Imaging prices at Chesapeake Regional Medical Center
Chesapeake, VA · every code in this section with a posted price and a Medicare benchmark.
380 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) | $5,551.98 | $9,253.30 | 4.1× |
| Abdomen 1 View (74018) | $248.96 | $414.93 | 2.9× |
| Abdomen 2 views (74019) | $270.58 | $450.97 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $532.94 | $888.24 | 1.4× |
| Angio internal mammary (75756) | $3,654.41 | $6,090.69 | 1.2× |
| Angio pulmonary bilat (75743) | $4,200.36 | $7,000.60 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,308.83 | $12,181.38 | 2.4× |
| Angiography extremity bilateral rs&i (75716) | $7,308.83 | $12,181.38 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $3,654.41 | $6,090.69 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,654.41 | $6,090.69 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,654.41 | $6,090.69 | 1.2× |
| Ankle 2 views (73600) | $204.27 | $340.45 | 2.4× |
| Aortography thoracic serialography rs&i (75605) | $6,300.35 | $10,500.58 | 1.2× |
| Artery X-Rays Abdomen (75726) | $6,300.35 | $10,500.58 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $3,654.41 | $6,090.69 | 1.2× |
| Artery X-Rays Pelvis (75736) | $6,300.35 | $10,500.58 | 1.2× |
| Artery X-Rays Spine (75705) | $6,300.35 | $10,500.58 | 1.2× |
| Arthrogram ankle (73615) | $394.69 | $657.81 | 1.2× |
| Arthrogram hip (73525) | $2,673.94 | $4,456.57 | 7.9× |
| Arthrogram Wrist (73115) | $293.08 | $488.47 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $636.35 | $1,060.59 | 4.9× |
| Bone age studies (77072) | $132.11 | $220.19 | 1.3× |
| Bone Imaging 3 Phase (78315) | $804.33 | $1,340.55 | 2.1× |
| Bone Imaging Limited Area (78300) | $314.32 | $523.87 | 0.8× |
| Bone Imaging Whole Body (78306) | $684.93 | $1,141.55 | 1.8× |
| Bone marrow imaging limited area (78102) | $383.93 | $639.88 | 1.0× |
| Bone marrow imaging; multiple areas (78103) | $421.15 | $701.92 | 1.1× |
| Bone survey infant (77076) | $161.63 | $269.39 | 1.6× |
| Brachytx isodose complex (77318) | $999.70 | $1,666.17 | 2.7× |
| Brachytx isodose intermed (77317) | $584.76 | $974.60 | 1.6× |
| Brachytx Isodose Plan Simple (77316) | $459.11 | $765.18 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $411.92 | $686.53 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,532.13 | $5,886.89 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $620.01 | $1,033.35 | 7.3× |
| Cerebrospinal Fluid Scan (78630) | $666.73 | $1,111.22 | 1.3× |
| Chest 1 view (71045) | $179.93 | $299.89 | 2.1× |
| Chest 2 views (71046) | $196.93 | $328.21 | 2.3× |
| Chest 3 views (71047) | $216.62 | $361.04 | 2.6× |
| Chest 4 or more views (71048) | $238.28 | $397.13 | 2.3× |
| Clavicle complete (73000) | $214.57 | $357.61 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $368.78 | $614.64 | 3.6× |
| Continuing medical physics consltj pr wk (77336) | $894.35 | $1,490.58 | 6.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,654.41 | $6,090.69 | 1.2× |
| Contrast X-Ray Bladder (74430) | $384.78 | $641.30 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $440.92 | $734.86 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $488.97 | $814.95 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,953.33 | $4,922.21 | 8.7× |
| CT abdomen and pelvis without contrast (74176) | $2,134.41 | $3,557.35 | 9.2× |
| CT abdomen w contrast (74160) | $1,198.40 | $1,997.34 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,502.42 | $2,504.04 | 8.8× |
| CT abdomen w/o contrast (74150) | $1,116.57 | $1,860.95 | 10.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,354.68 | $5,591.13 | 9.9× |
| CT Angio Chest (71275) | $1,128.57 | $1,880.95 | 6.6× |
| CT Angio Head (70496) | $672.03 | $1,120.05 | 3.9× |
| CT angio hrt w/3d image (75574) | $1,613.86 | $2,689.76 | 4.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,230.85 | $2,051.42 | 7.2× |
| CT Angio Neck (70498) | $599.89 | $999.82 | 3.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,230.85 | $2,051.42 | 7.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $247.30 | $412.16 | 1.4× |
| CT cervical spine w/ contrast (72126) | $738.79 | $1,231.32 | 2.2× |
| CT cervical spine w/o contrast (72125) | $679.25 | $1,132.08 | 6.7× |
| CT cervical spine w/wo cont (72127) | $849.13 | $1,415.22 | 5.0× |
| CT chest w contrast (71260) | $1,243.54 | $2,072.57 | 7.3× |
| CT chest w/wo contrast (71270) | $1,461.50 | $2,435.84 | 8.5× |
| CT head/brain with contrast (70460) | $477.47 | $795.79 | 2.8× |
| CT head/brain without and with contrast (70470) | $626.15 | $1,043.58 | 3.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,613.86 | $2,689.76 | 4.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $156.98 | $261.64 | 1.8× |
| CT hrt w/3d image congen (75573) | $1,613.86 | $2,689.76 | 4.7× |
| CT iac w contrast (70481) | $535.13 | $891.88 | 3.1× |
| CT l-spine w&w/o contrast (72133) | $1,342.29 | $2,237.15 | 7.8× |
| CT lower ext w/o (73700) | $1,025.59 | $1,709.32 | 10.1× |
| CT lower extremity w/contrast material (73701) | $1,108.11 | $1,846.85 | 6.5× |
| CT lumbar spine w contrast (72132) | $1,314.08 | $2,190.13 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,208.27 | $2,013.79 | 11.8× |
| CT maxillofacial w contrast (70487) | $583.67 | $972.79 | 3.4× |
| CT maxillofacial wo contrast (70486) | $543.85 | $906.41 | 5.3× |
| CT neck tissue combo (70492) | $617.14 | $1,028.57 | 3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $655.73 | $1,092.89 | 3.8× |
| CT orbits w/o contrast (70480) | $494.54 | $824.24 | 4.8× |
| CT pelvis w&w/o contrast (72194) | $1,450.92 | $2,418.20 | 8.5× |
| CT pelvis w/o contrast (72192) | $1,017.83 | $1,696.39 | 10.0× |
| CT scan of leg combo (73702) | $1,274.34 | $2,123.90 | 7.4× |
| CT scans face/jaw combo (70488) | $907.56 | $1,512.60 | 5.3× |
| CT soft tissue neck w contrast (70491) | $536.65 | $894.41 | 3.1× |
| CT soft tissue neck w/o contrast (70490) | $514.28 | $857.13 | 5.0× |
| CT thoracic spine w contrast (72129) | $1,389.52 | $2,315.87 | 8.1× |
| CT thoracic spine w/o contrast (72128) | $1,208.27 | $2,013.79 | 11.8× |
| CT thoracic spine w/wo cont (72130) | $1,597.94 | $2,663.24 | 9.3× |
| CT thorax w/o contrast (71250) | $932.48 | $1,554.14 | 9.1× |
| CT upper ext wo (73200) | $1,025.59 | $1,709.32 | 10.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,274.34 | $2,123.90 | 7.4× |
| CT upper extremity with contrast (73201) | $1,108.11 | $1,846.85 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,613.86 | $2,689.76 | 9.4× |
| Cta Abdomen (74175) | $1,613.86 | $2,689.76 | 9.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $491.87 | $819.79 | 1.4× |
| CTA pelvis (72191) | $1,740.82 | $2,901.36 | 10.2× |
| Discography Cerv/Thor Spine (72285) | $2,425.34 | $4,042.24 | 1.3× |
| Diskography lumbar (72295) | $1,889.24 | $3,148.74 | 1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $218.87 | $364.79 | 2.1× |
| Dxa Bone Density Axial (77080) | $450.70 | $751.16 | 4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $209.42 | $349.03 | 2.5× |
| Echo exam of fetal heart (76825) | $660.36 | $1,100.60 | 1.2× |
| Echo Guide For Artery Repair (76936) | $764.12 | $1,273.54 | 3.6× |
| Esophagram (74220) | $424.31 | $707.19 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $413.76 | $689.60 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $319.07 | $531.79 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $489.75 | $816.25 | 2.1× |
| Follow-Up Angiography (75898) | $4,391.81 | $7,319.68 | 1.4× |
| Foot 2 views (73620) | $200.52 | $334.20 | 2.4× |
| Forearm 2 views (73090) | $201.45 | $335.75 | 2.4× |
| Gastric emptying imaging study (78264) | $643.62 | $1,072.70 | 1.7× |
| Gastroesophageal Reflux Exam (78262) | $354.79 | $591.31 | 0.9× |
| Gated Heart Planar Single (78472) | $973.38 | $1,622.30 | 2.5× |
| Hand 2 views (73120) | $167.26 | $278.76 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,062.45 | $5,104.08 | 4.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,062.45 | $5,104.08 | 4.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,689.47 | $4,482.45 | 4.0× |
| Heart first pass single,planar (78481) | $973.38 | $1,622.30 | 1.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,176.47 | $6,960.79 | 1.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,654.41 | $6,090.69 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $974.14 | $1,623.56 | 1.8× |
| Hepatobiliary System Imaging (78226) | $819.88 | $1,366.46 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $1,082.14 | $1,803.57 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $1,082.14 | $1,803.57 | 0.9× |
| Hysterosalpingogram (74740) | $756.59 | $1,260.98 | 3.2× |
| Infant hip ultrasound, limited static exam (76886) | $117.66 | $196.10 | 1.4× |
| Interstitial radiation source applic complex (77778) | $2,211.28 | $3,685.46 | 3.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,471.56 | $2,452.60 | 2.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,152.31 | $1,920.52 | 2.1× |
| Intracavitary radiation source applic simple (77761) | $731.44 | $1,219.06 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $540.78 | $901.30 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $491.62 | $819.37 | 0.9× |
| Knee 3 Views (73562) | $200.52 | $334.20 | 2.4× |
| Leveen/Shunt Patency Exam (78291) | $383.93 | $639.88 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $509.81 | $849.69 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $411.92 | $686.53 | 0.8× |
| Lung perfusion differential (78597) | $403.69 | $672.81 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $462.82 | $771.36 | 0.9× |
| Lymph System Imaging (78195) | $582.30 | $970.50 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,599.74 | $2,666.23 | 6.9× |
| Mammary ductogram or galactogram multiple (77054) | $742.27 | $1,237.11 | 3.2× |
| Mammary ductogram or galactogram single (77053) | $392.27 | $653.79 | 1.7× |
| Meckels Divert Exam (78290) | $465.09 | $775.15 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,998.52 | $3,330.86 | 5.5× |
| Mr safety determination physician/other qhp (76016) | $375 | $625 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $94.63 | $157.71 | 3.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $1,217.24 | $2,028.74 | 13.1× |
| Mr safety implt pos&/immoblj (76019) | $257.41 | $429.01 | 4.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,352.49 | $2,254.15 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $4,558.19 | $7,596.99 | 13.4× |
| MRA head w/o contrast (70544) | $1,970.68 | $3,284.46 | 8.5× |
| MRA head with contrast (70545) | $2,488.24 | $4,147.06 | 7.3× |
| MRA neck w contrast (70548) | $2,295.88 | $3,826.47 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,680.61 | $4,467.68 | 7.9× |
| MRA neck w/o contrast (70547) | $1,970.68 | $3,284.46 | 8.5× |
| MRI abdomen w contrast (74182) | $1,837.48 | $3,062.46 | 5.4× |
| MRI abdomen w/o contrast (74181) | $1,597.81 | $2,663.01 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,075.12 | $3,458.53 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,563.44 | $4,272.40 | 7.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,055.87 | $3,426.45 | 2.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,940.77 | $3,234.62 | 8.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,639.35 | $2,732.25 | 7.0× |
| MRI cervical spine w contrast (72142) | $2,287.60 | $3,812.66 | 6.7× |
| MRI cervical spine w/o cont (72141) | $1,989.20 | $3,315.33 | 8.5× |
| MRI chest w/o contrast (71550) | $1,347.38 | $2,245.64 | 5.8× |
| MRI chest with contrast (71551) | $1,414.98 | $2,358.30 | 1.8× |
| MRI chest wo w contrast (71552) | $2,454.64 | $4,091.07 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,716.26 | $2,860.43 | 5.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,563.44 | $4,272.40 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,586.21 | $2,643.69 | 6.8× |
| MRI lumbar spine w contrast (72149) | $1,987.76 | $3,312.94 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,404.07 | $7,340.12 | 12.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,444.60 | $2,407.66 | 6.2× |
| MRI orbit face neck w contrast (70542) | $1,562.78 | $2,604.64 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,481.31 | $4,135.52 | 7.3× |
| MRI pelvis w contrast (72196) | $1,493.51 | $2,489.19 | 4.4× |
| MRI pelvis w/o & w contrast (72197) | $2,463.63 | $4,106.05 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,121.42 | $1,869.04 | 4.8× |
| MRI spectroscopy (76390) | $197 | $328.33 | 2.3× |
| MRI thoracic spine w/o contrast (72146) | $1,870.12 | $3,116.86 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,972.47 | $3,287.45 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,586.21 | $2,643.69 | 6.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,468.80 | $4,114.67 | 7.3× |
| MRI, abdomen, combo (74183) | $2,581.46 | $4,302.44 | 7.6× |
| MRI, dorsal spine combo (72157) | $2,583.40 | $4,305.66 | 7.6× |
| MRI, dorsal spine contrast (72147) | $2,150.63 | $3,584.38 | 6.3× |
| MRI, joint upper extrem (73221) | $1,787.71 | $2,979.52 | 7.7× |
| MRI, joint upper extrem combo (73223) | $2,563.44 | $4,272.40 | 7.5× |
| MRI, lumbar spine combo (72158) | $3,670.06 | $6,116.76 | 10.8× |
| Myelogram cervical (72240) | $1,275.37 | $2,125.62 | 1.7× |
| Myelogram Lumbar (72265) | $1,011.08 | $1,685.14 | 1.3× |
| Myelography thoracic (72255) | $2,331.80 | $3,886.33 | 3.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,606.12 | $2,676.87 | 2.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,532.13 | $5,886.89 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $2,311.45 | $3,852.41 | 1.8× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,532.13 | $5,886.89 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,532.13 | $5,886.89 | 1.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,532.13 | $5,886.89 | 1.6× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $3,532.13 | $5,886.89 | 2.4× |
| N-invas est c ffr sw aly CTA (75580) | $1,367.36 | $2,278.93 | 1.6× |
| Neck soft tissue (70360) | $226.05 | $376.75 | 2.7× |
| Nm csf leak detection (78650) | $1,082.14 | $1,803.57 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $284.11 | $473.51 | 2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,658.40 | $9,430.66 | 4.2× |
| Nuclear Rx Oral Admin (79005) | $1,999.46 | $3,332.43 | 8.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $80.32 | $133.86 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $144.74 | $241.24 | 1.4× |
| Optic foramina (70190) | $94.64 | $157.73 | 1.1× |
| Panoramic X-ray of jaws (70355) | $99.32 | $165.54 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,709.49 | $2,849.15 | 3.2× |
| Parathyroid Planar Imaging (78070) | $692.14 | $1,153.56 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,425.58 | $2,375.97 | 3.7× |
| Pelvis 1 or 2 views (72170) | $147.11 | $245.18 | 1.4× |
| Pet Image W/Ct Lmtd (78814) | $3,532.13 | $5,886.89 | 2.5× |
| PET image w/CT, full body (78816) | $3,532.13 | $5,886.89 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,532.13 | $5,886.89 | 2.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,654.41 | $6,090.69 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $314.32 | $523.87 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $300.17 | $500.28 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $420.43 | $700.72 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $218.79 | $364.65 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $161.16 | $268.60 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $200.05 | $333.41 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $273.61 | $456.01 | 2.7× |
| Radex fingr minimum 2 views (73140) | $119 | $198.33 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $215.51 | $359.18 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $185.53 | $309.21 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $189.74 | $316.24 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $169.13 | $281.89 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $199.11 | $331.85 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $229.67 | $382.78 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $180.38 | $300.64 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $121.82 | $203.03 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $185.99 | $309.99 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $189.74 | $316.24 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $243.24 | $405.40 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $121.82 | $203.03 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $125.09 | $208.49 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $210.83 | $351.38 | 2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $353.72 | $589.53 | 3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,129.37 | $25,215.62 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $685.81 | $1,143.02 | 6.9× |
| Radiation treatment delivery level 2 (77407) | $741 | $1,235 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $926.59 | $1,544.32 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $261.89 | $436.49 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $285.87 | $476.45 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $554.01 | $923.35 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $481.75 | $802.91 | 2.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $424.31 | $707.19 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $245.96 | $409.93 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $161.82 | $269.70 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $510.16 | $850.27 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $496.65 | $827.75 | 2.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $542.27 | $903.79 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $163.49 | $272.49 | 1.9× |
| Radiologic examination knee 1/2 views (73560) | $193.49 | $322.48 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $205.21 | $342.01 | 2.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $386.12 | $643.54 | 4.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $232.37 | $387.29 | 2.7× |
| Renal Cyst Study (74470) | $964.11 | $1,606.85 | 1.8× |
| Ribs bilateral 3 views (71110) | $248.30 | $413.84 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $574.36 | $957.27 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,391.33 | $2,318.88 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,082.14 | $1,803.57 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,236.73 | $2,061.22 | 2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,328.53 | $2,214.21 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,600.01 | $2,666.69 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $189.59 | $315.99 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $463.68 | $772.80 | 1.2× |
| Scapula (73010) | $99.32 | $165.54 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $56.19 | $93.65 | 2.4× |
| Sella turcica (70240) | $69.25 | $115.42 | 0.8× |
| Shoulder 1 view (73020) | $93.70 | $156.16 | 1.1× |
| Shoulder Arthrography (73040) | $470.69 | $784.48 | 1.4× |
| Sialogram (70390) | $413.81 | $689.69 | 1.8× |
| Skull less than 4 views (70250) | $260.96 | $434.93 | 2.6× |
| Special dosimetry (77331) | $552.52 | $920.86 | 4.2× |
| Special Physics Consult (77370) | $606.26 | $1,010.44 | 4.6× |
| Special teletherapy port plan (77321) | $995.38 | $1,658.97 | 2.7× |
| Special treatment procedure (77470) | $2,044.51 | $3,407.52 | 3.8× |
| Srs Multisource (77371) | $46,846.70 | $78,077.84 | 6.5× |
| Stereotactic Body Radiation Delivery (77373) | $14,020.78 | $23,367.96 | 8.0× |
| Sternoclavicular joints (71130) | $107.75 | $179.59 | 1.3× |
| Superior sagittal sinus venogram (75870) | $3,654.41 | $6,090.69 | 1.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $235.42 | $392.36 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,714.49 | $2,857.48 | 4.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $567.56 | $945.94 | 1.6× |
| Testicular Imaging W/Flow (78761) | $314.32 | $523.87 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,954.22 | $3,257.04 | 5.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,442.56 | $2,404.26 | 3.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,045.93 | $1,743.21 | 8.0× |
| Thoracic spine 2 views (72070) | $245.02 | $408.36 | 2.4× |
| Thoracic spine 3 views (72072) | $263.75 | $439.59 | 2.6× |
| Thoracolumbar 2 views (72080) | $314.83 | $524.71 | 3.7× |
| Thyroid Met Imaging Body (78018) | $845.33 | $1,408.89 | 1.6× |
| Thyroid Uptake Measurement (78012) | $314.32 | $523.87 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $470.86 | $784.77 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $757.82 | $1,263.04 | 2.1× |
| Tx devices design & construction intermediate (77333) | $698.71 | $1,164.51 | 5.3× |
| Tx devices design & construction simple (77332) | $583.69 | $972.81 | 4.5× |
| Ultrasound Breast Limited (76642) | $415.82 | $693.04 | 4.9× |
| Ultrasound Elastography Parenchyma (76981) | $178.83 | $298.05 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $251.54 | $419.23 | 2.5× |
| Ultrasound, abdomen limited (76705) | $335.79 | $559.65 | 3.3× |
| Umbilical-artery Doppler (OB) (76820) | $218.87 | $364.79 | 2.1× |
| Unlisted fluoroscopic procedure (76496) | $224.68 | $374.47 | 2.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,953.13 | $3,255.22 | 19.6× |
| Upper gi w/o kub (74240) | $237.17 | $395.28 | 1.4× |
| Urethrocystogram voiding (74455) | $854.80 | $1,424.66 | 3.7× |
| Urethrocystography retrograde (74450) | $281.63 | $469.39 | 1.2× |
| Us breast unilateral complete (76641) | $442.90 | $738.17 | 4.3× |
| Us chest (76604) | $276.53 | $460.88 | 2.7× |
| Us complete joint (76881) | $302.60 | $504.33 | 3.0× |
| Us exam, pelvic, limited (76857) | $350.63 | $584.39 | 3.4× |
| Us head (76506) | $218.20 | $363.67 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $233.99 | $389.99 | 2.3× |
| Us ob detailed single fetus (76811) | $468.96 | $781.60 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $430.93 | $718.21 | 4.2× |
| Us ob transvaginal (76817) | $508.46 | $847.44 | 5.0× |
| Us pelvic non ob complete (76856) | $519.43 | $865.71 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $598.34 | $997.24 | 5.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $304.84 | $508.06 | 3.0× |
| Us retroperitoneal complete (76770) | $408.97 | $681.61 | 4.0× |
| Us retroperitoneal limited (76775) | $243.59 | $405.98 | 2.4× |
| Us scrotum and contents (76870) | $539.33 | $898.89 | 5.3× |
| Us spinal canal and contents (76800) | $393.86 | $656.44 | 3.9× |
| Us thyroid (76536) | $539.33 | $898.89 | 5.3× |
| Us transrectal (76872) | $274.70 | $457.83 | 2.7× |
| Vein X-Ray Chest (75827) | $1,836.14 | $3,060.24 | 1.2× |
| Venogram Sinus/Jugular (75860) | $3,654.41 | $6,090.69 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,654.41 | $6,090.69 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $3,672.29 | $6,120.48 | 2.4× |
| Venography extremity unilateral rs&i (75820) | $1,836.14 | $3,060.24 | 1.2× |
| Venography Orbital Rs&I (75880) | $1,022.45 | $1,704.08 | 1.7× |
| Venography Renal Bilateral (75833) | $7,308.83 | $12,181.38 | 2.4× |
| Venography Renal Unilateral (75831) | $3,654.41 | $6,090.69 | 1.2× |
| Venous sampling by catheter (75893) | $6,300.35 | $10,500.58 | 1.2× |
| Wrist 2 views (73100) | $173.82 | $289.70 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $134.93 | $224.88 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $455.09 | $758.49 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,654.41 | $6,090.69 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $322.79 | $537.99 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $169.13 | $281.89 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $473.36 | $788.93 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $103.07 | $171.78 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $353.72 | $589.53 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $79.87 | $133.11 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $128.84 | $214.73 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $257.68 | $429.47 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $224.29 | $373.82 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $275.94 | $459.90 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $551.89 | $919.82 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $345.74 | $576.24 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $238 | $396.67 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $309.67 | $516.12 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $275 | $458.34 | 2.7× |
| X-ray eye for foreign body (70030) | $165.57 | $275.95 | 1.9× |
| X-ray humerus (73060) | $131.65 | $219.42 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $336.61 | $561.02 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $126.50 | $210.83 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $146.18 | $243.63 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276.41 | $460.69 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $116.73 | $194.55 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $276.41 | $460.69 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $145.70 | $242.83 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $107.75 | $179.59 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $208.01 | $346.68 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $200.98 | $334.97 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $312.02 | $520.04 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $277.81 | $463.02 | 2.7× |
| X-Ray Tmj Unilat (70328) | $221.13 | $368.55 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $526.84 | $878.06 | 1.5× |
| X-Rays Bone Length Studies (77073) | $134.93 | $224.88 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $525.65 | $876.09 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $309.67 | $516.12 | 3.0× |
| Xr facial bones less than 3 views (70140) | $227.69 | $379.48 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $106.36 | $177.26 | 1.0× |
| Xr orbits complete 4 views (70200) | $238.93 | $398.22 | 2.3× |
| Xr Tomogram Single Plane (76100) | $246.43 | $410.72 | 2.4× |