Imaging prices at HCA Florida Lake City Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $1,997.75 $1,997.75 18.3×
Acute gi blood loss imaging (78278) $10,206 $10,206 24.4×
Angiography extremity bilateral rs&i (75716) $15,959 $15,959 4.8×
Angiography extremity unilateral rs&i (75710) $12,470.50 $12,470.50 3.8×
Angiography internal mammary rs&i (75756) $13,174.25 $13,174.25 4.0×
Angiography pelvic slctv/supraslctv rs&i (75736) $20,376.75 $20,376.75 3.5×
Angiography visceral slctv/supraslctv rs&i (75726) $20,376.75 $20,376.75 3.5×
Ankle 2 views (73600) $1,573 $1,573 17.3×
Aortogram thoracic (75605) $20,376.75 $20,376.75 3.5×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $17,459 $17,459 5.3×
Aortography abdominal serialography rs&i (75625) $7,821 $7,821 2.4×
Arthrogram ankle (73615) $4,051.50 $4,051.50 11.1×
Arthrogram hip (73525) $4,055.25 $4,055.25 11.1×
Arthrogram knee (73580) $6,036.62 $6,036.62 16.6×
Arthrogram shoulder (73040) $3,000.62 $3,000.62 8.2×
Arthrogram wrist (73115) $3,907 $3,907 10.7×
Basic dosimetry (77300) $724 $724 5.2×
Bone &/Joint Imaging Limited Area (78300) $4,327.75 $4,327.75 10.4×
Bone &/joint imaging whole body (78306) $11,166.75 $11,166.75 26.7×
Bone age studies (77072) $698.25 $698.25 6.4×
Bone Imaging 3 Phase (78315) $6,410 $6,410 15.4×
Bone survey complete (77075) $1,547.50 $1,547.50 14.2×
Bone survey infant (77076) $1,547.50 $1,547.50 14.2×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $2,437 $2,437 5.8×
Cervical spine 2 or 3 views (72040) $1,489 $1,489 16.4×
Chest 1 view (71045) $689.50 $689.50 7.6×
Chest xray 3 views (71047) $2,179.75 $2,179.75 24.0×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $2,467.75 $2,467.75 13.5×
Clavicle complete (73000) $1,555 $1,555 17.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $982.50 $982.50 9.0×
Continuing medical physics consltj pr wk (77336) $356.75 $356.75 2.5×
CT abdomen and pelvis without and with contrast (74178) $23,886.75 $23,886.75 65.6×
CT abdomen and pelvis without contrast (74176) $21,326.88 $21,326.88 85.6×
CT abdomen w contrast (74160) $11,306.88 $11,306.88 61.7×
CT abdomen w wo contrast (74170) $11,948.12 $11,948.12 65.2×
CT abdomen w/o contrast (74150) $10,666.88 $10,666.88 97.7×
CT angio lwr extr w/o&w/dye (73706) $22,732.25 $22,732.25 124.1×
CT c-spine w/contrast (72126) $11,659.50 $11,659.50 32.0×
CT c-spine w/o contrast (72125) $10,666.88 $10,666.88 97.7×
CT cervical spine w&w/o contrast (72127) $22,316.25 $22,316.25 121.8×
CT chest w contrast (71260) $10,026.38 $10,026.38 54.7×
CT chest w/wo contrast (71270) $10,666.88 $10,666.88 58.2×
CT head/brain with contrast (70460) $11,342.25 $11,342.25 61.9×
CT head/brain without and with contrast (70470) $11,948.12 $11,948.12 65.2×
CT iac w contrast (70481) $11,342.25 $11,342.25 61.9×
CT lower ext w/o (73700) $7,684.88 $7,684.88 70.4×
CT lower extremity w wo contrast (73702) $9,418.75 $9,418.75 51.4×
CT lower extremity w/contrast material (73701) $8,320.38 $8,320.38 45.4×
CT lumbar spine w & w/o contrast (72133) $24,425.50 $24,425.50 133.3×
CT lumbar spine w/contrast (72132) $11,659.50 $11,659.50 32.0×
CT lumbar spine w/o contrast (72131) $10,666.88 $10,666.88 97.7×
CT maxillofacial w contrast (70487) $11,342.25 $11,342.25 61.9×
CT maxillofacial w/wo contrast (70488) $12,517.50 $12,517.50 68.3×
CT maxillofacial wo contrast (70486) $10,666.88 $10,666.88 97.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $10,666.88 $10,666.88 58.2×
CT orbits w/o contrast (70480) $10,666.88 $10,666.88 97.7×
CT pelvis w/o contrast (72192) $10,666.88 $10,666.88 97.7×
CT pelvis w/wo contrast (72194) $11,948.12 $11,948.12 65.2×
CT scan of arm combo (73202) $9,418.75 $9,418.75 51.4×
CT soft tissue neck w contrast (70491) $11,342.25 $11,342.25 61.9×
CT soft tissue neck w/o & w/contrast material (70492) $12,019.50 $12,019.50 65.6×
CT soft tissue neck w/o contrast (70490) $10,666.88 $10,666.88 97.7×
CT thoracic spine w/contrast (72129) $11,917 $11,917 65.1×
CT thoracic spine w/o contrast (72128) $10,666.88 $10,666.88 97.7×
CT thoracic spine w/wo contrast (72130) $23,084 $23,084 126.0×
CT thorax w/o contrast (71250) $9,387.25 $9,387.25 86.0×
CT upper ext wo (73200) $7,684.88 $7,684.88 70.4×
CT upper extremity with contrast (73201) $8,320.38 $8,320.38 22.8×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $11,948.12 $11,948.12 65.2×
Cta Abdomen (74175) $11,948.12 $11,948.12 65.2×
CTA abdomen pelvis (74174) $2,499 $2,499 6.9×
CTA chest (71275) $10,666.88 $10,666.88 58.2×
Cta Head (70496) $11,378.75 $11,378.75 62.1×
Cta Neck (70498) $11,378.75 $11,378.75 62.1×
Cta Pelvis (72191) $11,948.12 $11,948.12 65.2×
Cystography minimum 3 views rs&i (74430) $2,934 $2,934 8.1×
Esophagus (74220) $2,939.75 $2,939.75 16.0×
Facial bones min 3 views (70150) $2,391.25 $2,391.25 21.9×
Fluoroscopy up to 1 hr (76000) $2,119.50 $2,119.50 8.5×
Foot 2 views (73620) $1,405.25 $1,405.25 15.5×
Forearm 2 views (73090) $1,997.75 $1,997.75 22.0×
Hand 2 views (73120) $1,374.25 $1,374.25 12.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,348.50 $1,348.50 2.4×
Hepatobiliary syst imaging including gallbladder (78226) $1,348.50 $1,348.50 3.2×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $7,902.50 $7,902.50 13.9×
Kidney img morphology vascular flow 1 w/rx (78708) $8,852.75 $8,852.75 15.6×
Kidney Img Morphology Vascular Flow Multiple (78709) $7,902.50 $7,902.50 13.9×
Knee 3 views (73562) $2,087 $2,087 23.0×
Liver & spleen imaging static only (78215) $7,193.50 $7,193.50 17.2×
Lung ventilation imaging (78579) $933.75 $933.75 2.2×
Lymphoscintigraphy (78195) $7,527 $7,527 13.3×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $8,844.50 $8,844.50 10.8×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $8,844.50 $8,844.50 24.3×
Mlc imrt design & construction per imrt plan (77338) $1,013 $1,013 2.6×
MRA head w & w/o contrast (70546) $8,844.50 $8,844.50 24.3×
MRA head w/o contrast (70544) $7,197.25 $7,197.25 28.9×
MRA neck w contrast (70548) $8,844.50 $8,844.50 24.3×
MRA neck w/o contrast (70547) $7,197.25 $7,197.25 28.9×
MRI abdomen w/o & w/contrast material (74183) $8,844.50 $8,844.50 24.3×
MRI abdomen w/o contrast (74181) $7,197.25 $7,197.25 28.9×
MRI any jt lower extrem w/contrast material (73722) $8,844.50 $8,844.50 10.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $8,844.50 $8,844.50 24.3×
MRI c-spine with contrast (72142) $8,844.50 $8,844.50 24.3×
MRI cervical spine w/o contrast (72141) $7,197.25 $7,197.25 28.9×
MRI chest w/o & w/contrast material (71552) $7,641 $7,641 21.0×
MRI chest w/o contrast (71550) $6,426.50 $6,426.50 25.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $8,844.50 $8,844.50 24.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $7,197.25 $7,197.25 28.9×
MRI orbit face &/neck w/o contrast (70540) $7,197.25 $7,197.25 28.9×
MRI orbit face neck w contrast (70542) $8,844.50 $8,844.50 24.3×
MRI orbit/face/neck w&w/o cont (70543) $8,844.50 $8,844.50 24.3×
MRI pelvis w/o & w/contrast material (72197) $8,844.50 $8,844.50 24.3×
MRI pelvis w/o contrast (72195) $7,197.25 $7,197.25 28.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $8,844.50 $8,844.50 24.3×
MRI spinal canal lumbar w/contrast material (72149) $8,844.50 $8,844.50 24.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $8,844.50 $8,844.50 24.3×
MRI spinal canal thoracic w/contrast matrl (72147) $8,844.50 $8,844.50 24.3×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $8,844.50 $8,844.50 24.3×
MRI thoracic spine w/o contrast (72146) $7,197.25 $7,197.25 28.9×
MRI up ext w/o contrast (73218) $7,197.25 $7,197.25 28.9×
MRI upper ext joint w/o contrast (73221) $7,197.25 $7,197.25 28.9×
Myocardial Spect Multiple Studies (78452) $23,745 $23,745 17.6×
Myocardial spect single study at rest or stress (78451) $7,513 $7,513 5.6×
Neck soft tissue (70360) $1,840.75 $1,840.75 20.3×
Nm gastric emptying study (78264) $8,259.50 $8,259.50 19.8×
Ntsty modul radthx pln dose-vol histos (77301) $6,246 $6,246 4.3×
Osseous survey limited (77074) $1,547.50 $1,547.50 14.2×
Parathyroid Planar Imaging (78070) $6,959.50 $6,959.50 16.7×
Pelvis 1 or 2 views (72170) $1,942.25 $1,942.25 17.8×
Pulmonary Perfusion Imaging Particulate (78580) $6,952.75 $6,952.75 16.7×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,457.25 $1,457.25 2.6×
Radex abscess/fistula/sinus tract rs&i (76080) $923.75 $923.75 1.6×
Radex Ankle Compl Minimum 3 Views (73610) $2,136.25 $2,136.25 23.5×
Radex Calcaneus Minimum 2 Views (73650) $2,004.75 $2,004.75 22.1×
Radex Elbw Compl Minimum 3 Views (73080) $2,290.75 $2,290.75 25.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $2,471.75 $2,471.75 27.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $2,471.75 $2,471.75 22.6×
Radex fingr minimum 2 views (73140) $1,673.50 $1,673.50 18.4×
Radex Foot Compl Minimum 3 Views (73630) $1,979.25 $1,979.25 21.8×
Radex Hand Minimum 3 Views (73130) $2,056 $2,056 22.6×
Radex Hip Unilateral With Pelvis 1 View (73501) $2,974.50 $2,974.50 32.7×
Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) $4,006.25 $4,006.25 36.7×
Radex Hips Bilateral With Pelvis 2 Views (73521) $6,071 $6,071 55.6×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $6,071 $6,071 55.6×
Radex Humerus Minimum 2 Views (73060) $2,762.12 $2,762.12 30.4×
Radex Kne 1/2 Views (73560) $1,923.25 $1,923.25 21.2×
Radex Kne Compl 4/More Views (73564) $2,252.75 $2,252.75 20.6×
Radex Mndbl Compl Minimum 4 Views (70110) $2,694.50 $2,694.50 24.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,171 $2,171 23.9×
Radex Sho Compl Minimum 2 Views (73030) $2,298.75 $2,298.75 25.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,373.50 $2,373.50 26.1×
Radex Toe Minimum 2 Views (73660) $1,573 $1,573 17.3×
Radex upper extremity infant minimum 2 views (73092) $3,991.75 $3,991.75 36.6×
Radex Wrst Compl Minimum 3 Views (73110) $1,964.75 $1,964.75 21.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $689.50 $689.50 7.6×
Radiologic exam chest 2 views (71046) $1,365.75 $1,365.75 15.0×
Radiologic exam colon single contrast study (74270) $4,542 $4,542 24.8×
Radiologic exam upr gi trc double contrast study (74246) $4,344 $4,344 23.7×
Radiologic exam upr gi trc single contrast study (74240) $3,942.25 $3,942.25 21.5×
Radiologic examination femur 1 view (73551) $1,100.50 $1,100.50 12.1×
Radiologic examination tibia & fibula 2 views (73590) $2,041.25 $2,041.25 22.5×
Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) $193.50 $193.50 1.8×
Radiological examination surgical specimen (76098) $1,129.50 $1,129.50 2.0×
Ribs bilateral 3 views (71110) $1,547.50 $1,547.50 14.2×
Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) $3,095.25 $3,095.25 7.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $18,904.25 $18,904.25 33.3×
Rp loclzj tum plnr whole body single day imaging (78802) $9,942.50 $9,942.50 17.5×
Rp loclzj tum spect 1 area single day imaging (78803) $5,764.75 $5,764.75 10.2×
Scapula (73010) $3,766.75 $3,766.75 34.5×
Screening Digital Breast Tomosynthesis Bi (77063) $182.75 $182.75 7.8×
Shoulder 1 view (73020) $1,154 $1,154 12.7×
Small bowel series (74250) $3,287.75 $3,287.75 17.9×
Spine thoracic 3 views (72072) $1,973.75 $1,973.75 18.1×
Thyroid uptake measurement (78012) $4,280.25 $4,280.25 10.3×
Ultrasound breast complete (76641) $2,166.75 $2,166.75 19.8×
Ultrasound Exam Aaa Screen (76706) $425.75 $425.75 3.9×
Ultrasound, abdomen limited (76705) $3,662.50 $3,662.50 33.5×
Us chest (76604) $399.62 $399.62 3.7×
Us compl joint r-t w/image documentation (76881) $420.88 $420.88 3.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $303.25 $303.25 2.8×
Us ob limited (76815) $224.25 $224.25 2.1×
Us ob transvaginal (76817) $464.25 $464.25 4.3×
Us pelvic non ob complete (76856) $4,339.75 $4,339.75 39.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $241.75 $241.75 2.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $3,773.25 $3,773.25 34.6×
Us retroperitoneal complete (76770) $3,307 $3,307 30.3×
Us retroperitoneal limited (76775) $1,658.50 $1,658.50 15.2×
Us scrotum and contents (76870) $3,354 $3,354 30.7×
Us soft tissue head/neck (76536) $3,125 $3,125 28.6×
Venogram extremity bilateral (75822) $2,648 $2,648 1.6×
Venogram Extremity Unilateral (75820) $2,648 $2,648 1.6×
Wrist 2 views (73100) $1,405.25 $1,405.25 15.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $2,329.50 $2,329.50 21.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,740.75 $1,740.75 19.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $4,490.75 $4,490.75 24.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,979.25 $1,979.25 21.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $4,006.25 $4,006.25 44.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $6,071 $6,071 55.6×
X-ray exam of femur 2/> (73552) $2,233.50 $2,233.50 24.6×
X-ray leg, infant (73592) $1,996 $1,996 22.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,540.75 $2,540.75 23.3×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $3,846 $3,846 35.2×
X-ray nose-rectum child f.b. (76010) $291.50 $291.50 3.2×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $2,531.25 $2,531.25 23.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,365.75 $1,365.75 15.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $2,756 $2,756 25.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $4,555 $4,555 41.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $2,221.25 $2,221.25 20.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,842.50 $1,842.50 20.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,721.25 $2,721.25 29.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $2,846.75 $2,846.75 26.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $1,616.75 $1,616.75 14.8×
X-Ray Spine One View - Xr Spine (72020) $346.25 $346.25 3.8×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $2,221.25 $2,221.25 24.4×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $2,050.50 $2,050.50 22.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $1,973.75 $1,973.75 18.1×
Xr c-spine 4 or 5 views (72050) $2,976.50 $2,976.50 27.3×
Xr c-spine 6 or more views (72052) $3,000 $3,000 27.5×