Imaging prices at AdventHealth North Pinellas
Tarpon Springs, FL · every code in this section with a posted price and a Medicare benchmark.
257 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,165.36 | $1,165.36 | 10.7× |
| Acute gi blood loss imaging (78278) | $4,341.43 | $4,341.43 | 10.4× |
| Angiography extremity bilateral rs&i (75716) | $8,333.83 | $8,333.83 | 2.5× |
| Angiography extremity unilateral rs&i (75710) | $8,333.83 | $8,333.83 | 2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $53,471.29 | $53,471.29 | 9.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $30,801.75 | $30,801.75 | 9.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,552.47 | $14,552.47 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $30,801.75 | $30,801.75 | 9.3× |
| Ankle 2 views (73600) | $1,008.69 | $1,008.69 | 11.1× |
| Aortogram thoracic (75605) | $53,471.29 | $53,471.29 | 9.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,333.83 | $8,333.83 | 2.5× |
| Aortography abdominal serialography rs&i (75625) | $9,324.35 | $9,324.35 | 2.8× |
| Arthrogram elbow (73085) | $4,108.74 | $4,108.74 | 11.3× |
| Arthrogram hip (73525) | $2,448.97 | $2,448.97 | 6.7× |
| Arthrogram knee (73580) | $5,347.75 | $5,347.75 | 14.7× |
| Arthrogram shoulder (73040) | $2,635.48 | $2,635.48 | 7.2× |
| Arthrogram wrist (73115) | $5,347.75 | $5,347.75 | 14.7× |
| Bone &/joint imaging whole body (78306) | $6,567.34 | $6,567.34 | 15.7× |
| Bone age studies (77072) | $1,427.22 | $1,427.22 | 13.1× |
| Bone Imaging 3 Phase (78315) | $5,502.29 | $5,502.29 | 13.2× |
| Bone survey complete (77075) | $3,740.84 | $3,740.84 | 34.3× |
| Brachytx isodose complex (77318) | $1,825.95 | $1,825.95 | 4.7× |
| Brachytx isodose intermed (77317) | $1,484.66 | $1,484.66 | 3.8× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $1,249.05 | $1,249.05 | 3.2× |
| Brain Imaging Vascular Flow Only (78610) | $1,243.61 | $1,243.61 | 2.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $4,532.57 | $4,532.57 | 10.9× |
| Cervical spine 2 or 3 views (72040) | $1,799.90 | $1,799.90 | 19.8× |
| Chest 1 view (71045) | $906.16 | $906.16 | 10.0× |
| Chest xray 3 views (71047) | $1,131.72 | $1,131.72 | 12.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,713.33 | $1,713.33 | 9.4× |
| Clavicle complete (73000) | $1,476.27 | $1,476.27 | 16.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,366.06 | $2,366.06 | 21.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,888.28 | $1,888.28 | 10.3× |
| CT abdomen and pelvis without and with contrast (74178) | $17,362.99 | $17,362.99 | 47.7× |
| CT abdomen and pelvis without contrast (74176) | $13,479.23 | $13,479.23 | 54.1× |
| CT abdomen w contrast (74160) | $12,112.20 | $12,112.20 | 66.1× |
| CT abdomen w wo contrast (74170) | $14,307.86 | $14,307.86 | 78.1× |
| CT abdomen w/o contrast (74150) | $10,193.21 | $10,193.21 | 93.4× |
| CT angio hrt w/3d image (75574) | $2,512 | $2,512 | 6.9× |
| CT angio lwr extr w/o&w/dye (73706) | $6,262.20 | $6,262.20 | 34.2× |
| CT angiography upper extremity lt (73206) | $11,158.96 | $11,158.96 | 60.9× |
| CT c-spine w/contrast (72126) | $11,409.63 | $11,409.63 | 31.3× |
| CT c-spine w/o contrast (72125) | $10,028.42 | $10,028.42 | 91.9× |
| CT cervical spine w&w/o contrast (72127) | $2,284.82 | $2,284.82 | 12.5× |
| CT chest w contrast (71260) | $11,976.96 | $11,976.96 | 65.4× |
| CT chest w/wo contrast (71270) | $13,802.56 | $13,802.56 | 75.4× |
| CT head/brain with contrast (70460) | $8,773.41 | $8,773.41 | 47.9× |
| CT head/brain without and with contrast (70470) | $10,660.80 | $10,660.80 | 58.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,244.33 | $1,244.33 | 13.7× |
| CT iac w contrast (70481) | $8,733.88 | $8,733.88 | 47.7× |
| CT lower ext w/o (73700) | $9,277.15 | $9,277.15 | 85.0× |
| CT lower extremity w wo contrast (73702) | $12,832.05 | $12,832.05 | 70.1× |
| CT lower extremity w/contrast material (73701) | $10,427.19 | $10,427.19 | 56.9× |
| CT lumbar spine w & w/o contrast (72133) | $2,512 | $2,512 | 13.7× |
| CT lumbar spine w/contrast (72132) | $12,693.62 | $12,693.62 | 34.8× |
| CT lumbar spine w/o contrast (72131) | $11,034.36 | $11,034.36 | 101.1× |
| CT maxillofacial w contrast (70487) | $8,727.97 | $8,727.97 | 47.6× |
| CT maxillofacial w/wo contrast (70488) | $2,284.82 | $2,284.82 | 12.5× |
| CT maxillofacial wo contrast (70486) | $7,459.52 | $7,459.52 | 68.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $2,284.82 | $2,284.82 | 12.5× |
| CT orbits w/o contrast (70480) | $7,843.83 | $7,843.83 | 71.8× |
| CT pelvis w/o contrast (72192) | $9,919.52 | $9,919.52 | 90.9× |
| CT pelvis w/wo contrast (72194) | $2,512 | $2,512 | 13.7× |
| CT scan of arm combo (73202) | $2,512 | $2,512 | 13.7× |
| CT soft tissue neck w contrast (70491) | $9,331.98 | $9,331.98 | 50.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $10,681.28 | $10,681.28 | 58.3× |
| CT soft tissue neck w/o contrast (70490) | $7,710.50 | $7,710.50 | 70.6× |
| CT thoracic spine w/contrast (72129) | $12,103.26 | $12,103.26 | 66.1× |
| CT thoracic spine w/o contrast (72128) | $10,543.22 | $10,543.22 | 96.6× |
| CT thoracic spine w/wo contrast (72130) | $2,512 | $2,512 | 13.7× |
| CT thorax w/o contrast (71250) | $9,925.93 | $9,925.93 | 90.9× |
| CT upper ext wo (73200) | $9,046.04 | $9,046.04 | 82.9× |
| CT upper extremity with contrast (73201) | $10,379.85 | $10,379.85 | 28.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $14,712.29 | $14,712.29 | 80.3× |
| Cta Abdomen (74175) | $13,832.56 | $13,832.56 | 75.5× |
| CTA abdomen pelvis (74174) | $17,735.25 | $17,735.25 | 48.7× |
| CTA chest (71275) | $13,811.11 | $13,811.11 | 75.4× |
| Cta Head (70496) | $10,729.17 | $10,729.17 | 58.6× |
| Cta Neck (70498) | $10,625.42 | $10,625.42 | 58.0× |
| Cta Pelvis (72191) | $13,182.41 | $13,182.41 | 72.0× |
| Cystography minimum 3 views rs&i (74430) | $1,624.23 | $1,624.23 | 4.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,440.02 | $2,440.02 | 22.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,464.03 | $1,464.03 | 16.1× |
| Dxa bone density study axial skeleton (77085) | $1,542.48 | $1,542.48 | 14.1× |
| Esophagus (74220) | $1,594.63 | $1,594.63 | 8.7× |
| Facial bones min 3 views (70150) | $2,007.62 | $2,007.62 | 18.4× |
| Fluoroscopy up to 1 hr (76000) | $1,687.24 | $1,687.24 | 6.8× |
| Foot 2 views (73620) | $1,023.89 | $1,023.89 | 11.3× |
| Forearm 2 views (73090) | $1,489.74 | $1,489.74 | 16.4× |
| Hand 2 views (73120) | $2,032.75 | $2,032.75 | 18.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $1,562.31 | $1,562.31 | 2.8× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,274.43 | $5,274.43 | 12.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,054.72 | $4,054.72 | 5.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,371.18 | $3,371.18 | 5.8× |
| Intracavitary Radiation Source Applic Simple (77761) | $2,274.30 | $2,274.30 | 3.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,850.28 | $4,850.28 | 8.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $4,850.28 | $4,850.28 | 8.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $4,850.28 | $4,850.28 | 8.6× |
| Knee 3 views (73562) | $1,800.70 | $1,800.70 | 19.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $8,502.78 | $8,502.78 | 10.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $9,152.48 | $9,152.48 | 25.1× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) | $1,472.99 | $1,472.99 | 16.2× |
| Mr safety determination physician/other qhp (76016) | $295.04 | $295.04 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $82.38 | $82.38 | 2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $309.28 | $309.28 | 3.1× |
| Mr safety implt pos&/immoblj (76019) | $196.49 | $196.49 | 3.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $812.98 | $812.98 | 3.3× |
| MRA head w & w/o contrast (70546) | $7,264.23 | $7,264.23 | 19.9× |
| MRA head w/o contrast (70544) | $5,304.80 | $5,304.80 | 21.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,254.41 | $7,254.41 | 19.9× |
| MRA neck w/o contrast (70547) | $5,084.01 | $5,084.01 | 20.4× |
| MRI abdomen w contrast (74182) | $4,108.74 | $4,108.74 | 11.3× |
| MRI abdomen w/o & w/contrast material (74183) | $9,987.49 | $9,987.49 | 27.4× |
| MRI abdomen w/o contrast (74181) | $7,163.05 | $7,163.05 | 28.7× |
| MRI any jt lower extrem w/contrast material (73722) | $8,383 | $8,383 | 10.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,722.99 | $9,722.99 | 26.7× |
| MRI breast w/o contrast bilateral (77047) | $5,222.67 | $5,222.67 | 21.0× |
| MRI c-spine with contrast (72142) | $5,146.81 | $5,146.81 | 14.1× |
| MRI cervical spine w/o contrast (72141) | $10,646.14 | $10,646.14 | 42.7× |
| MRI chest w/o contrast (71550) | $3,249.79 | $3,249.79 | 13.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,380.24 | $9,380.24 | 25.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,952.71 | $6,952.71 | 27.9× |
| MRI orbit face &/neck w/o contrast (70540) | $4,112.77 | $4,112.77 | 16.5× |
| MRI orbit face neck w contrast (70542) | $4,108.74 | $4,108.74 | 11.3× |
| MRI orbit/face/neck w&w/o cont (70543) | $7,754.13 | $7,754.13 | 21.3× |
| MRI pelvis w/o & w/contrast material (72197) | $9,993.13 | $9,993.13 | 27.4× |
| MRI pelvis w/o contrast (72195) | $7,015.51 | $7,015.51 | 28.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $7,530.69 | $7,530.69 | 20.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $4,108.74 | $4,108.74 | 11.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $10,635.81 | $10,635.81 | 29.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $10,499.40 | $10,499.40 | 28.8× |
| MRI thoracic spine w/o contrast (72146) | $7,538.55 | $7,538.55 | 30.3× |
| MRI up ext w/o contrast (73218) | $6,830.62 | $6,830.62 | 27.4× |
| MRI upper ext joint w/o contrast (73221) | $7,159.88 | $7,159.88 | 28.7× |
| MRI, joint upper extrem combo (73223) | $9,721.70 | $9,721.70 | 26.7× |
| Myelogram Cervical (72240) | $8,383 | $8,383 | 10.2× |
| Myelogram Lumbar (72265) | $8,383 | $8,383 | 10.2× |
| Myocardial Spect Multiple Studies (78452) | $13,451.94 | $13,451.94 | 9.9× |
| Myocardial spect single study at rest or stress (78451) | $7,884.28 | $7,884.28 | 5.8× |
| N-invas est c ffr sw aly CTA (75580) | $3,789.17 | $3,789.17 | 4.2× |
| Neck soft tissue (70360) | $855.30 | $855.30 | 9.4× |
| Nm cardiac blood pool multiple (78473) | $4,532.57 | $4,532.57 | 10.9× |
| Nm gastric emptying study (78264) | $4,645.63 | $4,645.63 | 11.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,280.63 | $15,280.63 | 10.6× |
| Nuclear Rx Oral Admin (79005) | $3,060.67 | $3,060.67 | 12.6× |
| Parathyroid Planar Imaging (78070) | $3,652.45 | $3,652.45 | 8.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,532.57 | $4,532.57 | 10.9× |
| Pelvis 1 or 2 views (72170) | $1,457.08 | $1,457.08 | 13.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,715.31 | $3,715.31 | 8.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $3,850.63 | $3,850.63 | 6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,837.79 | $1,837.79 | 3.2× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,675.77 | $1,675.77 | 18.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,355.59 | $1,355.59 | 14.9× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,677.01 | $1,677.01 | 18.5× |
| Radex fingr minimum 2 views (73140) | $1,259.03 | $1,259.03 | 13.9× |
| Radex Foot Compl Minimum 3 Views (73630) | $1,666.85 | $1,666.85 | 18.3× |
| Radex Hand Minimum 3 Views (73130) | $1,794.21 | $1,794.21 | 19.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $1,273.09 | $1,273.09 | 14.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,960.96 | $2,960.96 | 27.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $1,721.53 | $1,721.53 | 15.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,007.62 | $2,007.62 | 18.4× |
| Radex Humerus Minimum 2 Views (73060) | $1,556.12 | $1,556.12 | 17.1× |
| Radex Kne 1/2 Views (73560) | $1,482.42 | $1,482.42 | 16.3× |
| Radex Kne Compl 4/More Views (73564) | $2,078.70 | $2,078.70 | 19.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $2,128.69 | $2,128.69 | 19.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,710.41 | $1,710.41 | 18.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $1,784.70 | $1,784.70 | 16.3× |
| Radex Sho Compl Minimum 2 Views (73030) | $1,765.86 | $1,765.86 | 19.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,472.99 | $1,472.99 | 16.2× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $2,007.62 | $2,007.62 | 18.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,472.99 | $1,472.99 | 16.2× |
| Radex Toe Minimum 2 Views (73660) | $1,428.85 | $1,428.85 | 15.7× |
| Radex upper extremity infant minimum 2 views (73092) | $2,007.62 | $2,007.62 | 18.4× |
| Radex Wrst Compl Minimum 3 Views (73110) | $1,650.71 | $1,650.71 | 18.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,222.04 | $1,222.04 | 11.2× |
| Radiation Delivery Stereotactic Cranial Cobalt (77371) | $32,360.11 | $32,360.11 | 4.2× |
| Radiation treatment delivery level 1 (77402) | $646.54 | $646.54 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $885.55 | $885.55 | 2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $866.98 | $866.98 | 9.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,542.48 | $1,542.48 | 14.1× |
| Radiologic exam chest 2 views (71046) | $1,133.53 | $1,133.53 | 12.5× |
| Radiologic exam colon single contrast study (74270) | $2,213.27 | $2,213.27 | 12.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,049.38 | $3,049.38 | 16.6× |
| Radiologic examination femur 1 view (73551) | $1,472.99 | $1,472.99 | 16.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,583.30 | $1,583.30 | 17.4× |
| Ribs bilateral 3 views (71110) | $2,007.62 | $2,007.62 | 18.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $4,532.57 | $4,532.57 | 10.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $5,187.35 | $5,187.35 | 9.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $6,181.08 | $6,181.08 | 10.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $13,451.94 | $13,451.94 | 9.9× |
| Rp Therapy Intravenous Administration (79101) | $2,326.81 | $2,326.81 | 9.5× |
| Sacroiliac Joints < 3 Views (72200) | $2,007.62 | $2,007.62 | 18.4× |
| Scapula (73010) | $1,536.53 | $1,536.53 | 14.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $216.58 | $216.58 | 9.3× |
| Shoulder 1 view (73020) | $1,266.36 | $1,266.36 | 13.9× |
| Small bowel series (74250) | $1,946.09 | $1,946.09 | 10.6× |
| Spine thoracic 3 views (72072) | $2,126.69 | $2,126.69 | 19.5× |
| Tbs technical calculation only (77091) | $295.04 | $295.04 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,627.54 | $1,627.54 | 4.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,226.75 | $1,226.75 | 3.1× |
| Thoracolumbar 2 views (72080) | $1,772.28 | $1,772.28 | 19.5× |
| Thyroid uptake measurement (78012) | $3,658.02 | $3,658.02 | 8.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,532.57 | $4,532.57 | 10.9× |
| Tmj unilateral (70328) | $1,472.99 | $1,472.99 | 16.2× |
| Ultrasound breast complete (76641) | $2,482.29 | $2,482.29 | 22.7× |
| Ultrasound Exam Aaa Screen (76706) | $1,542.48 | $1,542.48 | 14.1× |
| Ultrasound, abdomen limited (76705) | $2,210.18 | $2,210.18 | 20.2× |
| Urethrocystography retrograde rs&i (74450) | $3,249.79 | $3,249.79 | 13.0× |
| Us breast unilateral limited (76642) | $1,654.86 | $1,654.86 | 18.2× |
| Us chest (76604) | $1,649.83 | $1,649.83 | 15.1× |
| Us compl joint r-t w/image documentation (76881) | $1,542.48 | $1,542.48 | 14.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,583.21 | $3,583.21 | 32.8× |
| Us ob detailed single fetus (76811) | $3,249.79 | $3,249.79 | 13.0× |
| Us ob limited (76815) | $1,452.51 | $1,452.51 | 13.3× |
| Us ob transvaginal (76817) | $1,735.89 | $1,735.89 | 15.9× |
| Us pelvic non ob complete (76856) | $2,446.58 | $2,446.58 | 22.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,509.32 | $1,509.32 | 13.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,996.67 | $1,996.67 | 18.3× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $1,542.48 | $1,542.48 | 14.1× |
| Us retroperitoneal complete (76770) | $2,373.97 | $2,373.97 | 21.7× |
| Us retroperitoneal limited (76775) | $1,991.15 | $1,991.15 | 18.2× |
| Us scrotum and contents (76870) | $2,202.92 | $2,202.92 | 20.2× |
| Us soft tissue head/neck (76536) | $2,075.77 | $2,075.77 | 19.0× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,189.38 | $2,189.38 | 20.1× |
| Venogram extremity bilateral (75822) | $14,882.87 | $14,882.87 | 9.1× |
| Venogram Extremity Unilateral (75820) | $3,994.42 | $3,994.42 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $8,333.83 | $8,333.83 | 2.5× |
| Venography caval superior serialography rs&i (75827) | $14,882.87 | $14,882.87 | 9.1× |
| Vertebral fracture assessment via dxa (77086) | $1,131.72 | $1,131.72 | 12.5× |
| Wrist 2 views (73100) | $808.10 | $808.10 | 8.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,560.53 | $1,560.53 | 14.3× |
| X-ray b.e. reductn intuss (74283) | $1,888.28 | $1,888.28 | 10.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,268.30 | $1,268.30 | 14.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,640.89 | $1,640.89 | 18.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $447.06 | $447.06 | 4.1× |
| X-ray exam of femur 2/> (73552) | $1,632.15 | $1,632.15 | 18.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,472.99 | $1,472.99 | 16.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,472.99 | $1,472.99 | 16.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,961.60 | $1,961.60 | 18.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,048.88 | $3,048.88 | 27.9× |
| X-ray nose-rectum child f.b. (76010) | $388.10 | $388.10 | 4.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,758.29 | $1,758.29 | 16.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,472.99 | $1,472.99 | 16.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,061.93 | $2,061.93 | 18.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,648.86 | $2,648.86 | 24.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,676.62 | $1,676.62 | 15.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,667.27 | $1,667.27 | 18.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,155.75 | $2,155.75 | 23.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,007.62 | $2,007.62 | 18.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,669.15 | $1,669.15 | 15.3× |
| X-Ray Spine One View - Xr Spine (72020) | $1,472.99 | $1,472.99 | 16.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,648.47 | $1,648.47 | 18.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,007.62 | $2,007.62 | 18.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,007.62 | $2,007.62 | 18.4× |
| Xr c-spine 4 or 5 views (72050) | $2,617.60 | $2,617.60 | 24.0× |
| Xr c-spine 6 or more views (72052) | $2,885.26 | $2,885.26 | 26.4× |
| Xr urogram antegrade (74425) | $1,700.88 | $1,700.88 | 4.7× |