Imaging prices at AdventHealth Wauchula

Wauchula, FL · every code in this section with a posted price and a Medicare benchmark.

176 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $1,209.50 $1,209.50 11.1×
Ankle 2 views (73600) $1,412.76 $1,412.76 15.5×
Bone age studies (77072) $712.75 $712.75 6.5×
Bone survey complete (77075) $1,925.54 $1,925.54 17.6×
Bone survey infant (77076) $1,925.54 $1,925.54 17.6×
Brachytx isodose complex (77318) $2,013.11 $2,013.11 5.1×
Brachytx isodose intermed (77317) $1,636.83 $1,636.83 4.2×
Brachytx isodose pln smpl w/dosimetry cal (77316) $1,377.08 $1,377.08 3.5×
Cervical spine 2 or 3 views (72040) $1,461.08 $1,461.08 16.1×
Chest 1 view (71045) $713.92 $713.92 7.9×
Chest xray 3 views (71047) $1,412.76 $1,412.76 15.5×
Clavicle complete (73000) $1,244.01 $1,244.01 13.7×
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 lwr extr w/o&w/dye (73706) $5,755.17 $5,755.17 31.4×
CT angiography upper extremity lt (73206) $2,357.21 $2,357.21 12.9×
CT c-spine w/contrast (72126) $5,129.09 $5,129.09 14.1×
CT c-spine w/o contrast (72125) $5,533.46 $5,533.46 50.7×
CT cervical spine w&w/o contrast (72127) $2,357.21 $2,357.21 12.9×
CT chest w contrast (71260) $6,626.19 $6,626.19 36.2×
CT chest w/wo contrast (71270) $2,357.21 $2,357.21 12.9×
CT head/brain without and with contrast (70470) $7,445.40 $7,445.40 40.6×
CT iac w contrast (70481) $6,084.02 $6,084.02 33.2×
CT lower ext w/o (73700) $5,312.42 $5,312.42 48.7×
CT lower extremity w wo contrast (73702) $2,357.21 $2,357.21 12.9×
CT lower extremity w/contrast material (73701) $5,841.38 $5,841.38 31.9×
CT lumbar spine w/contrast (72132) $5,129.09 $5,129.09 14.1×
CT lumbar spine w/o contrast (72131) $5,496.16 $5,496.16 50.3×
CT maxillofacial w contrast (70487) $6,805.89 $6,805.89 37.2×
CT maxillofacial w/wo contrast (70488) $5,907.21 $5,907.21 32.2×
CT maxillofacial wo contrast (70486) $6,454.91 $6,454.91 59.1×
CT orbits w/o contrast (70480) $5,733.05 $5,733.05 52.5×
CT pelvis w/o contrast (72192) $5,456.44 $5,456.44 50.0×
CT soft tissue neck w contrast (70491) $6,496.89 $6,496.89 35.5×
CT soft tissue neck w/o & w/contrast material (70492) $2,357.21 $2,357.21 12.9×
CT soft tissue neck w/o contrast (70490) $5,304.97 $5,304.97 48.6×
CT thoracic spine w/contrast (72129) $2,357.21 $2,357.21 12.9×
CT thoracic spine w/o contrast (72128) $6,134.47 $6,134.47 56.2×
CT thorax w/o contrast (71250) $4,547.42 $4,547.42 41.7×
CT upper ext wo (73200) $4,097.95 $4,097.95 37.5×
CT upper extremity with contrast (73201) $6,047.53 $6,047.53 16.6×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $7,781.07 $7,781.07 42.5×
Cta Abdomen (74175) $7,070.78 $7,070.78 38.6×
CTA abdomen pelvis (74174) $15,221.87 $15,221.87 41.8×
CTA chest (71275) $7,683.51 $7,683.51 41.9×
Cta Head (70496) $7,036.91 $7,036.91 38.4×
Cta Neck (70498) $7,367.07 $7,367.07 40.2×
Cta Pelvis (72191) $2,357.21 $2,357.21 12.9×
Facial bones min 3 views (70150) $2,096.01 $2,096.01 19.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,925.54 $1,925.54 17.6×
Foot 2 views (73620) $1,017.23 $1,017.23 11.2×
Forearm 2 views (73090) $1,383.28 $1,383.28 15.2×
Hand 2 views (73120) $1,062.59 $1,062.59 9.7×
Intracavitary Radiation Source Applic Complex (77763) $4,470.33 $4,470.33 6.1×
Intracavitary Radiation Source Applic Intermed (77762) $3,716.73 $3,716.73 6.4×
Intracavitary Radiation Source Applic Simple (77761) $2,507.42 $2,507.42 4.3×
Knee 3 views (73562) $1,626.27 $1,626.27 17.9×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $5,129.09 $5,129.09 14.1×
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 & w/o contrast (70546) $5,129.09 $5,129.09 14.1×
MRA head w/o contrast (70544) $4,056.83 $4,056.83 16.3×
Mra Neck W/O &W/Contrast Material (70549) $5,129.09 $5,129.09 14.1×
MRA neck w/o contrast (70547) $4,056.83 $4,056.83 16.3×
MRI abdomen w/o & w/contrast material (74183) $9,720.98 $9,720.98 26.7×
MRI abdomen w/o contrast (74181) $4,056.83 $4,056.83 16.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,129.09 $5,129.09 14.1×
MRI cervical spine w/o contrast (72141) $8,378.38 $8,378.38 33.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,129.09 $5,129.09 14.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $6,119.88 $6,119.88 24.6×
MRI orbit face &/neck w/o contrast (70540) $4,056.83 $4,056.83 16.3×
MRI orbit/face/neck w&w/o cont (70543) $5,129.09 $5,129.09 14.1×
MRI pelvis w/o & w/contrast material (72197) $5,129.09 $5,129.09 14.1×
MRI pelvis w/o contrast (72195) $4,056.83 $4,056.83 16.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $5,129.09 $5,129.09 14.1×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $9,555.24 $9,555.24 26.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $8,794.33 $8,794.33 24.1×
MRI thoracic spine w/o contrast (72146) $7,553.79 $7,553.79 30.3×
MRI up ext w/o contrast (73218) $4,056.83 $4,056.83 16.3×
MRI upper ext joint w/o contrast (73221) $6,687.41 $6,687.41 26.8×
MRI, joint upper extrem combo (73223) $7,148.88 $7,148.88 19.6×
Neck soft tissue (70360) $831.40 $831.40 9.1×
Ntsty modul radthx pln dose-vol histos (77301) $16,846.89 $16,846.89 11.7×
Pelvis 1 or 2 views (72170) $1,146.83 $1,146.83 10.5×
Radex Ankle Compl 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 Elbw Compl Minimum 3 Views (73080) $1,542.02 $1,542.02 17.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $295.77 $295.77 3.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $1,925.54 $1,925.54 17.6×
Radex fingr minimum 2 views (73140) $793.67 $793.67 8.7×
Radex Foot Compl 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 Hip Unilateral With Pelvis 1 View (73501) $1,840.09 $1,840.09 20.2×
Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) $2,375.74 $2,375.74 21.8×
Radex Hips Bilateral With Pelvis 2 Views (73521) $1,119.45 $1,119.45 10.3×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $1,925.54 $1,925.54 17.6×
Radex Humerus Minimum 2 Views (73060) $1,506.44 $1,506.44 16.6×
Radex Kne 1/2 Views (73560) $1,444.89 $1,444.89 15.9×
Radex Kne Compl 4/More Views (73564) $1,820.64 $1,820.64 16.7×
Radex Mndbl Compl Minimum 4 Views (70110) $1,502.89 $1,502.89 13.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,373.59 $1,373.59 15.1×
Radex Pelvis Compl Minimum 3 Views (72190) $1,925.54 $1,925.54 17.6×
Radex Sho Compl Minimum 2 Views (73030) $1,542.02 $1,542.02 17.0×
Radex Sinuses Paransl < 3 Views (70210) $1,412.76 $1,412.76 15.5×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $1,925.54 $1,925.54 17.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,412.76 $1,412.76 15.5×
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 Wrst Compl 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) $1,925.54 $1,925.54 17.6×
Radiation Delivery Stereotactic Cranial Cobalt (77371) $35,677.03 $35,677.03 4.6×
Radiation treatment delivery level 1 (77402) $712.81 $712.81 6.7×
Radiation treatment delivery level 2 (77407) $951.51 $951.51 2.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $913.59 $913.59 10.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,925.54 $1,925.54 17.6×
Radiologic exam chest 2 views (71046) $964.64 $964.64 10.6×
Radiologic examination tibia & fibula 2 views (73590) $1,383.28 $1,383.28 15.2×
Ribs bilateral 3 views (71110) $2,290.42 $2,290.42 21.0×
Sacroiliac Joints < 3 Views (72200) $1,925.54 $1,925.54 17.6×
Scapula (73010) $1,308.84 $1,308.84 12.0×
Shoulder 1 view (73020) $1,412.76 $1,412.76 15.5×
Spine thoracic 3 views (72072) $1,924.32 $1,924.32 17.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,794.37 $1,794.37 4.6×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,083.84 $1,083.84 2.8×
Thoracolumbar 2 views (72080) $1,412.76 $1,412.76 15.5×
Tmj unilateral (70328) $1,412.76 $1,412.76 15.5×
Ultrasound Exam Aaa Screen (76706) $1,925.54 $1,925.54 17.6×
Ultrasound, abdomen limited (76705) $2,369.66 $2,369.66 21.7×
Us chest (76604) $1,925.54 $1,925.54 17.6×
Us compl joint r-t w/image documentation (76881) $1,925.54 $1,925.54 17.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $2,287.86 $2,287.86 21.0×
Us ob detailed single fetus (76811) $4,056.83 $4,056.83 16.3×
Us ob limited (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) $2,637.02 $2,637.02 24.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,407.07 $1,407.07 12.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,840.65 $1,840.65 16.9×
Us pg uter r-t img f-up tabdl appr pr 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 soft tissue head/neck (76536) $2,118.78 $2,118.78 19.4×
Us,transplanted kidney, real time/ doppler (76776) $1,925.54 $1,925.54 17.6×
Wrist 2 views (73100) $1,062.59 $1,062.59 11.7×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $1,841.26 $1,841.26 16.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,386.55 $1,386.55 15.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,024.77 $2,024.77 22.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $319.57 $319.57 2.9×
X-ray exam of femur 2/> (73552) $1,363.86 $1,363.86 15.0×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $1,134.89 $1,134.89 12.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,137.98 $1,137.98 12.5×
X-ray leg, infant (73592) $1,013.54 $1,013.54 11.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,613.33 $1,613.33 14.8×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $2,617.61 $2,617.61 24.0×
X-ray nose-rectum child f.b. (76010) $1,412.76 $1,412.76 15.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $1,877.07 $1,877.07 17.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,542.02 $1,542.02 17.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $1,785.03 $1,785.03 16.4×
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) $1,062.59 $1,062.59 9.7×
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 Skull <4 Vw - Xr Skull 1-3 Views (70250) $1,529.09 $1,529.09 14.0×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $1,412.76 $1,412.76 15.5×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $1,386.55 $1,386.55 15.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $1,804.49 $1,804.49 16.5×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $1,925.54 $1,925.54 17.6×
Xr c-spine 4 or 5 views (72050) $2,290.42 $2,290.42 21.0×
Xr c-spine 6 or more views (72052) $1,925.54 $1,925.54 17.6×