Imaging prices at HCA Florida Gulf Coast Hospital
Panama City, FL · every code in this section with a posted price and a Medicare benchmark.
328 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) range across 2 matching MRF lines |
$12,158.50–$12,224.95 | $12,158.50–$12,224.95 | varies |
| Abdomen 1 View (74018) | $1,248.70 | $1,248.70 | 13.7× |
| Abdomen 2 views (74019) | $2,080.80 | $2,080.80 | 19.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,119.30 | $4,119.30 | 9.9× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $14,509.95 | $14,509.95 | 10.7× |
| Adrenal Cortex & Medulla Img (78075) | $11,098.95 | $11,098.95 | 8.2× |
| Angio pulmonary bilat (75743) | $28,241.70 | $28,241.70 | 8.6× |
| Angiography extremity bilateral rs&i (75716) | $10,592.05 | $10,592.05 | 3.2× |
| Angiography extremity unilateral rs&i (75710) | $12,073.60 | $12,073.60 | 3.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,011.40 | $17,011.40 | 5.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $19,033.10 | $19,033.10 | 5.8× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$1,752.45–$2,718.95 | $1,752.45–$2,718.95 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,684.35 | $14,684.35 | 2.5× |
| Artery X-Rays Abdomen (75726) | $16,348.70 | $16,348.70 | 2.8× |
| Artery X-Rays Pelvis (75736) | $18,182.95 | $18,182.95 | 3.1× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$4,153.50–$6,232.10 | $4,153.50–$6,232.10 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$4,957.45–$7,668.80 | $4,957.45–$7,668.80 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$4,149.40–$6,422.15 | $4,149.40–$6,422.15 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$2,620.65–$2,706.95 | $2,620.65–$2,706.95 | varies |
| Bone Imaging 3 Phase (78315) | $14,509.95 | $14,509.95 | 34.8× |
| Bone Imaging Limited Area (78300) | $5,756.40 | $5,756.40 | 13.8× |
| Bone Imaging Whole Body (78306) | $13,030.05 | $13,030.05 | 31.2× |
| Bone marrow imaging limited area (78102) | $2,132.05 | $2,132.05 | 5.1× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$2,197–$2,268.65 | $2,197–$2,268.65 | varies |
| Brain Image W/Flow < 4 Views (78601) | $5,673.15 | $5,673.15 | 13.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $5,673.15 | $5,673.15 | 10.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $23,433.95 | $23,433.95 | 15.7× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$900.05–$903 | $900.05–$903 | varies |
| Cerebrospinal Fluid Scan (78630) | $4,001.35 | $4,001.35 | 7.1× |
| Chest 1 view (71045) | $1,248.70 | $1,248.70 | 13.7× |
| Chest 2 views (71046) | $2,080.80 | $2,080.80 | 22.9× |
| Chest 3 views (71047) | $2,273.10 | $2,273.10 | 25.0× |
| Chest 4 or more views (71048) | $2,505.15 | $2,505.15 | 22.9× |
| Cholecystography Oral Contrast (74290) | $3,675.20 | $3,675.20 | 20.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$2,050.90–$3,075.20 | $2,050.90–$3,075.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $13,732.85 | $13,732.85 | 125.8× |
| Contrast Exam Abdominl Aorta (75625) | $13,233.85 | $13,233.85 | 4.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$3,979.05–$4,107.20 | $3,979.05–$4,107.20 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$5,109.75–$7,166.45 | $5,109.75–$7,166.45 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$4,691.55–$7,260.40 | $4,691.55–$7,260.40 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $4,755.60 | $4,755.60 | 26.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$30,195.80–$30,360.85 | $30,195.80–$30,360.85 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$26,714.40–$26,868.05 | $26,714.40–$26,868.05 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$14,957.55–$15,042 | $14,957.55–$15,042 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$15,795.40–$15,885.50 | $15,795.40–$15,885.50 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$13,968.80–$14,242.55 | $13,968.80–$14,242.55 | varies |
| CT Angio Abdomen and Pelvis (74174) | $39,086.20 | $39,086.20 | 107.3× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$5,999.75–$19,972.85 | $5,999.75–$19,972.85 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$13,396.20–$17,844.90 | $13,396.20–$17,844.90 | varies |
| CT angio hrt w/3d image (75574) | $16,866.40 | $16,866.40 | 46.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$20,532.35–$30,803.10 | $20,532.35–$30,803.10 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$10,432.90–$14,888.30 | $10,432.90–$14,888.30 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$19,011.35–$20,532.35 | $19,011.35–$20,532.35 | varies |
| CT bone density (77078) | $2,862.25 | $2,862.25 | 31.5× |
| CT cervical spine w/ contrast (72126) | $14,755.50 | $14,755.50 | 40.5× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$13,788.35–$13,865.65 | $13,788.35–$13,865.65 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$13,396.90–$14,510 | $13,396.90–$14,510 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$14,697.90–$14,786.25 | $14,697.90–$14,786.25 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$15,522.70–$15,607.10 | $15,522.70–$15,607.10 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$9,684.40–$12,689.10 | $9,684.40–$12,689.10 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$13,396.20–$13,473.30 | $13,396.20–$13,473.30 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $16,089.70 | $16,089.70 | 44.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $16,089.70 | $16,089.70 | 177.0× |
| CT hrt w/3d image congen (75573) | $16,089.70 | $16,089.70 | 44.2× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$13,379.25–$13,452.05 | $13,379.25–$13,452.05 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$15,580.30–$15,670.75 | $15,580.30–$15,670.75 | varies |
| CT lower ext w/o (73700) range across 10 matching MRF lines |
$5,698.25–$17,144.75 | $5,698.25–$17,144.75 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$15,238.70–$15,320.75 | $15,238.70–$15,320.75 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$14,755.50–$14,836.30 | $14,755.50–$14,836.30 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$13,788.35–$13,865.65 | $13,788.35–$13,865.65 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$12,952.50–$13,027.80 | $12,952.50–$13,027.80 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$12,112.60–$12,174.40 | $12,112.60–$12,174.40 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$10,432.90–$10,491.85 | $10,432.90–$10,491.85 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$14,121.45–$14,200.20 | $14,121.45–$14,200.20 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$12,496.85–$12,571.75 | $12,496.85–$12,571.75 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$14,400.10–$14,478.55 | $14,400.10–$14,478.55 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$12,742.75–$12,814.05 | $12,742.75–$12,814.05 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$16,089.70–$16,178.35 | $16,089.70–$16,178.35 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$13,680.90–$13,760.35 | $13,680.90–$13,760.35 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$9,884.30–$9,938.40 | $9,884.30–$9,938.40 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$9,240.40–$9,292.65 | $9,240.40–$9,292.65 | varies |
| CT thoracic spine w contrast (72129) | $14,755.50 | $14,755.50 | 80.6× |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$13,788.35–$13,865.65 | $13,788.35–$13,865.65 | varies |
| CT thoracic spine w/wo cont (72130) | $15,670.75 | $15,670.75 | 85.6× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$13,732.85–$13,809.85 | $13,732.85–$13,809.85 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$14,242.55–$14,319.25 | $14,242.55–$14,319.25 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$16,089.70–$16,178.35 | $16,089.70–$16,178.35 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$15,238.70–$18,046.25 | $15,238.70–$18,046.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$20,244.10–$27,300.75 | $20,244.10–$27,300.75 | varies |
| Cta Abdomen (74175) | $20,244.10 | $20,244.10 | 110.5× |
| CTA pelvis (72191) | $18,840.30 | $18,840.30 | 102.9× |
| Discography Cerv/Thor Spine (72285) | $4,475.85 | $4,475.85 | 2.2× |
| Diskography lumbar (72295) | $4,475.85 | $4,475.85 | 2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $447.30 | $447.30 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $447.30 | $447.30 | 4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $447.30 | $447.30 | 4.1× |
| Dxa Bone Density Axial (77080) | $1,956.45 | $1,956.45 | 17.9× |
| Dxa bone density study (77085) | $3,029 | $3,029 | 27.7× |
| Echo exam of fetal heart (76825) | $1,922.25 | $1,922.25 | 3.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$2,457.05–$2,532.80 | $2,457.05–$2,532.80 | varies |
| Fetal Biophys Profile W/Nst (76818) | $7,944.45 | $7,944.45 | 72.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $447.30 | $447.30 | 4.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,518.55 | $1,518.55 | 6.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$557.65–$629.85 | $557.65–$629.85 | varies |
| Follow-Up Angiography (75898) | $1,037.45 | $1,037.45 | 0.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$1,680.85–$2,598.75 | $1,680.85–$2,598.75 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,158.40–$2,226.85 | $2,158.40–$2,226.85 | varies |
| Gastric emptying imaging study (78264) | $8,336.25 | $8,336.25 | 20.0× |
| Gated Heart Planar Single (78472) | $12,772.90 | $12,772.90 | 30.6× |
| Gated Heart, Multiple (78473) | $16,596.85 | $16,596.85 | 39.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $8,336.25 | $8,336.25 | 14.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$354.45–$2,734.60 | $354.45–$2,734.60 | varies |
| Heart Image (Pet) Multiple (78492) | $23,433.95 | $23,433.95 | 15.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,392.10 | $10,392.10 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $10,517.10 | $10,517.10 | 18.5× |
| Hepatobiliary System Imaging (78226) | $10,517.10 | $10,517.10 | 25.2× |
| Ht Muscle Image Spect Sing (78451) | $10,582.10 | $10,582.10 | 7.8× |
| Hysterosalpingogram (74740) | $1,878.60 | $1,878.60 | 7.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,348.50 | $3,348.50 | 36.8× |
| Infusion Ivp (74410) | $4,825.85 | $4,825.85 | 26.3× |
| K Flow/Funct Image Multiple (78709) | $16,596.85 | $16,596.85 | 29.3× |
| K Flow/Funct Image W/Drug (78708) | $12,772.90 | $12,772.90 | 22.5× |
| K Flow/Funct Image W/O Drug (78707) | $13,587.25 | $13,587.25 | 24.0× |
| Kidney Imaging Morphol (78700) | $9,271.15 | $9,271.15 | 22.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $9,098.10 | $9,098.10 | 21.8× |
| Knee 3 Views (73562) | $1,972.55 | $1,972.55 | 21.7× |
| Liver & Spleen Imaging Static Only (78215) | $10,638.75 | $10,638.75 | 25.5× |
| Liver imaging static only (78201) | $2,771.50 | $2,771.50 | 4.9× |
| Liver imaging w/vascular flow (78202) | $5,058.25 | $5,058.25 | 8.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,471.35 | $2,471.35 | 4.4× |
| Lung perfusion differential (78597) | $2,471.35 | $2,471.35 | 5.9× |
| Lung Ventilat&Perfus Imaging (78582) | $8,662.05 | $8,662.05 | 15.3× |
| Lymph System Imaging (78195) | $4,935.45 | $4,935.45 | 8.7× |
| Magnetic Image Jaw Joint (70336) | $7,758.75 | $7,758.75 | 31.1× |
| Mammary ductogram or galactogram single (77053) | $782.15 | $782.15 | 3.1× |
| Meckels Divert Exam (78290) | $6,711.45 | $6,711.45 | 16.1× |
| MRA head w/o contrast (70544) | $8,632.50 | $8,632.50 | 34.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $13,656.30 | $13,656.30 | 37.5× |
| MRA neck w/o contrast (70547) | $8,632.50 | $8,632.50 | 34.6× |
| MRI abdomen w contrast (74182) | $8,877.15 | $8,877.15 | 24.4× |
| MRI abdomen w/o contrast (74181) | $7,352 | $7,352 | 29.5× |
| MRI any jt lower extrem w/contrast material (73722) | $10,568.20 | $10,568.20 | 12.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,406.95 | $12,406.95 | 34.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,028.60 | $11,028.60 | 13.5× |
| MRI bone marrow blood supply (77084) | $9,565.70 | $9,565.70 | 38.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,102.10 | $2,102.10 | 8.4× |
| MRI cervical spine w contrast (72142) | $13,597.35 | $13,597.35 | 37.3× |
| MRI cervical spine w/o cont (72141) | $12,937.10 | $12,937.10 | 51.9× |
| MRI chest w/o contrast (71550) | $6,412.95 | $6,412.95 | 25.7× |
| MRI chest wo w contrast (71552) | $15,689.50 | $15,689.50 | 43.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,787.70 | $9,787.70 | 26.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,028.60 | $11,028.60 | 30.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,546.40 | $9,546.40 | 38.3× |
| MRI lumbar spine w contrast (72149) | $13,597.35 | $13,597.35 | 37.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $14,476.45 | $14,476.45 | 39.7× |
| MRI orbit face &/neck w/o contrast (70540) | $13,222.95 | $13,222.95 | 53.1× |
| MRI orbit face neck w contrast (70542) | $13,656.30 | $13,656.30 | 37.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,508.20 | $9,508.20 | 26.1× |
| MRI pelvis w contrast (72196) | $13,971.45 | $13,971.45 | 38.3× |
| MRI pelvis w/o & w contrast (72197) | $9,758.85 | $9,758.85 | 26.8× |
| MRI pelvis w/o contrast (72195) | $7,313.45 | $7,313.45 | 29.4× |
| MRI thoracic spine w/o contrast (72146) | $12,937.10 | $12,937.10 | 51.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$8,226.85–$8,967.60 | $8,226.85–$8,967.60 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,879.10 | $8,879.10 | 35.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,114.35 | $10,114.35 | 27.8× |
| MRI, abdomen, combo (74183) | $9,226.05 | $9,226.05 | 25.3× |
| MRI, dorsal spine combo (72157) | $14,476.45 | $14,476.45 | 39.7× |
| MRI, dorsal spine contrast (72147) | $13,597.35 | $13,597.35 | 37.3× |
| MRI, joint upper extrem (73221) | $8,909.40 | $8,909.40 | 35.8× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$19,147.25–$25,529.75 | $19,147.25–$25,529.75 | varies |
| MRI, lumbar spine combo (72158) | $14,476.45 | $14,476.45 | 39.7× |
| Myelogram cervical (72240) | $13,002.90 | $13,002.90 | 15.9× |
| Myelogram Lumbar (72265) | $13,002.90 | $13,002.90 | 15.9× |
| Myelography thoracic (72255) | $12,768.30 | $12,768.30 | 15.6× |
| Myelograpy 2/more regions rs&i (72270) | $14,439.15 | $14,439.15 | 17.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $23,433.95 | $23,433.95 | 17.3× |
| Myocardial Spect Multiple Studies (78452) | $12,115.35 | $12,115.35 | 9.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$2,252.75–$2,322.60 | $2,252.75–$2,322.60 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,830.30 | $2,830.30 | 6.8× |
| Nm csf leak detection (78650) | $4,593.45 | $4,593.45 | 3.4× |
| Nuclear Rx Oral Admin (79005) | $17,179.40 | $17,179.40 | 70.5× |
| Ob us nuchal meas 1 gest (76813) | $447.30 | $447.30 | 4.1× |
| Optic foramina (70190) range across 2 matching MRF lines |
$2,046.50–$2,110.70 | $2,046.50–$2,110.70 | varies |
| Panoramic X-ray of jaws (70355) | $1,458.65 | $1,458.65 | 16.1× |
| Parathyroid Planar Imaging (78070) | $3,870.95 | $3,870.95 | 9.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$2,980.85–$3,075.20 | $2,980.85–$3,075.20 | varies |
| Pet Image Skull-Thigh (78812) | $23,433.95 | $23,433.95 | 15.7× |
| Pet Image W/Ct Lmtd (78814) | $23,433.95 | $23,433.95 | 15.7× |
| PET image w/CT, full body (78816) | $23,433.95 | $23,433.95 | 15.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $23,433.95 | $23,433.95 | 15.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $23,433.95 | $23,433.95 | 17.3× |
| Pet Myocardial Sngl Study (78491) | $23,433.95 | $23,433.95 | 15.7× |
| PET whole body (78813) | $23,433.95 | $23,433.95 | 15.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,446.60 | $7,446.60 | 17.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$2,999.50–$3,091.25 | $2,999.50–$3,091.25 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,754.25–$1,848.70 | $1,754.25–$1,848.70 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$2,162.70–$3,353.20 | $2,162.70–$3,353.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,826.55–$2,826.80 | $1,826.55–$2,826.80 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$1,858.50–$2,871.25 | $1,858.50–$2,871.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$3,577.20–$3,693.45 | $3,577.20–$3,693.45 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$1,888.80–$2,921.20 | $1,888.80–$2,921.20 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$2,124.80–$3,291.25 | $2,124.80–$3,291.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$2,383.15–$3,689.40 | $2,383.15–$3,689.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$1,752.45–$1,810.75 | $1,752.45–$1,810.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 6 matching MRF lines |
$1,830.80–$2,749.25 | $1,830.80–$2,749.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$2,156.85–$2,224.65 | $2,156.85–$2,224.65 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$2,440.70–$2,517.15 | $2,440.70–$2,517.15 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$2,588.55–$4,003.40 | $2,588.55–$4,003.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $924.55 | $924.55 | 10.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,218.50 | $1,218.50 | 6.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,126.35–$1,161 | $1,126.35–$1,161 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$2,124.80–$2,192.95 | $2,124.80–$2,192.95 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$3,565.20–$3,679.20 | $3,565.20–$3,679.20 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,566.70–$2,480.75 | $1,566.70–$2,480.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$989.75–$1,022.85 | $989.75–$1,022.85 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$1,680.85–$3,029 | $1,680.85–$3,029 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,485.75 | $4,485.75 | 41.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,344.15–$1,386.35 | $1,344.15–$1,386.35 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,273.10 | $2,273.10 | 20.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$4,859.45–$5,015.75 | $4,859.45–$5,015.75 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$5,268.20–$5,432.50 | $5,268.20–$5,432.50 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,351.05–$4,843.80 | $2,351.05–$4,843.80 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,905.40 | $2,905.40 | 26.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$4,489.35–$4,633.25 | $4,489.35–$4,633.25 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$3,717.40–$3,837.65 | $3,717.40–$3,837.65 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$3,781.50–$3,899.60 | $3,781.50–$3,899.60 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$2,457–$2,457.05 | $2,457–$2,457.05 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$2,383–$4,765.45 | $2,383–$4,765.45 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$1,543.50–$3,445.75 | $1,543.50–$3,445.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$854.55–$880.45 | $854.55–$880.45 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$2,338.95–$3,615.45 | $2,338.95–$3,615.45 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$1,678.25–$1,730.65 | $1,678.25–$1,730.65 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$2,869.05–$2,963.40 | $2,869.05–$2,963.40 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,211.25 | $3,211.25 | 7.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $10,895.45 | $10,895.45 | 26.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $17,818.50 | $17,818.50 | 31.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $13,030.05 | $13,030.05 | 23.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,597.90 | $4,597.90 | 8.1× |
| Rp Therapy Intravenous Administration (79101) | $31,031.90 | $31,031.90 | 127.4× |
| Salivary Gland Imaging Serial Images (78231) | $3,714.05 | $3,714.05 | 8.9× |
| Scapula (73010) range across 3 matching MRF lines |
$2,691–$2,777.35 | $2,691–$2,777.35 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $766.55 | $766.55 | 32.8× |
| Sella turcica (70240) range across 2 matching MRF lines |
$2,074.90–$2,139.05 | $2,074.90–$2,139.05 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$1,176.60–$2,351.05 | $1,176.60–$2,351.05 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$4,563.65–$7,064.85 | $4,563.65–$7,064.85 | varies |
| Sialogram (70390) | $1,678.25 | $1,678.25 | 6.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$2,405–$2,480.75 | $2,405–$2,480.75 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$1,955.05–$2,018.40 | $1,955.05–$2,018.40 | varies |
| Testicular Imaging W/Flow (78761) | $6,505.50 | $6,505.50 | 15.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,708.45–$1,760.95 | $1,708.45–$1,760.95 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$2,584.85–$2,670.85 | $2,584.85–$2,670.85 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $5,084.20 | $5,084.20 | 12.2× |
| Thyroid Met Imaging Body (78018) | $15,224.85 | $15,224.85 | 26.9× |
| Thyroid Uptake Measurement (78012) | $5,084.20 | $5,084.20 | 12.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,084.20 | $5,084.20 | 12.2× |
| Ultrasound Breast Limited (76642) | $3,062.75 | $3,062.75 | 33.7× |
| Ultrasound Exam Aaa Screen (76706) | $3,062.75 | $3,062.75 | 28.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$3,249.85–$4,085.10 | $3,249.85–$4,085.10 | varies |
| Umbilical-artery Doppler (OB) (76820) | $447.30 | $447.30 | 4.1× |
| Unlisted Dx Radiographic Procedure (76499) range across 6 matching MRF lines |
$1,610.85–$4,391.35 | $1,610.85–$4,391.35 | varies |
| Unlisted us procedure (76999) | $867.15 | $867.15 | 9.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$3,421.35–$3,529.10 | $3,421.35–$3,529.10 | varies |
| Ureteral Reflux Study (78740) | $6,517.95 | $6,517.95 | 15.6× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$3,289.10–$3,395.10 | $3,289.10–$3,395.10 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$3,289.10–$3,395.10 | $3,289.10–$3,395.10 | varies |
| Us breast unilateral complete (76641) | $3,062.75 | $3,062.75 | 28.1× |
| Us chest (76604) | $3,823.35 | $3,823.35 | 35.0× |
| Us complete joint (76881) | $3,477.45 | $3,477.45 | 31.9× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$1,522.70–$1,961 | $1,522.70–$1,961 | varies |
| Us head (76506) | $3,964.55 | $3,964.55 | 36.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,602.65 | $2,602.65 | 23.8× |
| Us ob detailed single fetus (76811) | $5,319.50 | $5,319.50 | 21.3× |
| Us ob limited 1 or more fetuses (76815) | $1,992.80 | $1,992.80 | 18.3× |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$2,669.20–$5,887.65 | $2,669.20–$5,887.65 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$4,257.75–$5,430.45 | $4,257.75–$5,430.45 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $5,788.60 | $5,788.60 | 53.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $447.30 | $447.30 | 4.1× |
| Us retroperitoneal complete (76770) | $3,901.80 | $3,901.80 | 35.7× |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$4,085.10–$4,889.30 | $4,085.10–$4,889.30 | varies |
| Us spinal canal and contents (76800) | $3,067.25 | $3,067.25 | 28.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$2,803–$3,807.55 | $2,803–$3,807.55 | varies |
| Us transrectal (76872) | $5,491.35 | $5,491.35 | 50.3× |
| Vein X-Ray Chest (75827) | $5,734.55 | $5,734.55 | 3.5× |
| Venography caval inferior serialography rs&i (75825) | $12,840 | $12,840 | 3.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$5,857.90–$6,382.50 | $5,857.90–$6,382.50 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$4,755.60–$7,602.45 | $4,755.60–$7,602.45 | varies |
| Venography Renal Unilateral (75831) | $12,840 | $12,840 | 3.9× |
| Venous sampling by catheter (75893) | $18,107.50 | $18,107.50 | 3.1× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$2,018.40–$3,029 | $2,018.40–$3,029 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,888.80–$1,948.90 | $1,888.80–$1,948.90 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$2,110.70–$12,073.60 | $2,110.70–$12,073.60 | varies |
| X-Ray Aorta Leg Arteries (75630) | $15,949.85 | $15,949.85 | 4.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$3,171.10–$3,271.20 | $3,171.10–$3,271.20 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$1,680.85–$2,598.75 | $1,680.85–$2,598.75 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,528.45 | $1,528.45 | 2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $328.15 | $328.15 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,731 | $2,731 | 25.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $4,485.75 | $4,485.75 | 41.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$2,104.75–$2,443 | $2,104.75–$2,443 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$2,443.25–$2,457.05 | $2,443.25–$2,457.05 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,905.40 | $2,905.40 | 26.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,216.95 | $2,216.95 | 20.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,286.95 | $2,286.95 | 20.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,286.95 | $2,286.95 | 20.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$3,603.05–$3,717.40 | $3,603.05–$3,717.40 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,731–$2,816.95 | $2,731–$2,816.95 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$2,964.85–$3,057.35 | $2,964.85–$3,057.35 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,006.75–$3,105.15 | $3,006.75–$3,105.15 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$1,324.15–$1,368.65 | $1,324.15–$1,368.65 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$2,370.70–$3,663.50 | $2,370.70–$3,663.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $8,120.85 | $8,120.85 | 44.3× |
| X-ray IV pyelogram+tomography (74415) | $6,380 | $6,380 | 34.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,122.35 | $1,122.35 | 12.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$1,666.85–$1,720.45 | $1,666.85–$1,720.45 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$2,731–$2,816.95 | $2,731–$2,816.95 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$1,408.25–$1,458.65 | $1,408.25–$1,458.65 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$4,015.10–$4,143.70 | $4,015.10–$4,143.70 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,956.45 | $1,956.45 | 17.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,276.70 | $2,276.70 | 20.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$2,584.85–$2,670.85 | $2,584.85–$2,670.85 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$2,752.90–$2,837 | $2,752.90–$2,837 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$3,235.15–$3,333.45 | $3,235.15–$3,333.45 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,979.05 | $3,979.05 | 10.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$866.20–$894.30 | $866.20–$894.30 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$5,546.05–$5,722.05 | $5,546.05–$5,722.05 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$3,463.20–$3,570.95 | $3,463.20–$3,570.95 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$2,656.70–$2,747 | $2,656.70–$2,747 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$2,643.55–$2,723.35 | $2,643.55–$2,723.35 | 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.