Imaging prices at AdventHealth Waterman
Tavares, FL · every code in this section with a posted price and a Medicare benchmark.
316 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) | $7,775.02 | $7,775.02 | 5.4× |
| Abdomen 1 View (74018) | $870.36 | $870.36 | 9.6× |
| Abdomen 2 views (74019) | $962.64 | $962.64 | 8.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,667.83 | $1,667.83 | 4.0× |
| Angio pulmonary bilat (75743) | $2,517.35 | $2,517.35 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $4,122.25 | $4,122.25 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $3,867.62 | $3,867.62 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,210.70 | $5,210.70 | 1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,364.42 | $1,364.42 | 0.4× |
| Ankle 2 views (73600) | $745.11 | $745.11 | 8.2× |
| Aortography thoracic serialography rs&i (75605) | $10,184.93 | $10,184.93 | 1.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,304.72 | $8,304.72 | 2.5× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,250.81 | $2,250.81 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$2,368.85–$10,153.40 | $2,368.85–$10,153.40 | varies |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,905.31 | $2,905.31 | 0.5× |
| Artery X-Rays Spine (75705) | $9,645.05 | $9,645.05 | 1.7× |
| Arthrogram hip (73525) | $2,093.21 | $2,093.21 | 5.7× |
| Arthrogram Wrist (73115) | $690.14 | $690.14 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $1,387.96 | $1,387.96 | 9.9× |
| Bone age studies (77072) | $760.06 | $760.06 | 7.0× |
| Bone Imaging 3 Phase (78315) | $5,023.56 | $5,023.56 | 12.0× |
| Bone Imaging Limited Area (78300) | $2,417.42 | $2,417.42 | 5.8× |
| Bone Imaging Whole Body (78306) | $4,567.08 | $4,567.08 | 10.9× |
| Bone survey infant (77076) | $382.10 | $382.10 | 3.5× |
| Brachytx isodose complex (77318) | $1,669.56 | $1,669.56 | 4.3× |
| Brachytx isodose intermed (77317) | $1,277.55 | $1,277.55 | 3.3× |
| Brachytx Isodose Plan Simple (77316) | $815.14 | $815.14 | 2.1× |
| Brain Image W/Flow < 4 Views (78601) | $2,071.83 | $2,071.83 | 5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,088.26 | $9,088.26 | 6.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,782.35 | $3,782.35 | 10.4× |
| Cat Scan Follow-Up Study (76380) | $950.70 | $950.70 | 10.5× |
| Cerebrospinal Fluid Scan (78630) | $2,563.44 | $2,563.44 | 4.5× |
| Chest 1 view (71045) | $720.34 | $720.34 | 7.9× |
| Chest 2 views (71046) | $1,418.03 | $1,418.03 | 15.6× |
| Chest 3 views (71047) | $1,731.07 | $1,731.07 | 19.0× |
| Chest 4 or more views (71048) | $1,776.31 | $1,776.31 | 16.3× |
| Cholecystography Oral Contrast (74290) | $1,199.71 | $1,199.71 | 6.5× |
| Cisternography Positive Contrast Rs&I (70015) | $2,537.52 | $2,537.52 | 3.1× |
| Clavicle complete (73000) | $1,301.64 | $1,301.64 | 14.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,613.79 | $2,613.79 | 23.9× |
| Continuing medical physics consltj pr wk (77336) | $1,317.25 | $1,317.25 | 9.4× |
| Contrast Exam Abdominl Aorta (75625) | $5,419.03 | $5,419.03 | 1.6× |
| Contrast X-Ray Bladder (74430) | $972.31 | $972.31 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,458.38 | $1,458.38 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $14,966.67 | $14,966.67 | 41.1× |
| CT abdomen and pelvis without contrast (74176) | $11,321.08 | $11,321.08 | 45.4× |
| CT abdomen w contrast (74160) | $5,596.23 | $5,596.23 | 30.6× |
| CT abdomen w wo contrast (74170) | $7,871.37 | $7,871.37 | 43.0× |
| CT abdomen w/o contrast (74150) | $5,026.83 | $5,026.83 | 46.0× |
| CT Angio Abdomen and Pelvis (74174) | $13,315.86 | $13,315.86 | 36.5× |
| CT Angio Chest (71275) | $5,981.04 | $5,981.04 | 32.7× |
| CT Angio Head (70496) | $8,637.63 | $8,637.63 | 47.2× |
| CT angio hrt w/3d image (75574) | $3,231.02 | $3,231.02 | 8.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $7,111.34 | $7,111.34 | 38.8× |
| CT Angio Neck (70498) | $7,929.96 | $7,929.96 | 43.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $7,111.34 | $7,111.34 | 38.8× |
| CT cervical spine w/ contrast (72126) | $7,251.49 | $7,251.49 | 19.9× |
| CT cervical spine w/o contrast (72125) | $6,532.81 | $6,532.81 | 59.8× |
| CT cervical spine w/wo cont (72127) | $5,352.22 | $5,352.22 | 29.2× |
| CT chest w contrast (71260) | $5,980.02 | $5,980.02 | 32.6× |
| CT chest w/wo contrast (71270) | $7,091.23 | $7,091.23 | 38.7× |
| CT head/brain with contrast (70460) | $7,334.15 | $7,334.15 | 40.0× |
| CT head/brain without and with contrast (70470) | $8,699.16 | $8,699.16 | 47.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,680.02 | $1,680.02 | 4.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $121.55 | $121.55 | 1.3× |
| CT iac w contrast (70481) | $6,324.38 | $6,324.38 | 34.5× |
| CT l-spine w&w/o contrast (72133) | $4,908.94 | $4,908.94 | 26.8× |
| CT lower ext w/o (73700) | $3,980.81 | $3,980.81 | 36.5× |
| CT lower extremity w/contrast material (73701) | $6,278.51 | $6,278.51 | 34.3× |
| CT lumbar spine w contrast (72132) | $4,713.30 | $4,713.30 | 12.9× |
| CT lumbar spine w/o contrast (72131) | $4,525.15 | $4,525.15 | 41.5× |
| CT maxillofacial w contrast (70487) | $6,895 | $6,895 | 37.6× |
| CT maxillofacial wo contrast (70486) | $5,969.13 | $5,969.13 | 54.7× |
| CT neck tissue combo (70492) | $9,451.60 | $9,451.60 | 51.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,167.74 | $6,167.74 | 33.7× |
| CT orbits w/o contrast (70480) | $5,051.67 | $5,051.67 | 46.3× |
| CT pelvis w&w/o contrast (72194) | $5,647.25 | $5,647.25 | 30.8× |
| CT pelvis w/o contrast (72192) | $5,947.41 | $5,947.41 | 54.5× |
| CT scan of leg combo (73702) | $6,920.81 | $6,920.81 | 37.8× |
| CT scans face/jaw combo (70488) | $7,125.86 | $7,125.86 | 38.9× |
| CT soft tissue neck w contrast (70491) | $7,334.15 | $7,334.15 | 40.0× |
| CT soft tissue neck w/o contrast (70490) | $5,664.24 | $5,664.24 | 51.9× |
| CT thoracic spine w contrast (72129) | $4,008.44 | $4,008.44 | 21.9× |
| CT thoracic spine w/o contrast (72128) | $3,644.73 | $3,644.73 | 33.4× |
| CT thoracic spine w/wo cont (72130) | $4,372.12 | $4,372.12 | 23.9× |
| CT thorax w/o contrast (71250) | $4,876.34 | $4,876.34 | 44.7× |
| CT unlisted procedure (76497) | $7,029.28 | $7,029.28 | 77.3× |
| CT upper ext wo (73200) | $4,091.88 | $4,091.88 | 37.5× |
| CT upper extremity w/o & w/contrast material (73202) | $7,461.07 | $7,461.07 | 40.7× |
| CT upper extremity with contrast (73201) | $6,553.93 | $6,553.93 | 18.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,107.92 | $3,107.92 | 17.0× |
| Cta Abdomen (74175) | $7,745.93 | $7,745.93 | 42.3× |
| CTA pelvis (72191) | $7,111.34 | $7,111.34 | 38.8× |
| Dxa Bone Density Axial (77080) | $1,125.11 | $1,125.11 | 10.3× |
| Dxa bone density study (77085) | $1,530.93 | $1,530.93 | 14.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $677.69 | $677.69 | 7.5× |
| Esophagram (74220) | $1,421.78 | $1,421.78 | 7.8× |
| Fetal Biophys Profile W/Nst (76818) | $527.88 | $527.88 | 4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $865.15 | $865.15 | 7.9× |
| Fluoroscopy up to 1 hr (76000) | $1,294.20 | $1,294.20 | 5.2× |
| Follow-Up Angiography (75898) | $1,586.24 | $1,586.24 | 0.5× |
| Foot 2 views (73620) | $963.50 | $963.50 | 10.6× |
| Forearm 2 views (73090) | $1,011.40 | $1,011.40 | 11.1× |
| Gastric emptying imaging study (78264) | $3,935.56 | $3,935.56 | 9.4× |
| Gated Heart Planar Single (78472) | $2,971.03 | $2,971.03 | 7.1× |
| Gated Heart, Multiple (78473) | $3,737.91 | $3,737.91 | 9.0× |
| Hand 2 views (73120) | $781.01 | $781.01 | 7.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $9,763.64 | $9,763.64 | 13.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,461.99 | $8,461.99 | 11.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,565.48 | $9,565.48 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,666.02 | $6,666.02 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $4,315.42 | $4,315.42 | 7.6× |
| Hepatobiliary System Imaging (78226) | $4,315.42 | $4,315.42 | 10.3× |
| Ht Muscle Image Spect Sing (78451) | $7,279.29 | $7,279.29 | 5.4× |
| Hysterosalpingogram (74740) | $1,742.01 | $1,742.01 | 7.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,096.75 | $2,096.75 | 2.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,603.67 | $1,603.67 | 2.8× |
| Intracavitary radiation source applic simple (77761) | $1,603.67 | $1,603.67 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $5,080.91 | $5,080.91 | 9.0× |
| Knee 3 Views (73562) | $1,211.89 | $1,211.89 | 13.3× |
| Lung perfusion differential (78597) | $2,294.57 | $2,294.57 | 5.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,235.26 | $2,235.26 | 3.9× |
| Lymph System Imaging (78195) | $3,593.94 | $3,593.94 | 6.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,020.69 | $1,020.69 | 2.6× |
| Mr safety determination physician/other qhp (76016) | $210.74 | $210.74 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $58.85 | $58.85 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $220.91 | $220.91 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $140.35 | $140.35 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $580.74 | $580.74 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $4,322.12 | $4,322.12 | 11.9× |
| MRA head w/o contrast (70544) | $3,541.40 | $3,541.40 | 14.2× |
| MRA neck w contrast (70548) | $2,990.93 | $2,990.93 | 8.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,190.13 | $4,190.13 | 11.5× |
| MRA neck w/o contrast (70547) | $2,923.55 | $2,923.55 | 11.7× |
| MRI abdomen w contrast (74182) | $5,681.99 | $5,681.99 | 15.6× |
| MRI abdomen w/o contrast (74181) | $4,918.76 | $4,918.76 | 19.7× |
| MRI any jt lower extrem w/contrast material (73722) | $6,861.30 | $6,861.30 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,082.35 | $6,082.35 | 16.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,555.23 | $6,555.23 | 8.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,338.50 | $3,338.50 | 13.4× |
| MRI cardiac w/o contrast (75557) | $3,551.89 | $3,551.89 | 14.3× |
| MRI cervical spine w contrast (72142) | $7,484.68 | $7,484.68 | 20.5× |
| MRI cervical spine w/o cont (72141) | $8,231.51 | $8,231.51 | 33.0× |
| MRI chest w/o contrast (71550) | $4,293.67 | $4,293.67 | 17.2× |
| MRI chest with contrast (71551) | $2,114.61 | $2,114.61 | 2.6× |
| MRI chest wo w contrast (71552) | $5,195.02 | $5,195.02 | 14.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,679.32 | $7,679.32 | 21.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,768.31 | $6,768.31 | 18.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,593.01 | $5,593.01 | 22.4× |
| MRI lumbar spine w contrast (72149) | $6,997.71 | $6,997.71 | 19.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,231.51 | $8,231.51 | 22.6× |
| MRI orbit face &/neck w/o contrast (70540) | $5,135.84 | $5,135.84 | 20.6× |
| MRI orbit face neck w contrast (70542) | $4,286.96 | $4,286.96 | 11.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,488.48 | $6,488.48 | 17.8× |
| MRI pelvis w contrast (72196) | $5,326.37 | $5,326.37 | 14.6× |
| MRI pelvis w/o & w contrast (72197) | $5,909.09 | $5,909.09 | 16.2× |
| MRI pelvis w/o contrast (72195) | $5,216.12 | $5,216.12 | 20.9× |
| MRI thoracic spine w/o contrast (72146) | $5,892.69 | $5,892.69 | 23.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,068.96 | $4,068.96 | 16.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,859.93 | $5,859.93 | 16.1× |
| MRI, abdomen, combo (74183) | $6,208.76 | $6,208.76 | 17.0× |
| MRI, dorsal spine combo (72157) | $7,489.37 | $7,489.37 | 20.6× |
| MRI, dorsal spine contrast (72147) | $6,482.68 | $6,482.68 | 17.8× |
| MRI, joint upper extrem (73221) | $5,569.42 | $5,569.42 | 22.4× |
| MRI, joint upper extrem combo (73223) | $7,208.44 | $7,208.44 | 19.8× |
| MRI, lumbar spine combo (72158) | $7,489.37 | $7,489.37 | 20.6× |
| Myelogram cervical (72240) | $4,518.65 | $4,518.65 | 5.5× |
| Myelogram Lumbar (72265) | $5,028.54 | $5,028.54 | 6.1× |
| Myelograpy 2/more regions rs&i (72270) | $3,074.01 | $3,074.01 | 3.8× |
| Myocardial Spect Multiple Studies (78452) | $11,449 | $11,449 | 8.5× |
| Neck soft tissue (70360) | $779.38 | $779.38 | 8.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $815.61 | $815.61 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,356.32 | $14,356.32 | 9.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $386.15 | $386.15 | 3.5× |
| Pelvis 1 or 2 views (72170) | $810.90 | $810.90 | 7.4× |
| PET image w/CT, full body (78816) | $11,733.90 | $11,733.90 | 7.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,364.65 | $9,364.65 | 6.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,652.43 | $2,652.43 | 6.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,442.98 | $1,442.98 | 13.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,313.63 | $1,313.63 | 14.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $792.97 | $792.97 | 8.7× |
| Radex elbow complete minimum 3 views (73080) | $1,110.14 | $1,110.14 | 12.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,636.79 | $1,636.79 | 15.0× |
| Radex fingr minimum 2 views (73140) | $775.01 | $775.01 | 8.5× |
| Radex foot complete minimum 3 views (73630) | $1,143.04 | $1,143.04 | 12.6× |
| Radex Hand Minimum 3 Views (73130) | $1,059.67 | $1,059.67 | 11.7× |
| Radex lower extremity infant minimum 2 views (73592) | $843.82 | $843.82 | 9.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $942.56 | $942.56 | 10.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,427.34 | $1,427.34 | 15.7× |
| Radex shoulder complete minimum 2 views (73030) | $1,220.87 | $1,220.87 | 13.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,310.64 | $1,310.64 | 14.4× |
| Radex Spine 1 View Specify Level (72020) | $595.47 | $595.47 | 6.6× |
| Radex Sternum Minimum 2 Views (71120) | $1,310.64 | $1,310.64 | 14.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,143.04 | $1,143.04 | 12.6× |
| Radex Toe Minimum 2 Views (73660) | $837.86 | $837.86 | 9.2× |
| Radex upper extremity infant minimum 2 views (73092) | $1,098.06 | $1,098.06 | 10.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,146.05 | $1,146.05 | 12.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,454.24 | $1,454.24 | 13.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $44,880.59 | $44,880.59 | 5.8× |
| Radiation treatment delivery level 1 (77402) | $1,141.12 | $1,141.12 | 10.7× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$714.46–$1,018.02 | $714.46–$1,018.02 | varies |
| Radiation treatment delivery level 3 (77412) | $1,945.98 | $1,945.98 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,077.22 | $1,077.22 | 9.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,014.95 | $1,014.95 | 9.3× |
| Radiologic exam colon double contrast study (74280) | $1,608.92 | $1,608.92 | 8.8× |
| Radiologic exam colon single contrast study (74270) | $1,670.62 | $1,670.62 | 9.1× |
| Radiologic exam knee complete 4/more views (73564) | $1,403.41 | $1,403.41 | 12.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $828.88 | $828.88 | 7.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,491.21 | $1,491.21 | 8.1× |
| Radiologic exam swallow function contrast study (74230) | $1,130.48 | $1,130.48 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,786.40 | $1,786.40 | 9.8× |
| Radiologic examination femur 1 view (73551) | $462.82 | $462.82 | 5.1× |
| Radiologic examination femur minimum 2 views (73552) | $966.51 | $966.51 | 10.6× |
| Radiologic examination knee 1/2 views (73560) | $631.38 | $631.38 | 6.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $999.42 | $999.42 | 11.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,523.79 | $1,523.79 | 3.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,015.86 | $1,015.86 | 2.5× |
| Ribs bilateral 3 views (71110) | $1,695.63 | $1,695.63 | 15.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,917.24 | $2,917.24 | 7.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,547.39 | $3,547.39 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,933.76 | $3,933.76 | 6.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,862.48 | $3,862.48 | 2.9× |
| Scapula (73010) | $1,074.23 | $1,074.23 | 9.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $103.18 | $103.18 | 4.4× |
| Shoulder 1 view (73020) | $816.90 | $816.90 | 9.0× |
| Shoulder Arthrography (73040) | $1,263.42 | $1,263.42 | 3.5× |
| Skull less than 4 views (70250) | $1,409.35 | $1,409.35 | 12.9× |
| Special dosimetry (77331) | $1,184.54 | $1,184.54 | 8.4× |
| Special Physics Consult (77370) | $2,127.99 | $2,127.99 | 15.2× |
| Special teletherapy port plan (77321) | $2,109.73 | $2,109.73 | 5.4× |
| Special treatment procedure (77470) | $4,956.32 | $4,956.32 | 8.6× |
| Srs Multisource (77371) | $27,584.98 | $27,584.98 | 3.6× |
| Stereotactic Body Radiation Delivery (77373) | $6,157.90 | $6,157.90 | 3.3× |
| Sternoclavicular joints (71130) | $400.17 | $400.17 | 4.4× |
| Tbs technical calculation only (77091) | $220.51 | $220.51 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,791.26 | $2,791.26 | 7.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $955.40 | $955.40 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,855.39 | $3,855.39 | 9.9× |
| Ther rad simulaj-aided field setting simple (77280) | $2,135.45 | $2,135.45 | 15.2× |
| Thoracic spine 2 views (72070) | $1,110.14 | $1,110.14 | 10.2× |
| Thoracic spine 3 views (72072) | $1,666.72 | $1,666.72 | 15.3× |
| Thoracolumbar 2 views (72080) | $1,493.17 | $1,493.17 | 16.4× |
| Thyroid Met Imaging Body (78018) | $6,564.99 | $6,564.99 | 11.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,163.39 | $3,163.39 | 7.6× |
| Tx Devices Design & Construction Complex (77334) | $2,863.71 | $2,863.71 | 7.3× |
| Tx devices design & construction simple (77332) | $886.77 | $886.77 | 6.3× |
| Ultrasound Breast Limited (76642) | $1,519.25 | $1,519.25 | 16.7× |
| Ultrasound Exam Aaa Screen (76706) | $871.85 | $871.85 | 8.0× |
| Ultrasound, abdomen limited (76705) | $1,786.85 | $1,786.85 | 16.4× |
| Umbilical-artery Doppler (OB) (76820) | $325.04 | $325.04 | 3.0× |
| Upper gi w/o kub (74240) | $1,157.49 | $1,157.49 | 6.3× |
| Urethrocystogram voiding (74455) | $1,632.04 | $1,632.04 | 6.5× |
| Urethrocystography retrograde (74450) | $2,262.98 | $2,262.98 | 9.1× |
| Us breast unilateral complete (76641) | $1,918.80 | $1,918.80 | 17.6× |
| Us chest (76604) | $678.55 | $678.55 | 6.2× |
| Us complete joint (76881) | $1,201.59 | $1,201.59 | 11.0× |
| Us exam, pelvic, limited (76857) | $1,235.49 | $1,235.49 | 11.3× |
| Us head (76506) | $1,416.98 | $1,416.98 | 13.0× |
| Us kidney transplant (76776) | $626.27 | $626.27 | 5.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,084.26 | $1,084.26 | 9.9× |
| Us ob limited 1 or more fetuses (76815) | $1,320.31 | $1,320.31 | 12.1× |
| Us ob transvaginal (76817) | $1,597.39 | $1,597.39 | 14.6× |
| Us pelvic non ob complete (76856) | $2,120.74 | $2,120.74 | 19.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,762.22 | $2,762.22 | 25.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $778.94 | $778.94 | 7.1× |
| Us retroperitoneal complete (76770) | $1,515.41 | $1,515.41 | 13.9× |
| Us retroperitoneal limited (76775) | $1,477.34 | $1,477.34 | 13.5× |
| Us scrotum and contents (76870) | $2,182.62 | $2,182.62 | 20.0× |
| Us spinal canal and contents (76800) | $813.65 | $813.65 | 7.5× |
| Us thyroid (76536) | $1,812.48 | $1,812.48 | 16.6× |
| Vein X-Ray Chest (75827) | $4,524.78 | $4,524.78 | 2.8× |
| Venogram Sinus/Jugular (75860) | $2,565.95 | $2,565.95 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $5,194.59 | $5,194.59 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $4,987.61 | $4,987.61 | 3.0× |
| Venography extremity unilateral rs&i (75820) | $3,582.82 | $3,582.82 | 2.2× |
| Venography Renal Bilateral (75833) | $9,565.48 | $9,565.48 | 2.9× |
| Venography Renal Unilateral (75831) | $6,797.51 | $6,797.51 | 2.1× |
| Wrist 2 views (73100) | $984.48 | $984.48 | 10.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $604.42 | $604.42 | 6.7× |
| X-ray antegrade pyelogram tube (74425) | $1,010.85 | $1,010.85 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $5,220.35 | $5,220.35 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $814.39 | $814.39 | 7.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $837.86 | $837.86 | 9.2× |
| X-Ray Exam Breast Specimen (76098) | $1,428.17 | $1,428.17 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $588.30 | $588.30 | 6.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,114.90 | $2,114.90 | 19.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,639.21 | $1,639.21 | 15.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $646.35 | $646.35 | 7.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $798.92 | $798.92 | 8.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,415.21 | $2,415.21 | 22.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,364.59 | $1,364.59 | 12.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $272.70 | $272.70 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,264.13 | $1,264.13 | 11.6× |
| X-Ray Exam L-S Spine Bending (72114) | $2,360.94 | $2,360.94 | 21.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,020.34 | $1,020.34 | 11.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,322.03 | $2,322.03 | 21.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,025.78 | $2,025.78 | 18.6× |
| X-ray eye for foreign body (70030) | $422.77 | $422.77 | 4.7× |
| X-ray humerus (73060) | $942.56 | $942.56 | 10.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $797.45 | $797.45 | 8.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,618.83 | $1,618.83 | 17.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,481.16 | $1,481.16 | 13.6× |
| X-ray nose-rectum child f.b. (76010) | $244.47 | $244.47 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,432.70 | $1,432.70 | 13.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $828.88 | $828.88 | 7.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $540.88 | $540.88 | 5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,496.12 | $1,496.12 | 16.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,609.88 | $1,609.88 | 17.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,621.82 | $1,621.82 | 14.9× |
| X-ray thoracic spine 4 vw (72074) | $1,610.54 | $1,610.54 | 14.8× |
| X-Ray Tmj Unilat (70328) | $499.08 | $499.08 | 5.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,579.96 | $1,579.96 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $2,295.09 | $2,295.09 | 21.0× |
| Xr c-spine 4 or 5 views (72050) | $2,166.43 | $2,166.43 | 19.8× |
| Xr facial bones less than 3 views (70140) | $981.48 | $981.48 | 10.8× |
| Xr orbits complete 4 views (70200) | $1,804.37 | $1,804.37 | 16.5× |
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.