Imaging prices at Ascension Sacred Heart Pensacola
Pensacola, FL · every code in this section with a posted price and a Medicare benchmark.
374 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) | $5,602 | $14,005 | 3.9× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$150–$256.80 | $375–$642 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$157.20–$268.40 | $393–$671 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,522 | $6,305 | 6.0× |
| Angio internal mammary (75756) | $1,384.80 | $3,462 | 0.4× |
| Angio pulmonary bilat (75743) | $2,811.20 | $7,028 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,796 | $6,990 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,178.80 | $5,447 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,793.20 | $6,983 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,306 | $5,765 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$162.40–$324.40 | $406–$811 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,600–$12,377.20 | $4,000–$30,943 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,212–$10,512 | $5,530–$26,280 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,369.60 | $5,924 | 0.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$2,212–$10,512 | $5,530–$26,280 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,596.40 | $3,991 | 0.3× |
| Arthrogram ankle (73615) | $555.60 | $1,389 | 1.5× |
| Arthrogram hip (73525) | $766.40 | $1,916 | 2.1× |
| Arthrogram Wrist (73115) | $592.40 | $1,481 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $548 | $1,370 | 3.9× |
| Bone age studies (77072) | $279.60 | $699 | 2.6× |
| Bone Imaging 3 Phase (78315) | $3,040.40 | $7,601 | 7.3× |
| Bone Imaging Limited Area (78300) | $1,708.80 | $4,272 | 4.1× |
| Bone Imaging Whole Body (78306) | $2,826.40 | $7,066 | 6.8× |
| Bone marrow imaging limited area (78102) | $1,388 | $3,470 | 3.3× |
| Bone marrow imaging; whole body (78104) | $1,641.20 | $4,103 | 3.9× |
| Bone survey infant (77076) | $362.40 | $906 | 3.3× |
| Brachytx isodose complex (77318) | $1,083.20 | $2,708 | 2.8× |
| Brachytx isodose intermed (77317) | $1,144.80 | $2,862 | 2.9× |
| Brachytx Isodose Plan Simple (77316) | $412.80 | $1,032 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,186.40 | $2,966 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,386 | $3,465 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $499.20 | $1,248 | 5.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $929.20 | $2,323 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,429.60 | $3,574 | 2.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$131.60–$225.20 | $329–$563 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$151.60–$259.60 | $379–$649 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$259.20–$443.20 | $648–$1,108 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$280.40–$479.60 | $701–$1,199 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$368–$736.80 | $920–$1,842 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,260 | $3,150 | 11.5× |
| Continuing medical physics consltj pr wk (77336) | $452.80 | $1,132 | 3.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,166.80 | $5,417 | 0.7× |
| Contrast X-Ray Bladder (74430) | $638 | $1,595 | 1.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$479.60–$623.60 | $1,199–$1,559 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $518 | $1,295 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,728.80–$1,780.40 | $4,322–$4,451 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,728.80–$1,780.40 | $4,322–$4,451 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,629.20–$1,678 | $4,073–$4,195 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,630.80–$1,679.60 | $4,077–$4,199 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,147.60–$1,181.60 | $2,869–$2,954 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,728.80–$1,780.40 | $4,322–$4,451 | varies |
| CT Angio Chest (71275) | $1,728.80 | $4,322 | 9.4× |
| CT Angio Head (70496) | $1,728.80 | $4,322 | 9.4× |
| CT angio hrt w/3d image (75574) | $631.20 | $1,578 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,598.80 | $3,997 | 8.7× |
| CT Angio Neck (70498) | $1,728.80 | $4,322 | 9.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,728.80 | $4,322 | 9.4× |
| CT cervical spine w/ contrast (72126) | $899.60 | $2,249 | 2.5× |
| CT cervical spine w/o contrast (72125) | $877.20 | $2,193 | 8.0× |
| CT cervical spine w/wo cont (72127) | $1,070.80 | $2,677 | 5.8× |
| CT chest w contrast (71260) | $1,400 | $3,500 | 7.6× |
| CT chest w/wo contrast (71270) | $1,754.40 | $4,386 | 9.6× |
| CT colonography screening (74263) | $1,012 | $2,530 | 4.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $764.80 | $1,912 | 4.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $402.80 | $1,007 | 3.7× |
| CT head/brain with contrast (70460) | $1,103.20 | $2,758 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,192.80 | $2,982 | 6.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $631.20 | $1,578 | 1.7× |
| CT iac w contrast (70481) | $1,728.80 | $4,322 | 9.4× |
| CT l-spine w&w/o contrast (72133) | $1,158 | $2,895 | 6.3× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$882.40–$908.80 | $2,206–$2,272 | varies |
| CT lower extremity w/contrast material (73701) | $886.80 | $2,217 | 4.8× |
| CT lumbar spine w contrast (72132) | $973.20 | $2,433 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $882.80 | $2,207 | 8.1× |
| CT maxillofacial w contrast (70487) | $1,728.80 | $4,322 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,629.20 | $4,073 | 14.9× |
| CT neck tissue combo (70492) | $1,422 | $3,555 | 7.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,308.40 | $5,771 | 12.6× |
| CT orbits w/o contrast (70480) | $1,728.80 | $4,322 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $1,266.80 | $3,167 | 6.9× |
| CT pelvis w/o contrast (72192) | $974 | $2,435 | 8.9× |
| CT scan of leg combo (73702) | $900.40 | $2,251 | 4.9× |
| CT scans face/jaw combo (70488) | $2,230.40 | $5,576 | 12.2× |
| CT soft tissue neck w contrast (70491) | $1,296.40 | $3,241 | 7.1× |
| CT soft tissue neck w/o contrast (70490) | $1,376 | $3,440 | 12.6× |
| CT thoracic spine w contrast (72129) | $987.20 | $2,468 | 5.4× |
| CT thoracic spine w/o contrast (72128) | $884 | $2,210 | 8.1× |
| CT thoracic spine w/wo cont (72130) | $1,175.20 | $2,938 | 6.4× |
| CT thorax w/o contrast (71250) | $1,241.60 | $3,104 | 11.4× |
| CT upper ext wo (73200) | $1,449.20 | $3,623 | 13.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,730.80 | $4,327 | 9.4× |
| CT upper extremity with contrast (73201) | $1,454.80 | $3,637 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,728.80–$1,780.40 | $4,322–$4,451 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,728.80–$1,780.40 | $4,322–$4,451 | varies |
| CTA pelvis (72191) | $1,819.20 | $4,548 | 9.9× |
| Dilation ureters/urethra rs&i (74485) | $1,062.40 | $2,656 | 0.5× |
| Diskography lumbar (72295) | $1,821.20 | $4,553 | 0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$57.60–$144 | $144–$360 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$96.40–$353.20 | $241–$883 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $357.60 | $894 | 3.3× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$78.40–$338 | $196–$845 | varies |
| Dxa bone density study (77085) | $324.40 | $811 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $175.20 | $438 | 1.9× |
| Echo exam of fetal heart (76825) | $355.60 | $889 | 0.6× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$107.60–$547.20 | $269–$1,368 | varies |
| Echo Guide For Artery Repair (76936) | $1,016 | $2,540 | 4.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $187.60 | $469 | 0.8× |
| Echograp Trans R Pros Study (76873) | $462.80 | $1,157 | 4.2× |
| Esophagram (74220) | $726.80 | $1,817 | 4.0× |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$98–$283.20 | $245–$708 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$77.20–$236.80 | $193–$592 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $298 | $745 | 1.2× |
| Fluoroscopy up to 1 hr (76000) | $367.20 | $918 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$336.80–$674.40 | $842–$1,686 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$25.60–$1,198 | $64–$2,995 | varies |
| Gastric emptying imaging study (78264) | $2,508.40 | $6,271 | 6.0× |
| Gastroesophageal Reflux Exam (78262) | $2,522 | $6,305 | 6.0× |
| Gated Heart Planar Single (78472) | $1,050.40 | $2,626 | 2.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$349.60–$699.60 | $874–$1,749 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,445.60 | $6,114 | 3.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,445.60 | $6,114 | 3.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,445.60 | $6,114 | 3.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,965.20 | $4,913 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,918.40 | $4,796 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,621.20 | $6,553 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,621.20 | $6,553 | 6.3× |
| Ht Muscle Image Spect Sing (78451) | $2,913.20 | $7,283 | 2.2× |
| Hysterosalpingogram (74740) | $825.60 | $2,064 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,158.80 | $2,897 | 12.8× |
| Interstitial radiation source applic complex (77778) | $772.40 | $1,931 | 1.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,384.80 | $5,962 | 3.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,384.80 | $5,962 | 4.1× |
| Intracavitary radiation source applic simple (77761) | $2,384.80 | $5,962 | 4.1× |
| Joint Survey Single View (77077) | $326 | $815 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $3,187.20 | $7,968 | 5.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,789.20 | $6,973 | 4.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$407.60–$815.20 | $1,019–$2,038 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,086 | $5,215 | 5.0× |
| Lung perfusion differential (78597) | $687.20 | $1,718 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,546 | $3,865 | 2.7× |
| Lymph System Imaging (78195) | $2,867.60 | $7,169 | 5.1× |
| Magnetic Image Jaw Joint (70336) | $1,241.60 | $3,104 | 5.0× |
| Mammary ductogram or galactogram multiple (77054) | $308.40 | $771 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $286 | $715 | 1.1× |
| Meckels Divert Exam (78290) | $1,364.80 | $3,412 | 3.3× |
| Mlc imrt design & construction per imrt plan (77338) | $756.40 | $1,891 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $116.40 | $291 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $32.40 | $81 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $121.60 | $304 | 1.2× |
| Mr safety implt pos&/immoblj (76019) | $78.40 | $196 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $319.60 | $799 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,631.60 | $4,079 | 4.5× |
| MRA head w/o contrast (70544) | $1,084 | $2,710 | 4.4× |
| MRA head with contrast (70545) | $1,400 | $3,500 | 3.8× |
| MRA neck w contrast (70548) | $1,400 | $3,500 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,631.60 | $4,079 | 4.5× |
| MRA neck w/o contrast (70547) | $1,084.40 | $2,711 | 4.4× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,353.20–$1,488.40 | $3,383–$3,721 | varies |
| MRI abdomen w/o contrast (74181) | $1,488.40 | $3,721 | 6.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,499.20 | $3,748 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,631.60 | $4,079 | 4.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,563.60 | $3,909 | 1.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,631.60 | $4,079 | 6.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,170.40 | $2,926 | 4.7× |
| MRI cardiac w/o cont stress (75559) | $563.20 | $1,408 | 1.0× |
| MRI cardiac w/o contrast (75557) | $1,162.80 | $2,907 | 4.7× |
| MRI cervical spine w contrast (72142) | $1,368.80 | $3,422 | 3.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$469.20–$1,488.40 | $1,173–$3,721 | varies |
| MRI chest w/o contrast (71550) | $1,612.80 | $4,032 | 6.5× |
| MRI chest with contrast (71551) | $1,612.80 | $4,032 | 2.0× |
| MRI chest wo w contrast (71552) | $1,612.80 | $4,032 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,499.20 | $3,748 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,406.80 | $3,517 | 3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$542–$1,404.40 | $1,355–$3,511 | varies |
| MRI lumbar spine w contrast (72149) | $1,492 | $3,730 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,631.60 | $4,079 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,085.60 | $2,714 | 4.4× |
| MRI orbit face neck w contrast (70542) | $1,085.60 | $2,714 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,430.40 | $3,576 | 3.9× |
| MRI pelvis w contrast (72196) | $1,797.20 | $4,493 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $1,631.60 | $4,079 | 4.5× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$548.40–$1,631.60 | $1,371–$4,079 | varies |
| MRI spectroscopy (76390) | $870 | $2,175 | 9.6× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$472.40–$1,552.80 | $1,181–$3,882 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,565.20 | $3,913 | 4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$545.60–$1,470.40 | $1,364–$3,676 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,470 | $3,675 | 4.0× |
| MRI, abdomen, combo (74183) | $1,484.40 | $3,711 | 4.1× |
| MRI, dorsal spine combo (72157) | $1,631.60 | $4,079 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,567.60 | $3,919 | 4.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$271.20–$1,467.60 | $678–$3,669 | varies |
| MRI, joint upper extrem combo (73223) | $1,631.60 | $4,079 | 4.5× |
| MRI, lumbar spine combo (72158) | $1,631.60 | $4,079 | 4.5× |
| Myelogram cervical (72240) | $1,889.60 | $4,724 | 2.3× |
| Myelogram Lumbar (72265) | $1,662.40 | $4,156 | 2.0× |
| Myelography thoracic (72255) | $1,755.60 | $4,389 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $5,966 | $14,915 | 4.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $5,002.40 | $12,506 | 3.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,322.80 | $10,807 | 2.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,496.40 | $13,741 | 2.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $5,607.20 | $14,018 | 2.4× |
| Neck soft tissue (70360) | $373.20 | $933 | 4.1× |
| Nm csf leak detection (78650) | $529.60 | $1,324 | 0.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,031.60 | $10,079 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $813.20 | $2,033 | 3.3× |
| Nuclear Rx Oral Admin (79005) | $1,659.20 | $4,148 | 6.8× |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$171.60–$509.60 | $429–$1,274 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $8.74 | $21.86 | 0.3× |
| Optic foramina (70190) | $550.80 | $1,377 | 6.1× |
| Panoramic X-ray of jaws (70355) | $170 | $425 | 1.9× |
| Parathyroid Planar Imaging (78070) | $3,016.80 | $7,542 | 7.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$27.60–$232 | $69–$580 | varies |
| Peritoneogram Rs&I (74190) | $1,246.80 | $3,117 | 2.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,918.40 | $4,796 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $695.20 | $1,738 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $362 | $905 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $431.60 | $1,079 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$422.40–$844 | $1,056–$2,110 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$28–$367.60 | $70–$919 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$406.80–$624.80 | $1,017–$1,562 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $336 | $840 | 3.1× |
| Radex fingr minimum 2 views (73140) | $349.60 | $874 | 3.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$374.80–$749.20 | $937–$1,873 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$402.40–$806 | $1,006–$2,015 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $301.60 | $754 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $402 | $1,005 | 4.4× |
| Radex Ribs Unilateral 2 Views (71100) | $208.40 | $521 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $430.40 | $1,076 | 4.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $180.80 | $452 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $528.80 | $1,322 | 5.8× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$310.80–$404 | $777–$1,010 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $644.80 | $1,612 | 7.1× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$29.60–$310.80 | $74–$777 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $135.20 | $338 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$445.60–$892 | $1,114–$2,230 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $558 | $1,395 | 5.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$3,441.20 | $8,603 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $368 | $920 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $383.60 | $959 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $736.80 | $1,842 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $445.60 | $1,114 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$211.60–$292.80 | $529–$732 | varies |
| Radiologic exam colon double contrast study (74280) | $1,034.40 | $2,586 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $643.60 | $1,609 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$540.80–$1,081.20 | $1,352–$2,703 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$203.13–$369.20 | $507.83–$923 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $514.80 | $1,287 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $376.40 | $941 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $936.40 | $2,341 | 5.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$102–$179.60 | $255–$449 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$102–$358.80 | $255–$897 | varies |
| Radiologic examination knee 1/2 views (73560) | $391.20 | $978 | 4.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $242.40 | $606 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$273.20–$544.80 | $683–$1,362 | varies |
| Ribs bilateral 3 views (71110) | $207.60 | $519 | 1.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,447.20 | $8,618 | 8.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,454.80 | $13,637 | 9.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,447.20 | $8,618 | 6.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $860 | $2,150 | 1.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,877.60 | $9,694 | 15.9× |
| Rp Therapy Intravenous Administration (79101) | $1,912 | $4,780 | 7.8× |
| Scapula (73010) range across 5 matching MRF lines |
$31.60–$370.80 | $79–$927 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78.80 | $197 | 3.4× |
| Sella turcica (70240) | $405.20 | $1,013 | 4.5× |
| Shoulder 1 view (73020) | $154.40 | $386 | 1.7× |
| Shoulder Arthrography (73040) | $996.80 | $2,492 | 2.7× |
| Sialogram (70390) | $481.20 | $1,203 | 1.9× |
| Skull less than 4 views (70250) | $343.20 | $858 | 3.1× |
| Special dosimetry (77331) | $512 | $1,280 | 3.6× |
| Special Physics Consult (77370) | $824 | $2,060 | 5.9× |
| Special teletherapy port plan (77321) | $964 | $2,410 | 2.5× |
| Special treatment procedure (77470) | $1,445.60 | $3,614 | 2.5× |
| Stereotactic Body Radiation Delivery (77373) | $3,590.80 | $8,977 | 1.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$201.20–$261.60 | $503–$654 | varies |
| Superior sagittal sinus venogram (75870) | $1,518 | $3,795 | 0.5× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $158.80 | $397 | 1.7× |
| Tbs technical calculation only (77091) | $158.80 | $397 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $390.80 | $977 | 1.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $390.80 | $977 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,588.80 | $3,972 | 4.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,283.60 | $3,209 | 3.3× |
| Ther rad simulaj-aided field setting simple (77280) | $811.20 | $2,028 | 5.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,096.80 | $2,742 | 6.0× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$30.80–$270.80 | $77–$677 | varies |
| Thoracolumbar 2 views (72080) | $348.40 | $871 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,396 | $3,490 | 3.3× |
| Thyroid Met Imaging Body (78018) | $3,200.80 | $8,002 | 5.6× |
| Thyroid Uptake Measurement (78012) | $1,146.40 | $2,866 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,608 | $4,020 | 3.9× |
| Tx Devices Design & Construction Complex (77334) | $1,223.20 | $3,058 | 3.1× |
| Tx devices design & construction intermediate (77333) | $756.40 | $1,891 | 5.4× |
| Tx devices design & construction simple (77332) | $754.40 | $1,886 | 5.4× |
| Ultrasound Breast Limited (76642) | $370.40 | $926 | 4.1× |
| Ultrasound elastography first target lesion (76982) | $406 | $1,015 | 3.7× |
| Ultrasound Elastography Parenchyma (76981) | $502.40 | $1,256 | 4.6× |
| Ultrasound Exam Aaa Screen (76706) | $382.40 | $956 | 3.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $387.20 | $968 | 1.1× |
| Ultrasound, abdomen limited (76705) | $929.60 | $2,324 | 8.5× |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$49.20–$568 | $123–$1,420 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $284 | $710 | 3.1× |
| Unlisted fluoroscopic procedure (76496) | $95.80 | $239.49 | 1.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $307.20 | $768 | 2.9× |
| Upper gi w/o kub (74240) | $398.80 | $997 | 2.2× |
| Ureteral Reflux Study (78740) | $734.40 | $1,836 | 1.8× |
| Urethrocystogram voiding (74455) | $742.40 | $1,856 | 3.0× |
| Urethrocystography retrograde (74450) | $503.20 | $1,258 | 2.0× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$370.40–$740.80 | $926–$1,852 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$112–$378.40 | $280–$946 | varies |
| Us complete joint (76881) | $887.60 | $2,219 | 8.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$109.20–$469.60 | $273–$1,174 | varies |
| Us head (76506) | $637.60 | $1,594 | 5.8× |
| Us kidney transplant (76776) | $1,319.60 | $3,299 | 12.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $582.40 | $1,456 | 5.3× |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$116–$1,299.20 | $290–$3,248 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$66.80–$483.20 | $167–$1,208 | varies |
| Us ob transvaginal (76817) | $336 | $840 | 3.1× |
| Us pelvic non ob complete (76856) | $1,339.20 | $3,348 | 12.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $496.80 | $1,242 | 4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $348 | $870 | 3.2× |
| Us retroperitoneal complete (76770) | $926.40 | $2,316 | 8.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$57.60–$1,493.60 | $144–$3,734 | varies |
| Us scrotum and contents (76870) | $926.40 | $2,316 | 8.5× |
| Us spinal canal and contents (76800) | $838.40 | $2,096 | 7.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$97.60–$916.40 | $244–$2,291 | varies |
| Us transrectal (76872) | $974.40 | $2,436 | 8.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,615.60–$2,140.80 | $4,039–$5,352 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,472.80 | $3,682 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $3,566 | $8,915 | 1.1× |
| Venogram Sinus/Jugular (75860) | $1,472.80 | $3,682 | 0.4× |
| Venography Adrenal Unilateral (75840) | $2,445.20 | $6,113 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $1,741.60 | $4,354 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,425.20 | $3,563 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,404.40 | $3,511 | 0.9× |
| Venography Renal Bilateral (75833) | $1,918.40 | $4,796 | 0.6× |
| Venography Renal Unilateral (75831) | $599.60 | $1,499 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,384.80 | $3,462 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $146.80 | $367 | 1.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$389.60–$598.80 | $974–$1,497 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$36.40–$369.20 | $91–$923 | varies |
| X-ray antegrade pyelogram tube (74425) | $457.60 | $1,144 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $2,813.20 | $7,033 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$28–$724 | $70–$1,810 | varies |
| X-Ray Exam Breast Specimen (76098) | $280.80 | $702 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $176.80 | $442 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $296.80 | $742 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $558 | $1,395 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$102–$179.60 | $255–$449 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$102–$179.60 | $255–$449 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$168.80–$292.80 | $422–$732 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$168.80–$296.80 | $422–$742 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$168.80–$296.80 | $422–$742 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$321.60–$558 | $804–$1,395 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $698 | $1,745 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $145.60 | $364 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$58.80–$733.20 | $147–$1,833 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $584 | $1,460 | 5.3× |
| X-ray humerus (73060) | $251.60 | $629 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $177.20 | $443 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$274.40–$383.60 | $686–$959 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$35.20–$383.20 | $88–$958 | varies |
| X-ray nose-rectum child f.b. (76010) | $237.60 | $594 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $859.60 | $2,149 | 7.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$33.20–$366.80 | $83–$917 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $408.80 | $1,022 | 4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $432 | $1,080 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $634.80 | $1,587 | 5.8× |
| X-ray thoracic spine 4 vw (72074) | $416.40 | $1,041 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,167.60 | $2,919 | 3.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$210–$359.20 | $525–$898 | varies |
| X-Rays Bone Survey Complete (77075) | $225.60 | $564 | 2.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$46–$698 | $115–$1,745 | varies |
| Xr facial bones less than 3 views (70140) | $298.40 | $746 | 3.3× |
| Xr orbits complete 4 views (70200) | $516 | $1,290 | 4.7× |
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.