Imaging prices at AdventHealth Wesley Chapel
Wesley Chapel, FL · every code in this section with a posted price and a Medicare benchmark.
291 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Acute gi blood loss imaging (78278) | $5,028.21 | $5,028.21 | 12.0× |
| Angio extremity unilateral (75710) | $8,023.82 | $8,023.82 | 2.4× |
| Angio pulmonary unilateral (75741) | $8,121.80 | $8,121.80 | 2.5× |
| Angiogram extremity bilateral (75716) | $9,864.54 | $9,864.54 | 3.0× |
| Angiogram pelvic (75736) | $14,090.10 | $14,090.10 | 2.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,495.69 | $9,495.69 | 2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,090.10 | $14,090.10 | 2.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,023.82 | $8,023.82 | 2.4× |
| Ankle 2 views (73600) | $1,028.66 | $1,028.66 | 11.3× |
| Arthrography wrist lt (73115) | $3,425.21 | $3,425.21 | 9.4× |
| Barium enema (74270) | $1,594.07 | $1,594.07 | 8.7× |
| Bone age studies (77072) | $773.97 | $773.97 | 7.1× |
| Bone imaging limited area (78300) | $1,530.24 | $1,530.24 | 3.7× |
| Bone survey complete (77075) | $875.44 | $875.44 | 8.0× |
| Bowel imaging (78290) | $1,916.52 | $1,916.52 | 4.6× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) | $1,985.79 | $1,985.79 | 5.1× |
| Card MRI w/stress img & dye (75563) | $7,308.76 | $7,308.76 | 8.9× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) | $5,440.42 | $5,440.42 | 13.0× |
| Cardiac MRI w/wo contrast & further seq (75561) | $3,602.24 | $3,602.24 | 9.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,139.09 | $1,139.09 | 6.2× |
| Cisternogram (78630) | $4,191.86 | $4,191.86 | 7.4× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) | $7,308.76 | $7,308.76 | 8.9× |
| Clavicle complete (73000) | $1,063.59 | $1,063.59 | 11.7× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $8,461.54 | $8,461.54 | 46.2× |
| Contrast exam abdominl aorta (75625) | $8,023.82 | $8,023.82 | 2.4× |
| Contrast exam thoracic aorta (75605) | $14,090.10 | $14,090.10 | 2.4× |
| CT - st neck w&wo contr (70492) | $9,292.69 | $9,292.69 | 50.7× |
| CT abdomen and pelvis without and with contrast (74178) | $15,632.01 | $15,632.01 | 42.9× |
| CT abdomen and pelvis without contrast (74176) | $13,573.71 | $13,573.71 | 54.5× |
| CT abdomen w wo contrast (74170) | $7,925.34 | $7,925.34 | 43.3× |
| CT abdomen w/contrast (74160) | $6,848.12 | $6,848.12 | 37.4× |
| CT abdomen w/o contrast (74150) | $6,844.73 | $6,844.73 | 62.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $14,348.12 | $14,348.12 | 39.4× |
| CT angio abdom w/o & w/dye (74175) | $10,680.65 | $10,680.65 | 58.3× |
| CT angio abdominal arteries (75635) | $14,101.57 | $14,101.57 | 77.0× |
| CT angio hrt w/3d image (75574) | $2,655.99 | $2,655.99 | 7.3× |
| CT angiograph pelv w/o&w/dye (72191) | $7,279.87 | $7,279.87 | 39.7× |
| CT cervical spine w/contrast (72126) | $10,179.59 | $10,179.59 | 27.9× |
| CT cervical spine w/o contrast (72125) | $8,334.18 | $8,334.18 | 76.3× |
| CT chest w/contrast (71260) | $7,880.57 | $7,880.57 | 43.0× |
| CT extremity upper w & w/o contrast (73202) | $8,831.99 | $8,831.99 | 48.2× |
| CT head/brain with contrast (70460) | $8,189.96 | $8,189.96 | 44.7× |
| CT head/brain without and with contrast (70470) | $9,524.76 | $9,524.76 | 52.0× |
| 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) | $1,150.55 | $1,150.55 | 12.7× |
| CT lower ext w/wo contrast (73702) | $9,027.48 | $9,027.48 | 49.3× |
| CT lower extremity w contrast (73701) | $7,902.23 | $7,902.23 | 43.1× |
| CT lower extremity w/o contrast unilateral (73700) | $6,771.08 | $6,771.08 | 62.0× |
| CT lumbar spine w/contrast (72132) | $8,472.61 | $8,472.61 | 23.3× |
| CT lumbar spine w/o contrast (72131) | $7,813.32 | $7,813.32 | 71.6× |
| CT lumbar spine w/o then w/ con (72133) | $10,728.83 | $10,728.83 | 58.6× |
| CT maxillofacial area w/o contrast (70486) | $6,904.22 | $6,904.22 | 63.2× |
| CT maxillofacial w/contrast (70487) | $8,411.53 | $8,411.53 | 45.9× |
| CT maxillofacial w/o then w/ con (70488) | $9,590.02 | $9,590.02 | 52.4× |
| CT orbit sella ear w/o con (70480) | $7,225.50 | $7,225.50 | 66.2× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $9,665.73 | $9,665.73 | 52.8× |
| CT pelvis w & w/o contrast (72194) | $8,325.53 | $8,325.53 | 45.5× |
| CT pelvis w/o contrast (72192) | $7,492.98 | $7,492.98 | 68.6× |
| CT soft tissue neck w/contrast (70491) | $8,657.33 | $8,657.33 | 47.3× |
| CT soft tissue neck w/o contrast (70490) | $7,022.49 | $7,022.49 | 64.3× |
| CT spine cervical w/wo contrast (72127) | $10,596.31 | $10,596.31 | 57.8× |
| CT thoracic spine w/contrast (72129) | $8,266.23 | $8,266.23 | 45.1× |
| CT thoracic spine w/o contrast (72128) | $7,653.92 | $7,653.92 | 70.1× |
| CT thoracic spine w/o then w/ con (72130) | $8,980.80 | $8,980.80 | 49.0× |
| CT thorax lung cancer scr c- (71271) | $2,046.32 | $2,046.32 | 18.7× |
| CT thorax w/o contrast (71250) | $7,303.94 | $7,303.94 | 66.9× |
| CT thorax w/o then w/ contrast (71270) | $8,409.14 | $8,409.14 | 45.9× |
| CT upper extremity w/dye (73201) | $8,338.78 | $8,338.78 | 22.9× |
| CT upper extremity w/o contrast rt (73200) | $6,646.48 | $6,646.48 | 60.9× |
| CTA chest w/wo contrast (71275) | $9,984.31 | $9,984.31 | 54.5× |
| CTA head w contrast (70496) | $10,926.81 | $10,926.81 | 59.7× |
| CTA lower extremity w/wo contrast unilateral (73706) | $5,707.05 | $5,707.05 | 31.2× |
| Cta Neck (70498) | $13,196.26 | $13,196.26 | 72.0× |
| CTA upper extremity w/wo contrast unilateral (73206) | $6,197.28 | $6,197.28 | 33.8× |
| Dxa bone density study axial skeleton (77085) | $427.91 | $427.91 | 3.9× |
| Esophogram (74220) | $1,102.75 | $1,102.75 | 6.0× |
| Fetal biophysical profile non-stress testing (76818) | $1,791.80 | $1,791.80 | 16.4× |
| Fetal biophysical profile w/o nst (76819) | $1,421.84 | $1,421.84 | 13.0× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $1,525.57 | $1,525.57 | 6.1× |
| Gastric emptying study (78264) | $4,998.76 | $4,998.76 | 12.0× |
| Gated heart planar single (78472) | $3,654.02 | $3,654.02 | 8.8× |
| 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× |
| Humerus min 2 views (73060) | $1,493.37 | $1,493.37 | 16.4× |
| Hysterosalpingography (74740) | $1,742.59 | $1,742.59 | 7.0× |
| Imrt planning (77301) | $16,618.24 | $16,618.24 | 11.5× |
| 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× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) | $1,614.62 | $1,614.62 | 4.1× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) | $1,358.39 | $1,358.39 | 3.5× |
| Isodose teletherapy plan complex multi tx w/cal (77307) | $1,770.01 | $1,770.01 | 4.5× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) | $1,223.91 | $1,223.91 | 3.1× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $1,755.85 | $1,755.85 | 3.1× |
| Kidney w vascular flow (78701) | $1,521.22 | $1,521.22 | 3.6× |
| 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× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $8,040.57 | $8,040.57 | 22.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $6,387.80 | $6,387.80 | 17.5× |
| MRA head w & w/o contrast (70546) | $7,760.17 | $7,760.17 | 21.3× |
| MRA head w/contrast (70545) | $7,318.03 | $7,318.03 | 20.1× |
| MRA head w/o contrast (70544) | $5,763.15 | $5,763.15 | 23.1× |
| MRA neck w/contrast (70548) | $7,421.40 | $7,421.40 | 20.4× |
| MRA neck w/o contrast (70547) | $4,417.07 | $4,417.07 | 17.7× |
| MRA neck w/wo contrast (70549) | $7,738.49 | $7,738.49 | 21.2× |
| MRI abdomen w/contrast (74182) | $6,371.24 | $6,371.24 | 17.5× |
| MRI abdomen w/o & w/contrast material (74183) | $8,070.45 | $8,070.45 | 22.2× |
| MRI abdomen w/o contrast (74181) | $5,638.72 | $5,638.72 | 22.6× |
| MRI any jnt lwr ext with con lt (73722) | $7,308.76 | $7,308.76 | 8.9× |
| MRI breast without contrast bilateral (77047) | $5,222.75 | $5,222.75 | 21.0× |
| MRI cardiac w/o contrast (75557) | $4,452.58 | $4,452.58 | 17.9× |
| MRI cervical spine w/o contrast (72141) | $4,809.74 | $4,809.74 | 19.3× |
| MRI cervical spine with contrast (72142) | $6,554.38 | $6,554.38 | 18.0× |
| MRI chest w & w/o contrast (71552) | $7,513.52 | $7,513.52 | 20.6× |
| MRI chest w/o contrast (71550) | $2,833.35 | $2,833.35 | 11.4× |
| MRI joint upper ext w/contrast (73222) | $5,896.42 | $5,896.42 | 7.2× |
| MRI joint upr extr w/o&w/dye (73223) | $7,607.01 | $7,607.01 | 20.9× |
| MRI joint upr extrem w/o dye (73221) | $5,637.30 | $5,637.30 | 22.6× |
| Mri Lower Extremity W/O Dye (73718) | $5,849.33 | $5,849.33 | 23.5× |
| MRI lumbar spine with contrast (72149) | $6,783.32 | $6,783.32 | 18.6× |
| MRI lumbar w/wo contrast (72158) | $8,443.80 | $8,443.80 | 23.2× |
| MRI lwr ext w/o jnts with con rt (73719) | $6,164.45 | $6,164.45 | 16.9× |
| MRI orbit/face/neck w/contrast (70542) | $5,940.95 | $5,940.95 | 16.3× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $7,877.64 | $7,877.64 | 21.6× |
| MRI orbit/face/neck w/o contrast (70540) | $4,946.43 | $4,946.43 | 19.9× |
| MRI pelvis w/ contrast (72196) | $6,098.47 | $6,098.47 | 16.7× |
| MRI pelvis w/o contrast (72195) | $5,191.26 | $5,191.26 | 20.8× |
| MRI pelvis w/wo contrast (72197) | $7,761.69 | $7,761.69 | 21.3× |
| MRI spectroscopy (76390) | $6,477.52 | $6,477.52 | 71.3× |
| MRI spine cervical wo/w contrast (72156) | $8,293.32 | $8,293.32 | 22.8× |
| MRI spine thoracic w/contrast (72147) | $6,617.86 | $6,617.86 | 18.2× |
| MRI thoracic spine w wo contrast (72157) | $8,270.26 | $8,270.26 | 22.7× |
| MRI thoracic spine w/o contrast (72146) | $5,992.06 | $5,992.06 | 24.0× |
| MRI tmj (70336) | $2,232.73 | $2,232.73 | 9.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,753.13 | $4,753.13 | 19.1× |
| Mri Upper Extremity W/Dye (73219) | $5,673.90 | $5,673.90 | 15.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $7,515.42 | $7,515.42 | 20.6× |
| Myelography 2 or more regions (72270) | $3,442.91 | $3,442.91 | 4.2× |
| Myelography lumbosacral (72265) | $4,974.35 | $4,974.35 | 6.1× |
| Nm bone 3 phase (78315) | $2,508.89 | $2,508.89 | 6.0× |
| Nm bone imaging whole body (78306) | $2,099.64 | $2,099.64 | 5.0× |
| Nm heart perfusion spect stress rest (78452) | $11,728.14 | $11,728.14 | 8.7× |
| Nm lymph system (78195) | $6,360.96 | $6,360.96 | 11.2× |
| Nm thyroid imaging only (78013) | $3,951.75 | $3,951.75 | 9.5× |
| Nose to rectum for fb child (76010) | $506.47 | $506.47 | 5.6× |
| Ob us < 14 wks single fetus (76801) | $1,652.08 | $1,652.08 | 15.1× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) | $1,344.82 | $1,344.82 | 12.3× |
| Parathyroid 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× |
| PET brain metabolic eval (78608) | $14,593.75 | $14,593.75 | 9.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $24,121.72 | $24,121.72 | 16.2× |
| PET imaging for CT attenuation whole body (78816) | $26,801.92 | $26,801.92 | 17.9× |
| PET imaging whole body (78813) | $20,101.44 | $20,101.44 | 13.5× |
| Pulmonary perfusion imaging particulate (78580) | $3,083.23 | $3,083.23 | 7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,761.45 | $1,761.45 | 3.1× |
| 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 6/> vw (72084) | $3,139.90 | $3,139.90 | 28.8× |
| Radex hip unilateral with pelvis 1 view (73501) | $1,707.62 | $1,707.62 | 18.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $2,240.42 | $2,240.42 | 24.7× |
| 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 spine cervical 2 or 3 views (72040) | $2,020.82 | $2,020.82 | 22.2× |
| Radex spine cervical 4 or 5 views (72050) | $2,243.62 | $2,243.62 | 20.6× |
| Radex spine cervical 6 or more views (72052) | $2,476.05 | $2,476.05 | 22.7× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) | $1,631.43 | $1,631.43 | 18.0× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) | $35,192.81 | $35,192.81 | 4.6× |
| Radiation tx delivery lvl 1 (77402) | $703.14 | $703.14 | 6.6× |
| Radiation tx delivery lvl 2 (77407) | $938.60 | $938.60 | 2.3× |
| 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 - Xr Femur 1 Vw Right (73551) | $954.28 | $954.28 | 10.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,433.45 | $1,433.45 | 15.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) | $1,693.50 | $1,693.50 | 15.5× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) | $2,282.84 | $2,282.84 | 20.9× |
| 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 single day imaging (78802) | $2,452.26 | $2,452.26 | 4.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $3,329.67 | $3,329.67 | 5.9× |
| Screening digital breast tomosynthesis; bilateral (77063) | $218.99 | $218.99 | 9.4× |
| Shoulder arthrogram (73040) | $1,337.76 | $1,337.76 | 3.7× |
| Small bowel series (74250) | $1,903.56 | $1,903.56 | 10.4× |
| Tbs technical calculation only (77091) | $299 | $299 | 3.3× |
| Therapeutic enema barium or air (74283) | $1,646.31 | $1,646.31 | 9.0× |
| Thyroid uptake single/multiple quant 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× |
| Ultrasound breast limited (76642) | $1,553.45 | $1,553.45 | 17.1× |
| 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× |
| Urethrocystography retrograde rs&i (74450) | $2,833.35 | $2,833.35 | 11.4× |
| Urethrocystography voiding (74455) | $1,558.31 | $1,558.31 | 6.3× |
| Urography antegrade (74425) | $1,700.88 | $1,700.88 | 4.7× |
| Us abdominal aorta real time screen study aaa (76706) | $1,066.77 | $1,066.77 | 9.8× |
| Us breast uni real time with image complete (76641) | $2,331.74 | $2,331.74 | 21.4× |
| Us chest (76604) | $1,893.70 | $1,893.70 | 17.3× |
| Us compl joint r-t w/image documentation (76881) | $1,943.72 | $1,943.72 | 17.8× |
| Us encephalogram (76506) | $1,872.60 | $1,872.60 | 17.2× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) | $1,580.20 | $1,580.20 | 17.4× |
| Us kidney transplanted (76776) | $2,294.20 | $2,294.20 | 21.0× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) | $2,009.32 | $2,009.32 | 18.4× |
| Us ob detailed single fetus (76811) | $3,198.77 | $3,198.77 | 12.8× |
| Us ob followup per fetus (76816) | $1,414.91 | $1,414.91 | 13.0× |
| Us ob limited 1 or more fetuses (76815) | $1,180.21 | $1,180.21 | 10.8× |
| Us obstetric transvaginal (76817) | $1,728.92 | $1,728.92 | 15.8× |
| Us pelvic limited or f/u non-ob (76857) | $1,791.06 | $1,791.06 | 16.4× |
| Us pelvis complete (76856) | $2,785.92 | $2,785.92 | 25.5× |
| 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 (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 (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× |
| Vein X-ray liver w/hemodynam (75885) | $26,854.65 | $26,854.65 | 8.1× |
| Venogram extremity bilateral (75822) | $6,080.06 | $6,080.06 | 3.7× |
| Venogram ivc w serialography (75825) | $8,023.82 | $8,023.82 | 2.4× |
| Venogram svc w serialography (75827) | $12,975.70 | $12,975.70 | 7.9× |
| Venography ext unilateral (75820) | $4,342.90 | $4,342.90 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,096.69 | $1,096.69 | 12.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,669.55 | $1,669.55 | 18.4× |
| X-ray aorta leg arteries (75630) | $8,023.82 | $8,023.82 | 2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,258.21 | $2,258.21 | 12.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,259.62 | $1,259.62 | 13.9× |
| X-ray exam hips bi 3-4 views (73522) | $1,665.96 | $1,665.96 | 15.3× |
| X-ray exam of finger(s) (73140) | $955.54 | $955.54 | 10.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,488.23 | $2,488.23 | 27.4× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $1,031.47 | $1,031.47 | 11.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,139.24 | $1,139.24 | 12.5× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $1,125.12 | $1,125.12 | 10.3× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $1,231.66 | $1,231.66 | 13.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $962.28 | $962.28 | 10.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,043.34 | $1,043.34 | 11.5× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) | $1,478.60 | $1,478.60 | 16.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,739.51 | $1,739.51 | 15.9× |
| 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 Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,843.17 | $2,843.17 | 26.0× |
| X-ray perineogram (74775) | $2,833.35 | $2,833.35 | 11.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,044.77 | $1,044.77 | 11.5× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,868.10 | $1,868.10 | 20.6× |
| 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 Toe(S) - Xr Toes 2+ Views Right (73660) | $888.16 | $888.16 | 9.8× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $1,329.28 | $1,329.28 | 14.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,597.04 | $1,597.04 | 17.6× |
| Xr abdomen 1 view (74018) | $978.47 | $978.47 | 10.8× |
| Xr abdomen 2 views (74019) | $1,204.27 | $1,204.27 | 11.0× |
| Xr abdomen 3 views (74021) | $1,430.07 | $1,430.07 | 13.1× |
| Xr arthrogram elbow (73085) | $3,582.22 | $3,582.22 | 9.8× |
| Xr arthrogram hip (73525) | $2,698.83 | $2,698.83 | 7.4× |
| Xr bone density appendicular (77081) | $837.72 | $837.72 | 9.2× |
| Xr bone density axial (77080) | $1,476.02 | $1,476.02 | 13.5× |
| Xr bone length study (77073) | $895.42 | $895.42 | 8.2× |
| Xr bone survey infant (77076) | $1,422.31 | $1,422.31 | 13.0× |
| Xr chest 1 view (71045) | $865.98 | $865.98 | 9.5× |
| Xr chest 2 views (71046) | $1,158.09 | $1,158.09 | 12.7× |
| Xr chest 3 views (71047) | $1,291.86 | $1,291.86 | 14.2× |
| Xr cystogram 3+ views (74430) | $1,241.87 | $1,241.87 | 3.4× |
| Xr eye foreign body (70030) | $986.70 | $986.70 | 10.9× |
| Xr facial bones 3 views (70150) | $2,646.40 | $2,646.40 | 24.2× |
| Xr lower extremity 2 views infant (73592) | $1,026 | $1,026 | 11.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) | $431.61 | $431.61 | 4.0× |
| Xr mandible 4 views (70110) | $2,445.26 | $2,445.26 | 22.4× |
| Xr myelogram c-spine (72240) | $4,806.90 | $4,806.90 | 5.9× |
| Xr nasal bones (70160) | $1,341.54 | $1,341.54 | 14.8× |
| Xr pelvis 3 views (72190) | $1,967.61 | $1,967.61 | 18.0× |
| Xr spine 1 view (72020) | $1,134.39 | $1,134.39 | 12.5× |
| Xr sternum 2 views (71120) | $1,580.12 | $1,580.12 | 17.4× |
| Xr surgical specimen (76098) | $1,761.45 | $1,761.45 | 3.1× |
| Xr upper extremity 2 views infant (73092) | $837.89 | $837.89 | 7.7× |
| Xray elbow 2 views (73070) | $1,197.98 | $1,197.98 | 13.2× |
| Xray forearm 2 views (73090) | $1,282.89 | $1,282.89 | 14.1× |
| Xray knee 1 or 2 views rt (73560) | $1,233.39 | $1,233.39 | 13.6× |
| Xray neck soft tissue (70360) | $716.34 | $716.34 | 7.9× |
| Xray pelvis 1 or 2 views (72170) | $1,280.97 | $1,280.97 | 11.7× |
| Xray ribs bilateral 3 views (71110) | $1,468.50 | $1,468.50 | 13.5× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $2,223.77 | $2,223.77 | 20.4× |
| Xray scapula complete (73010) | $923.52 | $923.52 | 8.5× |
| Xray shoulder 1 view (73020) | $566.11 | $566.11 | 6.2× |
| Xray sinuses paranasal <3 views (70210) | $1,056.67 | $1,056.67 | 11.6× |
| Xray spine thoracic 2 views (72070) | $1,187.03 | $1,187.03 | 10.9× |
| Xray spine thoracic 3 views (72072) | $2,117.56 | $2,117.56 | 19.4× |
| Xray tibia-fibula 2 views bil (73590) | $1,418.45 | $1,418.45 | 15.6× |
| Xray tmj open - closed unilat (70328) | $1,096.69 | $1,096.69 | 12.1× |