Imaging prices at Brown University Health Saint Anne's Hospital
Fall River, MA · every code in this section with a posted price and a Medicare benchmark.
441 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) | $5,394.70 | $5,394.70 | 3.3× |
| Abdomen 1 View (74018) | $285.74 | $285.74 | 2.7× |
| Abdomen 2 views (74019) | $356.02 | $356.02 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,511.99 | $1,511.99 | 3.2× |
| Adrenal Cortex & Medulla Img (78075) | $5,043.17 | $5,043.17 | 3.3× |
| Angio internal mammary (75756) | $9,623.03 | $9,623.03 | 2.5× |
| Angio pulmonary bilat (75743) | $10,924.99 | $10,924.99 | 2.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $10,924.99 | $10,924.99 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $11,406.59 | $11,406.59 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $10,924.99 | $10,924.99 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,924.99 | $10,924.99 | 2.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,648.89 | $4,648.89 | 1.2× |
| Ankle 2 views (73600) | $438.22 | $438.22 | 4.2× |
| Aortography thoracic serialography rs&i (75605) | $16,909.91 | $16,909.91 | 2.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $10,924.99 | $10,924.99 | 2.9× |
| Artery X-Rays Abdomen (75726) | $16,909.91 | $16,909.91 | 2.5× |
| Artery X-Rays Adrenal Gland (75731) | $10,924.99 | $10,924.99 | 2.9× |
| Artery X-Rays Pelvis (75736) | $16,909.91 | $16,909.91 | 2.5× |
| Artery X-Rays Spine (75705) | $16,909.91 | $16,909.91 | 2.5× |
| Arthrogram ankle (73615) | $2,682.86 | $2,682.86 | 6.4× |
| Arthrogram hip (73525) | $2,682.86 | $2,682.86 | 6.4× |
| Arthrogram Wrist (73115) | $2,173.84 | $2,173.84 | 5.2× |
| Basic radiation dosimetry calculation (77300) | $571.29 | $571.29 | 3.5× |
| Bone age studies (77072) | $514.88 | $514.88 | 4.1× |
| Bone Imaging 3 Phase (78315) | $1,610.28 | $1,610.28 | 3.4× |
| Bone Imaging Limited Area (78300) | $1,511.99 | $1,511.99 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,511.99 | $1,511.99 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,610.28 | $1,610.28 | 3.4× |
| Bone marrow imaging limited area (78102) | $1,511.99 | $1,511.99 | 3.2× |
| Bone marrow imaging; multiple areas (78103) | $1,511.99 | $1,511.99 | 3.2× |
| Bone marrow imaging; whole body (78104) | $1,511.99 | $1,511.99 | 3.2× |
| Bone survey infant (77076) | $610.01 | $610.01 | 4.9× |
| Brachytx isodose complex (77318) | $1,396.50 | $1,396.50 | 3.1× |
| Brachytx isodose intermed (77317) | $1,487.26 | $1,487.26 | 3.3× |
| Brachytx Isodose Plan Simple (77316) | $760.36 | $760.36 | 1.7× |
| Brain Flow Imaging Only (78610) | $1,909.73 | $1,909.73 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,549.48 | $1,549.48 | 3.2× |
| Brain imaging < 4 static views (78600) | $1,419.43 | $1,419.43 | 3.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,945.31 | $1,945.31 | 3.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,945.31 | $1,945.31 | 3.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,511.99 | $1,511.99 | 3.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,685.34 | $1,685.34 | 4.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,340.85 | $3,340.85 | 3.6× |
| Cardiac Shunt Detection (78428) | $1,511.99 | $1,511.99 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $268.31 | $268.31 | 2.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,909.73 | $1,909.73 | 2.9× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $1,945.31 | $1,945.31 | 3.0× |
| Cerebrospinal Fluid Scan (78630) | $1,945.31 | $1,945.31 | 3.0× |
| Chest 1 view (71045) | $285.74 | $285.74 | 2.7× |
| Chest 2 views (71046) | $285.74 | $285.74 | 2.7× |
| Chest 3 views (71047) | $285.74 | $285.74 | 2.7× |
| Chest 4 or more views (71048) | $334.29 | $334.29 | 2.7× |
| Clavicle complete (73000) | $402.47 | $402.47 | 3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $322.67 | $322.67 | 2.6× |
| Continuing medical physics consltj pr wk (77336) | $571.29 | $571.29 | 3.5× |
| Contrast Exam Abdominl Aorta (75625) | $10,924.99 | $10,924.99 | 2.9× |
| Contrast X-Ray Bladder (74430) | $1,215.67 | $1,215.67 | 2.9× |
| Contrast X-Ray Of Elbow (73085) | $2,682.86 | $2,682.86 | 6.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,682.86 | $2,682.86 | 6.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $577.55 | $577.55 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,531.37 | $1,531.37 | 3.7× |
| CT abdomen and pelvis without contrast (74176) | $955.25 | $955.25 | 3.3× |
| CT abdomen w contrast (74160) | $1,058.55 | $1,058.55 | 5.0× |
| CT abdomen w wo contrast (74170) | $1,058.55 | $1,058.55 | 5.0× |
| CT abdomen w/o contrast (74150) | $549.95 | $549.95 | 4.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,531.37 | $1,531.37 | 3.7× |
| CT Angio Chest (71275) | $1,058.55 | $1,058.55 | 5.0× |
| CT Angio Head (70496) | $1,058.55 | $1,058.55 | 5.0× |
| CT angio hrt w/3d image (75574) | $993.95 | $993.95 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,490.93 | $1,490.93 | 7.1× |
| CT Angio Neck (70498) | $1,058.55 | $1,058.55 | 5.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,058.55 | $1,058.55 | 5.0× |
| CT cervical spine w/ contrast (72126) | $1,685.22 | $1,685.22 | 4.0× |
| CT cervical spine w/o contrast (72125) | $549.95 | $549.95 | 4.4× |
| CT cervical spine w/wo cont (72127) | $993.95 | $993.95 | 4.7× |
| CT chest w contrast (71260) | $1,058.55 | $1,058.55 | 5.0× |
| CT chest w/wo contrast (71270) | $993.95 | $993.95 | 4.7× |
| CT colonography screening (74263) | $2,864.06 | $2,864.06 | 10.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $403.13 | $403.13 | 3.2× |
| CT head/brain with contrast (70460) | $1,058.55 | $1,058.55 | 5.0× |
| CT head/brain without and with contrast (70470) | $1,058.55 | $1,058.55 | 5.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $913.97 | $913.97 | 2.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $198.09 | $198.09 | 1.9× |
| CT iac w contrast (70481) | $1,058.55 | $1,058.55 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $993.95 | $993.95 | 4.7× |
| CT lower ext w/o (73700) | $772.73 | $772.73 | 6.2× |
| CT lower extremity w/contrast material (73701) | $1,587.85 | $1,587.85 | 7.6× |
| CT lumbar spine w contrast (72132) | $1,766.90 | $1,766.90 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $549.95 | $549.95 | 4.4× |
| CT maxillofacial w contrast (70487) | $1,058.55 | $1,058.55 | 5.0× |
| CT maxillofacial wo contrast (70486) | $515.17 | $515.17 | 4.1× |
| CT neck tissue combo (70492) | $1,058.55 | $1,058.55 | 5.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,058.55 | $1,058.55 | 5.0× |
| CT orbits w/o contrast (70480) | $515.17 | $515.17 | 4.1× |
| CT pelvis w&w/o contrast (72194) | $993.95 | $993.95 | 4.7× |
| CT pelvis w/o contrast (72192) | $515.17 | $515.17 | 4.1× |
| CT scan of leg combo (73702) | $1,490.93 | $1,490.93 | 7.1× |
| CT scans face/jaw combo (70488) | $993.95 | $993.95 | 4.7× |
| CT soft tissue neck w contrast (70491) | $1,058.55 | $1,058.55 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $515.17 | $515.17 | 4.1× |
| CT thoracic spine w contrast (72129) | $1,099.46 | $1,099.46 | 5.2× |
| CT thoracic spine w/o contrast (72128) | $549.95 | $549.95 | 4.4× |
| CT thoracic spine w/wo cont (72130) | $993.95 | $993.95 | 4.7× |
| CT thorax w/o contrast (71250) | $515.17 | $515.17 | 4.1× |
| CT unlisted procedure (76497) | $268.31 | $268.31 | 2.6× |
| CT upper ext wo (73200) | $725.57 | $725.57 | 5.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,490.93 | $1,490.93 | 7.1× |
| CT upper extremity with contrast (73201) | $2,373.55 | $2,373.55 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,058.55 | $1,058.55 | 5.0× |
| Cta Abdomen (74175) | $1,058.55 | $1,058.55 | 5.0× |
| CTA pelvis (72191) | $993.95 | $993.95 | 4.7× |
| Dilation ureters/urethra rs&i (74485) | $7,362.10 | $7,362.10 | 2.9× |
| Discography Cerv/Thor Spine (72285) | $8,023.85 | $8,023.85 | 3.4× |
| Diskography lumbar (72295) | $8,023.85 | $8,023.85 | 3.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $516.38 | $516.38 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $576.61 | $576.61 | 4.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $451.37 | $451.37 | 3.6× |
| Dxa Bone Density Axial (77080) | $442.43 | $442.43 | 3.5× |
| Dxa bone density study (77085) | $415.43 | $415.43 | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $265.94 | $265.94 | 2.6× |
| Echo exam of fetal heart (76825) | $1,946.36 | $1,946.36 | 3.0× |
| Echo exam uterus (76831) | $980.72 | $980.72 | 3.4× |
| Echo Guide For Artery Repair (76936) | $1,017.52 | $1,017.52 | 3.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,226.29 | $1,226.29 | 4.3× |
| Echograp Trans R Pros Study (76873) | $554.61 | $554.61 | 4.4× |
| Esophagram (74220) | $615.09 | $615.09 | 2.9× |
| Fetal Biophys Profile W/Nst (76818) | $529.72 | $529.72 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $564.15 | $564.15 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $861.65 | $861.65 | 3.0× |
| Follow-Up Angiography (75898) | $4,305.65 | $4,305.65 | 1.1× |
| Foot 2 views (73620) | $402.47 | $402.47 | 3.9× |
| Forearm 2 views (73090) | $438.22 | $438.22 | 4.2× |
| Gastric emptying imaging study (78264) | $1,610.28 | $1,610.28 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $1,511.99 | $1,511.99 | 3.2× |
| Gated Heart Planar Single (78472) | $1,511.99 | $1,511.99 | 3.2× |
| Gated Heart, Multiple (78473) | $1,511.99 | $1,511.99 | 3.2× |
| Hand 2 views (73120) | $668.90 | $668.90 | 5.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,051.57 | $3,051.57 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,051.57 | $3,051.57 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,051.57 | $3,051.57 | 3.7× |
| Heart first pass single,planar (78481) | $1,945.31 | $1,945.31 | 3.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,924.99 | $10,924.99 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,924.99 | $10,924.99 | 2.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,980.67 | $1,980.67 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,610.28 | $1,610.28 | 3.4× |
| Ht Musc Image Planar Mult (78454) | $5,220.02 | $5,220.02 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $5,220.02 | $5,220.02 | 3.4× |
| Hysterosalpingogram (74740) | $983.94 | $983.94 | 3.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $295.97 | $295.97 | 2.8× |
| Infant hip ultrasound, limited static exam (76886) | $315.35 | $315.35 | 3.0× |
| Infusion Ivp (74410) | $866.45 | $866.45 | 4.1× |
| Interstitial radiation source applic complex (77778) | $3,051.57 | $3,051.57 | 3.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,793.34 | $2,793.34 | 3.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,927.53 | $1,927.53 | 2.9× |
| Intracavitary radiation source applic simple (77761) | $2,264 | $2,264 | 3.4× |
| Joint Survey Single View (77077) | $445.94 | $445.94 | 3.6× |
| K Flow/Funct Image Multiple (78709) | $1,945.31 | $1,945.31 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $2,071.75 | $2,071.75 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,945.31 | $1,945.31 | 3.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,463.89 | $1,463.89 | 3.1× |
| Kidney Imaging Morphol (78700) | $1,511.99 | $1,511.99 | 3.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,511.99 | $1,511.99 | 3.2× |
| Knee 3 Views (73562) | $428.63 | $428.63 | 4.1× |
| Leveen/Shunt Patency Exam (78291) | $1,511.99 | $1,511.99 | 3.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,511.99 | $1,511.99 | 3.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,511.99 | $1,511.99 | 3.2× |
| Liver imaging static only (78201) | $3,812.42 | $3,812.42 | 5.9× |
| Liver imaging w/vascular flow (78202) | $3,812.42 | $3,812.42 | 5.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,071.75 | $2,071.75 | 3.2× |
| Lung perfusion differential (78597) | $1,511.99 | $1,511.99 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,945.31 | $1,945.31 | 3.0× |
| Lung Ventilation Imaging (78579) | $1,511.99 | $1,511.99 | 3.2× |
| Lymph System Imaging (78195) | $1,909.73 | $1,909.73 | 2.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,252.55 | $3,252.55 | 1.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,058.94 | $2,058.94 | 2.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,572.27 | $7,572.27 | 2.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,720.85 | $3,720.85 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $934.76 | $934.76 | 3.3× |
| Mammary ductogram or galactogram multiple (77054) | $923.88 | $923.88 | 3.2× |
| Mammary ductogram or galactogram single (77053) | $986.89 | $986.89 | 3.5× |
| Meckels Divert Exam (78290) | $1,511.99 | $1,511.99 | 3.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,487.26 | $1,487.26 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,685.34 | $1,685.34 | 4.0× |
| MRA head w/o contrast (70544) | $1,075.42 | $1,075.42 | 3.8× |
| MRA head with contrast (70545) | $1,575.54 | $1,575.54 | 3.8× |
| MRA neck w contrast (70548) | $1,575.54 | $1,575.54 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,794.88 | $1,794.88 | 4.3× |
| MRA neck w/o contrast (70547) | $1,075.42 | $1,075.42 | 3.8× |
| MRI abdomen w contrast (74182) | $1,685.34 | $1,685.34 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,075.42 | $1,075.42 | 3.8× |
| MRI any jt lower extrem w/contrast material (73722) | $3,557.64 | $3,557.64 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,527.99 | $2,527.99 | 6.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,557.64 | $3,557.64 | 3.8× |
| MRI brain functional w/o physician admnistration (70554) | $1,514.67 | $1,514.67 | 5.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $908.14 | $908.14 | 3.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $908.14 | $908.14 | 3.2× |
| MRI cardiac w/o cont stress (75559) | $1,853.59 | $1,853.59 | 2.8× |
| MRI cardiac w/o contrast (75557) | $1,009.78 | $1,009.78 | 3.5× |
| MRI cervical spine w contrast (72142) | $1,794.88 | $1,794.88 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,075.42 | $1,075.42 | 3.8× |
| MRI chest w/o contrast (71550) | $1,075.42 | $1,075.42 | 3.8× |
| MRI chest with contrast (71551) | $2,371.76 | $2,371.76 | 2.5× |
| MRI chest wo w contrast (71552) | $2,021.36 | $2,021.36 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,363.32 | $2,363.32 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,527.99 | $2,527.99 | 6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,613.12 | $1,613.12 | 5.6× |
| MRI lumbar spine w contrast (72149) | $1,685.34 | $1,685.34 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,021.36 | $2,021.36 | 4.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,075.42 | $1,075.42 | 3.8× |
| MRI orbit face neck w contrast (70542) | $1,685.34 | $1,685.34 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,021.36 | $2,021.36 | 4.8× |
| MRI pelvis w contrast (72196) | $1,575.54 | $1,575.54 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $2,021.36 | $2,021.36 | 4.8× |
| MRI pelvis w/o contrast (72195) | $1,075.42 | $1,075.42 | 3.8× |
| MRI thoracic spine w/o contrast (72146) | $1,075.42 | $1,075.42 | 3.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,527.99 | $2,527.99 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,613.12 | $1,613.12 | 5.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,527.99 | $2,527.99 | 6.0× |
| MRI, abdomen, combo (74183) | $2,021.36 | $2,021.36 | 4.8× |
| MRI, dorsal spine combo (72157) | $2,021.36 | $2,021.36 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,575.54 | $1,575.54 | 3.8× |
| MRI, joint upper extrem (73221) | $1,613.12 | $1,613.12 | 5.6× |
| MRI, joint upper extrem combo (73223) | $3,032.03 | $3,032.03 | 7.3× |
| MRI, lumbar spine combo (72158) | $2,021.36 | $2,021.36 | 4.8× |
| Myelogram cervical (72240) | $2,412.13 | $2,412.13 | 2.6× |
| Myelogram Lumbar (72265) | $2,412.13 | $2,412.13 | 2.6× |
| Myelography thoracic (72255) | $2,412.13 | $2,412.13 | 2.6× |
| Myelograpy 2/more regions rs&i (72270) | $2,412.13 | $2,412.13 | 2.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,610.28 | $1,610.28 | 3.4× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,909.73 | $1,909.73 | 2.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,550.54 | $4,550.54 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $5,220.02 | $5,220.02 | 3.4× |
| Neck soft tissue (70360) | $285.74 | $285.74 | 2.7× |
| Nervous system nuclear exam (78699) | $1,419.43 | $1,419.43 | 3.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $956.31 | $956.31 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,463.89 | $1,463.89 | 3.1× |
| Nm csf leak detection (78650) | $4,142.25 | $4,142.25 | 2.7× |
| Nm myocard infarct spect (78469) | $4,050.65 | $4,050.65 | 6.2× |
| Nm unlisted gi procedure (78299) | $1,511.99 | $1,511.99 | 3.2× |
| Nonvascular Shunt X-Ray (75809) | $482.14 | $482.14 | 3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,394.70 | $5,394.70 | 3.3× |
| Nuclear medicine study of endocrine organs (78099) | $1,444.46 | $1,444.46 | 3.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,002.54 | $1,002.54 | 3.6× |
| Nuclear Rx Oral Admin (79005) | $1,002.54 | $1,002.54 | 3.6× |
| Ob us nuchal meas 1 gest (76813) | $483.72 | $483.72 | 3.9× |
| Optic foramina (70190) | $438.87 | $438.87 | 4.2× |
| Panoramic X-ray of jaws (70355) | $265.94 | $265.94 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,146.72 | $2,146.72 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,511.99 | $1,511.99 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,146.72 | $2,146.72 | 4.5× |
| Pelvis 1 or 2 views (72170) | $445.94 | $445.94 | 3.6× |
| Perineogram (74775) | $896.95 | $896.95 | 3.1× |
| Peritoneogram Rs&I (74190) | $2,146.72 | $2,146.72 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,916.01 | $5,916.01 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,924.99 | $10,924.99 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,511.99 | $1,511.99 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $482.14 | $482.14 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,762.92 | $1,762.92 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $438.22 | $438.22 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $402.47 | $402.47 | 3.9× |
| Radex elbow complete minimum 3 views (73080) | $442.52 | $442.52 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $513.49 | $513.49 | 4.1× |
| Radex fingr minimum 2 views (73140) | $402.47 | $402.47 | 3.9× |
| Radex foot complete minimum 3 views (73630) | $402.47 | $402.47 | 3.9× |
| Radex Hand Minimum 3 Views (73130) | $438.22 | $438.22 | 4.2× |
| Radex lower extremity infant minimum 2 views (73592) | $426.62 | $426.62 | 4.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $556.02 | $556.02 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $285.74 | $285.74 | 2.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $455.31 | $455.31 | 4.4× |
| Radex Ribs Unilateral 2 Views (71100) | $285.74 | $285.74 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $285.74 | $285.74 | 2.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $285.74 | $285.74 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $876.46 | $876.46 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $285.74 | $285.74 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $285.74 | $285.74 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $268.31 | $268.31 | 2.6× |
| Radex Toe Minimum 2 Views (73660) | $402.47 | $402.47 | 3.9× |
| Radex upper extremity infant minimum 2 views (73092) | $668.90 | $668.90 | 5.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $428.63 | $428.63 | 4.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $755.28 | $755.28 | 6.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $30,734.34 | $30,734.34 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $534.87 | $534.87 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $1,018.47 | $1,018.47 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $442.43 | $442.43 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $334.29 | $334.29 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $890.80 | $890.80 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $695.81 | $695.81 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $585.13 | $585.13 | 4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $370.68 | $370.68 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $513.49 | $513.49 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $513.49 | $513.49 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $695.81 | $695.81 | 3.3× |
| Radiologic examination femur 1 view (73551) | $402.47 | $402.47 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $402.47 | $402.47 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $402.47 | $402.47 | 3.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $514.81 | $514.81 | 4.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $337.94 | $337.94 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $403.63 | $403.63 | 3.9× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,064.22 | $1,064.22 | 1.6× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $1,002.54 | $1,002.54 | 3.6× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $1,036.57 | $1,036.57 | 3.7× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,036.57 | $1,036.57 | 3.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,018.47 | $1,018.47 | 2.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $956.31 | $956.31 | 2.1× |
| Renal Cyst Study (74470) | $2,146.72 | $2,146.72 | 3.3× |
| Ribs bilateral 3 views (71110) | $513.49 | $513.49 | 4.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,511.99 | $1,511.99 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,511.99 | $1,511.99 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,220.02 | $5,220.02 | 8.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,228.27 | $4,228.27 | 6.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,841.08 | $4,841.08 | 7.4× |
| Rp Therapy Intravenous Administration (79101) | $1,002.54 | $1,002.54 | 3.6× |
| Salivary Gland Function Study (78232) | $1,511.99 | $1,511.99 | 3.2× |
| Salivary Gland Imaging (78230) | $1,511.99 | $1,511.99 | 3.2× |
| Salivary Gland Imaging Serial Images (78231) | $1,511.99 | $1,511.99 | 3.2× |
| Scapula (73010) | $555.29 | $555.29 | 4.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $90.56 | $90.56 | 3.9× |
| Sella turcica (70240) | $268.31 | $268.31 | 2.6× |
| Shoulder 1 view (73020) | $402.47 | $402.47 | 3.9× |
| Shoulder Arthrography (73040) | $2,476.35 | $2,476.35 | 5.9× |
| Sialogram (70390) | $923.88 | $923.88 | 3.2× |
| Skull less than 4 views (70250) | $394.77 | $394.77 | 3.2× |
| Special dosimetry (77331) | $571.29 | $571.29 | 3.5× |
| Special Physics Consult (77370) | $571.29 | $571.29 | 3.5× |
| Special teletherapy port plan (77321) | $1,402.57 | $1,402.57 | 3.1× |
| Special treatment procedure (77470) | $2,411.16 | $2,411.16 | 3.6× |
| Speech evaluation, complex (70371) | $750.42 | $750.42 | 2.6× |
| Spleen Imaging (78185) | $1,511.99 | $1,511.99 | 3.2× |
| Srs Multisource (77371) | $30,734.34 | $30,734.34 | 3.5× |
| Stereotactic Body Radiation Delivery (77373) | $7,740.04 | $7,740.04 | 3.6× |
| Sternoclavicular joints (71130) | $285.74 | $285.74 | 2.7× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $465 | $465 | 3.8× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $465 | $465 | 3.8× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $571.29 | $571.29 | 12.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,138.44 | $1,138.44 | 2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,068.96 | $1,068.96 | 2.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $986.13 | $986.13 | 3.4× |
| Testicular Imaging W/Flow (78761) | $1,511.99 | $1,511.99 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,487.26 | $1,487.26 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,396.50 | $1,396.50 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $571.29 | $571.29 | 3.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $719.92 | $719.92 | 3.4× |
| Thoracic spine 2 views (72070) | $459.06 | $459.06 | 3.7× |
| Thoracic spine 3 views (72072) | $482.14 | $482.14 | 3.8× |
| Thoracolumbar 2 views (72080) | $285.74 | $285.74 | 2.7× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,511.99 | $1,511.99 | 3.2× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,511.99 | $1,511.99 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,444.46 | $1,444.46 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,853.43 | $1,853.43 | 2.8× |
| Thyroid Uptake Measurement (78012) | $1,308.86 | $1,308.86 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,511.99 | $1,511.99 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $1,400.01 | $1,400.01 | 3.1× |
| Tx devices design & construction intermediate (77333) | $637.38 | $637.38 | 4.0× |
| Tx devices design & construction simple (77332) | $678.81 | $678.81 | 4.2× |
| Ultrasound Breast Limited (76642) | $544.01 | $544.01 | 5.2× |
| Ultrasound Exam Aaa Screen (76706) | $517.30 | $517.30 | 4.1× |
| Ultrasound, abdomen limited (76705) | $564.15 | $564.15 | 4.5× |
| Umbilical-artery Doppler (OB) (76820) | $406.76 | $406.76 | 3.2× |
| Unlisted Dx Radiographic Procedure (76499) | $1,002.54 | $1,002.54 | 9.6× |
| Unlisted fluoroscopic procedure (76496) | $293.41 | $293.41 | 2.8× |
| Unlisted magnetic resonance procedure (76498) | $784.64 | $784.64 | 7.5× |
| Unlisted us procedure (76999) | $279.21 | $279.21 | 2.7× |
| Upper gi w/o kub (74240) | $933.43 | $933.43 | 4.4× |
| Urethrocystogram voiding (74455) | $1,053.63 | $1,053.63 | 3.7× |
| Urethrocystography retrograde (74450) | $907.20 | $907.20 | 3.2× |
| Us breast unilateral complete (76641) | $610.08 | $610.08 | 4.9× |
| Us chest (76604) | $502.12 | $502.12 | 4.0× |
| Us complete joint (76881) | $564.15 | $564.15 | 4.5× |
| Us exam, pelvic, limited (76857) | $433.20 | $433.20 | 3.5× |
| Us head (76506) | $499.75 | $499.75 | 4.0× |
| Us kidney transplant (76776) | $529.72 | $529.72 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $433.20 | $433.20 | 3.5× |
| Us ob detailed single fetus (76811) | $835.84 | $835.84 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $502.12 | $502.12 | 4.0× |
| Us ob transvaginal (76817) | $536.91 | $536.91 | 4.3× |
| Us pelvic non ob complete (76856) | $564.15 | $564.15 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $517.30 | $517.30 | 4.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $406.76 | $406.76 | 3.2× |
| Us retroperitoneal complete (76770) | $564.15 | $564.15 | 4.5× |
| Us retroperitoneal limited (76775) | $549.95 | $549.95 | 4.4× |
| Us scrotum and contents (76870) | $549.95 | $549.95 | 4.4× |
| Us spinal canal and contents (76800) | $445.54 | $445.54 | 3.6× |
| Us thyroid (76536) | $549.95 | $549.95 | 4.4× |
| Us transrectal (76872) | $529.72 | $529.72 | 4.2× |
| Vascular Flow Imaging (78445) | $1,493.63 | $1,493.63 | 3.1× |
| Vasogram (74440) | $896.95 | $896.95 | 3.1× |
| Vein X-Ray Chest (75827) | $3,530.30 | $3,530.30 | 1.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,648.89 | $4,648.89 | 1.2× |
| Vein X-Ray Spleen/Liver (75810) | $7,487.45 | $7,487.45 | 2.0× |
| Venogram Sinus/Jugular (75860) | $9,623.03 | $9,623.03 | 2.5× |
| Venography Adrenal Unilateral (75840) | $10,924.99 | $10,924.99 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $10,924.99 | $10,924.99 | 2.9× |
| Venography extremity bilateral rs&i (75822) | $4,013.96 | $4,013.96 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,895.63 | $2,895.63 | 1.5× |
| Venography Renal Unilateral (75831) | $10,924.99 | $10,924.99 | 2.9× |
| Venous sampling by catheter (75893) | $16,909.91 | $16,909.91 | 2.5× |
| Vertebral fracture assessment via dxa (77086) | $268.31 | $268.31 | 2.6× |
| Wrist 2 views (73100) | $402.47 | $402.47 | 3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $285.74 | $285.74 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $1,554.86 | $1,554.86 | 3.7× |
| X-Ray Aorta Leg Arteries (75630) | $10,924.99 | $10,924.99 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $370.19 | $370.19 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $402.47 | $402.47 | 3.9× |
| X-Ray Exam Breast Specimen (76098) | $1,614.82 | $1,614.82 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $268.31 | $268.31 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $515.17 | $515.17 | 4.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $709.19 | $709.19 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $285.74 | $285.74 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $268.31 | $268.31 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $483.72 | $483.72 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $501.15 | $501.15 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $734.32 | $734.32 | 5.9× |
| X-Ray Exam L-S Spine Bending (72114) | $548.27 | $548.27 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $285.74 | $285.74 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $548.27 | $548.27 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $442.43 | $442.43 | 3.5× |
| X-ray eye for foreign body (70030) | $402.47 | $402.47 | 3.9× |
| X-ray humerus (73060) | $285.74 | $285.74 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $866.45 | $866.45 | 4.1× |
| X-ray IV pyelogram+tomography (74415) | $941.47 | $941.47 | 4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $285.74 | $285.74 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $285.74 | $285.74 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $394.77 | $394.77 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $284.41 | $284.41 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $513.49 | $513.49 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $469.19 | $469.19 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $420.81 | $420.81 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $285.74 | $285.74 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $311.14 | $311.14 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $513.49 | $513.49 | 4.1× |
| X-Ray Stress View (77071) | $268.31 | $268.31 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $517.30 | $517.30 | 4.1× |
| X-Ray Tmj Unilat (70328) | $285.74 | $285.74 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,692.54 | $1,692.54 | 4.0× |
| X-Rays Bone Length Studies (77073) | $370.19 | $370.19 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $548.27 | $548.27 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $548.27 | $548.27 | 4.4× |
| Xr facial bones less than 3 views (70140) | $285.74 | $285.74 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $555.29 | $555.29 | 4.4× |
| Xr orbits complete 4 views (70200) | $394.77 | $394.77 | 3.2× |
| Xr Tomogram Single Plane (76100) | $482.14 | $482.14 | 3.8× |