Imaging prices at Delray Medical Center
Delray Beach, FL · every code in this section with a posted price and a Medicare benchmark.
338 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) | $8,997.75 | $11,997 | 6.2× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$503.25–$1,146.75 | $671–$1,529 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$809.25–$1,454.25 | $1,079–$1,939 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,848–$1,995.75 | $2,464–$2,661 | varies |
| Adrenal Cortex & Medulla Img (78075) | $6,114.75 | $8,153 | 4.5× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$6,902.25–$7,317 | $9,203–$9,756 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$20,501.25–$21,136.50 | $27,335–$28,182 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$11,258.25–$15,263.25 | $15,011–$20,351 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$9,227.25–$10,251.75 | $12,303–$13,669 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$7,248.75–$16,230.75 | $9,665–$21,641 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,960.50 | $6,614 | 1.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$483–$1,263.75 | $644–$1,685 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,622.75–$9,646.50 | $11,497–$12,862 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$9,372–$9,696 | $12,496–$12,928 | varies |
| Artery X-Rays Pelvis (75736) | $6,378 | $8,504 | 1.1× |
| Artery X-Rays Spine (75705) | $27,768.75 | $37,025 | 4.8× |
| Arthrogram ankle (73615) | $2,636.25 | $3,515 | 7.2× |
| Arthrogram hip (73525) | $1,600.50 | $2,134 | 4.4× |
| Arthrogram Wrist (73115) | $2,773.50 | $3,698 | 7.6× |
| Basic radiation dosimetry calculation (77300) | $2,165.25 | $2,887 | 15.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$550.50–$563.25 | $734–$751 | varies |
| Bone Imaging 3 Phase (78315) | $4,515 | $6,020 | 10.8× |
| Bone Imaging Multiple Areas (78305) | $5,043.75 | $6,725 | 12.1× |
| Bone Imaging Whole Body (78306) | $3,718.50 | $4,958 | 8.9× |
| Bone marrow imaging; whole body (78104) | $3,614.25 | $4,819 | 8.7× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$650.25–$915 | $867–$1,220 | varies |
| Brachytx isodose complex (77318) | $2,763.75 | $3,685 | 7.1× |
| Brain Image W/Flow < 4 Views (78601) | $2,304.75 | $3,073 | 5.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,121.75 | $10,829 | 5.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,847.25 | $6,463 | 13.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$957–$2,721 | $1,276–$3,628 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$2,270.25–$2,613 | $3,027–$3,484 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$363.75–$1,224 | $485–$1,632 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$669.75–$1,650.75 | $893–$2,201 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$982.50–$1,872.75 | $1,310–$2,497 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$567–$954.75 | $756–$1,273 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $403.50 | $538 | 3.7× |
| Continuing medical physics consltj pr wk (77336) | $1,332.75 | $1,777 | 9.5× |
| Contrast Exam Abdominl Aorta (75625) | $8,670.75 | $11,561 | 2.6× |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$1,152–$1,260 | $1,536–$1,680 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,389.75 | $1,853 | 3.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$7,181.25–$16,353 | $9,575–$21,804 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$5,363.25–$11,039.25 | $7,151–$14,719 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$4,440–$8,147.25 | $5,920–$10,863 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$4,659–$7,905 | $6,212–$10,540 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$4,368–$7,109.25 | $5,824–$9,479 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$4,741.50–$11,287.50 | $6,322–$15,050 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$3,897–$10,471.50 | $5,196–$13,962 | varies |
| CT Angio Head (70496) range across 6 matching MRF lines |
$4,798.50–$8,771.25 | $6,398–$11,695 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$6,275.25–$7,387.50 | $8,367–$9,850 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$4,305.75–$6,879 | $5,741–$9,172 | varies |
| CT Angio Neck (70498) range across 5 matching MRF lines |
$4,187.25–$9,458.25 | $5,583–$12,611 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$6,432–$7,651.50 | $8,576–$10,202 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$4,470.75–$12,561.75 | $5,961–$16,749 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$3,694.50–$11,505.75 | $4,926–$15,341 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$5,361.75–$14,106 | $7,149–$18,808 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$4,122–$10,046.25 | $5,496–$13,395 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$5,391.75–$8,941.50 | $7,189–$11,922 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$4,512–$9,722.25 | $6,016–$12,963 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$5,423.25–$8,291.25 | $7,231–$11,055 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $6,102 | $8,136 | 16.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$2,867.25–$2,915.25 | $3,823–$3,887 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$4,864.50–$11,120.25 | $6,486–$14,827 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$5,833.50–$10,213.50 | $7,778–$13,618 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,985.75–$4,851 | $3,981–$6,468 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$4,287.75–$5,550 | $5,717–$7,400 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$4,381.50–$10,204.50 | $5,842–$13,606 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$3,573–$10,893 | $4,764–$14,524 | varies |
| CT maxillofacial w contrast (70487) range across 6 matching MRF lines |
$4,443–$9,633.75 | $5,924–$12,845 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$3,573.75–$8,616.75 | $4,765–$11,489 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$7,083–$8,885.25 | $9,444–$11,847 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$5,355–$11,402.25 | $7,140–$15,203 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$3,573.75–$9,313.50 | $4,765–$12,418 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$5,105.25–$5,637 | $6,807–$7,516 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$3,694.50–$5,012.25 | $4,926–$6,683 | varies |
| CT scan of leg combo (73702) | $6,375 | $8,500 | 34.8× |
| CT scans face/jaw combo (70488) range across 6 matching MRF lines |
$2,564.25–$11,712 | $3,419–$15,616 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$4,187.25–$7,518.75 | $5,583–$10,025 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$3,538.50–$6,453 | $4,718–$8,604 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$4,008.75–$10,545 | $5,345–$14,060 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$3,552–$11,048.25 | $4,736–$14,731 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$5,800.50–$13,415.25 | $7,734–$17,887 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,899.25–$7,948.50 | $5,199–$10,598 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$3,557.25–$5,846.25 | $4,743–$7,795 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$5,808–$7,518.75 | $7,744–$10,025 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$4,113–$7,883.25 | $5,484–$10,511 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 6 matching MRF lines |
$4,116.75–$8,626.50 | $5,489–$11,502 | varies |
| Cta Abdomen (74175) range across 6 matching MRF lines |
$5,136–$9,112.50 | $6,848–$12,150 | varies |
| CTA pelvis (72191) range across 6 matching MRF lines |
$5,157–$12,543.75 | $6,876–$16,725 | varies |
| Dilation ureters/urethra rs&i (74485) | $5,179.50 | $6,906 | 2.4× |
| Diskography lumbar (72295) | $6,138 | $8,184 | 3.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$942.75–$1,764 | $1,257–$2,352 | varies |
| Dxa bone density study (77085) | $1,059 | $1,412 | 9.7× |
| Echo exam of fetal heart (76825) | $2,328 | $3,104 | 4.1× |
| Echo exam uterus (76831) | $1,238.25 | $1,651 | 5.0× |
| Echo Guide For Artery Repair (76936) | $766.50 | $1,022 | 3.4× |
| Echograp Trans R Pros Study (76873) | $636.75 | $849 | 5.8× |
| Esophagram (74220) range across 3 matching MRF lines |
$1,179–$1,323.75 | $1,572–$1,765 | varies |
| Fetal Biophys Profile W/Nst (76818) | $1,805.25 | $2,407 | 16.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,248 | $1,664 | 11.4× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$1,584–$1,952.25 | $2,112–$2,603 | varies |
| Follow-Up Angiography (75898) | $2,713.50 | $3,618 | 0.8× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$491.25–$1,006.50 | $655–$1,342 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$606–$1,534.50 | $808–$2,046 | varies |
| Gastric emptying imaging study (78264) | $2,186.25 | $2,915 | 5.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$3,305.25–$3,590.25 | $4,407–$4,787 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$442.50–$1,080.75 | $590–$1,441 | varies |
| Hepatobil Syst Image W/Drug (78227) | $4,463.25 | $5,951 | 7.9× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$4,692.75–$4,824.75 | $6,257–$6,433 | varies |
| Ht Musc Image Planar Mult (78454) | $6,403.50 | $8,538 | 4.7× |
| Ht Muscle Image Spect Sing (78451) | $6,403.50 | $8,538 | 4.7× |
| Infant hip ultrasound, limited static exam (76886) | $1,491.75 | $1,989 | 16.4× |
| K Flow/Funct Image Multiple (78709) | $3,418.50 | $4,558 | 6.0× |
| K Flow/Funct Image W/Drug (78708) | $2,960.25 | $3,947 | 5.2× |
| K Flow/Funct Image W/O Drug (78707) | $2,633.25 | $3,511 | 4.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$623.25–$1,600.50 | $831–$2,134 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,195.75 | $4,261 | 7.7× |
| Lung perfusion differential (78597) | $3,273.75 | $4,365 | 7.8× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$3,103.50–$3,327 | $4,138–$4,436 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$2,352.75–$2,462.25 | $3,137–$3,283 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,842.50–$3,433.50 | $3,790–$4,578 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$5,570.25–$7,028.25 | $7,427–$9,371 | varies |
| Mammary ductogram or galactogram multiple (77054) | $2,164.50 | $2,886 | 8.7× |
| Mammary ductogram or galactogram single (77053) | $2,164.50 | $2,886 | 8.7× |
| Meckels Divert Exam (78290) | $2,391.75 | $3,189 | 5.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $47.25 | $63 | 1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $488.25 | $651 | 4.9× |
| Mr safety implt pos&/immoblj (76019) | $639.75 | $853 | 10.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $965.25 | $1,287 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$5,637–$9,783.75 | $7,516–$13,045 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$5,385.75–$11,346.75 | $7,181–$15,129 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$6,366.75–$9,946.50 | $8,489–$13,262 | varies |
| MRA neck w contrast (70548) | $9,946.50 | $13,262 | 27.3× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$5,385.75–$10,740 | $7,181–$14,320 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$5,613.75–$11,346.75 | $7,485–$15,129 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$7,055.25–$11,309.25 | $9,407–$15,079 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,953.50–$9,726.75 | $7,938–$12,969 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,354.50–$8,477.25 | $5,806–$11,303 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$5,416.50–$11,764.50 | $7,222–$15,686 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,614.75–$10,860 | $6,153–$14,480 | varies |
| MRI bone marrow blood supply (77084) | $5,835 | $7,780 | 23.4× |
| MRI brain functional w/o physician admnistration (70554) | $5,953.50 | $7,938 | 23.9× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$5,597.25–$5,698.50 | $7,463–$7,598 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$3,852–$5,375.25 | $5,136–$7,167 | varies |
| MRI cardiac w/o cont stress (75559) | $5,856 | $7,808 | 10.3× |
| MRI cardiac w/o contrast (75557) | $4,972.50 | $6,630 | 20.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,262.75–$10,607.25 | $3,017–$14,143 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$4,986–$12,014.25 | $6,648–$16,019 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,808.25–$4,888.50 | $6,411–$6,518 | varies |
| MRI chest with contrast (71551) | $6,344.25 | $8,459 | 7.7× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$4,542–$6,273 | $6,056–$8,364 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,615.50–$10,622.25 | $6,154–$14,163 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$5,157.75–$11,016 | $6,877–$14,688 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$5,416.50–$8,241.75 | $7,222–$10,989 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$1,941.75–$13,210.50 | $2,589–$17,614 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$6,294.75–$16,650 | $8,393–$22,200 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,878.25–$9,390 | $5,171–$12,520 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$5,940–$11,102.25 | $7,920–$14,803 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$5,385.75–$9,783.75 | $7,181–$13,045 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$6,492–$7,512 | $8,656–$10,016 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,521.75–$8,415 | $6,029–$11,220 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,255.75–$5,831.25 | $4,341–$7,775 | varies |
| MRI spectroscopy (76390) | $8,718.75 | $11,625 | 95.9× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$5,766.75–$12,324 | $7,689–$16,432 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$7,058.25–$10,902.75 | $9,411–$14,537 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$5,316–$9,775.50 | $7,088–$13,034 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$5,931–$14,168.25 | $7,908–$18,891 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$5,384.25–$16,311 | $7,179–$21,748 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,551–$9,773.25 | $10,068–$13,031 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,361–$11,166.75 | $3,148–$14,889 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$5,713.50–$10,557.75 | $7,618–$14,077 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$5,015.25–$11,724.75 | $6,687–$15,633 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$6,294.75–$16,524.75 | $8,393–$22,033 | varies |
| Myelogram cervical (72240) | $2,679 | $3,572 | 3.3× |
| Myelogram Lumbar (72265) | $3,243.75 | $4,325 | 4.0× |
| Myelography thoracic (72255) | $3,317.25 | $4,423 | 4.1× |
| Myelograpy 2/more regions rs&i (72270) | $4,077 | $5,436 | 5.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $7,049.25 | $9,399 | 16.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$14,588.25–$16,855.50 | $19,451–$22,474 | varies |
| N-invas est c ffr sw aly CTA (75580) | $7,308.75 | $9,745 | 8.2× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$634.50–$1,224 | $846–$1,632 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$934.50–$1,074.75 | $1,246–$1,433 | varies |
| Nuclear Rx Intra-Arterial (79445) | $919.50 | $1,226 | 3.8× |
| Nuclear Rx Oral Admin (79005) | $1,274.25 | $1,699 | 5.2× |
| Panoramic X-ray of jaws (70355) | $748.50 | $998 | 8.2× |
| Parathyroid Planar Imaging (78070) | $2,644.50 | $3,526 | 6.3× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$2,936.25–$3,176.25 | $3,915–$4,235 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$444.75–$1,745.25 | $593–$2,327 | varies |
| Perineogram (74775) | $1,374 | $1,832 | 5.5× |
| Peritoneogram Rs&I (74190) | $906.75 | $1,209 | 1.6× |
| Pet Image W/Ct Lmtd (78814) | $13,885.50 | $18,514 | 9.3× |
| PET image w/CT, full body (78816) | $13,885.50 | $18,514 | 9.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $13,885.50 | $18,514 | 9.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,374.50 | $3,166 | 5.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$885–$1,903.50 | $1,180–$2,538 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,103.75 | $2,805 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$580.50–$1,802.25 | $774–$2,403 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$507.75–$1,204.50 | $677–$1,606 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$600–$1,790.25 | $800–$2,387 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$838.50–$1,801.50 | $1,118–$2,402 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$491.25–$1,231.50 | $655–$1,642 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$580.50–$1,722 | $774–$2,296 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$531–$1,660.50 | $708–$2,214 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$536.25–$702.75 | $715–$937 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $554.25 | $739 | 5.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$534–$1,179 | $712–$1,572 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$693.75–$1,478.25 | $925–$1,971 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$660.75–$1,773 | $881–$2,364 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $319.50 | $426 | 3.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$613.50–$912 | $818–$1,216 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$803.25–$1,275.75 | $1,071–$1,701 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$957.75–$1,131.75 | $1,277–$1,509 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$374.25–$1,043.25 | $499–$1,391 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $547.50 | $730 | 5.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$580.50–$1,815.75 | $774–$2,421 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$1,021.50–$2,379.75 | $1,362–$3,173 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$884.25–$1,104.75 | $1,179–$1,473 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,542–$2,307.75 | $2,056–$3,077 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,198.50–$1,740 | $1,598–$2,320 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,090.50 | $1,454 | 6.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$732.75–$1,437.75 | $977–$1,917 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$660.75–$1,023.75 | $881–$1,365 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$1,038–$1,962.75 | $1,384–$2,617 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$1,101–$1,328.25 | $1,468–$1,771 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,037.25–$1,887.75 | $1,383–$2,517 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$642.75–$1,644.75 | $857–$2,193 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$532.50–$1,698.75 | $710–$2,265 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$521.25–$1,407.75 | $695–$1,877 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$1,006.50–$1,190.25 | $1,342–$1,587 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$570.75–$1,193.25 | $761–$1,591 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$877.50–$2,082 | $1,170–$2,776 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$2,097.75–$2,283.75 | $2,797–$3,045 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,844.25 | $6,459 | 11.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,247.25 | $9,663 | 12.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,834.25–$3,293.25 | $3,779–$4,391 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,942.25–$7,247.25 | $3,923–$9,663 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,247.25 | $9,663 | 5.4× |
| Scapula (73010) range across 3 matching MRF lines |
$650.25–$1,887.75 | $867–$2,517 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $373.50 | $498 | 16.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$610.50–$1,152 | $814–$1,536 | varies |
| Shoulder Arthrography (73040) | $2,090.25 | $2,787 | 5.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$661.50–$726 | $882–$968 | varies |
| Special dosimetry (77331) | $1,232.25 | $1,643 | 8.8× |
| Special Physics Consult (77370) | $1,243.50 | $1,658 | 8.9× |
| Special treatment procedure (77470) | $4,134 | $5,512 | 7.2× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$581.25–$1,034.25 | $775–$1,379 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,655.75 | $7,541 | 14.5× |
| Testicular Imaging W/Flow (78761) | $4,456.50 | $5,942 | 10.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,667 | $3,556 | 6.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $4,756.50 | $6,342 | 12.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,696.50 | $2,262 | 12.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$716.25–$1,398.75 | $955–$1,865 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$1,033.50–$1,934.25 | $1,378–$2,579 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$1,413–$1,663.50 | $1,884–$2,218 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$2,046–$2,189.25 | $2,728–$2,919 | varies |
| Thyroid Met Imaging Body (78018) | $4,226.25 | $5,635 | 7.5× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$3,176.25–$3,669.75 | $4,235–$4,893 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,881.50 | $3,842 | 6.9× |
| Tx Devices Design & Construction Complex (77334) | $1,533 | $2,044 | 3.9× |
| Tx devices design & construction intermediate (77333) | $1,803.75 | $2,405 | 12.9× |
| Tx devices design & construction simple (77332) | $1,314 | $1,752 | 9.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,005.75–$1,157.25 | $1,341–$1,543 | varies |
| Ultrasound elastography first target lesion (76982) | $436.50 | $582 | 4.0× |
| Ultrasound Elastography Parenchyma (76981) | $436.50 | $582 | 4.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$987–$1,656.75 | $1,316–$2,209 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,764 | $2,352 | 19.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$840.75–$1,139.25 | $1,121–$1,519 | varies |
| Ureteral Reflux Study (78740) | $2,734.50 | $3,646 | 6.6× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,346.25–$1,359 | $1,795–$1,812 | varies |
| Urethrocystography retrograde (74450) | $1,660.50 | $2,214 | 6.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$915–$1,238.25 | $1,220–$1,651 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$880.50–$1,101.75 | $1,174–$1,469 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$784.50–$3,609.75 | $1,046–$4,813 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$1,218–$1,578 | $1,624–$2,104 | varies |
| Us head (76506) | $1,446.75 | $1,929 | 13.3× |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$1,278–$1,605 | $1,704–$2,140 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$575.25–$2,603.25 | $767–$3,471 | varies |
| Us ob detailed single fetus (76811) | $575.25 | $767 | 2.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$661.50–$1,229.25 | $882–$1,639 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,665–$1,965.75 | $2,220–$2,621 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$1,656.75–$2,540.25 | $2,209–$3,387 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$524.25–$1,352.25 | $699–$1,803 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,098.75–$1,518 | $1,465–$2,024 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,097.25–$1,329.75 | $1,463–$1,773 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$1,161.75–$2,055.75 | $1,549–$2,741 | varies |
| Us spinal canal and contents (76800) | $1,861.50 | $2,482 | 17.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,116.75–$1,284 | $1,489–$1,712 | varies |
| Vein X-Ray Chest (75827) | $4,735.50 | $6,314 | 2.9× |
| Venogram Sinus/Jugular (75860) | $5,286 | $7,048 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $4,512 | $6,016 | 1.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$12,754.50–$13,773.75 | $17,006–$18,365 | varies |
| Venography extremity unilateral rs&i (75820) | $4,017.75 | $5,357 | 2.4× |
| Venography Renal Bilateral (75833) | $11,837.25 | $15,783 | 3.6× |
| Venography Renal Unilateral (75831) | $6,474 | $8,632 | 2.0× |
| Venous sampling by catheter (75893) | $18,501 | $24,668 | 3.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$534.75–$1,188.75 | $713–$1,585 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$639–$799.50 | $852–$1,066 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,640 | $3,520 | 7.2× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$11,958.75–$15,190.50 | $15,945–$20,254 | varies |
| X-Ray Bend Only L-S Spine (72120) | $705 | $940 | 6.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$491.25–$1,222.50 | $655–$1,630 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$732–$890.25 | $976–$1,187 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$2,061–$2,572.50 | $2,748–$3,430 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$1,017.75–$2,185.50 | $1,357–$2,914 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$1,021.50–$2,379.75 | $1,362–$3,173 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$387.75–$2,058 | $517–$2,744 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$348.75–$1,329.75 | $465–$1,773 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$661.50–$1,405.50 | $882–$1,874 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$1,194–$1,407.75 | $1,592–$1,877 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$1,273.50–$1,419.75 | $1,698–$1,893 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$1,194–$1,497 | $1,592–$1,996 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$615–$3,367.50 | $820–$4,490 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$732.75–$1,578.75 | $977–$2,105 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$725.25–$1,176.75 | $967–$1,569 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$855–$1,912.50 | $1,140–$2,550 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$388.50–$648.75 | $518–$865 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$493.50–$1,146 | $658–$1,528 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,782.75–$1,995.75 | $2,377–$2,661 | varies |
| X-ray IV pyelogram+tomography (74415) | $2,169.75 | $2,893 | 11.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$706.50–$957 | $942–$1,276 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$1,023.75–$1,280.25 | $1,365–$1,707 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$1,021.50–$1,824.75 | $1,362–$2,433 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$389.25–$528.75 | $519–$705 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$1,060.50–$1,328.25 | $1,414–$1,771 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$871.50–$1,128.75 | $1,162–$1,505 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$620.25–$1,494.75 | $827–$1,993 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$696.75–$1,452 | $929–$1,936 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$1,116–$1,350 | $1,488–$1,800 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$1,396.50–$1,605 | $1,862–$2,140 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$563.25–$564 | $751–$752 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,264.25 | $3,019 | 6.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$660–$907.50 | $880–$1,210 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$834–$1,932 | $1,112–$2,576 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$827.25–$2,640 | $1,103–$3,520 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$853.50–$1,278.75 | $1,138–$1,705 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $554.25 | $739 | 5.1× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$831.75–$1,169.25 | $1,109–$1,559 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$1,035.75–$1,524 | $1,381–$2,032 | varies |
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.