Imaging prices at Boca Raton Regional Hospital
Boca Raton, FL · every code in this section with a posted price and a Medicare benchmark.
384 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) | $4,367.35 | $6,719 | 3.0× |
| Abdomen 1 View (74018) | $516.10 | $794 | 5.7× |
| Abdomen 2 views (74019) | $574.60 | $884 | 5.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,291.55 | $1,987 | 3.1× |
| Angio internal mammary (75756) | $5,883.15 | $9,051 | 1.8× |
| Angio pulmonary bilat (75743) | $6,579.30 | $10,122 | 2.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,883.15 | $9,051 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $5,883.15 | $9,051 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $5,883.15 | $9,051 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,858.80 | $10,552 | 2.1× |
| Ankle 2 views (73600) | $371.15 | $571 | 4.1× |
| Aortography thoracic serialography rs&i (75605) | $4,017 | $6,180 | 0.7× |
| Artery X-Rays Abdomen (75726) | $5,348.20 | $8,228 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $5,883.15 | $9,051 | 1.8× |
| Artery X-Rays Pelvis (75736) | $4,306.90 | $6,626 | 0.7× |
| Artery X-Rays Spine (75705) | $7,289.75 | $11,215 | 1.3× |
| Arthrogram ankle (73615) | $549.90 | $846 | 1.5× |
| Arthrogram hip (73525) | $949.65 | $1,461 | 2.6× |
| Arthrogram Wrist (73115) | $1,129.70 | $1,738 | 3.1× |
| Basic radiation dosimetry calculation (77300) | $1,214.20 | $1,868 | 8.7× |
| Bone age studies (77072) | $373.10 | $574 | 3.4× |
| Bone Imaging 3 Phase (78315) | $2,436.85 | $3,749 | 5.8× |
| Bone Imaging Limited Area (78300) | $1,630.85 | $2,509 | 3.9× |
| Bone Imaging Multiple Areas (78305) | $1,034.15 | $1,591 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,258.75 | $3,475 | 5.4× |
| Bone marrow imaging limited area (78102) | $819 | $1,260 | 2.0× |
| Bone marrow imaging; whole body (78104) | $1,022.45 | $1,573 | 2.4× |
| Brachytx isodose complex (77318) | $1,195.35 | $1,839 | 3.1× |
| Brachytx isodose intermed (77317) | $711.10 | $1,094 | 1.8× |
| Brachytx Isodose Plan Simple (77316) | $506.35 | $779 | 1.3× |
| Brain Flow Imaging Only (78610) | $1,333.15 | $2,051 | 2.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,600.95 | $2,463 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,235.75 | $8,055 | 3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,911.65 | $2,941 | 5.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,911.65 | $2,941 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $1,115.40 | $1,716 | 12.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $965.90 | $1,486 | 1.7× |
| Cerebrospinal Fluid Scan (78630) | $1,507.35 | $2,319 | 2.7× |
| Chest 1 view (71045) | $375.05 | $577 | 4.1× |
| Chest 2 views (71046) | $445.90 | $686 | 4.9× |
| Chest 3 views (71047) | $611.65 | $941 | 6.7× |
| Chest 4 or more views (71048) | $810.55 | $1,247 | 7.4× |
| Clavicle complete (73000) | $504.40 | $776 | 5.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $388.05 | $597 | 3.6× |
| Continuing medical physics consltj pr wk (77336) | $705.25 | $1,085 | 5.0× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,847–$7,943 | $4,380–$12,220 | varies |
| Contrast X-Ray Bladder (74430) | $733.85 | $1,129 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $716.30 | $1,102 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,092.65 | $1,681 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $4,280.25 | $6,585 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $3,325.40 | $5,116 | 13.3× |
| CT abdomen w contrast (74160) | $2,507.70 | $3,858 | 13.7× |
| CT abdomen w wo contrast (74170) | $2,904.85 | $4,469 | 15.9× |
| CT abdomen w/o contrast (74150) | $2,261.35 | $3,479 | 20.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,801.85 | $5,849 | 10.4× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,904.85–$2,945.15 | $4,469–$4,531 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,330.25–$2,400.45 | $3,585–$3,693 | varies |
| CT angio hrt w/3d image (75574) | $1,681.55 | $2,587 | 4.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,510.60–$1,556.10 | $2,324–$2,394 | varies |
| CT Angio Neck (70498) | $3,283.15 | $5,051 | 17.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,171 | $3,340 | 11.9× |
| CT cervical spine w/ contrast (72126) | $2,951 | $4,540 | 8.1× |
| CT cervical spine w/o contrast (72125) | $2,192.45 | $3,373 | 20.1× |
| CT cervical spine w/wo cont (72127) | $3,783 | $5,820 | 20.7× |
| CT chest w contrast (71260) | $3,272.75 | $5,035 | 17.9× |
| CT chest w/wo contrast (71270) | $3,441.75 | $5,295 | 18.8× |
| CT colonography screening (74263) | $902.85 | $1,389 | 3.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,069.25 | $1,645 | 5.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $701.35 | $1,079 | 6.4× |
| CT head/brain with contrast (70460) | $3,117.40 | $4,796 | 17.0× |
| CT head/brain without and with contrast (70470) | $3,943.55 | $6,067 | 21.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,375.40 | $2,116 | 3.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,071.85 | $1,649 | 11.8× |
| CT hrt w/3d image congen (75573) | $1,318.20 | $2,028 | 3.6× |
| CT iac w contrast (70481) | $3,500.90 | $5,386 | 19.1× |
| CT l-spine w&w/o contrast (72133) | $3,879.85 | $5,969 | 21.2× |
| CT lower ext w/o (73700) | $2,102.10 | $3,234 | 19.3× |
| CT lower extremity w/contrast material (73701) | $2,186.60 | $3,364 | 11.9× |
| CT lumbar spine w contrast (72132) | $3,296.80 | $5,072 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,984.80 | $4,592 | 27.3× |
| CT maxillofacial w contrast (70487) | $3,201.90 | $4,926 | 17.5× |
| CT maxillofacial wo contrast (70486) | $2,714.40 | $4,176 | 24.9× |
| CT neck tissue combo (70492) | $3,491.15 | $5,371 | 19.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,299.10 | $6,614 | 23.5× |
| CT orbits w/o contrast (70480) | $3,235.70 | $4,978 | 29.6× |
| CT pelvis w&w/o contrast (72194) | $3,361.80 | $5,172 | 18.4× |
| CT pelvis w/o contrast (72192) | $2,769 | $4,260 | 25.4× |
| CT scan of leg combo (73702) | $2,252.90 | $3,466 | 12.3× |
| CT scans face/jaw combo (70488) | $3,354 | $5,160 | 18.3× |
| CT soft tissue neck w contrast (70491) | $3,259.10 | $5,014 | 17.8× |
| CT soft tissue neck w/o contrast (70490) | $2,840.50 | $4,370 | 26.0× |
| CT thoracic spine w contrast (72129) | $2,822.30 | $4,342 | 15.4× |
| CT thoracic spine w/o contrast (72128) | $1,960.40 | $3,016 | 18.0× |
| CT thoracic spine w/wo cont (72130) | $3,222.05 | $4,957 | 17.6× |
| CT thorax w/o contrast (71250) | $2,051.40 | $3,156 | 18.8× |
| CT unlisted procedure (76497) | $430.30 | $662 | 4.7× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,078.05–$2,140.45 | $3,197–$3,293 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,710.80 | $2,632 | 9.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,158–$2,223 | $3,320–$3,420 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,206.75–$2,273.05 | $3,395–$3,497 | varies |
| Cta Abdomen (74175) | $1,835.60 | $2,824 | 10.0× |
| CTA pelvis (72191) | $1,842.75 | $2,835 | 10.1× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $761.15 | $1,171 | 3.1× |
| Dilation ureters/urethra rs&i (74485) | $3,100.50 | $4,770 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $4,941.30 | $7,602 | 2.4× |
| Diskography lumbar (72295) | $4,941.30 | $7,602 | 2.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $332.80 | $512 | 3.0× |
| Dxa Bone Density Axial (77080) | $488.80 | $752 | 4.5× |
| Dxa bone density study (77085) | $800.80 | $1,232 | 7.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $182 | $280 | 2.0× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$927.55–$975.65 | $1,427–$1,501 | varies |
| Echo exam uterus (76831) | $467.35 | $719 | 1.9× |
| Echo Guide For Artery Repair (76936) | $1,498.25 | $2,305 | 6.6× |
| Echograp Trans R Pros Study (76873) | $458.25 | $705 | 4.2× |
| Esophagram (74220) | $738.40 | $1,136 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $657.15 | $1,011 | 6.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$760.50–$783.25 | $1,170–$1,205 | varies |
| Follow-Up Angiography (75898) | $1,979.90 | $3,046 | 0.6× |
| Foot 2 views (73620) | $389.35 | $599 | 4.3× |
| Forearm 2 views (73090) | $502.45 | $773 | 5.5× |
| Gastric emptying imaging study (78264) | $1,752.40 | $2,696 | 4.2× |
| Gated Heart Planar Single (78472) | $1,937.65 | $2,981 | 4.6× |
| Hand 2 views (73120) | $362.70 | $558 | 3.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,124.20 | $3,268 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,146.10 | $10,994 | 9.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,731.05 | $8,817 | 7.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,394.35 | $8,299 | 1.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,369.65 | $8,261 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,813.50 | $2,790 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,813.50 | $2,790 | 4.3× |
| Ht Muscle Image Spect Sing (78451) | $3,837.60 | $5,904 | 2.8× |
| Hysterosalpingogram (74740) | $1,008.15 | $1,551 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $925.60 | $1,424 | 10.2× |
| Infant hip ultrasound, limited static exam (76886) | $552.50 | $850 | 6.1× |
| Infusion Ivp (74410) | $705.90 | $1,086 | 3.9× |
| Interstitial radiation source applic complex (77778) | $8,628.75 | $13,275 | 11.9× |
| K Flow/Funct Image Multiple (78709) | $2,568.15 | $3,951 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $1,987.70 | $3,058 | 3.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,716 | $2,640 | 3.0× |
| Kidney Imaging Morphol (78700) | $1,077.70 | $1,658 | 2.6× |
| Knee 3 Views (73562) | $505.05 | $777 | 5.6× |
| Leveen/Shunt Patency Exam (78291) | $1,034.15 | $1,591 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,034.15 | $1,591 | 2.5× |
| Liver imaging w/vascular flow (78202) | $3,598.40 | $5,536 | 6.3× |
| Lung Perf&Ventilat Diferentl (78598) | $2,356.90 | $3,626 | 4.2× |
| Lung perfusion differential (78597) | $3,412.50 | $5,250 | 8.2× |
| Lung Ventilat&Perfus Imaging (78582) | $3,412.50 | $5,250 | 6.0× |
| Lymph System Imaging (78195) | $1,592.50 | $2,450 | 2.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,814.15 | $2,791 | 2.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,199.95 | $4,923 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $3,357.25 | $5,165 | 13.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $983.45 | $1,513 | 5.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $647.40 | $996 | 1.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $5,883.15 | $9,051 | 32.1× |
| Mammary ductogram or galactogram multiple (77054) | $739.05 | $1,137 | 3.0× |
| Mammary ductogram or galactogram single (77053) | $739.05 | $1,137 | 3.0× |
| Meckels Divert Exam (78290) | $1,549.60 | $2,384 | 3.7× |
| Mlc imrt design & construction per imrt plan (77338) | $2,034.50 | $3,130 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,806.40 | $5,856 | 10.4× |
| MRA head w/o contrast (70544) | $2,533.70 | $3,898 | 10.2× |
| MRA head with contrast (70545) | $3,043.95 | $4,683 | 8.4× |
| MRA neck w contrast (70548) | $1,983.80 | $3,052 | 5.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,479.75 | $3,815 | 6.8× |
| MRA neck w/o contrast (70547) | $1,655.55 | $2,547 | 6.6× |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$3,376.10–$3,599.05 | $5,194–$5,537 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,175.25–$3,270.80 | $4,885–$5,032 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,970.85 | $6,109 | 4.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,110.30 | $7,862 | 14.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,445 | $5,300 | 4.2× |
| MRI bone marrow blood supply (77084) | $800.80 | $1,232 | 3.2× |
| MRI brain functional w/o physician admnistration (70554) | $2,783.95 | $4,283 | 11.2× |
| MRI brain functional w/physician admnistration (70555) | $2,809.30 | $4,322 | 11.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,209.05 | $4,937 | 12.9× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$1,572.35–$2,041 | $2,419–$3,140 | varies |
| MRI cardiac w/o cont stress (75559) | $1,456 | $2,240 | 2.6× |
| MRI cardiac w/o contrast (75557) | $1,249.30 | $1,922 | 5.0× |
| MRI cervical spine w contrast (72142) | $3,542.50 | $5,450 | 9.7× |
| MRI cervical spine w/o cont (72141) | $3,417.70 | $5,258 | 13.7× |
| MRI chest w/o contrast (71550) | $3,224 | $4,960 | 12.9× |
| MRI chest with contrast (71551) | $3,278.60 | $5,044 | 4.0× |
| MRI chest wo w contrast (71552) | $4,080.70 | $6,278 | 11.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,089.10 | $3,214 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,211 | $4,940 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,652.65 | $4,081 | 10.6× |
| MRI lumbar spine w contrast (72149) | $3,612.70 | $5,558 | 9.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,284.80 | $6,592 | 11.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,059.55 | $4,707 | 12.3× |
| MRI orbit face neck w contrast (70542) | $3,438.50 | $5,290 | 9.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,818.75 | $5,875 | 10.5× |
| MRI pelvis w contrast (72196) | $3,070.60 | $4,724 | 8.4× |
| MRI pelvis w/o & w contrast (72197) | $3,232.45 | $4,973 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,913.30 | $4,482 | 11.7× |
| MRI spectroscopy (76390) | $1,708.85 | $2,629 | 18.8× |
| MRI thoracic spine w/o contrast (72146) | $3,385.20 | $5,208 | 13.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,503.15 | $3,851 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,487.55 | $3,827 | 10.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,324.75 | $5,115 | 9.1× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,494.40–$3,599.05 | $5,376–$5,537 | varies |
| MRI, dorsal spine combo (72157) | $4,332.25 | $6,665 | 11.9× |
| MRI, dorsal spine contrast (72147) | $3,697.20 | $5,688 | 10.1× |
| MRI, joint upper extrem (73221) | $2,964 | $4,560 | 11.9× |
| MRI, joint upper extrem combo (73223) | $4,020.90 | $6,186 | 11.0× |
| MRI, lumbar spine combo (72158) | $4,345.90 | $6,686 | 11.9× |
| Myocardial Spect Multiple Studies (78452) | $5,848.05 | $8,997 | 4.3× |
| N-invas est c ffr sw aly CTA (75580) | $4,244.50 | $6,530 | 4.7× |
| Neck soft tissue (70360) | $534.95 | $823 | 5.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $719.55 | $1,107 | 1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,141.50 | $7,910 | 3.6× |
| Nuclear Rx Intra-Arterial (79445) | $1,270.75 | $1,955 | 5.2× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,858.05–$2,943.85 | $4,397–$4,529 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,161.90 | $3,326 | 3.8× |
| Parathyroid Planar Imaging (78070) | $1,775.80 | $2,732 | 4.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,508.65 | $2,321 | 3.6× |
| Pelvis 1 or 2 views (72170) | $583.05 | $897 | 5.3× |
| Perineogram (74775) | $490.10 | $754 | 2.0× |
| Peritoneogram Rs&I (74190) | $1,456 | $2,240 | 2.6× |
| Pet Image Skull-Thigh (78812) | $4,024.80 | $6,192 | 2.7× |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$3,907.80–$4,024.80 | $6,012–$6,192 | varies |
| PET image w/CT, full body (78816) | $5,541.25 | $8,525 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,845.75–$4,991.35 | $7,455–$7,679 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,371.55 | $5,187 | 2.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,798 | $8,920 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,855.10 | $2,854 | 4.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,156.35 | $1,779 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $537.55 | $827 | 5.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $441.35 | $679 | 4.9× |
| Radex elbow complete minimum 3 views (73080) | $536.25 | $825 | 5.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $731.25 | $1,125 | 6.7× |
| Radex fingr minimum 2 views (73140) | $423.15 | $651 | 4.7× |
| Radex foot complete minimum 3 views (73630) | $538.20 | $828 | 5.9× |
| Radex Hand Minimum 3 Views (73130) | $520 | $800 | 5.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $329.55 | $507 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $577.85 | $889 | 6.4× |
| Radex shoulder complete minimum 2 views (73030) | $577.85 | $889 | 6.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $334.75 | $515 | 3.7× |
| Radex Spine 1 View Specify Level (72020) | $434.20 | $668 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $563.55 | $867 | 6.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $722.80 | $1,112 | 8.0× |
| Radex Toe Minimum 2 Views (73660) | $408.85 | $629 | 4.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $574.60 | $884 | 6.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $741 | $1,140 | 6.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $22,369.10 | $34,414 | 2.9× |
| Radiation treatment delivery level 1 (77402) | $616.20 | $948 | 5.8× |
| Radiation treatment delivery level 2 (77407) | $830.70 | $1,278 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $1,234.35 | $1,899 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $354.90 | $546 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $604.50 | $930 | 5.5× |
| Radiologic exam colon double contrast study (74280) | $1,525.55 | $2,347 | 8.3× |
| Radiologic exam colon single contrast study (74270) | $1,119.95 | $1,723 | 6.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $794.30 | $1,222 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $593.45 | $913 | 5.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $752.70 | $1,158 | 6.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $924.95 | $1,423 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $786.50 | $1,210 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,142.05 | $1,757 | 6.2× |
| Radiologic examination femur 1 view (73551) | $452.40 | $696 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) | $563.55 | $867 | 6.2× |
| Radiologic examination knee 1/2 views (73560) | $413.40 | $636 | 4.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $733.85 | $1,129 | 6.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $521.95 | $803 | 5.7× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $174.85 | $269 | 1.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $695.50 | $1,070 | 1.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $695.50 | $1,070 | 1.7× |
| Renal Cyst Study (74470) | $3,352.05 | $5,157 | 5.9× |
| Ribs bilateral 3 views (71110) | $813.15 | $1,251 | 7.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,370.20 | $2,108 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,287–$3,598.40 | $1,980–$5,536 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,598.40 | $5,536 | 6.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,598.40 | $5,536 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,722.55 | $5,727 | 6.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,722.55 | $5,727 | 2.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,368.25 | $2,105 | 5.6× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$2,597.40–$2,675.40 | $3,996–$4,116 | varies |
| Salivary Gland Imaging Serial Images (78231) | $1,034.15 | $1,591 | 2.5× |
| Scapula (73010) | $549.25 | $845 | 5.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $145.60 | $224 | 6.2× |
| Shoulder 1 view (73020) | $394.55 | $607 | 4.3× |
| Shoulder Arthrography (73040) | $1,034.80 | $1,592 | 2.8× |
| Sialogram (70390) | $743.60 | $1,144 | 3.0× |
| Skull less than 4 views (70250) | $492.05 | $757 | 4.5× |
| Special dosimetry (77331) | $1,123.20 | $1,728 | 8.0× |
| Special Physics Consult (77370) | $1,095.90 | $1,686 | 7.8× |
| Special teletherapy port plan (77321) | $759.20 | $1,168 | 1.9× |
| Special treatment procedure (77470) | $2,569.45 | $3,953 | 4.5× |
| Stereotactic Body Radiation Delivery (77373) | $6,427.20 | $9,888 | 3.4× |
| Sternoclavicular joints (71130) | $283.40 | $436 | 3.1× |
| Superior sagittal sinus venogram (75870) | $1,626.30 | $2,502 | 0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $436.80 | $672 | 4.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,085.85 | $3,209 | 5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,843.40 | $2,836 | 4.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $679.90 | $1,046 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,203.20 | $4,928 | 8.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,577.90 | $3,966 | 6.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,940.90 | $2,986 | 13.8× |
| Thoracic spine 3 views (72072) | $663 | $1,020 | 6.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,034.15 | $1,591 | 2.5× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,715.35–$1,766.70 | $2,639–$2,718 | varies |
| Thyroid Uptake Measurement (78012) | $1,034.15 | $1,591 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,682.20 | $2,588 | 4.0× |
| Tx Devices Design & Construction Complex (77334) | $1,110.85 | $1,709 | 2.8× |
| Tx devices design & construction intermediate (77333) | $1,071.85 | $1,649 | 7.6× |
| Tx devices design & construction simple (77332) | $858 | $1,320 | 6.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$257.40–$513.50 | $396–$790 | varies |
| Ultrasound elastography first target lesion (76982) | $362.05 | $557 | 3.3× |
| Ultrasound Elastography Parenchyma (76981) | $362.05 | $557 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $442.65 | $681 | 4.1× |
| Ultrasound, abdomen limited (76705) | $1,046.50 | $1,610 | 9.6× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$161.85–$799.50 | $249–$1,230 | varies |
| Unlisted fluoroscopic procedure (76496) | $350.35 | $539 | 3.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $352.30 | $542 | 3.3× |
| Upper gi w/o kub (74240) | $1,057.55 | $1,627 | 5.8× |
| Ureteral Reflux Study (78740) | $1,276.60 | $1,964 | 3.1× |
| Urethrocystogram voiding (74455) | $938.60 | $1,444 | 3.8× |
| Urethrocystography retrograde (74450) | $990.60 | $1,524 | 4.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$321.10–$539.50 | $494–$830 | varies |
| Us chest (76604) | $633.10 | $974 | 5.8× |
| Us exam, pelvic, limited (76857) | $1,007.50 | $1,550 | 9.2× |
| Us head (76506) | $839.80 | $1,292 | 7.7× |
| Us kidney transplant (76776) | $442.65 | $681 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $226.20 | $348 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $527.80 | $812 | 4.8× |
| Us ob transvaginal (76817) | $974.35 | $1,499 | 8.9× |
| Us pelvic non ob complete (76856) | $1,134.25 | $1,745 | 10.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $669.50 | $1,030 | 6.1× |
| Us retroperitoneal complete (76770) | $1,168.05 | $1,797 | 10.7× |
| Us retroperitoneal limited (76775) | $1,045.20 | $1,608 | 9.6× |
| Us scrotum and contents (76870) | $779.35 | $1,199 | 7.1× |
| Us spinal canal and contents (76800) | $776.10 | $1,194 | 7.1× |
| Us thyroid (76536) | $643.50 | $990 | 5.9× |
| Us transrectal (76872) | $1,165.45 | $1,793 | 10.7× |
| Vein X-Ray Chest (75827) | $1,599 | $2,460 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,467.75 | $5,335 | 1.1× |
| Vein X-Ray Skull Epidural (75872) | $4,730.05 | $7,277 | 7.2× |
| Vein X-Ray Spleen/Liver (75810) | $5,883.15 | $9,051 | 1.8× |
| Venogram Sinus/Jugular (75860) | $5,883.15 | $9,051 | 1.8× |
| Venography Adrenal Unilateral (75840) | $5,883.15 | $9,051 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $5,883.15 | $9,051 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $3,566.55 | $5,487 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $2,478.45 | $3,813 | 1.5× |
| Venography Orbital Rs&I (75880) | $5,883.15 | $9,051 | 9.0× |
| Venography Renal Bilateral (75833) | $5,883.15 | $9,051 | 1.8× |
| Venography Renal Unilateral (75831) | $5,883.15 | $9,051 | 1.8× |
| Venous sampling by catheter (75893) | $4,497.35 | $6,919 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $182 | $280 | 2.0× |
| Wrist 2 views (73100) | $393.25 | $605 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $339.95 | $523 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $2,412.15 | $3,711 | 6.6× |
| X-Ray Aorta Leg Arteries (75630) | $5,202.60 | $8,004 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $408.85 | $629 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $394.55 | $607 | 4.3× |
| X-Ray Exam Breast Specimen (76098) | $575.90 | $886 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $235.30 | $362 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $388.05 | $597 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $741 | $1,140 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $371.80 | $572 | 4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $598.65 | $921 | 6.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $742.30 | $1,142 | 6.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,197.30 | $1,842 | 11.0× |
| X-Ray Exam L-S Spine Bending (72114) | $1,107.60 | $1,704 | 10.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $594.10 | $914 | 6.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $891.80 | $1,372 | 8.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $736.45 | $1,133 | 6.7× |
| X-ray humerus (73060) | $520.65 | $801 | 5.7× |
| X-ray IV pyelogram+tomography (74415) | $1,270.10 | $1,954 | 6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $200.20 | $308 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $559.65 | $861 | 6.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $620.10 | $954 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $297.70 | $458 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $686.40 | $1,056 | 6.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $362.05 | $557 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $585 | $900 | 6.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $810.55 | $1,247 | 8.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $815.75 | $1,255 | 7.5× |
| X-Ray Stress View (77071) | $408.20 | $628 | 4.5× |
| X-ray thoracic spine 4 vw (72074) | $329.55 | $507 | 3.0× |
| X-Ray Tmj Unilat (70328) | $312.65 | $481 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,017.25 | $1,565 | 2.8× |
| X-Rays Bone Length Studies (77073) | $566.15 | $871 | 5.2× |
| X-Rays Bone Survey Complete (77075) | $1,106.30 | $1,702 | 10.1× |
| Xr c-spine 4 or 5 views (72050) | $787.80 | $1,212 | 7.2× |
| Xr facial bones less than 3 views (70140) | $449.80 | $692 | 4.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $329.55 | $507 | 3.0× |
| Xr orbits complete 4 views (70200) | $824.85 | $1,269 | 7.6× |
| Xr Tomogram Single Plane (76100) | $936.65 | $1,441 | 8.6× |
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.