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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $12,191.72 | $12,191.72 | 8.4× |
| Abdomen 2 views (74019) | $2,080.80 | $2,080.80 | 19.1× |
| Acute gi 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× |
| 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 pelvic slctv/supraslctv rs&i (75736) | $18,182.95 | $18,182.95 | 3.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $28,241.70 | $28,241.70 | 8.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,011.40 | $17,011.40 | 5.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $16,348.70 | $16,348.70 | 2.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $1,037.45 | $1,037.45 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $19,033.10 | $19,033.10 | 5.8× |
| Ankle 2 views (73600) | $1,810.75 | $1,810.75 | 19.9× |
| Aortogram thoracic (75605) | $14,684.35 | $14,684.35 | 2.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $15,949.85 | $15,949.85 | 4.8× |
| Aortography abdominal serialography rs&i (75625) | $13,233.85 | $13,233.85 | 4.0× |
| Arthrogram ankle (73615) | $4,220.52 | $4,220.52 | 11.6× |
| Arthrogram elbow (73085) | $6,027.35 | $6,027.35 | 16.5× |
| Arthrogram hip (73525) | $5,109.75 | $5,109.75 | 14.0× |
| Arthrogram knee (73580) | $4,837.95 | $4,837.95 | 13.3× |
| Arthrogram shoulder (73040) | $4,705.70 | $4,705.70 | 12.9× |
| Arthrogram wrist (73115) | $4,279.55 | $4,279.55 | 11.7× |
| Bone &/Joint Imaging Limited Area (78300) | $5,756.40 | $5,756.40 | 13.8× |
| Bone &/joint imaging whole body (78306) | $13,030.05 | $13,030.05 | 31.2× |
| Bone age studies (77072) | $2,663.80 | $2,663.80 | 24.4× |
| Bone Imaging 3 Phase (78315) | $14,509.95 | $14,509.95 | 34.8× |
| Bone Marrow Imaging Limited Area (78102) | $2,132.05 | $2,132.05 | 5.1× |
| Bone survey complete (77075) | $5,634.05 | $5,634.05 | 51.6× |
| Bone survey infant (77076) | $2,232.82 | $2,232.82 | 20.5× |
| Bowel imaging (78290) | $6,711.45 | $6,711.45 | 16.1× |
| Brain Imaging < 4 Static Views W Vascular Flow (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× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $12,772.90 | $12,772.90 | 30.6× |
| Cervical spine 2 or 3 views (72040) | $2,773.98 | $2,773.98 | 30.5× |
| Chest 1 view (71045) | $1,248.70 | $1,248.70 | 13.7× |
| Chest xray 3 views (71047) | $2,273.10 | $2,273.10 | 25.0× |
| Cholecystography, oral contrast Non-Facility (74290) | $3,675.20 | $3,675.20 | 20.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,777.52 | $3,777.52 | 20.6× |
| Clavicle complete (73000) | $2,082.02 | $2,082.02 | 22.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $13,732.85 | $13,732.85 | 125.8× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Non-Facility (77078) | $2,862.25 | $2,862.25 | 31.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $4,755.60 | $4,755.60 | 26.0× |
| CT abdomen and pelvis without and with contrast (74178) | $30,237 | $30,237 | 83.0× |
| CT abdomen and pelvis without contrast (74176) | $26,724 | $26,724 | 107.3× |
| CT abdomen w contrast (74160) | $15,007 | $15,007 | 81.9× |
| CT abdomen w wo contrast (74170) | $15,872 | $15,872 | 86.7× |
| CT abdomen w/o contrast (74150) | $14,097.52 | $14,097.52 | 129.1× |
| CT angio hrt w/3d image (75574) | $16,866.40 | $16,866.40 | 46.3× |
| CT angio lwr extr w/o&w/dye (73706) | $20,532.35 | $20,532.35 | 112.1× |
| CT angiography upper extremity lt (73206) | $19,771.85 | $19,771.85 | 107.9× |
| CT c-spine w/contrast (72126) | $14,755.50 | $14,755.50 | 40.5× |
| CT c-spine w/o contrast (72125) | $13,790 | $13,790 | 126.3× |
| CT cervical spine w&w/o contrast (72127) | $13,676 | $13,676 | 74.7× |
| CT chest w contrast (71260) | $14,707 | $14,707 | 80.3× |
| CT chest w/wo contrast (71270) | $15,563 | $15,563 | 85.0× |
| CT head/brain with contrast (70460) | $11,122 | $11,122 | 60.7× |
| CT head/brain without and with contrast (70470) | $13,425 | $13,425 | 73.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $16,089.70 | $16,089.70 | 44.2× |
| CT heart w/o contrast quant eval coronary 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) | $13,384 | $13,384 | 73.1× |
| CT limited/localized follow up study (76380) | $902.85 | $902.85 | 9.9× |
| CT lower ext w/o (73700) | $14,289.62 | $14,289.62 | 130.9× |
| CT lower extremity w wo contrast (73702) | $16,097 | $16,097 | 87.9× |
| CT lower extremity w/contrast material (73701) | $15,242 | $15,242 | 83.2× |
| CT lumbar spine w & w/o contrast (72133) | $15,625.52 | $15,625.52 | 85.3× |
| CT lumbar spine w/contrast (72132) | $14,795.90 | $14,795.90 | 40.6× |
| CT lumbar spine w/o contrast (72131) | $13,793 | $13,793 | 126.3× |
| CT maxillofacial w contrast (70487) | $12,954 | $12,954 | 70.7× |
| CT maxillofacial w/wo contrast (70488) | $13,721 | $13,721 | 74.9× |
| CT maxillofacial wo contrast (70486) | $12,118 | $12,118 | 111.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,135 | $14,135 | 77.2× |
| CT orbits w/o contrast (70480) | $12,511 | $12,511 | 114.6× |
| CT pelvis w/o contrast (72192) | $12,745 | $12,745 | 116.7× |
| CT pelvis w/wo contrast (72194) | $14,427 | $14,427 | 78.8× |
| CT scan of arm combo (73202) | $16,120 | $16,120 | 88.0× |
| CT soft tissue neck w contrast (70491) | $9,897 | $9,897 | 54.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $10,449 | $10,449 | 57.0× |
| CT soft tissue neck w/o contrast (70490) | $9,253 | $9,253 | 84.8× |
| CT thoracic spine w/contrast (72129) | $14,755.50 | $14,755.50 | 80.6× |
| CT thoracic spine w/o contrast (72128) | $13,792 | $13,792 | 126.3× |
| CT thoracic spine w/wo contrast (72130) | $15,670.75 | $15,670.75 | 85.6× |
| CT thorax w/o contrast (71250) | $13,755 | $13,755 | 126.0× |
| CT upper ext wo (73200) | $14,266.50 | $14,266.50 | 130.7× |
| CT upper extremity with contrast (73201) | $15,320.75 | $15,320.75 | 42.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $25,259 | $25,259 | 137.9× |
| Cta Abdomen (74175) | $20,244.10 | $20,244.10 | 110.5× |
| CTA abdomen pelvis (74174) | $39,086.20 | $39,086.20 | 107.3× |
| CTA chest (71275) | $18,878 | $18,878 | 103.1× |
| Cta Head (70496) | $17,689 | $17,689 | 96.6× |
| Cta Neck (70498) | $14,508 | $14,508 | 79.2× |
| Cta Pelvis (72191) | $18,840.30 | $18,840.30 | 102.9× |
| Cystography minimum 3 views rs&i (74430) | $4,043.12 | $4,043.12 | 11.1× |
| Diskogram cervical (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 study 1/> sites axial skel (77080) | $1,956.45 | $1,956.45 | 17.9× |
| Dxa bone density study axial skeleton (77085) | $3,029 | $3,029 | 27.7× |
| Esophagus (74220) | $2,494.92 | $2,494.92 | 13.6× |
| Facial bones min 3 views (70150) | $3,635.32 | $3,635.32 | 33.3× |
| Fetal biophysical profile non-stress testing (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 Echo (76825) | $1,922.25 | $1,922.25 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $593.75 | $593.75 | 2.4× |
| Foot 2 views (73620) | $1,732.50 | $1,732.50 | 19.1× |
| Forearm 2 views (73090) | $2,158.40 | $2,158.40 | 23.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $8,336.25 | $8,336.25 | 14.7× |
| Hand 2 views (73120) | $1,793.65 | $1,793.65 | 16.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,392.10 | $10,392.10 | 3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $10,517.10 | $10,517.10 | 18.5× |
| Hepatobiliary syst imaging including gallbladder (78226) | $10,517.10 | $10,517.10 | 25.2× |
| Hysterosalpingogram (74740) | $1,878.60 | $1,878.60 | 7.5× |
| Kidney imaging morphology (78700) | $9,271.15 | $9,271.15 | 22.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $13,587.25 | $13,587.25 | 24.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $12,772.90 | $12,772.90 | 22.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $16,596.85 | $16,596.85 | 29.3× |
| 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× |
| Lymphoscintigraphy (78195) | $4,935.45 | $4,935.45 | 8.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $11,028.60 | $11,028.60 | 13.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $8,597.22 | $8,597.22 | 23.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $10,114.35 | $10,114.35 | 27.8× |
| Mammary ductogram or galactogram single (77053) | $782.15 | $782.15 | 3.1× |
| 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 & w/contrast material (74183) | $9,226.05 | $9,226.05 | 25.3× |
| 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 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 c-spine with contrast (72142) | $13,597.35 | $13,597.35 | 37.3× |
| MRI cervical spine w/o contrast (72141) | $12,937.10 | $12,937.10 | 51.9× |
| MRI chest w/o & w/contrast material (71552) | $15,689.50 | $15,689.50 | 43.1× |
| MRI chest w/o contrast (71550) | $6,412.95 | $6,412.95 | 25.7× |
| MRI fetal sngl/1st gestation (74712) | $1,518.55 | $1,518.55 | 6.1× |
| 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 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 orbit/face/neck w&w/o cont (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 material (72197) | $9,758.85 | $9,758.85 | 26.8× |
| MRI pelvis w/o contrast (72195) | $7,313.45 | $7,313.45 | 29.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $14,476.45 | $14,476.45 | 39.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $13,597.35 | $13,597.35 | 37.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $14,476.45 | $14,476.45 | 39.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $13,597.35 | $13,597.35 | 37.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $14,476.45 | $14,476.45 | 39.7× |
| MRI temporomandibular joint (70336) | $7,758.75 | $7,758.75 | 31.1× |
| MRI thoracic spine w/o contrast (72146) | $12,937.10 | $12,937.10 | 51.9× |
| MRI up ext w/o contrast (73218) | $8,879.10 | $8,879.10 | 35.6× |
| MRI upper ext joint w/o contrast (73221) | $8,909.40 | $8,909.40 | 35.8× |
| MRI, joint upper extrem combo (73223) | $25,529.75 | $25,529.75 | 70.1× |
| Myelogram Cervical (72240) | $13,002.90 | $13,002.90 | 15.9× |
| Myelogram Lumbar (72265) | $13,002.90 | $13,002.90 | 15.9× |
| Myelogram thoracic (72255) | $12,768.30 | $12,768.30 | 15.6× |
| Myelography 2 or more regions (72270) | $14,439.15 | $14,439.15 | 17.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $23,433.95 | $23,433.95 | 17.3× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) | $23,433.95 | $23,433.95 | 15.7× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) | $23,433.95 | $23,433.95 | 15.7× |
| Myocardial Spect Multiple Studies (78452) | $12,115.35 | $12,115.35 | 9.0× |
| Myocardial spect single study at rest or stress (78451) | $10,582.10 | $10,582.10 | 7.8× |
| Neck soft tissue (70360) | $2,287.68 | $2,287.68 | 25.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,830.30 | $2,830.30 | 6.8× |
| Nm adrenal scan (78075) | $11,098.95 | $11,098.95 | 8.2× |
| Nm cardiac blood pool multiple (78473) | $16,596.85 | $16,596.85 | 39.8× |
| Nm cisternogram (78630) | $4,001.35 | $4,001.35 | 7.1× |
| Nm csf leak detection (78650) | $4,593.45 | $4,593.45 | 3.4× |
| Nm gastric emptying study (78264) | $8,336.25 | $8,336.25 | 20.0× |
| Nm kidney scan w/flow (78701) | $9,098.10 | $9,098.10 | 21.8× |
| 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× |
| Orthopantogram (70355) | $1,458.65 | $1,458.65 | 16.1× |
| Osseous survey limited (77074) | $867.50 | $867.50 | 7.9× |
| Parathyroid Planar Imaging (78070) | $3,870.95 | $3,870.95 | 9.3× |
| Pelvis 1 or 2 views (72170) | $3,028.02 | $3,028.02 | 27.7× |
| PET image w/CT, skull-thigh (78815) | $23,433.95 | $23,433.95 | 15.7× |
| PET imaging CT for attenuation limited area (78814) | $23,433.95 | $23,433.95 | 15.7× |
| PET imaging for CT attenuation whole body (78816) | $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 whole body (78813) | $23,433.95 | $23,433.95 | 15.7× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) | $23,433.95 | $23,433.95 | 15.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,446.60 | $7,446.60 | 17.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,662.05 | $8,662.05 | 15.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,801.48 | $1,801.48 | 3.2× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,234.50 | $2,234.50 | 24.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,880.45 | $1,880.45 | 20.7× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,917.20 | $1,917.20 | 21.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $328.15 | $328.15 | 3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,731 | $2,731 | 25.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $4,485.75 | $4,485.75 | 41.1× |
| Radex fingr minimum 2 views (73140) | $1,948.90 | $1,948.90 | 21.4× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,192.95 | $2,192.95 | 24.1× |
| Radex Hand Minimum 3 Views (73130) | $2,457.05 | $2,457.05 | 27.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,104.75 | $2,104.75 | 23.2× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,905.40 | $2,905.40 | 26.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,216.95 | $2,216.95 | 20.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,286.95 | $2,286.95 | 20.9× |
| Radex Humerus Minimum 2 Views (73060) | $2,443.25 | $2,443.25 | 26.9× |
| Radex Kne 1/2 Views (73560) | $1,693.65 | $1,693.65 | 18.6× |
| Radex Kne Compl 4/More Views (73564) | $2,425.05 | $2,425.05 | 22.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $1,365.25 | $1,365.25 | 12.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,190.75 | $2,190.75 | 24.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,905.40 | $2,905.40 | 26.6× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,673.05 | $2,673.05 | 29.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $924.55 | $924.55 | 10.2× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $3,221.15 | $3,221.15 | 29.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,622.20 | $3,622.20 | 39.9× |
| Radex Toe Minimum 2 Views (73660) | $1,566.70 | $1,566.70 | 17.2× |
| Radex upper extremity infant minimum 2 views (73092) | $1,006.30 | $1,006.30 | 9.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $1,732.50 | $1,732.50 | 19.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,485.75 | $4,485.75 | 41.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,248.70 | $1,248.70 | 13.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,273.10 | $2,273.10 | 20.8× |
| Radiologic exam chest 2 views (71046) | $2,080.80 | $2,080.80 | 22.9× |
| Radiologic exam colon single contrast study (74270) | $5,350.35 | $5,350.35 | 29.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,840.55 | $3,840.55 | 21.0× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,475.22 | $3,475.22 | 19.0× |
| Radiologic examination femur 1 view (73551) | $2,457.05 | $2,457.05 | 27.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,411.20 | $2,411.20 | 26.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,704.45 | $1,704.45 | 3.0× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,888.80 | $1,888.80 | 17.3× |
| Radiological examination surgical specimen (76098) | $1,528.45 | $1,528.45 | 2.7× |
| Ribs bilateral 3 views (71110) | $2,916.22 | $2,916.22 | 26.7× |
| 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× |
| Sacroiliac Joints < 3 Views (72200) | $2,276.70 | $2,276.70 | 20.9× |
| Salivary gland imaging; with serial images Non-Facility (78231) | $3,714.05 | $3,714.05 | 8.9× |
| Scapula (73010) | $2,691 | $2,691 | 24.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $766.55 | $766.55 | 32.8× |
| Sella turcica (70240) | $2,106.98 | $2,106.98 | 23.2× |
| Shoulder 1 view (73020) | $1,214.50 | $1,214.50 | 13.4× |
| Sialogram (70390) | $1,678.25 | $1,678.25 | 6.7× |
| Small bowel series (74250) | $4,561.30 | $4,561.30 | 24.9× |
| Spine thoracic 3 views (72072) | $2,627.85 | $2,627.85 | 24.1× |
| Testicular Imaging With Vascular Flow (78761) | $6,505.50 | $6,505.50 | 15.6× |
| Thyroid carcinoma metastases img whole body (78018) | $15,224.85 | $15,224.85 | 26.9× |
| Thyroid imaging w/blood flow (78013) | $5,084.20 | $5,084.20 | 12.2× |
| 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 complete (76641) | $3,062.75 | $3,062.75 | 28.1× |
| Ultrasound Exam Aaa Screen (76706) | $3,062.75 | $3,062.75 | 28.1× |
| Ultrasound, abdomen limited (76705) | $4,046 | $4,046 | 37.1× |
| Umbilical-artery Doppler (OB) (76820) | $447.30 | $447.30 | 4.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $3,738.55 | $3,738.55 | 41.1× |
| Unlisted ultrasound procedure (76999) | $867.15 | $867.15 | 9.5× |
| Ureteral reflux study (78740) | $6,517.95 | $6,517.95 | 15.6× |
| Urethrocystogram voiding (74455) | $3,342.10 | $3,342.10 | 13.4× |
| Urethrocystography retrograde rs&i (74450) | $3,342.10 | $3,342.10 | 13.4× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $4,825.85 | $4,825.85 | 26.3× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $6,380 | $6,380 | 34.8× |
| Us breast unilateral limited (76642) | $3,062.75 | $3,062.75 | 33.7× |
| Us chest (76604) | $3,823.35 | $3,823.35 | 35.0× |
| Us compl joint r-t w/image documentation (76881) | $3,477.45 | $3,477.45 | 31.9× |
| Us encephalogram (76506) | $3,964.55 | $3,964.55 | 36.3× |
| Us infant hips w manipulation (76885) | $3,348.50 | $3,348.50 | 36.8× |
| 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 (76815) | $1,992.80 | $1,992.80 | 18.3× |
| Us ob transvaginal (76817) | $4,282.02 | $4,282.02 | 39.2× |
| Us pelvic non ob complete (76856) | $4,844.10 | $4,844.10 | 44.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,868 | $1,868 | 17.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $5,788.60 | $5,788.60 | 53.0× |
| Us pg uter r-t img f-up tabdl appr pr 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) | $4,726 | $4,726 | 43.3× |
| Us soft tissue head/neck (76536) | $3,305.28 | $3,305.28 | 30.3× |
| Us spinal canal and contents (76800) | $3,067.25 | $3,067.25 | 28.1× |
| Us transrectal (76872) | $5,491.35 | $5,491.35 | 50.3× |
| Venogram extremity bilateral (75822) | $6,120.20 | $6,120.20 | 3.7× |
| Venogram Extremity Unilateral (75820) | $7,602.45 | $7,602.45 | 4.6× |
| Venography caval inferior serialography rs&i (75825) | $12,840 | $12,840 | 3.9× |
| Venography caval superior serialography rs&i (75827) | $5,734.55 | $5,734.55 | 3.5× |
| Venography renal unilateral selective rs&i (75831) | $12,840 | $12,840 | 3.9× |
| Venous sampling by catheter (75893) | $18,107.50 | $18,107.50 | 3.1× |
| Wrist 2 views (73100) | $2,078.55 | $2,078.55 | 22.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,045.38 | $3,045.38 | 27.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,918.85 | $1,918.85 | 21.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $4,937.60 | $4,937.60 | 27.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,732.50 | $1,732.50 | 19.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,443.25 | $2,443.25 | 26.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,286.95 | $2,286.95 | 20.9× |
| X-ray exam of femur 2/> (73552) | $2,383.08 | $2,383.08 | 26.2× |
| X-ray eye for foreign body (70030) | $1,324.15 | $1,324.15 | 14.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,701.85 | $2,701.85 | 29.7× |
| X-ray IV pyelogram (ivp) (74400) | $8,120.85 | $8,120.85 | 44.3× |
| 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) | $1,693.65 | $1,693.65 | 18.6× |
| X-ray leg, infant (73592) | $1,781.60 | $1,781.60 | 19.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,773.98 | $2,773.98 | 25.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,660.22 | $3,660.22 | 33.5× |
| X-ray nose-rectum child f.b. (76010) | $1,433.45 | $1,433.45 | 15.8× |
| X-ray optic foramen (70190) | $2,078.60 | $2,078.60 | 22.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,683.45 | $2,683.45 | 24.6× |
| X-ray retrograde pyelogram (74420) | $3,979.05 | $3,979.05 | 10.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,478.92 | $2,478.92 | 27.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,055.95 | $3,055.95 | 28.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,079.40 | $4,079.40 | 37.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,956.45 | $1,956.45 | 17.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,627.85 | $2,627.85 | 28.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,794.95 | $2,794.95 | 30.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,284.30 | $3,284.30 | 30.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,442.88 | $2,442.88 | 22.4× |
| X-Ray Small Bowel Enteroclysis (74251) | $1,218.50 | $1,218.50 | 6.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,143.68 | $1,143.68 | 12.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,986.72 | $1,986.72 | 21.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,158.88 | $2,158.88 | 23.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,734.70 | $1,734.70 | 15.9× |
| Xr bone length studies (77073) | $880.25 | $880.25 | 8.1× |
| Xr c-spine 4 or 5 views (72050) | $3,517.08 | $3,517.08 | 32.2× |
| Xr c-spine 6 or more views (72052) | $3,011.10 | $3,011.10 | 27.6× |
| Xr chest 4+ views (71048) | $2,505.15 | $2,505.15 | 22.9× |
| Xr urogram antegrade (74425) | $2,139.45 | $2,139.45 | 5.9× |