Imaging prices at AdventHealth Riverview
Riverview, FL · every code in this section with a posted price and a Medicare benchmark.
378 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) | $11,229.12 | $11,229.12 | 7.8× |
| Abdomen 1 View (74018) | $978.47 | $978.47 | 10.8× |
| Abdomen 2 views (74019) | $1,204.27 | $1,204.27 | 11.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,028.21 | $5,028.21 | 12.0× |
| Angio internal mammary (75756) | $8,333.83 | $8,333.83 | 2.5× |
| Angio pulmonary bilat (75743) | $9,495.69 | $9,495.69 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $9,864.54 | $9,864.54 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $8,333.83 | $8,333.83 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,333.83 | $8,333.83 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,333.83 | $8,333.83 | 2.5× |
| Ankle 2 views (73600) | $1,028.66 | $1,028.66 | 11.3× |
| Aortography thoracic serialography rs&i (75605) | $14,552.47 | $14,552.47 | 2.5× |
| Artery X-Rays Abdomen (75726) | $14,552.47 | $14,552.47 | 2.5× |
| Artery X-Rays Pelvis (75736) | $14,552.47 | $14,552.47 | 2.5× |
| Artery X-Rays Spine (75705) | $46,619.20 | $46,619.20 | 8.0× |
| Arthrogram hip (73525) | $2,698.83 | $2,698.83 | 7.4× |
| Arthrogram Wrist (73115) | $3,425.21 | $3,425.21 | 9.4× |
| Basic radiation dosimetry calculation (77300) | $817.14 | $817.14 | 5.8× |
| Bone age studies (77072) | $773.97 | $773.97 | 7.1× |
| Bone Imaging 3 Phase (78315) | $2,508.89 | $2,508.89 | 6.0× |
| Bone Imaging Limited Area (78300) | $1,530.24 | $1,530.24 | 3.7× |
| Bone Imaging Whole Body (78306) | $2,099.64 | $2,099.64 | 5.0× |
| Bone survey infant (77076) | $1,422.31 | $1,422.31 | 13.0× |
| Brachytx isodose complex (77318) | $1,985.79 | $1,985.79 | 5.1× |
| Brachytx isodose intermed (77317) | $1,614.62 | $1,614.62 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $1,358.39 | $1,358.39 | 3.5× |
| Brain Image W/Flow < 4 Views (78601) | $3,951.75 | $3,951.75 | 9.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,228.74 | $4,228.74 | 7.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $14,593.75 | $14,593.75 | 9.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$2,758.83–$3,707.24 | $2,758.83–$3,707.24 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,308.76 | $7,308.76 | 8.9× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,098.31–$2,572.71 | $1,098.31–$2,572.71 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,429.79 | $1,429.79 | 2.5× |
| Cerebrospinal Fluid Scan (78630) | $4,191.86 | $4,191.86 | 7.4× |
| Chest 1 view (71045) | $865.98 | $865.98 | 9.5× |
| Chest 2 views (71046) | $1,158.09 | $1,158.09 | 12.7× |
| Chest 3 views (71047) | $1,291.86 | $1,291.86 | 14.2× |
| Chest 4 or more views (71048) | $1,344.82 | $1,344.82 | 12.3× |
| Cholecystography Oral Contrast (74290) | $1,646.31 | $1,646.31 | 9.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $1,344.82 | $1,344.82 | 12.3× |
| Cisternography Positive Contrast Rs&I (70015) | $7,308.76 | $7,308.76 | 8.9× |
| Clavicle complete (73000) | $1,063.59 | $1,063.59 | 11.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$109.15–$2,046.32 | $109.15–$2,046.32 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,162.11 | $1,162.11 | 8.3× |
| Contrast Exam Abdominl Aorta (75625) | $8,333.83 | $8,333.83 | 2.5× |
| Contrast X-Ray Bladder (74430) | $1,241.87 | $1,241.87 | 3.4× |
| Contrast X-Ray Of Elbow (73085) | $3,582.22 | $3,582.22 | 9.8× |
| Contrast X-Ray Of Knee Joint (73580) | $3,495.47 | $3,495.47 | 9.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,646.31 | $1,646.31 | 9.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$7,830.51–$15,632.01 | $7,830.51–$15,632.01 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$7,637.46–$13,573.71 | $7,637.46–$13,573.71 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$5,044.94–$6,848.12 | $5,044.94–$6,848.12 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$7,925.34–$8,380.54 | $7,925.34–$8,380.54 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$5,038.87–$6,844.73 | $5,038.87–$6,844.73 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$7,836.47–$14,348.12 | $7,836.47–$14,348.12 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$5,732.12–$9,984.31 | $5,732.12–$9,984.31 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$6,612.13–$10,926.81 | $6,612.13–$10,926.81 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,951.10–$2,372.05 | $1,951.10–$2,372.05 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,264.18–$5,707.05 | $3,264.18–$5,707.05 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$8,284.96–$13,196.26 | $8,284.96–$13,196.26 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,354.25–$6,197.28 | $3,354.25–$6,197.28 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$4,976.46–$10,179.59 | $4,976.46–$10,179.59 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$5,836.41–$8,334.18 | $5,836.41–$8,334.18 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$7,678.03–$10,596.31 | $7,678.03–$10,596.31 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$4,976.46–$7,880.57 | $4,976.46–$7,880.57 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$5,732.12–$8,409.14 | $5,732.12–$8,409.14 | varies |
| CT colonography screening (74263) | $3,401.46 | $3,401.46 | 13.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,477.19 | $1,477.19 | 13.5× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$4,392.80–$8,189.96 | $4,392.80–$8,189.96 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$5,282.41–$9,524.76 | $5,282.41–$9,524.76 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,147.56 | $2,147.56 | 5.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$471.32–$1,150.55 | $471.32–$1,150.55 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,304.04–$1,808.35 | $1,304.04–$1,808.35 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$5,159.92–$8,461.54 | $5,159.92–$8,461.54 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$7,443.75–$10,728.83 | $7,443.75–$10,728.83 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$4,935.45–$6,771.08 | $4,935.45–$6,771.08 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$4,907.23–$7,902.23 | $4,907.23–$7,902.23 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$6,470.79–$8,472.61 | $6,470.79–$8,472.61 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$5,624.96–$7,813.32 | $5,624.96–$7,813.32 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$4,723.01–$8,411.53 | $4,723.01–$8,411.53 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,511.90–$6,904.22 | $3,511.90–$6,904.22 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$5,965.74–$9,292.69 | $5,965.74–$9,292.69 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$7,023.59–$9,665.73 | $7,023.59–$9,665.73 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,602.64–$7,225.50 | $3,602.64–$7,225.50 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$6,400.35–$8,325.53 | $6,400.35–$8,325.53 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$4,357.74–$7,492.98 | $4,357.74–$7,492.98 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$7,122.15–$9,027.48 | $7,122.15–$9,027.48 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,909.65–$9,590.02 | $4,909.65–$9,590.02 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$4,816.38–$8,657.33 | $4,816.38–$8,657.33 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$4,230.95–$7,022.49 | $4,230.95–$7,022.49 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$6,267.05–$8,266.23 | $6,267.05–$8,266.23 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$5,459.36–$7,653.92 | $5,459.36–$7,653.92 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$7,377.49–$8,980.80 | $7,377.49–$8,980.80 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$4,664.68–$7,303.94 | $4,664.68–$7,303.94 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$4,935.45–$6,646.48 | $4,935.45–$6,646.48 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,442.67–$8,831.99 | $3,442.67–$8,831.99 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$4,431.61–$8,338.78 | $4,431.61–$8,338.78 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$9,642.14–$14,101.57 | $9,642.14–$14,101.57 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$7,836.47–$10,680.65 | $7,836.47–$10,680.65 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,912.99–$7,279.87 | $3,912.99–$7,279.87 | varies |
| Diskography lumbar (72295) | $6,598.98 | $6,598.98 | 3.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,344.82 | $1,344.82 | 12.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,736.50 | $1,736.50 | 15.9× |
| Dxa Bone Density Axial (77080) | $1,476.02 | $1,476.02 | 13.5× |
| Dxa bone density study (77085) | $427.91 | $427.91 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $837.72 | $837.72 | 9.2× |
| Echo exam of fetal heart (76825) | $5,928.41 | $5,928.41 | 10.4× |
| Echo Guide For Artery Repair (76936) | $2,194.29 | $2,194.29 | 9.7× |
| Echograp Trans R Pros Study (76873) | $1,344.82 | $1,344.82 | 12.3× |
| Esophagram (74220) | $1,102.75 | $1,102.75 | 6.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,791.80 | $1,791.80 | 16.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,421.84 | $1,421.84 | 13.0× |
| Fluoroscopy up to 1 hr (76000) | $1,525.57 | $1,525.57 | 6.1× |
| Follow-Up Angiography (75898) | $8,333.83 | $8,333.83 | 2.5× |
| Foot 2 views (73620) | $1,031.47 | $1,031.47 | 11.3× |
| Forearm 2 views (73090) | $1,282.89 | $1,282.89 | 14.1× |
| Gastric emptying imaging study (78264) | $4,998.76 | $4,998.76 | 12.0× |
| Gated Heart Planar Single (78472) | $3,654.02 | $3,654.02 | 8.8× |
| Gated Heart, Multiple (78473) | $5,440.42 | $5,440.42 | 13.0× |
| Hand 2 views (73120) | $1,125.12 | $1,125.12 | 10.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,552.89 | $4,552.89 | 6.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,519.18 | $3,519.18 | 4.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,333.83 | $8,333.83 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $4,656.91 | $4,656.91 | 8.2× |
| Hepatobiliary System Imaging (78226) | $1,891.53 | $1,891.53 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $4,819.89 | $4,819.89 | 3.6× |
| Hysterosalpingogram (74740) | $1,742.59 | $1,742.59 | 7.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,580.20 | $1,580.20 | 17.4× |
| Interstitial radiation source applic complex (77778) | $10,491.27 | $10,491.27 | 14.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,409.66 | $4,409.66 | 6.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,666.28 | $3,666.28 | 6.4× |
| Intracavitary radiation source applic simple (77761) | $2,473.39 | $2,473.39 | 4.3× |
| K Flow/Funct Image Multiple (78709) | $1,977.66 | $1,977.66 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $1,755.85 | $1,755.85 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,651.16 | $1,651.16 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,521.22 | $1,521.22 | 3.6× |
| Knee 3 Views (73562) | $1,478.60 | $1,478.60 | 16.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,592.04 | $1,592.04 | 3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,951.75 | $3,951.75 | 9.5× |
| Liver imaging static only (78201) | $4,228.74 | $4,228.74 | 7.5× |
| Liver imaging w/vascular flow (78202) | $4,228.74 | $4,228.74 | 7.5× |
| Lung Perf&Ventilat Diferentl (78598) | $4,661.02 | $4,661.02 | 8.2× |
| Lung perfusion differential (78597) | $3,951.75 | $3,951.75 | 9.5× |
| Lung Ventilat&Perfus Imaging (78582) | $3,878.56 | $3,878.56 | 6.8× |
| Lung Ventilation Imaging (78579) | $3,951.75 | $3,951.75 | 9.5× |
| Lymph System Imaging (78195) | $6,360.96 | $6,360.96 | 11.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,232.73–$2,586.58 | $2,232.73–$2,586.58 | varies |
| Magnetic Resonance Elastography (76391) | $812.98 | $812.98 | 3.3× |
| Meckels Divert Exam (78290) | $1,916.52 | $1,916.52 | 4.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,226.75 | $1,226.75 | 3.1× |
| 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/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,812.75–$7,760.17 | $4,812.75–$7,760.17 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,868.35–$5,763.15 | $3,868.35–$5,763.15 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$4,534.26–$7,318.03 | $4,534.26–$7,318.03 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$4,926.41–$7,421.40 | $4,926.41–$7,421.40 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,099.79–$7,738.49 | $3,099.79–$7,738.49 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$3,184.24–$4,417.07 | $3,184.24–$4,417.07 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$4,709.33–$6,371.24 | $4,709.33–$6,371.24 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,603.60–$5,638.72 | $4,603.60–$5,638.72 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$5,080.54–$7,308.76 | $5,080.54–$7,308.76 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,215.52–$8,040.57 | $4,215.52–$8,040.57 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,458.76–$5,896.42 | $3,458.76–$5,896.42 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$4,962.91–$5,222.75 | $4,962.91–$5,222.75 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,928.17 | $1,928.17 | 7.7× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,653.83–$3,602.24 | $2,653.83–$3,602.24 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,398.35–$6,554.38 | $3,398.35–$6,554.38 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,343.22–$5,392.26 | $3,343.22–$5,392.26 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,712.93–$2,833.35 | $2,712.93–$2,833.35 | varies |
| MRI chest with contrast (71551) | $3,171.89 | $3,171.89 | 3.9× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,687.86–$7,513.52 | $3,687.86–$7,513.52 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,492.68–$6,164.45 | $1,492.68–$6,164.45 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,451.45–$6,387.80 | $4,451.45–$6,387.80 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$4,144.41–$5,685.15 | $4,144.41–$5,685.15 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$4,476.37–$6,783.32 | $4,476.37–$6,783.32 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,342.78–$8,293.32 | $3,342.78–$8,293.32 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,561.88–$4,946.43 | $2,561.88–$4,946.43 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,816.12–$5,940.95 | $2,816.12–$5,940.95 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,106.27–$7,877.64 | $4,106.27–$7,877.64 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$4,251.14–$6,098.47 | $4,251.14–$6,098.47 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$5,509.19–$7,761.69 | $5,509.19–$7,761.69 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$4,251.14–$5,191.26 | $4,251.14–$5,191.26 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$4,112.77–$6,477.52 | $4,112.77–$6,477.52 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$4,193.47–$5,992.06 | $4,193.47–$5,992.06 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$4,492.03–$5,673.90 | $4,492.03–$5,673.90 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,926.70–$4,753.13 | $2,926.70–$4,753.13 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,522.71–$7,515.42 | $3,522.71–$7,515.42 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$6,542.13–$7,626.60 | $6,542.13–$7,626.60 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,117.64–$8,270.26 | $7,117.64–$8,270.26 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$4,600.63–$6,617.86 | $4,600.63–$6,617.86 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,342.78–$5,637.30 | $3,342.78–$5,637.30 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,647.37–$7,607.01 | $4,647.37–$7,607.01 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$6,982.69–$8,443.80 | $6,982.69–$8,443.80 | varies |
| Myelogram cervical (72240) | $4,806.90 | $4,806.90 | 5.9× |
| Myelogram Lumbar (72265) | $4,974.35 | $4,974.35 | 6.1× |
| Myelography thoracic (72255) | $3,261.15 | $3,261.15 | 4.0× |
| Myelograpy 2/more regions rs&i (72270) | $3,442.91 | $3,442.91 | 4.2× |
| Myocardial Spect Multiple Studies (78452) | $11,728.14 | $11,728.14 | 8.7× |
| N-invas est c ffr sw aly CTA (75580) | $3,570.67 | $3,570.67 | 4.0× |
| Neck soft tissue (70360) | $716.34 | $716.34 | 7.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,156.93 | $1,156.93 | 2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,618.24 | $16,618.24 | 11.5× |
| Nuclear Rx Intra-Arterial (79445) | $997.17 | $997.17 | 4.1× |
| Nuclear Rx Oral Admin (79005) | $3,213.70 | $3,213.70 | 13.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,344.82 | $1,344.82 | 12.3× |
| Panoramic X-ray of jaws (70355) | $783.49 | $783.49 | 8.6× |
| Parathyroid Planar Imaging (78070) | $1,184.56 | $1,184.56 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,760.83 | $1,760.83 | 4.2× |
| Pelvis 1 or 2 views (72170) | $1,280.97 | $1,280.97 | 11.7× |
| Perineogram (74775) | $2,833.35 | $2,833.35 | 11.4× |
| Peritoneogram Rs&I (74190) | $5,928.41 | $5,928.41 | 10.4× |
| Pet Image W/Ct Lmtd (78814) | $14,593.75 | $14,593.75 | 9.8× |
| PET image w/CT, full body (78816) | $26,801.92 | $26,801.92 | 17.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $24,121.72 | $24,121.72 | 16.2× |
| PET whole body (78813) | $20,101.44 | $20,101.44 | 13.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $26,854.65 | $26,854.65 | 8.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,083.23 | $3,083.23 | 7.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,693.50 | $1,693.50 | 15.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,837.79 | $1,837.79 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,669.55 | $1,669.55 | 18.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $962.28 | $962.28 | 10.6× |
| Radex elbow complete minimum 3 views (73080) | $1,259.62 | $1,259.62 | 13.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,646.40 | $2,646.40 | 24.2× |
| Radex fingr minimum 2 views (73140) | $955.54 | $955.54 | 10.5× |
| Radex foot complete minimum 3 views (73630) | $1,139.24 | $1,139.24 | 12.5× |
| Radex Hand Minimum 3 Views (73130) | $1,231.66 | $1,231.66 | 13.6× |
| Radex lower extremity infant minimum 2 views (73592) | $1,026 | $1,026 | 11.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,341.54 | $1,341.54 | 14.8× |
| Radex Ribs Unilateral 2 Views (71100) | $1,044.77 | $1,044.77 | 11.5× |
| Radex shoulder complete minimum 2 views (73030) | $1,868.10 | $1,868.10 | 20.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,056.67 | $1,056.67 | 11.6× |
| Radex Spine 1 View Specify Level (72020) | $1,134.39 | $1,134.39 | 12.5× |
| Radex Sternum Minimum 2 Views (71120) | $1,580.12 | $1,580.12 | 17.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,096.69 | $1,096.69 | 12.1× |
| Radex Toe Minimum 2 Views (73660) | $888.16 | $888.16 | 9.8× |
| Radex upper extremity infant minimum 2 views (73092) | $837.89 | $837.89 | 7.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,597.04 | $1,597.04 | 17.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,139.90 | $3,139.90 | 28.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $28,702.20 | $28,702.20 | 3.7× |
| Radiation treatment delivery level 1 (77402) | $703.14 | $703.14 | 6.6× |
| Radiation treatment delivery level 2 (77407) | $938.60 | $938.60 | 2.3× |
| Radiation treatment delivery level 3 (77412) | $1,516.22 | $1,516.22 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,445.26 | $2,445.26 | 22.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,430.07 | $1,430.07 | 13.1× |
| Radiologic exam colon double contrast study (74280) | $2,258.21 | $2,258.21 | 12.3× |
| Radiologic exam colon single contrast study (74270) | $1,594.07 | $1,594.07 | 8.7× |
| Radiologic exam knee complete 4/more views (73564) | $1,739.51 | $1,739.51 | 15.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,967.61 | $1,967.61 | 18.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,903.56 | $1,903.56 | 10.4× |
| Radiologic exam swallow function contrast study (74230) | $1,139.09 | $1,139.09 | 6.2× |
| Radiologic exam teeth complete full mouth (70320) | $1,047.21 | $1,047.21 | 4.2× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $812.98 | $812.98 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,057.13 | $2,057.13 | 11.2× |
| Radiologic examination femur 1 view (73551) | $954.28 | $954.28 | 10.5× |
| Radiologic examination femur minimum 2 views (73552) | $1,433.45 | $1,433.45 | 15.8× |
| Radiologic examination knee 1/2 views (73560) | $1,233.39 | $1,233.39 | 13.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $581.73 | $581.73 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,418.45 | $1,418.45 | 15.6× |
| Ribs bilateral 3 views (71110) | $1,468.50 | $1,468.50 | 13.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,047.30 | $2,047.30 | 4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,249.78 | $2,249.78 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,104.69 | $3,104.69 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,887.12 | $2,887.12 | 5.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,329.67 | $3,329.67 | 5.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,454.56 | $4,454.56 | 3.3× |
| Rp Therapy Intravenous Administration (79101) | $2,443.15 | $2,443.15 | 10.0× |
| Scapula (73010) | $923.52 | $923.52 | 8.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $218.99 | $218.99 | 9.4× |
| Shoulder 1 view (73020) | $566.11 | $566.11 | 6.2× |
| Shoulder Arthrography (73040) | $1,337.76 | $1,337.76 | 3.7× |
| Skull less than 4 views (70250) | $2,046.21 | $2,046.21 | 18.7× |
| Special dosimetry (77331) | $942.28 | $942.28 | 6.7× |
| Special Physics Consult (77370) | $1,661.78 | $1,661.78 | 11.8× |
| Special teletherapy port plan (77321) | $1,624.09 | $1,624.09 | 4.2× |
| Special treatment procedure (77470) | $3,449 | $3,449 | 6.0× |
| Srs Multisource (77371) | $35,192.81 | $35,192.81 | 4.6× |
| Stereotactic Body Radiation Delivery (77373) | $10,119.58 | $10,119.58 | 5.4× |
| Superior sagittal sinus venogram (75870) | $26,854.65 | $26,854.65 | 8.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $728.14 | $728.14 | 6.8× |
| Tbs technical calculation only (77091) | $299 | $299 | 3.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,770.01 | $1,770.01 | 4.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,226.75 | $1,226.75 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,131.28 | $2,131.28 | 5.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,068.79 | $1,068.79 | 7.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,646.31 | $1,646.31 | 9.0× |
| Thoracic spine 2 views (72070) | $1,187.03 | $1,187.03 | 10.9× |
| Thoracic spine 3 views (72072) | $2,117.56 | $2,117.56 | 19.4× |
| Thoracolumbar 2 views (72080) | $1,631.43 | $1,631.43 | 18.0× |
| Thyroid Imaging With Vascular Flow (78013) | $3,951.75 | $3,951.75 | 9.5× |
| Thyroid Met Imaging Body (78018) | $3,425.59 | $3,425.59 | 6.0× |
| Thyroid Uptake Measurement (78012) | $4,194.99 | $4,194.99 | 10.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,186.03 | $1,186.03 | 2.8× |
| Tx Devices Design & Construction Complex (77334) | $3,681.61 | $3,681.61 | 9.4× |
| Tx devices design & construction intermediate (77333) | $1,022.18 | $1,022.18 | 7.3× |
| Tx devices design & construction simple (77332) | $711.32 | $711.32 | 5.1× |
| Ultrasound Breast Limited (76642) | $1,553.45 | $1,553.45 | 17.1× |
| Ultrasound Elastography Parenchyma (76981) | $1,344.82 | $1,344.82 | 12.3× |
| Ultrasound Exam Aaa Screen (76706) | $1,066.77 | $1,066.77 | 9.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $2,640.82 | $2,640.82 | 7.2× |
| Ultrasound, abdomen limited (76705) | $2,532.21 | $2,532.21 | 23.2× |
| Umbilical-artery Doppler (OB) (76820) | $1,785.59 | $1,785.59 | 16.4× |
| Unlisted fluoroscopic procedure (76496) | $986.70 | $986.70 | 10.9× |
| Upper gi w/o kub (74240) | $1,516.80 | $1,516.80 | 8.3× |
| Urethrocystogram voiding (74455) | $1,558.31 | $1,558.31 | 6.3× |
| Urethrocystography retrograde (74450) | $2,833.35 | $2,833.35 | 11.4× |
| Us breast unilateral complete (76641) | $2,331.74 | $2,331.74 | 21.4× |
| Us chest (76604) | $1,893.70 | $1,893.70 | 17.3× |
| Us complete joint (76881) | $1,943.72 | $1,943.72 | 17.8× |
| Us exam, pelvic, limited (76857) | $1,791.06 | $1,791.06 | 16.4× |
| Us head (76506) | $1,872.60 | $1,872.60 | 17.2× |
| Us kidney transplant (76776) | $2,294.20 | $2,294.20 | 21.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,880 | $1,880 | 17.2× |
| Us ob detailed single fetus (76811) | $3,198.77 | $3,198.77 | 12.8× |
| Us ob limited 1 or more fetuses (76815) | $1,180.21 | $1,180.21 | 10.8× |
| Us ob transvaginal (76817) | $1,728.92 | $1,728.92 | 15.8× |
| Us pelvic non ob complete (76856) | $2,785.92 | $2,785.92 | 25.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,652.08 | $1,652.08 | 15.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,414.91 | $1,414.91 | 13.0× |
| Us retroperitoneal complete (76770) | $2,706.27 | $2,706.27 | 24.8× |
| Us retroperitoneal limited (76775) | $2,267.71 | $2,267.71 | 20.8× |
| Us scrotum and contents (76870) | $2,229.12 | $2,229.12 | 20.4× |
| Us spinal canal and contents (76800) | $1,381.02 | $1,381.02 | 12.7× |
| Us thyroid (76536) | $2,443.11 | $2,443.11 | 22.4× |
| Us transrectal (76872) | $1,282.98 | $1,282.98 | 11.8× |
| Vascular Flow Imaging (78445) | $3,951.75 | $3,951.75 | 9.5× |
| Vein X-Ray Chest (75827) | $12,975.70 | $12,975.70 | 7.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $26,854.65 | $26,854.65 | 8.1× |
| Venogram Sinus/Jugular (75860) | $26,854.65 | $26,854.65 | 8.1× |
| Venography Adrenal Unilateral (75840) | $26,854.65 | $26,854.65 | 8.1× |
| Venography caval inferior serialography rs&i (75825) | $8,333.83 | $8,333.83 | 2.5× |
| Venography extremity bilateral rs&i (75822) | $6,080.06 | $6,080.06 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $4,342.90 | $4,342.90 | 2.6× |
| Venography Renal Bilateral (75833) | $26,854.65 | $26,854.65 | 8.1× |
| Venography Renal Unilateral (75831) | $26,854.65 | $26,854.65 | 8.1× |
| Venous sampling by catheter (75893) | $46,619.20 | $46,619.20 | 8.0× |
| Wrist 2 views (73100) | $1,329.28 | $1,329.28 | 14.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,096.69 | $1,096.69 | 12.1× |
| X-ray antegrade pyelogram tube (74425) | $1,700.88 | $1,700.88 | 4.7× |
| X-Ray Aorta Leg Arteries (75630) | $8,333.83 | $8,333.83 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) | $431.61 | $431.61 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,197.98 | $1,197.98 | 13.2× |
| X-Ray Exam Breast Specimen (76098) | $1,837.79 | $1,837.79 | 3.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,556.42 | $1,556.42 | 17.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,188.66 | $2,188.66 | 20.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,120.93 | $3,120.93 | 28.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,707.62 | $1,707.62 | 18.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,240.42 | $2,240.42 | 24.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,728.35 | $2,728.35 | 25.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,269.31 | $1,269.31 | 11.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,665.96 | $1,665.96 | 15.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,784.97 | $1,784.97 | 16.4× |
| X-Ray Exam L-S Spine Bending (72114) | $2,843.17 | $2,843.17 | 26.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,020.82 | $2,020.82 | 22.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,476.05 | $2,476.05 | 22.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,223.77 | $2,223.77 | 20.4× |
| X-ray eye for foreign body (70030) | $986.70 | $986.70 | 10.9× |
| X-ray humerus (73060) | $1,493.37 | $1,493.37 | 16.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,646.31 | $1,646.31 | 9.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,043.34 | $1,043.34 | 11.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,366.62 | $2,366.62 | 26.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,857.44 | $1,857.44 | 17.0× |
| X-ray nose-rectum child f.b. (76010) | $506.47 | $506.47 | 5.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,447.82 | $2,447.82 | 22.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,123.95 | $1,123.95 | 10.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $664.50 | $664.50 | 6.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,662.46 | $1,662.46 | 18.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,055.21 | $2,055.21 | 22.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,283.89 | $2,283.89 | 20.9× |
| X-ray thoracic spine 4 vw (72074) | $2,282.84 | $2,282.84 | 20.9× |
| X-Ray Tmj Unilat (70328) | $1,096.69 | $1,096.69 | 12.1× |
| X-Rays Bone Length Studies (77073) | $895.42 | $895.42 | 8.2× |
| X-Rays Bone Survey Complete (77075) | $875.44 | $875.44 | 8.0× |
| Xr c-spine 4 or 5 views (72050) | $2,243.62 | $2,243.62 | 20.6× |
| Xr facial bones less than 3 views (70140) | $2,488.23 | $2,488.23 | 27.4× |
| Xr orbits complete 4 views (70200) | $1,956.71 | $1,956.71 | 17.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.