Imaging prices at Doctors Hospital
Augusta, GA · every code in this section with a posted price and a Medicare benchmark.
337 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $13,170.24 | $13,170.24 | 10.8× |
| Abdomen 2 views (74019) | $1,111.63 | $1,111.63 | 12.1× |
| Acute gastrointestinal blood loss imaging (78278) | $4,282.45 | $4,282.45 | 12.2× |
| Angiography extremity bilateral rs&i (75716) | $14,251.62 | $14,251.62 | 5.1× |
| Angiography extremity unilateral rs&i (75710) | $10,299.99 | $10,299.99 | 3.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $24,750.72 | $24,750.72 | 8.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $24,750.72 | $24,750.72 | 8.9× |
| Angiography Spinal Selective Rs&I (75705) | $21,952.17 | $21,952.17 | 4.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,995.75 | $7,995.75 | 1.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $7,633.57 | $7,633.57 | 2.7× |
| Ankle 2 views (73600) | $925.52 | $925.52 | 12.1× |
| Antegrade urography radiological supvj & interpj (74425) | $2,880 | $2,880 | 9.4× |
| Aortogram thoracic (75605) | $21,952.17 | $21,952.17 | 4.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $10,175.08 | $10,175.08 | 3.7× |
| Aortography abdominal serialography rs&i (75625) | $10,620.40 | $10,620.40 | 3.8× |
| Arthrogram elbow (73085) | $1,713.34 | $1,713.34 | 5.6× |
| Arthrogram hip (73525) | $2,639.05 | $2,639.05 | 8.6× |
| Arthrogram shoulder (73040) | $4,276.07 | $4,276.07 | 13.9× |
| Arthrogram wrist (73115) | $1,713.34 | $1,713.34 | 5.6× |
| Arthrography knee lt (73580) | $1,777.83 | $1,777.83 | 5.8× |
| Basic radiation dosimetry calculation (77300) | $1,500.18 | $1,500.18 | 12.7× |
| Bone &/Joint Imaging Limited Area (78300) | $3,658.23 | $3,658.23 | 10.4× |
| Bone &/joint imaging whole body (78306) | $5,140.21 | $5,140.21 | 14.6× |
| Bone age studies (77072) | $835.06 | $835.06 | 9.1× |
| Bone Imaging 3 Phase (78315) | $6,662.65 | $6,662.65 | 18.9× |
| Bone survey complete (77075) | $3,105.29 | $3,105.29 | 33.8× |
| Brachytx isodose intermed (77317) | $3,910.83 | $3,910.83 | 11.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $2,831.92 | $2,831.92 | 8.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $13,139.23 | $13,139.23 | 10.4× |
| Brain Imaging Vascular Flow Only (78610) | $2,053.26 | $2,053.26 | 4.3× |
| Cervical spine 2 or 3 views (72040) | $1,513.50 | $1,513.50 | 19.8× |
| Chest 1 view (71045) | $922.03 | $922.03 | 12.0× |
| Chest 3 views (71047) | $1,494.36 | $1,494.36 | 19.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,666.61 | $1,666.61 | 10.8× |
| Cineradiography/videoradiography (76120) | $915.96 | $915.96 | 10.0× |
| Clavicle complete (73000) | $1,122.08 | $1,122.08 | 14.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $139.33 | $139.33 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $2,162.99 | $2,162.99 | 18.3× |
| CT abdomen and pelvis without and with contrast (74178) | $18,074.39 | $18,074.39 | 58.9× |
| CT abdomen and pelvis without contrast (74176) | $13,823.23 | $13,823.23 | 65.9× |
| CT abdomen w contrast (74160) | $8,510.50 | $8,510.50 | 55.2× |
| CT abdomen w wo contrast (74170) | $9,244.29 | $9,244.29 | 59.9× |
| CT abdomen w/o contrast (74150) | $7,946.27 | $7,946.27 | 86.4× |
| CT angio hrt w/3d image (75574) | $1,135.26 | $1,135.26 | 3.7× |
| CT angiography upper extremity lt (73206) | $1,826.36 | $1,826.36 | 11.8× |
| CT c-spine w/o contrast (72125) | $8,247.97 | $8,247.97 | 89.7× |
| CT cervical spine with contrast (72126) | $8,670.29 | $8,670.29 | 28.3× |
| CT chest w/wo contrast (71270) | $8,163.16 | $8,163.16 | 52.9× |
| CT chest with contrast (71260) | $7,775.07 | $7,775.07 | 50.4× |
| CT head/brain with contrast (70460) | $6,265.07 | $6,265.07 | 40.6× |
| CT head/brain without and with contrast (70470) | $7,320.12 | $7,320.12 | 47.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $275.60 | $275.60 | 3.6× |
| CT hrt w/3d image congen (75573) | $1,135.26 | $1,135.26 | 3.7× |
| CT iac w contrast (70481) | $3,802.75 | $3,802.75 | 24.6× |
| CT limited/localized follow up study (76380) | $1,963.74 | $1,963.74 | 25.7× |
| CT lower ext w/o (73700) | $1,925.82 | $1,925.82 | 20.9× |
| CT lower extremity w wo contrast (73702) | $5,356.76 | $5,356.76 | 34.7× |
| CT lower extremity with contrast (73701) | $5,945.46 | $5,945.46 | 38.5× |
| CT lumbar spine w & w/o contrast (72133) | $9,205.17 | $9,205.17 | 59.7× |
| CT lumbar spine w/o contrast (72131) | $9,961.81 | $9,961.81 | 108.3× |
| CT lumbar spine with contrast (72132) | $10,297.71 | $10,297.71 | 33.6× |
| CT maxillofacial w contrast (70487) | $3,072.21 | $3,072.21 | 19.9× |
| CT maxillofacial w/o contrast (70486) | $3,217.32 | $3,217.32 | 35.0× |
| CT maxillofacial w/wo contrast (70488) | $3,802.75 | $3,802.75 | 24.6× |
| CT neck soft tissue w contrast (70491) | $8,670.29 | $8,670.29 | 56.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $4,197.37 | $4,197.37 | 27.2× |
| CT orbits w/o contrast (70480) | $3,802.75 | $3,802.75 | 41.4× |
| CT pelvis w & w/o contrast (72194) | $8,828.48 | $8,828.48 | 57.2× |
| CT pelvis w/o contrast (72192) | $7,052.66 | $7,052.66 | 76.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,090.99 | $9,090.99 | 58.9× |
| CT soft tissue neck w/o contrast (70490) | $8,247.97 | $8,247.97 | 89.7× |
| CT thoracic spine w/contrast (72129) | $4,133.76 | $4,133.76 | 26.8× |
| CT thoracic spine w/o contrast (72128) | $8,241.44 | $8,241.44 | 89.6× |
| CT thoracic spine w/wo contrast (72130) | $8,670.29 | $8,670.29 | 56.2× |
| CT thorax w/o contrast (71250) | $7,109.74 | $7,109.74 | 77.3× |
| CT upper extremity w/o & w/contrast material (73202) | $7,903.88 | $7,903.88 | 51.2× |
| CT upper extremity w/o contrast rt (73200) | $6,602.60 | $6,602.60 | 71.8× |
| CT upper extremity with contrast (73201) | $6,602.60 | $6,602.60 | 21.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,864.45 | $16,864.45 | 109.3× |
| Cta Abdomen (74175) | $9,911.24 | $9,911.24 | 64.2× |
| CTA abdomen pelvis (74174) | $17,705.87 | $17,705.87 | 57.7× |
| CTA chest (71275) | $9,911.24 | $9,911.24 | 64.2× |
| Cta Head (70496) | $8,124.02 | $8,124.02 | 52.7× |
| CTA lwr ext w&w/o contrast (73706) | $3,393.44 | $3,393.44 | 22.0× |
| Cta Neck (70498) | $9,562.27 | $9,562.27 | 62.0× |
| Cta Pelvis (72191) | $7,794.61 | $7,794.61 | 50.5× |
| Cystography minimum 3 views rs&i (74430) | $1,984.84 | $1,984.84 | 6.5× |
| Diskography lumbar (72295) | $6,585.47 | $6,585.47 | 3.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,630.51 | $2,630.51 | 28.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,630.51 | $2,630.51 | 28.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,559.38 | $1,559.38 | 17.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,584.82 | $1,584.82 | 17.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,459.57 | $1,459.57 | 19.1× |
| Echo exam of fetal heart (76825) | $4,433.97 | $4,433.97 | 9.2× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $4,433.97 | $4,433.97 | 21.1× |
| Echoencephalography real time imaging (76506) | $547.53 | $547.53 | 6.0× |
| Esophagus (74220) | $1,805.77 | $1,805.77 | 11.7× |
| Fetal biophysical profile non-stress testing (76818) | $3,658.88 | $3,658.88 | 39.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,586.24 | $2,586.24 | 28.1× |
| Fluoroscopy up to 1 hr (76000) | $1,229.65 | $1,229.65 | 5.9× |
| Foot 2 views (73620) | $935.95 | $935.95 | 12.2× |
| Forearm 2 views (73090) | $1,203.85 | $1,203.85 | 15.7× |
| Hand 2 views (73120) | $767.20 | $767.20 | 8.3× |
| Hand 3 views (73130) | $1,014.22 | $1,014.22 | 13.2× |
| Heart Infarct Image (78466) | $1,416.90 | $1,416.90 | 4.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,975.19 | $10,975.19 | 4.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,941.90 | $5,941.90 | 12.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,174.43 | $5,174.43 | 14.7× |
| Ht muscle image spect sing (78451) | $12,158.54 | $12,158.54 | 10.7× |
| Humerus Min 2 Views Left (73060) | $1,102.95 | $1,102.95 | 14.4× |
| Hysterosalpingogram (74740) | $2,672.12 | $2,672.12 | 12.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $1,400.44 | $1,400.44 | 15.2× |
| Kidney imaging morphology (78700) | $3,613.08 | $3,613.08 | 10.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $2,500.06 | $2,500.06 | 5.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,111.59 | $6,111.59 | 12.8× |
| Knee 3 views (73562) | $1,224.73 | $1,224.73 | 16.0× |
| Liver & spleen imaging static only (78215) | $1,836.90 | $1,836.90 | 5.2× |
| Liver imaging static only (78201) | $2,364.61 | $2,364.61 | 5.0× |
| Liver imaging w/vascular flow (78202) | $8,082.35 | $8,082.35 | 16.9× |
| Lung perfusion differential (78597) | $2,095.31 | $2,095.31 | 6.0× |
| Lung Ventilation Imaging (78579) | $2,095.31 | $2,095.31 | 6.0× |
| Lymphoscintigraphy (78195) | $3,077.57 | $3,077.57 | 6.4× |
| Mammary ductogram or galactogram multiple (77054) | $1,236.89 | $1,236.89 | 5.9× |
| Mammary ductogram or galactogram single (77053) | $1,917.10 | $1,917.10 | 9.1× |
| Meckels Diverticulum (78290) | $5,702.15 | $5,702.15 | 16.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $590.69 | $590.69 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $18,944.59 | $18,944.59 | 57.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $80.30 | $80.30 | 3.2× |
| MRA head w & w/o contrast (70546) | $12,768.90 | $12,768.90 | 41.6× |
| MRA head w/o contrast (70544) | $9,402.02 | $9,402.02 | 44.8× |
| MRA head with contrast (70545) | $11,061.09 | $11,061.09 | 36.0× |
| MRA neck w contrast (70548) | $8,055.26 | $8,055.26 | 26.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,768.90 | $12,768.90 | 41.6× |
| MRA neck w/o contrast (70547) | $9,402.02 | $9,402.02 | 44.8× |
| MRI abdomen w contrast (74182) | $11,983.61 | $11,983.61 | 39.0× |
| MRI abdomen w/o & w/contrast material (74183) | $12,906.09 | $12,906.09 | 42.1× |
| MRI abdomen w/o contrast (74181) | $11,061.09 | $11,061.09 | 52.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,600.32 | $7,600.32 | 11.0× |
| MRI c-spine with contrast (72142) | $11,061.09 | $11,061.09 | 36.0× |
| MRI cervical spine w/o contrast (72141) | $9,402.02 | $9,402.02 | 44.8× |
| MRI chest w/o & w/contrast material (71552) | $12,906.09 | $12,906.09 | 42.1× |
| MRI chest w/o contrast (71550) | $9,656.56 | $9,656.56 | 46.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $5,930.42 | $5,930.42 | 19.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,702.69 | $3,702.69 | 12.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,600.32 | $7,600.32 | 36.2× |
| MRI orbit face &/neck w/o contrast (70540) | $9,402.02 | $9,402.02 | 44.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $12,768.90 | $12,768.90 | 41.6× |
| MRI orbit/face/neck w/contrast (70542) | $11,086.37 | $11,086.37 | 36.1× |
| MRI pelvis w/o & w/contrast material (72197) | $14,061.50 | $14,061.50 | 45.8× |
| MRI pelvis w/o contrast (72195) | $11,983.61 | $11,983.61 | 57.1× |
| MRI scan of arm joint before and after contrast (73223) | $7,600.32 | $7,600.32 | 24.8× |
| MRI scan of leg joint before and after contrast (73723) | $7,600.32 | $7,600.32 | 24.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $13,274.40 | $13,274.40 | 43.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,061.09 | $11,061.09 | 36.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $13,274.40 | $13,274.40 | 43.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,061.09 | $11,061.09 | 36.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $13,274.40 | $13,274.40 | 43.3× |
| MRI thoracic spine w/o contrast (72146) | $9,402.02 | $9,402.02 | 44.8× |
| MRI tmj (70336) | $9,402.02 | $9,402.02 | 44.8× |
| MRI upper ext joint w/o contrast (73221) | $5,531.46 | $5,531.46 | 26.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $10,642.26 | $10,642.26 | 34.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,484.79 | $7,484.79 | 35.7× |
| Myelogram Cervical (72240) | $6,281.03 | $6,281.03 | 9.1× |
| Myelogram Lumbar (72265) | $6,852.50 | $6,852.50 | 9.9× |
| Myelography 2 or more regions (72270) | $8,552.14 | $8,552.14 | 12.4× |
| Myocardial infarct spect (78469) | $1,838.90 | $1,838.90 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $19,962.24 | $19,962.24 | 17.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $3,235.30 | $3,235.30 | 4.3× |
| Neck soft tissue (70360) | $1,209.07 | $1,209.07 | 15.8× |
| Nm bone marrow wb (78104) | $2,651.05 | $2,651.05 | 7.5× |
| Nm cisternogram (78630) | $5,166.65 | $5,166.65 | 10.8× |
| Nm gastric emptying study (78264) | $6,998.88 | $6,998.88 | 19.9× |
| Nm peritoneal-venous shunt patency (78291) | $5,166.65 | $5,166.65 | 14.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $20,603.07 | $20,603.07 | 16.9× |
| Nuclear medicine of heart pumping function (78473) | $5,591.64 | $5,591.64 | 15.9× |
| Nuclear medicine study from skull base to mid-thigh (78812) | $13,139.23 | $13,139.23 | 10.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $2,630.51 | $2,630.51 | 28.6× |
| Osseous survey infant (77076) | $1,007.25 | $1,007.25 | 11.0× |
| Osseous survey limited (77074) | $1,400.44 | $1,400.44 | 15.2× |
| Parathyrd planar w/spect&CT (78072) | $3,068.23 | $3,068.23 | 6.4× |
| Parathyrd planar w/wo subtrj (78071) | $3,068.23 | $3,068.23 | 8.7× |
| Parathyroid imaging (78070) | $4,308.92 | $4,308.92 | 12.3× |
| Pelvis 1 or 2 views (72170) | $1,188.19 | $1,188.19 | 12.9× |
| Peritoneogram rs&i (74190) | $3,390.49 | $3,390.49 | 7.1× |
| PET image w/CT, skull-thigh (78815) | $13,139.23 | $13,139.23 | 10.4× |
| PET imaging CT for attenuation limited area (78814) | $13,139.23 | $13,139.23 | 10.4× |
| PET imaging for CT attenuation whole body (78816) | $13,139.23 | $13,139.23 | 10.4× |
| PET imaging limited area chest head/neck (78811) | $13,139.23 | $13,139.23 | 11.5× |
| PET whole body (78813) | $13,139.23 | $13,139.23 | 10.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $9,402.02 | $9,402.02 | 30.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $13,323.46 | $13,323.46 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,588.53 | $5,588.53 | 15.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $3,273.74 | $3,273.74 | 6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,715.61 | $2,715.61 | 5.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $245.32 | $245.32 | 3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $407.08 | $407.08 | 4.4× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,748.36 | $1,748.36 | 19.0× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,732.70 | $1,732.70 | 18.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $774.15 | $774.15 | 8.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $74,309.26 | $74,309.26 | 11.5× |
| Radiation treatment delivery 1 mev >= complex (77412) | $2,445.56 | $2,445.56 | 5.0× |
| Radiation treatment delivery 1 mev >= simple (77402) | $1,414.37 | $1,414.37 | 15.8× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $1,699.92 | $1,699.92 | 5.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,649.19 | $1,649.19 | 17.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,111.63 | $1,111.63 | 14.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,111.63 | $1,111.63 | 12.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $935.95 | $935.95 | 12.2× |
| Radiologic exam colon single contrast study (74270) | $2,959.16 | $2,959.16 | 19.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $299.73 | $299.73 | 1.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,198.92 | $1,198.92 | 7.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,273.43 | $1,273.43 | 16.6× |
| Radiological examination surgical specimen (76098) | $1,075.10 | $1,075.10 | 2.2× |
| Radiopharm Dacryocystography (78660) | $1,682.79 | $1,682.79 | 4.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $11,974.40 | $11,974.40 | 4.3× |
| Ribs bilateral 3 views (71110) | $1,924.08 | $1,924.08 | 20.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $8,074.56 | $8,074.56 | 16.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $6,229.89 | $6,229.89 | 13.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $4,659.72 | $4,659.72 | 4.1× |
| Rp therapy intra-arterial particulate admn (79445) | $1,777.75 | $1,777.75 | 8.7× |
| Sacroiliac Joints < 3 Views (72200) | $1,264.73 | $1,264.73 | 13.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $1,196.89 | $1,196.89 | 5.7× |
| Scanogram (77073) | $1,461.32 | $1,461.32 | 15.9× |
| Scapula complete (73010) | $1,210.80 | $1,210.80 | 13.2× |
| Screening digital breast tomosynthesis (77063) | $115.52 | $115.52 | 4.9× |
| Simulation intermediate (77285) | $3,788.93 | $3,788.93 | 11.5× |
| Small bowel series (74250) | $2,906.95 | $2,906.95 | 18.8× |
| Spec medical radj physics consltj (77370) | $2,933.79 | $2,933.79 | 24.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $1,208.99 | $1,208.99 | 3.7× |
| Special dosimetry (77331) | $1,500.18 | $1,500.18 | 12.7× |
| Special treatment procedure (77470) | $5,611.63 | $5,611.63 | 11.5× |
| Spine thoracic 3 views (72072) | $1,833.61 | $1,833.61 | 19.9× |
| Stereotactic body radiation delivery (77373) | $43,481.59 | $43,481.59 | 27.6× |
| Tbs Technical Calculation Only (77091) | $349.90 | $349.90 | 4.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $6,693.12 | $6,693.12 | 20.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $5,133.74 | $5,133.74 | 15.6× |
| Ther rad simulaj-aided field setting complex (77290) | $3,079.16 | $3,079.16 | 9.3× |
| Ther rad simulaj-aided field setting simple (77280) | $2,972.25 | $2,972.25 | 25.1× |
| Therapeutic Enema (74283) | $1,146.42 | $1,146.42 | 7.4× |
| Thoracolumbar 2 views (72080) | $1,256.04 | $1,256.04 | 16.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,541.14 | $1,541.14 | 4.4× |
| Thyroid uptake measurement (78012) | $2,104.64 | $2,104.64 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,521.24 | $3,521.24 | 10.0× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) | $349.90 | $349.90 | 4.6× |
| Treatment device intermediate (77333) | $2,806.55 | $2,806.55 | 23.7× |
| Treatment devices simple (77332) | $2,806.55 | $2,806.55 | 23.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $7,269.75 | $7,269.75 | 15.2× |
| Tx devices design & construction complex (77334) | $2,961.92 | $2,961.92 | 9.0× |
| Ultrasound, abdomen limited (76705) | $2,777.16 | $2,777.16 | 30.2× |
| Umbilical-artery Doppler (OB) (76820) | $1,559.38 | $1,559.38 | 17.0× |
| Unlisted magnetic resonance procedure (76498) | $4,962.77 | $4,962.77 | 64.8× |
| Upper Extremity Infant (73092) | $600.17 | $600.17 | 6.5× |
| Urethrocystography voiding (74455) | $2,858.25 | $2,858.25 | 13.6× |
| Us abdl aorta screen aaa (76706) | $797.44 | $797.44 | 8.7× |
| Us breast unilateral complete (76641) | $1,458.07 | $1,458.07 | 15.9× |
| Us breast unilateral limited (76642) | $748.53 | $748.53 | 9.8× |
| Us chest (76604) | $3,261.20 | $3,261.20 | 35.5× |
| Us fetal nuchal translucency 1st gestation (76813) | $1,559.38 | $1,559.38 | 17.0× |
| Us infant hips dynamic (76885) | $630.03 | $630.03 | 8.2× |
| Us ob detailed single fetus (76811) | $3,103.20 | $3,103.20 | 14.8× |
| Us ob transvaginal (76817) | $2,508.78 | $2,508.78 | 27.3× |
| Us pelvic non ob complete (76856) | $2,508.78 | $2,508.78 | 27.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,241 | $1,241 | 13.5× |
| Us pregnancy ltd (76815) | $1,784.74 | $1,784.74 | 19.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,508.78 | $2,508.78 | 27.3× |
| Us retroperitoneal complete (76770) | $2,526.15 | $2,526.15 | 27.5× |
| Us retroperitoneal limited (76775) | $2,315.38 | $2,315.38 | 25.2× |
| Us scrotum and contents (76870) | $2,526.15 | $2,526.15 | 27.5× |
| Us soft tissue head/neck (76536) | $2,526.15 | $2,526.15 | 27.5× |
| Us spinal canal and contents (76800) | $2,526.15 | $2,526.15 | 27.5× |
| Us transrectal (76872) | $1,119.17 | $1,119.17 | 12.2× |
| Us xtr non-vasc lmtd (76882) | $2,526.15 | $2,526.15 | 27.5× |
| Venogram extremity bilateral (75822) | $5,783.57 | $5,783.57 | 4.2× |
| Venography caval inferior serialography rs&i (75825) | $18,520.96 | $18,520.96 | 6.7× |
| Venography caval superior serialography rs&i (75827) | $13,422.57 | $13,422.57 | 9.7× |
| Venography extremity unilateral rs&i (75820) | $4,020.43 | $4,020.43 | 2.9× |
| Venography Renal Bilateral (75833) | $14,885.19 | $14,885.19 | 5.4× |
| Venography renal unilateral selective rs&i (75831) | $9,264.56 | $9,264.56 | 3.3× |
| Venography venous sinus/jugular cath rs&i (75860) | $13,994.58 | $13,994.58 | 5.0× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $23,639.26 | $23,639.26 | 4.8× |
| Vertebral fracture assessment via dxa (77086) | $1,459.57 | $1,459.57 | 19.1× |
| Wrist 2 views (73100) | $974.20 | $974.20 | 12.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,223.29 | $2,223.29 | 24.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,238.63 | $1,238.63 | 16.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,158.62 | $1,158.62 | 15.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $4,378.70 | $4,378.70 | 28.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $986.39 | $986.39 | 12.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,141.21 | $1,141.21 | 14.9× |
| X-ray exam entire spi 4/5 vw (72083) | $774.15 | $774.15 | 8.4× |
| X-ray exam hip uni 1 view (73501) | $838.51 | $838.51 | 11.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,346.50 | $1,346.50 | 17.6× |
| X-ray exam hip uni 4/> views (73503) | $873.31 | $873.31 | 9.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $774.15 | $774.15 | 8.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $774.15 | $774.15 | 8.4× |
| X-ray exam of femur 1 (73551) | $892.46 | $892.46 | 11.7× |
| X-ray eye for foreign body (70030) | $1,525.69 | $1,525.69 | 19.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,410.86 | $1,410.86 | 15.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,485.67 | $1,485.67 | 19.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,491.77 | $1,491.77 | 19.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $13,585.46 | $13,585.46 | 7.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,144.70 | $1,144.70 | 15.0× |
| X-ray IV pyelogram+drip infusn (74410) | $3,326.24 | $3,326.24 | 21.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,746.62 | $1,746.62 | 22.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,560.46 | $1,560.46 | 17.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $496.62 | $496.62 | 6.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $680.20 | $680.20 | 8.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,847.53 | $1,847.53 | 20.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,948.71 | $2,948.71 | 32.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,544.80 | $1,544.80 | 20.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,007.25 | $1,007.25 | 13.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,536.12 | $1,536.12 | 16.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,793.58 | $1,793.58 | 19.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,572.94 | $2,572.94 | 8.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,476.98 | $1,476.98 | 19.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,226.75 | $2,226.75 | 24.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,355.51 | $2,355.51 | 25.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,289.10 | $1,289.10 | 16.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,343.01 | $1,343.01 | 17.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,776.18 | $1,776.18 | 23.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $883.73 | $883.73 | 11.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,781.40 | $1,781.40 | 19.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $852.44 | $852.44 | 9.3× |
| X-Ray Spine One View - Xr Spine (72020) | $821.12 | $821.12 | 10.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,031.62 | $1,031.62 | 13.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,238.63 | $1,238.63 | 16.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,478.71 | $1,478.71 | 16.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,028.44 | $2,028.44 | 22.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $855.92 | $855.92 | 11.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,400.44 | $1,400.44 | 18.3× |
| Xr arthrogram ankle (73615) | $2,839.11 | $2,839.11 | 9.3× |
| Xr c-spine 6 or more views (72052) | $2,019.75 | $2,019.75 | 22.0× |
| Xr chest 4+ views (71048) | $1,506.56 | $1,506.56 | 16.4× |
| Xr finger(s) 2+ views (73140) | $643.67 | $643.67 | 8.4× |
| Xr shoulder 1 view (73020) | $899.40 | $899.40 | 11.7× |
| Xr spine cervical 4 or 5 views (72050) | $2,019.75 | $2,019.75 | 22.0× |
| Xr tibia/fibula 2 views (73590) | $1,203.85 | $1,203.85 | 15.7× |
| Xr tmj bilateral (70330) | $1,770.96 | $1,770.96 | 23.1× |
| Xray knee 1 or 2 views rt (73560) | $1,080.32 | $1,080.32 | 14.1× |