Imaging prices at Desoto Memorial Hospital

Arcadia, FL · every code in this section with a posted price and a Medicare benchmark.

244 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $224 $448 2.5×
Abdomen 2 views (74019) $663.50 $1,327 6.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $814 $1,628 1.9×
Ankle 2 views (73600) $342 $684 3.8×
Arthrogram hip (73525) $484 $968 1.3×
Bone age studies (77072) $336.50 $673 3.1×
Bone Imaging 3 Phase (78315) $1,178.50 $2,357 2.8×
Bone Imaging Limited Area (78300) $814 $1,628 1.9×
Bone Imaging Whole Body (78306) $1,106 $2,212 2.6×
Bone survey infant (77076) $409 $818 3.7×
Cat Scan Follow-Up Study (76380) $1,769 $3,538 19.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $701 $1,402 1.2×
Chest 1 view (71045) $224 $448 2.5×
Chest 2 views (71046) $342 $684 3.8×
Chest 3 views (71047) $414 $828 4.6×
Chest 4 or more views (71048) $489.50 $979 4.5×
Cholecystography Oral Contrast (74290) $409 $818 2.2×
Clavicle complete (73000) $414 $828 4.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,106 $2,212 10.1×
Contrast X-Ray Bladder (74430) $409 $818 1.1×
Contrast X-Ray Of Elbow (73085) $814 $1,628 2.2×
Contrast X-Ray Of Knee Joint (73580) $591 $1,182 1.6×
Contrast Xray Throat/Cerv Esopha (74210) $298.50 $597 1.6×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$1,989–$3,606 $3,978–$7,212 varies
CT abdomen and pelvis without contrast (74176) $3,018 $6,036 12.1×
CT abdomen w contrast (74160) $1,916 $3,832 10.5×
CT abdomen w wo contrast (74170) $2,061 $4,122 11.3×
CT abdomen w/o contrast (74150) $1,769 $3,538 16.2×
CT Angio Abdomen and Pelvis (74174) $3,606 $7,212 9.9×
CT Angio Chest (71275) $2,061 $4,122 11.3×
CT Angio Head (70496) $2,061 $4,122 11.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,061 $4,122 11.3×
CT Angio Neck (70498) $2,061 $4,122 11.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,989 $3,978 10.9×
CT cervical spine w/ contrast (72126) $1,841 $3,682 5.1×
CT cervical spine w/o contrast (72125) $1,769 $3,538 16.2×
CT cervical spine w/wo cont (72127) $2,061 $4,122 11.3×
CT chest w contrast (71260) $1,916 $3,832 10.5×
CT chest w/wo contrast (71270) $2,061 $4,122 11.3×
CT head/brain with contrast (70460) $1,916 $3,832 10.5×
CT head/brain without and with contrast (70470) $2,061 $4,122 11.3×
CT iac w contrast (70481)
range across 2 matching MRF lines
$1,841–$1,916 $3,682–$3,832 varies
CT l-spine w&w/o contrast (72133) $2,061 $4,122 11.3×
CT lower ext w/o (73700) $1,769 $3,538 16.2×
CT lower extremity w/contrast material (73701) $1,916 $3,832 10.5×
CT lumbar spine w contrast (72132) $1,841 $3,682 5.1×
CT lumbar spine w/o contrast (72131) $1,769 $3,538 16.2×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$1,841–$1,916 $3,682–$3,832 varies
CT maxillofacial wo contrast (70486) $1,769 $3,538 16.2×
CT neck tissue combo (70492) $2,061 $4,122 11.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,989 $3,978 10.9×
CT orbits w/o contrast (70480) $1,769 $3,538 16.2×
CT pelvis w&w/o contrast (72194) $2,061 $4,122 11.3×
CT pelvis w/o contrast (72192) $1,769 $3,538 16.2×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,989–$2,061 $3,978–$4,122 varies
CT scans face/jaw combo (70488) $1,989 $3,978 10.9×
CT soft tissue neck w contrast (70491) $1,916 $3,832 10.5×
CT soft tissue neck w/o contrast (70490) $1,769 $3,538 16.2×
CT thoracic spine w contrast (72129) $1,841 $3,682 10.1×
CT thoracic spine w/o contrast (72128) $1,769 $3,538 16.2×
CT thoracic spine w/wo cont (72130) $2,061 $4,122 11.3×
CT thorax w/o contrast (71250) $1,769 $3,538 16.2×
CT upper ext wo (73200) $1,769 $3,538 16.2×
CT upper extremity w/o & w/contrast material (73202) $1,989 $3,978 10.9×
CT upper extremity with contrast (73201) $1,916 $3,832 5.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,061 $4,122 11.3×
Cta Abdomen (74175) $2,061 $4,122 11.3×
CTA pelvis (72191) $1,989 $3,978 10.9×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$224–$443.50 $448–$887 varies
Dxa bone density study (77085) $443.50 $887 4.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $224 $448 2.5×
Echo exam uterus (76831) $371 $742 1.5×
Esophagram (74220) $496 $992 2.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $533.50 $1,067 4.9×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$663.50–$886 $1,327–$1,772 varies
Foot 2 views (73620) $342 $684 3.8×
Forearm 2 views (73090) $342 $684 3.8×
Gastric emptying imaging study (78264) $961 $1,922 2.3×
Gated Heart Planar Single (78472) $886 $1,772 2.1×
Gated Heart, Multiple (78473) $1,059.50 $2,119 2.5×
Hand 2 views (73120) $342 $684 3.1×
Hepatobil Syst Image W/Drug (78227) $886 $1,772 1.6×
Hepatobiliary System Imaging (78226) $886 $1,772 2.1×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$1,473–$1,549 $2,946–$3,098 varies
Hysterosalpingogram (74740) $591 $1,182 2.4×
K Flow/Funct Image Multiple (78709) $738.50 $1,477 1.3×
K Flow/Funct Image W/Drug (78708) $631.50 $1,263 1.1×
K Flow/Funct Image W/O Drug (78707) $814 $1,628 1.4×
Knee 3 Views (73562) $414 $828 4.6×
Liver & Spleen Imaging Static Only (78215) $663.50 $1,327 1.6×
Lung perfusion differential (78597) $686.50 $1,373 1.6×
Lung Ventilat&Perfus Imaging (78582) $2,208 $4,416 3.9×
Lung Ventilation Imaging (78579) $814 $1,628 1.9×
Magnetic Image Jaw Joint (70336) $2,133.50 $4,267 8.6×
Meckels Divert Exam (78290) $692.50 $1,385 1.7×
Mra Head W/O & W/Contrast Material (70546) $2,503.50 $5,007 6.9×
MRA head w/o contrast (70544) $2,208 $4,416 8.9×
MRA head with contrast (70545) $2,431 $4,862 6.7×
MRA neck w contrast (70548) $2,356 $4,712 6.5×
Mra Neck W/O &W/Contrast Material (70549) $2,503.50 $5,007 6.9×
MRA neck w/o contrast (70547) $2,208 $4,416 8.9×
MRI abdomen w contrast (74182) $2,431 $4,862 6.7×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$2,133.50–$2,208 $4,267–$4,416 varies
MRI any jt lower extrem w/contrast material (73722) $2,356 $4,712 2.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,503.50–$2,575.50 $5,007–$5,151 varies
MRI any jt upper extremity w/contrast matrl (73222) $2,356 $4,712 2.9×
MRI bone marrow blood supply (77084) $2,133.50 $4,267 8.6×
MRI cervical spine w contrast (72142) $2,431 $4,862 6.7×
MRI cervical spine w/o cont (72141) $2,208 $4,416 8.9×
MRI chest w/o contrast (71550) $2,133.50 $4,267 8.6×
MRI chest with contrast (71551) $2,356 $4,712 2.9×
MRI chest wo w contrast (71552) $2,503.50 $5,007 6.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$2,356–$2,431 $4,712–$4,862 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,503.50–$2,575.50 $5,007–$5,151 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,208 $4,416 8.9×
MRI lumbar spine w contrast (72149) $2,356 $4,712 6.5×
Mri Neck Spine W/O & W/Dye (72156) $2,575.50 $5,151 7.1×
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines
$2,133.50–$2,208 $4,267–$4,416 varies
MRI orbit face neck w contrast (70542) $2,356 $4,712 6.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,503.50 $5,007 6.9×
MRI pelvis w contrast (72196) $2,356 $4,712 6.5×
MRI pelvis w/o & w contrast (72197) $2,575.50 $5,151 7.1×
MRI pelvis w/o contrast (72195) $2,208 $4,416 8.9×
MRI thoracic spine w/o contrast (72146) $2,208 $4,416 8.9×
MRI upper extremity oth than jt w/contr matrl (73219) $2,356 $4,712 6.5×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$2,133.50–$2,208 $4,267–$4,416 varies
Mri Uppr Extremity W/O&W/Dye (73220) $2,503.50 $5,007 6.9×
MRI, abdomen, combo (74183) $2,575.50 $5,151 7.1×
MRI, dorsal spine combo (72157) $2,575.50 $5,151 7.1×
MRI, dorsal spine contrast (72147) $2,356 $4,712 6.5×
MRI, joint upper extrem (73221) $2,208 $4,416 8.9×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$2,503.50–$2,575.50 $5,007–$5,151 varies
MRI, lumbar spine combo (72158) $2,575.50 $5,151 7.1×
Myocardial Spect Multiple Studies (78452) $3,018 $6,036 2.2×
Neck soft tissue (70360) $342 $684 3.8×
Parathyroid Planar Imaging (78070) $886 $1,772 2.1×
Pelvis 1 or 2 views (72170) $342 $684 3.1×
Pulmonary Perfusion Imaging Particulate (78580) $738.50 $1,477 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $663.50 $1,327 6.1×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 3 matching MRF lines
$443.50–$585.50 $887–$1,171 varies
Radex Ankle Complete Minimum 3 Views (73610) $414 $828 4.6×
Radex Calcaneus Minimum 2 Views (73650) $342 $684 3.8×
Radex elbow complete minimum 3 views (73080) $414 $828 4.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $414 $828 3.8×
Radex fingr minimum 2 views (73140) $342 $684 3.8×
Radex foot complete minimum 3 views (73630) $414 $828 4.6×
Radex Hand Minimum 3 Views (73130) $414 $828 4.6×
Radex lower extremity infant minimum 2 views (73592) $336.50 $673 3.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $409 $818 3.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $414 $828 4.6×
Radex Ribs Unilateral 2 Views (71100) $342 $684 3.8×
Radex shoulder complete minimum 2 views (73030) $342 $684 3.8×
Radex Sinuses Paransl < 3 Views (70210) $336.50 $673 3.7×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$298.50–$302 $597–$604 varies
Radex Sternum Minimum 2 Views (71120) $342 $684 3.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $443.50 $887 4.9×
Radex Toe Minimum 2 Views (73660) $342 $684 3.8×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$336.50–$342 $673–$684 varies
Radex Wrist Complete Minimum 3 Views (73110) $414 $828 4.6×
Radiolog exam mandible compl minimum 4 views (70110) $489.50 $979 4.5×
Radiologic exam colon double contrast study (74280) $814 $1,628 4.4×
Radiologic exam colon single contrast study (74270) $814 $1,628 4.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $556 $1,112 3.0×
Radiologic exam knee complete 4/more views (73564) $484 $968 4.4×
Radiologic exam pelvis compl minimum 3 views (72190) $489.50 $979 4.5×
Radiologic Exam Small Int Single Contrast Study (74250) $886 $1,772 4.8×
Radiologic exam swallow function contrast study (74230) $171.50 $343 0.9×
Radiologic exam upr gi trc double contrast study (74246) $663.50 $1,327 3.6×
Radiologic examination femur minimum 2 views (73552) $342 $684 3.8×
Radiologic examination knee 1/2 views (73560) $342 $684 3.8×
Radiologic examination tibia & fibula 2 views (73590) $342 $684 3.8×
Ribs bilateral 3 views (71110) $414 $828 3.8×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines
$631.50–$1,326 $1,263–$2,652 varies
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $773.50 $1,547 1.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,473 $2,946 2.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,450 $2,900 2.6×
Scapula (73010) $414 $828 3.8×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
$79–$113.50 $158–$227 varies
Shoulder Arthrography (73040) $591 $1,182 1.6×
Skull less than 4 views (70250) $414 $828 3.8×
Sternoclavicular joints (71130) $409 $818 4.5×
Testicular Imaging W/Flow (78761) $568 $1,136 1.4×
Thoracic spine 3 views (72072) $319 $638 2.9×
Thoracolumbar 2 views (72080) $336.50 $673 3.7×
Thyroid Imaging With Vascular Flow (78013) $518.50 $1,037 1.2×
Thyroid Uptake Measurement (78012) $591 $1,182 1.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $886 $1,772 2.1×
Ultrasound Exam Aaa Screen (76706) $533.50 $1,067 4.9×
Ultrasound, abdomen limited (76705) $533.50 $1,067 4.9×
Unlisted Dx Radiographic Procedure (76499) $443.50 $887 4.9×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$591–$663.50 $1,182–$1,327 varies
Urethrocystogram voiding (74455) $484 $968 1.9×
Urethrocystography retrograde (74450) $484 $968 1.9×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$518.50–$738.50 $1,037–$1,477 varies
Us chest (76604)
range across 2 matching MRF lines
$518.50–$533.50 $1,037–$1,067 varies
Us complete joint (76881) $533.50 $1,067 4.9×
Us exam, pelvic, limited (76857) $518.50 $1,037 4.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $533.50 $1,067 4.9×
Us ob detailed single fetus (76811) $533.50 $1,067 2.1×
Us ob limited 1 or more fetuses (76815) $518.50 $1,037 4.7×
Us ob transvaginal (76817) $533.50 $1,067 4.9×
Us pelvic non ob complete (76856) $533.50 $1,067 4.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $533.50 $1,067 4.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $533.50 $1,067 4.9×
Us retroperitoneal complete (76770) $533.50 $1,067 4.9×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$518.50–$533.50 $1,037–$1,067 varies
Us scrotum and contents (76870) $533.50 $1,067 4.9×
Us spinal canal and contents (76800) $533.50 $1,067 4.9×
Us thyroid (76536) $533.50 $1,067 4.9×
Us transrectal (76872) $533.50 $1,067 4.9×
Venography caval inferior serialography rs&i (75825) $3,305 $6,610 1.0×
Venography extremity bilateral rs&i (75822) $871.50 $1,743 0.5×
Venography extremity unilateral rs&i (75820) $1,624.50 $3,249 1.0×
Wrist 2 views (73100) $342 $684 3.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $371 $742 4.1×
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines
$409–$518.50 $818–$1,037 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $342 $684 3.8×
X-Ray Exam Breast Specimen (76098) $552 $1,104 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $414 $828 3.8×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$209–$224 $418–$448 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $342 $684 3.8×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$298.50–$342 $597–$684 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $489.50 $979 4.5×
X-Ray Exam Hips Bi 5/> Views (73523) $498.50 $997 4.6×
X-Ray Exam L-S Spine Bending (72114) $489.50 $979 4.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $414 $828 4.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $489.50 $979 4.5×
X-Ray Exam Unilat Ribs/Chest (71101) $414 $828 3.8×
X-ray humerus (73060) $342 $684 3.8×
X-ray IV pyelogram (ivp) (74400) $738.50 $1,477 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $414 $828 4.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $342 $684 3.1×
X-ray nose-rectum child f.b. (76010) $414 $828 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $489.50 $979 4.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $443.50 $887 4.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $342 $684 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $414 $828 4.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $489.50 $979 4.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $591 $1,182 1.6×
X-Rays Bone Length Studies (77073) $443.50 $887 4.1×
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$336.50–$663.50 $673–$1,327 varies
Xr c-spine 4 or 5 views (72050) $489.50 $979 4.5×
Xr facial bones less than 3 views (70140) $342 $684 3.8×
Xr orbits complete 4 views (70200) $414 $828 3.8×

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.