Imaging prices at Ascension Sacred Heart Bay
Panama City, FL · every code in this section with a posted price and a Medicare benchmark.
303 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $589.60 | $1,474 | 6.5× |
| Abdomen 2 views (74019) | $612.40 | $1,531 | 5.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $866.40 | $2,166 | 2.1× |
| Angio internal mammary (75756) | $3,393.60 | $8,484 | 1.0× |
| Angio pulmonary bilat (75743) | $2,296.40 | $5,741 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,588.40 | $8,971 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $5,111.60 | $12,779 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $3,285.20 | $8,213 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,580 | $6,450 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,279.20 | $5,698 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$162.40–$331.60 | $406–$829 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,704 | $9,260 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,393.60 | $8,484 | 1.0× |
| Artery X-Rays Abdomen (75726) | $11,338.40 | $28,346 | 2.0× |
| Artery X-Rays Adrenal Gland (75731) | $3,588.40 | $8,971 | 1.1× |
| Artery X-Rays Pelvis (75736) | $11,338.40 | $28,346 | 2.0× |
| Artery X-Rays Spine (75705) | $3,393.60 | $8,484 | 0.6× |
| Arthrogram ankle (73615) | $539.20 | $1,348 | 1.5× |
| Arthrogram hip (73525) | $622.40 | $1,556 | 1.7× |
| Arthrogram Wrist (73115) | $477.60 | $1,194 | 1.3× |
| Bone age studies (77072) | $632.80 | $1,582 | 5.8× |
| Bone Imaging 3 Phase (78315) | $1,200.80 | $3,002 | 2.9× |
| Bone Imaging Limited Area (78300) | $676.40 | $1,691 | 1.6× |
| Bone Imaging Whole Body (78306) | $1,265.60 | $3,164 | 3.0× |
| Bone survey infant (77076) | $494.40 | $1,236 | 4.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $839.60 | $2,099 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,400 | $3,500 | 0.9× |
| Cat Scan Follow-Up Study (76380) | $726.80 | $1,817 | 8.0× |
| Chest 1 view (71045) | $314.40 | $786 | 3.5× |
| Chest 2 views (71046) | $448.80 | $1,122 | 4.9× |
| Chest 3 views (71047) | $670.40 | $1,676 | 7.4× |
| Chest 4 or more views (71048) | $708 | $1,770 | 6.5× |
| Cholecystography Oral Contrast (74290) | $628 | $1,570 | 3.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$729.20–$1,458.40 | $1,823–$3,646 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,313.20 | $3,283 | 12.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,895.20 | $4,738 | 0.6× |
| Contrast X-Ray Bladder (74430) | $382.40 | $956 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $539.20 | $1,348 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $648 | $1,620 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,395.60 | $10,989 | 12.1× |
| CT abdomen and pelvis without contrast (74176) | $3,033.20 | $7,583 | 12.2× |
| CT abdomen w contrast (74160) | $2,518.40 | $6,296 | 13.7× |
| CT abdomen w wo contrast (74170) | $2,627.20 | $6,568 | 14.3× |
| CT abdomen w/o contrast (74150) | $1,774.80 | $4,437 | 16.3× |
| CT Angio Abdomen and Pelvis (74174) | $7,209.20 | $18,023 | 19.8× |
| CT Angio Chest (71275) | $3,218 | $8,045 | 17.6× |
| CT Angio Head (70496) | $2,901.20 | $7,253 | 15.8× |
| CT angio hrt w/3d image (75574) | $1,013.20 | $2,533 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,115.20 | $7,788 | 17.0× |
| CT Angio Neck (70498) | $2,901.20 | $7,253 | 15.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,643.60 | $6,609 | 14.4× |
| CT cervical spine w/ contrast (72126) | $2,024.40 | $5,061 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,856 | $4,640 | 17.0× |
| CT cervical spine w/wo cont (72127) | $2,470.40 | $6,176 | 13.5× |
| CT chest w contrast (71260) | $2,424.80 | $6,062 | 13.2× |
| CT chest w/wo contrast (71270) | $2,643.60 | $6,609 | 14.4× |
| CT head/brain with contrast (70460) | $2,643.60 | $6,609 | 14.4× |
| CT head/brain without and with contrast (70470) | $2,643.60 | $6,609 | 14.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,013.20 | $2,533 | 2.8× |
| CT iac w contrast (70481) | $2,643.60 | $6,609 | 14.4× |
| CT l-spine w&w/o contrast (72133) | $2,021.20 | $5,053 | 11.0× |
| CT lower ext w/o (73700) | $2,643.60 | $6,609 | 24.2× |
| CT lower extremity w/contrast material (73701) | $1,934 | $4,835 | 10.6× |
| CT lumbar spine w contrast (72132) | $1,656.40 | $4,141 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,828 | $4,570 | 16.7× |
| CT maxillofacial w contrast (70487) | $2,256.40 | $5,641 | 12.3× |
| CT maxillofacial wo contrast (70486) | $1,864.40 | $4,661 | 17.1× |
| CT neck tissue combo (70492) | $1,995.20 | $4,988 | 10.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,643.60 | $6,609 | 14.4× |
| CT orbits w/o contrast (70480) | $2,643.60 | $6,609 | 24.2× |
| CT pelvis w&w/o contrast (72194) | $2,643.60 | $6,609 | 14.4× |
| CT pelvis w/o contrast (72192) | $2,419.20 | $6,048 | 22.2× |
| CT scan of leg combo (73702) | $1,924.80 | $4,812 | 10.5× |
| CT scans face/jaw combo (70488) | $2,643.60 | $6,609 | 14.4× |
| CT soft tissue neck w contrast (70491) | $1,441.60 | $3,604 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,534.40 | $3,836 | 14.1× |
| CT thoracic spine w contrast (72129) | $2,147.20 | $5,368 | 11.7× |
| CT thoracic spine w/o contrast (72128) | $2,031.60 | $5,079 | 18.6× |
| CT thoracic spine w/wo cont (72130) | $2,618.80 | $6,547 | 14.3× |
| CT thorax w/o contrast (71250) | $1,739.60 | $4,349 | 15.9× |
| CT upper ext wo (73200) | $1,956.80 | $4,892 | 17.9× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,900.80–$2,388 | $4,752–$5,970 | varies |
| CT upper extremity with contrast (73201) | $1,956.80 | $4,892 | 5.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,717.60 | $6,794 | 14.8× |
| Cta Abdomen (74175) | $2,643.60 | $6,609 | 14.4× |
| CTA pelvis (72191) | $4,160 | $10,400 | 22.7× |
| Dilation ureters/urethra rs&i (74485) | $1,000.40 | $2,501 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $3,662.80 | $9,157 | 1.8× |
| Diskography lumbar (72295) | $4,384 | $10,960 | 2.1× |
| Dxa Bone Density Axial (77080) | $575.60 | $1,439 | 5.3× |
| Dxa bone density study (77085) | $401.20 | $1,003 | 3.7× |
| Esophagram (74220) | $799.60 | $1,999 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $279.60 | $699 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $609.20 | $1,523 | 5.6× |
| Fluoroscopy up to 1 hr (76000) | $1,905.60 | $4,764 | 7.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$287.60–$575.20 | $719–$1,438 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$581.20–$1,163.20 | $1,453–$2,908 | varies |
| Gastric emptying imaging study (78264) | $815.60 | $2,039 | 2.0× |
| Gated Heart Planar Single (78472) | $1,274.40 | $3,186 | 3.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$286–$583.60 | $715–$1,459 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,393.60 | $8,484 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,393.60 | $8,484 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,321.60 | $5,804 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,321.60 | $5,804 | 5.6× |
| Ht Musc Image Planar Mult (78454) | $2,253.60 | $5,634 | 1.7× |
| Hysterosalpingogram (74740) | $585.20 | $1,463 | 2.3× |
| Joint Survey Single View (77077) | $754 | $1,885 | 6.9× |
| K Flow/Funct Image Multiple (78709) | $1,130.40 | $2,826 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $2,227.20 | $5,568 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,198 | $2,995 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,322.40 | $3,306 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$516–$1,032 | $1,290–$2,580 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,632.40 | $4,081 | 3.9× |
| Lung perfusion differential (78597) | $648 | $1,620 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $784.40 | $1,961 | 1.4× |
| Lymph System Imaging (78195) | $2,333.20 | $5,833 | 4.1× |
| Magnetic Image Jaw Joint (70336) | $972 | $2,430 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $972 | $2,430 | 2.7× |
| MRA head w/o contrast (70544) | $607.20 | $1,518 | 2.4× |
| MRA head with contrast (70545) | $664.40 | $1,661 | 1.8× |
| MRA neck w contrast (70548) | $664.40 | $1,661 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $972 | $2,430 | 2.7× |
| MRA neck w/o contrast (70547) | $514.40 | $1,286 | 2.1× |
| MRI abdomen w/o contrast (74181) | $972 | $2,430 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) | $847.60 | $2,119 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $972 | $2,430 | 2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $730.40 | $1,826 | 0.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,148 | $2,870 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $823.20 | $2,058 | 3.3× |
| MRI cervical spine w/o cont (72141) | $884 | $2,210 | 3.5× |
| MRI chest w/o contrast (71550) | $799.60 | $1,999 | 3.2× |
| MRI chest wo w contrast (71552) | $799.60 | $1,999 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $847.60 | $2,119 | 2.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $799.60 | $1,999 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $799.60 | $1,999 | 3.2× |
| MRI lumbar spine w contrast (72149) | $804.40 | $2,011 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $934.80 | $2,337 | 2.6× |
| MRI orbit face &/neck w/o contrast (70540) | $514.40 | $1,286 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $972 | $2,430 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $972 | $2,430 | 2.7× |
| MRI pelvis w/o contrast (72195) | $972 | $2,430 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $755.20 | $1,888 | 3.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $730.40 | $1,826 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $688.80 | $1,722 | 2.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $688.80 | $1,722 | 1.9× |
| MRI, abdomen, combo (74183) | $972 | $2,430 | 2.7× |
| MRI, dorsal spine combo (72157) | $791.20 | $1,978 | 2.2× |
| MRI, dorsal spine contrast (72147) | $644 | $1,610 | 1.8× |
| MRI, joint upper extrem (73221) | $951.20 | $2,378 | 3.8× |
| MRI, joint upper extrem combo (73223) | $852.40 | $2,131 | 2.3× |
| MRI, lumbar spine combo (72158) | $972 | $2,430 | 2.7× |
| Myelogram cervical (72240) | $2,073.60 | $5,184 | 2.5× |
| Myelogram Lumbar (72265) | $1,817.60 | $4,544 | 2.2× |
| Myelography thoracic (72255) | $1,896 | $4,740 | 2.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,735.60 | $6,839 | 3.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,400 | $3,500 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,142.40 | $5,356 | 1.6× |
| Neck soft tissue (70360) | $870.80 | $2,177 | 9.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $625.25 | $1,563.12 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $1,174 | $2,935 | 4.8× |
| Optic foramina (70190) | $391.20 | $978 | 4.3× |
| Panoramic X-ray of jaws (70355) | $164 | $410 | 1.8× |
| Parathyroid Planar Imaging (78070) | $1,266.40 | $3,166 | 3.0× |
| Pelvis 1 or 2 views (72170) | $673.60 | $1,684 | 6.2× |
| Pet Image W/Ct Lmtd (78814) | $1,400 | $3,500 | 0.9× |
| PET image w/CT, full body (78816) | $1,687.60 | $4,219 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,687.60 | $4,219 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,393.60 | $8,484 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $588 | $1,470 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $902 | $2,255 | 8.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $286 | $715 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$483.20–$967.20 | $1,208–$2,418 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$709.60–$1,446.80 | $1,774–$3,617 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$720–$1,468.80 | $1,800–$3,672 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $573.60 | $1,434 | 5.3× |
| Radex fingr minimum 2 views (73140) | $581.20 | $1,453 | 6.4× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$461.20–$904.40 | $1,153–$2,261 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$464.80–$910.40 | $1,162–$2,276 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$196–$391.20 | $490–$978 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $607.60 | $1,519 | 5.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $599.20 | $1,498 | 6.6× |
| Radex Ribs Unilateral 2 Views (71100) | $178 | $445 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$904.80–$1,809.60 | $2,262–$4,524 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $375.20 | $938 | 4.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,821.60 | $7,054 | 15.4× |
| Radex Spine 1 View Specify Level (72020) | $847.60 | $2,119 | 9.3× |
| Radex Sternum Minimum 2 Views (71120) | $362.40 | $906 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $458 | $1,145 | 5.0× |
| Radex Toe Minimum 2 Views (73660) | $524.80 | $1,312 | 5.8× |
| Radex upper extremity infant minimum 2 views (73092) | $196 | $490 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$547.20–$1,094.80 | $1,368–$2,737 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $768 | $1,920 | 7.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $527.60 | $1,319 | 4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $662 | $1,655 | 6.1× |
| Radiologic exam colon double contrast study (74280) | $2,655.20 | $6,638 | 14.5× |
| Radiologic exam colon single contrast study (74270) | $1,648.40 | $4,121 | 9.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $654.80 | $1,637 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$935.60–$1,871.20 | $2,339–$4,678 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,379.60 | $3,449 | 12.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,622 | $4,055 | 8.9× |
| Radiologic exam swallow function contrast study (74230) | $981.60 | $2,454 | 5.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $489.60 | $1,224 | 2.7× |
| Radiologic examination femur 1 view (73551) | $247.60 | $619 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$247.60–$486.40 | $619–$1,216 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$559.60–$1,119.20 | $1,399–$2,798 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $355.20 | $888 | 3.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $597.20 | $1,493 | 6.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$409.60–$818.80 | $1,024–$2,047 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $587.20 | $1,468 | 1.0× |
| Ribs bilateral 3 views (71110) | $196.80 | $492 | 1.8× |
| Salivary Gland Imaging (78230) | $793.60 | $1,984 | 1.9× |
| Scapula (73010) range across 3 matching MRF lines |
$660.40–$1,320.80 | $1,651–$3,302 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $46.40 | $116 | 2.0× |
| Sella turcica (70240) | $426.40 | $1,066 | 4.7× |
| Shoulder 1 view (73020) | $319.60 | $799 | 3.5× |
| Shoulder Arthrography (73040) | $1,132.40 | $2,831 | 3.1× |
| Sialogram (70390) | $654.80 | $1,637 | 2.6× |
| Skull less than 4 views (70250) | $420.80 | $1,052 | 3.9× |
| Speech evaluation, complex (70371) | $360.80 | $902 | 1.4× |
| Sternoclavicular joints (71130) | $236 | $590 | 2.6× |
| Superior sagittal sinus venogram (75870) | $3,393.60 | $8,484 | 1.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $539.20 | $1,348 | 2.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,528.80 | $6,322 | 13.8× |
| Thoracic spine 2 views (72070) | $365.20 | $913 | 3.3× |
| Thoracic spine 3 views (72072) | $122.80 | $307 | 1.1× |
| Thoracolumbar 2 views (72080) | $468.80 | $1,172 | 5.2× |
| Thyroid Imaging With Vascular Flow (78013) | $586 | $1,465 | 1.4× |
| Thyroid Met Imaging Body (78018) | $977.20 | $2,443 | 1.7× |
| Thyroid Uptake Measurement (78012) | $480.80 | $1,202 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $806.40 | $2,016 | 1.9× |
| Ultrasound Breast Limited (76642) | $497.20 | $1,243 | 5.5× |
| Ultrasound Exam Aaa Screen (76706) | $449.20 | $1,123 | 4.1× |
| Ultrasound, abdomen limited (76705) | $1,721.20 | $4,303 | 15.8× |
| Upper gi w/o kub (74240) | $489.60 | $1,224 | 2.7× |
| Urethrocystogram voiding (74455) | $511.60 | $1,279 | 2.1× |
| Us breast unilateral complete (76641) | $497.20 | $1,243 | 4.6× |
| Us chest (76604) | $489.20 | $1,223 | 4.5× |
| Us exam, pelvic, limited (76857) | $567.60 | $1,419 | 5.2× |
| Us head (76506) | $825.60 | $2,064 | 7.6× |
| Us kidney transplant (76776) | $672 | $1,680 | 6.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $694 | $1,735 | 6.4× |
| Us ob limited 1 or more fetuses (76815) | $437.60 | $1,094 | 4.0× |
| Us ob transvaginal (76817) | $375.20 | $938 | 3.4× |
| Us pelvic non ob complete (76856) | $1,713.20 | $4,283 | 15.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $543.60 | $1,359 | 5.0× |
| Us retroperitoneal complete (76770) | $475.60 | $1,189 | 4.4× |
| Us retroperitoneal limited (76775) | $1,622 | $4,055 | 14.9× |
| Us scrotum and contents (76870) | $866 | $2,165 | 7.9× |
| Us spinal canal and contents (76800) | $825.60 | $2,064 | 7.6× |
| Us thyroid (76536) | $736 | $1,840 | 6.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,393.60 | $8,484 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $3,393.60 | $8,484 | 5.2× |
| Venogram Sinus/Jugular (75860) | $46,797.60 | $116,994 | 14.2× |
| Venography caval inferior serialography rs&i (75825) | $3,478 | $8,695 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,495.20 | $3,738 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $2,266 | $5,665 | 1.4× |
| Venography Renal Bilateral (75833) | $1,724.80 | $4,312 | 0.5× |
| Venography Renal Unilateral (75831) | $1,598.80 | $3,997 | 0.5× |
| Venous sampling by catheter (75893) | $3,393.60 | $8,484 | 0.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$350.80–$702.40 | $877–$1,756 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $447.20 | $1,118 | 4.9× |
| X-ray antegrade pyelogram tube (74425) | $307.20 | $768 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $4,804 | $12,010 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $328 | $820 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$490.40–$981.60 | $1,226–$2,454 | varies |
| X-Ray Exam Breast Specimen (76098) | $220.40 | $551 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $247.60 | $619 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $410.80 | $1,027 | 3.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $768 | $1,920 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $247.60 | $619 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $247.60 | $619 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $410.80 | $1,027 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $410.80 | $1,027 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $410.80 | $1,027 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $768 | $1,920 | 7.0× |
| X-Ray Exam L-S Spine Bending (72114) | $794 | $1,985 | 7.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $281.60 | $704 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,196 | $2,990 | 11.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $447.20 | $1,118 | 4.1× |
| X-ray eye for foreign body (70030) | $520.40 | $1,301 | 5.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$813.20–$1,626.40 | $2,033–$4,066 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,365.60 | $3,414 | 7.5× |
| X-ray IV pyelogram+tomography (74415) | $1,082.80 | $2,707 | 5.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $228 | $570 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $449.20 | $1,123 | 4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $444 | $1,110 | 4.1× |
| X-ray nose-rectum child f.b. (76010) | $501.20 | $1,253 | 5.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $658.40 | $1,646 | 6.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $382.40 | $956 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $406.40 | $1,016 | 4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $686.40 | $1,716 | 7.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $784 | $1,960 | 7.2× |
| X-Ray Stress View (77071) | $172 | $430 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $573.20 | $1,433 | 5.3× |
| X-Ray Tmj Unilat (70328) | $176 | $440 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $573.60 | $1,434 | 1.6× |
| X-Rays Bone Length Studies (77073) | $785.20 | $1,963 | 7.2× |
| X-Rays Bone Survey Complete (77075) | $1,336 | $3,340 | 12.2× |
| Xr c-spine 4 or 5 views (72050) | $1,541.20 | $3,853 | 14.1× |
| Xr facial bones less than 3 views (70140) | $488.80 | $1,222 | 5.4× |
| Xr myelogram posterior fossa (70010) | $1,112.80 | $2,782 | 3.1× |
| Xr orbits complete 4 views (70200) | $399.20 | $998 | 3.7× |
| Xr Tomogram Single Plane (76100) | $338 | $845 | 3.1× |
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.