Imaging prices at AdventHealth Sebring
Sebring, FL · every code in this section with a posted price and a Medicare benchmark.
297 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) | $5,160.10 | $5,160.10 | 3.6× |
| Abdomen 1 View (74018) | $913.59 | $913.59 | 10.1× |
| Abdomen 2 views (74019) | $1,209.50 | $1,209.50 | 11.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,781.01 | $3,781.01 | 9.1× |
| Angio pulmonary bilat (75743) | $29,295.99 | $29,295.99 | 8.9× |
| Angiography extremity bilateral rs&i (75716) | $8,574.46 | $8,574.46 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $7,660.27 | $7,660.27 | 2.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $29,295.99 | $29,295.99 | 8.9× |
| Ankle 2 views (73600) | $1,198.65 | $1,198.65 | 13.2× |
| Artery X-Rays Abdomen (75726) | $12,473.54 | $12,473.54 | 2.1× |
| Artery X-Rays Pelvis (75736) | $50,857.31 | $50,857.31 | 8.8× |
| Arthrogram hip (73525) | $2,451.03 | $2,451.03 | 6.7× |
| Basic radiation dosimetry calculation (77300) | $854.71 | $854.71 | 6.1× |
| Bone age studies (77072) | $712.75 | $712.75 | 6.5× |
| Bone Imaging 3 Phase (78315) | $6,516.18 | $6,516.18 | 15.6× |
| Bone Imaging Whole Body (78306) | $5,453.26 | $5,453.26 | 13.1× |
| Bone survey infant (77076) | $1,762.31 | $1,762.31 | 16.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,920.46 | $15,920.46 | 10.7× |
| Chest 1 view (71045) | $821.01 | $821.01 | 9.0× |
| Chest 2 views (71046) | $1,109.34 | $1,109.34 | 12.2× |
| Chest 3 views (71047) | $1,237.86 | $1,237.86 | 13.6× |
| Chest 4 or more views (71048) | $2,259.90 | $2,259.90 | 20.7× |
| Clavicle complete (73000) | $1,244.01 | $1,244.01 | 13.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,758.98 | $3,758.98 | 34.4× |
| Continuing medical physics consltj pr wk (77336) | $1,215.53 | $1,215.53 | 8.7× |
| Contrast Exam Abdominl Aorta (75625) | $7,143.28 | $7,143.28 | 2.2× |
| Contrast X-Ray Bladder (74430) | $1,944.60 | $1,944.60 | 5.3× |
| Contrast X-Ray Of Knee Joint (73580) | $3,907.88 | $3,907.88 | 10.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,795.97 | $1,795.97 | 9.8× |
| CT abdomen and pelvis without and with contrast (74178) | $16,386.70 | $16,386.70 | 45.0× |
| CT abdomen and pelvis without contrast (74176) | $11,071.81 | $11,071.81 | 44.4× |
| CT abdomen w contrast (74160) | $6,526.92 | $6,526.92 | 35.6× |
| CT abdomen w wo contrast (74170) | $8,528.64 | $8,528.64 | 46.6× |
| CT abdomen w/o contrast (74150) | $5,615.40 | $5,615.40 | 51.4× |
| CT Angio Abdomen and Pelvis (74174) | $15,221.87 | $15,221.87 | 41.8× |
| CT Angio Chest (71275) | $7,683.51 | $7,683.51 | 41.9× |
| CT Angio Head (70496) | $7,042.57 | $7,042.57 | 38.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,755.17 | $5,755.17 | 31.4× |
| CT Angio Neck (70498) | $7,373 | $7,373 | 40.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,795.97 | $1,795.97 | 9.8× |
| CT cervical spine w/ contrast (72126) | $6,427.75 | $6,427.75 | 17.6× |
| CT cervical spine w/o contrast (72125) | $5,537.91 | $5,537.91 | 50.7× |
| CT cervical spine w/wo cont (72127) | $7,193.29 | $7,193.29 | 39.3× |
| CT chest w contrast (71260) | $6,626.19 | $6,626.19 | 36.2× |
| CT chest w/wo contrast (71270) | $7,427.39 | $7,427.39 | 40.5× |
| CT head/brain with contrast (70460) | $6,490.92 | $6,490.92 | 35.4× |
| CT head/brain without and with contrast (70470) | $7,451.39 | $7,451.39 | 40.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,076.40 | $1,076.40 | 11.8× |
| CT iac w contrast (70481) | $5,100.42 | $5,100.42 | 27.8× |
| CT l-spine w&w/o contrast (72133) | $7,074.18 | $7,074.18 | 38.6× |
| CT lower ext w/o (73700) | $5,312.42 | $5,312.42 | 48.7× |
| CT lower extremity w/contrast material (73701) | $5,841.38 | $5,841.38 | 31.9× |
| CT lumbar spine w contrast (72132) | $5,888.58 | $5,888.58 | 16.2× |
| CT lumbar spine w/o contrast (72131) | $5,496.16 | $5,496.16 | 50.3× |
| CT maxillofacial w contrast (70487) | $8,255.49 | $8,255.49 | 45.1× |
| CT maxillofacial wo contrast (70486) | $6,269.99 | $6,269.99 | 57.4× |
| CT neck tissue combo (70492) | $7,174.17 | $7,174.17 | 39.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,709.90 | $5,709.90 | 31.2× |
| CT orbits w/o contrast (70480) | $5,806.14 | $5,806.14 | 53.2× |
| CT pelvis w&w/o contrast (72194) | $7,858.08 | $7,858.08 | 42.9× |
| CT pelvis w/o contrast (72192) | $5,456.44 | $5,456.44 | 50.0× |
| CT scan of leg combo (73702) | $6,890.71 | $6,890.71 | 37.6× |
| CT scans face/jaw combo (70488) | $9,300.49 | $9,300.49 | 50.8× |
| CT soft tissue neck w contrast (70491) | $6,502.12 | $6,502.12 | 35.5× |
| CT soft tissue neck w/o contrast (70490) | $5,309.24 | $5,309.24 | 48.6× |
| CT thoracic spine w contrast (72129) | $7,443.72 | $7,443.72 | 40.6× |
| CT thoracic spine w/o contrast (72128) | $6,058.84 | $6,058.84 | 55.5× |
| CT thoracic spine w/wo cont (72130) | $7,746.66 | $7,746.66 | 42.3× |
| CT thorax w/o contrast (71250) | $4,547.42 | $4,547.42 | 41.7× |
| CT upper ext wo (73200) | $4,203.43 | $4,203.43 | 38.5× |
| CT upper extremity w/o & w/contrast material (73202) | $5,104.16 | $5,104.16 | 27.9× |
| CT upper extremity with contrast (73201) | $4,893.99 | $4,893.99 | 13.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,781.07 | $7,781.07 | 42.5× |
| Cta Abdomen (74175) | $7,070.78 | $7,070.78 | 38.6× |
| CTA pelvis (72191) | $1,795.97 | $1,795.97 | 9.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,467.07 | $1,467.07 | 13.4× |
| Dxa Bone Density Axial (77080) | $725.68 | $725.68 | 6.6× |
| Dxa bone density study (77085) | $1,467.07 | $1,467.07 | 13.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $725.68 | $725.68 | 8.0× |
| Esophagram (74220) | $1,963.38 | $1,963.38 | 10.7× |
| Fetal Biophys Profile W/Nst (76818) | $2,841.47 | $2,841.47 | 26.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,073.51 | $2,073.51 | 19.0× |
| Fluoroscopy up to 1 hr (76000) | $1,673.88 | $1,673.88 | 6.7× |
| Foot 2 views (73620) | $1,017.23 | $1,017.23 | 11.2× |
| Forearm 2 views (73090) | $1,383.28 | $1,383.28 | 15.2× |
| Gastric emptying imaging study (78264) | $3,306.66 | $3,306.66 | 7.9× |
| Gated Heart Planar Single (78472) | $3,102.66 | $3,102.66 | 7.4× |
| Gated Heart, Multiple (78473) | $4,619.51 | $4,619.51 | 11.1× |
| Hand 2 views (73120) | $1,062.59 | $1,062.59 | 9.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $29,295.99 | $29,295.99 | 8.9× |
| Hepatobil Syst Image W/Drug (78227) | $3,911.85 | $3,911.85 | 6.9× |
| Hepatobiliary System Imaging (78226) | $3,819.20 | $3,819.20 | 9.1× |
| Ht Muscle Image Spect Sing (78451) | $12,794.33 | $12,794.33 | 9.5× |
| Hysterosalpingogram (74740) | $1,892.95 | $1,892.95 | 7.6× |
| K Flow/Funct Image Multiple (78709) | $6,061.04 | $6,061.04 | 10.7× |
| K Flow/Funct Image W/Drug (78708) | $5,208.70 | $5,208.70 | 9.2× |
| K Flow/Funct Image W/O Drug (78707) | $4,103.83 | $4,103.83 | 7.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,146.62 | $2,146.62 | 5.1× |
| Knee 3 Views (73562) | $1,626.27 | $1,626.27 | 17.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,311 | $4,311 | 10.3× |
| Lung perfusion differential (78597) | $3,387.21 | $3,387.21 | 8.1× |
| Lung Ventilat&Perfus Imaging (78582) | $3,238.54 | $3,238.54 | 5.7× |
| Lung Ventilation Imaging (78579) | $4,311 | $4,311 | 10.3× |
| Magnetic Image Jaw Joint (70336) | $3,090.93 | $3,090.93 | 12.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,562.91 | $1,562.91 | 4.0× |
| Mr safety determination physician/other qhp (76016) | $252.89 | $252.89 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $70.61 | $70.61 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $265.09 | $265.09 | 2.7× |
| Mr safety implt pos&/immoblj (76019) | $168.42 | $168.42 | 2.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $696.84 | $696.84 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $7,865.29 | $7,865.29 | 21.6× |
| MRA head w/o contrast (70544) | $6,352.73 | $6,352.73 | 25.5× |
| MRA head with contrast (70545) | $6,352.73 | $6,352.73 | 17.4× |
| MRA neck w contrast (70548) | $6,624.90 | $6,624.90 | 18.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,912.20 | $7,912.20 | 21.7× |
| MRA neck w/o contrast (70547) | $5,274.80 | $5,274.80 | 21.2× |
| MRI abdomen w contrast (74182) | $7,911.19 | $7,911.19 | 21.7× |
| MRI abdomen w/o contrast (74181) | $6,701.63 | $6,701.63 | 26.9× |
| MRI any jt lower extrem w/contrast material (73722) | $8,324.68 | $8,324.68 | 10.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,026.55 | $11,026.55 | 30.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,881.68 | $7,881.68 | 9.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,397.43 | $6,397.43 | 25.7× |
| MRI cervical spine w contrast (72142) | $9,415.99 | $9,415.99 | 25.8× |
| MRI cervical spine w/o cont (72141) | $7,771.93 | $7,771.93 | 31.2× |
| MRI chest wo w contrast (71552) | $9,953.05 | $9,953.05 | 27.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,146.57 | $7,146.57 | 19.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,476.29 | $9,476.29 | 26.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,950.23 | $5,950.23 | 23.9× |
| MRI lumbar spine w contrast (72149) | $8,902.31 | $8,902.31 | 24.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,031.54 | $12,031.54 | 33.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,090.93 | $3,090.93 | 12.4× |
| MRI orbit face neck w contrast (70542) | $3,907.88 | $3,907.88 | 10.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,463.55 | $5,463.55 | 15.0× |
| MRI pelvis w contrast (72196) | $3,907.88 | $3,907.88 | 10.7× |
| MRI pelvis w/o & w contrast (72197) | $8,663.76 | $8,663.76 | 23.8× |
| MRI pelvis w/o contrast (72195) | $799.22 | $799.22 | 3.2× |
| MRI thoracic spine w/o contrast (72146) | $6,888.97 | $6,888.97 | 27.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,883.18 | $5,883.18 | 23.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $9,302.20 | $9,302.20 | 25.5× |
| MRI, abdomen, combo (74183) | $10,068.79 | $10,068.79 | 27.6× |
| MRI, dorsal spine combo (72157) | $10,664.66 | $10,664.66 | 29.3× |
| MRI, dorsal spine contrast (72147) | $8,280.01 | $8,280.01 | 22.7× |
| MRI, joint upper extrem (73221) | $6,573.80 | $6,573.80 | 26.4× |
| MRI, joint upper extrem combo (73223) | $10,428.60 | $10,428.60 | 28.6× |
| MRI, lumbar spine combo (72158) | $9,555.24 | $9,555.24 | 26.2× |
| Myelogram Lumbar (72265) | $4,788.90 | $4,788.90 | 5.8× |
| Myelograpy 2/more regions rs&i (72270) | $7,973.20 | $7,973.20 | 9.7× |
| Myocardial Spect Multiple Studies (78452) | $12,794.33 | $12,794.33 | 9.5× |
| Neck soft tissue (70360) | $831.40 | $831.40 | 9.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,160.10 | $5,160.10 | 3.6× |
| Nuclear Rx Oral Admin (79005) | $2,891.26 | $2,891.26 | 11.9× |
| Ob us nuchal meas 1 gest (76813) | $1,467.07 | $1,467.07 | 13.4× |
| Parathyroid Planar Imaging (78070) | $3,306.66 | $3,306.66 | 7.9× |
| Pelvis 1 or 2 views (72170) | $1,146.83 | $1,146.83 | 10.5× |
| Pet Image Skull-Thigh (78812) | $15,920.46 | $15,920.46 | 10.7× |
| Pet Image W/Ct Lmtd (78814) | $11,221.89 | $11,221.89 | 7.5× |
| PET image w/CT, full body (78816) | $12,610.55 | $12,610.55 | 8.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,497.95 | $12,497.95 | 8.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $12,794.33 | $12,794.33 | 9.5× |
| PET whole body (78813) | $15,920.46 | $15,920.46 | 10.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $29,295.99 | $29,295.99 | 8.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,238.54 | $3,238.54 | 7.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,841.26 | $1,841.26 | 16.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,764.88 | $2,764.88 | 4.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,493.47 | $1,493.47 | 16.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,227.82 | $1,227.82 | 13.5× |
| Radex elbow complete minimum 3 views (73080) | $1,542.02 | $1,542.02 | 17.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,096.01 | $2,096.01 | 19.2× |
| Radex fingr minimum 2 views (73140) | $793.67 | $793.67 | 8.7× |
| Radex foot complete minimum 3 views (73630) | $1,493.47 | $1,493.47 | 16.4× |
| Radex Hand Minimum 3 Views (73130) | $1,438.38 | $1,438.38 | 15.8× |
| Radex lower extremity infant minimum 2 views (73592) | $1,013.54 | $1,013.54 | 11.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,373.59 | $1,373.59 | 15.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,542.02 | $1,542.02 | 17.0× |
| Radex shoulder complete minimum 2 views (73030) | $1,542.02 | $1,542.02 | 17.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,385.38 | $1,385.38 | 15.2× |
| Radex Spine 1 View Specify Level (72020) | $971.90 | $971.90 | 10.7× |
| Radex Sternum Minimum 2 Views (71120) | $1,386.55 | $1,386.55 | 15.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,898.68 | $1,898.68 | 20.9× |
| Radex Toe Minimum 2 Views (73660) | $764.56 | $764.56 | 8.4× |
| Radex upper extremity infant minimum 2 views (73092) | $939.50 | $939.50 | 8.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,493.47 | $1,493.47 | 16.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,467.07 | $1,467.07 | 13.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $36,772.77 | $36,772.77 | 4.8× |
| Radiation treatment delivery level 3 (77412) | $1,195.66 | $1,195.66 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,502.89 | $1,502.89 | 13.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,467.07 | $1,467.07 | 13.4× |
| Radiologic exam colon double contrast study (74280) | $3,236.31 | $3,236.31 | 17.7× |
| Radiologic exam colon single contrast study (74270) | $2,440.19 | $2,440.19 | 13.3× |
| Radiologic exam knee complete 4/more views (73564) | $1,820.64 | $1,820.64 | 16.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,467.07 | $1,467.07 | 13.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,106.67 | $2,106.67 | 11.5× |
| Radiologic exam swallow function contrast study (74230) | $1,752.03 | $1,752.03 | 9.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,423.35 | $4,423.35 | 24.1× |
| Radiologic examination femur 1 view (73551) | $683.56 | $683.56 | 7.5× |
| Radiologic examination femur minimum 2 views (73552) | $1,363.86 | $1,363.86 | 15.0× |
| Radiologic examination knee 1/2 views (73560) | $1,444.89 | $1,444.89 | 15.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,467.07 | $1,467.07 | 13.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,383.28 | $1,383.28 | 15.2× |
| Renal Cyst Study (74470) | $6,467.35 | $6,467.35 | 11.3× |
| Ribs bilateral 3 views (71110) | $2,290.42 | $2,290.42 | 21.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,311 | $4,311 | 10.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $12,794.33 | $12,794.33 | 22.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $12,794.33 | $12,794.33 | 22.6× |
| Scapula (73010) | $1,308.84 | $1,308.84 | 12.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $256.85 | $256.85 | 11.0× |
| Shoulder 1 view (73020) | $1,153.30 | $1,153.30 | 12.7× |
| Shoulder Arthrography (73040) | $2,572.74 | $2,572.74 | 7.1× |
| Skull less than 4 views (70250) | $1,529.09 | $1,529.09 | 14.0× |
| Special dosimetry (77331) | $985.60 | $985.60 | 7.0× |
| Special Physics Consult (77370) | $1,738.17 | $1,738.17 | 12.4× |
| Special treatment procedure (77470) | $2,293.49 | $2,293.49 | 4.0× |
| Stereotactic Body Radiation Delivery (77373) | $10,584.76 | $10,584.76 | 5.7× |
| Sternoclavicular joints (71130) | $1,286.43 | $1,286.43 | 14.2× |
| Tbs technical calculation only (77091) | $256.28 | $256.28 | 2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,851.38 | $1,851.38 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,562.91 | $1,562.91 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,117.92 | $1,117.92 | 8.0× |
| Thoracic spine 2 views (72070) | $1,756.90 | $1,756.90 | 16.1× |
| Thoracic spine 3 views (72072) | $1,938.65 | $1,938.65 | 17.8× |
| Thoracolumbar 2 views (72080) | $1,357.40 | $1,357.40 | 14.9× |
| Thyroid Imaging With Vascular Flow (78013) | $4,311 | $4,311 | 10.3× |
| Thyroid Uptake Measurement (78012) | $4,311 | $4,311 | 10.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,324.83 | $1,324.83 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $3,850.85 | $3,850.85 | 9.8× |
| Tx devices design & construction intermediate (77333) | $1,071.36 | $1,071.36 | 7.6× |
| Tx devices design & construction simple (77332) | $1,071.36 | $1,071.36 | 7.6× |
| Ultrasound Breast Limited (76642) | $538.23 | $538.23 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $430.79 | $430.79 | 3.9× |
| Ultrasound, abdomen limited (76705) | $2,369.69 | $2,369.69 | 21.7× |
| Upper gi w/o kub (74240) | $3,966.97 | $3,966.97 | 21.7× |
| Urethrocystogram voiding (74455) | $2,813.55 | $2,813.55 | 11.3× |
| Urethrocystography retrograde (74450) | $2,160.67 | $2,160.67 | 8.7× |
| Us breast unilateral complete (76641) | $919 | $919 | 8.4× |
| Us chest (76604) | $1,687.94 | $1,687.94 | 15.5× |
| Us complete joint (76881) | $3,354.06 | $3,354.06 | 30.7× |
| Us exam, pelvic, limited (76857) | $1,407.07 | $1,407.07 | 12.9× |
| Us head (76506) | $1,777.93 | $1,777.93 | 16.3× |
| Us kidney transplant (76776) | $1,512.17 | $1,512.17 | 13.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,178.91 | $2,178.91 | 20.0× |
| Us ob detailed single fetus (76811) | $3,090.93 | $3,090.93 | 12.4× |
| Us ob limited 1 or more fetuses (76815) | $1,273.45 | $1,273.45 | 11.7× |
| Us ob transvaginal (76817) | $1,840.65 | $1,840.65 | 16.9× |
| Us pelvic non ob complete (76856) | $2,511.45 | $2,511.45 | 23.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,840.65 | $1,840.65 | 16.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $858.96 | $858.96 | 7.9× |
| Us retroperitoneal complete (76770) | $2,416.02 | $2,416.02 | 22.1× |
| Us retroperitoneal limited (76775) | $1,780.66 | $1,780.66 | 16.3× |
| Us scrotum and contents (76870) | $2,372.40 | $2,372.40 | 21.7× |
| Us spinal canal and contents (76800) | $1,197.13 | $1,197.13 | 11.0× |
| Us thyroid (76536) | $2,118.78 | $2,118.78 | 19.4× |
| Vein X-Ray Chest (75827) | $14,155.30 | $14,155.30 | 8.6× |
| Venography caval inferior serialography rs&i (75825) | $29,295.99 | $29,295.99 | 8.9× |
| Venography extremity bilateral rs&i (75822) | $14,155.30 | $14,155.30 | 8.6× |
| Venography extremity unilateral rs&i (75820) | $3,423.79 | $3,423.79 | 2.1× |
| Venography Renal Bilateral (75833) | $29,295.99 | $29,295.99 | 8.9× |
| Venography Renal Unilateral (75831) | $29,295.99 | $29,295.99 | 8.9× |
| Wrist 2 views (73100) | $1,062.59 | $1,062.59 | 11.7× |
| X-ray antegrade pyelogram tube (74425) | $4,758.16 | $4,758.16 | 13.1× |
| X-Ray Aorta Leg Arteries (75630) | $10,637.75 | $10,637.75 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,376.12 | $1,376.12 | 12.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,386.55 | $1,386.55 | 15.3× |
| X-Ray Exam Breast Specimen (76098) | $7,437.45 | $7,437.45 | 13.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $295.77 | $295.77 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,467.07 | $1,467.07 | 13.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,467.07 | $1,467.07 | 13.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,840.09 | $1,840.09 | 20.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,024.77 | $2,024.77 | 22.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,375.74 | $2,375.74 | 21.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,041.29 | $1,041.29 | 9.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,366.69 | $1,366.69 | 12.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,464.31 | $1,464.31 | 13.4× |
| X-Ray Exam L-S Spine Bending (72114) | $2,617.61 | $2,617.61 | 24.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,461.08 | $1,461.08 | 16.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,594.93 | $2,594.93 | 23.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,785.03 | $1,785.03 | 16.4× |
| X-ray eye for foreign body (70030) | $1,076.40 | $1,076.40 | 11.8× |
| X-ray humerus (73060) | $1,506.44 | $1,506.44 | 16.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,795.97 | $1,795.97 | 9.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,076.40 | $1,076.40 | 11.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,187.78 | $3,187.78 | 35.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,613.33 | $1,613.33 | 14.8× |
| X-ray nose-rectum child f.b. (76010) | $760.95 | $760.95 | 8.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,501 | $2,501 | 22.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,175.85 | $1,175.85 | 10.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $881.89 | $881.89 | 8.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,532.33 | $1,532.33 | 16.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,629.52 | $1,629.52 | 17.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,212.65 | $2,212.65 | 20.3× |
| X-ray thoracic spine 4 vw (72074) | $2,120.40 | $2,120.40 | 19.4× |
| X-Ray Tmj Unilat (70328) | $1,076.40 | $1,076.40 | 11.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,185.14 | $4,185.14 | 11.5× |
| X-Rays Bone Length Studies (77073) | $1,467.07 | $1,467.07 | 13.4× |
| X-Rays Bone Survey Complete (77075) | $3,621.87 | $3,621.87 | 33.2× |
| Xr c-spine 4 or 5 views (72050) | $2,290.42 | $2,290.42 | 21.0× |
| Xr facial bones less than 3 views (70140) | $1,134.89 | $1,134.89 | 12.5× |
| Xr orbits complete 4 views (70200) | $1,877.07 | $1,877.07 | 17.2× |