Imaging prices at HCA Florida Lake Monroe Hospital
Sanford, FL · every code in this section with a posted price and a Medicare benchmark.
337 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) | $8,039.75 | $8,039.75 | 5.6× |
| Abdomen 1 View (74018) | $408.75 | $408.75 | 4.5× |
| Abdomen 2 views (74019) | $780.75 | $780.75 | 7.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,392 | $4,392 | 10.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $3,740.75 | $3,740.75 | 2.8× |
| Angio internal mammary (75756) | $12,765.75 | $12,765.75 | 3.9× |
| Angio pulmonary bilat (75743) | $6,504 | $6,504 | 2.0× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,281.50–$6,500 | $6,281.50–$6,500 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$6,176.75–$7,224 | $6,176.75–$7,224 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,176.75 | $6,176.75 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $15,303.75 | $15,303.75 | 4.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$522.50–$784.25 | $522.50–$784.25 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$6,176.75–$6,277.50 | $6,176.75–$6,277.50 | varies |
| Artery X-Rays Abdomen (75726) | $6,176.75 | $6,176.75 | 1.1× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$6,821.75–$7,059.75 | $6,821.75–$7,059.75 | varies |
| Artery X-Rays Spine (75705) | $22,008.75 | $22,008.75 | 3.8× |
| Arthrogram ankle (73615) | $1,405.25 | $1,405.25 | 3.9× |
| Arthrogram hip (73525) | $1,405.25 | $1,405.25 | 3.9× |
| Arthrogram Wrist (73115) | $1,405.25 | $1,405.25 | 3.9× |
| Basic radiation dosimetry calculation (77300) | $1,344.50 | $1,344.50 | 9.6× |
| Bone age studies (77072) | $482.50 | $482.50 | 4.4× |
| Bone Imaging 3 Phase (78315) | $12,452.75 | $12,452.75 | 29.8× |
| Bone Imaging Limited Area (78300) | $5,057 | $5,057 | 12.1× |
| Bone Imaging Multiple Areas (78305) | $7,000.25 | $7,000.25 | 16.8× |
| Bone Imaging Whole Body (78306) | $12,626.50 | $12,626.50 | 30.2× |
| Bone survey infant (77076) | $3,696.75 | $3,696.75 | 33.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,756.25 | $8,756.25 | 15.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $19,629 | $19,629 | 13.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $6,942 | $6,942 | 12.2× |
| Cat Scan Follow-Up Study (76380) | $3,618.25 | $3,618.25 | 39.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $7,096 | $7,096 | 12.5× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $3,602 | $3,602 | 6.4× |
| Cerebrospinal Fluid Scan (78630) | $2,854 | $2,854 | 5.0× |
| Chest 1 view (71045) | $408.75 | $408.75 | 4.5× |
| Chest 2 views (71046) | $408.75 | $408.75 | 4.5× |
| Chest 3 views (71047) | $408.75 | $408.75 | 4.5× |
| Chest 4 or more views (71048) | $780.75 | $780.75 | 7.2× |
| Cholecystography Oral Contrast (74290) | $4,775 | $4,775 | 26.1× |
| Cisternography Positive Contrast Rs&I (70015) | $12,419.75 | $12,419.75 | 15.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,847.50–$4,271.25 | $2,847.50–$4,271.25 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,272.25 | $1,272.25 | 11.7× |
| Continuing medical physics consltj pr wk (77336) | $606.50 | $606.50 | 4.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,176.75–$16,714.25 | $6,176.75–$16,714.25 | varies |
| Contrast X-Ray Bladder (74430) | $6,034.75 | $6,034.75 | 16.6× |
| Contrast X-Ray Of Elbow (73085) | $1,405.25 | $1,405.25 | 3.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,699.75 | $1,699.75 | 4.7× |
| Corpora cavernosography (74445) | $7,452.50 | $7,452.50 | 68.3× |
| CT abdomen and pelvis without and with contrast (74178) | $29,550.50 | $29,550.50 | 81.1× |
| CT abdomen and pelvis without contrast (74176) | $29,550.50 | $29,550.50 | 118.6× |
| CT abdomen w contrast (74160) | $20,430.75 | $20,430.75 | 111.5× |
| CT abdomen w wo contrast (74170) | $23,643 | $23,643 | 129.1× |
| CT abdomen w/o contrast (74150) | $19,878.50 | $19,878.50 | 182.1× |
| CT Angio Abdomen and Pelvis (74174) | $29,550.50 | $29,550.50 | 81.1× |
| CT Angio Chest (71275) | $18,386 | $18,386 | 100.4× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,497.75–$16,806.75 | $1,497.75–$16,806.75 | varies |
| CT angio hrt w/3d image (75574) | $17,724.50 | $17,724.50 | 48.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $18,386 | $18,386 | 100.4× |
| CT Angio Neck (70498) | $16,806.75 | $16,806.75 | 91.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $18,386 | $18,386 | 100.4× |
| CT cervical spine w/ contrast (72126) | $14,431.75 | $14,431.75 | 39.6× |
| CT cervical spine w/o contrast (72125) | $13,879.50 | $13,879.50 | 127.1× |
| CT cervical spine w/wo cont (72127) | $17,790 | $17,790 | 97.1× |
| CT chest w contrast (71260) | $19,844.25 | $19,844.25 | 108.3× |
| CT chest w/wo contrast (71270) | $23,459.25 | $23,459.25 | 128.1× |
| CT head/brain with contrast (70460) | $20,208.75 | $20,208.75 | 110.3× |
| CT head/brain without and with contrast (70470) | $26,169 | $26,169 | 142.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $22,156.50 | $22,156.50 | 60.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,272.25 | $1,272.25 | 14.0× |
| CT hrt w/3d image congen (75573) | $17,724.50 | $17,724.50 | 48.7× |
| CT iac w contrast (70481) | $12,708 | $12,708 | 69.4× |
| CT l-spine w&w/o contrast (72133) | $17,790 | $17,790 | 97.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$15,282.25–$23,350.25 | $15,282.25–$23,350.25 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$15,833.25–$23,350.75 | $15,833.25–$23,350.75 | varies |
| CT lumbar spine w contrast (72132) | $14,431.75 | $14,431.75 | 39.6× |
| CT lumbar spine w/o contrast (72131) | $13,879.50 | $13,879.50 | 127.1× |
| CT maxillofacial w contrast (70487) | $12,708 | $12,708 | 69.4× |
| CT maxillofacial wo contrast (70486) | $12,152.50 | $12,152.50 | 111.3× |
| CT neck tissue combo (70492) | $16,459.50 | $16,459.50 | 89.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $16,459.50 | $16,459.50 | 89.9× |
| CT orbits w/o contrast (70480) | $12,152.50 | $12,152.50 | 111.3× |
| CT pelvis w&w/o contrast (72194) | $21,978 | $21,978 | 120.0× |
| CT pelvis w/o contrast (72192) | $19,201.25 | $19,201.25 | 175.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$18,463.50–$23,350.75 | $18,463.50–$23,350.75 | varies |
| CT scans face/jaw combo (70488) | $16,459.50 | $16,459.50 | 89.9× |
| CT soft tissue neck w contrast (70491) | $12,708 | $12,708 | 69.4× |
| CT soft tissue neck w/o contrast (70490) | $12,152.50 | $12,152.50 | 111.3× |
| CT thoracic spine w contrast (72129) | $14,431.75 | $14,431.75 | 78.8× |
| CT thoracic spine w/o contrast (72128) | $13,879.50 | $13,879.50 | 127.1× |
| CT thoracic spine w/wo cont (72130) | $17,790 | $17,790 | 97.1× |
| CT thorax w/o contrast (71250) | $19,290.75 | $19,290.75 | 176.7× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$15,282.25–$23,350.75 | $15,282.25–$23,350.75 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$18,463.50–$23,350.75 | $18,463.50–$23,350.75 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$15,833.25–$23,350.75 | $15,833.25–$23,350.75 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,386 | $18,386 | 100.4× |
| Cta Abdomen (74175) | $18,386 | $18,386 | 100.4× |
| CTA pelvis (72191) | $18,386 | $18,386 | 100.4× |
| Dilation ureters/urethra rs&i (74485) | $6,464 | $6,464 | 3.0× |
| Diskography lumbar (72295) | $3,129.50 | $3,129.50 | 1.5× |
| Dxa Bone Density Axial (77080) | $1,149.50 | $1,149.50 | 10.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,083.50 | $1,083.50 | 11.9× |
| Echo Guide For Artery Repair (76936) | $5,631.75 | $5,631.75 | 25.0× |
| Echograp Trans R Pros Study (76873) | $4,707.75 | $4,707.75 | 43.1× |
| Esophagram (74220) | $4,640 | $4,640 | 25.3× |
| Fetal Biophys Profile W/Nst (76818) | $3,351.25 | $3,351.25 | 30.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,262.25 | $1,262.25 | 11.6× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$3,322–$3,706 | $3,322–$3,706 | varies |
| Follow-Up Angiography (75898) | $1,493 | $1,493 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,644.75–$2,467.50 | $1,644.75–$2,467.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,709.75–$4,066.25 | $2,709.75–$4,066.25 | varies |
| Gastric emptying imaging study (78264) | $2,961.75 | $2,961.75 | 7.1× |
| Gated Heart Planar Single (78472) | $6,290.75 | $6,290.75 | 15.1× |
| Gated Heart, Multiple (78473) | $7,475.75 | $7,475.75 | 17.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,950–$2,925.75 | $1,950–$2,925.75 | varies |
| Heart first pass single,planar (78481) | $3,303.25 | $3,303.25 | 5.8× |
| Hepatobil Syst Image W/Drug (78227) | $11,453.50 | $11,453.50 | 20.2× |
| Hepatobiliary System Imaging (78226) | $12,026.25 | $12,026.25 | 28.8× |
| Ht Muscle Image Spect Sing (78451) | $10,305.75 | $10,305.75 | 7.6× |
| Hysterosalpingogram (74740) | $5,404 | $5,404 | 21.7× |
| Infusion Ivp (74410) | $6,208 | $6,208 | 33.9× |
| Intracavitary radiation source applic simple (77761) | $2,154.50 | $2,154.50 | 3.7× |
| K Flow/Funct Image Multiple (78709) | $16,782.75 | $16,782.75 | 29.6× |
| K Flow/Funct Image W/O Drug (78707) | $11,956.50 | $11,956.50 | 21.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$3,251–$4,877.25 | $3,251–$4,877.25 | varies |
| Leveen/Shunt Patency Exam (78291) | $6,691.25 | $6,691.25 | 16.0× |
| Liver & Spleen Imaging Static Only (78215) | $10,485.25 | $10,485.25 | 25.1× |
| Lung Perf&Ventilat Diferentl (78598) | $21,637 | $21,637 | 38.2× |
| Lung perfusion differential (78597) | $9,681.75 | $9,681.75 | 23.2× |
| Lung Ventilat&Perfus Imaging (78582) | $21,637 | $21,637 | 38.2× |
| Lung Ventilation Imaging (78579) | $11,475 | $11,475 | 27.5× |
| Lymph System Imaging (78195) | $5,907 | $5,907 | 10.4× |
| Magnetic Image Jaw Joint (70336) | $17,642.50 | $17,642.50 | 70.8× |
| Mammary ductogram or galactogram multiple (77054) | $3,183.50 | $3,183.50 | 12.8× |
| Mammary ductogram or galactogram single (77053) | $1,303.25 | $1,303.25 | 5.2× |
| Meckels Divert Exam (78290) | $7,525.25 | $7,525.25 | 18.0× |
| Mra Head W/O & W/Contrast Material (70546) | $13,887.75 | $13,887.75 | 38.1× |
| MRA head w/o contrast (70544) | $11,576 | $11,576 | 46.5× |
| MRA head with contrast (70545) | $13,116 | $13,116 | 36.0× |
| MRA neck w contrast (70548) | $13,116 | $13,116 | 36.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $13,887.75 | $13,887.75 | 38.1× |
| MRA neck w/o contrast (70547) | $11,576 | $11,576 | 46.5× |
| MRI abdomen w contrast (74182) | $11,576 | $11,576 | 31.8× |
| MRI abdomen w/o contrast (74181) | $9,826.75 | $9,826.75 | 39.4× |
| MRI any jt lower extrem w/contrast material (73722) | $17,750.50 | $17,750.50 | 21.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $18,523 | $18,523 | 50.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $17,750.50 | $17,750.50 | 21.7× |
| MRI bone marrow blood supply (77084) | $16,813 | $16,813 | 67.5× |
| MRI cervical spine w contrast (72142) | $18,925.75 | $18,925.75 | 51.9× |
| MRI cervical spine w/o cont (72141) | $6,223.25 | $6,223.25 | 25.0× |
| MRI chest w/o contrast (71550) | $8,522.75 | $8,522.75 | 34.2× |
| MRI chest with contrast (71551) | $10,033.25 | $10,033.25 | 12.3× |
| MRI chest wo w contrast (71552) | $10,802.75 | $10,802.75 | 29.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $16,972.25 | $16,972.25 | 46.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $17,738 | $17,738 | 48.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $15,433.75 | $15,433.75 | 61.9× |
| MRI lumbar spine w contrast (72149) | $17,581.75 | $17,581.75 | 48.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $20,782.50 | $20,782.50 | 57.0× |
| MRI orbit face &/neck w/o contrast (70540) | $11,621.50 | $11,621.50 | 46.6× |
| MRI orbit face neck w contrast (70542) | $13,116 | $13,116 | 36.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $13,887.75 | $13,887.75 | 38.1× |
| MRI pelvis w contrast (72196) | $18,472.25 | $18,472.25 | 50.7× |
| MRI pelvis w/o & w contrast (72197) | $17,750.50 | $17,750.50 | 48.7× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$13,773.75–$15,872 | $13,773.75–$15,872 | varies |
| MRI thoracic spine w/o contrast (72146) | $6,129.50 | $6,129.50 | 24.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $15,433.75 | $15,433.75 | 42.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,887.75 | $13,887.75 | 55.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $16,018.25 | $16,018.25 | 44.0× |
| MRI, abdomen, combo (74183) | $11,611.25 | $11,611.25 | 31.9× |
| MRI, dorsal spine combo (72157) | $21,800.25 | $21,800.25 | 59.8× |
| MRI, dorsal spine contrast (72147) | $17,137.50 | $17,137.50 | 47.0× |
| MRI, joint upper extrem (73221) | $15,929.25 | $15,929.25 | 63.9× |
| MRI, joint upper extrem combo (73223) | $18,523 | $18,523 | 50.8× |
| MRI, lumbar spine combo (72158) | $20,835.75 | $20,835.75 | 57.2× |
| Myelogram cervical (72240) | $9,614.50 | $9,614.50 | 11.7× |
| Myelogram Lumbar (72265) | $15,659.50 | $15,659.50 | 19.1× |
| Myelography thoracic (72255) | $15,659.50 | $15,659.50 | 19.1× |
| Myelograpy 2/more regions rs&i (72270) | $16,348.75 | $16,348.75 | 20.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $4,407.75 | $4,407.75 | 10.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $15,447.75 | $15,447.75 | 11.4× |
| Myocardial Spect Multiple Studies (78452) | $19,654 | $19,654 | 14.5× |
| Neck soft tissue (70360) | $2,483.50 | $2,483.50 | 27.3× |
| Nm csf leak detection (78650) | $8,693.25 | $8,693.25 | 6.4× |
| Nonvascular Shunt X-Ray (75809) | $819 | $819 | 7.5× |
| Nuclear Rx Oral Admin (79005) | $11,496 | $11,496 | 47.2× |
| Optic foramina (70190) | $1,956 | $1,956 | 21.5× |
| Panoramic X-ray of jaws (70355) | $2,198.25 | $2,198.25 | 24.2× |
| Parathyroid Planar Imaging (78070) | $5,955 | $5,955 | 14.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,456.50 | $2,456.50 | 5.9× |
| Pelvis 1 or 2 views (72170) | $3,024.50 | $3,024.50 | 27.7× |
| Peritoneogram Rs&I (74190) | $6,056.25 | $6,056.25 | 10.6× |
| Pet Image W/Ct Lmtd (78814) | $18,175 | $18,175 | 12.2× |
| PET image w/CT, full body (78816) | $19,629 | $19,629 | 13.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$18,175–$19,629 | $18,175–$19,629 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,167.50 | $10,167.50 | 24.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $4,140.75 | $4,140.75 | 37.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,279.25 | $1,279.25 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$3,134.50–$4,702.50 | $3,134.50–$4,702.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$2,737.50–$4,104.75 | $2,737.50–$4,104.75 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$3,562–$5,342 | $3,562–$5,342 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,050.25 | $3,050.25 | 27.9× |
| Radex fingr minimum 2 views (73140) | $2,423.25 | $2,423.25 | 26.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$3,105–$4,656 | $3,105–$4,656 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,898.25–$4,345.50 | $2,898.25–$4,345.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $522.50 | $522.50 | 5.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $3,106.50 | $3,106.50 | 28.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,050.25 | $3,050.25 | 33.6× |
| Radex Ribs Unilateral 2 Views (71100) | $3,633.50 | $3,633.50 | 40.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,251–$4,877.25 | $3,251–$4,877.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,935.25 | $1,935.25 | 21.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,234.75 | $2,234.75 | 12.2× |
| Radex Spine 1 View Specify Level (72020) | $2,538.25 | $2,538.25 | 27.9× |
| Radex Sternum Minimum 2 Views (71120) | $3,235.25 | $3,235.25 | 35.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,760.25 | $1,760.25 | 19.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$2,361–$3,542.25 | $2,361–$3,542.25 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $737.75 | $737.75 | 6.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,798.25–$4,196 | $2,798.25–$4,196 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,531.25 | $1,531.25 | 14.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,982.75 | $2,982.75 | 27.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $780.75 | $780.75 | 7.2× |
| Radiologic exam colon double contrast study (74280) | $7,731.75 | $7,731.75 | 42.2× |
| Radiologic exam colon single contrast study (74270) | $6,430.75 | $6,430.75 | 35.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,619 | $3,619 | 19.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$3,300.25–$4,948.75 | $3,300.25–$4,948.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,292.25 | $5,292.25 | 28.9× |
| Radiologic exam swallow function contrast study (74230) | $2,861.50 | $2,861.50 | 15.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,843.25 | $3,843.25 | 21.0× |
| Radiologic examination femur 1 view (73551) | $485.75 | $485.75 | 5.3× |
| Radiologic examination femur minimum 2 views (73552) | $485.75 | $485.75 | 5.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$3,251–$4,877.25 | $3,251–$4,877.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $6,248 | $6,248 | 57.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $2,067 | $2,067 | 22.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,861.50–$4,290.50 | $2,861.50–$4,290.50 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $3,648 | $3,648 | 6.4× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $7,574.25 | $7,574.25 | 31.1× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $8,414 | $8,414 | 34.5× |
| Ribs bilateral 3 views (71110) | $4,694.75 | $4,694.75 | 43.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $8,116.75 | $8,116.75 | 19.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,672.50 | $7,672.50 | 18.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $15,897.75 | $15,897.75 | 28.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,146.50 | $5,146.50 | 9.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,090.75 | $8,090.75 | 14.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,008.50 | $7,008.50 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $8,414 | $8,414 | 34.5× |
| Salivary Gland Imaging (78230) | $2,968.25 | $2,968.25 | 7.1× |
| Scapula (73010) range across 3 matching MRF lines |
$2,821.50–$4,230.75 | $2,821.50–$4,230.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $299.75 | $299.75 | 12.8× |
| Sella turcica (70240) | $1,438.50 | $1,438.50 | 15.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,363.25–$2,044.75 | $1,363.25–$2,044.75 | varies |
| Shoulder Arthrography (73040) | $1,741.50 | $1,741.50 | 4.8× |
| Sialogram (70390) | $1,138 | $1,138 | 4.6× |
| Skull less than 4 views (70250) | $3,058.75 | $3,058.75 | 28.0× |
| Special Physics Consult (77370) | $606.50 | $606.50 | 4.3× |
| Sternoclavicular joints (71130) | $2,161.50 | $2,161.50 | 23.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $5,910.50 | $5,910.50 | 23.7× |
| Testicular Imaging W/Flow (78761) | $8,962.50 | $8,962.50 | 21.5× |
| Thoracic spine 2 views (72070) | $2,951.75 | $2,951.75 | 27.0× |
| Thoracic spine 3 views (72072) | $3,196.25 | $3,196.25 | 29.3× |
| Thoracolumbar 2 views (72080) | $2,951.75 | $2,951.75 | 32.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,147.50 | $1,147.50 | 2.7× |
| Thyroid Met Imaging Body (78018) | $12,697 | $12,697 | 22.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,778.25 | $1,778.25 | 4.3× |
| Tx Devices Design & Construction Complex (77334) | $2,010.75 | $2,010.75 | 5.1× |
| Ultrasound Breast Limited (76642) | $3,691 | $3,691 | 40.6× |
| Ultrasound Exam Aaa Screen (76706) | $777 | $777 | 7.1× |
| Ultrasound, abdomen limited (76705) | $2,045.50 | $2,045.50 | 18.7× |
| Unlisted magnetic resonance procedure (76498) | $18,797.50 | $18,797.50 | 206.8× |
| Upper gi w/o kub (74240) | $4,952.50 | $4,952.50 | 27.0× |
| Ureteral Reflux Study (78740) | $3,458.75 | $3,458.75 | 8.3× |
| Urethrocystogram voiding (74455) | $5,758.50 | $5,758.50 | 23.1× |
| Urethrocystography retrograde (74450) | $7,890.75 | $7,890.75 | 31.7× |
| Us breast unilateral complete (76641) | $3,691 | $3,691 | 33.8× |
| Us chest (76604) | $1,052.25 | $1,052.25 | 9.6× |
| Us complete joint (76881) | $1,816 | $1,816 | 16.6× |
| Us exam, pelvic, limited (76857) | $2,130.25 | $2,130.25 | 19.5× |
| Us kidney transplant (76776) | $4,403 | $4,403 | 40.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,709.25 | $1,709.25 | 15.7× |
| Us ob limited 1 or more fetuses (76815) | $2,121.50 | $2,121.50 | 19.4× |
| Us ob transvaginal (76817) | $4,570.75 | $4,570.75 | 41.9× |
| Us pelvic non ob complete (76856) | $5,101.75 | $5,101.75 | 46.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,992.50 | $2,992.50 | 27.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,557 | $1,557 | 14.3× |
| Us retroperitoneal complete (76770) | $2,992.50 | $2,992.50 | 27.4× |
| Us retroperitoneal limited (76775) | $1,709.25 | $1,709.25 | 15.7× |
| Us scrotum and contents (76870) | $4,707.75 | $4,707.75 | 43.1× |
| Us spinal canal and contents (76800) | $4,862 | $4,862 | 44.5× |
| Us thyroid (76536) | $4,434 | $4,434 | 40.6× |
| Us transrectal (76872) | $3,269.75 | $3,269.75 | 30.0× |
| Vein X-Ray Chest (75827) | $6,176.75 | $6,176.75 | 3.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $10,731 | $10,731 | 3.3× |
| Vein X-Ray Spleen/Liver (75810) | $6,176.75 | $6,176.75 | 1.9× |
| Venogram Sinus/Jugular (75860) | $6,176.75 | $6,176.75 | 1.9× |
| Venography Adrenal Unilateral (75840) | $9,018.50 | $9,018.50 | 2.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$6,176.75–$6,396.25 | $6,176.75–$6,396.25 | varies |
| Venography extremity bilateral rs&i (75822) | $1,299.25 | $1,299.25 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $857 | $857 | 0.5× |
| Venography Renal Bilateral (75833) | $17,340.50 | $17,340.50 | 5.3× |
| Venography Renal Unilateral (75831) | $6,176.75 | $6,176.75 | 1.9× |
| Venous sampling by catheter (75893) | $5,815 | $5,815 | 1.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$522.50–$784.25 | $522.50–$784.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,849.25 | $2,849.25 | 31.4× |
| X-ray antegrade pyelogram tube (74425) | $953.75 | $953.75 | 2.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,706.75–$16,714.25 | $6,706.75–$16,714.25 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,847.25–$2,772.25 | $1,847.25–$2,772.25 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,548.25 | $1,548.25 | 2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $485.75 | $485.75 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $802.25 | $802.25 | 7.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,531.25 | $1,531.25 | 14.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $485.75 | $485.75 | 5.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $485.75 | $485.75 | 5.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $802.25 | $802.25 | 7.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $802.25 | $802.25 | 7.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $802.25 | $802.25 | 7.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,531.25 | $1,531.25 | 14.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,951.75 | $2,951.75 | 32.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,998 | $4,998 | 45.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $4,694.75 | $4,694.75 | 43.0× |
| X-ray eye for foreign body (70030) | $1,023.50 | $1,023.50 | 11.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$2,946–$4,418.50 | $2,946–$4,418.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $7,527.25 | $7,527.25 | 41.1× |
| X-ray IV pyelogram+tomography (74415) | $8,638.75 | $8,638.75 | 47.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,644.75 | $1,644.75 | 18.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,302.25 | $3,302.25 | 36.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,951.75 | $2,951.75 | 27.0× |
| X-ray nose-rectum child f.b. (76010) | $3,094.25 | $3,094.25 | 34.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,215.25 | $5,215.25 | 47.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,079.75 | $1,079.75 | 9.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $542.75 | $542.75 | 5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,262.50 | $3,262.50 | 35.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,930 | $3,930 | 43.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,837.25 | $4,837.25 | 44.3× |
| X-Ray Tmj Unilat (70328) | $1,760.25 | $1,760.25 | 19.4× |
| X-Rays Bone Length Studies (77073) | $959.25 | $959.25 | 8.8× |
| X-Rays Bone Survey Complete (77075) | $6,248 | $6,248 | 57.2× |
| Xr c-spine 4 or 5 views (72050) | $4,157.50 | $4,157.50 | 38.1× |
| Xr facial bones less than 3 views (70140) | $2,880 | $2,880 | 31.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $1,657.25 | $1,657.25 | 15.2× |
| Xr orbits complete 4 views (70200) | $4,020.50 | $4,020.50 | 36.8× |
| Xr Tomogram Single Plane (76100) | $2,929.50 | $2,929.50 | 26.8× |
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.