Imaging prices at HCA Florida Capital Hospital

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

309 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) $4,953 $4,953 3.4×
Abdomen 1 View (74018) $1,106.25 $1,106.25 12.2×
Abdomen 2 views (74019) $2,979 $2,979 27.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $5,865.55 $5,865.55 14.1×
Angio internal mammary (75756) $2,586.80 $2,586.80 0.8×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$8,167–$17,973.40 $8,167–$17,973.40 varies
Angiography extremity bilateral rs&i (75716) $6,127 $6,127 1.9×
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines
$8,167–$9,187.30 $8,167–$9,187.30 varies
Angiography pulmonary unilateral slctv rs&i (75741)
range across 3 matching MRF lines
$8,167–$17,973.40 $8,167–$17,973.40 varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,586.80 $2,586.80 0.8×
Ankle 2 views (73600)
range across 4 matching MRF lines
$1,759.30–$2,241.60 $1,759.30–$2,241.60 varies
Aortography thoracic serialography rs&i (75605) $8,167 $8,167 1.4×
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines
$11,297.10–$29,916.75 $11,297.10–$29,916.75 varies
Artery X-Rays Pelvis (75736) $6,429.50 $6,429.50 1.1×
Artery X-Rays Spine (75705) $25,290.30 $25,290.30 4.4×
Arthrogram ankle (73615) $2,247.15 $2,247.15 6.2×
Arthrogram hip (73525) $4,590.70 $4,590.70 12.6×
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$1,926.40–$3,959.40 $1,926.40–$3,959.40 varies
Basic radiation dosimetry calculation (77300)
range across 2 matching MRF lines
$247.60–$615.75 $247.60–$615.75 varies
Bone age studies (77072) $2,364.20 $2,364.20 21.7×
Bone Imaging 3 Phase (78315) $11,347.95 $11,347.95 27.2×
Bone Imaging Limited Area (78300) $11,347.95 $11,347.95 27.2×
Bone Imaging Whole Body (78306) $8,277.40 $8,277.40 19.8×
Bone survey infant (77076) $703.45 $703.45 6.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $4,183.15 $4,183.15 7.4×
Cardiac MRI w/w/o contrast & further seq (75561) $3,663.65 $3,663.65 10.1×
Cat Scan Follow-Up Study (76380)
range across 2 matching MRF lines
$2,542.60–$3,174.15 $2,542.60–$3,174.15 varies
Cerebrospinal Fluid Scan (78630) $3,585.15 $3,585.15 6.3×
Chest 1 view (71045) $1,309.50 $1,309.50 14.4×
Chest 2 views (71046) $1,683.55 $1,683.55 18.5×
Chest 3 views (71047) $2,955.55 $2,955.55 32.5×
Chest 4 or more views (71048) $3,327.75 $3,327.75 30.5×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $701.55 $701.55 6.4×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $336.45 $336.45 3.1×
Clavicle complete (73000)
range across 5 matching MRF lines
$1,761.35–$2,427 $1,761.35–$2,427 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $691.40 $691.40 6.3×
Continuing medical physics consltj pr wk (77336) $450.45 $450.45 3.2×
Contrast Exam Abdominl Aorta (75625) $16,038.50 $16,038.50 4.9×
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines
$3,327.75–$3,389.15 $3,327.75–$3,389.15 varies
Contrast X-Ray Of Elbow (73085) $2,247.15 $2,247.15 6.2×
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$2,570.70–$2,617.30 $2,570.70–$2,617.30 varies
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$12,880.10–$12,954.85 $12,880.10–$12,954.85 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$9,529.05–$9,645.80 $9,529.05–$9,645.80 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$11,448.90–$12,424.80 $11,448.90–$12,424.80 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$11,850.40–$12,615.20 $11,850.40–$12,615.20 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$9,742.35–$10,715.50 $9,742.35–$10,715.50 varies
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines
$6,399.45–$6,911.40 $6,399.45–$6,911.40 varies
CT Angio Chest (71275)
range across 2 matching MRF lines
$2,875.50–$11,515.45 $2,875.50–$11,515.45 varies
CT Angio Head (70496)
range across 2 matching MRF lines
$5,518.65–$5,585.05 $5,518.65–$5,585.05 varies
CT angio hrt w/3d image (75574) $2,949.30 $2,949.30 8.1×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 6 matching MRF lines
$2,212.90–$4,441.95 $2,212.90–$4,441.95 varies
CT Angio Neck (70498)
range across 2 matching MRF lines
$5,518.65–$5,585.05 $5,518.65–$5,585.05 varies
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$4,154.25–$6,151.50 $4,154.25–$6,151.50 varies
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
$12,878.10–$13,154.55 $12,878.10–$13,154.55 varies
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$9,750.60–$10,722.15 $9,750.60–$10,722.15 varies
CT cervical spine w/wo cont (72127) $13,991.15 $13,991.15 76.4×
CT chest w contrast (71260)
range across 2 matching MRF lines
$11,448.90–$12,424.80 $11,448.90–$12,424.80 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$11,008.50–$12,205.20 $11,008.50–$12,205.20 varies
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$9,415.65–$9,815.80 $9,415.65–$9,815.80 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$12,120.20–$13,103 $12,120.20–$13,103 varies
CT heart contrast eval cardiac structure&morph (75572) $2,549.50 $2,549.50 7.0×
CT heart no contrast quant eval coronry calcium (75571) $2,116.05 $2,116.05 23.3×
CT iac w contrast (70481)
range across 2 matching MRF lines
$11,194–$12,174.80 $11,194–$12,174.80 varies
CT l-spine w&w/o contrast (72133) $8,594.60 $8,594.60 46.9×
CT lower ext w/o (73700)
range across 6 matching MRF lines
$8,482.50–$9,887.45 $8,482.50–$9,887.45 varies
CT lower extremity w/contrast material (73701)
range across 6 matching MRF lines
$7,008.35–$13,022.90 $7,008.35–$13,022.90 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$13,486.30–$14,231.25 $13,486.30–$14,231.25 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$7,301.35–$8,259.30 $7,301.35–$8,259.30 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$10,775.30–$11,757.15 $10,775.30–$11,757.15 varies
CT maxillofacial wo contrast (70486)
range across 3 matching MRF lines
$5,821.85–$9,584.30 $5,821.85–$9,584.30 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines
$11,913.55–$11,983.35 $11,913.55–$11,983.35 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$6,904.80–$7,876.35 $6,904.80–$7,876.35 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$8,788–$9,933.80 $8,788–$9,933.80 varies
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
$13,972.95–$14,710.75 $13,972.95–$14,710.75 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$9,257.55–$10,222.15 $9,257.55–$10,222.15 varies
CT scan of leg combo (73702)
range across 6 matching MRF lines
$10,788.95–$13,015.35 $10,788.95–$13,015.35 varies
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$10,975.40–$11,968.45 $10,975.40–$11,968.45 varies
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
$11,208.90–$12,186.70 $11,208.90–$12,186.70 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$10,980.75–$11,956.50 $10,980.75–$11,956.50 varies
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$8,809.20–$9,615.65 $8,809.20–$9,615.65 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$4,419.15–$5,360.25 $4,419.15–$5,360.25 varies
CT thoracic spine w/wo cont (72130) $13,991.15 $13,991.15 76.4×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$9,923.85–$10,715.50 $9,923.85–$10,715.50 varies
CT upper ext wo (73200)
range across 6 matching MRF lines
$9,660.65–$14,556.25 $9,660.65–$14,556.25 varies
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines
$15,099.25–$18,113.65 $15,099.25–$18,113.65 varies
CT upper extremity with contrast (73201)
range across 6 matching MRF lines
$12,211.80–$18,296.95 $12,211.80–$18,296.95 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,605.30 $4,605.30 25.1×
Cta Abdomen (74175)
range across 2 matching MRF lines
$3,669.15–$3,691 $3,669.15–$3,691 varies
CTA pelvis (72191)
range across 2 matching MRF lines
$3,691–$3,735.60 $3,691–$3,735.60 varies
Discography Cerv/Thor Spine (72285) $7,005 $7,005 3.4×
Diskography lumbar (72295) $8,201.35 $8,201.35 4.0×
Echo exam uterus (76831) $1,036.65 $1,036.65 4.2×
Echo Guide For Artery Repair (76936) $819.90 $819.90 3.6×
Esophagram (74220) $2,930.25 $2,930.25 16.0×
Fetal Biophys Profile W/Nst (76818) $364.70 $364.70 3.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,090.25 $1,090.25 10.0×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$478.50–$3,063.15 $478.50–$3,063.15 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$6,303.35–$15,181.90 $6,303.35–$15,181.90 varies
Foot 2 views (73620)
range across 4 matching MRF lines
$1,426.25–$1,818.50 $1,426.25–$1,818.50 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$2,408.70–$3,065.65 $2,408.70–$3,065.65 varies
Gastric emptying imaging study (78264) $5,810.15 $5,810.15 13.9×
Gated Heart Planar Single (78472) $7,429.25 $7,429.25 17.8×
Hand 2 views (73120)
range across 4 matching MRF lines
$1,716.45–$2,149.70 $1,716.45–$2,149.70 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,296.80 $4,296.80 5.9×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $2,814.15 $2,814.15 3.9×
Hepatobil Syst Image W/Drug (78227) $7,943.95 $7,943.95 14.0×
Hepatobiliary System Imaging (78226) $7,943.95 $7,943.95 19.0×
Hysterosalpingogram (74740) $4,993.45 $4,993.45 20.0×
Image fusion (77399) $2,046 $2,046 14.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $999.90 $999.90 11.0×
Infusion Ivp (74410) $3,812.20 $3,812.20 20.8×
K Flow/Funct Image W/O Drug (78707) $9,948.80 $9,948.80 17.5×
Kidney Imaging Morphol (78700) $2,825.50 $2,825.50 6.8×
Knee 3 Views (73562)
range across 3 matching MRF lines
$1,619.05–$3,238.05 $1,619.05–$3,238.05 varies
Liver & Spleen Imaging Static Only (78215) $10,061.95 $10,061.95 24.1×
Liver imaging static only (78201) $6,321.10 $6,321.10 11.1×
Lung perfusion differential (78597) $760.75 $760.75 1.8×
Lung Ventilat&Perfus Imaging (78582) $1,184.65 $1,184.65 2.1×
Lymph System Imaging (78195) $2,905.95 $2,905.95 5.1×
Magnetic Image Jaw Joint (70336) $3,637.30 $3,637.30 14.6×
Mammary ductogram or galactogram single (77053) $994.70 $994.70 4.0×
Meckels Divert Exam (78290) $9,635.85 $9,635.85 23.1×
Mlc imrt design & construction per imrt plan (77338) $2,825.45 $2,825.45 7.2×
Mra Head W/O & W/Contrast Material (70546) $5,273.65 $5,273.65 14.5×
MRA head w/o contrast (70544) $3,637.30 $3,637.30 14.6×
Mra Neck W/O &W/Contrast Material (70549) $5,273.65 $5,273.65 14.5×
MRA neck w/o contrast (70547) $3,637.30 $3,637.30 14.6×
MRI abdomen w contrast (74182) $3,902.35 $3,902.35 10.7×
MRI abdomen w/o contrast (74181) $3,637.30 $3,637.30 14.6×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$3,902.35–$5,415.65 $3,902.35–$5,415.65 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$5,273.65–$6,853.75 $5,273.65–$6,853.75 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$3,144.15–$4,718.75 $3,144.15–$4,718.75 varies
MRI cervical spine w contrast (72142) $3,902.35 $3,902.35 10.7×
MRI cervical spine w/o cont (72141) $3,637.30 $3,637.30 14.6×
MRI chest w/o contrast (71550) $3,637.30 $3,637.30 14.6×
MRI chest wo w contrast (71552) $5,273.65 $5,273.65 14.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$3,902.35–$5,853.45 $3,902.35–$5,853.45 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$5,273.65–$7,910.50 $5,273.65–$7,910.50 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$3,637.30–$5,449.10 $3,637.30–$5,449.10 varies
MRI lumbar spine w contrast (72149) $3,902.35 $3,902.35 10.7×
Mri Neck Spine W/O & W/Dye (72156) $5,273.65 $5,273.65 14.5×
MRI orbit face &/neck w/o contrast (70540) $3,637.30 $3,637.30 14.6×
MRI orbit face neck w contrast (70542) $3,902.35 $3,902.35 10.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,273.65 $5,273.65 14.5×
MRI pelvis w contrast (72196) $3,902.35 $3,902.35 10.7×
MRI pelvis w/o & w contrast (72197) $5,273.65 $5,273.65 14.5×
MRI pelvis w/o contrast (72195) $3,637.30 $3,637.30 14.6×
MRI thoracic spine w/o contrast (72146) $3,637.30 $3,637.30 14.6×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$2,076.50–$3,114.85 $2,076.50–$3,114.85 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$3,637.30–$5,449.10 $3,637.30–$5,449.10 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$3,743.65–$4,940.75 $3,743.65–$4,940.75 varies
MRI, abdomen, combo (74183) $5,273.65 $5,273.65 14.5×
MRI, dorsal spine combo (72157) $5,273.65 $5,273.65 14.5×
MRI, dorsal spine contrast (72147) $3,902.35 $3,902.35 10.7×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$3,637.30–$5,450.85 $3,637.30–$5,450.85 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$3,850.05–$5,781.60 $3,850.05–$5,781.60 varies
MRI, lumbar spine combo (72158) $5,273.65 $5,273.65 14.5×
Myelogram cervical (72240) $7,357.65 $7,357.65 9.0×
Myelogram Lumbar (72265) $11,907.05 $11,907.05 14.5×
Myelography thoracic (72255) $8,769.60 $8,769.60 10.7×
Myocardial Spect Multiple Studies (78452) $15,675.55 $15,675.55 11.6×
Neck soft tissue (70360)
range across 2 matching MRF lines
$1,287.85–$2,352.65 $1,287.85–$2,352.65 varies
Nonvascular Shunt X-Ray (75809) $1,559.85 $1,559.85 14.3×
Ntsty modul radthx pln dose-vol histos (77301) $11,458.65 $11,458.65 7.9×
Nuclear Rx Intra-Arterial (79445) $1,665.85 $1,665.85 6.8×
Nuclear Rx Oral Admin (79005) $2,822.60 $2,822.60 11.6×
Parathyroid Planar Imaging (78070) $3,015.10 $3,015.10 7.2×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$1,011.25–$2,219.80 $1,011.25–$2,219.80 varies
Pulmonary Perfusion Imaging Particulate (78580) $760.75 $760.75 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,966.40 $1,966.40 18.0×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$2,541.55–$2,612.05 $2,541.55–$2,612.05 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,534.90–$3,227.55 $2,534.90–$3,227.55 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 5 matching MRF lines
$1,694.75–$2,328.15 $1,694.75–$2,328.15 varies
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$2,497.05–$3,184.05 $2,497.05–$3,184.05 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$3,270.30–$3,597.70 $3,270.30–$3,597.70 varies
Radex fingr minimum 2 views (73140)
range across 4 matching MRF lines
$1,498.40–$1,906.85 $1,498.40–$1,906.85 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$2,621.10–$3,275.55 $2,621.10–$3,275.55 varies
Radex Hand Minimum 3 Views (73130)
range across 4 matching MRF lines
$2,346–$2,984.60 $2,346–$2,984.60 varies
Radex lower extremity infant minimum 2 views (73592)
range across 4 matching MRF lines
$2,392.60–$2,987.75 $2,392.60–$2,987.75 varies
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$2,525.80–$2,575.95 $2,525.80–$2,575.95 varies
Radex Ribs Unilateral 2 Views (71100) $3,038.60 $3,038.60 33.4×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$2,621.10–$3,333 $2,621.10–$3,333 varies
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
$1,789.70–$3,108.40 $1,789.70–$3,108.40 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $4,168.35 $4,168.35 22.8×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines
$1,131.45–$1,160.20 $1,131.45–$1,160.20 varies
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$2,534.90–$2,582.95 $2,534.90–$2,582.95 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$593.40–$4,029.55 $593.40–$4,029.55 varies
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$1,480.55–$1,888.90 $1,480.55–$1,888.90 varies
Radex upper extremity infant minimum 2 views (73092)
range across 4 matching MRF lines
$1,820.55–$2,801 $1,820.55–$2,801 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,324.25–$2,957.60 $2,324.25–$2,957.60 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,694.75 $1,694.75 15.5×
Radiation treatment delivery level 3 (77412) $1,290.40 $1,290.40 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $3,221.60 $3,221.60 29.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $2,979 $2,979 27.3×
Radiologic exam colon double contrast study (74280) $6,389.50 $6,389.50 34.9×
Radiologic exam colon single contrast study (74270) $5,267.20 $5,267.20 28.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,379.60 $1,379.60 7.5×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$1,727–$2,155 $1,727–$2,155 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2,219.80 $2,219.80 20.3×
Radiologic Exam Small Int Single Contrast Study (74250) $3,023.85 $3,023.85 16.5×
Radiologic exam swallow function contrast study (74230) $2,930.25 $2,930.25 16.0×
Radiologic exam upr gi trc double contrast study (74246) $1,103.40 $1,103.40 6.0×
Radiologic examination femur 1 view (73551) $392.25 $392.25 4.3×
Radiologic examination femur minimum 2 views (73552) $1,694.75 $1,694.75 18.6×
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$1,467.55–$1,869.30 $1,467.55–$1,869.30 varies
Radiologic Examination Osseous Survey Limited (77074) $4,042.10 $4,042.10 37.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$2,349.10–$2,987.75 $2,349.10–$2,987.75 varies
Renal Cyst Study (74470) $933.75 $933.75 1.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $4,147.90 $4,147.90 9.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $4,147.90 $4,147.90 9.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $10,092.80 $10,092.80 17.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $9,635.85 $9,635.85 17.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $8,074.30 $8,074.30 6.0×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $8,074.30 $8,074.30 6.0×
Rp Therapy Intravenous Administration (79101) $2,813 $2,813 11.5×
Scapula (73010)
range across 6 matching MRF lines
$2,379.95–$3,272.45 $2,379.95–$3,272.45 varies
Sella turcica (70240) $1,088.30 $1,088.30 12.0×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$2,050.55–$2,606.75 $2,050.55–$2,606.75 varies
Shoulder Arthrography (73040) $4,914.90 $4,914.90 13.5×
Sialogram (70390) $1,633.40 $1,633.40 6.6×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$3,459.25–$3,524.45 $3,459.25–$3,524.45 varies
Special dosimetry (77331) $287.60 $287.60 2.0×
Special Physics Consult (77370)
range across 2 matching MRF lines
$747.80–$954.60 $747.80–$954.60 varies
Special treatment procedure (77470)
range across 2 matching MRF lines
$1,795–$2,481.10 $1,795–$2,481.10 varies
Stereotactic Body Radiation Delivery (77373) $10,220.45 $10,220.45 5.5×
Sternoclavicular joints (71130) $2,885.75 $2,885.75 31.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines
$2,000.95–$15,252.60 $2,000.95–$15,252.60 varies
Ther rad simulaj-aided field setting simple (77280) $803.40 $803.40 5.7×
Thoracic spine 2 views (72070) $3,169.70 $3,169.70 29.0×
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$1,160.20–$3,317.25 $1,160.20–$3,317.25 varies
Thyroid Imaging With Vascular Flow (78013) $5,660.15 $5,660.15 13.6×
Thyroid Met Imaging Body (78018) $2,017.75 $2,017.75 3.6×
Thyroid Uptake Measurement (78012) $4,328.95 $4,328.95 10.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $8,808.60 $8,808.60 21.1×
Tx Devices Design & Construction Complex (77334) $594 $594 1.5×
Tx devices design & construction intermediate (77333) $426.90 $426.90 3.0×
Tx devices design & construction simple (77332) $396.85 $396.85 2.8×
Ultrasound Breast Limited (76642) $1,156.75 $1,156.75 12.7×
Ultrasound Exam Aaa Screen (76706) $616.40 $616.40 5.6×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$890.40–$1,377.10 $890.40–$1,377.10 varies
Unlisted Dx Radiographic Procedure (76499) $183.70 $183.70 2.0×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $1,140.20 $1,140.20 2.7×
Unlisted Procedure Clinical Brachytherapy (77799)
range across 2 matching MRF lines
$440.80–$476.05 $440.80–$476.05 varies
Unlisted us procedure (76999)
range across 2 matching MRF lines
$450–$2,815.55 $450–$2,815.55 varies
Upper gi w/o kub (74240) $1,221.90 $1,221.90 6.7×
Urethrocystogram voiding (74455) $3,885.45 $3,885.45 15.6×
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
$2,979–$3,032.70 $2,979–$3,032.70 varies
Us breast unilateral complete (76641)
range across 6 matching MRF lines
$1,388.10–$1,403.20 $1,388.10–$1,403.20 varies
Us chest (76604)
range across 2 matching MRF lines
$705.25–$1,090.25 $705.25–$1,090.25 varies
Us complete joint (76881)
range across 2 matching MRF lines
$705.25–$1,090.25 $705.25–$1,090.25 varies
Us exam, pelvic, limited (76857) $889.35 $889.35 8.1×
Us head (76506) $1,131.10 $1,131.10 10.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$145.80–$233.25 $145.80–$233.25 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$450–$697.90 $450–$697.90 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$1,395.45–$2,173.10 $1,395.45–$2,173.10 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$1,408.70–$2,173.10 $1,408.70–$2,173.10 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$2,200.70–$3,393.05 $2,200.70–$3,393.05 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $697.90 $697.90 6.4×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$1,408.70–$2,173.10 $1,408.70–$2,173.10 varies
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$705.25–$1,090.25 $705.25–$1,090.25 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$1,408.70–$2,173.10 $1,408.70–$2,173.10 varies
Us spinal canal and contents (76800) $1,090.25 $1,090.25 10.0×
Us thyroid (76536)
range across 2 matching MRF lines
$1,408.70–$2,173.10 $1,408.70–$2,173.10 varies
Us transrectal (76872) $2,815.55 $2,815.55 25.8×
Vein X-Ray Chest (75827)
range across 3 matching MRF lines
$2,394–$22,610.35 $2,394–$22,610.35 varies
Vein X-Ray Liver W/O Hemodyn (75887) $6,624.05 $6,624.05 2.0×
Venogram Sinus/Jugular (75860) $12,229.15 $12,229.15 3.7×
Venography caval inferior serialography rs&i (75825)
range across 3 matching MRF lines
$7,565.85–$16,968.75 $7,565.85–$16,968.75 varies
Venography extremity bilateral rs&i (75822)
range across 3 matching MRF lines
$4,498.85–$5,722.15 $4,498.85–$5,722.15 varies
Venography extremity unilateral rs&i (75820)
range across 7 matching MRF lines
$2,586.80–$8,681.45 $2,586.80–$8,681.45 varies
Venography Renal Bilateral (75833) $8,167 $8,167 2.5×
Venography Renal Unilateral (75831) $8,167 $8,167 2.5×
Venous sampling by catheter (75893) $8,167 $8,167 1.4×
Wrist 2 views (73100)
range across 5 matching MRF lines
$1,574.15–$1,996.90 $1,574.15–$1,996.90 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$2,110.10–$2,149.70 $2,110.10–$2,149.70 varies
X-ray antegrade pyelogram tube (74425)
range across 4 matching MRF lines
$2,315.15–$2,379.95 $2,315.15–$2,379.95 varies
X-Ray Aorta Leg Arteries (75630) $16,038.50 $16,038.50 4.9×
X-Ray Bend Only L-S Spine (72120) $3,250.70 $3,250.70 29.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$1,922.95–$2,436.15 $1,922.95–$2,436.15 varies
X-Ray Exam Breast Specimen (76098) $2,072.60 $2,072.60 3.6×
X-Ray Exam Entire Spi 1 Vw (72081) $392.25 $392.25 4.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $647.70 $647.70 5.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,223 $1,223 11.2×
X-Ray Exam Hip Uni 1 View (73501) $392.25 $392.25 4.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $647.70 $647.70 7.1×
X-Ray Exam Hip Uni 4/> Views (73503)
range across 6 matching MRF lines
$1,223–$1,694.75 $1,223–$1,694.75 varies
X-Ray Exam Hips Bi 2 Views (73521) $784.15 $784.15 7.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,293.40 $1,293.40 11.8×
X-Ray Exam Hips Bi 5/> Views (73523) $2,442.70 $2,442.70 22.4×
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$4,795.40–$4,882.30 $4,795.40–$4,882.30 varies
X-Ray Exam Neck Spine 2-3 Vw (72040) $2,930.25 $2,930.25 32.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $4,252.85 $4,252.85 39.0×
X-ray eye for foreign body (70030)
range across 4 matching MRF lines
$854.50–$1,066.65 $854.50–$1,066.65 varies
X-ray humerus (73060)
range across 3 matching MRF lines
$1,946.45–$2,480.60 $1,946.45–$2,480.60 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $3,281.20 $3,281.20 36.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,957.30 $1,957.30 21.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$3,191.15–$3,317.25 $3,191.15–$3,317.25 varies
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
$2,322.20–$2,364.20 $2,322.20–$2,364.20 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$4,078.25–$4,155.35 $4,078.25–$4,155.35 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,888.90 $1,888.90 17.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$2,734.45–$2,788.35 $2,734.45–$2,788.35 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$3,108.40–$3,164.45 $3,108.40–$3,164.45 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 2 matching MRF lines
$3,326.40–$3,659 $3,326.40–$3,659 varies
X-Ray Tmj Unilat (70328)
range across 4 matching MRF lines
$298.30–$3,282.85 $298.30–$3,282.85 varies
X-Ray Urinary Tract Exam With Contrast Material (74420) $5,157.45 $5,157.45 14.2×
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$2,342.10–$2,388.75 $2,342.10–$2,388.75 varies
Xr c-spine 4 or 5 views (72050) $3,714.75 $3,714.75 34.0×
Xr facial bones less than 3 views (70140) $1,584.70 $1,584.70 17.4×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$3,380–$3,437.45 $3,380–$3,437.45 varies

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.