Imaging prices at HCA Florida Englewood Hospital
Englewood, FL · every code in this section with a posted price and a Medicare benchmark.
317 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,018.64 | $3,018.64 | 2.1× |
| Abdomen 2 views (74019) | $6,282.66 | $6,282.66 | 57.5× |
| Acute gi blood loss imaging (78278) | $7,378.35 | $7,378.35 | 17.7× |
| Angio Adrenal Bilat Select (75733) | $17,472.79 | $17,472.79 | 5.3× |
| Angiography extremity bilateral rs&i (75716) | $31,095.72 | $31,095.72 | 9.4× |
| Angiography extremity unilateral rs&i (75710) | $13,577.66 | $13,577.66 | 4.1× |
| Angiography internal mammary rs&i (75756) | $25,439.80 | $25,439.80 | 7.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $19,573.05 | $19,573.05 | 3.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $14,995.74 | $14,995.74 | 4.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,728.08 | $6,728.08 | 2.0× |
| Angiography Spinal Selective Rs&I (75705) | $12,712.91 | $12,712.91 | 2.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $13,158.34 | $13,158.34 | 2.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,721.81 | $2,721.81 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $21,246.38 | $21,246.38 | 6.4× |
| Ankle 2 views (73600) | $2,711.43 | $2,711.43 | 29.8× |
| Aortogram thoracic (75605) | $8,539.58 | $8,539.58 | 1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $19,504.42 | $19,504.42 | 5.9× |
| Aortography abdominal serialography rs&i (75625) | $20,278.74 | $20,278.74 | 6.2× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $21,309.56 | $21,309.56 | 6.5× |
| Artery X-Rays Adrenal Gland (75731) | $20,401.74 | $20,401.74 | 6.2× |
| Arthrogram ankle (73615) | $4,847.39 | $4,847.39 | 13.3× |
| Arthrogram elbow (73085) | $5,099.14 | $5,099.14 | 14.0× |
| Arthrogram hip (73525) | $4,748.46 | $4,748.46 | 13.0× |
| Arthrogram knee (73580) | $7,349.63 | $7,349.63 | 20.2× |
| Arthrogram shoulder (73040) | $7,388.43 | $7,388.43 | 20.3× |
| Arthrogram wrist (73115) | $5,414.83 | $5,414.83 | 14.9× |
| Basic dosimetry (77300) | $293.93 | $293.93 | 2.1× |
| Bone &/Joint Imaging Limited Area (78300) | $9,835.40 | $9,835.40 | 23.6× |
| Bone &/Joint Imaging Multiple Areas (78305) | $11,422.16 | $11,422.16 | 27.4× |
| Bone &/joint imaging whole body (78306) | $11,830.84 | $11,830.84 | 28.3× |
| Bone age studies (77072) | $1,025.52 | $1,025.52 | 9.4× |
| Bone Imaging 3 Phase (78315) | $13,083.39 | $13,083.39 | 31.3× |
| Bone survey complete (77075) | $4,798.73 | $4,798.73 | 44.0× |
| Bone survey infant (77076) | $4,798.73 | $4,798.73 | 44.0× |
| Bowel imaging (78290) | $4,851.59 | $4,851.59 | 11.6× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $12,102.51 | $12,102.51 | 29.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,563.61 | $8,563.61 | 15.1× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) | $6,825.38 | $6,825.38 | 12.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $7,472.10 | $7,472.10 | 17.9× |
| Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or… (78483) | $11,350.49 | $11,350.49 | 20.0× |
| Cardiac shunt detection (78428) | $11,830.84 | $11,830.84 | 28.3× |
| Cephalogram, orthodontic Non-Facility (70350) | $4,951.56 | $4,951.56 | 54.5× |
| Cervical spine 2 or 3 views (72040) | $3,294.12 | $3,294.12 | 36.2× |
| Chest 1 view (71045) | $896.03 | $896.03 | 9.9× |
| Chest xray 3 views (71047) | $5,428.04 | $5,428.04 | 59.7× |
| Cholecystography, oral contrast Non-Facility (74290) | $3,361.47 | $3,361.47 | 18.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,628.17 | $3,628.17 | 19.8× |
| Clavicle complete (73000) | $2,750.25 | $2,750.25 | 30.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $13,388.23 | $13,388.23 | 122.6× |
| Continuing medical physics consltj pr wk (77336) | $949.45 | $949.45 | 6.8× |
| CT abdomen and pelvis without and with contrast (74178) | $27,318.23 | $27,318.23 | 75.0× |
| CT abdomen and pelvis without contrast (74176) | $20,754.14 | $20,754.14 | 83.3× |
| CT abdomen w contrast (74160) | $13,139.31 | $13,139.31 | 71.7× |
| CT abdomen w wo contrast (74170) | $13,960.50 | $13,960.50 | 76.2× |
| CT abdomen w/o contrast (74150) | $11,825.95 | $11,825.95 | 108.3× |
| CT c-spine w/contrast (72126) | $19,769.76 | $19,769.76 | 54.3× |
| CT c-spine w/o contrast (72125) | $18,542.11 | $18,542.11 | 169.8× |
| CT cervical spine w&w/o contrast (72127) | $20,911.74 | $20,911.74 | 114.2× |
| CT chest w contrast (71260) | $19,717.23 | $19,717.23 | 107.6× |
| CT chest w/wo contrast (71270) | $30,741.28 | $30,741.28 | 167.8× |
| CT head/brain with contrast (70460) | $15,279.41 | $15,279.41 | 83.4× |
| CT head/brain without and with contrast (70470) | $23,369.79 | $23,369.79 | 127.6× |
| CT iac w contrast (70481) | $11,176.14 | $11,176.14 | 61.0× |
| CT limited/localized follow up study (76380) | $6,105.12 | $6,105.12 | 67.2× |
| CT lower ext w/o (73700) | $10,255.39 | $10,255.39 | 93.9× |
| CT lower extremity w wo contrast (73702) | $10,255.39 | $10,255.39 | 56.0× |
| CT lower extremity w/contrast material (73701) | $10,255.39 | $10,255.39 | 56.0× |
| CT lumbar spine w & w/o contrast (72133) | $24,088.70 | $24,088.70 | 131.5× |
| CT lumbar spine w/contrast (72132) | $20,306.18 | $20,306.18 | 55.7× |
| CT lumbar spine w/o contrast (72131) | $19,797.45 | $19,797.45 | 181.3× |
| CT maxillofacial w contrast (70487) | $24,453.70 | $24,453.70 | 133.5× |
| CT maxillofacial w/wo contrast (70488) | $26,544.03 | $26,544.03 | 144.9× |
| CT maxillofacial wo contrast (70486) | $19,172.54 | $19,172.54 | 175.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $13,512.60 | $13,512.60 | 73.8× |
| CT orbits w/o contrast (70480) | $10,454.50 | $10,454.50 | 95.8× |
| CT pelvis w/o contrast (72192) | $13,841.61 | $13,841.61 | 126.8× |
| CT pelvis w/wo contrast (72194) | $11,050.45 | $11,050.45 | 60.3× |
| CT scan of arm combo (73202) | $7,830.48 | $7,830.48 | 42.7× |
| CT soft tissue neck w contrast (70491) | $12,437 | $12,437 | 67.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $19,899.75 | $19,899.75 | 108.6× |
| CT soft tissue neck w/o contrast (70490) | $12,492.29 | $12,492.29 | 114.4× |
| CT thoracic spine w/contrast (72129) | $11,563.23 | $11,563.23 | 63.1× |
| CT thoracic spine w/o contrast (72128) | $11,563.23 | $11,563.23 | 105.9× |
| CT thoracic spine w/wo contrast (72130) | $8,922.66 | $8,922.66 | 48.7× |
| CT thorax w/o contrast (71250) | $14,870.14 | $14,870.14 | 136.2× |
| CT upper ext wo (73200) | $9,271.05 | $9,271.05 | 84.9× |
| CT upper extremity with contrast (73201) | $9,271.05 | $9,271.05 | 25.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $24,987.34 | $24,987.34 | 136.4× |
| Cta Abdomen (74175) | $18,746.73 | $18,746.73 | 102.3× |
| CTA abdomen pelvis (74174) | $24,412.23 | $24,412.23 | 67.0× |
| CTA chest (71275) | $16,435.18 | $16,435.18 | 89.7× |
| Cta Head (70496) | $22,103.43 | $22,103.43 | 120.7× |
| Cta Neck (70498) | $22,103.43 | $22,103.43 | 120.7× |
| Cta Pelvis (72191) | $18,287.76 | $18,287.76 | 99.8× |
| Cystography minimum 3 views rs&i (74430) | $1,631.53 | $1,631.53 | 4.5× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $3,563.61 | $3,563.61 | 1.6× |
| Diskography lumbar (72295) | $8,430.42 | $8,430.42 | 4.1× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,082.49 | $1,082.49 | 9.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $494.65 | $494.65 | 5.4× |
| Esophagus (74220) | $5,275.25 | $5,275.25 | 28.8× |
| Facial bones min 3 views (70150) | $4,591.57 | $4,591.57 | 42.1× |
| Fluoroscopy up to 1 hr (76000) | $4,897.13 | $4,897.13 | 19.7× |
| Foot 2 views (73620) | $2,750.25 | $2,750.25 | 30.3× |
| Forearm 2 views (73090) | $2,949.71 | $2,949.71 | 32.5× |
| Hand 2 views (73120) | $2,040.70 | $2,040.70 | 18.7× |
| Heart first pass single,planar (78481) | $6,964.86 | $6,964.86 | 12.3× |
| Heart Infarct Image (78466) | $6,380.62 | $6,380.62 | 15.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $7,490.63 | $7,490.63 | 13.2× |
| Hepatobiliary syst imaging including gallbladder (78226) | $6,513.56 | $6,513.56 | 15.6× |
| Hysterosalpingogram (74740) | $6,090.98 | $6,090.98 | 24.4× |
| Kidney imaging morphology (78700) | $10,186.41 | $10,186.41 | 24.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,003.32 | $7,003.32 | 12.4× |
| Knee 3 views (73562) | $3,050.66 | $3,050.66 | 33.6× |
| Liver & spleen imaging static only (78215) | $12,835.79 | $12,835.79 | 30.7× |
| Liver imaging static only (78201) | $4,584.71 | $4,584.71 | 8.1× |
| Liver imaging w/vascular flow (78202) | $4,281.83 | $4,281.83 | 7.6× |
| Lung perf&ventilat diferentl (78598) | $15,457.51 | $15,457.51 | 27.3× |
| Lung ventilation imaging (78579) | $7,846.41 | $7,846.41 | 18.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $35,611.13 | $35,611.13 | 10.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $5,382.46 | $5,382.46 | 1.6× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) | $4,939.53 | $4,939.53 | 3.0× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) | $2,499.66 | $2,499.66 | 3.8× |
| Lymphoscintigraphy (78195) | $5,479.11 | $5,479.11 | 9.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $10,957.62 | $10,957.62 | 13.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $6,925.72 | $6,925.72 | 19.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $10,957.62 | $10,957.62 | 30.1× |
| Mammary ductogram or galactogram multiple (77054) | $3,377 | $3,377 | 13.6× |
| Mammary ductogram or galactogram single (77053) | $6,898.98 | $6,898.98 | 27.7× |
| MRA head w & w/o contrast (70546) | $9,017.72 | $9,017.72 | 24.8× |
| MRA head w/o contrast (70544) | $7,483.48 | $7,483.48 | 30.0× |
| MRA head with contrast (70545) | $8,322.17 | $8,322.17 | 22.8× |
| MRA neck w contrast (70548) | $9,025.32 | $9,025.32 | 24.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,017.72 | $9,017.72 | 24.8× |
| MRA neck w/o contrast (70547) | $8,285.33 | $8,285.33 | 33.3× |
| MRI abdomen w contrast (74182) | $6,110.71 | $6,110.71 | 16.8× |
| MRI abdomen w/o & w/contrast material (74183) | $10,439.28 | $10,439.28 | 28.7× |
| MRI abdomen w/o contrast (74181) | $3,515.46 | $3,515.46 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) | $11,509.70 | $11,509.70 | 14.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,509.70 | $11,509.70 | 31.6× |
| MRI c-spine with contrast (72142) | $13,327.53 | $13,327.53 | 36.6× |
| MRI cardiac w/o contrast (75557) | $2,916.60 | $2,916.60 | 11.7× |
| MRI cervical spine w/o contrast (72141) | $5,534.22 | $5,534.22 | 22.2× |
| MRI chest w/o & w/contrast material (71552) | $9,509.75 | $9,509.75 | 26.1× |
| MRI chest w/o contrast (71550) | $3,879.75 | $3,879.75 | 15.6× |
| MRI chest with contrast (71551) | $5,173.65 | $5,173.65 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,925.72 | $6,925.72 | 19.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,509.70 | $11,509.70 | 31.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,921.05 | $5,921.05 | 23.8× |
| MRI orbit face &/neck w/o contrast (70540) | $7,004.60 | $7,004.60 | 28.1× |
| MRI orbit face neck w contrast (70542) | $11,680.59 | $11,680.59 | 32.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $14,630.81 | $14,630.81 | 40.2× |
| MRI pelvis w/contrast (72196) | $6,110.71 | $6,110.71 | 16.8× |
| MRI pelvis w/o & w/contrast material (72197) | $3,091.04 | $3,091.04 | 8.5× |
| MRI pelvis w/o contrast (72195) | $3,515.46 | $3,515.46 | 14.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $16,750.95 | $16,750.95 | 46.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $5,723.87 | $5,723.87 | 15.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $13,853.33 | $13,853.33 | 38.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $6,751.09 | $6,751.09 | 18.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $14,510.62 | $14,510.62 | 39.8× |
| MRI temporomandibular joint (70336) | $5,036.56 | $5,036.56 | 20.2× |
| MRI thoracic spine w/o contrast (72146) | $12,429.88 | $12,429.88 | 49.9× |
| MRI up ext w/o contrast (73218) | $5,650.62 | $5,650.62 | 22.7× |
| MRI upper ext joint w/o contrast (73221) | $8,204.59 | $8,204.59 | 32.9× |
| MRI, joint upper extrem combo (73223) | $11,509.70 | $11,509.70 | 31.6× |
| Myelogram Cervical (72240) | $10,495.81 | $10,495.81 | 12.8× |
| Myelogram Lumbar (72265) | $6,445.48 | $6,445.48 | 7.9× |
| Myelogram thoracic (72255) | $10,949.96 | $10,949.96 | 13.4× |
| Myelography 2 or more regions (72270) | $15,726.02 | $15,726.02 | 19.2× |
| Myocardial infarct spect (78469) | $10,275.39 | $10,275.39 | 18.1× |
| Myocardial Spect Multiple Studies (78452) | $13,843.12 | $13,843.12 | 10.2× |
| Myocardial spect single study at rest or stress (78451) | $9,282.46 | $9,282.46 | 6.9× |
| Neck soft tissue (70360) | $3,597.11 | $3,597.11 | 39.6× |
| Nm adrenal scan (78075) | $1,733.40 | $1,733.40 | 1.3× |
| Nm cardiac blood pool multiple (78473) | $3,284.06 | $3,284.06 | 7.9× |
| Nm cisternogram (78630) | $2,031.51 | $2,031.51 | 3.6× |
| Nm gastric emptying study (78264) | $2,930.66 | $2,930.66 | 7.0× |
| Nm kidney scan w/flow (78701) | $12,835.79 | $12,835.79 | 30.7× |
| Nm peritoneal-venous shunt patency (78291) | $8,563.61 | $8,563.61 | 20.5× |
| Noncardiac Vascular Flow Imaging (78445) | $16,141.52 | $16,141.52 | 38.7× |
| Nonvascular shunt X-ray (75809) | $804.49 | $804.49 | 7.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $7,902.46 | $7,902.46 | 18.9× |
| Nuclear Rx Oral Admin (79005) | $328.19 | $328.19 | 1.3× |
| Parathyroid Planar Imaging (78070) | $2,360.85 | $2,360.85 | 5.7× |
| Pelvis 1 or 2 views (72170) | $3,822.41 | $3,822.41 | 35.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,229.29 | $7,229.29 | 17.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $15,457.51 | $15,457.51 | 27.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $668.14 | $668.14 | 1.2× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,141.31 | $3,141.31 | 34.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,408.46 | $2,408.46 | 26.5× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,780.98 | $3,780.98 | 41.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $3,629.18 | $3,629.18 | 39.9× |
| Radex fingr minimum 2 views (73140) | $1,460.59 | $1,460.59 | 16.1× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,750.25 | $2,750.25 | 30.3× |
| Radex Hand Minimum 3 Views (73130) | $2,408.46 | $2,408.46 | 26.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,438.68 | $2,438.68 | 26.8× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,882.04 | $2,882.04 | 26.4× |
| Radex Humerus Minimum 2 Views (73060) | $3,597.11 | $3,597.11 | 39.6× |
| Radex Kne 1/2 Views (73560) | $3,452.09 | $3,452.09 | 38.0× |
| Radex Kne Compl 4/More Views (73564) | $3,301.88 | $3,301.88 | 30.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,591.57 | $4,591.57 | 42.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,597.11 | $3,597.11 | 39.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,804.68 | $2,804.68 | 25.7× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,597.11 | $3,597.11 | 39.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,680.36 | $2,680.36 | 29.5× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $3,449.55 | $3,449.55 | 31.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $4,045.15 | $4,045.15 | 44.5× |
| Radex Toe Minimum 2 Views (73660) | $1,460.59 | $1,460.59 | 16.1× |
| Radex upper extremity infant minimum 2 views (73092) | $2,315.19 | $2,315.19 | 21.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,141.31 | $3,141.31 | 34.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,020.34 | $1,020.34 | 11.2× |
| Radiologic exam chest 2 views (71046) | $2,379.95 | $2,379.95 | 26.2× |
| Radiologic exam colon single contrast study (74270) | $7,976.32 | $7,976.32 | 43.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $8,973.33 | $8,973.33 | 49.0× |
| Radiologic exam upr gi trc single contrast study (74240) | $8,781.74 | $8,781.74 | 47.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,780.98 | $3,780.98 | 41.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,514.62 | $2,514.62 | 4.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,261.21 | $1,261.21 | 11.6× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $2,136.53 | $2,136.53 | 19.6× |
| Radiological examination surgical specimen (76098) | $2,478.34 | $2,478.34 | 4.3× |
| Renal Cyst Study (74470) | $5,026.66 | $5,026.66 | 8.8× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $3,762.48 | $3,762.48 | 9.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $11,422.16 | $11,422.16 | 27.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,526.82 | $7,526.82 | 13.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $4,272.31 | $4,272.31 | 7.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,272.31 | $4,272.31 | 7.5× |
| Scapula (73010) | $3,954.50 | $3,954.50 | 36.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $262.15 | $262.15 | 11.2× |
| Sella turcica (70240) | $2,563.79 | $2,563.79 | 28.2× |
| Shoulder 1 view (73020) | $3,361.47 | $3,361.47 | 37.0× |
| Sialogram (70390) | $3,907.85 | $3,907.85 | 15.7× |
| Simulation intermediate (77285) | $701.01 | $701.01 | 1.8× |
| Small bowel series (74250) | $8,186.09 | $8,186.09 | 44.7× |
| Special dosimetry (77331) | $949.45 | $949.45 | 6.8× |
| Special Physics Consult (77370) | $657.85 | $657.85 | 4.7× |
| Special treatment procedure (77470) | $352.25 | $352.25 | 0.6× |
| Speech evaluation complex (70371) | $6,088.42 | $6,088.42 | 24.4× |
| Spine thoracic 3 views (72072) | $5,244.17 | $5,244.17 | 48.0× |
| Splenoportograpy rs&i (75810) | $4,200.54 | $4,200.54 | 1.3× |
| Testicular Imaging With Vascular Flow (78761) | $5,142.48 | $5,142.48 | 12.3× |
| Ther rad simulaj-aided field setting complex (77290) | $701.01 | $701.01 | 1.8× |
| Ther rad simulaj-aided field setting simple (77280) | $701.01 | $701.01 | 5.0× |
| Thyroid carcinoma metastases img whole body (78018) | $13,093.03 | $13,093.03 | 23.1× |
| Thyroid imaging w/blood flow (78013) | $5,880.56 | $5,880.56 | 14.1× |
| Thyroid uptake measurement (78012) | $5,880.56 | $5,880.56 | 14.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,553.61 | $5,553.61 | 13.3× |
| Tomogram (76100) | $8,183.51 | $8,183.51 | 75.0× |
| Treatment device complex (77334) | $701.01 | $701.01 | 1.8× |
| Ultrasound breast complete (76641) | $622.82 | $622.82 | 5.7× |
| Ultrasound, abdomen limited (76705) | $5,449.40 | $5,449.40 | 49.9× |
| Ureteral reflux study (78740) | $4,079.86 | $4,079.86 | 9.8× |
| Urethrocystogram voiding (74455) | $2,310.04 | $2,310.04 | 9.3× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $6,189.40 | $6,189.40 | 33.8× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $7,888.25 | $7,888.25 | 43.1× |
| Us breast unilateral limited (76642) | $622.82 | $622.82 | 6.9× |
| Us chest (76604) | $4,424.21 | $4,424.21 | 40.5× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $4,502.58 | $4,502.58 | 20.0× |
| Us compl joint r-t w/image documentation (76881) | $2,079.79 | $2,079.79 | 19.1× |
| Us encephalogram (76506) | $4,424.21 | $4,424.21 | 40.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,079.79 | $2,079.79 | 19.1× |
| Us ob detailed single fetus (76811) | $5,497.20 | $5,497.20 | 22.1× |
| Us ob transvaginal (76817) | $1,179.54 | $1,179.54 | 10.8× |
| Us pelvic non ob complete (76856) | $5,328.17 | $5,328.17 | 48.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,571.49 | $1,571.49 | 14.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,727.98 | $4,727.98 | 43.3× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $4,426.64 | $4,426.64 | 40.5× |
| Us retroperitoneal complete (76770) | $6,698.77 | $6,698.77 | 61.4× |
| Us retroperitoneal limited (76775) | $5,411.44 | $5,411.44 | 49.6× |
| Us scrotum and contents (76870) | $3,145.42 | $3,145.42 | 28.8× |
| Us soft tissue head/neck (76536) | $4,015.09 | $4,015.09 | 36.8× |
| Us spinal canal and contents (76800) | $3,784.85 | $3,784.85 | 34.7× |
| Us transrectal (76872) | $7,883.76 | $7,883.76 | 72.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $1,681.73 | $1,681.73 | 15.4× |
| Venogram adrenal unilat (75840) | $11,177.21 | $11,177.21 | 3.4× |
| Venogram extremity bilateral (75822) | $8,667.98 | $8,667.98 | 5.3× |
| Venogram Extremity Unilateral (75820) | $6,120.27 | $6,120.27 | 3.7× |
| Venography caval inferior serialography rs&i (75825) | $4,304.07 | $4,304.07 | 1.3× |
| Venography caval superior serialography rs&i (75827) | $15,022.89 | $15,022.89 | 9.1× |
| Venography Renal Bilateral (75833) | $13,777.29 | $13,777.29 | 4.2× |
| Venography renal unilateral selective rs&i (75831) | $11,177.21 | $11,177.21 | 3.4× |
| Venous sampling by catheter (75893) | $13,849.79 | $13,849.79 | 2.4× |
| Wrist 2 views (73100) | $2,315.19 | $2,315.19 | 25.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,980.38 | $3,980.38 | 36.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,950.06 | $1,950.06 | 21.5× |
| X-ray b.e. reductn intuss (74283) | $7,991.85 | $7,991.85 | 43.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $9,493.91 | $9,493.91 | 51.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,750.25 | $2,750.25 | 30.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,882.04 | $2,882.04 | 31.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,602.58 | $3,602.58 | 33.0× |
| X-ray exam of femur 2/> (73552) | $3,270.04 | $3,270.04 | 36.0× |
| X-ray eye for foreign body (70030) | $4,591.57 | $4,591.57 | 50.5× |
| X-ray IV pyelogram (ivp) (74400) | $7,846.82 | $7,846.82 | 42.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,214.22 | $2,214.22 | 24.4× |
| X-ray leg, infant (73592) | $2,315.19 | $2,315.19 | 25.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,685.15 | $3,685.15 | 33.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $6,523.47 | $6,523.47 | 59.8× |
| X-ray nose-rectum child f.b. (76010) | $4,798.73 | $4,798.73 | 52.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,685.15 | $3,685.15 | 33.8× |
| X-ray retrograde pyelogram (74420) | $6,935.25 | $6,935.25 | 19.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,335.91 | $2,335.91 | 25.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,536.24 | $3,536.24 | 32.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,597.11 | $3,597.11 | 32.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,750.64 | $1,750.64 | 16.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,521.63 | $4,521.63 | 49.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $5,969.29 | $5,969.29 | 65.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,477.22 | $5,477.22 | 50.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,949.71 | $2,949.71 | 27.0× |
| X-Ray Small Bowel Enteroclysis (74251) | $7,315.94 | $7,315.94 | 39.9× |
| X-Ray Spine One View - Xr Spine (72020) | $1,929.31 | $1,929.31 | 21.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,950.06 | $1,950.06 | 21.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $4,125.44 | $4,125.44 | 45.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,929.31 | $1,929.31 | 17.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $5,679.28 | $5,679.28 | 52.0× |
| Xr bone length studies (77073) | $2,563.79 | $2,563.79 | 23.5× |
| Xr c-spine 4 or 5 views (72050) | $6,412.11 | $6,412.11 | 58.7× |
| Xr c-spine 6 or more views (72052) | $2,625.95 | $2,625.95 | 24.1× |
| Xr chest 4+ views (71048) | $2,379.95 | $2,379.95 | 21.8× |
| Xr urogram antegrade (74425) | $7,526.59 | $7,526.59 | 20.7× |