Imaging prices at HCA Florida JFK Hospital

Atlantis, FL · every code in this section with a posted price and a Medicare benchmark.

291 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
3-Dimensional radiotherapy plan including dose-volume histograms (77295) $19,588 $19,588 13.6×
Acute gi blood loss imaging (78278) $3,371 $3,371 8.1×
Angio adrenal unilat select (75731) $19,882 $19,882 6.0×
Angio extremity unilateral (75710) $18,323 $18,323 5.6×
Angio pulmonary unilateral (75741) $18,676 $18,676 5.7×
Angiogram extremity bilateral (75716) $26,680 $26,680 8.1×
Angiogram pelvic (75736) $18,676 $18,676 3.2×
Angiography pulmonary bilateral slctv rs&i (75743) $14,930 $14,930 4.5×
Angiography visceral slctv/supraslctv rs&i (75726) $16,144 $16,144 2.8×
Angrph cath f-up std tcat other than thrombylsis (75898) $7,101.50 $7,101.50 2.2×
Ankle 2 views (73600) $4,003 $4,003 44.0×
Aortography thoracic w/o serialography rs&i (75600) $8,934 $8,934 2.7×
Arthrography knee lt (73580) $2,106 $2,106 5.8×
Barium enema (74270) $8,398 $8,398 45.8×
Basic dosimetry (77300) $2,600.50 $2,600.50 18.5×
Bone age studies (77072) $2,950 $2,950 27.0×
Bone imaging limited area (78300) $6,391 $6,391 15.3×
Bone survey complete (77075) $9,321 $9,321 85.4×
Bowel imaging (78290) $6,306 $6,306 15.1×
Brachytx isodose pln cplx w/dosimetry cal (77318) $5,884 $5,884 15.0×
Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) $2,320 $2,320 5.6×
Card MRI w/stress img & dye (75563) $5,050 $5,050 6.2×
Cardiac MRI w/wo contrast & further seq (75561) $5,050 $5,050 13.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $2,943 $2,943 16.1×
Cisternogram (78630) $4,543 $4,543 8.0×
Clavicle complete (73000) $3,901.50 $3,901.50 42.9×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $19,204 $19,204 104.8×
Continuing medical physics consltj pr wk (77336) $2,320 $2,320 16.5×
Contrast exam abdominl aorta (75625) $39,103 $39,103 11.9×
Contrast exam thoracic aorta (75605) $25,720 $25,720 4.4×
Csf shunt evaluation (78645) $2,488 $2,488 4.4×
CT - st neck w&wo contr (70492) $18,509 $18,509 101.0×
CT abdomen and pelvis without and with contrast (74178) $42,400 $42,400 116.4×
CT abdomen and pelvis without contrast (74176) $33,005 $33,005 132.5×
CT abdomen w wo contrast (74170) $20,334 $20,334 111.0×
CT abdomen w/contrast (74160) $19,071 $19,071 104.1×
CT abdomen w/o contrast (74150) $16,839 $16,839 154.2×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $33,423 $33,423 91.7×
CT angio abdom w/o & w/dye (74175) $20,334 $20,334 111.0×
CT angio abdominal arteries (75635) $20,334 $20,334 111.0×
CT angio hrt w/3d image (75574) $2,324 $2,324 6.4×
CT angiograph pelv w/o&w/dye (72191) $11,800 $11,800 64.4×
CT cervical spine w/contrast (72126) $15,731 $15,731 43.2×
CT cervical spine w/o contrast (72125) $14,260 $14,260 130.6×
CT chest w/contrast (71260) $19,071 $19,071 104.1×
CT extremity upper w & w/o contrast (73202) $12,696 $12,696 69.3×
CT head/brain with contrast (70460) $9,971 $9,971 54.4×
CT head/brain without and with contrast (70470) $11,169 $11,169 61.0×
CT heart contrast eval cardiac structure&morph (75572) $2,324 $2,324 6.4×
CT heart w/o contrast quant eval coronary calcium (75571) $393 $393 4.3×
CT hrt w/3d image congen (75573) $2,324 $2,324 6.4×
CT limited/localized follow up study (76380) $6,056 $6,056 66.6×
CT lower ext w/wo contrast (73702) $16,393 $16,393 89.5×
CT lower extremity w contrast (73701) $15,731 $15,731 85.9×
CT lower extremity w/o contrast unilateral (73700) $14,260 $14,260 130.6×
CT lumbar spine w/contrast (72132) $15,412 $15,412 42.3×
CT lumbar spine w/o contrast (72131) $18,291 $18,291 167.5×
CT lumbar spine w/o then w/ con (72133) $15,834 $15,834 86.4×
CT maxillofacial area w/o contrast (70486) $14,010 $14,010 128.3×
CT maxillofacial w/contrast (70487) $15,749 $15,749 86.0×
CT maxillofacial w/o then w/ con (70488) $18,078 $18,078 98.7×
CT orbit sella ear w/o con (70480) $19,204 $19,204 175.9×
CT orbit/ear/fossa w/o then w/ con (70482) $19,302 $19,302 105.4×
CT pelvis w & w/o contrast (72194) $22,071 $22,071 120.5×
CT pelvis w/o contrast (72192) $16,169 $16,169 148.1×
CT soft tissue neck w/contrast (70491) $16,010 $16,010 87.4×
CT soft tissue neck w/o contrast (70490) $14,028 $14,028 128.5×
CT spine cervical w/wo contrast (72127) $14,260 $14,260 77.9×
CT thoracic spine w/contrast (72129) $8,729 $8,729 47.7×
CT thoracic spine w/o contrast (72128) $7,920 $7,920 72.5×
CT thoracic spine w/o then w/ con (72130) $7,238 $7,238 39.5×
CT thorax lung cancer scr c- (71271) $16,122 $16,122 147.7×
CT thorax w/o contrast (71250) $16,122 $16,122 147.7×
CT thorax w/o then w/ contrast (71270) $20,096 $20,096 109.7×
CT upper extremity w/dye (73201) $12,160 $12,160 33.4×
CT upper extremity w/o contrast rt (73200) $14,490 $14,490 132.7×
CTA chest w/wo contrast (71275) $12,949 $12,949 70.7×
CTA head w contrast (70496) $12,949 $12,949 70.7×
CTA lower extremity w/wo contrast unilateral (73706) $15,731 $15,731 85.9×
Cta Neck (70498) $12,949 $12,949 70.7×
CTA upper extremity w/wo contrast unilateral (73206) $12,696 $12,696 69.3×
Dilation ureters/urethra rs&i (74485) $3,468 $3,468 1.6×
Diskography lumbar (72295) $11,274 $11,274 5.5×
Esophogram (74220) $5,724 $5,724 31.2×
Fetal biophysical profile non-stress testing (76818) $1,070 $1,070 9.8×
Fluoroscopy up to 1 hour physician/qhp time (76000) $2,803 $2,803 11.2×
Gastric emptying study (78264) $9,838 $9,838 23.6×
Gated heart planar single (78472) $4,168 $4,168 10.0×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $6,732 $6,732 9.3×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $10,406 $10,406 14.3×
Heart infarct image (78466) $2,674 $2,674 6.4×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $18,676 $18,676 5.7×
Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) $18,676 $18,676 5.7×
Hepatobil syst image w/drug (78227) $7,859 $7,859 13.9×
Hepatobiliary system imaging (78226) $7,859 $7,859 18.8×
Humerus min 2 views (73060) $4,134 $4,134 45.5×
Hysterosalpingography (74740) $6,278 $6,278 25.2×
Imrt planning (77301) $6,134 $6,134 4.2×
Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) $1,600 $1,600 3.8×
Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) $6,828 $6,828 9.4×
Isodose brachytherapy plan simple 1 to 4 source (77316) $2,343 $2,343 6.0×
Isodose teletherapy plan complex multi tx w/cal (77307) $5,884 $5,884 15.0×
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) $3,226 $3,226 5.7×
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) $3,226 $3,226 5.7×
Liver & spleen; static only (78215) $2,782 $2,782 6.7×
Liver imaging w/vascular flow (78202) $2,544 $2,544 4.5×
Lung ventilat&perfus imaging (78582) $6,681 $6,681 11.8×
Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75807) $14,102 $14,102 4.3×
Lymphangiography, pelvic/abdominal, unilateral (75805) $9,912 $9,912 3.0×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $10,680 $10,680 29.3×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $6,447 $6,447 17.7×
Mlc device(s) for imrt (77338) $1,873 $1,873 4.8×
MRA head w & w/o contrast (70546) $10,680 $10,680 29.3×
MRA head w/contrast (70545) $9,145 $9,145 25.1×
MRA head w/o contrast (70544) $7,729 $7,729 31.0×
MRA neck w/contrast (70548) $9,145 $9,145 25.1×
MRA neck w/o contrast (70547) $7,729 $7,729 31.0×
MRA neck w/wo contrast (70549) $10,680 $10,680 29.3×
MRI abdomen w/contrast (74182) $4,243 $4,243 11.6×
MRI abdomen w/o & w/contrast material (74183) $10,680 $10,680 29.3×
MRI abdomen w/o contrast (74181) $6,447 $6,447 25.9×
MRI any jnt lwr ext with con lt (73722) $9,145 $9,145 11.2×
MRI breast without contrast bilateral (77047) $3,992 $3,992 16.0×
MRI cardiac w/o contrast (75557) $3,306 $3,306 13.3×
MRI cervical spine w/o contrast (72141) $7,184 $7,184 28.8×
MRI cervical spine with contrast (72142) $8,319 $8,319 22.8×
MRI chest w & w/o contrast (71552) $10,680 $10,680 29.3×
MRI chest w/o contrast (71550) $6,447 $6,447 25.9×
MRI joint upper ext w/contrast (73222) $9,145 $9,145 11.2×
MRI joint upr extr w/o&w/dye (73223) $10,680 $10,680 29.3×
MRI joint upr extrem w/o dye (73221) $6,447 $6,447 25.9×
Mri Lower Extremity W/O Dye (73718) $7,729 $7,729 31.0×
MRI lumbar spine with contrast (72149) $8,319 $8,319 22.8×
MRI lumbar w/wo contrast (72158) $10,300 $10,300 28.3×
MRI lwr ext w/o jnts with con rt (73719) $7,729 $7,729 21.2×
MRI orbit/face/neck w/contrast (70542) $9,145 $9,145 25.1×
MRI orbit/face/neck w/o & w/contrast (70543) $10,680 $10,680 29.3×
MRI orbit/face/neck w/o contrast (70540) $7,205 $7,205 28.9×
MRI pelvis w/ contrast (72196) $7,205 $7,205 19.8×
MRI pelvis w/o contrast (72195) $7,729 $7,729 31.0×
MRI pelvis w/wo contrast (72197) $10,680 $10,680 29.3×
MRI spectroscopy (76390) $6,935 $6,935 76.3×
MRI spine cervical wo/w contrast (72156) $10,300 $10,300 28.3×
MRI spine thoracic w/contrast (72147) $8,319 $8,319 22.8×
MRI thoracic spine w wo contrast (72157) $10,300 $10,300 28.3×
MRI thoracic spine w/o contrast (72146) $7,205 $7,205 28.9×
MRI tmj (70336) $7,205 $7,205 28.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $7,729 $7,729 31.0×
MRI upr ext w/o jnts w/o-w/con rt (73220) $6,447 $6,447 17.7×
N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) $3,052.17 $3,052.17 3.4×
Nm bone 3 phase (78315) $15,003 $15,003 35.9×
Nm bone imaging whole body (78306) $13,951 $13,951 33.4×
Nm heart perfusion spect stress rest (78452) $23,425 $23,425 17.3×
Nm lymph system (78195) $2,425 $2,425 4.3×
Ob us < 14 wks single fetus (76801) $1,229 $1,229 11.3×
Oral radiopharm rx (79005) $8,663 $8,663 35.6×
Parathyroid imaging (78070) $2,179 $2,179 5.2×
PET imaging CT attenuation skull base mid-thigh (78815) $8,965 $8,965 6.0×
PET imaging CT for attenuation limited area (78814) $8,965 $8,965 6.0×
PET imaging for CT attenuation whole body (78816) $8,965 $8,965 6.0×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $5,292 $5,292 1.6×
Pulmonary perfusion imaging particulate (78580) $2,617 $2,617 6.3×
Radex abscess/fistula/sinus tract rs&i (76080) $2,846 $2,846 5.0×
Radex hip unilateral with pelvis 1 view (73501) $791 $791 8.7×
Radex hip unilateral with pelvis 2-3 views (73502) $3,521 $3,521 38.7×
Radex hip unilateral with pelvis minimum 4 views (73503) $3,521 $3,521 32.3×
Radex hips bilateral with pelvis 2 views (73521) $1,302 $1,302 11.9×
Radex hips bilateral with pelvis minimum 5 views (73523) $3,814 $3,814 34.9×
Radex spine cervical 2 or 3 views (72040) $6,101 $6,101 67.1×
Radex spine cervical 4 or 5 views (72050) $8,920 $8,920 81.7×
Radex spine cervical 6 or more views (72052) $9,636 $9,636 88.3×
Radiation delivery stereotactic cranial linear (77372) $32,546 $32,546 4.2×
Radiation tx delivery lvl 1 (77402) $2,984 $2,984 28.0×
Radiation tx delivery lvl 3 (77412) $4,171 $4,171 7.2×
Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) $5,814 $5,814 53.3×
Radiologic exam esophagus double contrast study (74221) $5,724 $5,724 31.2×
Radiologic exam phrnx&/crv esoph contrast study (74210) $1,510 $1,510 8.2×
Radiologic exam upr gi trc double contrast study (74246) $6,857 $6,857 37.4×
Radiologic exam upr gi trc single contrast study (74240) $8,622 $8,622 47.1×
Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) $5,520 $5,520 60.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $5,520 $5,520 60.7×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,290 $1,290 3.2×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,290 $1,290 3.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $2,747 $2,747 6.6×
Rp loclzj tum plnr whole body single day imaging (78802) $5,924 $5,924 10.4×
Rp loclzj tum spect 1 area single day imaging (78803) $8,542 $8,542 15.1×
Rp therapy intra-arterial particulate admn (79445) $1,749 $1,749 7.2×
Screening digital breast tomosynthesis; bilateral (77063) $113 $113 4.8×
Selective spinal angiogram (75705) $18,676 $18,676 3.2×
Shoulder arthrogram (73040) $3,857 $3,857 10.6×
Shuntogram indwelling nonvascular shunt rs&i (75809) $514 $514 4.7×
Simulation complex (77290) $6,198 $6,198 15.9×
Simulation simple (77280) $2,844 $2,844 20.3×
Small bowel series (74250) $7,388 $7,388 40.3×
Special dosimetry (77331) $4,966 $4,966 35.4×
Special physics consult (77370) $4,379 $4,379 31.2×
Special treatment procedure (77470) $6,013 $6,013 10.4×
Stereotactic body radiation delivery (77373) $21,274 $21,274 11.4×
Superior sagittal sinus venogram (75870) $17,184 $17,184 5.2×
Thyroid met imaging body (78018) $12,058 $12,058 21.3×
Thyroid uptake single/multiple quant measurement (78012) $3,305 $3,305 7.9×
Thyroid uptake w/blood flow sngle/mult quan meas (78014) $8,763 $8,763 21.0×
Treatment devices complex (77334) $5,829 $5,829 14.9×
Treatment devices simple (77332) $2,190 $2,190 15.6×
Ultrasound breast limited (76642) $5,196 $5,196 57.2×
Ultrasound, abdomen limited (76705) $2,508.50 $2,508.50 23.0×
Urethrocystography retrograde rs&i (74450) $3,995 $3,995 16.0×
Urethrocystography voiding (74455) $6,544 $6,544 26.3×
Urography retrograde w/wo kub (74420) $7,825 $7,825 21.5×
Us breast uni real time with image complete (76641) $5,196 $5,196 47.6×
Us chest (76604) $1,215 $1,215 11.1×
Us compl joint r-t w/image documentation (76881) $3,473 $3,473 31.8×
Us encephalogram (76506) $922 $922 8.4×
Us guided compression repair (76936) $819 $819 3.6×
Us kidney transplanted (76776) $751 $751 6.9×
Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) $1,737 $1,737 15.9×
Us ob detailed single fetus (76811) $1,297 $1,297 5.2×
Us ob limited 1 or more fetuses (76815) $774 $774 7.1×
Us obstetric transvaginal (76817) $1,229 $1,229 11.3×
Us pelvic limited or f/u non-ob (76857) $1,374 $1,374 12.6×
Us pelvis complete (76856) $5,360 $5,360 49.1×
Us retroperitoneal complete (76770) $3,753 $3,753 34.4×
Us retroperitoneal limited (76775) $3,753 $3,753 34.4×
Us scrotum (76870) $4,155 $4,155 38.1×
Us soft tissue head/neck (76536) $5,238 $5,238 48.0×
Vein X-ray liver w/hemodynam (75885) $16,992 $16,992 5.2×
Venogram extremity bilateral (75822) $4,992.50 $4,992.50 3.0×
Venogram ivc w serialography (75825) $18,676 $18,676 5.7×
Venogram svc w serialography (75827) $6,489 $6,489 3.9×
Venography ext unilateral (75820) $5,314 $5,314 3.2×
Venography renal unilateral selective rs&i (75831) $18,676 $18,676 5.7×
Venography venous sinus/jugular cath rs&i (75860) $7,258 $7,258 2.2×
Venous sampling by catheter (75893) $18,544 $18,544 3.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $5,066 $5,066 55.7×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $4,378 $4,378 48.2×
X-ray aorta leg arteries (75630) $20,164 $20,164 6.1×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $12,494 $12,494 68.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $4,450 $4,450 49.0×
X-ray exam hips bi 3-4 views (73522) $3,814 $3,814 34.9×
X-ray exam of finger(s) (73140) $2,513 $2,513 27.7×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $5,513.50 $5,513.50 60.7×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $4,003 $4,003 44.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $4,378 $4,378 48.2×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $3,332 $3,332 30.5×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $4,450 $4,450 49.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $4,003 $4,003 44.0×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $264.15 $264.15 2.9×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $5,420 $5,420 49.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $6,051 $6,051 55.4×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $10,001 $10,001 91.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $6,306 $6,306 69.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $3,663 $3,663 33.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $5,806 $5,806 63.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $4,595 $4,595 50.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $6,692 $6,692 73.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $5,751 $5,751 52.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $3,092 $3,092 28.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $2,513 $2,513 27.7×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $3,332 $3,332 36.7×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $4,450 $4,450 49.0×
Xr abdomen 1 view (74018) $3,549 $3,549 39.1×
Xr abdomen 2 views (74019) $3,802 $3,802 34.8×
Xr abdomen 3 views (74021) $3,802 $3,802 34.8×
Xr bone density axial (77080) $1,395 $1,395 12.8×
Xr chest 1 view (71045) $1,157 $1,157 12.7×
Xr chest 2 views (71046) $3,616 $3,616 39.8×
Xr chest 3 views (71047) $3,893 $3,893 42.8×
Xr cystogram 3+ views (74430) $2,757 $2,757 7.6×
Xr facial bones 3 views (70150) $5,513.50 $5,513.50 50.5×
Xr lumbar spine 4 views w/ flex ext (72120) $1,380 $1,380 12.6×
Xr mandible 4 views (70110) $5,298 $5,298 48.5×
Xr nasal bones (70160) $5,196 $5,196 57.2×
Xr pelvis 3 views (72190) $5,420 $5,420 49.6×
Xr spine 1 view (72020) $5,468 $5,468 60.2×
Xr sternum 2 views (71120) $5,743 $5,743 63.2×
Xr surgical specimen (76098) $2,743 $2,743 4.8×
Xr upper extremity 2 views infant (73092) $4,134 $4,134 37.9×
Xray elbow 2 views (73070) $3,332 $3,332 36.7×
Xray forearm 2 views (73090) $3,332 $3,332 36.7×
Xray knee 1 or 2 views rt (73560) $4,546 $4,546 50.0×
Xray neck soft tissue (70360) $4,003 $4,003 44.0×
Xray orbits complete min 4 views (70200) $728.50 $728.50 6.7×
Xray pelvis 1 or 2 views (72170) $4,403 $4,403 40.3×
Xray ribs bilateral 3 views (71110) $6,994 $6,994 64.1×
Xray scapula complete (73010) $4,538 $4,538 41.6×
Xray shoulder 1 view (73020) $3,332 $3,332 36.7×
Xray sinuses paranasal <3 views (70210) $4,058 $4,058 44.7×
Xray spine thoracic 2 views (72070) $4,271 $4,271 39.1×
Xray spine thoracic 3 views (72072) $5,806 $5,806 53.2×
Xray tibia-fibula 2 views bil (73590) $4,003 $4,003 44.0×
Xray tmj's bilateral open-clsc (70330) $5,454 $5,454 60.0×