Imaging prices at HCA Florida Blake Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,695 $2,695 1.9×
Abdomen 1 View (74018) $2,699.80 $2,699.80 29.7×
Abdomen 2 views (74019) $3,972.10 $3,972.10 36.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $4,441.81 $4,441.81 10.6×
Angio internal mammary (75756) $13,935.31 $13,935.31 4.2×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$14,911.86–$15,585.35 $14,911.86–$15,585.35 varies
Angiography extremity bilateral rs&i (75716)
range across 3 matching MRF lines
$10,482.96–$17,023.09 $10,482.96–$17,023.09 varies
Angiography extremity unilateral rs&i (75710)
range across 6 matching MRF lines
$7,314.65–$13,414.08 $7,314.65–$13,414.08 varies
Angiography pulmonary unilateral slctv rs&i (75741)
range across 4 matching MRF lines
$13,869.42–$14,491.66 $13,869.42–$14,491.66 varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $14,491.66 $14,491.66 4.4×
Ankle 2 views (73600)
range across 3 matching MRF lines
$2,566.56–$5,130.20 $2,566.56–$5,130.20 varies
Aortography thoracic serialography rs&i (75605)
range across 2 matching MRF lines
$10,299.95–$10,761.14 $10,299.95–$10,761.14 varies
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines
$14,491.66–$16,151.95 $14,491.66–$16,151.95 varies
Artery X-Rays Adrenal Gland (75731) $11,406.80 $11,406.80 3.5×
Artery X-Rays Pelvis (75736)
range across 2 matching MRF lines
$13,523.90–$13,869.42 $13,523.90–$13,869.42 varies
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure
$2,023.38 $2,023.38 0.3×
Arthrogram ankle (73615)
range across 3 matching MRF lines
$3,714.43–$7,430.31 $3,714.43–$7,430.31 varies
Arthrogram hip (73525) $5,125.81 $5,125.81 14.1×
Arthrogram Wrist (73115)
range across 4 matching MRF lines
$3,301.55–$3,677.82 $3,301.55–$3,677.82 varies
Basic radiation dosimetry calculation (77300) $572 $572 4.1×
Bone age studies (77072) $805.26 $805.26 7.4×
Bone Imaging 3 Phase (78315) $7,670.40 $7,670.40 18.4×
Bone Imaging Limited Area (78300) $5,979.92 $5,979.92 14.3×
Bone Imaging Whole Body (78306) $8,292.82 $8,292.82 19.9×
Bone marrow imaging limited area (78102) $5,979.92 $5,979.92 14.3×
Bone survey infant (77076) $2,844.74 $2,844.74 26.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $7,181.66 $7,181.66 12.7×
Brain Imaging Pet Metabolic Evaluation (78608) $4,524.07 $4,524.07 3.0×
Cat Scan Follow-Up Study (76380) $4,731.18 $4,731.18 52.1×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $6,477.28 $6,477.28 11.4×
Cerebrospinal Fluid Scan (78630) $4,759.50 $4,759.50 8.4×
Chest 1 view (71045) $2,704.20 $2,704.20 29.8×
Chest 2 views (71046) $2,920.89 $2,920.89 32.1×
Chest 3 views (71047) $2,494.82 $2,494.82 27.5×
Chest 4 or more views (71048) $2,494.82 $2,494.82 22.9×
Clavicle complete (73000)
range across 3 matching MRF lines
$2,351.35–$4,695.37 $2,351.35–$4,695.37 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $13,200.63 $13,200.63 120.9×
Continuing medical physics consltj pr wk (77336) $487 $487 3.5×
Contrast Exam Abdominl Aorta (75625)
range across 3 matching MRF lines
$7,314.65–$14,119.78 $7,314.65–$14,119.78 varies
Contrast X-Ray Bladder (74430) $3,982.35 $3,982.35 10.9×
Contrast X-Ray Of Elbow (73085) $5,264.91 $5,264.91 14.5×
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$3,714.43–$7,430.31 $3,714.43–$7,430.31 varies
CT abdomen and pelvis without and with contrast (74178) $45,154.48 $45,154.48 123.9×
CT abdomen and pelvis without contrast (74176) $36,406.50 $36,406.50 146.1×
CT abdomen w contrast (74160) $20,007.91 $20,007.91 109.2×
CT abdomen w wo contrast (74170) $21,710.05 $21,710.05 118.5×
CT abdomen w/o contrast (74150) $17,357.98 $17,357.98 159.0×
CT Angio Abdomen and Pelvis (74174) $29,409.66 $29,409.66 80.7×
CT Angio Chest (71275) $21,615.91 $21,615.91 118.0×
CT Angio Head (70496) $20,779.02 $20,779.02 113.4×
CT angio hrt w/3d image (75574) $17,508.85 $17,508.85 48.1×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$14,125.20–$28,249.11 $14,125.20–$28,249.11 varies
CT Angio Neck (70498) $17,450.83 $17,450.83 95.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $11,633.89 $11,633.89 63.5×
CT cervical spine w/ contrast (72126) $15,930.50 $15,930.50 43.7×
CT cervical spine w/o contrast (72125) $13,466.26 $13,466.26 123.4×
CT cervical spine w/wo cont (72127) $16,858.94 $16,858.94 92.0×
CT chest w contrast (71260) $20,330.28 $20,330.28 111.0×
CT chest w/wo contrast (71270) $20,660.39 $20,660.39 112.8×
CT head/brain with contrast (70460) $17,208.40 $17,208.40 93.9×
CT head/brain without and with contrast (70470) $19,346.39 $19,346.39 105.6×
CT heart no contrast quant eval coronry calcium (75571) $107.03 $107.03 1.2×
CT iac w contrast (70481) $14,564.92 $14,564.92 79.5×
CT l-spine w&w/o contrast (72133) $15,670.02 $15,670.02 85.5×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$10,689.97–$21,387.68 $10,689.97–$21,387.68 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$12,542.98–$25,094.99 $12,542.98–$25,094.99 varies
CT lumbar spine w contrast (72132) $15,930.50 $15,930.50 43.7×
CT lumbar spine w/o contrast (72131) $13,436.61 $13,436.61 123.1×
CT maxillofacial w contrast (70487) $16,620.38 $16,620.38 90.7×
CT maxillofacial wo contrast (70486) $15,114.25 $15,114.25 138.4×
CT neck tissue combo (70492) $16,648.76 $16,648.76 90.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $16,461.78 $16,461.78 89.9×
CT orbits w/o contrast (70480) $12,110.99 $12,110.99 110.9×
CT pelvis w&w/o contrast (72194) $23,447 $23,447 128.0×
CT pelvis w/o contrast (72192) $19,047.23 $19,047.23 174.5×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$12,974.97–$25,957.68 $12,974.97–$25,957.68 varies
CT scans face/jaw combo (70488) $16,256.75 $16,256.75 88.8×
CT soft tissue neck w contrast (70491) $15,930.50 $15,930.50 87.0×
CT soft tissue neck w/o contrast (70490) $10,807.30 $10,807.30 99.0×
CT thoracic spine w contrast (72129) $16,310.91 $16,310.91 89.0×
CT thoracic spine w/o contrast (72128) $13,939.51 $13,939.51 127.7×
CT thoracic spine w/wo cont (72130) $17,083.33 $17,083.33 93.3×
CT thorax w/o contrast (71250) $8,274.74 $8,274.74 75.8×
CT upper ext wo (73200)
range across 3 matching MRF lines
$10,098.09–$20,210.36 $10,098.09–$20,210.36 varies
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines
$12,875.67–$25,759.08 $12,875.67–$25,759.08 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$13,012.36–$26,033.75 $13,012.36–$26,033.75 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $23,281.96 $23,281.96 127.1×
Cta Abdomen (74175) $23,281.96 $23,281.96 127.1×
CTA pelvis (72191) $24,525.04 $24,525.04 133.9×
Dilation ureters/urethra rs&i (74485) $5,994.02 $5,994.02 2.7×
Discography Cerv/Thor Spine (72285) $8,907.58 $8,907.58 4.4×
Diskography lumbar (72295) $8,907.58 $8,907.58 4.4×
Dxa Bone Density Axial (77080) $912.13 $912.13 8.4×
Echo Guide For Artery Repair (76936) $8,906.12 $8,906.12 39.5×
Esophagram (74220) $2,566.56 $2,566.56 14.0×
Fetal Biophys Profile W/Nst (76818) $3,693.92 $3,693.92 33.8×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$3,319.12–$3,844.73 $3,319.12–$3,844.73 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$6,654.34–$6,958.86 $6,654.34–$6,958.86 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$2,437.73–$4,876.92 $2,437.73–$4,876.92 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$2,566.56–$5,130.20 $2,566.56–$5,130.20 varies
Gastric emptying imaging study (78264) $6,359.41 $6,359.41 15.2×
Gated Heart Planar Single (78472) $8,038.39 $8,038.39 19.3×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,753.99–$3,516.77 $1,753.99–$3,516.77 varies
Heart first pass single,planar (78481) $5,301.42 $5,301.42 9.3×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,809.55 $5,809.55 1.8×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $16,027.51 $16,027.51 4.9×
Hepatobil Syst Image W/Drug (78227) $8,532.89 $8,532.89 15.0×
Hepatobiliary System Imaging (78226) $7,253.53 $7,253.53 17.4×
Ht Muscle Image Spect Sing (78451) $7,377.15 $7,377.15 5.5×
Hysterosalpingogram (74740)
range across 2 matching MRF lines
$3,876.94–$4,720.25 $3,876.94–$4,720.25 varies
Infusion Ivp (74410) $4,390.84 $4,390.84 24.0×
Interstitial radiation source applic complex (77778) $6,957.40 $6,957.40 9.6×
Intracavitary Radiation Source Applic Complex (77763) $9,146.68 $9,146.68 12.6×
Intracavitary Radiation Source Applic Intermed (77762) $7,045.09 $7,045.09 12.2×
Intracavitary radiation source applic simple (77761) $4,950.68 $4,950.68 8.6×
K Flow/Funct Image Multiple (78709) $8,432.26 $8,432.26 14.9×
K Flow/Funct Image W/Drug (78708) $8,432.26 $8,432.26 14.9×
K Flow/Funct Image W/O Drug (78707) $6,359.41 $6,359.41 11.2×
Leveen/Shunt Patency Exam (78291) $6,477.28 $6,477.28 15.5×
Liver & Spleen Imaging Static Only (78215) $6,263.10 $6,263.10 15.0×
Lung Perf&Ventilat Diferentl (78598) $8,038.39 $8,038.39 14.2×
Lung perfusion differential (78597) $8,038.39 $8,038.39 19.3×
Lung Ventilat&Perfus Imaging (78582) $13,506.57 $13,506.57 23.8×
Lung Ventilation Imaging (78579) $6,753.27 $6,753.27 16.2×
Lymph System Imaging (78195) $8,489.76 $8,489.76 15.0×
Magnetic Image Jaw Joint (70336) $4,635.47 $4,635.47 18.6×
Mammary ductogram or galactogram single (77053)
range across 2 matching MRF lines
$964.84–$1,042.44 $964.84–$1,042.44 varies
Meckels Divert Exam (78290) $6,753.27 $6,753.27 16.2×
Mra Head W/O & W/Contrast Material (70546) $7,977.28 $7,977.28 21.9×
MRA head w/o contrast (70544) $4,485.45 $4,485.45 18.0×
Mra Neck W/O &W/Contrast Material (70549) $7,977.28 $7,977.28 21.9×
MRA neck w/o contrast (70547) $4,485.45 $4,485.45 18.0×
MRI abdomen w/o contrast (74181) $7,085.84 $7,085.84 28.4×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$6,034.60–$12,068.11 $6,034.60–$12,068.11 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$7,355.45–$14,703.28 $7,355.45–$14,703.28 varies
MRI any jt upper extremity w/contrast matrl (73222) $4,925.74 $4,925.74 6.0×
MRI Breast W/O Contrast Bilateral (77047) $4,316.95 $4,316.95 17.3×
MRI Breast Without Contrast Material Unilateral (77046) $2,159.02 $2,159.02 8.7×
MRI cervical spine w contrast (72142) $7,489.16 $7,489.16 20.6×
MRI cervical spine w/o cont (72141) $7,085.84 $7,085.84 28.4×
MRI chest w/o contrast (71550) $4,314.77 $4,314.77 17.3×
MRI chest wo w contrast (71552) $6,533.58 $6,533.58 17.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$7,355.45–$14,705.46 $7,355.45–$14,705.46 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,851.81 $4,851.81 19.5×
MRI lumbar spine w contrast (72149) $7,489.16 $7,489.16 20.6×
Mri Neck Spine W/O & W/Dye (72156) $8,035.98 $8,035.98 22.1×
MRI orbit face &/neck w/o contrast (70540) $4,081.04 $4,081.04 16.4×
MRI orbit face neck w contrast (70542) $4,534.37 $4,534.37 12.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,987.85 $5,987.85 16.4×
MRI pelvis w/o & w contrast (72197) $6,805.36 $6,805.36 18.7×
MRI pelvis w/o contrast (72195) $4,422.40 $4,422.40 17.7×
MRI thoracic spine w/o contrast (72146) $7,409.80 $7,409.80 29.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,487.63 $4,487.63 18.0×
Mri Uppr Extremity W/O&W/Dye (73220) $6,805.36 $6,805.36 18.7×
MRI, abdomen, combo (74183) $7,085.84 $7,085.84 19.4×
MRI, dorsal spine combo (72157) $8,035.98 $8,035.98 22.1×
MRI, dorsal spine contrast (72147) $8,108.82 $8,108.82 22.3×
MRI, joint upper extrem (73221) $4,487.63 $4,487.63 18.0×
MRI, joint upper extrem combo (73223) $6,805.36 $6,805.36 18.7×
MRI, lumbar spine combo (72158) $8,989.39 $8,989.39 24.7×
Myelogram cervical (72240) $8,835.85 $8,835.85 10.8×
Myelogram Lumbar (72265) $9,034.96 $9,034.96 11.0×
Myelography thoracic (72255) $8,364.40 $8,364.40 10.2×
Myelograpy 2/more regions rs&i (72270) $10,406.83 $10,406.83 12.7×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $9,636.87 $9,636.87 23.1×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $5,059.93 $5,059.93 8.9×
Myocardial Spect Multiple Studies (78452) $14,841.98 $14,841.98 11.0×
N-invas est c ffr sw aly CTA (75580) $3,000 $3,000 3.3×
Neck soft tissue (70360) $2,108.30 $2,108.30 23.2×
Nm csf leak detection (78650) $3,484.45 $3,484.45 2.6×
Nonvascular Shunt X-Ray (75809) $3,245.91 $3,245.91 29.7×
Ntsty modul radthx pln dose-vol histos (77301) $1,434 $1,434 1.0×
Nuclear Rx Oral Admin (79005) $2,150.48 $2,150.48 8.8×
Parathyroid Planar Imaging (78070) $4,572.62 $4,572.62 11.0×
Pelvis 1 or 2 views (72170) $2,494.82 $2,494.82 22.9×
Pet Image Skull-Thigh (78812) $4,524.07 $4,524.07 3.0×
Pet Imaging Limited Area Chest Head/Neck (78811) $4,524.07 $4,524.07 3.3×
PET whole body (78813) $4,524.07 $4,524.07 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $6,753.27 $6,753.27 16.2×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$2,156.62–$2,917.95 $2,156.62–$2,917.95 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,844.74–$5,690.96 $2,844.74–$5,690.96 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$2,156.62–$4,319.10 $2,156.62–$4,319.10 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$2,566.56–$5,130.20 $2,566.56–$5,130.20 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $3,513.84 $3,513.84 32.2×
Radex fingr minimum 2 views (73140) $2,223.97 $2,223.97 24.5×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$2,844.74–$5,690.96 $2,844.74–$5,690.96 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$2,351.35–$4,720.25 $2,351.35–$4,720.25 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 3 matching MRF lines
$2,893.07–$5,791.98 $2,893.07–$5,791.98 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,351.35 $2,351.35 25.9×
Radex Ribs Unilateral 2 Views (71100) $3,052.65 $3,052.65 33.6×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$2,699.80–$5,390.81 $2,699.80–$5,390.81 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $5,125.81 $5,125.81 28.0×
Radex Spine 1 View Specify Level (72020) $2,156.62 $2,156.62 23.7×
Radex Sternum Minimum 2 Views (71120) $2,566.56 $2,566.56 28.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $3,301.55 $3,301.55 36.3×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$2,108.30–$4,196.12 $2,108.30–$4,196.12 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,566.56–$5,130.20 $2,566.56–$5,130.20 varies
Radiolog exam mandible compl minimum 4 views (70110) $2,893.07 $2,893.07 26.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $5,244.40 $5,244.40 48.0×
Radiologic exam colon double contrast study (74280) $6,001.35 $6,001.35 32.8×
Radiologic exam colon single contrast study (74270) $4,390.84 $4,390.84 24.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $2,688.09 $2,688.09 14.7×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,844.74–$5,690.96 $2,844.74–$5,690.96 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2,494.82 $2,494.82 22.9×
Radiologic Exam Small Int Single Contrast Study (74250) $4,390.84 $4,390.84 24.0×
Radiologic exam swallow function contrast study (74230) $1,818.41 $1,818.41 9.9×
Radiologic exam upr gi trc double contrast study (74246) $4,509.43 $4,509.43 24.6×
Radiologic examination femur 1 view (73551) $1,285.48 $1,285.48 14.1×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$1,310.38–$2,566.56 $1,310.38–$2,566.56 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$2,108.30–$4,196.12 $2,108.30–$4,196.12 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$2,699.80–$5,390.81 $2,699.80–$5,390.81 varies
Renal Cyst Study (74470) $4,095.09 $4,095.09 7.2×
Ribs bilateral 3 views (71110) $3,513.84 $3,513.84 32.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $4,732.19 $4,732.19 11.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $19,748.09 $19,748.09 34.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $9,868.30 $9,868.30 17.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $8,193.64 $8,193.64 14.5×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $19,748.09 $19,748.09 14.6×
Rp Therapy Intravenous Administration (79101) $5,170.62 $5,170.62 21.2×
Scapula (73010) $2,351.35 $2,351.35 21.5×
Screening Digital Breast Tomosynthesis Bi (77063) $57.10 $57.10 2.4×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$2,156.62–$4,319.10 $2,156.62–$4,319.10 varies
Shoulder Arthrography (73040) $5,264.91 $5,264.91 14.5×
Sialogram (70390) $2,585.61 $2,585.61 10.4×
Skull less than 4 views (70250) $2,494.82 $2,494.82 22.9×
Special dosimetry (77331) $1,241 $1,241 8.8×
Special Physics Consult (77370) $1,714 $1,714 12.2×
Special treatment procedure (77470) $1,475 $1,475 2.6×
Sternoclavicular joints (71130) $1,691.04 $1,691.04 18.6×
Testicular Imaging W/Flow (78761) $5,621.99 $5,621.99 13.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,147 $1,147 2.9×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $915 $915 2.3×
Ther rad simulaj-aided field setting simple (77280) $571 $571 4.1×
Thoracic spine 2 views (72070) $2,699.80 $2,699.80 24.7×
Thoracic spine 3 views (72072) $3,052.65 $3,052.65 28.0×
Thyroid Imaging With Vascular Flow (78013) $4,530.94 $4,530.94 10.9×
Thyroid Met Imaging Body (78018) $8,862.06 $8,862.06 15.6×
Thyroid Uptake Measurement (78012) $2,896.52 $2,896.52 6.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,896.52 $2,896.52 6.9×
Tx Devices Design & Construction Complex (77334) $535 $535 1.4×
Tx devices design & construction simple (77332) $759 $759 5.4×
Ultrasound Breast Limited (76642) $519.76 $519.76 5.7×
Ultrasound, abdomen limited (76705) $4,639.73 $4,639.73 42.5×
Unlisted us procedure (76999) $1,979.46 $1,979.46 21.8×
Upper gi w/o kub (74240) $4,390.84 $4,390.84 24.0×
Urethrocystogram voiding (74455) $4,390.84 $4,390.84 17.6×
Urethrocystography retrograde (74450) $5,440.60 $5,440.60 21.8×
Us breast unilateral complete (76641) $579.79 $579.79 5.3×
Us chest (76604) $2,953.09 $2,953.09 27.1×
Us complete joint (76881)
range across 4 matching MRF lines
$3,355.72–$7,389.32 $3,355.72–$7,389.32 varies
Us exam, pelvic, limited (76857) $2,903.31 $2,903.31 26.6×
Us head (76506) $3,623.65 $3,623.65 33.2×
Us kidney transplant (76776) $4,592.89 $4,592.89 42.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 4 matching MRF lines
$2,726.15–$9,279.47 $2,726.15–$9,279.47 varies
Us ob limited 1 or more fetuses (76815) $2,437.73 $2,437.73 22.3×
Us ob transvaginal (76817) $4,095.09 $4,095.09 37.5×
Us pelvic non ob complete (76856) $4,592.89 $4,592.89 42.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,437.73 $2,437.73 22.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,696.89 $1,696.89 15.5×
Us retroperitoneal complete (76770) $4,963.30 $4,963.30 45.5×
Us retroperitoneal limited (76775) $5,898.86 $5,898.86 54.0×
Us scrotum and contents (76870) $3,913.54 $3,913.54 35.8×
Us thyroid (76536) $3,693.92 $3,693.92 33.8×
Us transrectal (76872) $4,572.38 $4,572.38 41.9×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines
$11,900.21–$13,264.75 $11,900.21–$13,264.75 varies
Vein X-Ray Liver W/O Hemodyn (75887) $11,723.05 $11,723.05 3.6×
Vein X-Ray Skull Epidural (75872) $1,847.69 $1,847.69 2.8×
Venography caval inferior serialography rs&i (75825)
range across 3 matching MRF lines
$7,314.65–$11,900.21 $7,314.65–$11,900.21 varies
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$12,654.21–$17,023.09 $12,654.21–$17,023.09 varies
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
$6,324.91–$6,611.88 $6,324.91–$6,611.88 varies
Venography Renal Bilateral (75833) $10,371.68 $10,371.68 3.1×
Venography Renal Unilateral (75831) $11,065.67 $11,065.67 3.4×
Venous sampling by catheter (75893) $5,199.02 $5,199.02 0.9×
Venous Thrombosis Imaging Venogram Bilateral (78458) $5,558.74 $5,558.74 13.3×
Wrist 2 views (73100)
range across 3 matching MRF lines
$2,156.62–$4,319.10 $2,156.62–$4,319.10 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,351.35 $2,351.35 25.9×
X-ray antegrade pyelogram tube (74425)
range across 3 matching MRF lines
$5,023.33–$5,803.69 $5,023.33–$5,803.69 varies
X-Ray Aorta Leg Arteries (75630)
range across 2 matching MRF lines
$17,023.09–$17,345.20 $17,023.09–$17,345.20 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$2,223.97–$4,431.83 $2,223.97–$4,431.83 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$2,177.12–$2,351.35 $2,177.12–$2,351.35 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $3,052.65 $3,052.65 28.0×
X-Ray Exam Hip Uni 1 View (73501) $4,374.73 $4,374.73 48.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $4,651.45 $4,651.45 51.2×
X-Ray Exam Hips Bi 2 Views (73521) $5,803.69 $5,803.69 53.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $5,808.09 $5,808.09 53.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $3,052.65 $3,052.65 33.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $3,645.61 $3,645.61 33.4×
X-Ray Exam Unilat Ribs/Chest (71101) $3,513.84 $3,513.84 32.2×
X-ray eye for foreign body (70030) $2,844.74 $2,844.74 31.3×
X-ray humerus (73060) $2,351.35 $2,351.35 25.9×
X-ray IV pyelogram (ivp) (74400) $7,562.08 $7,562.08 41.3×
X-ray IV pyelogram+tomography (74415)
range across 2 matching MRF lines
$7,888.57–$13,892.85 $7,888.57–$13,892.85 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,607.58 $1,607.58 17.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $3,127.32 $3,127.32 28.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $4,305.92 $4,305.92 39.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $2,108.30 $2,108.30 19.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $3,301.55 $3,301.55 36.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $3,449.42 $3,449.42 38.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $3,513.84 $3,513.84 32.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $5,125.81 $5,125.81 14.1×
X-Rays Bone Length Studies (77073) $5,371.78 $5,371.78 49.2×
X-Rays Bone Survey Complete (77075) $3,245.91 $3,245.91 29.7×
Xr c-spine 4 or 5 views (72050) $4,046.77 $4,046.77 37.1×
Xr facial bones less than 3 views (70140) $2,645.63 $2,645.63 29.1×
Xr orbits complete 4 views (70200) $3,301.55 $3,301.55 30.2×
Xr Tomogram Single Plane (76100) $5,392.28 $5,392.28 49.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.