Imaging prices at HCA Florida Fawcett Hospital
Port Charlotte, FL · every code in this section with a posted price and a Medicare benchmark.
386 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,045.01 | $2,045.01 | 1.4× |
| Abdomen 1 View (74018) | $4,237.02 | $4,237.02 | 46.6× |
| Abdomen 2 views (74019) | $5,409.15 | $5,409.15 | 49.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $8,349.48 | $8,349.48 | 20.0× |
| Adrenal Cortex & Medulla Img (78075) | $10,535.07 | $10,535.07 | 7.8× |
| Angio internal mammary (75756) | $37,767.15 | $37,767.15 | 11.5× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$35,937–$53,733.08 | $35,937–$53,733.08 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $48,328.94 | $48,328.94 | 14.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$40,412.41–$45,193.10 | $40,412.41–$45,193.10 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$28,869.37–$34,543.22 | $28,869.37–$34,543.22 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$37,767.15–$40,412.41 | $37,767.15–$40,412.41 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $40,412.41 | $40,412.41 | 12.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$2,321.99–$4,347.66 | $2,321.99–$4,347.66 | varies |
| Aortography thoracic serialography rs&i (75605) | $40,455.05 | $40,455.05 | 7.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $31,637.78 | $31,637.78 | 9.6× |
| Artery X-Rays Abdomen (75726) | $12,325.26 | $12,325.26 | 2.1× |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$37,767.15–$40,412.41 | $37,767.15–$40,412.41 | varies |
| Artery X-Rays Pelvis (75736) | $40,412.41 | $40,412.41 | 7.0× |
| Artery X-Rays Spine (75705) | $37,767.15 | $37,767.15 | 6.5× |
| Arthrogram ankle (73615) range across 6 matching MRF lines |
$6,713.49–$14,091.70 | $6,713.49–$14,091.70 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$6,236.19–$13,050.48 | $6,236.19–$13,050.48 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$6,713.49–$14,091.70 | $6,713.49–$14,091.70 | varies |
| Basic radiation dosimetry calculation (77300) | $98.28 | $98.28 | 0.7× |
| Bone age studies (77072) | $1,888.54 | $1,888.54 | 17.3× |
| Bone Imaging 3 Phase (78315) | $13,481.22 | $13,481.22 | 32.3× |
| Bone Imaging Limited Area (78300) | $5,971.67 | $5,971.67 | 14.3× |
| Bone Imaging Multiple Areas (78305) | $10,493.26 | $10,493.26 | 25.1× |
| Bone Imaging Whole Body (78306) | $10,982.20 | $10,982.20 | 26.3× |
| Bone marrow imaging limited area (78102) | $5,971.67 | $5,971.67 | 14.3× |
| Bone marrow imaging; whole body (78104) | $10,982.20 | $10,982.20 | 26.3× |
| Bone survey infant (77076) | $4,851.81 | $4,851.81 | 44.4× |
| Brachytx Isodose Plan Simple (77316) | $2,183.45 | $2,183.45 | 5.6× |
| Brain Image W/Flow < 4 Views (78601) | $11,542.16 | $11,542.16 | 27.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,842.56 | $8,842.56 | 15.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,481.50 | $6,481.50 | 11.4× |
| Cat Scan Follow-Up Study (76380) | $5,875.49 | $5,875.49 | 64.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $8,470.64 | $8,470.64 | 14.9× |
| Cerebrospinal Fluid Scan (78630) | $5,700.07 | $5,700.07 | 10.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$75–$1,525.90 | $75–$1,525.90 | varies |
| Chest 2 views (71046) | $1,911.36 | $1,911.36 | 21.0× |
| Chest 3 views (71047) | $3,113.65 | $3,113.65 | 34.3× |
| Chest 4 or more views (71048) | $3,989.40 | $3,989.40 | 36.5× |
| Cholecystography Oral Contrast (74290) | $4,241.51 | $4,241.51 | 23.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,582.91–$2,640.42 | $2,582.91–$2,640.42 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,614.11 | $2,614.11 | 23.9× |
| Continuing medical physics consltj pr wk (77336) | $215.65 | $215.65 | 1.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$50,741.86–$56,747.75 | $50,741.86–$56,747.75 | varies |
| Contrast X-Ray Bladder (74430) | $1,578.93 | $1,578.93 | 4.3× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$6,607.70–$13,837.41 | $6,607.70–$13,837.41 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$7,116.29–$14,937.21 | $7,116.29–$14,937.21 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $35,649.33 | $35,649.33 | 97.9× |
| CT abdomen and pelvis without contrast (74176) | $32,369.83 | $32,369.83 | 129.9× |
| CT abdomen w contrast (74160) | $18,330.36 | $18,330.36 | 100.1× |
| CT abdomen w wo contrast (74170) | $20,600.86 | $20,600.86 | 112.5× |
| CT abdomen w/o contrast (74150) | $17,058.98 | $17,058.98 | 156.3× |
| CT Angio Abdomen and Pelvis (74174) | $25,709.17 | $25,709.17 | 70.6× |
| CT Angio Chest (71275) | $23,024.94 | $23,024.94 | 125.7× |
| CT Angio Head (70496) | $23,024.94 | $23,024.94 | 125.7× |
| CT angio hrt w/3d image (75574) | $23,024.94 | $23,024.94 | 63.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$23,024.94–$31,401.11 | $23,024.94–$31,401.11 | varies |
| CT Angio Neck (70498) | $23,024.94 | $23,024.94 | 125.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $23,024.94 | $23,024.94 | 125.7× |
| CT cervical spine w/ contrast (72126) | $17,435.66 | $17,435.66 | 47.9× |
| CT cervical spine w/o contrast (72125) | $16,760.52 | $16,760.52 | 153.5× |
| CT cervical spine w/wo cont (72127) | $18,903.30 | $18,903.30 | 103.2× |
| CT chest w contrast (71260) | $18,233.11 | $18,233.11 | 99.5× |
| CT chest w/wo contrast (71270) | $20,356.25 | $20,356.25 | 111.1× |
| CT head/brain with contrast (70460) | $16,608.88 | $16,608.88 | 90.7× |
| CT head/brain without and with contrast (70470) | $17,332.99 | $17,332.99 | 94.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $18,233.11 | $18,233.11 | 50.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $17,650.89 | $17,650.89 | 194.2× |
| CT hrt w/3d image congen (75573) | $18,760.49 | $18,760.49 | 51.5× |
| CT iac w contrast (70481) | $12,905.54 | $12,905.54 | 70.5× |
| CT l-spine w&w/o contrast (72133) | $23,382.72 | $23,382.72 | 127.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$14,309.55–$15,728.32 | $14,309.55–$15,728.32 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$17,323.13–$30,343.30 | $17,323.13–$30,343.30 | varies |
| CT lumbar spine w contrast (72132) | $20,762.34 | $20,762.34 | 57.0× |
| CT lumbar spine w/o contrast (72131) | $18,042.31 | $18,042.31 | 165.3× |
| CT maxillofacial w contrast (70487) | $17,230.16 | $17,230.16 | 94.1× |
| CT maxillofacial wo contrast (70486) | $17,230.16 | $17,230.16 | 157.8× |
| CT neck tissue combo (70492) | $25,801.59 | $25,801.59 | 140.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $13,053.29 | $13,053.29 | 71.3× |
| CT orbits w/o contrast (70480) | $12,866.41 | $12,866.41 | 117.9× |
| CT pelvis w&w/o contrast (72194) | $17,900.47 | $17,900.47 | 97.7× |
| CT pelvis w/o contrast (72192) | $17,900.47 | $17,900.47 | 164.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$17,890.62–$34,646.27 | $17,890.62–$34,646.27 | varies |
| CT scans face/jaw combo (70488) | $17,230.16 | $17,230.16 | 94.1× |
| CT soft tissue neck w contrast (70491) | $14,617.78 | $14,617.78 | 79.8× |
| CT soft tissue neck w/o contrast (70490) | $19,015.79 | $19,015.79 | 174.2× |
| CT thoracic spine w contrast (72129) | $19,749.62 | $19,749.62 | 107.8× |
| CT thoracic spine w/o contrast (72128) | $16,031.57 | $16,031.57 | 146.8× |
| CT thoracic spine w/wo cont (72130) | $24,288.67 | $24,288.67 | 132.6× |
| CT thorax w/o contrast (71250) | $17,650.89 | $17,650.89 | 161.7× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$16,491.49–$37,221.15 | $16,491.49–$37,221.15 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$20,273.12–$31,237.31 | $20,273.12–$31,237.31 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$17,029.57–$30,240.78 | $17,029.57–$30,240.78 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $23,024.94 | $23,024.94 | 125.7× |
| Cta Abdomen (74175) | $23,024.94 | $23,024.94 | 125.7× |
| CTA pelvis (72191) | $23,024.94 | $23,024.94 | 125.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $2,127.35 | $2,127.35 | 8.5× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$3,621.70–$3,622.33 | $3,621.70–$3,622.33 | varies |
| Diskography lumbar (72295) | $12,514.79 | $12,514.79 | 6.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,940.14–$2,056.58 | $1,940.14–$2,056.58 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,915.02 | $1,915.02 | 21.1× |
| Echo Guide For Artery Repair (76936) | $15,280.99 | $15,280.99 | 67.8× |
| Esophagram (74220) | $4,263.57 | $4,263.57 | 23.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,227.64 | $3,227.64 | 29.6× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$6,284.85–$7,533.87 | $6,284.85–$7,533.87 | varies |
| Follow-Up Angiography (75898) | $7,561.03 | $7,561.03 | 2.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,206.99–$4,122.09 | $2,206.99–$4,122.09 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,755.42–$5,214.50 | $2,755.42–$5,214.50 | varies |
| Gastric emptying imaging study (78264) | $9,640.76 | $9,640.76 | 23.1× |
| Gated Heart Planar Single (78472) | $7,183.56 | $7,183.56 | 17.2× |
| Gated Heart, Multiple (78473) | $9,782.86 | $9,782.86 | 23.4× |
| GI Endoscopic US S&I (76975) | $16,869.26 | $16,869.26 | 67.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,321.99–$4,347.66 | $2,321.99–$4,347.66 | varies |
| Heart first pass single,planar (78481) | $10,748.19 | $10,748.19 | 19.0× |
| Hepatobil Syst Image W/Drug (78227) | $12,356.51 | $12,356.51 | 21.8× |
| Hepatobiliary System Imaging (78226) | $9,945.90 | $9,945.90 | 23.8× |
| Ht Musc Image Planar Mult (78454) | $18,107.28 | $18,107.28 | 13.4× |
| Ht Muscle Image Spect Sing (78451) | $10,296.88 | $10,296.88 | 7.6× |
| Hyperthermia external generated superficial (77600) | $222.99 | $222.99 | 0.6× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $1.48 | $1.48 | 0.0× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $1.48 | $1.48 | 0.0× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $1.48 | $1.48 | 0.0× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $1.48 | $1.48 | 0.0× |
| Hysterosalpingogram (74740) | $6,019.41 | $6,019.41 | 24.2× |
| Infusion Ivp (74410) | $6,249.43 | $6,249.43 | 34.1× |
| Interstitial radiation source applic complex (77778) | $75,638.48 | $75,638.48 | 104.0× |
| Joint Survey Single View (77077) | $6,240.56 | $6,240.56 | 57.2× |
| K Flow/Funct Image Multiple (78709) | $13,694.29 | $13,694.29 | 24.2× |
| K Flow/Funct Image W/Drug (78708) | $11,496.24 | $11,496.24 | 20.3× |
| K Flow/Funct Image W/O Drug (78707) | $8,905.28 | $8,905.28 | 15.7× |
| Kidney Imaging Morphol (78700) | $6,677.91 | $6,677.91 | 16.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$6,696.18–$13,091.52 | $6,696.18–$13,091.52 | varies |
| Leveen/Shunt Patency Exam (78291) | $4,137.09 | $4,137.09 | 9.9× |
| Liver & Spleen Imaging Static Only (78215) | $6,790.77 | $6,790.77 | 16.3× |
| Liver imaging static only (78201) | $6,765.66 | $6,765.66 | 11.9× |
| Liver imaging w/vascular flow (78202) | $6,314.37 | $6,314.37 | 11.1× |
| Lung Perf&Ventilat Diferentl (78598) | $15,303.22 | $15,303.22 | 27.0× |
| Lung perfusion differential (78597) | $10,507.24 | $10,507.24 | 25.2× |
| Lung Ventilat&Perfus Imaging (78582) | $10,773.31 | $10,773.31 | 19.0× |
| Lung Ventilation Imaging (78579) | $9,431.87 | $9,431.87 | 22.6× |
| Lymph System Imaging (78195) | $8,349.48 | $8,349.48 | 14.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $7,333.49 | $7,333.49 | 4.5× |
| Lymphangiography extremity only unilateral rs&i (75801) range across 2 matching MRF lines |
$3,588.51–$3,830.28 | $3,588.51–$3,830.28 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $40,455.05 | $40,455.05 | 12.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$7,722.20–$8,262.64 | $7,722.20–$8,262.64 | varies |
| Magnetic Image Jaw Joint (70336) | $10,611.05 | $10,611.05 | 42.6× |
| Mammary ductogram or galactogram multiple (77054) | $4,225.52 | $4,225.52 | 17.0× |
| Mammary ductogram or galactogram single (77053) | $3,473.01 | $3,473.01 | 13.9× |
| Meckels Divert Exam (78290) | $9,189.41 | $9,189.41 | 22.0× |
| Mr safety determination physician/other qhp (76016) | $150 | $150 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $135 | $135 | 4.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $150 | $150 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $150 | $150 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $10,028.33 | $10,028.33 | 27.5× |
| MRA head w/o contrast (70544) | $10,636.45 | $10,636.45 | 42.7× |
| MRA head with contrast (70545) | $10,636.45 | $10,636.45 | 29.2× |
| MRA neck w contrast (70548) | $10,319.71 | $10,319.71 | 28.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,202.89 | $12,202.89 | 33.5× |
| MRA neck w/o contrast (70547) | $6,447.73 | $6,447.73 | 25.9× |
| MRI abdomen w contrast (74182) | $15,462.69 | $15,462.69 | 42.4× |
| MRI abdomen w/o contrast (74181) | $14,939.12 | $14,939.12 | 60.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$12,646.29–$29,431.08 | $12,646.29–$29,431.08 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$15,509.13–$31,226.75 | $15,509.13–$31,226.75 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$12,646.29–$26,296.37 | $12,646.29–$26,296.37 | varies |
| MRI bone marrow blood supply (77084) | $7,575.10 | $7,575.10 | 30.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,826.29 | $5,826.29 | 23.4× |
| MRI cervical spine w contrast (72142) | $14,466.14 | $14,466.14 | 39.7× |
| MRI cervical spine w/o cont (72141) | $13,148.74 | $13,148.74 | 52.8× |
| MRI chest w/o contrast (71550) | $10,611.05 | $10,611.05 | 42.6× |
| MRI chest with contrast (71551) | $15,462.69 | $15,462.69 | 18.9× |
| MRI chest wo w contrast (71552) | $21,255.92 | $21,255.92 | 58.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $12,646.29 | $12,646.29 | 34.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$15,509.13–$31,226.75 | $15,509.13–$31,226.75 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$11,928.47–$26,240.42 | $11,928.47–$26,240.42 | varies |
| MRI lumbar spine w contrast (72149) | $12,169.19 | $12,169.19 | 33.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $21,871.59 | $21,871.59 | 60.0× |
| MRI orbit face &/neck w/o contrast (70540) | $19,110.93 | $19,110.93 | 76.7× |
| MRI orbit face neck w contrast (70542) | $10,636.45 | $10,636.45 | 29.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $19,110.93 | $19,110.93 | 52.5× |
| MRI pelvis w contrast (72196) | $16,547.87 | $16,547.87 | 45.4× |
| MRI pelvis w/o & w contrast (72197) | $21,255.92 | $21,255.92 | 58.3× |
| MRI pelvis w/o contrast (72195) | $13,955.30 | $13,955.30 | 56.0× |
| MRI spectroscopy (76390) | $5,007.85 | $5,007.85 | 55.1× |
| MRI thoracic spine w/o contrast (72146) | $14,466.14 | $14,466.14 | 58.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$12,646.29–$26,296.37 | $12,646.29–$26,296.37 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$11,928.47–$21,012.83 | $11,928.47–$21,012.83 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$15,509.13–$29,585.68 | $15,509.13–$29,585.68 | varies |
| MRI, abdomen, combo (74183) | $21,255.92 | $21,255.92 | 58.3× |
| MRI, dorsal spine combo (72157) | $21,871.59 | $21,871.59 | 60.0× |
| MRI, dorsal spine contrast (72147) | $12,654.76 | $12,654.76 | 34.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$11,928.47–$22,695.83 | $11,928.47–$22,695.83 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$15,509.13–$29,585.68 | $15,509.13–$29,585.68 | varies |
| MRI, lumbar spine combo (72158) | $21,871.59 | $21,871.59 | 60.0× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$11,353.35–$12,168.74 | $11,353.35–$12,168.74 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$10,999.48–$11,789.49 | $10,999.48–$11,789.49 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$15,232.16–$16,326.18 | $15,232.16–$16,326.18 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$18,421.03–$19,744.04 | $18,421.03–$19,744.04 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $9,348.24 | $9,348.24 | 22.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $10,794.18 | $10,794.18 | 8.0× |
| Myocardial Spect Multiple Studies (78452) | $19,415.28 | $19,415.28 | 14.4× |
| N-invas est c ffr sw aly CTA (75580) | $3,000 | $3,000 | 3.3× |
| Neck soft tissue (70360) | $2,715.60 | $2,715.60 | 29.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,877.78 | $2,877.78 | 6.9× |
| Nm myocard infarct spect (78469) | $14,392.21 | $14,392.21 | 25.4× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,194.62–$5,499.84 | $1,194.62–$5,499.84 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,096.85 | $3,096.85 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $1,916.61 | $1,916.61 | 7.9× |
| Nuclear Rx Oral Admin (79005) | $3,046.41 | $3,046.41 | 12.5× |
| Optic foramina (70190) | $2,538.67 | $2,538.67 | 27.9× |
| Parathyroid Planar Imaging (78070) | $5,206.94 | $5,206.94 | 12.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,822.08 | $1,822.08 | 4.4× |
| Pelvis 1 or 2 views (72170) | $2,569.68 | $2,569.68 | 23.5× |
| Peritoneogram Rs&I (74190) | $6,696.18 | $6,696.18 | 11.7× |
| Pet Image Skull-Thigh (78812) | $28,853.66 | $28,853.66 | 19.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $28,853.66 | $28,853.66 | 21.3× |
| PET whole body (78813) | $28,853.66 | $28,853.66 | 19.3× |
| Proton tx delivery intermediate (77523) | $1.48 | $1.48 | 0.0× |
| Proton tx delivery simple w/o compensation (77520) | $1.48 | $1.48 | 0.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $25,247.41 | $25,247.41 | 7.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,675.44 | $8,675.44 | 20.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $6,713.87 | $6,713.87 | 61.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,808.52 | $2,808.52 | 4.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,932.36–$5,577.13 | $2,932.36–$5,577.13 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$2,715.60–$5,126.06 | $2,715.60–$5,126.06 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$2,963.30–$5,064.14 | $2,963.30–$5,064.14 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,246.34 | $3,246.34 | 29.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$2,808.52–$4,060.22 | $2,808.52–$4,060.22 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,808.52–$5,320.66 | $2,808.52–$5,320.66 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,808.52–$5,320.66 | $2,808.52–$5,320.66 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$2,321.99–$4,347.66 | $2,321.99–$4,347.66 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,910.24 | $2,910.24 | 26.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,569.68 | $2,569.68 | 28.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $2,538.67 | $2,538.67 | 27.9× |
| Radex Ribs Unilateral 2 Views (71100) | $2,321.99 | $2,321.99 | 25.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,272.89–$6,245 | $3,272.89–$6,245 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $2,096.40 | $2,096.40 | 23.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $8,115.91 | $8,115.91 | 44.3× |
| Radex Spine 1 View Specify Level (72020) | $3,440.94 | $3,440.94 | 37.9× |
| Radex Sternum Minimum 2 Views (71120) | $2,715.60 | $2,715.60 | 29.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,290.60 | $3,290.60 | 36.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$2,180.46–$4,060.22 | $2,180.46–$4,060.22 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$2,755.42–$5,214.50 | $2,755.42–$5,214.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,666.97–$5,042.02 | $2,666.97–$5,042.02 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $5,749.62 | $5,749.62 | 52.7× |
| Radiation treatment delivery level 1 (77402) | $130.57 | $130.57 | 1.2× |
| Radiation treatment delivery level 2 (77407) | $152.58 | $152.58 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $173.10 | $173.10 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,847.90 | $3,847.90 | 35.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $6,877.49 | $6,877.49 | 63.0× |
| Radiologic exam colon double contrast study (74280) | $5,930.96 | $5,930.96 | 32.4× |
| Radiologic exam colon single contrast study (74270) | $6,731.52 | $6,731.52 | 36.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $4,263.57 | $4,263.57 | 23.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$6,589.98–$13,188.84 | $6,589.98–$13,188.84 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,573.63 | $3,573.63 | 32.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $8,682.01 | $8,682.01 | 47.4× |
| Radiologic exam swallow function contrast study (74230) | $4,586.48 | $4,586.48 | 25.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,290.12 | $4,290.12 | 23.4× |
| Radiologic examination femur 1 view (73551) | $2,842.87 | $2,842.87 | 31.3× |
| Radiologic examination femur minimum 2 views (73552) | $3,485.19 | $3,485.19 | 38.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$3,551.48–$6,811.18 | $3,551.48–$6,811.18 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,785.96 | $3,785.96 | 34.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$3,617.86–$6,939.47 | $3,617.86–$6,939.47 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,454.65 | $2,454.65 | 4.3× |
| Renal Cyst Study (74470) | $9,867.30 | $9,867.30 | 17.3× |
| Ribs bilateral 3 views (71110) | $3,082.72 | $3,082.72 | 28.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $10,489.09 | $10,489.09 | 25.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $11,951.74 | $11,951.74 | 28.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $22,804.35 | $22,804.35 | 40.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $13,146.88 | $13,146.88 | 23.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $17,513.05 | $17,513.05 | 30.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $17,513.05 | $17,513.05 | 13.0× |
| Scapula (73010) | $2,189.29 | $2,189.29 | 20.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $173.53 | $173.53 | 7.4× |
| Sella turcica (70240) | $2,162.74 | $2,162.74 | 23.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,110.13–$1,910.61 | $1,110.13–$1,910.61 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$6,528.05–$14,723.56 | $6,528.05–$14,723.56 | varies |
| Sialogram (70390) | $1,530.31 | $1,530.31 | 6.1× |
| Skull less than 4 views (70250) | $2,476.77 | $2,476.77 | 22.7× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$36.69–$776.75 | $36.69–$776.75 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$255.25–$776.75 | $255.25–$776.75 | varies |
| Special teletherapy port plan (77321) | $294.86 | $294.86 | 0.8× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$814.18–$3,527.11 | $814.18–$3,527.11 | varies |
| Speech evaluation, complex (70371) | $3,007.57 | $3,007.57 | 12.1× |
| Sternoclavicular joints (71130) | $3,520.58 | $3,520.58 | 38.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $4,222.54 | $4,222.54 | 16.9× |
| Testicular Imaging W/Flow (78761) | $6,163.93 | $6,163.93 | 14.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$475.32–$2,183.45 | $475.32–$2,183.45 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $407.83 | $407.83 | 1.0× |
| Ther rad simulaj-aided field setting simple (77280) | $253.79 | $253.79 | 1.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $6,731.52 | $6,731.52 | 36.8× |
| Thoracic spine 2 views (72070) | $4,206.09 | $4,206.09 | 38.5× |
| Thoracic spine 3 views (72072) | $6,174.23 | $6,174.23 | 56.6× |
| Thoracolumbar 2 views (72080) | $4,206.09 | $4,206.09 | 46.3× |
| Thyroid Imaging With Vascular Flow (78013) | $6,677.91 | $6,677.91 | 16.0× |
| Thyroid Met Imaging Body (78018) | $9,615.69 | $9,615.69 | 17.0× |
| Thyroid Uptake Measurement (78012) | $5,516.17 | $5,516.17 | 13.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,516.17 | $5,516.17 | 13.2× |
| Tx Devices Design & Construction Complex (77334) | $237.64 | $237.64 | 0.6× |
| Tx devices design & construction intermediate (77333) | $140.83 | $140.83 | 1.0× |
| Tx devices design & construction simple (77332) | $98.28 | $98.28 | 0.7× |
| Ultrasound Breast Limited (76642) | $622.49 | $622.49 | 6.8× |
| Ultrasound, abdomen limited (76705) | $4,100.29 | $4,100.29 | 37.6× |
| Unlisted magnetic resonance procedure (76498) | $12,342.31 | $12,342.31 | 135.8× |
| Unlisted us procedure (76999) | $4,142.08 | $4,142.08 | 45.6× |
| Upper gi w/o kub (74240) | $5,289.70 | $5,289.70 | 28.9× |
| Ureteral Reflux Study (78740) | $4,717.99 | $4,717.99 | 11.3× |
| Urethrocystogram voiding (74455) | $5,506.38 | $5,506.38 | 22.1× |
| Urethrocystography retrograde (74450) | $7,156.15 | $7,156.15 | 28.7× |
| Us breast unilateral complete (76641) | $622.49 | $622.49 | 5.7× |
| Us chest (76604) | $3,001.04 | $3,001.04 | 27.5× |
| Us complete joint (76881) range across 4 matching MRF lines |
$5,747.36–$8,621.03 | $5,747.36–$8,621.03 | varies |
| Us exam, pelvic, limited (76857) | $1,759.65 | $1,759.65 | 16.1× |
| Us head (76506) | $4,915.31 | $4,915.31 | 45.0× |
| Us kidney transplant (76776) | $2,587.30 | $2,587.30 | 23.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$4,305.13–$6,457.67 | $4,305.13–$6,457.67 | varies |
| Us ob limited 1 or more fetuses (76815) | $3,485.85 | $3,485.85 | 31.9× |
| Us ob transvaginal (76817) | $3,168.99 | $3,168.99 | 29.0× |
| Us pelvic non ob complete (76856) | $4,672.91 | $4,672.91 | 42.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $5,513.01 | $5,513.01 | 50.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,479.57 | $1,479.57 | 13.6× |
| Us retroperitoneal complete (76770) | $3,582 | $3,582 | 32.8× |
| Us retroperitoneal limited (76775) | $4,585.09 | $4,585.09 | 42.0× |
| Us scrotum and contents (76870) | $5,015.62 | $5,015.62 | 45.9× |
| Us spinal canal and contents (76800) | $4,142.08 | $4,142.08 | 37.9× |
| Us thyroid (76536) | $3,995.77 | $3,995.77 | 36.6× |
| Us transrectal (76872) range across 2 matching MRF lines |
$2,821.27–$12,349.30 | $2,821.27–$12,349.30 | varies |
| Vascular Flow Imaging (78445) | $4,020.12 | $4,020.12 | 9.6× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$6,374.05–$39,639.72 | $6,374.05–$39,639.72 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $23,136.01 | $23,136.01 | 7.0× |
| Vein X-Ray Spleen/Liver (75810) | $23,136.01 | $23,136.01 | 7.0× |
| Venogram Sinus/Jugular (75860) | $12,609.60 | $12,609.60 | 3.8× |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$14,083.91–$15,069.87 | $14,083.91–$15,069.87 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$26,498.47–$40,815.28 | $26,498.47–$40,815.28 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$6,761.83–$7,466.22 | $6,761.83–$7,466.22 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$3,649.51–$7,755.35 | $3,649.51–$7,755.35 | varies |
| Venography Renal Bilateral (75833) | $30,059.19 | $30,059.19 | 9.1× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$14,083.91–$15,069.87 | $14,083.91–$15,069.87 | varies |
| Venous sampling by catheter (75893) | $9,082.63 | $9,082.63 | 1.6× |
| Venous thrombosis imaging (78457) | $5,620.67 | $5,620.67 | 9.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $7,129.23 | $7,129.23 | 17.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$2,206.99–$4,122.09 | $2,206.99–$4,122.09 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,932.36 | $2,932.36 | 32.3× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$4,963.24–$9,836.32 | $4,963.24–$9,836.32 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$31,922.25–$56,747.75 | $31,922.25–$56,747.75 | varies |
| X-Ray Bend Only L-S Spine (72120) | $4,206.09 | $4,206.09 | 38.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,321.99–$4,347.66 | $2,321.99–$4,347.66 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$762.54–$919.89 | $762.54–$919.89 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $3,440.94 | $3,440.94 | 37.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $4,206.09 | $4,206.09 | 38.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $5,453.35 | $5,453.35 | 50.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,246.79 | $2,246.79 | 24.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,808.52 | $2,808.52 | 30.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $3,450.81 | $3,450.81 | 31.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,808.52 | $2,808.52 | 25.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,450.81 | $3,450.81 | 31.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,093.18 | $4,093.18 | 37.5× |
| X-Ray Exam L-S Spine Bending (72114) | $5,731.99 | $5,731.99 | 52.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $3,007.57 | $3,007.57 | 33.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $7,607.26 | $7,607.26 | 69.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,839.01 | $3,839.01 | 35.2× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,332.33–$2,096.40 | $1,332.33–$2,096.40 | varies |
| X-ray humerus (73060) | $2,808.52 | $2,808.52 | 30.9× |
| X-ray IV pyelogram (ivp) (74400) | $4,621.82 | $4,621.82 | 25.2× |
| X-ray IV pyelogram+tomography (74415) | $6,696.18 | $6,696.18 | 36.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,260.05 | $2,260.05 | 24.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,551.48 | $3,551.48 | 39.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $4,206.09 | $4,206.09 | 38.5× |
| X-ray nose-rectum child f.b. (76010) | $3,352.54 | $3,352.54 | 36.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,228.20 | $4,228.20 | 38.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,450.26 | $2,450.26 | 22.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,091.96 | $2,091.96 | 19.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,427.70 | $3,427.70 | 37.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,776.67 | $4,776.67 | 52.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,803.17 | $4,803.17 | 44.0× |
| X-ray thoracic spine 4 vw (72074) | $5,749.62 | $5,749.62 | 52.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,966.81 | $4,966.81 | 13.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$1,244.33–$1,707.19 | $1,244.33–$1,707.19 | varies |
| X-Rays Bone Survey Complete (77075) | $4,825.28 | $4,825.28 | 44.2× |
| Xr c-spine 4 or 5 views (72050) | $5,754.12 | $5,754.12 | 52.7× |
| Xr facial bones less than 3 views (70140) | $2,321.99 | $2,321.99 | 25.6× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$2,162.74–$2,268.94 | $2,162.74–$2,268.94 | varies |
| Xr orbits complete 4 views (70200) | $2,715.60 | $2,715.60 | 24.9× |
| Xr Tomogram Single Plane (76100) | $4,957.99 | $4,957.99 | 45.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.