Imaging prices at AdventHealth Ocala
Ocala, 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 |
|---|---|---|---|
| Abdomen 1 View (74018) | $257.10 | $257.10 | 2.8× |
| Abdomen 2 views (74019) | $312.58 | $312.58 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,226.66 | $1,226.66 | 2.9× |
| Angio internal mammary (75756) | $7,262.34 | $7,262.34 | 2.2× |
| Angio pulmonary bilat (75743) | $15,561.11 | $15,561.11 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $13,126.22 | $13,126.22 | 4.0× |
| Angiography extremity unilateral rs&i (75710) | $11,813.58 | $11,813.58 | 3.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,126.22 | $13,126.22 | 4.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $19,530.65 | $19,530.65 | 5.9× |
| Ankle 2 views (73600) | $357.86 | $357.86 | 3.9× |
| Aortography thoracic serialography rs&i (75605) | $12,681.44 | $12,681.44 | 2.2× |
| Artery X-Rays Abdomen (75726) | $12,681.44 | $12,681.44 | 2.2× |
| Artery X-Rays Pelvis (75736) | $12,681.44 | $12,681.44 | 2.2× |
| Artery X-Rays Spine (75705) | $33,904.88 | $33,904.88 | 5.8× |
| Arthrogram hip (73525) | $1,748.07 | $1,748.07 | 4.8× |
| Arthrogram Wrist (73115) | $1,737.09 | $1,737.09 | 4.8× |
| Bone age studies (77072) | $459.55 | $459.55 | 4.2× |
| Bone Imaging 3 Phase (78315) | $2,286.28 | $2,286.28 | 5.5× |
| Bone Imaging Limited Area (78300) | $6,704.88 | $6,704.88 | 16.1× |
| Bone Imaging Whole Body (78306) | $3,031.44 | $3,031.44 | 7.3× |
| Bone survey infant (77076) | $446.37 | $446.37 | 4.1× |
| Brachytx isodose complex (77318) | $1,917.25 | $1,917.25 | 4.9× |
| Brachytx isodose intermed (77317) | $1,558.89 | $1,558.89 | 4.0× |
| Brachytx Isodose Plan Simple (77316) | $1,311.50 | $1,311.50 | 3.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,075.45 | $3,075.45 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $825.23 | $825.23 | 9.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,361.70 | $1,361.70 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $3,075.45 | $3,075.45 | 5.4× |
| Chest 1 view (71045) | $416 | $416 | 4.6× |
| Chest 2 views (71046) | $530.62 | $530.62 | 5.8× |
| Chest 3 views (71047) | $717.59 | $717.59 | 7.9× |
| Chest 4 or more views (71048) | $978.05 | $978.05 | 9.0× |
| Cisternography Positive Contrast Rs&I (70015) | $5,315.46 | $5,315.46 | 6.5× |
| Clavicle complete (73000) | $618.04 | $618.04 | 6.8× |
| Contrast Exam Abdominl Aorta (75625) | $13,126.22 | $13,126.22 | 4.0× |
| Contrast X-Ray Bladder (74430) | $867.91 | $867.91 | 2.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,421.16 | $2,421.16 | 6.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,197.32 | $1,197.32 | 6.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,094.57 | $5,094.57 | 14.0× |
| CT abdomen and pelvis without contrast (74176) | $4,098.26 | $4,098.26 | 16.4× |
| CT abdomen w contrast (74160) | $4,702.82 | $4,702.82 | 25.7× |
| CT abdomen w wo contrast (74170) | $5,094.57 | $5,094.57 | 27.8× |
| CT abdomen w/o contrast (74150) | $4,098.26 | $4,098.26 | 37.5× |
| CT Angio Abdomen and Pelvis (74174) | $4,614.32 | $4,614.32 | 12.7× |
| CT Angio Chest (71275) | $3,211.19 | $3,211.19 | 17.5× |
| CT Angio Head (70496) | $3,211.19 | $3,211.19 | 17.5× |
| CT angio hrt w/3d image (75574) | $3,201.77 | $3,201.77 | 8.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,211.19 | $3,211.19 | 17.5× |
| CT Angio Neck (70498) | $3,211.19 | $3,211.19 | 17.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,422.37 | $6,422.37 | 35.1× |
| CT cervical spine w/ contrast (72126) | $6,637.08 | $6,637.08 | 18.2× |
| CT cervical spine w/o contrast (72125) | $4,915.66 | $4,915.66 | 45.0× |
| CT cervical spine w/wo cont (72127) | $1,376.92 | $1,376.92 | 7.5× |
| CT chest w contrast (71260) | $4,450.44 | $4,450.44 | 24.3× |
| CT chest w/wo contrast (71270) | $4,885.52 | $4,885.52 | 26.7× |
| CT head/brain with contrast (70460) | $2,962.06 | $2,962.06 | 16.2× |
| CT head/brain without and with contrast (70470) | $3,147.30 | $3,147.30 | 17.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,376.92 | $1,376.92 | 3.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $301.65 | $301.65 | 3.3× |
| CT iac w contrast (70481) | $4,154.73 | $4,154.73 | 22.7× |
| CT l-spine w&w/o contrast (72133) | $1,376.92 | $1,376.92 | 7.5× |
| CT lower ext w/o (73700) | $2,706.44 | $2,706.44 | 24.8× |
| CT lower extremity w/contrast material (73701) | $3,045.44 | $3,045.44 | 16.6× |
| CT lumbar spine w contrast (72132) | $6,637.08 | $6,637.08 | 18.2× |
| CT lumbar spine w/o contrast (72131) | $4,889.27 | $4,889.27 | 44.8× |
| CT maxillofacial w contrast (70487) | $3,683.91 | $3,683.91 | 20.1× |
| CT maxillofacial wo contrast (70486) | $3,297.83 | $3,297.83 | 30.2× |
| CT neck tissue combo (70492) | $2,665 | $2,665 | 14.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,543.71 | $4,543.71 | 24.8× |
| CT orbits w/o contrast (70480) | $3,808.23 | $3,808.23 | 34.9× |
| CT pelvis w&w/o contrast (72194) | $5,094.57 | $5,094.57 | 27.8× |
| CT pelvis w/o contrast (72192) | $3,813.25 | $3,813.25 | 34.9× |
| CT scan of leg combo (73702) | $1,376.92 | $1,376.92 | 7.5× |
| CT scans face/jaw combo (70488) | $1,376.92 | $1,376.92 | 7.5× |
| CT soft tissue neck w contrast (70491) | $3,621.78 | $3,621.78 | 19.8× |
| CT soft tissue neck w/o contrast (70490) | $3,254.49 | $3,254.49 | 29.8× |
| CT thoracic spine w contrast (72129) | $6,565.55 | $6,565.55 | 35.8× |
| CT thoracic spine w/o contrast (72128) | $4,444.81 | $4,444.81 | 40.7× |
| CT thorax w/o contrast (71250) | $3,523.85 | $3,523.85 | 32.3× |
| CT upper ext wo (73200) | $2,706.44 | $2,706.44 | 24.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,376.92 | $1,376.92 | 7.5× |
| CT upper extremity with contrast (73201) | $3,045.44 | $3,045.44 | 8.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,211.19 | $3,211.19 | 17.5× |
| Cta Abdomen (74175) | $3,211.19 | $3,211.19 | 17.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,106.97 | $1,106.97 | 10.1× |
| Echo exam of fetal heart (76825) | $4,879.90 | $4,879.90 | 8.6× |
| Esophagram (74220) | $403.67 | $403.67 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $2,027.98 | $2,027.98 | 18.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,025.04 | $1,025.04 | 9.4× |
| Fluoroscopy up to 1 hr (76000) | $708.45 | $708.45 | 2.8× |
| Follow-Up Angiography (75898) | $19,530.65 | $19,530.65 | 5.9× |
| Foot 2 views (73620) | $402.65 | $402.65 | 4.4× |
| Forearm 2 views (73090) | $756.70 | $756.70 | 8.3× |
| Gastric emptying imaging study (78264) | $2,268.26 | $2,268.26 | 5.4× |
| Gated Heart Planar Single (78472) | $2,874 | $2,874 | 6.9× |
| Gated Heart, Multiple (78473) | $2,874 | $2,874 | 6.9× |
| Hand 2 views (73120) | $1,118.75 | $1,118.75 | 10.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $11,813.72 | $11,813.72 | 3.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,800.15 | $1,800.15 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,538.92 | $1,538.92 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $4,511.21 | $4,511.21 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $654.34 | $654.34 | 7.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,257.46 | $4,257.46 | 5.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,539.74 | $3,539.74 | 6.1× |
| Intracavitary radiation source applic simple (77761) | $2,388.02 | $2,388.02 | 4.1× |
| K Flow/Funct Image Multiple (78709) | $3,075.45 | $3,075.45 | 5.4× |
| K Flow/Funct Image W/Drug (78708) | $1,061.13 | $1,061.13 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $3,075.45 | $3,075.45 | 5.4× |
| Knee 3 Views (73562) | $816.43 | $816.43 | 9.0× |
| Liver & Spleen Imaging Static Only (78215) | $2,874 | $2,874 | 6.9× |
| Lung perfusion differential (78597) | $2,874 | $2,874 | 6.9× |
| Lung Ventilat&Perfus Imaging (78582) | $3,075.45 | $3,075.45 | 5.4× |
| Lung Ventilation Imaging (78579) | $2,874 | $2,874 | 6.9× |
| Lymph System Imaging (78195) | $1,165.35 | $1,165.35 | 2.1× |
| Meckels Divert Exam (78290) | $1,663.94 | $1,663.94 | 4.0× |
| Mr safety determination physician/other qhp (76016) | $257.10 | $257.10 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $71.79 | $71.79 | 2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $269.51 | $269.51 | 2.7× |
| Mr safety implt pos&/immoblj (76019) | $171.22 | $171.22 | 2.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $708.45 | $708.45 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,605.25 | $2,605.25 | 7.2× |
| MRA head w/o contrast (70544) | $3,524.42 | $3,524.42 | 14.1× |
| MRA head with contrast (70545) | $2,605.25 | $2,605.25 | 7.2× |
| MRA neck w contrast (70548) | $2,605.25 | $2,605.25 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,940.04 | $5,940.04 | 16.3× |
| MRA neck w/o contrast (70547) | $3,524.42 | $3,524.42 | 14.1× |
| MRI abdomen w contrast (74182) | $2,605.25 | $2,605.25 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,050.14 | $2,050.14 | 8.2× |
| MRI any jt lower extrem w/contrast material (73722) | $5,315.46 | $5,315.46 | 6.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,302.52 | $3,302.52 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,420.05 | $2,420.05 | 3.0× |
| MRI cervical spine w contrast (72142) | $2,605.25 | $2,605.25 | 7.2× |
| MRI cervical spine w/o cont (72141) | $3,514.56 | $3,514.56 | 14.1× |
| MRI chest w/o contrast (71550) | $2,060.61 | $2,060.61 | 8.3× |
| MRI chest with contrast (71551) | $3,756.77 | $3,756.77 | 4.6× |
| MRI chest wo w contrast (71552) | $5,315.46 | $5,315.46 | 14.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,605.25 | $2,605.25 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,305.19 | $2,305.19 | 6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,050.14 | $2,050.14 | 8.2× |
| MRI lumbar spine w contrast (72149) | $2,937.09 | $2,937.09 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,591.30 | $5,591.30 | 15.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,255.18 | $2,255.18 | 9.1× |
| MRI orbit face neck w contrast (70542) | $2,605.25 | $2,605.25 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,203.97 | $4,203.97 | 11.5× |
| MRI pelvis w contrast (72196) | $2,605.25 | $2,605.25 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,795.76 | $3,795.76 | 10.4× |
| MRI pelvis w/o contrast (72195) | $1,721.23 | $1,721.23 | 6.9× |
| MRI thoracic spine w/o contrast (72146) | $2,651.92 | $2,651.92 | 10.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,605.25 | $2,605.25 | 7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,050.14 | $2,050.14 | 8.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,972.29 | $2,972.29 | 8.2× |
| MRI, abdomen, combo (74183) | $4,217.50 | $4,217.50 | 11.6× |
| MRI, dorsal spine combo (72157) | $5,537.16 | $5,537.16 | 15.2× |
| MRI, dorsal spine contrast (72147) | $2,853.18 | $2,853.18 | 7.8× |
| MRI, joint upper extrem (73221) | $2,277.93 | $2,277.93 | 9.1× |
| MRI, joint upper extrem combo (73223) | $3,302.52 | $3,302.52 | 9.1× |
| MRI, lumbar spine combo (72158) | $5,516.86 | $5,516.86 | 15.1× |
| Myelogram cervical (72240) | $5,315.46 | $5,315.46 | 6.5× |
| Myelogram Lumbar (72265) | $5,315.46 | $5,315.46 | 6.5× |
| Myelograpy 2/more regions rs&i (72270) | $5,315.46 | $5,315.46 | 6.5× |
| Myocardial Spect Multiple Studies (78452) | $8,529.56 | $8,529.56 | 6.3× |
| N-invas est c ffr sw aly CTA (75580) | $3,111.58 | $3,111.58 | 3.5× |
| Neck soft tissue (70360) | $310.64 | $310.64 | 3.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,227.30 | $1,227.30 | 2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $11,304.33 | $11,304.33 | 7.8× |
| Nuclear Rx Oral Admin (79005) | $3,213.70 | $3,213.70 | 13.2× |
| Parathyroid Planar Imaging (78070) | $1,152.96 | $1,152.96 | 2.8× |
| Pelvis 1 or 2 views (72170) | $760.90 | $760.90 | 7.0× |
| Peritoneogram Rs&I (74190) | $4,311.57 | $4,311.57 | 7.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,116.63 | $1,116.63 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $312.58 | $312.58 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,643.33 | $1,643.33 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $859.12 | $859.12 | 9.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $514.18 | $514.18 | 5.7× |
| Radex elbow complete minimum 3 views (73080) | $752.55 | $752.55 | 8.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,015.15 | $1,015.15 | 9.3× |
| Radex fingr minimum 2 views (73140) | $495.33 | $495.33 | 5.5× |
| Radex foot complete minimum 3 views (73630) | $708.07 | $708.07 | 7.8× |
| Radex Hand Minimum 3 Views (73130) | $747.94 | $747.94 | 8.2× |
| Radex lower extremity infant minimum 2 views (73592) | $533.01 | $533.01 | 5.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $930.40 | $930.40 | 10.2× |
| Radex Ribs Unilateral 2 Views (71100) | $393.61 | $393.61 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) | $711.93 | $711.93 | 7.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $825.23 | $825.23 | 9.1× |
| Radex Spine 1 View Specify Level (72020) | $728.87 | $728.87 | 8.0× |
| Radex Sternum Minimum 2 Views (71120) | $862.62 | $862.62 | 9.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $413.10 | $413.10 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $493.44 | $493.44 | 5.4× |
| Radex upper extremity infant minimum 2 views (73092) | $354.09 | $354.09 | 3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $633.40 | $633.40 | 7.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,124.76 | $1,124.76 | 10.3× |
| Radiation treatment delivery level 1 (77402) | $678.87 | $678.87 | 6.4× |
| Radiation treatment delivery level 2 (77407) | $906.20 | $906.20 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $843.76 | $843.76 | 7.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $312.58 | $312.58 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $704.09 | $704.09 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $659.02 | $659.02 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) | $726.97 | $726.97 | 6.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,041.07 | $2,041.07 | 18.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $665.10 | $665.10 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $1,137.96 | $1,137.96 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $715.05 | $715.05 | 3.9× |
| Radiologic examination femur 1 view (73551) | $418.11 | $418.11 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $418.11 | $418.11 | 4.6× |
| Radiologic examination knee 1/2 views (73560) | $601.44 | $601.44 | 6.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $689.32 | $689.32 | 6.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $612.10 | $612.10 | 6.7× |
| Ribs bilateral 3 views (71110) | $452.03 | $452.03 | 4.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,874 | $2,874 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,594.82 | $3,594.82 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,189.31 | $4,189.31 | 7.4× |
| Scapula (73010) | $762.78 | $762.78 | 7.0× |
| Shoulder 1 view (73020) | $508.53 | $508.53 | 5.6× |
| Shoulder Arthrography (73040) | $1,942.28 | $1,942.28 | 5.3× |
| Skull less than 4 views (70250) | $875.78 | $875.78 | 8.0× |
| Srs Multisource (77371) | $33,978.12 | $33,978.12 | 4.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,708.92 | $1,708.92 | 4.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,142.45 | $1,142.45 | 2.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,197.32 | $1,197.32 | 6.5× |
| Thoracic spine 2 views (72070) | $934.18 | $934.18 | 8.6× |
| Thoracic spine 3 views (72072) | $480.27 | $480.27 | 4.4× |
| Thoracolumbar 2 views (72080) | $841.85 | $841.85 | 9.3× |
| Thyroid Met Imaging Body (78018) | $3,075.45 | $3,075.45 | 5.4× |
| Thyroid Uptake Measurement (78012) | $2,874 | $2,874 | 6.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,337.26 | $1,337.26 | 3.2× |
| Ultrasound Breast Limited (76642) | $531.98 | $531.98 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,106.97 | $1,106.97 | 10.1× |
| Ultrasound, abdomen limited (76705) | $1,201.14 | $1,201.14 | 11.0× |
| Umbilical-artery Doppler (OB) (76820) | $978.05 | $978.05 | 9.0× |
| Upper gi w/o kub (74240) | $1,140.18 | $1,140.18 | 6.2× |
| Urethrocystography retrograde (74450) | $708.45 | $708.45 | 2.8× |
| Us chest (76604) | $569.05 | $569.05 | 5.2× |
| Us complete joint (76881) | $1,106.97 | $1,106.97 | 10.1× |
| Us exam, pelvic, limited (76857) | $1,763.62 | $1,763.62 | 16.2× |
| Us head (76506) | $569.05 | $569.05 | 5.2× |
| Us kidney transplant (76776) | $1,106.97 | $1,106.97 | 10.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $489.35 | $489.35 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $635.80 | $635.80 | 5.8× |
| Us ob transvaginal (76817) | $667.31 | $667.31 | 6.1× |
| Us pelvic non ob complete (76856) | $1,418 | $1,418 | 13.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,026.92 | $1,026.92 | 9.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,106.97 | $1,106.97 | 10.1× |
| Us retroperitoneal complete (76770) | $1,106.97 | $1,106.97 | 10.1× |
| Us retroperitoneal limited (76775) | $863.77 | $863.77 | 7.9× |
| Us scrotum and contents (76870) | $891.59 | $891.59 | 8.2× |
| Us spinal canal and contents (76800) | $654.34 | $654.34 | 6.0× |
| Us thyroid (76536) | $1,060.28 | $1,060.28 | 9.7× |
| Us transrectal (76872) | $1,452.09 | $1,452.09 | 13.3× |
| Vein X-Ray Chest (75827) | $9,436.88 | $9,436.88 | 5.7× |
| Venography caval inferior serialography rs&i (75825) | $13,594.52 | $13,594.52 | 4.1× |
| Venography extremity bilateral rs&i (75822) | $9,436.88 | $9,436.88 | 5.7× |
| Venography extremity unilateral rs&i (75820) | $4,178.25 | $4,178.25 | 2.5× |
| Venography Renal Unilateral (75831) | $19,530.65 | $19,530.65 | 5.9× |
| Wrist 2 views (73100) | $604.57 | $604.57 | 6.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $825.23 | $825.23 | 9.1× |
| X-ray antegrade pyelogram tube (74425) | $2,605.25 | $2,605.25 | 7.2× |
| X-Ray Aorta Leg Arteries (75630) | $12,587.52 | $12,587.52 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) | $363.53 | $363.53 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $676.17 | $676.17 | 7.4× |
| X-Ray Exam Breast Specimen (76098) | $2,659.68 | $2,659.68 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $418.11 | $418.11 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $418.11 | $418.11 | 4.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $691.20 | $691.20 | 6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $360.94 | $360.94 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Exam L-S Spine Bending (72114) | $702.51 | $702.51 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $760.90 | $760.90 | 8.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,105.55 | $1,105.55 | 10.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $981.25 | $981.25 | 9.0× |
| X-ray eye for foreign body (70030) | $717.59 | $717.59 | 7.9× |
| X-ray humerus (73060) | $749.58 | $749.58 | 8.2× |
| X-ray IV pyelogram (ivp) (74400) | $1,197.32 | $1,197.32 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $553.07 | $553.07 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $825.23 | $825.23 | 9.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $760.90 | $760.90 | 7.0× |
| X-ray nose-rectum child f.b. (76010) | $257.10 | $257.10 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,075.42 | $1,075.42 | 9.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $425.18 | $425.18 | 3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $913.43 | $913.43 | 10.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $825.23 | $825.23 | 9.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,124.76 | $1,124.76 | 10.3× |
| X-ray thoracic spine 4 vw (72074) | $1,124.76 | $1,124.76 | 10.3× |
| X-Ray Tmj Unilat (70328) | $317.88 | $317.88 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $689.32 | $689.32 | 6.3× |
| Xr c-spine 4 or 5 views (72050) | $1,124.76 | $1,124.76 | 10.3× |
| Xr facial bones less than 3 views (70140) | $357.95 | $357.95 | 3.9× |
| Xr orbits complete 4 views (70200) | $969.96 | $969.96 | 8.9× |