Imaging prices at AdventHealth Tampa
Tampa, 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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $11,229.12 | $11,229.12 | 7.8× |
| Abdomen 2 views (74019) | $1,204.27 | $1,204.27 | 11.0× |
| Acute gi blood loss imaging (78278) | $5,028.21 | $5,028.21 | 12.0× |
| 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 internal mammary rs&i (75756) | $8,333.83 | $8,333.83 | 2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,552.47 | $14,552.47 | 2.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,495.69 | $9,495.69 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,333.83 | $8,333.83 | 2.5× |
| Angiography Spinal Selective Rs&I (75705) | $46,619.20 | $46,619.20 | 8.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,552.47 | $14,552.47 | 2.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $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× |
| Aortogram thoracic (75605) | $14,552.47 | $14,552.47 | 2.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,333.83 | $8,333.83 | 2.5× |
| Aortography abdominal serialography rs&i (75625) | $8,333.83 | $8,333.83 | 2.5× |
| Arthrogram elbow (73085) | $3,582.22 | $3,582.22 | 9.8× |
| Arthrogram hip (73525) | $2,698.83 | $2,698.83 | 7.4× |
| Arthrogram knee (73580) | $3,495.47 | $3,495.47 | 9.6× |
| Arthrogram shoulder (73040) | $1,337.76 | $1,337.76 | 3.7× |
| Arthrogram wrist (73115) | $3,425.21 | $3,425.21 | 9.4× |
| Basic dosimetry (77300) | $817.14 | $817.14 | 5.8× |
| Bone &/Joint Imaging Limited Area (78300) | $1,530.24 | $1,530.24 | 3.7× |
| Bone &/joint imaging whole body (78306) | $2,099.64 | $2,099.64 | 5.0× |
| Bone age studies (77072) | $773.97 | $773.97 | 7.1× |
| Bone Imaging 3 Phase (78315) | $2,508.89 | $2,508.89 | 6.0× |
| Bone survey complete (77075) | $875.44 | $875.44 | 8.0× |
| Bone survey infant (77076) | $1,422.31 | $1,422.31 | 13.0× |
| Bowel imaging (78290) | $1,916.52 | $1,916.52 | 4.6× |
| 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 pln smpl w/dosimetry cal (77316) | $1,358.39 | $1,358.39 | 3.5× |
| Brain Imaging < 4 Static Views W Vascular Flow (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× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $3,654.02 | $3,654.02 | 8.8× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $7,308.76 | $7,308.76 | 8.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,233.04 | $3,233.04 | 8.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,429.79 | $1,429.79 | 2.5× |
| Cervical spine 2 or 3 views (72040) | $2,020.82 | $2,020.82 | 22.2× |
| Chest 1 view (71045) | $865.98 | $865.98 | 9.5× |
| Chest xray 3 views (71047) | $1,291.86 | $1,291.86 | 14.2× |
| Cholecystography, oral contrast Non-Facility (74290) | $1,646.31 | $1,646.31 | 9.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,139.09 | $1,139.09 | 6.2× |
| Cineradiography/videoradiography (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) | $1,077.74 | $1,077.74 | 9.9× |
| Continuing medical physics consltj pr wk (77336) | $1,162.11 | $1,162.11 | 8.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,646.31 | $1,646.31 | 9.0× |
| CT abdomen and pelvis without and with contrast (74178) | $11,731.26 | $11,731.26 | 32.2× |
| CT abdomen and pelvis without contrast (74176) | $10,605.58 | $10,605.58 | 42.6× |
| CT abdomen w contrast (74160) | $5,946.53 | $5,946.53 | 32.5× |
| CT abdomen w wo contrast (74170) | $8,152.94 | $8,152.94 | 44.5× |
| CT abdomen w/o contrast (74150) | $5,941.80 | $5,941.80 | 54.4× |
| CT angio hrt w/3d image (75574) | $2,161.58 | $2,161.58 | 5.9× |
| CT angio lwr extr w/o&w/dye (73706) | $4,485.62 | $4,485.62 | 24.5× |
| CT angiography upper extremity lt (73206) | $4,775.76 | $4,775.76 | 26.1× |
| CT c-spine w/contrast (72126) | $7,578.02 | $7,578.02 | 20.8× |
| CT c-spine w/o contrast (72125) | $7,085.30 | $7,085.30 | 64.9× |
| CT cervical spine w&w/o contrast (72127) | $9,137.17 | $9,137.17 | 49.9× |
| CT chest w contrast (71260) | $6,428.52 | $6,428.52 | 35.1× |
| CT chest w/wo contrast (71270) | $7,070.63 | $7,070.63 | 38.6× |
| CT colonography screening (74263) | $3,401.46 | $3,401.46 | 13.7× |
| CT colonography w/o cntrst (74261) | $1,477.19 | $1,477.19 | 13.5× |
| CT head/brain with contrast (70460) | $6,291.38 | $6,291.38 | 34.3× |
| CT head/brain without and with contrast (70470) | $7,403.58 | $7,403.58 | 40.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,147.56 | $2,147.56 | 5.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $810.94 | $810.94 | 8.9× |
| CT hrt w/3d image congen (75573) | $1,556.20 | $1,556.20 | 4.3× |
| CT iac w contrast (70481) | $6,810.73 | $6,810.73 | 37.2× |
| CT limited/localized follow up study (76380) | $1,835.51 | $1,835.51 | 20.2× |
| CT lower ext w/o (73700) | $5,853.26 | $5,853.26 | 53.6× |
| CT lower extremity w wo contrast (73702) | $8,074.82 | $8,074.82 | 44.1× |
| CT lower extremity w/contrast material (73701) | $6,404.73 | $6,404.73 | 35.0× |
| CT lumbar spine w & w/o contrast (72133) | $9,086.29 | $9,086.29 | 49.6× |
| CT lumbar spine w/contrast (72132) | $7,471.70 | $7,471.70 | 20.5× |
| CT lumbar spine w/o contrast (72131) | $6,719.14 | $6,719.14 | 61.5× |
| CT maxillofacial w contrast (70487) | $6,567.27 | $6,567.27 | 35.9× |
| CT maxillofacial w/wo contrast (70488) | $7,249.84 | $7,249.84 | 39.6× |
| CT maxillofacial wo contrast (70486) | $5,208.06 | $5,208.06 | 47.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $8,344.66 | $8,344.66 | 45.6× |
| CT orbits w/o contrast (70480) | $5,414.07 | $5,414.07 | 49.6× |
| CT pelvis w/o contrast (72192) | $5,925.36 | $5,925.36 | 54.3× |
| CT pelvis w/wo contrast (72194) | $7,362.94 | $7,362.94 | 40.2× |
| CT scan of arm combo (73202) | $6,137.33 | $6,137.33 | 33.5× |
| CT soft tissue neck w contrast (70491) | $6,736.86 | $6,736.86 | 36.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $7,629.22 | $7,629.22 | 41.7× |
| CT soft tissue neck w/o contrast (70490) | $5,626.72 | $5,626.72 | 51.5× |
| CT thoracic spine w/contrast (72129) | $7,266.64 | $7,266.64 | 39.7× |
| CT thoracic spine w/o contrast (72128) | $6,556.64 | $6,556.64 | 60.1× |
| CT thoracic spine w/wo contrast (72130) | $8,179.14 | $8,179.14 | 44.7× |
| CT thorax w/o contrast (71250) | $5,984.31 | $5,984.31 | 54.8× |
| CT upper ext wo (73200) | $5,790.96 | $5,790.96 | 53.0× |
| CT upper extremity with contrast (73201) | $6,385.20 | $6,385.20 | 17.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $11,871.86 | $11,871.86 | 64.8× |
| Cta Abdomen (74175) | $9,258.56 | $9,258.56 | 50.5× |
| CTA abdomen pelvis (74174) | $11,092.30 | $11,092.30 | 30.4× |
| CTA chest (71275) | $7,858.22 | $7,858.22 | 42.9× |
| Cta Head (70496) | $8,769.47 | $8,769.47 | 47.9× |
| Cta Neck (70498) | $10,740.61 | $10,740.61 | 58.6× |
| Cta Pelvis (72191) | $5,596.43 | $5,596.43 | 30.6× |
| Cystography minimum 3 views rs&i (74430) | $1,241.87 | $1,241.87 | 3.4× |
| 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 study 1/> sites axial skel (77080) | $1,476.02 | $1,476.02 | 13.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $837.72 | $837.72 | 9.2× |
| Dxa bone density study axial skeleton (77085) | $427.91 | $427.91 | 3.9× |
| Esophagus (74220) | $1,102.75 | $1,102.75 | 6.0× |
| Facial bones min 3 views (70150) | $2,646.40 | $2,646.40 | 24.2× |
| Fetal biophysical profile non-stress testing (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× |
| Fetal Echo (76825) | $5,928.41 | $5,928.41 | 10.4× |
| Fluoroscopy up to 1 hr (76000) | $1,525.57 | $1,525.57 | 6.1× |
| Foot 2 views (73620) | $1,031.47 | $1,031.47 | 11.3× |
| Forearm 2 views (73090) | $1,282.89 | $1,282.89 | 14.1× |
| Hand 2 views (73120) | $1,125.12 | $1,125.12 | 10.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $3,519.18 | $3,519.18 | 4.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $4,552.89 | $4,552.89 | 6.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,333.83 | $8,333.83 | 2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $4,656.91 | $4,656.91 | 8.2× |
| Hepatobiliary syst imaging including gallbladder (78226) | $1,891.53 | $1,891.53 | 4.5× |
| Hysterosalpingogram (74740) | $1,742.59 | $1,742.59 | 7.0× |
| 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× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $1,651.16 | $1,651.16 | 2.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $1,755.85 | $1,755.85 | 3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $1,977.66 | $1,977.66 | 3.5× |
| 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 ventilation imaging (78579) | $3,951.75 | $3,951.75 | 9.5× |
| Lymphoscintigraphy (78195) | $6,360.96 | $6,360.96 | 11.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $4,677.59 | $4,677.59 | 5.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $4,492.03 | $4,492.03 | 12.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $5,519.06 | $5,519.06 | 15.1× |
| Magnetic Resonance Elastography (76391) | $812.98 | $812.98 | 3.3× |
| 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 & w/o contrast (70546) | $6,286.46 | $6,286.46 | 17.3× |
| MRA head w/o contrast (70544) | $4,815.75 | $4,815.75 | 19.3× |
| MRA head with contrast (70545) | $5,926.14 | $5,926.14 | 16.3× |
| MRA neck w contrast (70548) | $6,173.90 | $6,173.90 | 16.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,419.14 | $5,419.14 | 14.9× |
| MRA neck w/o contrast (70547) | $3,800.66 | $3,800.66 | 15.3× |
| MRI abdomen w contrast (74182) | $5,540.28 | $5,540.28 | 15.2× |
| MRI abdomen w/o & w/contrast material (74183) | $7,084.36 | $7,084.36 | 19.4× |
| MRI abdomen w/o contrast (74181) | $5,121.16 | $5,121.16 | 20.6× |
| MRI any jt lower extrem w/contrast material (73722) | $6,194.65 | $6,194.65 | 7.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,128.04 | $6,128.04 | 16.8× |
| MRI breast w/o contrast bilateral (77047) | $5,092.83 | $5,092.83 | 20.4× |
| MRI breast wo contrast unilateral (77046) | $1,928.17 | $1,928.17 | 7.7× |
| MRI c-spine with contrast (72142) | $4,976.36 | $4,976.36 | 13.7× |
| MRI cardiac w/o contrast (75557) | $3,128.04 | $3,128.04 | 12.6× |
| MRI cervical spine w/o contrast (72141) | $4,367.74 | $4,367.74 | 17.5× |
| MRI chest w/o & w/contrast material (71552) | $5,600.69 | $5,600.69 | 15.4× |
| MRI chest w/o contrast (71550) | $2,773.14 | $2,773.14 | 11.1× |
| MRI chest with contrast (71551) | $3,171.89 | $3,171.89 | 3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,828.56 | $3,828.56 | 10.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,419.62 | $5,419.62 | 14.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,914.78 | $4,914.78 | 19.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,754.16 | $3,754.16 | 15.1× |
| MRI orbit face neck w contrast (70542) | $4,378.54 | $4,378.54 | 12.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $5,991.96 | $5,991.96 | 16.4× |
| MRI pelvis w/contrast (72196) | $5,174.80 | $5,174.80 | 14.2× |
| MRI pelvis w/o & w/contrast material (72197) | $6,635.44 | $6,635.44 | 18.2× |
| MRI pelvis w/o contrast (72195) | $4,721.20 | $4,721.20 | 18.9× |
| MRI spectroscopy (76390) | $5,295.14 | $5,295.14 | 58.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $5,818.05 | $5,818.05 | 16.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $5,629.84 | $5,629.84 | 15.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $7,713.24 | $7,713.24 | 21.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $5,609.24 | $5,609.24 | 15.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $7,693.95 | $7,693.95 | 21.1× |
| MRI temporomandibular joint (70336) | $2,409.66 | $2,409.66 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $5,092.76 | $5,092.76 | 20.4× |
| MRI up ext w/o contrast (73218) | $3,839.92 | $3,839.92 | 15.4× |
| MRI upper ext joint w/o contrast (73221) | $4,490.04 | $4,490.04 | 18.0× |
| MRI, joint upper extrem combo (73223) | $6,127.19 | $6,127.19 | 16.8× |
| Myelogram Cervical (72240) | $4,806.90 | $4,806.90 | 5.9× |
| Myelogram Lumbar (72265) | $4,974.35 | $4,974.35 | 6.1× |
| Myelogram thoracic (72255) | $3,261.15 | $3,261.15 | 4.0× |
| Myelography 2 or more regions (72270) | $3,442.91 | $3,442.91 | 4.2× |
| Myocardial Spect Multiple Studies (78452) | $11,728.14 | $11,728.14 | 8.7× |
| Myocardial spect single study at rest or stress (78451) | $4,819.89 | $4,819.89 | 3.6× |
| 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× |
| Nm cardiac blood pool multiple (78473) | $5,440.42 | $5,440.42 | 13.0× |
| Nm cisternogram (78630) | $4,191.86 | $4,191.86 | 7.4× |
| Nm gastric emptying study (78264) | $4,998.76 | $4,998.76 | 12.0× |
| Nm kidney scan w/flow (78701) | $1,521.22 | $1,521.22 | 3.6× |
| Noncardiac Vascular Flow Imaging (78445) | $3,951.75 | $3,951.75 | 9.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,618.24 | $16,618.24 | 11.5× |
| Nuclear Rx Oral Admin (79005) | $3,213.70 | $3,213.70 | 13.2× |
| Orthopantogram (70355) | $783.49 | $783.49 | 8.6× |
| Osseous survey limited (77074) | $581.73 | $581.73 | 5.3× |
| 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 after injection (74190) | $5,928.41 | $5,928.41 | 10.4× |
| PET image w/CT, skull-thigh (78815) | $24,121.72 | $24,121.72 | 16.2× |
| PET imaging CT for attenuation limited area (78814) | $14,593.75 | $14,593.75 | 9.8× |
| PET imaging for CT attenuation whole body (78816) | $26,801.92 | $26,801.92 | 17.9× |
| 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× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $26,854.65 | $26,854.65 | 8.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,083.23 | $3,083.23 | 7.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $3,878.56 | $3,878.56 | 6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,837.79 | $1,837.79 | 3.2× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,669.55 | $1,669.55 | 18.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $962.28 | $962.28 | 10.6× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,259.62 | $1,259.62 | 13.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,556.42 | $1,556.42 | 17.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,188.66 | $2,188.66 | 20.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $3,120.93 | $3,120.93 | 28.6× |
| Radex fingr minimum 2 views (73140) | $955.54 | $955.54 | 10.5× |
| Radex Foot Compl 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 Hip Unilateral With Pelvis 1 View (73501) | $1,707.62 | $1,707.62 | 18.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,728.35 | $2,728.35 | 25.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $1,269.31 | $1,269.31 | 11.6× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $1,784.97 | $1,784.97 | 16.4× |
| Radex Humerus Minimum 2 Views (73060) | $1,493.37 | $1,493.37 | 16.4× |
| Radex Kne 1/2 Views (73560) | $1,233.39 | $1,233.39 | 13.6× |
| Radex Kne Compl 4/More Views (73564) | $1,739.51 | $1,739.51 | 15.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $2,445.26 | $2,445.26 | 22.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,341.54 | $1,341.54 | 14.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $1,967.61 | $1,967.61 | 18.0× |
| Radex Sho Compl 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 Lumbosacral Only Bending 2/3 Views (72120) | $431.61 | $431.61 | 4.0× |
| 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 Wrst Compl 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 Cobalt (77371) | $35,192.81 | $35,192.81 | 4.6× |
| 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× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $978.47 | $978.47 | 10.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,430.07 | $1,430.07 | 13.1× |
| Radiologic exam chest 2 views (71046) | $1,158.09 | $1,158.09 | 12.7× |
| Radiologic exam colon single contrast study (74270) | $1,594.07 | $1,594.07 | 8.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,057.13 | $2,057.13 | 11.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,516.80 | $1,516.80 | 8.3× |
| Radiologic examination femur 1 view (73551) | $954.28 | $954.28 | 10.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,418.45 | $1,418.45 | 15.6× |
| Radiologic examination, teeth; complete, full mouth Non-Facility (70320) | $1,047.21 | $1,047.21 | 4.2× |
| Radiologic examination, teeth; partial examination, less than full mouth Non-Facility (70310) | $812.98 | $812.98 | 3.3× |
| Radiological examination surgical specimen (76098) | $1,837.79 | $1,837.79 | 3.2× |
| 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 1 day imaging (78830) | $4,454.56 | $4,454.56 | 3.3× |
| Rp therapy intra-arterial particulate admn (79445) | $997.17 | $997.17 | 4.1× |
| Rp Therapy Intravenous Administration (79101) | $2,443.15 | $2,443.15 | 10.0× |
| Sacroiliac Joints < 3 Views (72200) | $664.50 | $664.50 | 6.1× |
| 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× |
| Small bowel series (74250) | $1,903.56 | $1,903.56 | 10.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $1,624.09 | $1,624.09 | 4.2× |
| Special dosimetry (77331) | $942.28 | $942.28 | 6.7× |
| Special Physics Consult (77370) | $1,661.78 | $1,661.78 | 11.8× |
| Special treatment procedure (77470) | $3,449 | $3,449 | 6.0× |
| Spine thoracic 3 views (72072) | $2,117.56 | $2,117.56 | 19.4× |
| 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× |
| Thoracolumbar 2 views (72080) | $1,631.43 | $1,631.43 | 18.0× |
| Thyroid carcinoma metastases img whole body (78018) | $3,425.59 | $3,425.59 | 6.0× |
| Thyroid imaging w/blood flow (78013) | $3,951.75 | $3,951.75 | 9.5× |
| 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× |
| Tmj unilateral (70328) | $1,096.69 | $1,096.69 | 12.1× |
| Treatment device complex (77334) | $3,681.61 | $3,681.61 | 9.4× |
| Treatment device intermediate (77333) | $1,022.18 | $1,022.18 | 7.3× |
| Treatment devices simple (77332) | $711.32 | $711.32 | 5.1× |
| Ultrasound breast complete (76641) | $2,331.74 | $2,331.74 | 21.4× |
| 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× |
| Urethrocystogram voiding (74455) | $1,558.31 | $1,558.31 | 6.3× |
| Urethrocystography retrograde rs&i (74450) | $2,833.35 | $2,833.35 | 11.4× |
| Us breast unilateral limited (76642) | $1,553.45 | $1,553.45 | 17.1× |
| Us chest (76604) | $1,893.70 | $1,893.70 | 17.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $2,194.29 | $2,194.29 | 9.7× |
| Us compl joint r-t w/image documentation (76881) | $1,943.72 | $1,943.72 | 17.8× |
| Us elastography parenchyma (76981) | $1,344.82 | $1,344.82 | 12.3× |
| Us encephalogram (76506) | $1,872.60 | $1,872.60 | 17.2× |
| Us infant hips w manipulation (76885) | $1,580.20 | $1,580.20 | 17.4× |
| 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 (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 pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,791.06 | $1,791.06 | 16.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,652.08 | $1,652.08 | 15.1× |
| Us pg uter r-t img f-up tabdl appr pr 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 soft tissue head/neck (76536) | $2,443.11 | $2,443.11 | 22.4× |
| Us spinal canal and contents (76800) | $1,381.02 | $1,381.02 | 12.7× |
| Us transrectal (76872) | $1,282.98 | $1,282.98 | 11.8× |
| Us transrectal prostate volume (76873) | $1,344.82 | $1,344.82 | 12.3× |
| Us, eye b-scan (76512) | $1,344.82 | $1,344.82 | 12.3× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,294.20 | $2,294.20 | 21.0× |
| Venogram adrenal unilat (75840) | $26,854.65 | $26,854.65 | 8.1× |
| Venogram extremity bilateral (75822) | $6,080.06 | $6,080.06 | 3.7× |
| Venogram Extremity Unilateral (75820) | $4,342.90 | $4,342.90 | 2.6× |
| Venography caval inferior serialography rs&i (75825) | $8,333.83 | $8,333.83 | 2.5× |
| Venography caval superior serialography rs&i (75827) | $12,975.70 | $12,975.70 | 7.9× |
| Venography Renal Bilateral (75833) | $26,854.65 | $26,854.65 | 8.1× |
| Venography renal unilateral selective rs&i (75831) | $26,854.65 | $26,854.65 | 8.1× |
| Venography venous sinus/jugular cath rs&i (75860) | $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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,693.50 | $1,693.50 | 15.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,096.69 | $1,096.69 | 12.1× |
| X-ray b.e. reductn intuss (74283) | $1,646.31 | $1,646.31 | 9.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,258.21 | $2,258.21 | 12.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,197.98 | $1,197.98 | 13.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,240.42 | $2,240.42 | 24.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,665.96 | $1,665.96 | 15.3× |
| X-ray exam of femur 2/> (73552) | $1,433.45 | $1,433.45 | 15.8× |
| X-ray eye for foreign body (70030) | $986.70 | $986.70 | 10.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,488.23 | $2,488.23 | 27.4× |
| 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 leg, infant (73592) | $1,026 | $1,026 | 11.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,857.44 | $1,857.44 | 17.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,843.17 | $2,843.17 | 26.0× |
| X-ray nose-rectum child f.b. (76010) | $506.47 | $506.47 | 5.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,956.71 | $1,956.71 | 17.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,044.77 | $1,044.77 | 11.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,223.77 | $2,223.77 | 20.4× |
| 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 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 Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,046.21 | $2,046.21 | 18.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,134.39 | $1,134.39 | 12.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,580.12 | $1,580.12 | 17.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,187.03 | $1,187.03 | 10.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,282.84 | $2,282.84 | 20.9× |
| Xr bone length studies (77073) | $895.42 | $895.42 | 8.2× |
| Xr c-spine 4 or 5 views (72050) | $2,243.62 | $2,243.62 | 20.6× |
| Xr c-spine 6 or more views (72052) | $2,476.05 | $2,476.05 | 22.7× |
| Xr chest 4+ views (71048) | $1,344.82 | $1,344.82 | 12.3× |
| Xr urogram antegrade (74425) | $1,700.88 | $1,700.88 | 4.7× |