Imaging prices at Frankfort Regional Medical Center
Frankfort, KY · every code in this section with a posted price and a Medicare benchmark.
308 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,021.53 | $1,021.53 | 10.1× |
| Acute gastrointestinal blood loss imaging (78278) | $3,854.93 | $3,854.93 | 10.0× |
| Angiography extremity bilateral rs&i (75716) | $9,483.07 | $9,483.07 | 3.1× |
| Angiography extremity unilateral rs&i (75710) | $6,716.42 | $6,716.42 | 2.2× |
| Angiography internal mammary rs&i (75756) | $6,584.57 | $6,584.57 | 2.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $8,232.06 | $8,232.06 | 1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $8,634.18 | $8,634.18 | 2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,284.04 | $4,284.04 | 1.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $9,164.28 | $9,164.28 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,204.66 | $8,204.66 | 2.7× |
| Ankle 2 views (73600) | $859.31 | $859.31 | 10.2× |
| Antegrade urography radiological supvj & interpj (74425) | $3,653.78 | $3,653.78 | 10.8× |
| Aortogram thoracic (75605) | $6,584.57 | $6,584.57 | 1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $9,419.67 | $9,419.67 | 3.1× |
| Aortography abdominal serialography rs&i (75625) | $6,584.57 | $6,584.57 | 2.2× |
| Arthrogram hip (73525) | $2,578.82 | $2,578.82 | 7.6× |
| Arthrogram shoulder (73040) | $2,578.82 | $2,578.82 | 7.6× |
| Arthrography knee lt (73580) | $2,578.82 | $2,578.82 | 7.6× |
| Bone &/Joint Imaging Limited Area (78300) | $4,096.59 | $4,096.59 | 10.6× |
| Bone &/joint imaging whole body (78306) | $6,433.65 | $6,433.65 | 16.6× |
| Bone age studies (77072) | $1,107.84 | $1,107.84 | 10.9× |
| Bone Imaging 3 Phase (78315) | $6,611.14 | $6,611.14 | 17.1× |
| Bone survey complete (77075) | $1,679.92 | $1,679.92 | 16.6× |
| Brain image w/flow 4 + views (78606) | $4,121.45 | $4,121.45 | 7.8× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) | $163.03 | $163.03 | 14.7× |
| Cervical spine 2 or 3 views (72040) | $991.46 | $991.46 | 11.8× |
| Chest 1 view (71045) | $675.06 | $675.06 | 8.0× |
| Chest 3 views (71047) | $1,437.34 | $1,437.34 | 17.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,986.80 | $1,986.80 | 11.7× |
| Clavicle complete (73000) | $1,228.09 | $1,228.09 | 14.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,178.42 | $3,178.42 | 31.4× |
| CT abdomen and pelvis without and with contrast (74178) | $9,182.36 | $9,182.36 | 27.2× |
| CT abdomen and pelvis without contrast (74176) | $5,269.14 | $5,269.14 | 22.8× |
| CT abdomen w contrast (74160) | $5,860.69 | $5,860.69 | 34.5× |
| CT abdomen w wo contrast (74170) | $6,599.57 | $6,599.57 | 38.9× |
| CT abdomen w/o contrast (74150) | $2,977.88 | $2,977.88 | 29.4× |
| CT angio hrt w/3d image (75574) | $6,659.39 | $6,659.39 | 19.7× |
| CT angiography upper extremity lt (73206) | $8,127.40 | $8,127.40 | 47.9× |
| CT c-spine w/o contrast (72125) | $2,977.88 | $2,977.88 | 29.4× |
| CT cervical spine w&w/o contrast (72127) | $6,599.57 | $6,599.57 | 38.9× |
| CT cervical spine with contrast (72126) | $5,860.69 | $5,860.69 | 17.4× |
| CT chest w/wo contrast (71270) | $6,599.57 | $6,599.57 | 38.9× |
| CT chest with contrast (71260) | $5,860.69 | $5,860.69 | 34.5× |
| CT colonography screening (74263) | $2,963.40 | $2,963.40 | 12.8× |
| CT colonography w/dye (74262) | $5,697.30 | $5,697.30 | 33.6× |
| CT colonography w/o cntrst (74261) | $2,977.88 | $2,977.88 | 29.4× |
| CT head/brain with contrast (70460) | $5,860.69 | $5,860.69 | 34.5× |
| CT head/brain without and with contrast (70470) | $6,599.57 | $6,599.57 | 38.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,659.39 | $6,659.39 | 19.7× |
| CT hrt w/3d image congen (75573) | $6,659.39 | $6,659.39 | 19.7× |
| CT iac w contrast (70481) | $5,860.69 | $5,860.69 | 34.5× |
| CT lower ext w/o (73700) | $2,977.88 | $2,977.88 | 29.4× |
| CT lower extremity with contrast (73701) | $5,860.69 | $5,860.69 | 34.5× |
| CT lumbar spine w & w/o contrast (72133) | $6,599.57 | $6,599.57 | 38.9× |
| CT lumbar spine w/o contrast (72131) | $2,977.88 | $2,977.88 | 29.4× |
| CT lumbar spine with contrast (72132) | $5,860.69 | $5,860.69 | 17.4× |
| CT maxillofacial w contrast (70487) | $5,860.69 | $5,860.69 | 34.5× |
| CT maxillofacial w/o contrast (70486) | $2,977.88 | $2,977.88 | 29.4× |
| CT maxillofacial w/wo contrast (70488) | $6,599.57 | $6,599.57 | 38.9× |
| CT neck soft tissue w contrast (70491) | $5,860.69 | $5,860.69 | 34.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $6,599.57 | $6,599.57 | 38.9× |
| CT orbits w/o contrast (70480) | $2,977.88 | $2,977.88 | 29.4× |
| CT pelvis w & w/o contrast (72194) | $6,599.57 | $6,599.57 | 38.9× |
| CT pelvis w/o contrast (72192) | $2,977.88 | $2,977.88 | 29.4× |
| CT scan for measuring calcium and other minerals in bone (77078) | $1,383.95 | $1,383.95 | 16.4× |
| CT soft tissue neck w/o & w/contrast material (70492) | $6,599.57 | $6,599.57 | 38.9× |
| CT soft tissue neck w/o contrast (70490) | $2,977.88 | $2,977.88 | 29.4× |
| CT thoracic spine w/contrast (72129) | $8,459.53 | $8,459.53 | 49.8× |
| CT thoracic spine w/o contrast (72128) | $2,977.88 | $2,977.88 | 29.4× |
| CT thorax w/o contrast (71250) | $2,977.88 | $2,977.88 | 29.4× |
| CT upper extremity w/o contrast rt (73200) | $2,977.88 | $2,977.88 | 29.4× |
| CT upper extremity with contrast (73201) | $8,573.81 | $8,573.81 | 25.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,872.84 | $6,872.84 | 40.5× |
| Cta Abdomen (74175) | $6,872.84 | $6,872.84 | 40.5× |
| CTA abdomen pelvis (74174) | $9,182.36 | $9,182.36 | 27.2× |
| CTA chest (71275) | $6,872.84 | $6,872.84 | 40.5× |
| Cta Head (70496) | $8,793.56 | $8,793.56 | 51.8× |
| CTA lwr ext w&w/o contrast (73706) | $9,381.95 | $9,381.95 | 55.3× |
| Cta Neck (70498) | $8,793.56 | $8,793.56 | 51.8× |
| Cta Pelvis (72191) | $9,381.95 | $9,381.95 | 55.3× |
| Cystography minimum 3 views rs&i (74430) | $2,355.88 | $2,355.88 | 7.0× |
| Diskogram cervical (72285) | $6,216.08 | $6,216.08 | 3.3× |
| Diskography lumbar (72295) | $6,216.08 | $6,216.08 | 3.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,475.33 | $2,475.33 | 24.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $865.27 | $865.27 | 8.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $444.69 | $444.69 | 5.3× |
| Dxa bone density study axial skeleton (77085) | $617.62 | $617.62 | 6.1× |
| Echo exam of fetal heart (76825) | $3,637.32 | $3,637.32 | 6.9× |
| Echoencephalography real time imaging (76506) | $2,540.94 | $2,540.94 | 25.1× |
| Esophagus (74220) | $1,740.35 | $1,740.35 | 10.3× |
| Fetal biophysical profile non-stress testing (76818) | $1,607.49 | $1,607.49 | 15.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,132.22 | $1,132.22 | 11.2× |
| Fluoroscopy up to 1 hr (76000) | $1,301.16 | $1,301.16 | 5.6× |
| Foot 2 views (73620) | $942.94 | $942.94 | 11.2× |
| Forearm 2 views (73090) | $1,156.36 | $1,156.36 | 13.7× |
| Gated Heart Planar Single (78472) | $6,366.02 | $6,366.02 | 16.5× |
| Hand 2 views (73120) | $700.36 | $700.36 | 6.9× |
| Hand 3 views (73130) | $1,285.24 | $1,285.24 | 15.3× |
| Heart Infarct Image (78466) | $3,786.72 | $3,786.72 | 9.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,401.53 | $2,401.53 | 4.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $2,401.53 | $2,401.53 | 6.2× |
| Ht muscle image spect sing (78451) | $6,064.23 | $6,064.23 | 4.8× |
| Humerus Min 2 Views Left (73060) | $1,193.42 | $1,193.42 | 14.2× |
| Hysterosalpingogram (74740) | $2,619.60 | $2,619.60 | 11.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $2,948.15 | $2,948.15 | 5.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $5,087.49 | $5,087.49 | 9.7× |
| Knee 3 views (73562) | $1,423.65 | $1,423.65 | 16.9× |
| Liver & spleen imaging static only (78215) | $5,394.48 | $5,394.48 | 13.9× |
| Liver imaging w/vascular flow (78202) | $4,583.65 | $4,583.65 | 8.7× |
| Lung perf&ventilat diferentl (78598) | $2,589.13 | $2,589.13 | 4.9× |
| Lung perfusion differential (78597) | $1,659.21 | $1,659.21 | 4.3× |
| Lung Ventilation Imaging (78579) | $1,659.21 | $1,659.21 | 4.3× |
| Lymphoscintigraphy (78195) | $5,427.43 | $5,427.43 | 10.3× |
| Mammary ductogram or galactogram multiple (77054) | $2,807.11 | $2,807.11 | 12.2× |
| Mammary ductogram or galactogram single (77053) | $2,807.11 | $2,807.11 | 12.2× |
| Meckels Diverticulum (78290) | $5,130.85 | $5,130.85 | 13.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $26.02 | $26.02 | 0.9× |
| MRA head w & w/o contrast (70546) | $10,243.76 | $10,243.76 | 30.3× |
| MRA head w/o contrast (70544) | $6,126.50 | $6,126.50 | 26.5× |
| MRA head with contrast (70545) | $10,229.35 | $10,229.35 | 30.3× |
| MRA neck w contrast (70548) | $10,229.35 | $10,229.35 | 30.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,243.76 | $10,243.76 | 30.3× |
| MRA neck w/o contrast (70547) | $6,126.50 | $6,126.50 | 26.5× |
| MRI abdomen w contrast (74182) | $6,126.50 | $6,126.50 | 18.1× |
| MRI abdomen w/o & w/contrast material (74183) | $8,530.87 | $8,530.87 | 25.3× |
| MRI abdomen w/o contrast (74181) | $6,126.50 | $6,126.50 | 26.5× |
| MRI any jnt lwr ext with con lt (73722) | $8,700.50 | $8,700.50 | 11.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,700.50 | $8,700.50 | 11.5× |
| MRI c-spine with contrast (72142) | $8,700.50 | $8,700.50 | 25.8× |
| MRI cervical spine w/o contrast (72141) | $6,126.50 | $6,126.50 | 26.5× |
| MRI chest w/o & w/contrast material (71552) | $8,530.87 | $8,530.87 | 25.3× |
| MRI chest w/o contrast (71550) | $7,668.26 | $7,668.26 | 33.2× |
| MRI chest with contrast (71551) | $8,700.50 | $8,700.50 | 11.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $8,700.50 | $8,700.50 | 25.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,700.50 | $8,700.50 | 25.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,126.50 | $6,126.50 | 26.5× |
| MRI orbit face &/neck w/o contrast (70540) | $6,616.80 | $6,616.80 | 28.6× |
| MRI orbit/face/neck w&w/o cont (70543) | $8,530.87 | $8,530.87 | 25.3× |
| MRI orbit/face/neck w/contrast (70542) | $8,700.50 | $8,700.50 | 25.8× |
| MRI pelvis w contrast (72196) | $8,700.50 | $8,700.50 | 25.8× |
| MRI pelvis w/o & w/contrast material (72197) | $8,530.87 | $8,530.87 | 25.3× |
| MRI pelvis w/o contrast (72195) | $6,126.50 | $6,126.50 | 26.5× |
| MRI scan of arm joint before and after contrast (73223) | $9,213.63 | $9,213.63 | 27.3× |
| MRI scan of leg joint before and after contrast (73723) | $9,213.63 | $9,213.63 | 27.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $8,530.87 | $8,530.87 | 25.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $8,700.50 | $8,700.50 | 25.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $8,530.87 | $8,530.87 | 25.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $8,700.50 | $8,700.50 | 25.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $8,530.87 | $8,530.87 | 25.3× |
| MRI thoracic spine w/o contrast (72146) | $6,126.50 | $6,126.50 | 26.5× |
| MRI tmj (70336) | $7,668.26 | $7,668.26 | 33.2× |
| MRI upper ext joint w/o contrast (73221) | $6,126.50 | $6,126.50 | 26.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $9,213.63 | $9,213.63 | 27.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,616.80 | $6,616.80 | 28.6× |
| Myelogram Cervical (72240) | $2,864.86 | $2,864.86 | 3.8× |
| Myelogram Lumbar (72265) | $5,061.50 | $5,061.50 | 6.7× |
| Myelogram thoracic (72255) | $2,124.91 | $2,124.91 | 2.8× |
| Myelography 2 or more regions (72270) | $6,571.47 | $6,571.47 | 8.7× |
| Myocardial Spect Multiple Studies (78452) | $6,064.23 | $6,064.23 | 4.8× |
| Neck soft tissue (70360) | $1,137.91 | $1,137.91 | 13.5× |
| Nm adrenal scan (78075) | $9,690.80 | $9,690.80 | 7.7× |
| Nm gastric emptying study (78264) | $5,334.93 | $5,334.93 | 13.8× |
| Nm peritoneal-venous shunt patency (78291) | $3,798.27 | $3,798.27 | 9.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $6,064.23 | $6,064.23 | 4.8× |
| Nuclear medicine of heart pumping function (78473) | $4,894.40 | $4,894.40 | 12.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $6,064.23 | $6,064.23 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $3,316.12 | $3,316.12 | 14.7× |
| Osseous survey limited (77074) | $1,857.62 | $1,857.62 | 18.4× |
| Parathyrd planar w/wo subtrj (78071) | $2,997 | $2,997 | 7.7× |
| Parathyroid imaging (78070) | $2,997 | $2,997 | 7.7× |
| Pelvis 1 or 2 views (72170) | $1,174.36 | $1,174.36 | 11.6× |
| PET image w/CT, skull-thigh (78815) | $7,213.15 | $7,213.15 | 5.2× |
| PET imaging CT for attenuation limited area (78814) | $7,213.15 | $7,213.15 | 5.2× |
| PET imaging for CT attenuation whole body (78816) | $7,213.15 | $7,213.15 | 5.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $9,213.63 | $9,213.63 | 27.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,733.39 | $4,733.39 | 12.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $2,589.13 | $2,589.13 | 4.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,698.08 | $1,698.08 | 20.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,498.76 | $2,498.76 | 24.7× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,647.48 | $1,647.48 | 16.3× |
| Radex mastoids compl minimum 3 views pr side (70130) | $2,478.22 | $2,478.22 | 24.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,498.76 | $2,498.76 | 24.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,728.45 | $1,728.45 | 17.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $664.95 | $664.95 | 7.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,098.91 | $1,098.91 | 10.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,437.34 | $1,437.34 | 17.1× |
| Radiologic exam colon single contrast study (74270) | $2,878.26 | $2,878.26 | 17.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,902.96 | $2,902.96 | 17.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,902.96 | $2,902.96 | 17.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,283.16 | $1,283.16 | 15.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $768.22 | $768.22 | 9.1× |
| Radiological examination surgical specimen (76098) | $331.58 | $331.58 | 0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,472.09 | $4,472.09 | 11.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $3,198.77 | $3,198.77 | 6.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,121.45 | $4,121.45 | 7.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,439.69 | $2,439.69 | 10.8× |
| Rp Therapy Intravenous Administration (79101) | $3,316.12 | $3,316.12 | 14.7× |
| Sacroiliac Joints < 3 Views (72200) | $1,264.11 | $1,264.11 | 12.5× |
| Scanogram (77073) | $886.54 | $886.54 | 8.8× |
| Scapula complete (73010) | $1,140.28 | $1,140.28 | 11.3× |
| Screening digital breast tomosynthesis (77063) | $60.38 | $60.38 | 2.6× |
| Sella turcica (70240) | $1,715.05 | $1,715.05 | 20.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,773.98 | $1,773.98 | 17.5× |
| Sialogram (70390) | $2,204.38 | $2,204.38 | 9.5× |
| Small bowel series (74250) | $2,418.69 | $2,418.69 | 14.2× |
| Speech evaluation complex (70371) | $1,986.80 | $1,986.80 | 8.6× |
| Spine thoracic 3 views (72072) | $1,773.69 | $1,773.69 | 17.5× |
| Testicular Imaging With Vascular Flow (78761) | $4,254.42 | $4,254.42 | 11.0× |
| Thoracolumbar 2 views (72080) | $990.87 | $990.87 | 11.8× |
| Thyroid Imaging With Vascular Flow (78013) | $2,997 | $2,997 | 7.7× |
| Thyroid uptake measurement (78012) | $2,324.06 | $2,324.06 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,997 | $2,997 | 7.7× |
| Tomogram (76100) | $1,865.65 | $1,865.65 | 18.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $4,472.09 | $4,472.09 | 11.6× |
| Ultrasound elastography first target lesion (76982) | $268.58 | $268.58 | 2.7× |
| Ultrasound, abdomen limited (76705) | $2,774.17 | $2,774.17 | 27.4× |
| Upper Extremity Infant (73092) | $873.90 | $873.90 | 8.6× |
| Urea breath test, C-14 (isotopic); analysis (78268) | $1,506.88 | $1,506.88 | 16.0× |
| Urethrocystography retrograde rs&i (74450) | $1,308.46 | $1,308.46 | 5.7× |
| Urethrocystography voiding (74455) | $2,369.28 | $2,369.28 | 10.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $1,912.39 | $1,912.39 | 11.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $2,790.45 | $2,790.45 | 16.4× |
| Us abdl aorta screen aaa (76706) | $1,201.41 | $1,201.41 | 11.9× |
| Us breast unilateral complete (76641) | $702.15 | $702.15 | 6.9× |
| Us breast unilateral limited (76642) | $702.15 | $702.15 | 8.3× |
| Us compl joint r-t w/image documentation (76881) | $1,586.53 | $1,586.53 | 15.7× |
| Us elastography parenchyma (76981) | $299.15 | $299.15 | 3.0× |
| Us fetal nuchal translucency 1st gestation (76813) | $1,201.41 | $1,201.41 | 11.9× |
| Us infant hips limited static (76886) | $795.89 | $795.89 | 9.4× |
| Us kidney transplant (76776) | $1,201.41 | $1,201.41 | 11.9× |
| Us ob detailed single fetus (76811) | $2,571.54 | $2,571.54 | 11.1× |
| Us ob transvaginal (76817) | $2,571.54 | $2,571.54 | 25.4× |
| Us pelvic non ob complete (76856) | $2,774.17 | $2,774.17 | 27.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,141.75 | $2,141.75 | 21.2× |
| Us pregnancy ltd (76815) | $964.06 | $964.06 | 9.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,571.54 | $2,571.54 | 25.4× |
| Us retroperitoneal complete (76770) | $2,774.17 | $2,774.17 | 27.4× |
| Us retroperitoneal limited (76775) | $2,727.02 | $2,727.02 | 26.9× |
| Us scrotum and contents (76870) | $2,558.58 | $2,558.58 | 25.3× |
| Us soft tissue head/neck (76536) | $2,314.33 | $2,314.33 | 22.9× |
| Us spinal canal and contents (76800) | $1,985.17 | $1,985.17 | 19.6× |
| Us transrectal (76872) | $2,301.64 | $2,301.64 | 22.7× |
| Us xtr non-vasc lmtd (76882) | $1,056.13 | $1,056.13 | 10.4× |
| Venogram extremity bilateral (75822) | $6,764.35 | $6,764.35 | 4.4× |
| Venography caval inferior serialography rs&i (75825) | $4,355.19 | $4,355.19 | 1.4× |
| Venography caval superior serialography rs&i (75827) | $4,355.19 | $4,355.19 | 2.9× |
| Venography extremity unilateral rs&i (75820) | $4,960 | $4,960 | 3.3× |
| Venography venous sinus/jugular cath rs&i (75860) | $6,232.75 | $6,232.75 | 2.0× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $9,533.07 | $9,533.07 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $516.42 | $516.42 | 6.1× |
| Wrist 2 views (73100) | $942.94 | $942.94 | 11.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,521.22 | $2,521.22 | 24.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,265.44 | $1,265.44 | 15.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,234.05 | $1,234.05 | 14.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,222.04 | $3,222.04 | 19.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $846.21 | $846.21 | 10.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,379.60 | $1,379.60 | 16.4× |
| X-ray exam entire spi 4/5 vw (72083) | $2,498.76 | $2,498.76 | 24.7× |
| X-ray exam hip uni 1 view (73501) | $873.01 | $873.01 | 10.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,437.34 | $1,437.34 | 17.1× |
| X-ray exam hip uni 4/> views (73503) | $1,437.34 | $1,437.34 | 14.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,647.48 | $1,647.48 | 16.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,647.48 | $1,647.48 | 16.3× |
| X-ray exam of femur 1 (73551) | $1,283.16 | $1,283.16 | 15.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $5,559.76 | $5,559.76 | 32.7× |
| X-ray eye for foreign body (70030) | $1,569.50 | $1,569.50 | 18.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,806.12 | $1,806.12 | 17.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,321.85 | $1,321.85 | 15.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $829.55 | $829.55 | 9.8× |
| X-ray IV pyelogram+drip infusn (74410) | $3,073.81 | $3,073.81 | 18.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $846.21 | $846.21 | 10.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,423.65 | $1,423.65 | 14.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $720.31 | $720.31 | 8.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $761.39 | $761.39 | 9.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $958.28 | $958.28 | 9.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,043.15 | $3,043.15 | 30.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,208.45 | $1,208.45 | 14.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $886.54 | $886.54 | 10.5× |
| X-ray of voice box or throat (70370) | $1,709.39 | $1,709.39 | 20.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,715.05 | $1,715.05 | 16.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,248.73 | $2,248.73 | 6.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,648.97 | $1,648.97 | 19.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,602.38 | $1,602.38 | 15.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,789.46 | $1,789.46 | 17.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,394.63 | $1,394.63 | 13.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,228.10 | $1,228.10 | 14.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,302.80 | $1,302.80 | 15.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,855.54 | $1,855.54 | 22.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $898 | $898 | 10.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,261.83 | $2,261.83 | 22.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,264.11 | $1,264.11 | 12.5× |
| X-Ray Spine One View - Xr Spine (72020) | $1,057.54 | $1,057.54 | 12.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $755.13 | $755.13 | 9.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,357.57 | $1,357.57 | 16.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,648.97 | $1,648.97 | 16.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $623.58 | $623.58 | 7.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,234.05 | $1,234.05 | 14.6× |
| Xr c-spine 6 or more views (72052) | $1,935.01 | $1,935.01 | 19.1× |
| Xr chest 4+ views (71048) | $1,437.34 | $1,437.34 | 14.2× |
| Xr Cholecystography Oral Contrast (74290) | $1,948.41 | $1,948.41 | 11.5× |
| Xr finger(s) 2+ views (73140) | $991.46 | $991.46 | 11.8× |
| Xr internal auditory meati complete (70134) | $782.81 | $782.81 | 1.5× |
| Xr optic foramina (70190) | $1,545.69 | $1,545.69 | 18.3× |
| Xr shoulder 1 view (73020) | $675.06 | $675.06 | 8.0× |
| Xr spine cervical 4 or 5 views (72050) | $1,935.01 | $1,935.01 | 19.1× |
| Xr tibia/fibula 2 views (73590) | $1,308.46 | $1,308.46 | 15.5× |
| Xr tmj bilateral (70330) | $1,721.01 | $1,721.01 | 20.4× |
| Xray knee 1 or 2 views rt (73560) | $741.44 | $741.44 | 8.8× |