Imaging prices at AdventHealth Orlando
Orlando, FL · every code in this section with a posted price and a Medicare benchmark.
452 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) | $17,569 | $17,569 | 12.2× |
| Abdomen 1 View (74018) | $887 | $887 | 9.8× |
| Abdomen 2 views (74019) | $1,091 | $1,091 | 10.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,032 | $4,032 | 9.7× |
| Angio internal mammary (75756) | $4,072 | $4,072 | 1.2× |
| Angio pulmonary bilat (75743) | $7,269 | $7,269 | 2.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,772 | $6,772 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $8,444 | $8,444 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $3,020 | $3,020 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,093 | $5,093 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,516 | $6,516 | 2.0× |
| Ankle 2 views (73600) | $745 | $745 | 8.2× |
| Aortography thoracic serialography rs&i (75605) | $7,807 | $7,807 | 1.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,944 | $4,944 | 1.5× |
| Artery X-Rays Abdomen (75726) | $7,353 | $7,353 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $5,260 | $5,260 | 1.6× |
| Artery X-Rays Pelvis (75736) | $7,231 | $7,231 | 1.2× |
| Artery X-Rays Spine (75705) | $3,965 | $3,965 | 0.7× |
| Arthrogram ankle (73615) | $2,615 | $2,615 | 7.2× |
| Arthrogram hip (73525) | $2,252 | $2,252 | 6.2× |
| Arthrogram Wrist (73115) | $1,411 | $1,411 | 3.9× |
| Basic radiation dosimetry calculation (77300) | $1,717 | $1,717 | 12.2× |
| Bone age studies (77072) | $659 | $659 | 6.0× |
| Bone Imaging 3 Phase (78315) | $4,646 | $4,646 | 11.1× |
| Bone Imaging Limited Area (78300) | $3,367 | $3,367 | 8.1× |
| Bone Imaging Multiple Areas (78305) | $3,880 | $3,880 | 9.3× |
| Bone Imaging Whole Body (78306) | $4,169 | $4,169 | 10.0× |
| Bone marrow imaging limited area (78102) | $3,132 | $3,132 | 7.5× |
| Bone survey infant (77076) | $871 | $871 | 8.0× |
| Brachytx isodose complex (77318) | $9,331 | $9,331 | 23.9× |
| Brachytx isodose intermed (77317) | $6,750 | $6,750 | 17.3× |
| Brachytx Isodose Plan Simple (77316) | $4,288 | $4,288 | 11.0× |
| Brain Image W/Flow < 4 Views (78601) | $3,282 | $3,282 | 7.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,261 | $4,261 | 7.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,951 | $6,951 | 4.7× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $5,548 | $5,548 | 9.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$5,653–$9,244 | $5,653–$9,244 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$5,654–$9,246 | $5,654–$9,246 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,511–$2,470 | $1,511–$2,470 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,868 | $3,868 | 6.8× |
| Cerebrospinal Fluid Scan (78630) | $5,498 | $5,498 | 9.7× |
| Chest 1 view (71045) | $777 | $777 | 8.5× |
| Chest 2 views (71046) | $777 | $777 | 8.5× |
| Chest 3 views (71047) | $777 | $777 | 8.5× |
| Chest 4 or more views (71048) | $957 | $957 | 8.8× |
| Cholecystography Oral Contrast (74290) | $1,506 | $1,506 | 8.2× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$971–$1,591 | $971–$1,591 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $14,343 | $14,343 | 17.5× |
| Clavicle complete (73000) | $724 | $724 | 8.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $986 | $986 | 9.0× |
| Continuing medical physics consltj pr wk (77336) | $1,646 | $1,646 | 11.7× |
| Contrast Exam Abdominl Aorta (75625) | $7,103 | $7,103 | 2.2× |
| Contrast X-Ray Bladder (74430) | $1,061 | $1,061 | 2.9× |
| Contrast X-Ray Of Elbow (73085) | $1,177 | $1,177 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $3,260 | $3,260 | 8.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,175 | $1,175 | 6.4× |
| Corpora cavernosography (74445) | $2,183 | $2,183 | 20.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$12,210–$19,992 | $12,210–$19,992 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$6,040–$9,883 | $6,040–$9,883 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$5,895–$9,645 | $5,895–$9,645 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$6,833–$11,182 | $6,833–$11,182 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,875–$6,338 | $3,875–$6,338 | varies |
| CT Angio Abdomen and Pelvis (74174) | $14,948 | $14,948 | 41.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$7,938–$12,992 | $7,938–$12,992 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$7,865–$12,878 | $7,865–$12,878 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$8,487–$13,896 | $8,487–$13,896 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$6,114–$10,012 | $6,114–$10,012 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$9,696–$14,906 | $9,696–$14,906 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$6,114–$10,012 | $6,114–$10,012 | varies |
| CT bone density (77078) | $1,621 | $1,621 | 17.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$4,292–$7,026 | $4,292–$7,026 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,993–$6,549 | $3,993–$6,549 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$4,337–$7,090 | $4,337–$7,090 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$5,761–$9,433 | $5,761–$9,433 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$6,180–$10,113 | $6,180–$10,113 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$2,686–$4,401 | $2,686–$4,401 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$9,028–$14,781 | $9,028–$14,781 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$5,342–$8,746 | $5,342–$8,746 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$4,433–$7,819 | $4,433–$7,819 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$5,567–$9,109 | $5,567–$9,109 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$5,507–$9,014 | $5,507–$9,014 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$6,609–$10,817 | $6,609–$10,817 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$6,436–$10,538 | $6,436–$10,538 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$4,805–$7,865 | $4,805–$7,865 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$4,337–$7,090 | $4,337–$7,090 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,319–$3,798 | $2,319–$3,798 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,227–$5,290 | $3,227–$5,290 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$4,287–$7,026 | $4,287–$7,026 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,993–$6,540 | $3,993–$6,540 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$4,321–$7,567 | $4,321–$7,567 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,538–$4,908 | $2,538–$4,908 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$6,911–$9,740 | $6,911–$9,740 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,947–$9,729 | $5,947–$9,729 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,656–$7,621 | $4,656–$7,621 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$6,161–$10,086 | $6,161–$10,086 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,638–$5,960 | $3,638–$5,960 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,899–$6,378 | $3,899–$6,378 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,728–$7,729 | $4,728–$7,729 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$6,911–$9,740 | $6,911–$9,740 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$4,096–$5,772 | $4,096–$5,772 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$4,292–$7,022 | $4,292–$7,022 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,993–$6,540 | $3,993–$6,540 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$4,337–$7,090 | $4,337–$7,090 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,646–$5,965 | $3,646–$5,965 | varies |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$8,971–$9,309 | $8,971–$9,309 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,319–$3,798 | $2,319–$3,798 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,899–$6,378 | $3,899–$6,378 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,145–$5,146 | $3,145–$5,146 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $10,211 | $10,211 | 55.7× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$10,211–$16,714 | $10,211–$16,714 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$8,495–$13,899 | $8,495–$13,899 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $4,613 | $4,613 | 18.5× |
| Dilation ureters/urethra rs&i (74485) | $2,311 | $2,311 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $12,758 | $12,758 | 6.3× |
| Diskography lumbar (72295) | $2,024 | $2,024 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,150 | $1,150 | 10.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,532 | $1,532 | 14.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $2,183 | $2,183 | 20.0× |
| Dxa Bone Density Axial (77080) | $1,749 | $1,749 | 16.0× |
| Dxa bone density study (77085) | $3,419 | $3,419 | 31.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $868 | $868 | 9.6× |
| Echo exam of fetal heart (76825) | $4,785 | $4,785 | 8.4× |
| Echo exam uterus (76831) | $1,460 | $1,460 | 5.9× |
| Echo Guide For Artery Repair (76936) | $5,305 | $5,305 | 23.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,339 | $1,339 | 5.4× |
| Echograp Trans R Pros Study (76873) | $2,033 | $2,033 | 18.6× |
| Esophageal Motility Study (78258) | $2,778 | $2,778 | 6.7× |
| Esophagram (74220) | $1,175 | $1,175 | 6.4× |
| Fetal Biophys Profile W/Nst (76818) | $2,183 | $2,183 | 20.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $952 | $952 | 8.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $5,464 | $5,464 | 21.9× |
| Fluoroscopy up to 1 hr (76000) | $1,097 | $1,097 | 4.4× |
| Follow-Up Angiography (75898) | $1,184 | $1,184 | 0.4× |
| Foot 2 views (73620) | $712 | $712 | 7.8× |
| Forearm 2 views (73090) | $696 | $696 | 7.7× |
| Gastric emptying imaging study (78264) | $4,505 | $4,505 | 10.8× |
| Gastroesophageal Reflux Exam (78262) | $4,160 | $4,160 | 10.0× |
| Gated Heart Planar Single (78472) | $4,274 | $4,274 | 10.2× |
| Gated Heart, Multiple (78473) | $4,274 | $4,274 | 10.2× |
| Hand 2 views (73120) | $622 | $622 | 5.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $18,484 | $18,484 | 25.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $16,988 | $16,988 | 23.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $13,472 | $13,472 | 18.5× |
| Heart first pass single,planar (78481) | $5,548 | $5,548 | 9.8× |
| Heart Image (Pet) Multiple (78492) | $6,951 | $6,951 | 4.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,815 | $10,815 | 3.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,815 | $10,815 | 3.3× |
| Hepatobil Syst Image W/Drug (78227) | $4,327 | $4,327 | 7.6× |
| Hepatobiliary System Imaging (78226) | $3,212 | $3,212 | 7.7× |
| Ht Musc Image Planar Mult (78454) | $6,238 | $6,238 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $6,238 | $6,238 | 4.6× |
| Hysterosalpingogram (74740) | $852 | $852 | 3.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,014 | $1,014 | 11.2× |
| Infant hip ultrasound, limited static exam (76886) | $656 | $656 | 7.2× |
| Infusion Ivp (74410) | $2,082 | $2,082 | 11.4× |
| Interstitial radiation source applic complex (77778) | $12,930 | $12,930 | 17.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $38,442 | $38,442 | 52.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $33,921 | $33,921 | 58.8× |
| Intracavitary radiation source applic simple (77761) | $29,398 | $29,398 | 50.9× |
| Intraop radiaj tx deliver xray single tx session (77424) | $16,497 | $16,497 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $4,818 | $4,818 | 8.5× |
| K Flow/Funct Image W/Drug (78708) | $4,818 | $4,818 | 8.5× |
| K Flow/Funct Image W/O Drug (78707) | $4,818 | $4,818 | 8.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,687 | $1,687 | 4.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $7,557 | $7,557 | 18.1× |
| Knee 3 Views (73562) | $769 | $769 | 8.5× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,294 | $2,294 | 5.5× |
| Leveen/Shunt Patency Exam (78291) | $2,694 | $2,694 | 6.5× |
| Liver & Spleen Imaging Static Only (78215) | $3,875 | $3,875 | 9.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $7,557 | $7,557 | 18.1× |
| Liver imaging w/vascular flow (78202) | $9,811 | $9,811 | 17.3× |
| Lung Perf&Ventilat Diferentl (78598) | $6,638 | $6,638 | 11.7× |
| Lung perfusion differential (78597) | $3,317 | $3,317 | 7.9× |
| Lung Ventilat&Perfus Imaging (78582) | $7,061 | $7,061 | 12.5× |
| Lung Ventilation Imaging (78579) | $3,530 | $3,530 | 8.5× |
| Lymph System Imaging (78195) | $4,212 | $4,212 | 7.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $6,362 | $6,362 | 3.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $4,106 | $4,106 | 6.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $19,837 | $19,837 | 6.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $21,142 | $21,142 | 6.4× |
| Magnetic Image Jaw Joint (70336) | $4,888 | $4,888 | 19.6× |
| Magnetic Resonance Elastography (76391) | $6,957 | $6,957 | 27.9× |
| Mammary ductogram or galactogram multiple (77054) | $1,658 | $1,658 | 6.7× |
| Mammary ductogram or galactogram single (77053) | $1,041 | $1,041 | 4.2× |
| Meckels Divert Exam (78290) | $4,010 | $4,010 | 9.6× |
| Mlc imrt design & construction per imrt plan (77338) | $11,887 | $11,887 | 30.4× |
| Mr safety determination physician/other qhp (76016) | $352 | $352 | 3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $98 | $98 | 3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $367 | $367 | 3.7× |
| Mr safety implt pos&/immoblj (76019) | $238 | $238 | 3.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $967 | $967 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,729–$7,737 | $4,729–$7,737 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,932–$4,801 | $2,932–$4,801 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,638–$5,960 | $3,638–$5,960 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,638–$5,960 | $3,638–$5,960 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,729–$7,737 | $4,729–$7,737 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,932–$4,801 | $2,932–$4,801 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$4,967–$8,134 | $4,967–$8,134 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,684–$7,659 | $4,684–$7,659 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$6,385–$10,411 | $6,385–$10,411 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$8,405–$13,552 | $8,405–$13,552 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$6,155–$10,064 | $6,155–$10,064 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$5,440–$8,906 | $5,440–$8,906 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$5,440–$8,906 | $5,440–$8,906 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,857 | $3,857 | 15.5× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$4,119–$6,610 | $4,119–$6,610 | varies |
| MRI cardiac w/o cont stress (75559) | $9,687 | $9,687 | 17.0× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$4,412–$7,221 | $4,412–$7,221 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$6,740–$11,028 | $6,740–$11,028 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,898–$9,646 | $5,898–$9,646 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,099–$6,714 | $4,099–$6,714 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$4,436–$7,262 | $4,436–$7,262 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$4,777–$7,813 | $4,777–$7,813 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$9,666–$15,006 | $9,666–$15,006 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$9,666–$15,006 | $9,666–$15,006 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$6,126–$9,511 | $6,126–$9,511 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$9,757–$13,509 | $9,757–$13,509 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$7,582–$12,401 | $7,582–$12,401 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$5,874–$9,527 | $5,874–$9,527 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$6,264–$10,020 | $6,264–$10,020 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$6,372–$10,420 | $6,372–$10,420 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$6,912–$10,500 | $6,912–$10,500 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$6,912–$10,500 | $6,912–$10,500 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$4,381–$6,655 | $4,381–$6,655 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$3,271–$5,354 | $3,271–$5,354 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,831–$8,096 | $5,831–$8,096 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$8,808–$13,562 | $8,808–$13,562 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$5,584–$8,596 | $5,584–$8,596 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$8,808–$13,562 | $8,808–$13,562 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$5,260–$8,611 | $5,260–$8,611 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$9,200–$12,774 | $9,200–$12,774 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$9,200–$12,774 | $9,200–$12,774 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$5,445–$8,906 | $5,445–$8,906 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$7,989–$13,081 | $7,989–$13,081 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$9,757–$13,509 | $9,757–$13,509 | varies |
| Myelogram cervical (72240) | $14,343 | $14,343 | 17.5× |
| Myelogram Lumbar (72265) | $14,343 | $14,343 | 17.5× |
| Myelography thoracic (72255) | $14,343 | $14,343 | 17.5× |
| Myelograpy 2/more regions rs&i (72270) | $14,343 | $14,343 | 17.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,041 | $3,041 | 7.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,951 | $6,951 | 5.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,238 | $6,238 | 4.6× |
| Myocardial Spect Multiple Studies (78452) | $6,238 | $6,238 | 4.6× |
| N-invas est c ffr sw aly CTA (75580) | $7,699 | $7,699 | 8.6× |
| Neck soft tissue (70360) | $708 | $708 | 7.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,900 | $1,900 | 4.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,326 | $1,326 | 3.2× |
| Nm csf leak detection (78650) | $4,656 | $4,656 | 3.4× |
| Nm myocard infarct spect (78469) | $3,973 | $3,973 | 7.0× |
| Nonvascular Shunt X-Ray (75809) | $2,183 | $2,183 | 20.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $33,520 | $33,520 | 23.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,128 | $1,128 | 4.6× |
| Nuclear Rx Oral Admin (79005) | $2,390 | $2,390 | 9.8× |
| Ob us nuchal meas 1 gest (76813) | $517 | $517 | 4.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $736 | $736 | 6.7× |
| Panoramic X-ray of jaws (70355) | $1,147 | $1,147 | 12.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,047 | $3,047 | 5.4× |
| Parathyroid Planar Imaging (78070) | $2,347 | $2,347 | 5.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,347 | $2,347 | 5.6× |
| Pelvis 1 or 2 views (72170) | $730 | $730 | 6.7× |
| Perineogram (74775) | $1,873 | $1,873 | 7.5× |
| Peritoneogram Rs&I (74190) | $9,687 | $9,687 | 17.0× |
| Pet Image Skull-Thigh (78812) | $7,135 | $7,135 | 4.8× |
| Pet Image W/Ct Lmtd (78814) | $6,951 | $6,951 | 4.7× |
| PET image w/CT, full body (78816) | $7,330 | $7,330 | 4.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,135 | $7,135 | 4.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $6,951 | $6,951 | 5.1× |
| Pet Myocardial Sngl Study (78491) | $6,951 | $6,951 | 4.7× |
| PET whole body (78813) | $7,330 | $7,330 | 4.9× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $8,343 | $8,343 | 6.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,198 | $9,198 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,195 | $4,195 | 10.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,091 | $1,091 | 10.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,118 | $1,118 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $935 | $935 | 10.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $712 | $712 | 7.8× |
| Radex elbow complete minimum 3 views (73080) | $752 | $752 | 8.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,368 | $1,368 | 12.5× |
| Radex fingr minimum 2 views (73140) | $469 | $469 | 5.2× |
| Radex foot complete minimum 3 views (73630) | $743 | $743 | 8.2× |
| Radex Hand Minimum 3 Views (73130) | $751 | $751 | 8.3× |
| Radex lower extremity infant minimum 2 views (73592) | $743 | $743 | 8.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,257 | $1,257 | 11.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $838 | $838 | 9.2× |
| Radex Ribs Unilateral 2 Views (71100) | $842 | $842 | 9.3× |
| Radex shoulder complete minimum 2 views (73030) | $792 | $792 | 8.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $693 | $693 | 7.6× |
| Radex Spine 1 View Specify Level (72020) | $555 | $555 | 6.1× |
| Radex Sternum Minimum 2 Views (71120) | $865 | $865 | 9.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,436 | $1,436 | 15.8× |
| Radex Toe Minimum 2 Views (73660) | $469 | $469 | 5.2× |
| Radex upper extremity infant minimum 2 views (73092) | $723 | $723 | 6.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $730 | $730 | 8.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $923 | $923 | 8.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $35,795 | $35,795 | 4.7× |
| Radiation treatment delivery level 1 (77402) | $1,345 | $1,345 | 12.6× |
| Radiation treatment delivery level 2 (77407) | $1,601 | $1,601 | 4.0× |
| Radiation treatment delivery level 3 (77412) | $2,217 | $2,217 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,147 | $1,147 | 10.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,091 | $1,091 | 10.0× |
| Radiologic exam colon double contrast study (74280) | $2,125 | $2,125 | 11.6× |
| Radiologic exam colon single contrast study (74270) | $1,873 | $1,873 | 10.2× |
| Radiologic exam knee complete 4/more views (73564) | $946 | $946 | 8.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $903 | $903 | 8.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,608 | $1,608 | 8.8× |
| Radiologic exam swallow function contrast study (74230) | $1,783 | $1,783 | 9.7× |
| Radiologic exam teeth complete full mouth (70320) | $399 | $399 | 1.6× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $331 | $331 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,461 | $2,461 | 13.4× |
| Radiologic examination femur 1 view (73551) | $773 | $773 | 8.5× |
| Radiologic examination femur minimum 2 views (73552) | $773 | $773 | 8.5× |
| Radiologic examination knee 1/2 views (73560) | $769 | $769 | 8.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,199 | $1,199 | 11.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $723 | $723 | 8.0× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $3,171 | $3,171 | 5.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $10,187 | $10,187 | 25.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $6,010 | $6,010 | 14.9× |
| Renal Cyst Study (74470) | $962 | $962 | 1.7× |
| Ribs bilateral 3 views (71110) | $1,219 | $1,219 | 11.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,401 | $1,401 | 3.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,401 | $1,401 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,785 | $4,785 | 8.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,785 | $4,785 | 8.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,785 | $4,785 | 8.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,785 | $4,785 | 3.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $12,930 | $12,930 | 53.1× |
| Rp Therapy Intravenous Administration (79101) | $2,447 | $2,447 | 10.0× |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$996–$2,448 | $996–$2,448 | varies |
| Scapula (73010) | $723 | $723 | 6.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $341 | $341 | 14.6× |
| Shoulder 1 view (73020) | $687 | $687 | 7.6× |
| Shoulder Arthrography (73040) | $1,705 | $1,705 | 4.7× |
| Skull less than 4 views (70250) | $1,093 | $1,093 | 10.0× |
| Special dosimetry (77331) | $2,810 | $2,810 | 20.0× |
| Special Physics Consult (77370) | $2,567 | $2,567 | 18.3× |
| Special teletherapy port plan (77321) | $5,339 | $5,339 | 13.7× |
| Special treatment procedure (77470) | $6,334 | $6,334 | 11.0× |
| Speech evaluation, complex (70371) | $1,783 | $1,783 | 7.2× |
| Srs Multisource (77371) | $136,731 | $136,731 | 17.8× |
| Stereotactic Body Radiation Delivery (77373) | $48,664 | $48,664 | 26.1× |
| Sternoclavicular joints (71130) | $878 | $878 | 9.7× |
| Superior sagittal sinus venogram (75870) | $5,445 | $5,445 | 1.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,298 | $1,298 | 12.2× |
| Tbs technical calculation only (77091) | $281 | $281 | 3.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $7,112 | $7,112 | 18.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,773 | $3,773 | 9.6× |
| Testicular Imaging W/Flow (78761) | $2,444 | $2,444 | 5.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $9,167 | $9,167 | 23.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $8,218 | $8,218 | 21.0× |
| Ther rad simulaj-aided field setting simple (77280) | $7,157 | $7,157 | 51.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,331 | $1,331 | 7.3× |
| Thoracic spine 2 views (72070) | $709 | $709 | 6.5× |
| Thoracic spine 3 views (72072) | $849 | $849 | 7.8× |
| Thoracolumbar 2 views (72080) | $585 | $585 | 6.4× |
| Thyroid Imaging With Vascular Flow (78013) | $7,557 | $7,557 | 18.1× |
| Thyroid Met Imaging Body (78018) | $5,291 | $5,291 | 9.3× |
| Thyroid Uptake Measurement (78012) | $3,071 | $3,071 | 7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,907 | $2,907 | 7.0× |
| Tx Devices Design & Construction Complex (77334) | $4,132 | $4,132 | 10.6× |
| Tx devices design & construction intermediate (77333) | $2,350 | $2,350 | 16.7× |
| Tx devices design & construction simple (77332) | $1,533 | $1,533 | 10.9× |
| Ultrasound Breast Limited (76642) | $751 | $751 | 8.3× |
| Ultrasound Elastography Parenchyma (76981) | $710 | $710 | 6.5× |
| Ultrasound Exam Aaa Screen (76706) | $1,663 | $1,663 | 15.2× |
| Ultrasound, abdomen limited (76705) | $1,659 | $1,659 | 15.2× |
| Umbilical-artery Doppler (OB) (76820) | $1,257 | $1,257 | 11.5× |
| Unlisted fluoroscopic procedure (76496) | $1,862 | $1,862 | 20.5× |
| Unlisted magnetic resonance procedure (76498) range across 16 matching MRF lines |
$7,155–$9,605 | $7,155–$9,605 | varies |
| Upper gi w/o kub (74240) | $2,079 | $2,079 | 11.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $2,039 | $2,039 | 184.4× |
| Urea breath test c-14 isotopic analysis (78268) | $2,039 | $2,039 | 21.6× |
| Ureteral Reflux Study (78740) | $3,209 | $3,209 | 7.7× |
| Urethrocystogram voiding (74455) | $1,647 | $1,647 | 6.6× |
| Urethrocystography retrograde (74450) | $1,601 | $1,601 | 6.4× |
| Us breast unilateral complete (76641) | $789 | $789 | 7.2× |
| Us chest (76604) | $959 | $959 | 8.8× |
| Us complete joint (76881) | $2,183 | $2,183 | 20.0× |
| Us exam, pelvic, limited (76857) | $597 | $597 | 5.5× |
| Us head (76506) | $1,267 | $1,267 | 11.6× |
| Us kidney transplant (76776) | $1,827 | $1,827 | 16.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,102 | $1,102 | 10.1× |
| Us ob detailed single fetus (76811) | $1,511 | $1,511 | 6.1× |
| Us ob limited 1 or more fetuses (76815) | $436 | $436 | 4.0× |
| Us ob transvaginal (76817) | $1,199 | $1,199 | 11.0× |
| Us pelvic non ob complete (76856) | $1,880 | $1,880 | 17.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,763 | $1,763 | 16.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,005 | $1,005 | 9.2× |
| Us retroperitoneal complete (76770) | $1,487 | $1,487 | 13.6× |
| Us retroperitoneal limited (76775) | $1,487 | $1,487 | 13.6× |
| Us scrotum and contents (76870) | $1,438 | $1,438 | 13.2× |
| Us spinal canal and contents (76800) | $865 | $865 | 7.9× |
| Us thyroid (76536) | $1,126 | $1,126 | 10.3× |
| Us transrectal (76872) | $2,551 | $2,551 | 23.4× |
| Vascular Flow Imaging (78445) | $3,397 | $3,397 | 8.1× |
| Vein X-Ray Chest (75827) | $8,847 | $8,847 | 5.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,097 | $5,097 | 1.5× |
| Vein X-Ray Skull Epidural (75872) | $4,930 | $4,930 | 7.5× |
| Vein X-Ray Spleen/Liver (75810) | $57,389 | $57,389 | 17.4× |
| Venogram Sinus/Jugular (75860) | $5,445 | $5,445 | 1.7× |
| Venography Adrenal Unilateral (75840) | $33,603 | $33,603 | 10.2× |
| Venography caval inferior serialography rs&i (75825) | $8,780 | $8,780 | 2.7× |
| Venography extremity bilateral rs&i (75822) | $4,155 | $4,155 | 2.5× |
| Venography extremity unilateral rs&i (75820) | $2,713 | $2,713 | 1.7× |
| Venography Orbital Rs&I (75880) | $10,836 | $10,836 | 16.5× |
| Venography Renal Bilateral (75833) | $10,913 | $10,913 | 3.3× |
| Venography Renal Unilateral (75831) | $5,260 | $5,260 | 1.6× |
| Venous sampling by catheter (75893) | $14,801 | $14,801 | 2.5× |
| Vertebral fracture assessment via dxa (77086) | $1,749 | $1,749 | 19.2× |
| Wrist 2 views (73100) | $709 | $709 | 7.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $868 | $868 | 9.6× |
| X-ray antegrade pyelogram tube (74425) | $1,230 | $1,230 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $8,614 | $8,614 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $1,063 | $1,063 | 9.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $689 | $689 | 7.6× |
| X-Ray Exam Breast Specimen (76098) | $486 | $486 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $751 | $751 | 8.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $923 | $923 | 8.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $923 | $923 | 8.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $832 | $832 | 9.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,004 | $1,004 | 11.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,757 | $1,757 | 16.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,184 | $2,184 | 20.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $758 | $758 | 6.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,184 | $2,184 | 20.0× |
| X-Ray Exam L-S Spine Bending (72114) | $1,368 | $1,368 | 12.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $947 | $947 | 10.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,165 | $1,165 | 10.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $992 | $992 | 9.1× |
| X-ray eye for foreign body (70030) | $598 | $598 | 6.6× |
| X-ray humerus (73060) | $723 | $723 | 8.0× |
| X-ray IV pyelogram (ivp) (74400) | $3,774 | $3,774 | 20.6× |
| X-ray IV pyelogram+tomography (74415) | $3,130 | $3,130 | 17.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,134 | $1,134 | 12.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $850 | $850 | 9.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,063 | $1,063 | 9.7× |
| X-ray nose-rectum child f.b. (76010) | $696 | $696 | 7.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,271 | $1,271 | 11.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $911 | $911 | 8.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $536 | $536 | 4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $820 | $820 | 9.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,224 | $1,224 | 13.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,370 | $1,370 | 12.5× |
| X-Ray Stress View (77071) | $1,621 | $1,621 | 17.8× |
| X-ray thoracic spine 4 vw (72074) | $1,368 | $1,368 | 12.5× |
| X-Ray Tmj Unilat (70328) | $1,436 | $1,436 | 15.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,395 | $1,395 | 3.8× |
| X-Rays Bone Length Studies (77073) | $1,400 | $1,400 | 12.8× |
| X-Rays Bone Survey Complete (77075) | $2,891 | $2,891 | 26.5× |
| Xr c-spine 4 or 5 views (72050) | $1,165 | $1,165 | 10.7× |
| Xr facial bones less than 3 views (70140) | $751 | $751 | 8.3× |
| Xr orbits complete 4 views (70200) | $1,351 | $1,351 | 12.4× |
| Xr Tomogram Single Plane (76100) | $1,940 | $1,940 | 17.8× |
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.