.86 | $928.86 | 8.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $610.04 | $610.04 | 5.6× |
| X-ray humerus (73060) | $585.78 | $585.78 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $558.28 | $558.28 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $314.21 | $314.21 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $681.26 | $681.26 | 6.2× |
| X-ray nose-rectum child f.b. (76010) | $281.57 | $281.57 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $837.46 | $837.46 | 7.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $616.91 | $616.91 | 5.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $462.68 | $462.68 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $567.99 | $567.99 | 6.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $618.16 | $618.16 | 6.8× |
| X-ray thoracic spine 4 vw (72074) | $753.83 | $753.83 | 6.9× |
| X-Ray Tmj Unilat (70328) | $364.11 | $364.11 | 4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $563.12 | $563.12 | 1.5× |
| X-Rays Bone Length Studies (77073) | $584.17 | $584.17 | 5.4× |
| X-Rays Bone Survey Complete (77075) | $990.31 | $990.31 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $820.86 | $820.86 | 7.5× |
| Xr facial bones less than 3 views (70140) | $522.68 | $522.68 | 5.8× |
| Xr orbits complete 4 views (70200) | $650.50 | $650.50 | 6.0× |