Imaging prices at HCA Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL · every code in this section with a posted price and a Medicare benchmark.
305 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) | $6,042.65 | $6,042.65 | 4.2× |
| Abdomen 1 View (74018) | $363.80 | $363.80 | 4.0× |
| Abdomen 2 views (74019) | $698.60 | $698.60 | 6.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $16,799.25 | $16,799.25 | 40.2× |
| Angio pulmonary bilat (75743) | $29,834.10 | $29,834.10 | 9.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $31,808.20 | $31,808.20 | 9.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$22,928.40–$29,611.40 | $22,928.40–$29,611.40 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$11,214.50–$29,347.50 | $11,214.50–$29,347.50 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$26,832.85–$26,834.25 | $26,832.85–$26,834.25 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$1,791.35–$5,421.65 | $1,791.35–$5,421.65 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$25,091.25–$31,172.30 | $25,091.25–$31,172.30 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$22,508–$27,303.85 | $22,508–$27,303.85 | varies |
| Artery X-Rays Pelvis (75736) | $27,870.90 | $27,870.90 | 4.8× |
| Arthrogram ankle (73615) | $12,339.75 | $12,339.75 | 33.9× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$11,737.10–$23,458.35 | $11,737.10–$23,458.35 | varies |
| Arthrogram Wrist (73115) | $12,339.75 | $12,339.75 | 33.9× |
| Basic radiation dosimetry calculation (77300) | $306.25 | $306.25 | 2.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$698.60–$1,819 | $698.60–$1,819 | varies |
| Bone Imaging 3 Phase (78315) | $26,980.60 | $26,980.60 | 64.6× |
| Bone Imaging Limited Area (78300) | $18,358.50 | $18,358.50 | 44.0× |
| Bone Imaging Whole Body (78306) | $23,276.75 | $23,276.75 | 55.8× |
| Bone marrow imaging limited area (78102) | $2,498.90 | $2,498.90 | 6.0× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$743.05–$749 | $743.05–$749 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $14,460.60 | $14,460.60 | 25.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,500.90 | $15,500.90 | 10.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,185.85 | $1,185.85 | 3.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,472.10 | $2,472.10 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $2,036.95 | $2,036.95 | 22.4× |
| Cerebrospinal Fluid Scan (78630) | $12,015.20 | $12,015.20 | 21.2× |
| Chest 1 view (71045) | $363.80 | $363.80 | 4.0× |
| Chest 2 views (71046) | $363.80 | $363.80 | 4.0× |
| Chest 3 views (71047) | $363.80 | $363.80 | 4.0× |
| Chest 4 or more views (71048) | $698.60 | $698.60 | 6.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,948.35–$2,916.20 | $1,948.35–$2,916.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $461.45 | $461.45 | 4.2× |
| Continuing medical physics consltj pr wk (77336) | $682.05 | $682.05 | 4.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$25,195.70–$32,544.90 | $25,195.70–$32,544.90 | varies |
| Contrast X-Ray Bladder (74430) | $4,934.45 | $4,934.45 | 13.5× |
| Contrast X-Ray Of Elbow (73085) | $12,339.75 | $12,339.75 | 33.9× |
| Contrast X-Ray Of Knee Joint (73580) | $12,339.75 | $12,339.75 | 33.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$33,802.05–$37,221 | $33,802.05–$37,221 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$26,545.55–$29,347 | $26,545.55–$29,347 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$20,868.10–$22,955 | $20,868.10–$22,955 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$23,248.65–$25,574 | $23,248.65–$25,574 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$14,037.70–$15,443.40 | $14,037.70–$15,443.40 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$1,457.80–$37,183.10 | $1,457.80–$37,183.10 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,457.80–$15,021.20 | $1,457.80–$15,021.20 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,457.80–$14,865 | $1,457.80–$14,865 | varies |
| CT angio hrt w/3d image (75574) | $25,572.10 | $25,572.10 | 70.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 9 matching MRF lines |
$1,457.80–$45,038 | $1,457.80–$45,038 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,457.80–$14,550.35 | $1,457.80–$14,550.35 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$13,653.85–$15,021.20 | $13,653.85–$15,021.20 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$2,627–$23,295 | $2,627–$23,295 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$15,391.45–$16,931.30 | $15,391.45–$16,931.30 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$1,457.80–$23,295 | $1,457.80–$23,295 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$20,639.45–$22,703.75 | $20,639.45–$22,703.75 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,457.80–$25,574 | $1,457.80–$25,574 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$18,761.10–$20,639.45 | $18,761.10–$20,639.45 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$21,177.15–$23,295 | $21,177.15–$23,295 | varies |
| CT hrt w/3d image congen (75573) | $14,078.25 | $14,078.25 | 38.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$18,761.10–$20,639.45 | $18,761.10–$20,639.45 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$1,457.80–$23,295 | $1,457.80–$23,295 | varies |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$12,715.05–$28,565.85 | $12,715.05–$28,565.85 | varies |
| CT lower extremity w/contrast material (73701) range across 11 matching MRF lines |
$14,210.90–$23,525.40 | $14,210.90–$23,525.40 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,627–$21,206.20 | $2,627–$21,206.20 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$15,471.80–$17,020.05 | $15,471.80–$17,020.05 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$19,339.25–$21,274.80 | $19,339.25–$21,274.80 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$12,818.65–$15,879.25 | $12,818.65–$15,879.25 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$1,457.80–$25,574 | $1,457.80–$25,574 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,457.80–$4,566 | $1,457.80–$4,566 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$13,484.75–$14,834.85 | $13,484.75–$14,834.85 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$21,177.15–$23,295 | $21,177.15–$23,295 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$12,520.70–$13,815 | $12,520.70–$13,815 | varies |
| CT scan of leg combo (73702) range across 10 matching MRF lines |
$1,457.80–$34,935 | $1,457.80–$34,935 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,457.80–$35,373 | $1,457.80–$35,373 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$23,411.80–$25,754.25 | $23,411.80–$25,754.25 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$13,103.05–$14,414.25 | $13,103.05–$14,414.25 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,457.80–$21,206.20 | $1,457.80–$21,206.20 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$13,671.15–$15,038.50 | $13,671.15–$15,038.50 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$1,457.80–$1,884 | $1,457.80–$1,884 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$13,032.05–$14,335.25 | $13,032.05–$14,335.25 | varies |
| CT upper ext wo (73200) range across 10 matching MRF lines |
$12,715.05–$21,432.40 | $12,715.05–$21,432.40 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$12,987.70–$21,432.40 | $12,987.70–$21,432.40 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,806.95 | $16,806.95 | 91.8× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,457.80–$15,021 | $1,457.80–$15,021 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$1,457.80–$14,550.35 | $1,457.80–$14,550.35 | varies |
| Discography Cerv/Thor Spine (72285) | $13,338.60 | $13,338.60 | 6.5× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$12,953.35–$13,338.60 | $12,953.35–$13,338.60 | varies |
| Echo exam uterus (76831) | $2,788.30 | $2,788.30 | 11.2× |
| Echo Guide For Artery Repair (76936) | $7,492.35 | $7,492.35 | 33.2× |
| Esophagram (74220) | $6,800.60 | $6,800.60 | 37.1× |
| Fetal Biophys Profile W/Nst (76818) | $946 | $946 | 8.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,343–$2,364.90 | $2,343–$2,364.90 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,650.15–$2,732.35 | $2,650.15–$2,732.35 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$2,100.70–$14,795.50 | $2,100.70–$14,795.50 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$1,932.80–$6,028 | $1,932.80–$6,028 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$2,421.60–$6,914.15 | $2,421.60–$6,914.15 | varies |
| Gastric emptying imaging study (78264) | $12,469.30 | $12,469.30 | 29.9× |
| Gated Heart Planar Single (78472) | $13,072.65 | $13,072.65 | 31.3× |
| Gated Heart, Multiple (78473) | $14,168.15 | $14,168.15 | 33.9× |
| Heart Image (Pet) Multiple (78492) | $15,500.90 | $15,500.90 | 10.4× |
| Hepatobil Syst Image W/Drug (78227) | $22,957.90 | $22,957.90 | 40.5× |
| Hepatobiliary System Imaging (78226) | $22,957.90 | $22,957.90 | 55.0× |
| Ht Muscle Image Spect Sing (78451) | $25,796.95 | $25,796.95 | 19.1× |
| Hysterosalpingogram (74740) | $16,549.80 | $16,549.80 | 66.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 4 matching MRF lines |
$5,177.35–$8,151.05 | $5,177.35–$8,151.05 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$8,004.10–$8,151.05 | $8,004.10–$8,151.05 | varies |
| K Flow/Funct Image W/Drug (78708) | $2,099.45 | $2,099.45 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $21,493.35 | $21,493.35 | 37.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $19,860.70 | $19,860.70 | 47.6× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$2,822–$8,450 | $2,822–$8,450 | varies |
| Liver & Spleen Imaging Static Only (78215) | $11,482.20 | $11,482.20 | 27.5× |
| Lung Perf&Ventilat Diferentl (78598) | $26,253 | $26,253 | 46.3× |
| Lung perfusion differential (78597) | $16,778.65 | $16,778.65 | 40.2× |
| Lung Ventilat&Perfus Imaging (78582) | $26,253 | $26,253 | 46.3× |
| Lung Ventilation Imaging (78579) | $16,778.65 | $16,778.65 | 40.2× |
| Lymph System Imaging (78195) | $16,562.45 | $16,562.45 | 29.2× |
| Magnetic Image Jaw Joint (70336) | $20,154.35 | $20,154.35 | 80.9× |
| Mammary ductogram or galactogram multiple (77054) | $5,014.85 | $5,014.85 | 20.1× |
| Mammary ductogram or galactogram single (77053) | $4,379.10 | $4,379.10 | 17.6× |
| Meckels Divert Exam (78290) | $11,839.80 | $11,839.80 | 28.4× |
| Mra Head W/O & W/Contrast Material (70546) | $20,154.35 | $20,154.35 | 55.3× |
| MRA head w/o contrast (70544) | $13,999.75 | $13,999.75 | 56.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,154.35 | $20,154.35 | 55.3× |
| MRA neck w/o contrast (70547) | $13,999.75 | $13,999.75 | 56.2× |
| MRI abdomen w contrast (74182) | $14,562.70 | $14,562.70 | 40.0× |
| MRI abdomen w/o contrast (74181) | $13,999.75 | $13,999.75 | 56.2× |
| MRI any jt lower extrem w/contrast material (73722) | $13,999.75 | $13,999.75 | 17.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $17,266.75 | $17,266.75 | 47.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $13,999.75 | $13,999.75 | 17.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,221.25 | $1,221.25 | 4.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,221.25 | $1,221.25 | 4.9× |
| MRI cardiac w/o cont stress (75559) | $1,701 | $1,701 | 3.0× |
| MRI cardiac w/o contrast (75557) | $13,999.75 | $13,999.75 | 56.2× |
| MRI cervical spine w contrast (72142) | $14,562.70 | $14,562.70 | 40.0× |
| MRI cervical spine w/o cont (72141) | $13,999.75 | $13,999.75 | 56.2× |
| MRI chest w/o contrast (71550) | $13,999.75 | $13,999.75 | 56.2× |
| MRI chest wo w contrast (71552) | $20,154.35 | $20,154.35 | 55.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$20,154.35–$40,300.25 | $20,154.35–$40,300.25 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| MRI lumbar spine w contrast (72149) | $14,562.70 | $14,562.70 | 40.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $20,154.35 | $20,154.35 | 55.3× |
| MRI orbit face &/neck w/o contrast (70540) | $13,999.75 | $13,999.75 | 56.2× |
| MRI orbit face neck w contrast (70542) | $14,562.70 | $14,562.70 | 40.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $20,154.35 | $20,154.35 | 55.3× |
| MRI pelvis w contrast (72196) | $17,369.55 | $17,369.55 | 47.7× |
| MRI pelvis w/o & w contrast (72197) | $20,154.35 | $20,154.35 | 55.3× |
| MRI pelvis w/o contrast (72195) | $13,999.75 | $13,999.75 | 56.2× |
| MRI spectroscopy (76390) | $13,999.75 | $13,999.75 | 154.0× |
| MRI thoracic spine w/o contrast (72146) | $13,999.75 | $13,999.75 | 56.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$20,154.35–$40,300.25 | $20,154.35–$40,300.25 | varies |
| MRI, abdomen, combo (74183) | $20,154.35 | $20,154.35 | 55.3× |
| MRI, dorsal spine combo (72157) | $20,154.35 | $20,154.35 | 55.3× |
| MRI, dorsal spine contrast (72147) | $14,562.70 | $14,562.70 | 40.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| MRI, joint upper extrem combo (73223) | $20,153.25 | $20,153.25 | 55.3× |
| MRI, lumbar spine combo (72158) | $20,154.35 | $20,154.35 | 55.3× |
| Myelogram cervical (72240) | $22,044.45 | $22,044.45 | 26.9× |
| Myelogram Lumbar (72265) | $22,044.45 | $22,044.45 | 26.9× |
| Myelography thoracic (72255) | $22,044.45 | $22,044.45 | 26.9× |
| Myelograpy 2/more regions rs&i (72270) | $27,985.90 | $27,985.90 | 34.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $15,500.90 | $15,500.90 | 11.5× |
| Myocardial Spect Multiple Studies (78452) | $60,799.90 | $60,799.90 | 45.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$2,655.15–$4,090 | $2,655.15–$4,090 | varies |
| Nm myocard infarct spect (78469) | $9,717.45 | $9,717.45 | 17.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,379.60–$1,380.65 | $1,379.60–$1,380.65 | varies |
| Panoramic X-ray of jaws (70355) | $1,756.10 | $1,756.10 | 19.3× |
| Parathyroid Planar Imaging (78070) | $10,215 | $10,215 | 24.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$2,350.30–$3,890 | $2,350.30–$3,890 | varies |
| PET image w/CT, full body (78816) | $15,500.90 | $15,500.90 | 10.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $15,500.90 | $15,500.90 | 10.4× |
| Pet Myocardial Sngl Study (78491) | $15,500.90 | $15,500.90 | 10.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $16,778.65 | $16,778.65 | 40.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,323.45 | $3,323.45 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$2,835.75–$9,066 | $2,835.75–$9,066 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,797.40–$5,586 | $1,797.40–$5,586 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$2,880.95–$8,921 | $2,880.95–$8,921 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$3,354.05–$4,780 | $3,354.05–$4,780 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$2,122.70–$2,936 | $2,122.70–$2,936 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$2,903.85–$8,914 | $2,903.85–$8,914 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$2,126.20–$7,263 | $2,126.20–$7,263 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$2,336.90–$4,672.25 | $2,336.90–$4,672.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$2,458.50–$3,103 | $2,458.50–$3,103 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$967.90–$1,015 | $967.90–$1,015 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$2,527.40–$7,997 | $2,527.40–$7,997 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $2,374.25 | $2,374.25 | 26.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $12,439.60 | $12,439.60 | 67.9× |
| Radex Spine 1 View Specify Level (72020) | $3,100.40 | $3,100.40 | 34.1× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$2,482.90–$3,900 | $2,482.90–$3,900 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $369.75 | $369.75 | 4.1× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$1,609.65–$1,904 | $1,609.65–$1,904 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$498.60–$4,672 | $498.60–$4,672 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$370.50–$6,113 | $370.50–$6,113 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,353.50 | $1,353.50 | 12.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$4,472.25–$4,516 | $4,472.25–$4,516 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $698.60 | $698.60 | 6.4× |
| Radiologic exam colon double contrast study (74280) | $9,460.25 | $9,460.25 | 51.6× |
| Radiologic exam colon single contrast study (74270) | $7,033.45 | $7,033.45 | 38.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $997.50 | $997.50 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$4,367–$8,922 | $4,367–$8,922 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$2,362.60–$2,983 | $2,362.60–$2,983 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $7,023.25 | $7,023.25 | 38.3× |
| Radiologic exam swallow function contrast study (74230) | $4,185.75 | $4,185.75 | 22.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $8,854.10 | $8,854.10 | 48.3× |
| Radiologic examination femur 1 view (73551) | $432.55 | $432.55 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $432.55 | $432.55 | 4.8× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$1,743.70–$4,801.35 | $1,743.70–$4,801.35 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $4,070 | $4,070 | 37.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$2,695–$8,918.65 | $2,695–$8,918.65 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$3,138.50–$4,415 | $3,138.50–$4,415 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $13,040.35 | $13,040.35 | 31.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,162.50 | $7,162.50 | 17.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $21,902.55 | $21,902.55 | 38.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $16,692.55 | $16,692.55 | 29.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,088.05 | $7,088.05 | 12.5× |
| Rp Therapy Intravenous Administration (79101) | $2,424.80 | $2,424.80 | 10.0× |
| Scapula (73010) range across 5 matching MRF lines |
$2,082.15–$3,131 | $2,082.15–$3,131 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $368.25 | $368.25 | 15.8× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$742.35–$743.05 | $742.35–$743.05 | varies |
| Shoulder Arthrography (73040) | $17,917.70 | $17,917.70 | 49.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,940.35–$2,836 | $1,940.35–$2,836 | varies |
| Special dosimetry (77331) | $701.40 | $701.40 | 5.0× |
| Special Physics Consult (77370) | $641.85 | $641.85 | 4.6× |
| Special treatment procedure (77470) | $2,272.95 | $2,272.95 | 3.9× |
| Sternoclavicular joints (71130) | $3,086.30 | $3,086.30 | 34.0× |
| Testicular Imaging W/Flow (78761) | $1,497.30 | $1,497.30 | 3.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,329.15 | $1,329.15 | 3.4× |
| Ther rad simulaj-aided field setting simple (77280) | $749.85 | $749.85 | 5.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$3,044–$5,156 | $3,044–$5,156 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$3,348.80–$5,272 | $3,348.80–$5,272 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $14,047.35 | $14,047.35 | 33.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $18,556.50 | $18,556.50 | 44.4× |
| Tx Devices Design & Construction Complex (77334) | $701.40 | $701.40 | 1.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$645.75–$1,289.10 | $645.75–$1,289.10 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$7,529.45–$7,666.75 | $7,529.45–$7,666.75 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$5,743.85–$7,637.20 | $5,743.85–$7,637.20 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$551.85–$565.05 | $551.85–$565.05 | varies |
| Unlisted fluoroscopic procedure (76496) | $976.30 | $976.30 | 10.7× |
| Upper gi w/o kub (74240) | $899 | $899 | 4.9× |
| Ureteral Reflux Study (78740) | $16,558.35 | $16,558.35 | 39.7× |
| Urethrocystogram voiding (74455) | $7,187.65 | $7,187.65 | 28.8× |
| Urethrocystography retrograde (74450) | $4,989.10 | $4,989.10 | 20.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$645.75–$1,289.10 | $645.75–$1,289.10 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$2,256–$2,296.90 | $2,256–$2,296.90 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$8,004.10–$8,151.05 | $8,004.10–$8,151.05 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$7,126–$7,179.20 | $7,126–$7,179.20 | varies |
| Us head (76506) | $4,807.10 | $4,807.10 | 44.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $5,177.35 | $5,177.35 | 47.4× |
| Us ob detailed single fetus (76811) | $8,167 | $8,167 | 32.8× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,488–$1,503.65 | $1,488–$1,503.65 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$491.35–$7,056 | $491.35–$7,056 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$9,019–$9,089.50 | $9,019–$9,089.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$8,172–$8,239.10 | $8,172–$8,239.10 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,502–$1,516.25 | $1,502–$1,516.25 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$7,008.75–$7,067.65 | $7,008.75–$7,067.65 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$7,597–$7,666.75 | $7,597–$7,666.75 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$6,819–$6,875.20 | $6,819–$6,875.20 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$3,291.20–$3,320.10 | $3,291.20–$3,320.10 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$4,143–$4,161.70 | $4,143–$4,161.70 | varies |
| Vein X-Ray Chest (75827) | $12,077.60 | $12,077.60 | 7.3× |
| Venogram Sinus/Jugular (75860) | $6,153.45 | $6,153.45 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $12,077.60 | $12,077.60 | 3.7× |
| Venography extremity bilateral rs&i (75822) | $12,095 | $12,095 | 7.4× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$8,189–$8,427.50 | $8,189–$8,427.50 | varies |
| Venous sampling by catheter (75893) | $10,291.30 | $10,291.30 | 1.8× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$370.50–$2,190 | $370.50–$2,190 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,889.45–$3,086 | $1,889.45–$3,086 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$1,721.15–$5,742.40 | $1,721.15–$5,742.40 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$35,590.60–$45,968.60 | $35,590.60–$45,968.60 | varies |
| X-Ray Bend Only L-S Spine (72120) | $749.15 | $749.15 | 6.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$2,026.40–$3,020 | $2,026.40–$3,020 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$3,106–$3,655.35 | $3,106–$3,655.35 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $432.55 | $432.55 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $713.85 | $713.85 | 6.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,353.50 | $1,353.50 | 12.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$432.55–$432.95 | $432.55–$432.95 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$432.55–$432.95 | $432.55–$432.95 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $713.85 | $713.85 | 6.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$713.45–$713.85 | $713.45–$713.85 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $713.85 | $713.85 | 6.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,353.50 | $1,353.50 | 12.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,502.70–$5,621 | $2,502.70–$5,621 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,656.15–$4,057 | $2,656.15–$4,057 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$4,087.65–$4,127 | $4,087.65–$4,127 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $343.45 | $343.45 | 3.1× |
| X-ray eye for foreign body (70030) | $2,406 | $2,406 | 26.5× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$2,486.05–$3,487 | $2,486.05–$3,487 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$8,768–$14,950.75 | $8,768–$14,950.75 | varies |
| X-ray IV pyelogram+tomography (74415) | $20,731.55 | $20,731.55 | 113.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,653.80–$1,668 | $1,653.80–$1,668 | varies |
| X-ray nose-rectum child f.b. (76010) | $468.95 | $468.95 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,645.55 | $3,645.55 | 33.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$3,645.55–$3,645.85 | $3,645.55–$3,645.85 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$2,992.05–$4,251 | $2,992.05–$4,251 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$3,200.95–$5,150 | $3,200.95–$5,150 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,086.75–$5,863 | $1,086.75–$5,863 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $7,805.85 | $7,805.85 | 21.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$1,819.25–$1,885.25 | $1,819.25–$1,885.25 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$743.05–$749 | $743.05–$749 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$3,861.45–$6,143 | $3,861.45–$6,143 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$2,335.50–$3,002 | $2,335.50–$3,002 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$4,516.30–$4,559 | $4,516.30–$4,559 | 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.