Imaging prices at HCA Florida Citrus Hospital
Inverness, FL · every code in this section with a posted price and a Medicare benchmark.
276 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $5,274.05 | $5,274.05 | 48.3× |
| Acute gi blood loss imaging (78278) | $2,906.90 | $2,906.90 | 7.0× |
| Angiography extremity bilateral rs&i (75716) | $26,235.58 | $26,235.58 | 8.0× |
| Angiography extremity unilateral rs&i (75710) | $11,522.87 | $11,522.87 | 3.5× |
| Angiography internal mammary rs&i (75756) | $8,939.72 | $8,939.72 | 2.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $36,588.73 | $36,588.73 | 6.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $20,969.22 | $20,969.22 | 6.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $36,588.73 | $36,588.73 | 11.1× |
| Angiography Spinal Selective Rs&I (75705) | $6,484.83 | $6,484.83 | 1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $20,969.22 | $20,969.22 | 3.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $11,014.33 | $11,014.33 | 3.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,939.72 | $8,939.72 | 2.7× |
| Ankle 2 views (73600) | $670.80 | $670.80 | 7.4× |
| Aortogram thoracic (75605) | $20,969.22 | $20,969.22 | 3.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $39,690.06 | $39,690.06 | 12.0× |
| Aortography abdominal serialography rs&i (75625) | $25,480.14 | $25,480.14 | 7.7× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $36,588.73 | $36,588.73 | 11.1× |
| Arthrogram hip (73525) | $4,964.95 | $4,964.95 | 13.6× |
| Arthrogram knee (73580) | $4,964.95 | $4,964.95 | 13.6× |
| Arthrogram shoulder (73040) | $8,090.64 | $8,090.64 | 22.2× |
| Arthrogram wrist (73115) | $4,336.64 | $4,336.64 | 11.9× |
| Basic dosimetry (77300) | $1,248.05 | $1,248.05 | 8.9× |
| Bone &/Joint Imaging Limited Area (78300) | $4,309.78 | $4,309.78 | 10.3× |
| Bone &/joint imaging whole body (78306) | $15,761.70 | $15,761.70 | 37.8× |
| Bone age studies (77072) | $773.41 | $773.41 | 7.1× |
| Bone Imaging 3 Phase (78315) | $7,416.33 | $7,416.33 | 17.8× |
| Bone survey complete (77075) | $7,382.65 | $7,382.65 | 67.6× |
| Bone survey infant (77076) | $1,371.10 | $1,371.10 | 12.6× |
| Bowel imaging (78290) | $8,382.64 | $8,382.64 | 20.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,075.39 | $15,075.39 | 10.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $12,534.03 | $12,534.03 | 30.0× |
| Cervical spine 2 or 3 views (72040) | $3,007.70 | $3,007.70 | 33.1× |
| Chest 1 view (71045) | $2,758.88 | $2,758.88 | 30.4× |
| Chest xray 3 views (71047) | $1,542.97 | $1,542.97 | 17.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,224.88 | $4,224.88 | 23.1× |
| Clavicle complete (73000) | $3,479.70 | $3,479.70 | 38.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $18,194.42 | $18,194.42 | 166.7× |
| CT abdomen and pelvis without and with contrast (74178) | $30,972.96 | $30,972.96 | 85.0× |
| CT abdomen and pelvis without contrast (74176) | $24,435.78 | $24,435.78 | 98.1× |
| CT abdomen w contrast (74160) | $17,612.14 | $17,612.14 | 96.2× |
| CT abdomen w wo contrast (74170) | $20,309.56 | $20,309.56 | 110.9× |
| CT abdomen w/o contrast (74150) | $16,649.86 | $16,649.86 | 152.5× |
| CT angio hrt w/3d image (75574) | $3,947.33 | $3,947.33 | 10.8× |
| CT angio lwr extr w/o&w/dye (73706) | $33,088.10 | $33,088.10 | 180.6× |
| CT angiography upper extremity lt (73206) | $18,711.22 | $18,711.22 | 102.2× |
| CT c-spine w/contrast (72126) | $19,271.29 | $19,271.29 | 52.9× |
| CT c-spine w/o contrast (72125) | $19,271.29 | $19,271.29 | 176.5× |
| CT cervical spine w&w/o contrast (72127) | $20,807.65 | $20,807.65 | 113.6× |
| CT chest w contrast (71260) | $20,204.33 | $20,204.33 | 110.3× |
| CT chest w/wo contrast (71270) | $21,621.43 | $21,621.43 | 118.0× |
| CT head/brain with contrast (70460) | $19,537.86 | $19,537.86 | 106.7× |
| CT head/brain without and with contrast (70470) | $22,214.23 | $22,214.23 | 121.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $21,365.37 | $21,365.37 | 58.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,385.55 | $1,385.55 | 15.2× |
| CT hrt w/3d image congen (75573) | $3,947.33 | $3,947.33 | 10.8× |
| CT iac w contrast (70481) | $18,892.45 | $18,892.45 | 103.1× |
| CT limited/localized follow up study (76380) | $6,293.98 | $6,293.98 | 69.3× |
| CT lower ext w/o (73700) | $20,020.76 | $20,020.76 | 183.4× |
| CT lower extremity w wo contrast (73702) | $21,059.03 | $21,059.03 | 115.0× |
| CT lower extremity w/contrast material (73701) | $20,020.76 | $20,020.76 | 109.3× |
| CT lumbar spine w & w/o contrast (72133) | $21,442.55 | $21,442.55 | 117.1× |
| CT lumbar spine w/contrast (72132) | $19,854.73 | $19,854.73 | 54.5× |
| CT lumbar spine w/o contrast (72131) | $19,252.58 | $19,252.58 | 176.4× |
| CT maxillofacial w contrast (70487) | $16,469.80 | $16,469.80 | 89.9× |
| CT maxillofacial w/wo contrast (70488) | $14,769.74 | $14,769.74 | 80.6× |
| CT maxillofacial wo contrast (70486) | $15,126.35 | $15,126.35 | 138.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $20,088.58 | $20,088.58 | 109.7× |
| CT orbits w/o contrast (70480) | $17,433.24 | $17,433.24 | 159.7× |
| CT pelvis w/o contrast (72192) | $14,914.71 | $14,914.71 | 136.6× |
| CT pelvis w/wo contrast (72194) | $21,790.98 | $21,790.98 | 119.0× |
| CT scan of arm combo (73202) | $20,020.76 | $20,020.76 | 109.3× |
| CT soft tissue neck w contrast (70491) | $16,480.33 | $16,480.33 | 90.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $19,675.84 | $19,675.84 | 107.4× |
| CT soft tissue neck w/o contrast (70490) | $15,084.27 | $15,084.27 | 138.2× |
| CT thoracic spine w/contrast (72129) | $19,854.73 | $19,854.73 | 108.4× |
| CT thoracic spine w/o contrast (72128) | $19,252.58 | $19,252.58 | 176.4× |
| CT thoracic spine w/wo contrast (72130) | $21,442.55 | $21,442.55 | 117.1× |
| CT thorax w/o contrast (71250) | $18,194.42 | $18,194.42 | 166.7× |
| CT upper ext wo (73200) | $16,576.21 | $16,576.21 | 151.8× |
| CT upper extremity with contrast (73201) | $18,089.19 | $18,089.19 | 49.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $41,062.25 | $41,062.25 | 224.2× |
| Cta Abdomen (74175) | $20,020.76 | $20,020.76 | 109.3× |
| CTA abdomen pelvis (74174) | $20,020.76 | $20,020.76 | 55.0× |
| CTA chest (71275) | $26,665.51 | $26,665.51 | 145.6× |
| Cta Head (70496) | $21,757.07 | $21,757.07 | 118.8× |
| Cta Neck (70498) | $16,247.64 | $16,247.64 | 88.7× |
| Cta Pelvis (72191) | $20,141.18 | $20,141.18 | 110.0× |
| Cystography minimum 3 views rs&i (74430) | $5,681.92 | $5,681.92 | 15.6× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $14,366.41 | $14,366.41 | 6.6× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,844.38 | $1,844.38 | 16.9× |
| Esophagus (74220) | $3,479.70 | $3,479.70 | 19.0× |
| Facial bones min 3 views (70150) | $4,772.56 | $4,772.56 | 43.7× |
| Fetal biophysical profile non-stress testing (76818) | $3,588.38 | $3,588.38 | 32.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,588.38 | $3,588.38 | 32.9× |
| Fluoroscopy up to 1 hr (76000) | $2,619.71 | $2,619.71 | 10.5× |
| Foot 2 views (73620) | $1,322.37 | $1,322.37 | 14.6× |
| Forearm 2 views (73090) | $3,479.70 | $3,479.70 | 38.3× |
| Hand 2 views (73120) | $1,322.37 | $1,322.37 | 12.1× |
| Heart Infarct Image (78466) | $12,534.03 | $12,534.03 | 30.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $11,730.10 | $11,730.10 | 20.7× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,730.10 | $11,730.10 | 28.1× |
| Hysterosalpingogram (74740) | $6,686.20 | $6,686.20 | 26.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $15,604.64 | $15,604.64 | 27.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $5,656.75 | $5,656.75 | 10.0× |
| Knee 3 views (73562) | $4,473.71 | $4,473.71 | 49.2× |
| Liver & spleen imaging static only (78215) | $7,348.45 | $7,348.45 | 17.6× |
| Liver imaging static only (78201) | $8,853.81 | $8,853.81 | 15.6× |
| Lung perf&ventilat diferentl (78598) | $10,484.29 | $10,484.29 | 18.5× |
| Lung perfusion differential (78597) | $10,484.29 | $10,484.29 | 25.1× |
| Lung ventilation imaging (78579) | $10,150.21 | $10,150.21 | 24.3× |
| Lymphoscintigraphy (78195) | $5,406.52 | $5,406.52 | 9.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $7,533 | $7,533 | 9.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $6,481.39 | $6,481.39 | 17.8× |
| Mammary ductogram or galactogram multiple (77054) | $4,153.06 | $4,153.06 | 16.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $149 | $149 | 4.9× |
| MRA head w/o contrast (70544) | $7,810.75 | $7,810.75 | 31.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,168.20 | $10,168.20 | 27.9× |
| MRA neck w/o contrast (70547) | $7,810.75 | $7,810.75 | 31.3× |
| MRI abdomen w/o & w/contrast material (74183) | $10,584 | $10,584 | 29.1× |
| MRI abdomen w/o contrast (74181) | $5,659.20 | $5,659.20 | 22.7× |
| MRI any jt lower extrem w/contrast material (73722) | $7,533 | $7,533 | 9.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,090.41 | $8,090.41 | 22.2× |
| MRI cervical spine w/o contrast (72141) | $7,140.96 | $7,140.96 | 28.7× |
| MRI chest w/o & w/contrast material (71552) | $8,088.61 | $8,088.61 | 22.2× |
| MRI chest w/o contrast (71550) | $6,307.20 | $6,307.20 | 25.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,481.39 | $6,481.39 | 17.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,253.28 | $7,253.28 | 29.1× |
| MRI orbit face &/neck w/o contrast (70540) | $9,236.31 | $9,236.31 | 37.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $12,063.90 | $12,063.90 | 33.1× |
| MRI pelvis w/o & w/contrast material (72197) | $11,016.03 | $11,016.03 | 30.2× |
| MRI pelvis w/o contrast (72195) | $9,303.53 | $9,303.53 | 37.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $8,172.36 | $8,172.36 | 22.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $8,172.36 | $8,172.36 | 22.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $7,778.52 | $7,778.52 | 21.4× |
| MRI temporomandibular joint (70336) | $6,256.44 | $6,256.44 | 25.1× |
| MRI thoracic spine w/o contrast (72146) | $7,140.96 | $7,140.96 | 28.7× |
| MRI up ext w/o contrast (73218) | $7,071.84 | $7,071.84 | 28.4× |
| MRI upper ext joint w/o contrast (73221) | $7,140.96 | $7,140.96 | 28.7× |
| MRI, joint upper extrem combo (73223) | $8,090.41 | $8,090.41 | 22.2× |
| Myelogram Cervical (72240) | $9,015.39 | $9,015.39 | 11.0× |
| Myelogram Lumbar (72265) | $9,015.39 | $9,015.39 | 11.0× |
| Myelogram thoracic (72255) | $9,015.39 | $9,015.39 | 11.0× |
| Myelography 2 or more regions (72270) | $9,015.39 | $9,015.39 | 11.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $3,306.20 | $3,306.20 | 5.8× |
| Myocardial infarct spect (78469) | $6,109.29 | $6,109.29 | 10.8× |
| Myocardial Spect Multiple Studies (78452) | $33,229.75 | $33,229.75 | 24.6× |
| Neck soft tissue (70360) | $3,198.80 | $3,198.80 | 35.2× |
| Nm cisternogram (78630) | $8,374.65 | $8,374.65 | 14.8× |
| Nm gastric emptying study (78264) | $8,309.43 | $8,309.43 | 19.9× |
| Noncardiac Vascular Flow Imaging (78445) | $2,904.24 | $2,904.24 | 7.0× |
| Osseous survey limited (77074) | $6,710.56 | $6,710.56 | 61.5× |
| Parathyroid Planar Imaging (78070) | $16,067.83 | $16,067.83 | 38.5× |
| Pelvis 1 or 2 views (72170) | $3,380.94 | $3,380.94 | 31.0× |
| Peritoneogram after injection (74190) | $5,329.20 | $5,329.20 | 9.3× |
| PET image w/CT, skull-thigh (78815) | $18,235.91 | $18,235.91 | 12.2× |
| PET imaging for CT attenuation whole body (78816) | $20,263.87 | $20,263.87 | 13.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $46,982.93 | $46,982.93 | 14.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,379.48 | $6,379.48 | 15.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $10,150.21 | $10,150.21 | 17.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,153.06 | $4,153.06 | 7.3× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,702.86 | $3,702.86 | 40.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,388.20 | $2,388.20 | 26.3× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,827.27 | $3,827.27 | 42.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $811.89 | $811.89 | 8.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,371.10 | $1,371.10 | 12.6× |
| Radex fingr minimum 2 views (73140) | $2,883.29 | $2,883.29 | 31.7× |
| Radex Foot Compl Minimum 3 Views (73630) | $3,554.09 | $3,554.09 | 39.1× |
| Radex Hand Minimum 3 Views (73130) | $3,330.91 | $3,330.91 | 36.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,212.49 | $2,212.49 | 24.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $811.89 | $811.89 | 7.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $3,256.52 | $3,256.52 | 29.8× |
| Radex Humerus Minimum 2 Views (73060) | $3,132.11 | $3,132.11 | 34.5× |
| Radex Kne 1/2 Views (73560) | $1,367.26 | $1,367.26 | 15.0× |
| Radex Kne Compl 4/More Views (73564) | $4,473.71 | $4,473.71 | 41.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,722.53 | $4,722.53 | 43.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,554.09 | $3,554.09 | 39.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,751.18 | $2,751.18 | 25.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,641.30 | $3,641.30 | 40.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $811.89 | $811.89 | 8.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $811.89 | $811.89 | 7.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $811.89 | $811.89 | 8.9× |
| Radex Toe Minimum 2 Views (73660) | $2,982.05 | $2,982.05 | 32.8× |
| Radex upper extremity infant minimum 2 views (73092) | $2,038.05 | $2,038.05 | 18.7× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,418.13 | $3,418.13 | 37.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $4,150.50 | $4,150.50 | 45.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $811.89 | $811.89 | 7.4× |
| Radiologic exam chest 2 views (71046) | $2,858.91 | $2,858.91 | 31.5× |
| Radiologic exam colon single contrast study (74270) | $2,957.68 | $2,957.68 | 16.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,479.70 | $3,479.70 | 19.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,564.77 | $1,564.77 | 8.5× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,564.77 | $1,564.77 | 8.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,554.09 | $3,554.09 | 39.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,371.10 | $1,371.10 | 2.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,371.10 | $1,371.10 | 12.6× |
| Radiological examination surgical specimen (76098) | $7,354.42 | $7,354.42 | 12.9× |
| Ribs bilateral 3 views (71110) | $811.89 | $811.89 | 7.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $5,104.39 | $5,104.39 | 12.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $835.87 | $835.87 | 1.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $10,944.81 | $10,944.81 | 19.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $8,360.01 | $8,360.01 | 14.7× |
| Rp therapy intra-arterial particulate admn (79445) | $4,719 | $4,719 | 19.4× |
| Scapula (73010) | $2,610.09 | $2,610.09 | 23.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91.84 | $91.84 | 3.9× |
| Sella turcica (70240) | $811.89 | $811.89 | 8.9× |
| Shoulder 1 view (73020) | $811.89 | $811.89 | 8.9× |
| Sialogram (70390) | $4,153.06 | $4,153.06 | 16.7× |
| Small bowel series (74250) | $6,413 | $6,413 | 35.0× |
| Special Physics Consult (77370) | $1,936.22 | $1,936.22 | 13.8× |
| Special treatment procedure (77470) | $5,890.32 | $5,890.32 | 10.2× |
| Spine thoracic 3 views (72072) | $811.89 | $811.89 | 7.4× |
| Testicular Imaging With Vascular Flow (78761) | $5,656.75 | $5,656.75 | 13.6× |
| Thoracolumbar 2 views (72080) | $811.89 | $811.89 | 8.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $14,868.60 | $14,868.60 | 35.6× |
| Ultrasound breast complete (76641) | $5,341.30 | $5,341.30 | 48.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,221.86 | $1,221.86 | 11.2× |
| Ultrasound, abdomen limited (76705) | $4,785.62 | $4,785.62 | 43.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,460.11 | $1,460.11 | 13.4× |
| Unlisted magnetic resonance procedure (76498) | $4,526.28 | $4,526.28 | 49.8× |
| Unlisted ultrasound procedure (76999) | $1,157.97 | $1,157.97 | 12.7× |
| Urethrocystogram voiding (74455) | $3,184.70 | $3,184.70 | 12.8× |
| Urethrocystography retrograde rs&i (74450) | $7,083.80 | $7,083.80 | 28.4× |
| Us breast unilateral limited (76642) | $5,341.30 | $5,341.30 | 58.8× |
| Us chest (76604) | $1,446.80 | $1,446.80 | 13.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $1,980.53 | $1,980.53 | 8.8× |
| Us compl joint r-t w/image documentation (76881) | $13,356.59 | $13,356.59 | 122.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,157.97 | $1,157.97 | 10.6× |
| Us ob limited (76815) | $3,066.62 | $3,066.62 | 28.1× |
| Us ob transvaginal (76817) | $5,578.60 | $5,578.60 | 51.1× |
| Us pelvic non ob complete (76856) | $6,744.18 | $6,744.18 | 61.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,733.46 | $3,733.46 | 34.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,766.48 | $4,766.48 | 43.7× |
| Us retroperitoneal complete (76770) | $6,197.14 | $6,197.14 | 56.8× |
| Us retroperitoneal limited (76775) | $4,088.83 | $4,088.83 | 37.5× |
| Us scrotum and contents (76870) | $6,549.85 | $6,549.85 | 60.0× |
| Us soft tissue head/neck (76536) | $5,136.33 | $5,136.33 | 47.0× |
| Us,transplanted kidney, real time/ doppler (76776) | $3,914.47 | $3,914.47 | 35.9× |
| Venogram extremity bilateral (75822) | $12,977.35 | $12,977.35 | 7.9× |
| Venogram Extremity Unilateral (75820) | $11,856.35 | $11,856.35 | 7.2× |
| Venography caval inferior serialography rs&i (75825) | $10,955.97 | $10,955.97 | 3.3× |
| Venography caval superior serialography rs&i (75827) | $10,389.06 | $10,389.06 | 6.3× |
| Venography Renal Bilateral (75833) | $36,588.73 | $36,588.73 | 11.1× |
| Venography venous sinus/jugular cath rs&i (75860) | $12,977.35 | $12,977.35 | 3.9× |
| Venous sampling by catheter (75893) | $36,588.73 | $36,588.73 | 6.3× |
| Wrist 2 views (73100) | $2,175.29 | $2,175.29 | 23.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $5,418.99 | $5,418.99 | 49.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,938.44 | $2,938.44 | 32.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $8,077.82 | $8,077.82 | 44.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,088.08 | $2,088.08 | 23.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,435.65 | $2,435.65 | 26.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,256.52 | $3,256.52 | 29.8× |
| X-ray exam of femur 2/> (73552) | $3,554.09 | $3,554.09 | 39.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $845.23 | $845.23 | 9.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,189.40 | $2,189.40 | 24.1× |
| X-ray leg, infant (73592) | $994.02 | $994.02 | 10.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,330.91 | $3,330.91 | 30.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,371.10 | $1,371.10 | 12.6× |
| X-ray nose-rectum child f.b. (76010) | $2,340.75 | $2,340.75 | 25.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,698.17 | $4,698.17 | 43.0× |
| X-ray retrograde pyelogram (74420) | $8,501.08 | $8,501.08 | 23.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $811.89 | $811.89 | 8.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $4,573.76 | $4,573.76 | 41.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,722.53 | $4,722.53 | 43.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,106.46 | $3,106.46 | 28.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,977.35 | $3,977.35 | 43.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,086.36 | $1,086.36 | 12.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,456.18 | $5,456.18 | 50.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,582.72 | $1,582.72 | 14.5× |
| X-Ray Small Bowel Enteroclysis (74251) | $2,567.76 | $2,567.76 | 14.0× |
| X-Ray Spine One View - Xr Spine (72020) | $2,846.09 | $2,846.09 | 31.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $811.89 | $811.89 | 8.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,659.26 | $3,659.26 | 40.3× |
| Xr bone length studies (77073) | $811.89 | $811.89 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $4,908.51 | $4,908.51 | 45.0× |
| Xr c-spine 6 or more views (72052) | $4,796.92 | $4,796.92 | 43.9× |
| Xr chest 4+ views (71048) | $3,214.20 | $3,214.20 | 29.4× |
| Xr urogram antegrade (74425) | $2,684.48 | $2,684.48 | 7.4× |