Imaging prices at AdventHealth Zephyrhills
Zephyrhills, FL · every code in this section with a posted price and a Medicare benchmark.
279 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 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) | $8,023.82 | $8,023.82 | 2.4× |
| Angiography internal mammary rs&i (75756) | $8,023.82 | $8,023.82 | 2.4× |
| Angiography pelvic slctv/supraslctv rs&i (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 pulmonary unilateral slctv rs&i (75741) | $8,121.80 | $8,121.80 | 2.5× |
| 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× |
| Aortogram thoracic (75605) | $14,090.10 | $14,090.10 | 2.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,023.82 | $8,023.82 | 2.4× |
| Aortography abdominal serialography rs&i (75625) | $8,023.82 | $8,023.82 | 2.4× |
| Arthrogram hip (73525) | $2,698.83 | $2,698.83 | 7.4× |
| Arthrogram shoulder (73040) | $1,337.76 | $1,337.76 | 3.7× |
| 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× |
| 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 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× |
| 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× |
| 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× |
| 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 contrast (74160) | $6,848.12 | $6,848.12 | 37.4× |
| CT abdomen w wo contrast (74170) | $7,925.34 | $7,925.34 | 43.3× |
| CT abdomen w/o contrast (74150) | $6,844.73 | $6,844.73 | 62.7× |
| CT angio hrt w/3d image (75574) | $1,808.35 | $1,808.35 | 5.0× |
| CT angio lwr extr w/o&w/dye (73706) | $5,707.05 | $5,707.05 | 31.2× |
| CT angiography upper extremity lt (73206) | $6,197.28 | $6,197.28 | 33.8× |
| CT c-spine w/contrast (72126) | $10,179.59 | $10,179.59 | 27.9× |
| CT c-spine w/o contrast (72125) | $8,334.18 | $8,334.18 | 76.3× |
| CT cervical spine w&w/o contrast (72127) | $10,596.31 | $10,596.31 | 57.8× |
| CT chest w contrast (71260) | $7,880.57 | $7,880.57 | 43.0× |
| CT chest w/wo contrast (71270) | $8,409.14 | $8,409.14 | 45.9× |
| 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 w/o contrast quant eval coronary calcium (75571) | $1,150.55 | $1,150.55 | 12.7× |
| CT iac w contrast (70481) | $8,461.54 | $8,461.54 | 46.2× |
| CT limited/localized follow up study (76380) | $2,572.71 | $2,572.71 | 28.3× |
| CT lower ext w/o (73700) | $6,771.08 | $6,771.08 | 62.0× |
| CT lower extremity w wo contrast (73702) | $9,027.48 | $9,027.48 | 49.3× |
| CT lower extremity w/contrast material (73701) | $7,902.23 | $7,902.23 | 43.1× |
| CT lumbar spine w & w/o contrast (72133) | $10,728.83 | $10,728.83 | 58.6× |
| 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 maxillofacial w contrast (70487) | $8,411.53 | $8,411.53 | 45.9× |
| CT maxillofacial w/wo contrast (70488) | $9,590.02 | $9,590.02 | 52.4× |
| CT maxillofacial wo contrast (70486) | $6,904.22 | $6,904.22 | 63.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $9,665.73 | $9,665.73 | 52.8× |
| CT orbits w/o contrast (70480) | $7,225.50 | $7,225.50 | 66.2× |
| CT pelvis w/o contrast (72192) | $7,492.98 | $7,492.98 | 68.6× |
| CT pelvis w/wo contrast (72194) | $8,325.53 | $8,325.53 | 45.5× |
| CT scan of arm combo (73202) | $8,831.99 | $8,831.99 | 48.2× |
| CT soft tissue neck w contrast (70491) | $8,657.33 | $8,657.33 | 47.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,292.69 | $9,292.69 | 50.7× |
| CT soft tissue neck w/o contrast (70490) | $7,022.49 | $7,022.49 | 64.3× |
| 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 thorax w/o contrast (71250) | $7,303.94 | $7,303.94 | 66.9× |
| CT upper ext wo (73200) | $6,646.48 | $6,646.48 | 60.9× |
| CT upper extremity with contrast (73201) | $8,338.78 | $8,338.78 | 22.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $14,101.57 | $14,101.57 | 77.0× |
| Cta Abdomen (74175) | $10,680.65 | $10,680.65 | 58.3× |
| CTA abdomen pelvis (74174) | $14,348.12 | $14,348.12 | 39.4× |
| CTA chest (71275) | $9,984.31 | $9,984.31 | 54.5× |
| Cta Head (70496) | $10,926.81 | $10,926.81 | 59.7× |
| Cta Neck (70498) | $13,196.26 | $13,196.26 | 72.0× |
| Cta Pelvis (72191) | $7,279.87 | $7,279.87 | 39.7× |
| Cystography minimum 3 views rs&i (74430) | $1,241.87 | $1,241.87 | 3.4× |
| 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× |
| 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× |
| 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× |
| 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 W/Vascular Flow (78216) | $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) | $5,896.42 | $5,896.42 | 7.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $7,515.42 | $7,515.42 | 20.6× |
| MRA head w & w/o contrast (70546) | $7,760.17 | $7,760.17 | 21.3× |
| MRA head w/o contrast (70544) | $5,763.15 | $5,763.15 | 23.1× |
| MRA head with contrast (70545) | $7,318.03 | $7,318.03 | 20.1× |
| MRA neck w contrast (70548) | $7,421.40 | $7,421.40 | 20.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,738.49 | $7,738.49 | 21.2× |
| MRA neck w/o contrast (70547) | $4,417.07 | $4,417.07 | 17.7× |
| 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 jt lower extrem w/contrast material (73722) | $7,308.76 | $7,308.76 | 8.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,040.57 | $8,040.57 | 22.1× |
| MRI breast w/o contrast bilateral (77047) | $5,222.75 | $5,222.75 | 21.0× |
| MRI c-spine with contrast (72142) | $6,554.38 | $6,554.38 | 18.0× |
| MRI cervical spine w/o contrast (72141) | $5,045.38 | $5,045.38 | 20.2× |
| MRI chest w/o contrast (71550) | $2,833.35 | $2,833.35 | 11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,164.45 | $6,164.45 | 16.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,387.80 | $6,387.80 | 17.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,849.33 | $5,849.33 | 23.5× |
| MRI orbit face &/neck w/o contrast (70540) | $4,946.43 | $4,946.43 | 19.9× |
| MRI orbit face neck w contrast (70542) | $5,940.95 | $5,940.95 | 16.3× |
| MRI orbit/face/neck w&w/o cont (70543) | $7,877.64 | $7,877.64 | 21.6× |
| MRI pelvis w/contrast (72196) | $6,098.47 | $6,098.47 | 16.7× |
| MRI pelvis w/o & w/contrast material (72197) | $7,761.69 | $7,761.69 | 21.3× |
| MRI pelvis w/o contrast (72195) | $5,191.26 | $5,191.26 | 20.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $8,293.32 | $8,293.32 | 22.8× |
| MRI spinal canal lumbar w/contrast material (72149) | $6,783.32 | $6,783.32 | 18.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $8,443.80 | $8,443.80 | 23.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $6,617.86 | $6,617.86 | 18.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $8,270.26 | $8,270.26 | 22.7× |
| MRI temporomandibular joint (70336) | $2,232.73 | $2,232.73 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $5,992.06 | $5,992.06 | 24.0× |
| MRI up ext w/o contrast (73218) | $4,753.13 | $4,753.13 | 19.1× |
| MRI upper ext joint w/o contrast (73221) | $3,643.01 | $3,643.01 | 14.6× |
| MRI, joint upper extrem combo (73223) | $7,607.01 | $7,607.01 | 20.9× |
| Myelogram Lumbar (72265) | $4,974.35 | $4,974.35 | 6.1× |
| 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× |
| Neck soft tissue (70360) | $716.34 | $716.34 | 7.9× |
| Nm cisternogram (78630) | $4,191.86 | $4,191.86 | 7.4× |
| Nm gastric emptying study (78264) | $4,998.76 | $4,998.76 | 12.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,618.24 | $16,618.24 | 11.5× |
| Parathyroid Planar Imaging (78070) | $1,184.56 | $1,184.56 | 2.8× |
| Pelvis 1 or 2 views (72170) | $1,280.97 | $1,280.97 | 11.7× |
| 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× |
| 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) | $1,761.45 | $1,761.45 | 3.1× |
| 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 treatment delivery level 1 (77402) | $703.14 | $703.14 | 6.6× |
| Radiation treatment delivery level 2 (77407) | $938.60 | $938.60 | 2.3× |
| 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; partial examination, less than full mouth Non-Facility (70310) | $3,149.19 | $3,149.19 | 12.6× |
| Radiological examination surgical specimen (76098) | $1,761.45 | $1,761.45 | 3.1× |
| Ribs bilateral 3 views (71110) | $1,468.50 | $1,468.50 | 13.5× |
| 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× |
| 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× |
| Special dosimetry (77331) | $942.28 | $942.28 | 6.7× |
| Special Physics Consult (77370) | $1,661.78 | $1,661.78 | 11.8× |
| Spine thoracic 3 views (72072) | $2,117.56 | $2,117.56 | 19.4× |
| 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) | $1,223.91 | $1,223.91 | 3.1× |
| Thoracolumbar 2 views (72080) | $1,631.43 | $1,631.43 | 18.0× |
| 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 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, abdomen limited (76705) | $2,532.21 | $2,532.21 | 23.2× |
| 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 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 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 transrectal (76872) | $1,282.98 | $1,282.98 | 11.8× |
| Us transrectal prostate volume (76873) | $1,344.82 | $1,344.82 | 12.3× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,294.20 | $2,294.20 | 21.0× |
| 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) | $8,023.82 | $8,023.82 | 2.4× |
| Venography Renal Bilateral (75833) | $26,854.65 | $26,854.65 | 8.1× |
| 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 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 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 urogram antegrade (74425) | $1,700.88 | $1,700.88 | 4.7× |