Imaging prices at Harris Regional Hospital
Sylva, NC · every code in this section with a posted price and a Medicare benchmark.
299 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,771.79 | $6,929.48 | 2.1× |
| Abdomen 1 View (74018) | $190.04 | $475.11 | 2.3× |
| Abdomen 2 views (74019) | $277 | $692.49 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,044.24 | $2,610.59 | 2.7× |
| Angiography extremity bilateral rs&i (75716) | $6,399.03 | $15,997.57 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $6,120.63 | $15,301.58 | 2.0× |
| Ankle 2 views (73600) | $195.60 | $489.01 | 2.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,120.63 | $15,301.58 | 2.0× |
| Arthrogram Wrist (73115) | $1,504.84 | $3,762.11 | 4.5× |
| Basic radiation dosimetry calculation (77300) | $307.48 | $768.71 | 2.4× |
| Bone age studies (77072) | $195.60 | $489.01 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,044.41 | $2,611.03 | 2.7× |
| Bone Imaging Limited Area (78300) | $1,044.24 | $2,610.59 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $1,044.24 | $2,610.59 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,044.41 | $2,611.03 | 2.7× |
| Bone marrow imaging; whole body (78104) | $1,070.21 | $2,675.53 | 2.8× |
| Bone survey infant (77076) | $327.41 | $818.53 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $453.86 | $1,134.64 | 5.5× |
| Chest 1 view (71045) | $190.04 | $475.11 | 2.3× |
| Chest 2 views (71046) | $190.04 | $475.11 | 2.3× |
| Chest 3 views (71047) | $190.04 | $475.11 | 2.3× |
| Chest 4 or more views (71048) | $277 | $692.49 | 2.8× |
| Clavicle complete (73000) | $195.60 | $489.01 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $228.20 | $570.49 | 2.3× |
| Continuing medical physics consltj pr wk (77336) | $307.48 | $768.71 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $6,120.63 | $15,301.58 | 2.0× |
| Contrast X-Ray Bladder (74430) | $746.22 | $1,865.56 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,386.98 | $3,467.46 | 4.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,529.36 | $6,323.41 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $1,479.65 | $3,699.13 | 6.5× |
| CT abdomen w contrast (74160) | $1,126.54 | $2,816.35 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,126.54 | $2,816.35 | 6.7× |
| CT abdomen w/o contrast (74150) | $739.98 | $1,849.95 | 7.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,668.14 | $4,170.36 | 5.0× |
| CT Angio Chest (71275) | $1,355.98 | $3,389.94 | 8.1× |
| CT Angio Head (70496) | $954.66 | $2,386.65 | 5.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,291.38 | $3,228.45 | 7.7× |
| CT Angio Neck (70498) | $954.66 | $2,386.65 | 5.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,291.38 | $3,228.45 | 7.7× |
| CT cervical spine w/ contrast (72126) | $1,064.41 | $2,661.03 | 3.2× |
| CT cervical spine w/o contrast (72125) | $633.13 | $1,582.82 | 6.3× |
| CT cervical spine w/wo cont (72127) | $1,264.85 | $3,162.12 | 7.5× |
| CT chest w contrast (71260) | $1,182.94 | $2,957.35 | 7.1× |
| CT chest w/wo contrast (71270) | $1,328.11 | $3,320.27 | 7.9× |
| CT colonography screening (74263) | $90.47 | $226.17 | 0.4× |
| CT head/brain with contrast (70460) | $954.66 | $2,386.65 | 5.7× |
| CT head/brain without and with contrast (70470) | $954.66 | $2,386.65 | 5.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $150 | $375 | 1.8× |
| CT iac w contrast (70481) | $954.66 | $2,386.65 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,264.85 | $3,162.12 | 7.5× |
| CT lower ext w/o (73700) | $739.98 | $1,849.95 | 7.4× |
| CT lower extremity w/contrast material (73701) | $1,126.60 | $2,816.49 | 6.7× |
| CT lumbar spine w contrast (72132) | $1,126.60 | $2,816.49 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $633.13 | $1,582.82 | 6.3× |
| CT maxillofacial w contrast (70487) | $954.66 | $2,386.65 | 5.7× |
| CT maxillofacial wo contrast (70486) | $627.20 | $1,568 | 6.3× |
| CT neck tissue combo (70492) | $954.66 | $2,386.65 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $954.66 | $2,386.65 | 5.7× |
| CT orbits w/o contrast (70480) | $627.20 | $1,568 | 6.3× |
| CT pelvis w&w/o contrast (72194) | $1,264.85 | $3,162.12 | 7.5× |
| CT pelvis w/o contrast (72192) | $739.89 | $1,849.73 | 7.4× |
| CT scan of leg combo (73702) | $1,897.27 | $4,743.18 | 11.3× |
| CT scans face/jaw combo (70488) | $954.66 | $2,386.65 | 5.7× |
| CT soft tissue neck w contrast (70491) | $954.66 | $2,386.65 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $627.20 | $1,568 | 6.3× |
| CT thoracic spine w contrast (72129) | $1,126.60 | $2,816.49 | 6.7× |
| CT thoracic spine w/o contrast (72128) | $633.13 | $1,582.82 | 6.3× |
| CT thoracic spine w/wo cont (72130) | $1,264.85 | $3,162.12 | 7.5× |
| CT thorax w/o contrast (71250) | $777.10 | $1,942.75 | 7.8× |
| CT upper ext wo (73200) | $739.98 | $1,849.95 | 7.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,897.27 | $4,743.18 | 11.3× |
| CT upper extremity with contrast (73201) | $1,126.60 | $2,816.49 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,291.38 | $3,228.45 | 7.7× |
| Cta Abdomen (74175) | $1,291.38 | $3,228.45 | 7.7× |
| CTA pelvis (72191) | $1,291.38 | $3,228.45 | 7.7× |
| Dxa Bone Density Axial (77080) | $318.71 | $796.78 | 3.2× |
| Echo exam uterus (76831) | $674.36 | $1,685.89 | 3.0× |
| Echo Guide For Artery Repair (76936) | $409.77 | $1,024.43 | 2.0× |
| Esophagram (74220) | $380.75 | $951.87 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $435.91 | $1,089.77 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $423.31 | $1,058.28 | 4.2× |
| Fluoroscopy up to 1 hr (76000) | $308.24 | $770.61 | 1.4× |
| Foot 2 views (73620) | $195.60 | $489.01 | 2.4× |
| Forearm 2 views (73090) | $195.60 | $489.01 | 2.4× |
| Gastric emptying imaging study (78264) | $1,044.24 | $2,610.59 | 2.7× |
| Gated Heart Planar Single (78472) | $1,290.65 | $3,226.62 | 3.4× |
| Hand 2 views (73120) | $195.60 | $489.01 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,227.27 | $3,068.18 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,167.61 | $2,919.02 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $3,200.24 | $8,000.60 | 2.6× |
| Hysterosalpingogram (74740) | $914.32 | $2,285.79 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $271.89 | $679.72 | 3.3× |
| Infusion Ivp (74410) | $731.86 | $1,829.65 | 4.4× |
| K Flow/Funct Image W/Drug (78708) | $1,366.50 | $3,416.24 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,010.76 | $2,526.91 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $685.44 | $1,713.61 | 1.8× |
| Knee 3 Views (73562) | $195.60 | $489.01 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,227.27 | $3,068.18 | 3.2× |
| Liver imaging w/vascular flow (78202) | $911.40 | $2,278.49 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,366.50 | $3,416.24 | 2.6× |
| Lung Ventilation Imaging (78579) | $789.72 | $1,974.31 | 2.1× |
| Lymph System Imaging (78195) | $1,091 | $2,727.49 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,365.74 | $3,414.36 | 6.0× |
| Meckels Divert Exam (78290) | $1,044.24 | $2,610.59 | 2.7× |
| Medical physics dose eval radiation expos w/rprt (76145) | $262.04 | $655.10 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) | $814.52 | $2,036.31 | 2.3× |
| Mr safety determination physician/other qhp (76016) | $131.82 | $329.56 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $36.66 | $91.64 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $137.42 | $343.56 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $88.93 | $222.32 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $361.87 | $904.68 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,327.73 | $5,819.33 | 7.0× |
| MRA head w/o contrast (70544) | $1,519.84 | $3,799.60 | 6.7× |
| MRA head with contrast (70545) | $1,843.33 | $4,608.32 | 5.5× |
| MRA neck w contrast (70548) | $1,843.33 | $4,608.32 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,327.73 | $5,819.33 | 7.0× |
| MRA neck w/o contrast (70547) | $1,519.84 | $3,799.60 | 6.7× |
| MRI abdomen w contrast (74182) | $1,843.33 | $4,608.32 | 5.5× |
| MRI abdomen w/o contrast (74181) | $1,534.24 | $3,835.59 | 6.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,843.33 | $4,608.32 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,327.73 | $5,819.33 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,843.33 | $4,608.32 | 2.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,162.43 | $7,906.07 | 13.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,581.24 | $3,953.11 | 6.9× |
| MRI cervical spine w contrast (72142) | $1,734.40 | $4,336.01 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,519.84 | $3,799.60 | 6.7× |
| MRI chest w/o contrast (71550) | $2,356.85 | $5,892.13 | 10.3× |
| MRI chest with contrast (71551) | $2,844.99 | $7,112.48 | 3.8× |
| MRI chest wo w contrast (71552) | $3,116.30 | $7,790.75 | 9.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,843.33 | $4,608.32 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,327.73 | $5,819.33 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,519.84 | $3,799.60 | 6.7× |
| MRI lumbar spine w contrast (72149) | $1,896.06 | $4,740.15 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,327.73 | $5,819.33 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,461.18 | $3,652.96 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,519.84 | $3,799.60 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,327.73 | $5,819.33 | 7.0× |
| MRI pelvis w contrast (72196) | $2,327.73 | $5,819.33 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,488.58 | $8,721.46 | 10.5× |
| MRI pelvis w/o contrast (72195) | $1,519.84 | $3,799.60 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,519.84 | $3,799.60 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,519.84 | $3,799.60 | 6.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,327.73 | $5,819.33 | 7.0× |
| MRI, abdomen, combo (74183) | $2,327.73 | $5,819.33 | 7.0× |
| MRI, dorsal spine combo (72157) | $2,327.73 | $5,819.33 | 7.0× |
| MRI, dorsal spine contrast (72147) | $1,734.40 | $4,336.01 | 5.2× |
| MRI, joint upper extrem (73221) | $1,534.24 | $3,835.59 | 6.7× |
| MRI, joint upper extrem combo (73223) | $2,327.73 | $5,819.33 | 7.0× |
| MRI, lumbar spine combo (72158) | $2,327.73 | $5,819.33 | 7.0× |
| Myocardial Spect Multiple Studies (78452) | $3,289.82 | $8,224.54 | 2.7× |
| Neck soft tissue (70360) | $195.60 | $489.01 | 2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $691.54 | $1,728.85 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $280.83 | $702.07 | 2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,469.14 | $8,672.86 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $774.90 | $1,937.26 | 3.5× |
| Parathyroid Planar Imaging (78070) | $918.25 | $2,295.62 | 2.4× |
| Pelvis 1 or 2 views (72170) | $195.60 | $489.01 | 2.0× |
| PET image w/CT, full body (78816) | $4,467.53 | $11,168.82 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,339.40 | $10,848.50 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $829.22 | $2,073.04 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $311.81 | $779.52 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $870.75 | $2,176.87 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $195.60 | $489.01 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $195.60 | $489.01 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $195.60 | $489.01 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $277 | $692.49 | 2.8× |
| Radex fingr minimum 2 views (73140) | $195.60 | $489.01 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $195.60 | $489.01 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $195.60 | $489.01 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $195.60 | $489.01 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $242.06 | $605.16 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $195.60 | $489.01 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $195.60 | $489.01 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $195.60 | $489.01 | 2.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $195.60 | $489.01 | 2.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $615.63 | $1,539.08 | 3.7× |
| Radex Spine 1 View Specify Level (72020) | $195.60 | $489.01 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $195.60 | $489.01 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $195.60 | $489.01 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $195.60 | $489.01 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) | $195.60 | $489.01 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $195.60 | $489.01 | 2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $835.37 | $2,088.42 | 8.4× |
| Radiation treatment delivery level 1 (77402) | $298.97 | $747.42 | 3.1× |
| Radiation treatment delivery level 2 (77407) | $298.97 | $747.42 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $534.61 | $1,336.53 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $277 | $692.49 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $277 | $692.49 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $586.36 | $1,465.90 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $362.67 | $906.68 | 2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $380.75 | $951.87 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $195.60 | $489.01 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $195.60 | $489.01 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $380.81 | $952.02 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $380.75 | $951.87 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $362.62 | $906.54 | 2.2× |
| Radiologic examination femur 1 view (73551) | $352.79 | $881.97 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) | $252.02 | $630.05 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $195.60 | $489.01 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $195.60 | $489.01 | 2.4× |
| Ribs bilateral 3 views (71110) | $195.60 | $489.01 | 2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,224.36 | $3,060.89 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,261.35 | $3,153.37 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,064.02 | $10,160.04 | 7.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,154.06 | $5,385.15 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,154.06 | $5,385.15 | 4.2× |
| Scapula (73010) | $195.60 | $489.01 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78.35 | $195.87 | 3.4× |
| Shoulder 1 view (73020) | $195.60 | $489.01 | 2.4× |
| Sialogram (70390) | $914.32 | $2,285.79 | 4.0× |
| Skull less than 4 views (70250) | $277 | $692.49 | 2.8× |
| Special dosimetry (77331) | $307.48 | $768.71 | 2.4× |
| Special Physics Consult (77370) | $307.48 | $768.71 | 2.4× |
| Special teletherapy port plan (77321) | $814.52 | $2,036.31 | 2.3× |
| Special treatment procedure (77470) | $1,293.48 | $3,233.70 | 2.4× |
| Stereotactic Body Radiation Delivery (77373) | $3,819.46 | $9,548.65 | 2.2× |
| Sternoclavicular joints (71130) | $178.60 | $446.51 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $814.52 | $2,036.31 | 2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $814.52 | $2,036.31 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $814.52 | $2,036.31 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $814.52 | $2,036.31 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $307.48 | $768.71 | 2.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $362.62 | $906.54 | 2.2× |
| Thoracic spine 2 views (72070) | $195.60 | $489.01 | 2.0× |
| Thoracic spine 3 views (72072) | $195.60 | $489.01 | 2.0× |
| Thoracolumbar 2 views (72080) | $195.60 | $489.01 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $602.91 | $1,507.28 | 1.6× |
| Thyroid Met Imaging Body (78018) | $1,201.29 | $3,003.22 | 2.3× |
| Thyroid Uptake Measurement (78012) | $907.17 | $2,267.92 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $918.25 | $2,295.62 | 2.4× |
| Tx Devices Design & Construction Complex (77334) | $814.52 | $2,036.31 | 2.3× |
| Tx devices design & construction intermediate (77333) | $307.48 | $768.71 | 2.4× |
| Tx devices design & construction simple (77332) | $307.48 | $768.71 | 2.4× |
| Ultrasound Breast Limited (76642) | $258.92 | $647.31 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $427.32 | $1,068.31 | 4.3× |
| Ultrasound, abdomen limited (76705) | $407 | $1,017.50 | 4.1× |
| Upper gi w/o kub (74240) | $380.75 | $951.87 | 2.3× |
| Ureteral Reflux Study (78740) | $1,371.80 | $3,429.49 | 3.6× |
| Urethrocystogram voiding (74455) | $710.71 | $1,776.78 | 3.1× |
| Urethrocystography retrograde (74450) | $470.35 | $1,175.87 | 2.1× |
| Us breast unilateral complete (76641) | $308.24 | $770.61 | 3.1× |
| Us chest (76604) | $261.48 | $653.70 | 2.6× |
| Us complete joint (76881) | $423.31 | $1,058.28 | 4.2× |
| Us exam, pelvic, limited (76857) | $271.89 | $679.72 | 2.7× |
| Us head (76506) | $261.48 | $653.70 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $195.60 | $489.01 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $271.89 | $679.72 | 2.7× |
| Us ob transvaginal (76817) | $271.89 | $679.72 | 2.7× |
| Us pelvic non ob complete (76856) | $423.31 | $1,058.28 | 4.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $423.31 | $1,058.28 | 4.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $215.32 | $538.30 | 2.2× |
| Us retroperitoneal complete (76770) | $427.32 | $1,068.31 | 4.3× |
| Us retroperitoneal limited (76775) | $407 | $1,017.50 | 4.1× |
| Us scrotum and contents (76870) | $423.31 | $1,058.28 | 4.2× |
| Us spinal canal and contents (76800) | $423.31 | $1,058.28 | 4.2× |
| Us thyroid (76536) | $423.25 | $1,058.13 | 4.2× |
| Us transrectal (76872) | $83.54 | $208.85 | 0.8× |
| Vascular Flow Imaging (78445) | $844.37 | $2,110.92 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $2,165.17 | $5,412.93 | 1.4× |
| Wrist 2 views (73100) | $195.60 | $489.01 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $195.60 | $489.01 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $746.22 | $1,865.56 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $7,711.40 | $19,278.51 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $195.60 | $489.01 | 2.4× |
| X-Ray Exam Breast Specimen (76098) | $1,595.76 | $3,989.40 | 3.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $195.60 | $489.01 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $309.83 | $774.58 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $567.77 | $1,419.43 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $391.12 | $977.81 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $405.03 | $1,012.57 | 4.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $502.20 | $1,255.51 | 5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $522.93 | $1,307.32 | 5.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $642.29 | $1,605.72 | 6.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $759.98 | $1,899.94 | 7.6× |
| X-Ray Exam L-S Spine Bending (72114) | $330.54 | $826.36 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $195.60 | $489.01 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $327.41 | $818.53 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $195.60 | $489.01 | 2.0× |
| X-ray eye for foreign body (70030) | $391.12 | $977.81 | 4.7× |
| X-ray humerus (73060) | $195.60 | $489.01 | 2.4× |
| X-ray IV pyelogram (ivp) (74400) | $710.71 | $1,776.78 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $195.60 | $489.01 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $195.60 | $489.01 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $195.60 | $489.01 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $186.27 | $465.68 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $330.54 | $826.36 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $195.60 | $489.01 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $195.60 | $489.01 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $195.60 | $489.01 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $195.60 | $489.01 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $277 | $692.49 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $294.89 | $737.22 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $746.22 | $1,865.56 | 2.2× |
| X-Rays Bone Length Studies (77073) | $195.60 | $489.01 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $330.54 | $826.36 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $327.41 | $818.53 | 3.3× |
| Xr facial bones less than 3 views (70140) | $195.60 | $489.01 | 2.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $242.06 | $605.16 | 2.4× |
| Xr orbits complete 4 views (70200) | $277 | $692.49 | 2.8× |