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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) | $2,695 | $2,695 | 1.9× |
| Acute gi blood loss imaging (78278) | $4,441.81 | $4,441.81 | 10.6× |
| Angio adrenal unilat select (75731) | $11,406.80 | $11,406.80 | 3.5× |
| Angio extremity unilateral (75710) | $12,834.31 | $12,834.31 | 3.9× |
| Angio pulmonary unilateral (75741) | $14,180.54 | $14,180.54 | 4.3× |
| Angiogram extremity bilateral (75716) | $16,292.51 | $16,292.51 | 4.9× |
| Angiogram pelvic (75736) | $13,696.66 | $13,696.66 | 2.4× |
| Angiography internal mammary rs&i (75756) | $13,935.31 | $13,935.31 | 4.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $15,248.60 | $15,248.60 | 4.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $15,321.80 | $15,321.80 | 2.6× |
| Angrph cath f-up std tcat other than thrombylsis (75898) | $6,806.60 | $6,806.60 | 2.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $14,491.66 | $14,491.66 | 4.4× |
| Ankle 2 views (73600) | $2,566.56 | $2,566.56 | 28.2× |
| Arthrography knee lt (73580) | $3,714.43 | $3,714.43 | 10.2× |
| Arthrography wrist lt (73115) | $3,489.68 | $3,489.68 | 9.6× |
| Barium enema (74270) | $4,390.84 | $4,390.84 | 24.0× |
| Basic dosimetry (77300) | $572 | $572 | 4.1× |
| Bilat selctv renal venogram (75833) | $10,371.68 | $10,371.68 | 3.1× |
| Bone age studies (77072) | $805.26 | $805.26 | 7.4× |
| Bone imaging limited area (78300) | $5,979.92 | $5,979.92 | 14.3× |
| Bone survey complete (77075) | $3,245.91 | $3,245.91 | 29.7× |
| Bowel imaging (78290) | $6,753.27 | $6,753.27 | 16.2× |
| Brain image w/flow 4 + views (78606) | $7,181.66 | $7,181.66 | 12.7× |
| Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or… (78481) | $5,301.42 | $5,301.42 | 9.3× |
| Cerebrospinal fluid leakage (78650) | $3,484.45 | $3,484.45 | 2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,818.41 | $1,818.41 | 9.9× |
| Cisternogram (78630) | $4,759.50 | $4,759.50 | 8.4× |
| Clavicle complete (73000) | $2,351.35 | $2,351.35 | 25.9× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $14,564.92 | $14,564.92 | 79.5× |
| Continuing medical physics consltj pr wk (77336) | $487 | $487 | 3.5× |
| Contrast exam abdominl aorta (75625) | $13,515.11 | $13,515.11 | 4.1× |
| Contrast exam thoracic aorta (75605) | $10,530.54 | $10,530.54 | 1.8× |
| Csf shunt evaluation (78645) | $6,477.28 | $6,477.28 | 11.4× |
| CT - st neck w&wo contr (70492) | $16,648.76 | $16,648.76 | 90.9× |
| 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 wo contrast (74170) | $21,710.05 | $21,710.05 | 118.5× |
| CT abdomen w/contrast (74160) | $20,007.91 | $20,007.91 | 109.2× |
| CT abdomen w/o contrast (74150) | $17,357.98 | $17,357.98 | 159.0× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $29,409.66 | $29,409.66 | 80.7× |
| CT angio abdom w/o & w/dye (74175) | $23,281.96 | $23,281.96 | 127.1× |
| CT angio abdominal arteries (75635) | $23,281.96 | $23,281.96 | 127.1× |
| CT angio hrt w/3d image (75574) | $17,508.85 | $17,508.85 | 48.1× |
| CT angiograph pelv w/o&w/dye (72191) | $24,525.04 | $24,525.04 | 133.9× |
| 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 chest w/contrast (71260) | $20,330.28 | $20,330.28 | 111.0× |
| CT extremity upper w & w/o contrast (73202) | $12,875.67 | $12,875.67 | 70.3× |
| 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 w/o contrast quant eval coronary calcium (75571) | $107.03 | $107.03 | 1.2× |
| CT limited/localized follow up study (76380) | $4,731.18 | $4,731.18 | 52.1× |
| CT lower ext w/wo contrast (73702) | $12,974.97 | $12,974.97 | 70.8× |
| CT lower extremity w contrast (73701) | $12,542.98 | $12,542.98 | 68.5× |
| CT lower extremity w/o contrast unilateral (73700) | $10,689.97 | $10,689.97 | 97.9× |
| 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 lumbar spine w/o then w/ con (72133) | $15,670.02 | $15,670.02 | 85.5× |
| CT maxillofacial area w/o contrast (70486) | $15,114.25 | $15,114.25 | 138.4× |
| CT maxillofacial w/contrast (70487) | $16,620.38 | $16,620.38 | 90.7× |
| CT maxillofacial w/o then w/ con (70488) | $16,256.75 | $16,256.75 | 88.8× |
| CT orbit sella ear w/o con (70480) | $12,110.99 | $12,110.99 | 110.9× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $16,461.78 | $16,461.78 | 89.9× |
| 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 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 spine cervical w/wo contrast (72127) | $16,858.94 | $16,858.94 | 92.0× |
| 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/o then w/ con (72130) | $17,083.33 | $17,083.33 | 93.3× |
| CT thorax lung cancer scr c- (71271) | $13,200.63 | $13,200.63 | 120.9× |
| CT thorax w/o contrast (71250) | $8,274.74 | $8,274.74 | 75.8× |
| CT thorax w/o then w/ contrast (71270) | $20,660.39 | $20,660.39 | 112.8× |
| CT upper extremity w/dye (73201) | $13,012.36 | $13,012.36 | 35.7× |
| CT upper extremity w/o contrast rt (73200) | $10,098.09 | $10,098.09 | 92.5× |
| CTA chest w/wo contrast (71275) | $21,615.91 | $21,615.91 | 118.0× |
| CTA head w contrast (70496) | $20,779.02 | $20,779.02 | 113.4× |
| CTA lower extremity w/wo contrast unilateral (73706) | $14,125.20 | $14,125.20 | 77.1× |
| Cta Neck (70498) | $17,450.83 | $17,450.83 | 95.3× |
| CTA upper extremity w/wo contrast unilateral (73206) | $11,633.89 | $11,633.89 | 63.5× |
| Dilation ureters/urethra rs&i (74485) | $5,994.02 | $5,994.02 | 2.7× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) | $8,907.58 | $8,907.58 | 4.4× |
| Diskography lumbar (72295) | $8,907.58 | $8,907.58 | 4.4× |
| Esophogram (74220) | $2,566.56 | $2,566.56 | 14.0× |
| Fetal biophysical profile non-stress testing (76818) | $3,693.92 | $3,693.92 | 33.8× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $3,538.73 | $3,538.73 | 14.2× |
| Gastric emptying study (78264) | $6,359.41 | $6,359.41 | 15.2× |
| Gated heart planar single (78472) | $8,038.39 | $8,038.39 | 19.3× |
| Heart infarct image (78466) | $9,636.87 | $9,636.87 | 23.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $16,027.51 | $16,027.51 | 4.9× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) | $5,809.55 | $5,809.55 | 1.8× |
| 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× |
| Humerus min 2 views (73060) | $2,351.35 | $2,351.35 | 25.9× |
| Hysterosalpingography (74740) | $4,298.60 | $4,298.60 | 17.3× |
| Imrt planning (77301) | $1,434 | $1,434 | 1.0× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (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× |
| Ivp (74400) | $7,562.08 | $7,562.08 | 41.3× |
| Ivp w tomography (74415) | $10,890.71 | $10,890.71 | 59.5× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) | $8,432.26 | $8,432.26 | 14.9× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) | $6,359.41 | $6,359.41 | 11.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $8,432.26 | $8,432.26 | 14.9× |
| Liver & spleen; 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× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $7,355.45 | $7,355.45 | 20.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $7,355.45 | $7,355.45 | 20.2× |
| Mammary ductogram single (77053) | $1,003.64 | $1,003.64 | 4.0× |
| MRA head w & w/o contrast (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 contrast (70547) | $4,485.45 | $4,485.45 | 18.0× |
| MRA neck w/wo contrast (70549) | $7,977.28 | $7,977.28 | 21.9× |
| MRI abdomen w/o & w/contrast material (74183) | $7,085.84 | $7,085.84 | 19.4× |
| MRI abdomen w/o contrast (74181) | $7,085.84 | $7,085.84 | 28.4× |
| MRI any jnt lwr ext with con lt (73722) | $6,034.60 | $6,034.60 | 7.4× |
| MRI breast without 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/o contrast (72141) | $7,085.84 | $7,085.84 | 28.4× |
| MRI cervical spine with contrast (72142) | $7,489.16 | $7,489.16 | 20.6× |
| MRI chest w & w/o contrast (71552) | $6,533.58 | $6,533.58 | 17.9× |
| MRI chest w/o contrast (71550) | $4,314.77 | $4,314.77 | 17.3× |
| MRI joint upper ext w/contrast (73222) | $4,925.74 | $4,925.74 | 6.0× |
| MRI joint upr extr w/o&w/dye (73223) | $6,805.36 | $6,805.36 | 18.7× |
| MRI joint upr extrem w/o dye (73221) | $4,487.63 | $4,487.63 | 18.0× |
| Mri Lower Extremity W/O Dye (73718) | $4,851.81 | $4,851.81 | 19.5× |
| MRI lumbar spine with contrast (72149) | $7,489.16 | $7,489.16 | 20.6× |
| MRI lumbar w/wo contrast (72158) | $8,989.39 | $8,989.39 | 24.7× |
| MRI orbit/face/neck w/contrast (70542) | $4,534.37 | $4,534.37 | 12.4× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $5,987.85 | $5,987.85 | 16.4× |
| MRI orbit/face/neck w/o contrast (70540) | $4,081.04 | $4,081.04 | 16.4× |
| MRI pelvis w/o contrast (72195) | $4,422.40 | $4,422.40 | 17.7× |
| MRI pelvis w/wo contrast (72197) | $6,805.36 | $6,805.36 | 18.7× |
| MRI spine cervical wo/w contrast (72156) | $8,035.98 | $8,035.98 | 22.1× |
| MRI spine thoracic w/contrast (72147) | $8,108.82 | $8,108.82 | 22.3× |
| MRI thoracic spine w wo contrast (72157) | $8,035.98 | $8,035.98 | 22.1× |
| MRI thoracic spine w/o contrast (72146) | $7,409.80 | $7,409.80 | 29.7× |
| MRI tmj (70336) | $4,635.47 | $4,635.47 | 18.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,487.63 | $4,487.63 | 18.0× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $6,805.36 | $6,805.36 | 18.7× |
| Myelogram thoracic (72255) | $8,364.40 | $8,364.40 | 10.2× |
| Myelography 2 or more regions (72270) | $10,406.83 | $10,406.83 | 12.7× |
| Myelography lumbosacral (72265) | $9,034.96 | $9,034.96 | 11.0× |
| Myocardial spect single study at rest or stress (78451) | $7,377.15 | $7,377.15 | 5.5× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) | $3,000 | $3,000 | 3.3× |
| Nm bone 3 phase (78315) | $7,670.40 | $7,670.40 | 18.4× |
| Nm bone imaging whole body (78306) | $8,292.82 | $8,292.82 | 19.9× |
| Nm bone marrow scan limited (78102) | $5,979.92 | $5,979.92 | 14.3× |
| Nm heart perfusion spect stress rest (78452) | $14,841.98 | $14,841.98 | 11.0× |
| Nm lymph system (78195) | $8,489.76 | $8,489.76 | 15.0× |
| Nm thyroid imaging only (78013) | $4,530.94 | $4,530.94 | 10.9× |
| Nuclear medicine study of heart muscle following heart attack with measurement of internal blood volume ejected with… (78468) | $5,059.93 | $5,059.93 | 8.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $5,558.74 | $5,558.74 | 13.3× |
| Nuclear rx IV admin (79101) | $5,170.62 | $5,170.62 | 21.2× |
| Ob us < 14 wks single fetus (76801) | $2,437.73 | $2,437.73 | 22.3× |
| Oral radiopharm rx (79005) | $2,150.48 | $2,150.48 | 8.8× |
| Parathyroid imaging (78070) | $4,572.62 | $4,572.62 | 11.0× |
| Peritoneal-venous shunt patency test (78291) | $6,477.28 | $6,477.28 | 15.5× |
| PET brain metabolic eval (78608) | $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 imaging whole body (78813) | $4,524.07 | $4,524.07 | 3.0× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21 (78812) | $4,524.07 | $4,524.07 | 3.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $11,723.05 | $11,723.05 | 3.6× |
| Pulmonary perfusion imaging particulate (78580) | $6,753.27 | $6,753.27 | 16.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,537.28 | $2,537.28 | 4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,052.65 | $3,052.65 | 28.0× |
| Radex hip unilateral with pelvis 1 view (73501) | $4,374.73 | $4,374.73 | 48.1× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $4,651.45 | $4,651.45 | 51.2× |
| Radex hips bilateral with pelvis 2 views (73521) | $5,803.69 | $5,803.69 | 53.2× |
| Radex spine cervical 2 or 3 views (72040) | $3,052.65 | $3,052.65 | 33.6× |
| Radex spine cervical 4 or 5 views (72050) | $4,046.77 | $4,046.77 | 37.1× |
| Radex spine cervical 6 or more views (72052) | $3,645.61 | $3,645.61 | 33.4× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) | $2,494.82 | $2,494.82 | 22.9× |
| Radiologic exam esophagus double contrast study (74221) | $2,688.09 | $2,688.09 | 14.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,509.43 | $4,509.43 | 24.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,390.84 | $4,390.84 | 24.0× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) | $1,285.48 | $1,285.48 | 14.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,938.47 | $1,938.47 | 21.3× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) | $5,392.28 | $5,392.28 | 49.4× |
| Renal cyst study (74470) | $4,095.09 | $4,095.09 | 7.2× |
| 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× |
| Screening digital breast tomosynthesis; bilateral (77063) | $57.10 | $57.10 | 2.4× |
| Selective spinal angiogram (75705) unusually low: confirm this is the full procedure |
$2,023.38 | $2,023.38 | 0.3× |
| Shoulder arthrogram (73040) | $5,264.91 | $5,264.91 | 14.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $3,245.91 | $3,245.91 | 29.7× |
| Simulation complex (77290) | $1,147 | $1,147 | 2.9× |
| Simulation intermediate (77285) | $915 | $915 | 2.3× |
| Simulation simple (77280) | $571 | $571 | 4.1× |
| Small bowel series (74250) | $4,390.84 | $4,390.84 | 24.0× |
| 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× |
| Testicular imaging w/flow (78761) | $5,621.99 | $5,621.99 | 13.5× |
| Thyroid met imaging body (78018) | $8,862.06 | $8,862.06 | 15.6× |
| Thyroid uptake single/multiple quant 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× |
| Treatment devices complex (77334) | $535 | $535 | 1.4× |
| Treatment devices 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× |
| Urethrocystography retrograde rs&i (74450) | $5,440.60 | $5,440.60 | 21.8× |
| Urethrocystography voiding (74455) | $4,390.84 | $4,390.84 | 17.6× |
| Urography antegrade (74425) | $5,023.33 | $5,023.33 | 13.8× |
| Urography retrograde w/wo kub (74420) | $5,125.81 | $5,125.81 | 14.1× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) | $4,390.84 | $4,390.84 | 24.0× |
| Us breast uni real time with image complete (76641) | $579.79 | $579.79 | 5.3× |
| Us chest (76604) | $2,953.09 | $2,953.09 | 27.1× |
| Us compl joint r-t w/image documentation (76881) | $3,524.82 | $3,524.82 | 32.3× |
| Us encephalogram (76506) | $3,623.65 | $3,623.65 | 33.2× |
| Us guided compression repair (76936) | $8,906.12 | $8,906.12 | 39.5× |
| Us kidney transplanted (76776) | $4,592.89 | $4,592.89 | 42.1× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) | $4,639.73 | $4,639.73 | 42.5× |
| Us ob followup per fetus (76816) | $1,696.89 | $1,696.89 | 15.5× |
| Us ob limited 1 or more fetuses (76815) | $2,437.73 | $2,437.73 | 22.3× |
| Us obstetric transvaginal (76817) | $4,095.09 | $4,095.09 | 37.5× |
| Us pelvic limited or f/u non-ob (76857) | $2,903.31 | $2,903.31 | 26.6× |
| Us pelvis complete (76856) | $4,592.89 | $4,592.89 | 42.1× |
| 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 (76870) | $3,913.54 | $3,913.54 | 35.8× |
| Us soft tissue head/neck (76536) | $3,693.92 | $3,693.92 | 33.8× |
| Us transrectal (76872) | $4,572.38 | $4,572.38 | 41.9× |
| Us unlstd proc (76999) | $1,979.46 | $1,979.46 | 21.8× |
| Venogram epidural (75872) | $1,847.69 | $1,847.69 | 2.8× |
| Venogram extremity bilateral (75822) | $14,838.65 | $14,838.65 | 9.0× |
| Venogram ivc w serialography (75825) | $11,387.77 | $11,387.77 | 3.5× |
| Venogram svc w serialography (75827) | $12,582.48 | $12,582.48 | 7.7× |
| Venography ext unilateral (75820) | $6,468.40 | $6,468.40 | 3.9× |
| Venography renal unilateral selective rs&i (75831) | $11,065.67 | $11,065.67 | 3.4× |
| Venous sampling by catheter (75893) | $5,199.02 | $5,199.02 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,351.35 | $2,351.35 | 25.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,844.74 | $2,844.74 | 31.3× |
| X-ray aorta leg arteries (75630) | $17,184.14 | $17,184.14 | 5.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,001.35 | $6,001.35 | 32.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,566.56 | $2,566.56 | 28.2× |
| X-ray exam hips bi 3-4 views (73522) | $5,808.09 | $5,808.09 | 53.2× |
| X-ray exam of finger(s) (73140) | $2,223.97 | $2,223.97 | 24.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $5,125.81 | $5,125.81 | 28.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,645.63 | $2,645.63 | 29.1× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $2,437.73 | $2,437.73 | 26.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,844.74 | $2,844.74 | 31.3× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $1,753.99 | $1,753.99 | 16.1× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $2,351.35 | $2,351.35 | 25.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,156.62 | $2,156.62 | 23.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,844.74 | $2,844.74 | 26.1× |
| 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 Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) | $2,893.07 | $2,893.07 | 26.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,052.65 | $3,052.65 | 33.6× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,699.80 | $2,699.80 | 29.7× |
| 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 Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,494.82 | $2,494.82 | 22.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,691.04 | $1,691.04 | 18.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,108.30 | $2,108.30 | 23.2× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $2,156.62 | $2,156.62 | 23.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,566.56 | $2,566.56 | 28.2× |
| Xr abdomen 1 view (74018) | $2,699.80 | $2,699.80 | 29.7× |
| Xr abdomen 2 views (74019) | $3,972.10 | $3,972.10 | 36.4× |
| Xr abdomen 3 views (74021) | $5,244.40 | $5,244.40 | 48.0× |
| Xr arthrogram ankle (73615) | $3,714.43 | $3,714.43 | 10.2× |
| Xr arthrogram elbow (73085) | $5,264.91 | $5,264.91 | 14.5× |
| Xr arthrogram hip (73525) | $5,125.81 | $5,125.81 | 14.1× |
| Xr bone density axial (77080) | $912.13 | $912.13 | 8.4× |
| Xr bone length study (77073) | $5,371.78 | $5,371.78 | 49.2× |
| Xr bone survey infant (77076) | $2,844.74 | $2,844.74 | 26.1× |
| Xr chest 1 view (71045) | $2,704.20 | $2,704.20 | 29.8× |
| Xr chest 2 views (71046) | $2,920.89 | $2,920.89 | 32.1× |
| Xr chest 3 views (71047) | $2,494.82 | $2,494.82 | 27.5× |
| Xr cystogram 3+ views (74430) | $3,982.35 | $3,982.35 | 10.9× |
| Xr eye foreign body (70030) | $2,844.74 | $2,844.74 | 31.3× |
| Xr facial bones 3 views (70150) | $3,513.84 | $3,513.84 | 32.2× |
| Xr mandible 4 views (70110) | $2,893.07 | $2,893.07 | 26.5× |
| Xr myelogram c-spine (72240) | $8,835.85 | $8,835.85 | 10.8× |
| Xr nasal bones (70160) | $2,351.35 | $2,351.35 | 25.9× |
| Xr pelvis 3 views (72190) | $2,494.82 | $2,494.82 | 22.9× |
| Xr sialogram (70390) | $2,585.61 | $2,585.61 | 10.4× |
| Xr spine 1 view (72020) | $2,156.62 | $2,156.62 | 23.7× |
| Xr sternum 2 views (71120) | $2,566.56 | $2,566.56 | 28.2× |
| Xr surgical specimen (76098) | $2,264.24 | $2,264.24 | 4.0× |
| Xray elbow 2 views (73070) | $2,223.97 | $2,223.97 | 24.5× |
| Xray forearm 2 views (73090) | $2,566.56 | $2,566.56 | 28.2× |
| Xray knee 1 or 2 views rt (73560) | $2,108.30 | $2,108.30 | 23.2× |
| Xray neck soft tissue (70360) | $2,108.30 | $2,108.30 | 23.2× |
| Xray orbits complete min 4 views (70200) | $3,301.55 | $3,301.55 | 30.2× |
| Xray pelvis 1 or 2 views (72170) | $2,494.82 | $2,494.82 | 22.9× |
| Xray ribs bilateral 3 views (71110) | $3,513.84 | $3,513.84 | 32.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $3,513.84 | $3,513.84 | 32.2× |
| Xray scapula complete (73010) | $2,351.35 | $2,351.35 | 21.5× |
| Xray shoulder 1 view (73020) | $2,156.62 | $2,156.62 | 23.7× |
| Xray spine thoracic 2 views (72070) | $2,699.80 | $2,699.80 | 24.7× |
| Xray spine thoracic 3 views (72072) | $3,052.65 | $3,052.65 | 28.0× |
| Xray tibia-fibula 2 views bil (73590) | $2,699.80 | $2,699.80 | 29.7× |
| Xray tmj's bilateral open-clsc (70330) | $3,301.55 | $3,301.55 | 36.3× |