Imaging prices at Cape Coral Hospital
Cape Coral, FL · every code in this section with a posted price and a Medicare benchmark.
391 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$162.20–$172.20 | $811–$861 | varies |
| Abdomen 2 views (74019) | $271 | $1,355 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $171.60 | $858 | 0.4× |
| Angio internal mammary (75756) | $304 | $1,520 | 0.1× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$351–$459.80 | $1,755–$2,299 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,176.20 | $5,881 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $2,689.20 | $13,446 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,232.20 | $11,161 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $395.80 | $1,979 | 0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $415.40 | $2,077 | 0.1× |
| Ankle 2 views (73600) | $227.40 | $1,137 | 2.5× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,688.80 | $13,444 | 0.5× |
| Artery X-Rays Abdomen (75726) | $3,584.60 | $17,923 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $940.80 | $4,704 | 0.3× |
| Artery X-Rays Pelvis (75736) | $3,584.60 | $17,923 | 0.6× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,153.80 | $5,769 | 0.2× |
| Arthrogram ankle (73615) | $127 | $635 | 0.3× |
| Arthrogram hip (73525) | $160.20 | $801 | 0.4× |
| Arthrogram Wrist (73115) | $127 | $635 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $212.20 | $1,061 | 1.5× |
| Bone age studies (77072) | $190.80 | $954 | 1.7× |
| Bone Imaging 3 Phase (78315) | $215 | $1,075 | 0.5× |
| Bone Imaging Limited Area (78300) | $112 | $560 | 0.3× |
| Bone Imaging Whole Body (78306) | $154.60 | $773 | 0.4× |
| Bone marrow imaging limited area (78102) | $514 | $2,570 | 1.2× |
| Bone survey infant (77076) | $186.40 | $932 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,072.60 | $5,363 | 1.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $633.20 | $3,166 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,751 | $13,755 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,490.40 | $7,452 | 4.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,490.40 | $7,452 | 1.8× |
| Cardiac Shunt Detection (78428) | $458.20 | $2,291 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $421 | $2,105 | 4.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $476.60 | $2,383 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $201.80 | $1,009 | 0.4× |
| Chest 1 view (71045) | $143.60 | $718 | 1.6× |
| Chest 2 views (71046) | $186 | $930 | 2.0× |
| Chest 3 views (71047) | $231.60 | $1,158 | 2.5× |
| Chest 4 or more views (71048) | $277.80 | $1,389 | 2.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $350.60 | $1,753 | 3.2× |
| Clavicle complete (73000) | $191.80 | $959 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $225 | $1,125 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,689.20 | $13,446 | 0.8× |
| Contrast X-Ray Bladder (74430) | $304.40 | $1,522 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $127 | $635 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $344.40 | $1,722 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 8 matching MRF lines |
$1,580.60–$3,305 | $7,903–$16,525 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,785 | $8,925 | 7.2× |
| CT abdomen w contrast (74160) | $1,454.40 | $7,272 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,818.20 | $9,091 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,090.60 | $5,453 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,944 | $9,720 | 5.3× |
| CT Angio Chest (71275) range across 7 matching MRF lines |
$1,966.80–$2,073.80 | $9,834–$10,369 | varies |
| CT Angio Head (70496) | $1,460.20 | $7,301 | 8.0× |
| CT angio hrt w/3d image (75574) range across 6 matching MRF lines |
$381.40–$1,194.80 | $1,907–$5,974 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,974–$3,946.80 | $9,870–$19,734 | varies |
| CT Angio Neck (70498) | $2,069 | $10,345 | 11.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,774.80 | $8,874 | 9.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,010.40 | $5,052 | 5.5× |
| CT cervical spine w/ contrast (72126) | $2,646 | $13,230 | 7.3× |
| CT cervical spine w/o contrast (72125) | $1,548 | $7,740 | 14.2× |
| CT cervical spine w/wo cont (72127) | $2,940 | $14,700 | 16.1× |
| CT chest w contrast (71260) | $1,352.40 | $6,762 | 7.4× |
| CT chest w/wo contrast (71270) | $1,501.20 | $7,506 | 8.2× |
| CT colonography screening (74263) | $128.60 | $643 | 0.5× |
| CT head/brain with contrast (70460) | $1,529.80 | $7,649 | 8.4× |
| CT head/brain without and with contrast (70470) | $1,541.80 | $7,709 | 8.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,416.20 | $7,081 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $112 | $560 | 1.2× |
| CT iac w contrast (70481) | $1,056.20 | $5,281 | 5.8× |
| CT l-spine w&w/o contrast (72133) | $2,842.40 | $14,212 | 15.5× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$852.40–$1,617 | $4,262–$8,085 | varies |
| CT lower extremity w/contrast material (73701) | $1,457.80 | $7,289 | 8.0× |
| CT lumbar spine w contrast (72132) | $2,557.80 | $12,789 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $1,496 | $7,480 | 13.7× |
| CT maxillofacial w contrast (70487) | $1,049.40 | $5,247 | 5.7× |
| CT maxillofacial wo contrast (70486) | $867.40 | $4,337 | 7.9× |
| CT neck tissue combo (70492) | $1,352.40 | $6,762 | 7.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,172.60 | $5,863 | 6.4× |
| CT orbits w/o contrast (70480) | $908.40 | $4,542 | 8.3× |
| CT pelvis w&w/o contrast (72194) | $2,413.20 | $12,066 | 13.2× |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$1,204.60–$1,270 | $6,023–$6,350 | varies |
| CT scan of leg combo (73702) | $1,619.80 | $8,099 | 8.8× |
| CT scans face/jaw combo (70488) | $1,257 | $6,285 | 6.9× |
| CT soft tissue neck w contrast (70491) | $1,136.80 | $5,684 | 6.2× |
| CT soft tissue neck w/o contrast (70490) | $943.20 | $4,716 | 8.6× |
| CT thoracic spine w contrast (72129) | $2,349 | $11,745 | 12.8× |
| CT thoracic spine w/o contrast (72128) | $1,373.60 | $6,868 | 12.6× |
| CT thoracic spine w/wo cont (72130) | $2,609.40 | $13,047 | 14.2× |
| CT thorax w/o contrast (71250) range across 7 matching MRF lines |
$1,057.80–$1,123 | $5,289–$5,615 | varies |
| CT unlisted procedure (76497) | $120.20 | $601 | 1.3× |
| CT upper ext wo (73200) | $852.40 | $4,262 | 7.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,619.80 | $8,099 | 8.8× |
| CT upper extremity with contrast (73201) | $1,457.80 | $7,289 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,284.20 | $6,421 | 7.0× |
| Cta Abdomen (74175) | $1,580.60 | $7,903 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,647 | $13,235 | 7.3× |
| CTA pelvis (72191) | $721.80 | $3,609 | 3.9× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$734.20–$758 | $3,671–$3,790 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$2,044–$2,110.40 | $10,220–$10,552 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $220 | $1,100 | 2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $164.80 | $824 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $161.40 | $807 | 1.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$226.40–$289.20 | $1,132–$1,446 | varies |
| Dxa bone density study (77085) | $245 | $1,225 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $103.60 | $518 | 1.1× |
| Echo exam of fetal heart (76825) | $248.20 | $1,241 | 0.4× |
| Echo exam uterus (76831) | $336 | $1,680 | 1.3× |
| Echo Guide For Artery Repair (76936) | $255.80 | $1,279 | 1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $330.60 | $1,653 | 1.3× |
| Echograp Trans R Pros Study (76873) | $347.80 | $1,739 | 3.2× |
| Esophageal Motility Study (78258) | $109.20 | $546 | 0.3× |
| Esophagram (74220) range across 4 matching MRF lines |
$186.80–$280.40 | $934–$1,402 | varies |
| Fetal Biophys Profile W/Nst (76818) | $318.80 | $1,594 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $307.40 | $1,537 | 2.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $837 | $4,185 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $351 | $1,755 | 1.4× |
| Follow-Up Angiography (75898) | $735.80 | $3,679 | 0.2× |
| Foot 2 views (73620) | $254 | $1,270 | 2.8× |
| Forearm 2 views (73090) | $251.60 | $1,258 | 2.8× |
| Gastric emptying imaging study (78264) | $823 | $4,115 | 2.0× |
| Gastroesophageal Reflux Exam (78262) | $109.20 | $546 | 0.3× |
| Gated Heart Planar Single (78472) | $746.80 | $3,734 | 1.8× |
| Hand 2 views (73120) | $235.40 | $1,177 | 2.2× |
| Heart Image (Pet) Multiple (78492) | $752.60 | $3,763 | 0.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $940.80 | $4,704 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $940.80 | $4,704 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $851.20 | $4,256 | 1.5× |
| Hepatobiliary System Imaging (78226) | $621 | $3,105 | 1.5× |
| Ht Musc Image Planar Mult (78454) | $1,861.80 | $9,309 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $1,544.80 | $7,724 | 1.1× |
| Hysterosalpingogram (74740) | $563.20 | $2,816 | 2.3× |
| Infant hip ultrasound, limited static exam (76886) | $131.20 | $656 | 1.4× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) likely a partial charge, not the full procedure |
$1,580 | $7,900 | 0.2× |
| Intraop radiaj tx deliver xray single tx session (77424) likely a partial charge, not the full procedure |
$1,580 | $7,900 | 0.2× |
| Joint Survey Single View (77077) | $123.40 | $617 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $1,500.20 | $7,501 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $691.60 | $3,458 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $933.60 | $4,668 | 1.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $767.60 | $3,838 | 1.8× |
| Knee 3 Views (73562) | $277.20 | $1,386 | 3.1× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $185 | $925 | 0.4× |
| Leveen/Shunt Patency Exam (78291) | $109.20 | $546 | 0.3× |
| Liver & Spleen Imaging Static Only (78215) | $202.80 | $1,014 | 0.5× |
| Liver imaging static only (78201) | $781 | $3,905 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,005.80 | $5,029 | 1.8× |
| Lung perfusion differential (78597) | $654.60 | $3,273 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $958.80 | $4,794 | 1.7× |
| Lymph System Imaging (78195) | $646.40 | $3,232 | 1.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,149.40 | $5,747 | 0.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $814.80 | $4,074 | 1.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,181.80 | $5,909 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $814.80 | $4,074 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $722.20 | $3,611 | 2.9× |
| Magnetic Resonance Elastography (76391) | $154.80 | $774 | 0.6× |
| Mammary ductogram or galactogram multiple (77054) | $192.20 | $961 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $149.80 | $749 | 0.6× |
| Meckels Divert Exam (78290) | $850.60 | $4,253 | 2.0× |
| Mr safety determination physician/other qhp (76016) | $46.80 | $234 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $13 | $65 | 0.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $48.80 | $244 | 0.5× |
| Mr safety implt pos&/immoblj (76019) | $31.60 | $158 | 0.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $128.40 | $642 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,928.40 | $9,642 | 5.3× |
| MRA head w/o contrast (70544) | $1,190.40 | $5,952 | 4.8× |
| MRA head with contrast (70545) | $1,595.20 | $7,976 | 4.4× |
| MRA neck w contrast (70548) | $1,237.20 | $6,186 | 3.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,490.40 | $7,452 | 4.1× |
| MRA neck w/o contrast (70547) | $924.20 | $4,621 | 3.7× |
| MRI abdomen w contrast (74182) | $1,424.60 | $7,123 | 3.9× |
| MRI abdomen w/o contrast (74181) | $1,063.20 | $5,316 | 4.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,291 | $6,455 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,560.60 | $7,803 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,835.20 | $9,176 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,178.20 | $5,891 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,178.20 | $5,891 | 4.7× |
| MRI cardiac w/o contrast (75557) | $1,297 | $6,485 | 5.2× |
| MRI cervical spine w contrast (72142) | $2,015.20 | $10,076 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,504 | $7,520 | 6.0× |
| MRI chest w/o contrast (71550) | $1,219.40 | $6,097 | 4.9× |
| MRI chest with contrast (71551) | $1,632.40 | $8,162 | 2.0× |
| MRI chest wo w contrast (71552) | $1,967 | $9,835 | 5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$1,258.40–$1,291 | $6,292–$6,455 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$1,516–$1,560.60 | $7,580–$7,803 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$940.40–$963.80 | $4,702–$4,819 | varies |
| MRI lumbar spine w contrast (72149) | $1,842.60 | $9,213 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,721.40 | $8,607 | 4.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,026.20 | $5,131 | 4.1× |
| MRI orbit face neck w contrast (70542) | $1,373.60 | $6,868 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,654.20 | $8,271 | 4.5× |
| MRI pelvis w contrast (72196) | $1,237.20 | $6,186 | 3.4× |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$1,403.60–$1,490.40 | $7,018–$7,452 | varies |
| MRI pelvis w/o contrast (72195) range across 5 matching MRF lines |
$870.60–$924.20 | $4,353–$4,621 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,590.60 | $7,953 | 6.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 8 matching MRF lines |
$1,711.60–$1,835.20 | $8,558–$9,176 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$1,278.20–$1,369.60 | $6,391–$6,848 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$2,062.20–$2,219.60 | $10,311–$11,098 | varies |
| MRI, abdomen, combo (74183) | $1,722.40 | $8,612 | 4.7× |
| MRI, dorsal spine combo (72157) | $2,045.80 | $10,229 | 5.6× |
| MRI, dorsal spine contrast (72147) | $2,131.40 | $10,657 | 5.9× |
| MRI, joint upper extrem (73221) | $1,369.60 | $6,848 | 5.5× |
| MRI, joint upper extrem combo (73223) | $2,219.60 | $11,098 | 6.1× |
| MRI, lumbar spine combo (72158) | $1,810 | $9,050 | 5.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $756 | $3,780 | 0.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,544.80 | $7,724 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $1,861.80 | $9,309 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $1,578.60 | $7,893 | 1.8× |
| Neck soft tissue (70360) | $152.20 | $761 | 1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,310.80 | $6,554 | 3.1× |
| Nm csf leak detection (78650) | $220.40 | $1,102 | 0.2× |
| Nm myocard infarct spect (78469) | $130.80 | $654 | 0.2× |
| Nonvascular Shunt X-Ray (75809) | $301.80 | $1,509 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $324 | $1,620 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $100.20 | $501 | 0.4× |
| Ob us nuchal meas 1 gest (76813) | $199.80 | $999 | 1.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$48–$190.40 | $240–$952 | varies |
| Panoramic X-ray of jaws (70355) | $144.20 | $721 | 1.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,346 | $6,730 | 2.4× |
| Parathyroid Planar Imaging (78070) | $154.40 | $772 | 0.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,050 | $5,250 | 2.5× |
| Pelvis 1 or 2 views (72170) | $177 | $885 | 1.6× |
| Perineogram (74775) | $206.80 | $1,034 | 0.8× |
| Peritoneogram Rs&I (74190) | $331.60 | $1,658 | 0.6× |
| Pet Image Skull-Thigh (78812) | $1,361.80 | $6,809 | 0.9× |
| Pet Image W/Ct Lmtd (78814) | $2,400.80 | $12,004 | 1.6× |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,561.40–$2,721.40 | $12,807–$13,607 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$2,510.80–$2,667.60 | $12,554–$13,338 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,403.80 | $7,019 | 1.0× |
| Pet Myocardial Sngl Study (78491) | $597.40 | $2,987 | 0.4× |
| PET whole body (78813) | $1,416.20 | $7,081 | 0.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $329 | $1,645 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $599.80 | $2,999 | 1.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $510.20 | $2,551 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $324 | $1,620 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$314.20–$324 | $1,571–$1,620 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $264.40 | $1,322 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $236 | $1,180 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $277 | $1,385 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $391 | $1,955 | 3.6× |
| Radex fingr minimum 2 views (73140) | $215 | $1,075 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $288.60 | $1,443 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $277 | $1,385 | 3.0× |
| Radex lower extremity infant minimum 2 views (73592) | $87.80 | $439 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $198 | $990 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $302.40 | $1,512 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $277 | $1,385 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $146.80 | $734 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $220.20 | $1,101 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $297 | $1,485 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $193.40 | $967 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $122.40 | $612 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $156 | $780 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $275.80 | $1,379 | 3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $332.80 | $1,664 | 3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $164 | $820 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $405.60 | $2,028 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $265 | $1,325 | 1.4× |
| Radiologic exam colon single contrast study (74270) | $190 | $950 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $280.40 | $1,402 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $323.40 | $1,617 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $265.60 | $1,328 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $333.40 | $1,667 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $273.80 | $1,369 | 1.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $89 | $445 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $312.40 | $1,562 | 1.7× |
| Radiologic examination femur 1 view (73551) | $117 | $585 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $233.80 | $1,169 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $228.80 | $1,144 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $123.40 | $617 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $252 | $1,260 | 2.8× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $63.40 | $317 | 0.3× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $128.20 | $641 | 0.5× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $128.20 | $641 | 0.5× |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$215–$221.40 | $1,075–$1,107 | varies |
| Ribs bilateral 3 views (71110) | $370.80 | $1,854 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $459.60 | $2,298 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $598 | $2,990 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,389.80 | $6,949 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $792.20 | $3,961 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $834.20 | $4,171 | 1.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,121 | $5,605 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,121 | $5,605 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $834.20 | $4,171 | 0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $128.20 | $641 | 0.5× |
| Rp Therapy Intravenous Administration (79101) | $100.20 | $501 | 0.4× |
| Scapula (73010) | $196.60 | $983 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$10.80–$18.20 | $54–$91 | varies |
| Shoulder 1 view (73020) | $213 | $1,065 | 2.3× |
| Shoulder Arthrography (73040) | $184.40 | $922 | 0.5× |
| Sialogram (70390) | $108.80 | $544 | 0.4× |
| Skull less than 4 views (70250) | $271 | $1,355 | 2.5× |
| Special treatment procedure (77470) | $728 | $3,640 | 1.3× |
| Sternoclavicular joints (71130) | $350.60 | $1,753 | 3.9× |
| Superior sagittal sinus venogram (75870) | $809.20 | $4,046 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $40.80 | $204 | 0.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $190 | $950 | 1.0× |
| Thoracic spine 2 views (72070) | $290.20 | $1,451 | 2.7× |
| Thoracic spine 3 views (72072) | $323.40 | $1,617 | 3.0× |
| Thoracolumbar 2 views (72080) | $241.20 | $1,206 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $731 | $3,655 | 1.8× |
| Thyroid Met Imaging Body (78018) | $817.40 | $4,087 | 1.4× |
| Thyroid Uptake Measurement (78012) | $48.60 | $243 | 0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $848.80 | $4,244 | 2.0× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$208.60–$394 | $1,043–$1,970 | varies |
| Ultrasound Elastography Parenchyma (76981) | $318.80 | $1,594 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$270.60–$352.80 | $1,353–$1,764 | varies |
| Ultrasound, abdomen limited (76705) | $330.40 | $1,652 | 3.0× |
| Umbilical-artery Doppler (OB) (76820) | $171.20 | $856 | 1.6× |
| Unlisted magnetic resonance procedure (76498) | $1,392.80 | $6,964 | 15.3× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$131.40–$185.20 | $657–$926 | varies |
| Upper gi w/o kub (74240) | $386.20 | $1,931 | 2.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $21.60 | $108 | 2.0× |
| Urea breath test c-14 isotopic analysis (78268) | $171.40 | $857 | 1.8× |
| Ureteral Reflux Study (78740) | $361.40 | $1,807 | 0.9× |
| Urethrocystogram voiding (74455) | $552.60 | $2,763 | 2.2× |
| Urethrocystography retrograde (74450) | $99.20 | $496 | 0.4× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$271.20–$511.80 | $1,356–$2,559 | varies |
| Us chest (76604) | $310.20 | $1,551 | 2.8× |
| Us complete joint (76881) | $350.60 | $1,753 | 3.2× |
| Us exam, pelvic, limited (76857) | $275 | $1,375 | 2.5× |
| Us head (76506) | $310.20 | $1,551 | 2.8× |
| Us kidney transplant (76776) | $221.20 | $1,106 | 2.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$195.20–$225.80 | $976–$1,129 | varies |
| Us ob detailed single fetus (76811) | $336 | $1,680 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $394.20 | $1,971 | 3.6× |
| Us ob transvaginal (76817) | $442.20 | $2,211 | 4.1× |
| Us pelvic non ob complete (76856) | $421.60 | $2,108 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $211.60 | $1,058 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $513.40 | $2,567 | 4.7× |
| Us retroperitoneal complete (76770) | $239.20 | $1,196 | 2.2× |
| Us retroperitoneal limited (76775) | $196.40 | $982 | 1.8× |
| Us scrotum and contents (76870) | $393.60 | $1,968 | 3.6× |
| Us spinal canal and contents (76800) | $210.40 | $1,052 | 1.9× |
| Us thyroid (76536) range across 5 matching MRF lines |
$301.20–$403 | $1,506–$2,015 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$280–$368.60 | $1,400–$1,843 | varies |
| Vein X-Ray Chest (75827) | $1,261.40 | $6,307 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $331.60 | $1,658 | 0.1× |
| Vein X-Ray Skull Epidural (75872) | $304 | $1,520 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $940.80 | $4,704 | 0.3× |
| Venogram Sinus/Jugular (75860) | $809.20 | $4,046 | 0.2× |
| Venography Adrenal Unilateral (75840) | $940.80 | $4,704 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,261.40 | $6,307 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $1,365 | $6,825 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,092 | $5,460 | 0.7× |
| Venography Orbital Rs&I (75880) | $304 | $1,520 | 0.5× |
| Venography Renal Bilateral (75833) | $1,265.80 | $6,329 | 0.4× |
| Venography Renal Unilateral (75831) | $1,092 | $5,460 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,231.80 | $6,159 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $114.80 | $574 | 1.3× |
| Wrist 2 views (73100) | $235 | $1,175 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $246.60 | $1,233 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $417.60 | $2,088 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,172.60 | $15,863 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $387.60 | $1,938 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $235.40 | $1,177 | 2.6× |
| X-Ray Exam Breast Specimen (76098) | $264 | $1,320 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $332.80 | $1,664 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $465.80 | $2,329 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $332.80 | $1,664 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $91.20 | $456 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $108 | $540 | 1.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $108 | $540 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $145 | $725 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $145 | $725 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $145 | $725 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) | $584.20 | $2,921 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $318 | $1,590 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $518.40 | $2,592 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $363.60 | $1,818 | 3.3× |
| X-ray eye for foreign body (70030) | $208.40 | $1,042 | 2.3× |
| X-ray humerus (73060) | $225.80 | $1,129 | 2.5× |
| X-ray IV pyelogram (ivp) (74400) | $835 | $4,175 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $116.20 | $581 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $263.40 | $1,317 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $329.80 | $1,649 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $117 | $585 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $495 | $2,475 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $218 | $1,090 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $208 | $1,040 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $183.40 | $917 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $185.40 | $927 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $343 | $1,715 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $384.60 | $1,923 | 3.5× |
| X-Ray Tmj Unilat (70328) | $186.80 | $934 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $417.60 | $2,088 | 1.1× |
| X-Rays Bone Length Studies (77073) | $54 | $270 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $184.40 | $922 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $403.40 | $2,017 | 3.7× |
| Xr facial bones less than 3 views (70140) | $273.60 | $1,368 | 3.0× |
| Xr orbits complete 4 views (70200) | $346.20 | $1,731 | 3.2× |
| Xr Tomogram Single Plane (76100) | $85.40 | $427 | 0.8× |
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.