Imaging prices at Emory University Hospital Midtown

Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $9,945 $9,945 7.1×
Abdomen 2 views (74019) $574 $574 5.4×
Acute gastrointestinal blood loss imaging (78278) $2,418 $2,418 6.0×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $8,687 $8,687 2.7×
Angiography extremity bilateral rs&i (75716) $10,421 $10,421 3.2×
Angiography extremity unilateral rs&i (75710) $10,421 $10,421 3.2×
Angiography internal mammary rs&i (75756) $10,421 $10,421 3.2×
Angiography pelvic slctv/supraslctv rs&i (75736) $10,421 $10,421 1.8×
Angiography pulmonary bilateral slctv rs&i (75743) $10,421 $10,421 3.2×
Angiography pulmonary unilateral slctv rs&i (75741) $10,421 $10,421 3.2×
Angiography Spinal Selective Rs&I (75705) $10,421 $10,421 1.8×
Angiography visceral slctv/supraslctv rs&i (75726) $10,421 $10,421 1.8×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $2,562 $2,562 0.8×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,421 $10,421 3.2×
Ankle 2 views (73600) $351 $351 4.0×
Antegrade urography radiological supvj & interpj (74425) $1,784 $1,784 5.0×
Aortogram thoracic (75605) $10,421 $10,421 1.8×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $5,849.50 $5,849.50 1.8×
Aortography abdominal serialography rs&i (75625) $10,421 $10,421 3.2×
Aortography thoracic w/o serialography rs&i (75600) $10,421 $10,421 3.2×
Artery X-Rays Adrenal Gland (75731) $10,421 $10,421 3.2×
Arthrogram elbow (73085) $1,349 $1,349 3.8×
Arthrogram hip (73525) $1,349 $1,349 3.8×
Arthrogram shoulder (73040) $1,349 $1,349 3.8×
Arthrogram wrist (73115) $842 $842 2.4×
Arthrography knee lt (73580) $1,202 $1,202 3.4×
Basic radiation dosimetry calculation (77300) $722 $722 5.3×
Bone &/Joint Imaging Limited Area (78300) $1,309 $1,309 3.2×
Bone &/joint imaging whole body (78306) $2,117 $2,117 5.2×
Bone age studies (77072) $388 $388 3.7×
Bone Imaging 3 Phase (78315) $2,391 $2,391 5.9×
Bone Marrow Imaging Limited Area (78102) $1,109 $1,109 2.7×
Bone survey complete (77075) $506 $506 4.8×
Brachytx isodose complex (77318) $3,166.50 $3,166.50 8.3×
Brachytx isodose intermed (77317) $1,956 $1,956 5.1×
Brachytx isodose pln smpl w/dosimetry cal (77316) $722 $722 1.9×
Brain image w/flow 4 + views (78606) $2,967 $2,967 5.4×
Brain imaging < 4 static views w vascular flow (78601) $2,364 $2,364 5.8×
Brain Imaging Pet Metabolic Evaluation (78608) $10,886 $10,886 7.5×
Cardiac MRI w/w/o contrast & further seq (75561) $1,903.50 $1,903.50 5.4×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,638 $1,638 3.0×
Cervical spine 2 or 3 views (72040) $443 $443 5.0×
Chest 1 view (71045) $157.50 $157.50 1.8×
Chest 3 views (71047) $311.50 $311.50 3.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,298 $1,298 7.3×
Clavicle complete (73000) $363 $363 4.1×
Complete single session course of cranial lesion surgery using radiation (77371) $98,785 $98,785 13.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $146 $146 1.4×
Continuing medical physics consltj pr wk (77336) $1,270 $1,270 9.3×
Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) $1,061 $1,061 6.0×
CT abdomen and pelvis without and with contrast (74178) $3,935.50 $3,935.50 11.1×
CT abdomen and pelvis without contrast (74176) $1,982 $1,982 8.2×
CT abdomen w contrast (74160) $2,019.50 $2,019.50 11.3×
CT abdomen w wo contrast (74170) $2,444.50 $2,444.50 13.7×
CT abdomen w/o contrast (74150) $1,160 $1,160 10.9×
CT angio hrt w/3d image (75574) $2,447 $2,447 6.9×
CT angiography upper extremity lt (73206) $1,694 $1,694 9.5×
CT c-spine w/o contrast (72125) $1,160 $1,160 10.9×
CT cervical spine w&w/o contrast (72127) $2,486.50 $2,486.50 14.0×
CT cervical spine with contrast (72126) $2,054 $2,054 5.8×
CT chest w/wo contrast (71270) $2,522 $2,522 14.2×
CT chest with contrast (71260) $2,063.50 $2,063.50 11.6×
CT colonography screening (74263) $1,210.50 $1,210.50 5.0×
CT colonography w/dye (74262) $1,945 $1,945 10.9×
CT colonography w/o cntrst (74261) $811 $811 7.6×
CT head/brain with contrast (70460) $1,700 $1,700 9.5×
CT head/brain without and with contrast (70470) $2,072.50 $2,072.50 11.6×
CT heart contrast eval cardiac structure&morph (75572) $2,447 $2,447 6.9×
CT heart no contrast quant eval coronry calcium (75571) $90 $90 1.0×
CT hrt w/3d image congen (75573) $2,447 $2,447 6.9×
CT iac w contrast (70481) $1,778.50 $1,778.50 10.0×
CT limited/localized follow up study (76380) $1,102.50 $1,102.50 12.5×
CT lower ext w/o (73700) $1,160 $1,160 10.9×
CT lower extremity w wo contrast (73702) $2,138.50 $2,138.50 12.0×
CT lower extremity with contrast (73701) $1,768.50 $1,768.50 9.9×
CT lumbar spine w & w/o contrast (72133) $2,447 $2,447 13.7×
CT lumbar spine w/o contrast (72131) $1,160 $1,160 10.9×
CT lumbar spine with contrast (72132) $2,054 $2,054 5.8×
CT maxillofacial w contrast (70487) $1,752.50 $1,752.50 9.8×
CT maxillofacial w/o contrast (70486) $1,160 $1,160 10.9×
CT maxillofacial w/wo contrast (70488) $2,121.50 $2,121.50 11.9×
CT neck soft tissue w contrast (70491) $1,778.50 $1,778.50 10.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,133 $2,133 12.0×
CT orbits w/o contrast (70480) $1,160 $1,160 10.9×
CT pelvis w & w/o contrast (72194) $2,385 $2,385 13.4×
CT pelvis w/o contrast (72192) $1,160 $1,160 10.9×
CT soft tissue neck w/o & w/contrast material (70492) $2,133 $2,133 12.0×
CT soft tissue neck w/o contrast (70490) $1,160 $1,160 10.9×
CT thoracic spine w/contrast (72129) $2,054 $2,054 11.5×
CT thoracic spine w/o contrast (72128) $1,160 $1,160 10.9×
CT thoracic spine w/wo contrast (72130) $2,447 $2,447 13.7×
CT thorax w/o contrast (71250) $1,160 $1,160 10.9×
CT upper extremity w/o & w/contrast material (73202) $2,138.50 $2,138.50 12.0×
CT upper extremity w/o contrast rt (73200) $1,160 $1,160 10.9×
CT upper extremity with contrast (73201) $1,766.50 $1,766.50 5.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,234 $1,234 6.9×
Cta Abdomen (74175) $1,145.50 $1,145.50 6.4×
CTA abdomen pelvis (74174) $1,927 $1,927 5.4×
CTA chest (71275) $2,005 $2,005 11.3×
Cta Head (70496) $1,646 $1,646 9.2×
CTA lwr ext w&w/o contrast (73706) $1,694 $1,694 9.5×
Cta Neck (70498) $1,646 $1,646 9.2×
Cta Pelvis (72191) $1,927 $1,927 10.8×
Cystography minimum 3 views rs&i (74430) $976 $976 2.8×
Diskogram cervical (72285) $10,421 $10,421 5.3×
Diskography lumbar (72295) $10,421 $10,421 5.3×
Doppler Echo Fetal Spectral Display Complete (76827) $258 $258 2.4×
Doppler Fetal Mid Cerebral Artery (76821) $552 $552 5.2×
Dxa bone density study 1/> sites axial skel (77080) $804 $804 7.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $237 $237 2.7×
Dxa bone density study axial skeleton (77085) $388 $388 3.7×
Echoencephalography real time imaging (76506) $1,754 $1,754 16.5×
Esophageal motility (78258) $1,109 $1,109 2.7×
Esophagus (74220) $513 $513 2.9×
Fetal biophysical profile non-stress testing (76818) $947 $947 8.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $947 $947 8.9×
Fluoroscopy up to 1 hr (76000) $738 $738 3.0×
Foot 2 views (73620) $351 $351 4.0×
Forearm 2 views (73090) $363 $363 4.1×
Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) $738 $738 3.0×
Functional MRI brain by phys/psych (70555) $2,066.50 $2,066.50 8.5×
Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) $2,505 $2,505 4.5×
Gated Heart Planar Single (78472) $2,822 $2,822 6.9×
Hand 2 views (73120) $388 $388 3.7×
Hand 3 views (73130) $402 $402 4.5×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $4,667 $4,667 6.6×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $4,522 $4,522 6.4×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $4,667 $4,667 6.6×
Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) $1,702 $1,702 4.3×
Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) $1,305 $1,305 3.3×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $10,421 $10,421 3.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,869 $1,869 3.4×
Hepatobiliary syst imaging including gallbladder (78226) $1,869 $1,869 4.6×
Ht muscle image spect sing (78451) $3,820 $3,820 2.9×
Humerus Min 2 Views Left (73060) $394 $394 4.5×
Hysterosalpingogram (74740) $1,784 $1,784 7.4×
Interstitial radiation source applic complex (77778) $4,667 $4,667 6.6×
Intracavitary Radiation Source Applic Complex (77763) $6,001.50 $6,001.50 8.5×
Intracavitary Radiation Source Applic Intermed (77762) $4,169 $4,169 7.4×
Intracavitary radiation source applic simple (77761) $3,389 $3,389 6.0×
Intraop radiaj tx deliver xray single tx session (77424) $66,499 $66,499 8.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $2,240 $2,240 4.1×
Kidney img morphology vascular flow 1 w/rx (78708) $2,325 $2,325 4.2×
Kidney Img Morphology Vascular Flow Multiple (78709) $2,392 $2,392 4.3×
Knee 3 views (73562) $402 $402 4.5×
Liver & spleen imaging static only (78215) $1,401 $1,401 3.5×
Liver imaging static only (78201) $1,109 $1,109 2.0×
Lung perf&ventilat diferentl (78598) $3,409 $3,409 6.2×
Lung perfusion differential (78597) $3,409 $3,409 8.4×
Lung Ventilation Imaging (78579) $1,727 $1,727 4.3×
Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) $10,421 $10,421 3.2×
Lymphangio extrem unilat - ir lymphangiogram extremity (75801) $3,053 $3,053 4.8×
Lymphangiography extremity only bilateral rs&i (75803) $3,287 $3,287 2.1×
Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) $3,207 $3,207 1.0×
Lymphoscintigraphy (78195) $2,130 $2,130 3.9×
Meckels Diverticulum (78290) $1,580 $1,580 3.9×
Mlc imrt design & construction per imrt plan (77338) $2,102 $2,102 5.5×
Mr elastography (76391) $507.50 $507.50 2.1×
Mr safety determination physician/other qhp (76016) $190 $190 2.1×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $128.50 $128.50 2.1×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $53 $53 1.8×
Mr safety implt electronics prepj supvj phys/qhp (76018) $198 $198 2.1×
Mr safety med physics xm customization plng&mntr (76017) $522 $522 2.2×
MRA head w & w/o contrast (70546) $3,431 $3,431 9.7×
MRA head w/o contrast (70544) $2,066.50 $2,066.50 8.5×
MRA head with contrast (70545) $2,559.50 $2,559.50 7.2×
MRA neck w contrast (70548) $2,747.50 $2,747.50 7.8×
Mra Neck W/O &W/Contrast Material (70549) $3,431 $3,431 9.7×
MRA neck w/o contrast (70547) $2,066.50 $2,066.50 8.5×
MRI abdomen w contrast (74182) $3,033 $3,033 8.6×
MRI abdomen w/o & w/contrast material (74183) $3,431 $3,431 9.7×
MRI abdomen w/o contrast (74181) $2,066.50 $2,066.50 8.5×
MRI any jnt lwr ext with con lt (73722) $3,022 $3,022 3.8×
MRI any jt upper extremity w/contrast matrl (73222) $3,022 $3,022 3.8×
MRI bone marrow blood supply (77084) $1,857.50 $1,857.50 7.7×
MRI breast w/o contrast bilateral (77047) $3,431 $3,431 14.2×
MRI breast w/o contrast unilat (77046) $3,111.50 $3,111.50 12.8×
MRI c-spine with contrast (72142) $2,961 $2,961 8.4×
MRI cardiac w/o cont stress (75559) $2,019.50 $2,019.50 3.6×
MRI cardiac w/o contrast (75557) $2,066.50 $2,066.50 8.5×
MRI cervical spine w/o contrast (72141) $2,066.50 $2,066.50 8.5×
MRI chest w/o & w/contrast material (71552) $3,431 $3,431 9.7×
MRI chest w/o contrast (71550) $2,066.50 $2,066.50 8.5×
MRI chest with contrast (71551) $3,033 $3,033 3.8×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,468 $2,468 7.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,468 $2,468 7.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,066.50 $2,066.50 8.5×
MRI orbit face &/neck w/o contrast (70540) $2,066.50 $2,066.50 8.5×
MRI orbit/face/neck w&w/o cont (70543) $3,431 $3,431 9.7×
MRI orbit/face/neck w/contrast (70542) $3,022 $3,022 8.5×
MRI pelvis w contrast (72196) $2,468 $2,468 7.0×
MRI pelvis w/o & w/contrast material (72197) $3,431 $3,431 9.7×
MRI pelvis w/o contrast (72195) $2,066.50 $2,066.50 8.5×
MRI scan of arm joint before and after contrast (73223) $3,431 $3,431 9.7×
MRI scan of heart before and after contrast with stress imaging (75563) $2,371.50 $2,371.50 3.0×
MRI scan of leg joint before and after contrast (73723) $3,431 $3,431 9.7×
MRI spectroscopy (76390) $2,562.50 $2,562.50 29.0×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,431 $3,431 9.7×
MRI spinal canal lumbar w/contrast material (72149) $2,961 $2,961 8.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,431 $3,431 9.7×
MRI spinal canal thoracic w/contrast matrl (72147) $2,961 $2,961 8.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,431 $3,431 9.7×
MRI thoracic spine w/o contrast (72146) $2,066.50 $2,066.50 8.5×
MRI tmj (70336) $2,066.50 $2,066.50 8.5×
MRI upper ext joint w/o contrast (73221) $2,138.50 $2,138.50 8.8×
MRI upper extrem other than jt w/o & w/contras (73220) $3,022 $3,022 8.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,066.50 $2,066.50 8.5×
Myocardial Imaging Pet Metabolic Evaluation (78459) $6,256 $6,256 4.8×
Myocardial Spect Multiple Studies (78452) $5,897 $5,897 4.5×
Myocrd img PET metab eval single study cncrnt CT (78429) $6,427 $6,427 4.4×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $6,427 $6,427 4.4×
Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) $9,367 $9,367 4.2×
Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) $8,425 $8,425 3.8×
Myocrd img PET prfuj w/metab dual radiotracer (78432) $9,210 $9,210 6.0×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $2,153.50 $2,153.50 2.5×
Neck soft tissue (70360) $438 $438 5.0×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $1,305 $1,305 3.3×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,265 $1,265 3.1×
Nm adrenal scan (78075) $3,694 $3,694 2.8×
Nm cisternogram (78630) $2,321 $2,321 4.2×
Nm gastric emptying study (78264) $2,019 $2,019 5.0×
Ntsty modul radthx pln dose-vol histos (77301) $11,781 $11,781 8.4×
Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) $8,441 $8,441 5.8×
Nuclear medicine of heart pumping function (78473) $4,233 $4,233 10.4×
Nuclear medicine study from skull base to mid-thigh (78812) $9,266 $9,266 6.4×
Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) $5,791 $5,791 4.0×
Nuclear medicine study of heart muscle at rest with stress (78453) $2,624 $2,624 2.0×
Nuclear Rx Oral Admin (79005) $959 $959 4.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $568 $568 5.3×
Orthopantogram (70355) $271 $271 3.1×
Osseous survey infant (77076) $402 $402 3.8×
Osseous survey limited (77074) $388 $388 3.7×
Parathyrd planar w/spect&CT (78072) $4,194 $4,194 7.6×
Parathyrd planar w/wo subtrj (78071) $4,194 $4,194 10.3×
Parathyroid imaging (78070) $1,109 $1,109 2.7×
Pelvis 1 or 2 views (72170) $388 $388 3.7×
Perineogram (74775) $769 $769 3.2×
Peritoneogram rs&i (74190) $1,784 $1,784 3.2×
PET image w/CT, skull-thigh (78815) $9,918 $9,918 6.8×
PET imaging CT for attenuation limited area (78814) $9,918 $9,918 6.8×
PET imaging for CT attenuation whole body (78816) $9,918 $9,918 6.8×
PET imaging limited area chest head/neck (78811) $9,266 $9,266 7.0×
PET whole body (78813) $9,266 $9,266 6.4×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $3,022 $3,022 8.5×
Proton tx delivery complex (77525) $5,992 $5,992 4.7×
Proton tx delivery intermediate (77523) $5,210 $5,210 4.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $10,421 $10,421 3.2×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $6,786 $6,786 2.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,727 $1,727 4.3×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,002 $2,002 3.6×
Radex abscess/fistula/sinus tract rs&i (76080) $1,784 $1,784 3.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $235 $235 2.7×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $388 $388 3.7×
Radex hips bilateral with pelvis 2 views (73521) $388 $388 3.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $738 $738 6.9×
Radiation Delivery Stereotactic Cranial Linear (77372) $66,499 $66,499 8.9×
Radiation treatment delivery 1 mev >= complex (77412) $1,305 $1,305 2.3×
Radiation treatment delivery 1 mev >= simple (77402) $742 $742 7.2×
Radiation tx delivery 1 mev >= intermediate (77407) $971 $971 2.5×
Radiolog exam mandible compl minimum 4 views (70110) $478 $478 4.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $359 $359 4.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $645 $645 6.1×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $260 $260 2.9×
Radiologic exam colon single contrast study (74270) $1,674 $1,674 9.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $765 $765 4.3×
Radiologic exam teeth prtl exam < full mouth (70310) $738 $738 3.0×
Radiologic exam upr gi trc double contrast study (74246) $1,632 $1,632 9.2×
Radiologic exam upr gi trc single contrast study (74240) $1,518 $1,518 8.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $235 $235 2.7×
Radiological examination surgical specimen (76098) $916 $916 1.7×
Radiopharm Dacryocystography (78660) $1,126 $1,126 2.8×
Review by radiologist of liver vein image with assessment of blood flow (75889) $10,421 $10,421 3.2×
Ribs bilateral 3 views (71110) $567 $567 5.3×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,914 $1,914 4.7×
Rp loclzj tum plnr whole body single day imaging (78802) $2,098 $2,098 3.8×
Rp loclzj tum spect 1 area single day imaging (78803) $2,858 $2,858 5.2×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $4,772 $4,772 3.6×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $5,560 $5,560 3.8×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $3,702.96 $3,702.96 2.8×
Rp therapy intra-arterial particulate admn (79445) $959 $959 4.0×
Rp Therapy Intravenous Administration (79101) $959 $959 4.0×
Sacroiliac Joints < 3 Views (72200) $388 $388 3.7×
Saline Infus Sonohysterography W/Color Doppler (76831) $947 $947 3.9×
Scanogram (77073) $267 $267 2.5×
Scapula complete (73010) $377 $377 3.6×
Screening digital breast tomosynthesis (77063) $198 $198 8.5×
Shuntogram indwelling nonvascular shunt rs&i (75809) $900 $900 8.5×
Simulation intermediate (77285) $2,363 $2,363 6.2×
Small bowel series (74250) $1,233 $1,233 6.9×
Spec medical radj physics consltj (77370) $1,256 $1,256 9.2×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,956 $1,956 5.1×
Special dosimetry (77331) $722 $722 5.3×
Special treatment procedure (77470) $4,722 $4,722 8.4×
Spine thoracic 3 views (72072) $523 $523 4.9×
Splenoportograpy rs&i (75810) $10,421 $10,421 3.2×
Stereotactic body radiation delivery (77373) $11,518 $11,518 6.3×
Superior sagittal sinus venogram (75870) $6,583 $6,583 2.1×
Surface Applic Low Dose Rate Radionuclide Source (77789) $2,423.50 $2,423.50 23.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,956 $1,956 5.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,117 $1,117 2.9×
Ther rad simulaj-aided field setting complex (77290) $2,889 $2,889 7.6×
Ther rad simulaj-aided field setting simple (77280) $1,881 $1,881 13.8×
Therapeutic Enema (74283) $738 $738 4.1×
Thoracolumbar 2 views (72080) $342 $342 3.9×
Thyroid carcinoma metastases img whole body (78018) $2,607 $2,607 4.7×
Thyroid Imaging With Vascular Flow (78013) $1,109 $1,109 2.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,462 $2,462 6.1×
Tmj unilateral (70328) $373 $373 4.2×
Treatment device intermediate (77333) $1,117 $1,117 8.2×
Treatment devices simple (77332) $2,549.50 $2,549.50 18.7×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $2,648 $2,648 4.8×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $1,678 $1,678 4.1×
Tx devices design & construction complex (77334) $1,956 $1,956 5.1×
Ultrasound, abdomen limited (76705) $1,709 $1,709 16.1×
Umbilical-artery Doppler (OB) (76820) $478 $478 4.5×
Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) $8,594 $8,594 21.2×
Unlisted Diagnostic Radiographic Procedure (76499) $1,481 $1,481 16.8×
Unlisted magnetic resonance procedure (76498) $1,837 $1,837 20.8×
Unlisted miscellaneous px dx nuclear medicine (78999) $7,519 $7,519 18.5×
Unlisted Procedure Clinical Brachytherapy (77799) $315 $315 3.0×
Unlisted Ultrasound Procedure (76999) $568 $568 6.4×
Upper Extremity Infant (73092) $388 $388 3.7×
Urethrocystography retrograde rs&i (74450) $1,210 $1,210 5.0×
Urethrocystography voiding (74455) $1,784 $1,784 7.4×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,478 $1,478 8.3×
Us abdl aorta screen aaa (76706) $834 $834 7.9×
Us breast unilateral complete (76641) $568 $568 5.3×
Us breast unilateral limited (76642) $568 $568 6.4×
Us chest (76604) $650 $650 6.1×
Us compl joint r-t w/image documentation (76881) $1,709 $1,709 16.1×
Us elastography parenchyma (76981) $570 $570 5.4×
Us guided compression repair (76936) $2,214 $2,214 10.1×
Us kidney transplant (76776) $1,128 $1,128 10.6×
Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $312 $312 2.9×
Us ob transvaginal (76817) $947 $947 8.9×
Us pelvic non ob complete (76856) $1,898 $1,898 17.9×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,222 $1,222 11.5×
Us pregnancy ltd (76815) $947 $947 8.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $983 $983 9.3×
Us retroperitoneal complete (76770) $2,277 $2,277 21.4×
Us retroperitoneal limited (76775) $1,694 $1,694 16.0×
Us scrotum and contents (76870) $1,842 $1,842 17.3×
Us soft tissue head/neck (76536) $1,679 $1,679 15.8×
Us transrectal (76872) $1,228 $1,228 11.6×
Us transrectal prostate volume (76873) $1,517 $1,517 14.3×
Us xtr non-vasc lmtd (76882) $1,709 $1,709 16.1×
Us, eye b-scan (76512) $3,970 $3,970 37.4×
Venogram extremity bilateral (75822) $2,663 $2,663 1.7×
Venogram orbital (75880) $10,421 $10,421 16.4×
Venography caval inferior serialography rs&i (75825) $10,421 $10,421 3.2×
Venography caval superior serialography rs&i (75827) $6,583 $6,583 4.1×
Venography epidural rs&i (75872) $1,596 $1,596 2.5×
Venography extremity unilateral rs&i (75820) $2,663 $2,663 1.7×
Venography Renal Bilateral (75833) $10,421 $10,421 3.2×
Venography renal unilateral selective rs&i (75831) $10,421 $10,421 3.2×
Venography venous sinus/jugular cath rs&i (75860) $10,421 $10,421 3.2×
Venous sampling thru cath w/wo angiography rs& (75893) $10,421 $10,421 1.8×
Vertebral fracture assessment via dxa (77086) $235 $235 2.7×
Wrist 2 views (73100) $351 $351 4.0×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $759 $759 7.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $453 $453 5.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $378 $378 4.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $2,242 $2,242 12.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $359 $359 4.1×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $394 $394 4.5×
X-ray exam entire spi 4/5 vw (72083) $738 $738 6.9×
X-ray exam hip uni 1 view (73501) $235 $235 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $235 $235 2.7×
X-ray exam hip uni 4/> views (73503) $388 $388 3.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $438 $438 4.1×
X-Ray Exam Hips Bi 5/> Views (73523) $527 $527 5.0×
X-ray exam of femur 1 (73551) $235 $235 2.7×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $1,761 $1,761 9.9×
X-ray eye for foreign body (70030) $438 $438 5.0×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $555 $555 5.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $434 $434 4.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $378 $378 4.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $344 $344 3.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $382 $382 4.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $452 $452 4.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $235 $235 2.7×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $235 $235 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $475 $475 4.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $647 $647 6.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $331 $331 3.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $377 $377 4.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $976 $976 11.0×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $70 $70 0.7×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $468 $468 4.4×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $3,160.50 $3,160.50 8.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $434 $434 4.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $509 $509 4.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $649 $649 6.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $434 $434 4.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $394 $394 4.5×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $397 $397 4.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $552 $552 6.2×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $417 $417 4.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $659 $659 6.2×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $468 $468 4.4×
X-Ray Spine One View - Xr Spine (72020) $312 $312 3.5×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $485 $485 5.5×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $447 $447 5.1×
X-Ray Teeth Single - Xr Teeth 1 View (70300) $204 $204 2.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $455 $455 4.3×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $569 $569 5.4×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $304 $304 3.4×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $378 $378 4.3×
Xr arthrogram ankle (73615) $1,020 $1,020 2.9×
Xr c-spine 6 or more views (72052) $779 $779 7.3×
Xr chest 4+ views (71048) $339.50 $339.50 3.2×
Xr finger(s) 2+ views (73140) $304 $304 3.4×
Xr shoulder 1 view (73020) $343 $343 3.9×
Xr spine cervical 4 or 5 views (72050) $642 $642 6.0×
Xr tibia/fibula 2 views (73590) $373 $373 4.2×
Xr tmj bilateral (70330) $570 $570 6.4×
Xray knee 1 or 2 views rt (73560) $373 $373 4.2×