Imaging prices at Coral Gables Hospital
Coral Gables, FL · every code in this section with a posted price and a Medicare benchmark.
281 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,764.71 | $1,764.71 | 16.2× |
| Acute gi blood loss imaging (78278) | $2,925.56 | $2,925.56 | 7.0× |
| Angiography extremity bilateral rs&i (75716) | $7,724.83 | $7,724.83 | 2.3× |
| Angiography extremity unilateral rs&i (75710) | $4,475.54 | $4,475.54 | 1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $28,762.92 | $28,762.92 | 4.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,169.07 | $9,169.07 | 2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $12,129.52 | $12,129.52 | 3.7× |
| Angiography Spinal Selective Rs&I (75705) | $15,274.04 | $15,274.04 | 2.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $26,533.87 | $26,533.87 | 4.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $9,169.07 | $9,169.07 | 2.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,169.07 | $9,169.07 | 2.8× |
| Ankle 2 views (73600) | $1,582.68 | $1,582.68 | 17.4× |
| Aortogram thoracic (75605) | $9,626.88 | $9,626.88 | 1.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $5,731.22 | $5,731.22 | 1.7× |
| Aortography abdominal serialography rs&i (75625) | $11,794 | $11,794 | 3.6× |
| Artery X-Rays Adrenal Gland (75731) | $9,169.07 | $9,169.07 | 2.8× |
| Arthrogram ankle (73615) | $1,179.49 | $1,179.49 | 3.2× |
| Arthrogram elbow (73085) | $1,179.49 | $1,179.49 | 3.2× |
| Arthrogram hip (73525) | $2,269.38 | $2,269.38 | 6.2× |
| Arthrogram knee (73580) | $2,647.61 | $2,647.61 | 7.3× |
| Arthrogram shoulder (73040) | $1,785.42 | $1,785.42 | 4.9× |
| Arthrogram wrist (73115) | $1,179.49 | $1,179.49 | 3.2× |
| Bone &/joint imaging whole body (78306) | $2,925.56 | $2,925.56 | 7.0× |
| Bone age studies (77072) | $1,596.85 | $1,596.85 | 14.6× |
| Bone Imaging 3 Phase (78315) | $3,298.34 | $3,298.34 | 7.9× |
| Bone survey complete (77075) | $2,329.33 | $2,329.33 | 21.3× |
| Bowel imaging (78290) | $2,062.28 | $2,062.28 | 4.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,059.63 | $3,059.63 | 5.4× |
| Brain Imaging Vascular Flow Only (78610) | $816.41 | $816.41 | 1.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $3,806.28 | $3,806.28 | 9.1× |
| Cervical spine 2 or 3 views (72040) | $1,436.62 | $1,436.62 | 15.8× |
| Chest 1 view (71045) | $910.15 | $910.15 | 10.0× |
| Chest xray 3 views (71047) | $259.08 | $259.08 | 2.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $767.36 | $767.36 | 4.2× |
| Clavicle complete (73000) | $1,317.81 | $1,317.81 | 14.5× |
| CT abdomen and pelvis without and with contrast (74178) | $18,223.07 | $18,223.07 | 50.0× |
| CT abdomen and pelvis without contrast (74176) | $16,191.81 | $16,191.81 | 65.0× |
| CT abdomen w contrast (74160) | $8,534.33 | $8,534.33 | 46.6× |
| CT abdomen w wo contrast (74170) | $11,461.62 | $11,461.62 | 62.6× |
| CT abdomen w/o contrast (74150) | $6,851.03 | $6,851.03 | 62.8× |
| CT angio hrt w/3d image (75574) | $4,620.51 | $4,620.51 | 12.7× |
| CT angio lwr extr w/o&w/dye (73706) | $10,761.57 | $10,761.57 | 58.8× |
| CT angiography upper extremity lt (73206) | $4,109.68 | $4,109.68 | 22.4× |
| CT c-spine w/contrast (72126) | $7,667.06 | $7,667.06 | 21.0× |
| CT c-spine w/o contrast (72125) | $8,908.59 | $8,908.59 | 81.6× |
| CT chest w contrast (71260) | $9,061.58 | $9,061.58 | 49.5× |
| CT chest w/wo contrast (71270) | $7,768.43 | $7,768.43 | 42.4× |
| CT head/brain with contrast (70460) | $9,374 | $9,374 | 51.2× |
| CT head/brain without and with contrast (70470) | $11,690.56 | $11,690.56 | 63.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,238.39 | $3,238.39 | 8.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $2,203.98 | $2,203.98 | 24.3× |
| CT hrt w/3d image congen (75573) | $5,384.60 | $5,384.60 | 14.8× |
| CT iac w contrast (70481) | $8,873.37 | $8,873.37 | 48.4× |
| CT limited/localized follow up study (76380) | $1,883.52 | $1,883.52 | 20.7× |
| CT lower ext w/o (73700) | $6,382.67 | $6,382.67 | 58.5× |
| CT lower extremity w/contrast material (73701) | $8,299.26 | $8,299.26 | 45.3× |
| CT lumbar spine w & w/o contrast (72133) | $11,222.64 | $11,222.64 | 61.3× |
| CT lumbar spine w/contrast (72132) | $6,777.88 | $6,777.88 | 18.6× |
| CT lumbar spine w/o contrast (72131) | $8,125.30 | $8,125.30 | 74.4× |
| CT maxillofacial w contrast (70487) | $8,274.33 | $8,274.33 | 45.2× |
| CT maxillofacial w/wo contrast (70488) | $13,672.96 | $13,672.96 | 74.6× |
| CT maxillofacial wo contrast (70486) | $8,200.16 | $8,200.16 | 75.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,227.40 | $14,227.40 | 77.7× |
| CT orbits w/o contrast (70480) | $8,605.15 | $8,605.15 | 78.8× |
| CT pelvis w/o contrast (72192) | $7,633.43 | $7,633.43 | 69.9× |
| CT pelvis w/wo contrast (72194) | $17,023.62 | $17,023.62 | 92.9× |
| CT scan of arm combo (73202) | $6,681.70 | $6,681.70 | 36.5× |
| CT soft tissue neck w contrast (70491) | $9,277.18 | $9,277.18 | 50.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,896.91 | $9,896.91 | 54.0× |
| CT soft tissue neck w/o contrast (70490) | $8,103.70 | $8,103.70 | 74.2× |
| CT thoracic spine w/contrast (72129) | $10,751.76 | $10,751.76 | 58.7× |
| CT thoracic spine w/o contrast (72128) | $7,432.08 | $7,432.08 | 68.1× |
| CT thorax w/o contrast (71250) | $6,306.61 | $6,306.61 | 57.8× |
| CT upper ext wo (73200) | $6,681.70 | $6,681.70 | 61.2× |
| CT upper extremity with contrast (73201) | $5,439.25 | $5,439.25 | 14.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $7,807.14 | $7,807.14 | 42.6× |
| Cta Abdomen (74175) | $7,861.85 | $7,861.85 | 42.9× |
| CTA abdomen pelvis (74174) | $5,820.45 | $5,820.45 | 16.0× |
| CTA chest (71275) | $8,828 | $8,828 | 48.2× |
| Cta Head (70496) | $6,118.78 | $6,118.78 | 33.4× |
| Cta Neck (70498) | $6,782.25 | $6,782.25 | 37.0× |
| Cta Pelvis (72191) | $9,550.80 | $9,550.80 | 52.1× |
| Cystography minimum 3 views rs&i (74430) | $1,349.42 | $1,349.42 | 3.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,082.99 | $2,082.99 | 19.1× |
| Esophagus (74220) | $638.74 | $638.74 | 3.5× |
| Facial bones min 3 views (70150) | $1,387.57 | $1,387.57 | 12.7× |
| Fetal biophysical profile non-stress testing (76818) | $2,807.84 | $2,807.84 | 25.7× |
| Fluoroscopy up to 1 hr (76000) | $1,430.08 | $1,430.08 | 5.7× |
| Foot 2 views (73620) | $1,095.45 | $1,095.45 | 12.1× |
| Forearm 2 views (73090) | $1,006.07 | $1,006.07 | 11.1× |
| Hand 2 views (73120) | $1,160.85 | $1,160.85 | 10.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,169.07 | $9,169.07 | 2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $1,483.49 | $1,483.49 | 2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $3,292.89 | $3,292.89 | 7.9× |
| Hysterosalpingogram (74740) | $2,642.16 | $2,642.16 | 10.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $2,836.18 | $2,836.18 | 5.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $3,274.36 | $3,274.36 | 5.8× |
| Knee 3 views (73562) | $829.49 | $829.49 | 9.1× |
| Liver & spleen imaging static only (78215) | $3,942.53 | $3,942.53 | 9.4× |
| Liver imaging static only (78201) | $2,109.15 | $2,109.15 | 3.7× |
| Lung perfusion differential (78597) | $2,817.65 | $2,817.65 | 6.7× |
| Lymphoscintigraphy (78195) | $1,809.40 | $1,809.40 | 3.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $5,954.67 | $5,954.67 | 7.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $6,492.04 | $6,492.04 | 17.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $6,107.27 | $6,107.27 | 16.8× |
| Mammary ductogram or galactogram multiple (77054) | $1,665.52 | $1,665.52 | 6.7× |
| Mammary ductogram or galactogram single (77053) | $1,032.23 | $1,032.23 | 4.1× |
| MRA head w & w/o contrast (70546) | $12,921.95 | $12,921.95 | 35.5× |
| MRA head w/o contrast (70544) | $9,451.39 | $9,451.39 | 37.9× |
| MRA head with contrast (70545) | $11,428.65 | $11,428.65 | 31.4× |
| MRA neck w contrast (70548) | $10,781.19 | $10,781.19 | 29.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $13,291.46 | $13,291.46 | 36.5× |
| MRA neck w/o contrast (70547) | $7,651.80 | $7,651.80 | 30.7× |
| MRI abdomen w contrast (74182) | $6,317.64 | $6,317.64 | 17.3× |
| MRI abdomen w/o & w/contrast material (74183) | $6,944.39 | $6,944.39 | 19.1× |
| MRI abdomen w/o contrast (74181) | $4,860.31 | $4,860.31 | 19.5× |
| MRI any jt lower extrem w/contrast material (73722) | $6,259.87 | $6,259.87 | 7.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,019.75 | $9,019.75 | 24.8× |
| MRI breast w/o contrast bilateral (77047) | $5,371.52 | $5,371.52 | 21.6× |
| MRI breast wo contrast unilateral (77046) | $3,882.58 | $3,882.58 | 15.6× |
| MRI c-spine with contrast (72142) | $2,600.74 | $2,600.74 | 7.1× |
| MRI cervical spine w/o contrast (72141) | $2,981.15 | $2,981.15 | 12.0× |
| MRI chest w/o contrast (71550) | $3,521.79 | $3,521.79 | 14.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,131.87 | $7,131.87 | 19.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,913.40 | $7,913.40 | 21.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,916.52 | $5,916.52 | 23.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,854.24 | $3,854.24 | 15.5× |
| MRI orbit face neck w contrast (70542) | $9,117.85 | $9,117.85 | 25.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $8,817.01 | $8,817.01 | 24.2× |
| MRI pelvis w/contrast (72196) | $6,129.07 | $6,129.07 | 16.8× |
| MRI pelvis w/o & w/contrast material (72197) | $7,013.06 | $7,013.06 | 19.2× |
| MRI pelvis w/o contrast (72195) | $2,650.88 | $2,650.88 | 10.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $4,776.38 | $4,776.38 | 13.1× |
| MRI spinal canal lumbar w/contrast material (72149) | $4,332.75 | $4,332.75 | 11.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $9,483 | $9,483 | 26.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $2,756.61 | $2,756.61 | 7.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $4,776.38 | $4,776.38 | 13.1× |
| MRI temporomandibular joint (70336) | $3,981.77 | $3,981.77 | 16.0× |
| MRI thoracic spine w/o contrast (72146) | $2,981.15 | $2,981.15 | 12.0× |
| MRI up ext w/o contrast (73218) | $5,664.73 | $5,664.73 | 22.7× |
| MRI upper ext joint w/o contrast (73221) | $5,397.68 | $5,397.68 | 21.7× |
| MRI, joint upper extrem combo (73223) | $8,074.72 | $8,074.72 | 22.2× |
| Myelogram Cervical (72240) | $2,602.92 | $2,602.92 | 3.2× |
| Myelogram Lumbar (72265) | $2,546.24 | $2,546.24 | 3.1× |
| Myelogram thoracic (72255) | $2,759.88 | $2,759.88 | 3.4× |
| Myelography 2 or more regions (72270) | $2,759.88 | $2,759.88 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $6,901.88 | $6,901.88 | 5.1× |
| Myocardial spect single study at rest or stress (78451) | $3,060.72 | $3,060.72 | 2.3× |
| Neck soft tissue (70360) | $1,016.97 | $1,016.97 | 11.2× |
| Nm adrenal scan (78075) | $4,814.53 | $4,814.53 | 3.6× |
| Nm cisternogram (78630) | $1,358.14 | $1,358.14 | 2.4× |
| Nm gastric emptying study (78264) | $2,908.12 | $2,908.12 | 7.0× |
| Nuclear medicine study of endocrine organs (78099) | $1,188.37 | $1,188.37 | 2.8× |
| Nuclear Rx Oral Admin (79005) | $2,716.28 | $2,716.28 | 11.1× |
| Parathyroid Planar Imaging (78070) | $1,466.05 | $1,466.05 | 3.5× |
| Pelvis 1 or 2 views (72170) | $684.52 | $684.52 | 6.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,377.76 | $1,377.76 | 3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $6,412.47 | $6,412.47 | 11.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $515.57 | $515.57 | 0.9× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,896.60 | $1,896.60 | 20.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $972.28 | $972.28 | 10.7× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,317.81 | $1,317.81 | 14.5× |
| Radex fingr minimum 2 views (73140) | $1,688.41 | $1,688.41 | 18.6× |
| Radex Foot Compl Minimum 3 Views (73630) | $1,772.34 | $1,772.34 | 19.5× |
| Radex Hand Minimum 3 Views (73130) | $1,555.43 | $1,555.43 | 17.1× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $844.75 | $844.75 | 9.3× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $1,466.05 | $1,466.05 | 13.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,114.60 | $2,114.60 | 19.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,643.25 | $2,643.25 | 24.2× |
| Radex Humerus Minimum 2 Views (73060) | $1,433.35 | $1,433.35 | 15.8× |
| Radex Kne 1/2 Views (73560) | $479.60 | $479.60 | 5.3× |
| Radex Kne Compl 4/More Views (73564) | $928.68 | $928.68 | 8.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $1,689.50 | $1,689.50 | 15.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,120.52 | $1,120.52 | 12.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $348.71 | $348.71 | 3.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $1,748.36 | $1,748.36 | 19.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $259.08 | $259.08 | 2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $348.71 | $348.71 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,769.07 | $1,769.07 | 19.5× |
| Radex Toe Minimum 2 Views (73660) | $1,381.03 | $1,381.03 | 15.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,016.50 | $2,016.50 | 22.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,249.14 | $1,249.14 | 13.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,870.44 | $1,870.44 | 17.1× |
| Radiologic exam chest 2 views (71046) | $1,487.85 | $1,487.85 | 16.4× |
| Radiologic exam colon single contrast study (74270) | $1,238.24 | $1,238.24 | 6.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,143.41 | $1,143.41 | 6.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,143.41 | $1,143.41 | 6.2× |
| Radiologic examination femur 1 view (73551) | $259.08 | $259.08 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,492.21 | $1,492.21 | 16.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,064.93 | $1,064.93 | 9.8× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $348.71 | $348.71 | 3.2× |
| Radiological examination surgical specimen (76098) | $819.68 | $819.68 | 1.4× |
| Ribs bilateral 3 views (71110) | $1,654.62 | $1,654.62 | 15.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $1,154.31 | $1,154.31 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,906.09 | $4,906.09 | 8.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $4,282.61 | $4,282.61 | 7.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,077.69 | $4,077.69 | 7.2× |
| Sacroiliac Joints < 3 Views (72200) | $348.71 | $348.71 | 3.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,706.47 | $2,706.47 | 10.9× |
| Salivary gland imaging (78230) | $1,425.72 | $1,425.72 | 3.4× |
| Scapula (73010) | $1,661.16 | $1,661.16 | 15.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $172.22 | $172.22 | 7.4× |
| Shoulder 1 view (73020) | $1,093.27 | $1,093.27 | 12.0× |
| Small bowel series (74250) | $1,056.21 | $1,056.21 | 5.8× |
| Spine thoracic 3 views (72072) | $348.71 | $348.71 | 3.2× |
| Spleen imaging only (78185) | $2,218.15 | $2,218.15 | 5.3× |
| Testicular Imaging With Vascular Flow (78761) | $2,056.83 | $2,056.83 | 4.9× |
| Thyroid carcinoma metastases img whole body (78018) | $3,990.49 | $3,990.49 | 7.0× |
| Thyroid imaging w/blood flow (78013) | $894.89 | $894.89 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,067.88 | $4,067.88 | 9.7× |
| Tmj unilateral (70328) | $259.08 | $259.08 | 2.9× |
| Tomogram (76100) | $1,955.46 | $1,955.46 | 17.9× |
| Ultrasound breast complete (76641) | $795.70 | $795.70 | 7.3× |
| Ultrasound Exam Aaa Screen (76706) | $703.05 | $703.05 | 6.4× |
| Ultrasound, abdomen limited (76705) | $2,223.60 | $2,223.60 | 20.4× |
| Ureteral reflux study (78740) | $1,721.11 | $1,721.11 | 4.1× |
| Urethrocystogram voiding (74455) | $1,602.30 | $1,602.30 | 6.4× |
| Urethrocystography retrograde rs&i (74450) | $1,552.16 | $1,552.16 | 6.2× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $3,722.35 | $3,722.35 | 20.3× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $5,182.95 | $5,182.95 | 28.3× |
| Us breast unilateral limited (76642) | $608.22 | $608.22 | 6.7× |
| Us chest (76604) | $642.01 | $642.01 | 5.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $1,940.20 | $1,940.20 | 8.6× |
| Us compl joint r-t w/image documentation (76881) | $348.71 | $348.71 | 3.2× |
| Us infant hips w manipulation (76885) | $259.08 | $259.08 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,135.78 | $1,135.78 | 10.4× |
| Us ob limited (76815) | $348.71 | $348.71 | 3.2× |
| Us ob transvaginal (76817) | $348.71 | $348.71 | 3.2× |
| Us pelvic non ob complete (76856) | $2,895.04 | $2,895.04 | 26.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $348.71 | $348.71 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,773.43 | $1,773.43 | 16.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $348.71 | $348.71 | 3.2× |
| Us retroperitoneal complete (76770) | $2,125.50 | $2,125.50 | 19.5× |
| Us retroperitoneal limited (76775) | $2,209.43 | $2,209.43 | 20.2× |
| Us scrotum and contents (76870) | $2,162.56 | $2,162.56 | 19.8× |
| Us soft tissue head/neck (76536) | $2,115.69 | $2,115.69 | 19.4× |
| Us transrectal (76872) | $1,544.53 | $1,544.53 | 14.1× |
| Venogram adrenal unilat (75840) | $9,169.07 | $9,169.07 | 2.8× |
| Venogram extremity bilateral (75822) | $3,607.90 | $3,607.90 | 2.2× |
| Venogram Extremity Unilateral (75820) | $2,279.19 | $2,279.19 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $6,710.04 | $6,710.04 | 2.0× |
| Venography caval superior serialography rs&i (75827) | $4,106.03 | $4,106.03 | 2.5× |
| Venography Renal Bilateral (75833) | $10,350.64 | $10,350.64 | 3.1× |
| Venography renal unilateral selective rs&i (75831) | $9,169.07 | $9,169.07 | 2.8× |
| Venography venous sinus/jugular cath rs&i (75860) | $9,169.07 | $9,169.07 | 2.8× |
| Venous sampling by catheter (75893) | $8,062.73 | $8,062.73 | 1.4× |
| Wrist 2 views (73100) | $1,342.88 | $1,342.88 | 14.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $259.08 | $259.08 | 2.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,858.45 | $1,858.45 | 10.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $963.56 | $963.56 | 10.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,107.44 | $1,107.44 | 12.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,424.16 | $2,424.16 | 22.2× |
| X-ray exam of femur 2/> (73552) | $1,582.68 | $1,582.68 | 17.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $826.22 | $826.22 | 9.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $724.85 | $724.85 | 8.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $259.08 | $259.08 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,017.59 | $2,017.59 | 18.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $348.71 | $348.71 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $259.08 | $259.08 | 2.9× |
| X-ray optic foramen (70190) | $259.08 | $259.08 | 2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,463.87 | $1,463.87 | 13.4× |
| X-ray retrograde pyelogram (74420) | $2,009.96 | $2,009.96 | 5.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,033.94 | $2,033.94 | 22.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,132.66 | $3,132.66 | 28.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,745.71 | $2,745.71 | 25.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $646.37 | $646.37 | 5.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,346.15 | $1,346.15 | 14.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,047.02 | $2,047.02 | 22.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,244.31 | $2,244.31 | 20.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,364.68 | $1,364.68 | 12.5× |
| X-Ray Small Bowel Enteroclysis (74251) | $572.13 | $572.13 | 3.1× |
| X-Ray Spine One View - Xr Spine (72020) | $767.36 | $767.36 | 8.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $259.08 | $259.08 | 2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,095.45 | $1,095.45 | 12.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,077.54 | $2,077.54 | 19.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $348.71 | $348.71 | 3.2× |
| Xr bone length studies (77073) | $815.32 | $815.32 | 7.5× |
| Xr c-spine 4 or 5 views (72050) | $882.90 | $882.90 | 8.1× |
| Xr c-spine 6 or more views (72052) | $1,602.30 | $1,602.30 | 14.7× |
| Xr chest 4+ views (71048) | $1,713.48 | $1,713.48 | 15.7× |
| Xr urogram antegrade (74425) | $2,804.57 | $2,804.57 | 7.7× |