Imaging prices at HCA Florida Largo Hospital
Largo, FL · every code in this section with a posted price and a Medicare benchmark.
377 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) | $1,619.29 | $1,619.29 | 1.1× |
| Abdomen 1 View (74018) | $1,678.36 | $1,678.36 | 18.5× |
| Abdomen 2 views (74019) | $2,452.13 | $2,452.13 | 22.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,391.73 | $4,391.73 | 10.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $7,049.68 | $7,049.68 | 5.2× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,883.83–$10,001.94 | $8,883.83–$10,001.94 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,700.42 | $7,700.42 | 2.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,203.36–$18,132.88 | $7,203.36–$18,132.88 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$12,039.48–$24,236.34 | $12,039.48–$24,236.34 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$6,548.55–$8,110.15 | $6,548.55–$8,110.15 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$7,203.36–$8,110.15 | $7,203.36–$8,110.15 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,471.89–$2,943.75 | $1,471.89–$2,943.75 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$7,480.32–$8,453.62 | $7,480.32–$8,453.62 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$7,303.33–$16,538.38 | $7,303.33–$16,538.38 | varies |
| Artery X-Rays Adrenal Gland (75731) | $7,569.97 | $7,569.97 | 2.3× |
| Artery X-Rays Pelvis (75736) | $11,029.19 | $11,029.19 | 1.9× |
| Artery X-Rays Spine (75705) | $11,029.19 | $11,029.19 | 1.9× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$609.49–$2,285.70 | $609.49–$2,285.70 | varies |
| Bone age studies (77072) | $1,521.70 | $1,521.70 | 13.9× |
| Bone Imaging 3 Phase (78315) | $10,511.25 | $10,511.25 | 25.2× |
| Bone Imaging Limited Area (78300) | $8,727.40 | $8,727.40 | 20.9× |
| Bone Imaging Multiple Areas (78305) | $9,050.45 | $9,050.45 | 21.7× |
| Bone Imaging Whole Body (78306) | $10,419.64 | $10,419.64 | 25.0× |
| Bone marrow imaging limited area (78102) | $3,627.84 | $3,627.84 | 8.7× |
| Bone marrow imaging; multiple areas (78103) | $8,090.70 | $8,090.70 | 19.4× |
| Bone marrow imaging; whole body (78104) | $8,090.70 | $8,090.70 | 19.4× |
| Bone survey infant (77076) | $2,544.04 | $2,544.04 | 23.3× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$4,774.01–$8,645.47 | $4,774.01–$8,645.47 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$3,064.80–$7,163.56 | $3,064.80–$7,163.56 | varies |
| Brachytx Isodose Plan Simple (77316) | $5,681.65 | $5,681.65 | 14.5× |
| Brain Flow Imaging Only (78610) | $7,966.52 | $7,966.52 | 14.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $10,645.38 | $10,645.38 | 18.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $7,747.64 | $7,747.64 | 13.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$23,425.88–$24,434.27 | $23,425.88–$24,434.27 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $713 | $713 | 1.7× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $8,445.91 | $8,445.91 | 14.9× |
| Cardiac Shunt Detection (78428) | $1,599.62 | $1,599.62 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $6,200.78 | $6,200.78 | 68.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $8,281.28 | $8,281.28 | 14.6× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $6,035.82 | $6,035.82 | 10.6× |
| Cerebrospinal Fluid Scan (78630) | $12,130.20 | $12,130.20 | 21.4× |
| Chest 1 view (71045) | $1,544.91 | $1,544.91 | 17.0× |
| Chest 2 views (71046) | $1,960.56 | $1,960.56 | 21.6× |
| Chest 3 views (71047) | $2,462.52 | $2,462.52 | 27.1× |
| Chest 4 or more views (71048) | $2,561.65 | $2,561.65 | 23.5× |
| Cholecystography Oral Contrast (74290) | $3,446.23 | $3,446.23 | 18.8× |
| Clavicle complete (73000) | $1,048.92 | $1,048.92 | 11.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $10,883.16 | $10,883.16 | 99.7× |
| Continuing medical physics consltj pr wk (77336) | $595.75 | $595.75 | 4.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,203.36–$7,313.87 | $7,203.36–$7,313.87 | varies |
| Contrast X-Ray Bladder (74430) | $2,632.33 | $2,632.33 | 7.2× |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Corpora cavernosography (74445) | $1,328.77 | $1,328.77 | 12.2× |
| CT abdomen and pelvis without and with contrast (74178) | $20,840.35 | $20,840.35 | 57.2× |
| CT abdomen and pelvis without contrast (74176) | $16,321.89 | $16,321.89 | 65.5× |
| CT abdomen w contrast (74160) | $10,883.16 | $10,883.16 | 59.4× |
| CT abdomen w wo contrast (74170) | $13,534.14 | $13,534.14 | 73.9× |
| CT abdomen w/o contrast (74150) | $10,009.59 | $10,009.59 | 91.7× |
| CT Angio Abdomen and Pelvis (74174) | $22,507.57 | $22,507.57 | 61.8× |
| CT Angio Chest (71275) | $13,140.56 | $13,140.56 | 71.7× |
| CT Angio Head (70496) | $4,189.88 | $4,189.88 | 22.9× |
| CT angio hrt w/3d image (75574) | $15,446.33 | $15,446.33 | 42.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,034.06–$16,342.13 | $3,034.06–$16,342.13 | varies |
| CT Angio Neck (70498) | $4,189.88 | $4,189.88 | 22.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,189.88 | $4,189.88 | 22.9× |
| CT cervical spine w/ contrast (72126) | $10,277.66 | $10,277.66 | 28.2× |
| CT cervical spine w/o contrast (72125) | $9,148.55 | $9,148.55 | 83.8× |
| CT cervical spine w/wo cont (72127) | $11,174.67 | $11,174.67 | 61.0× |
| CT chest w contrast (71260) | $10,883.16 | $10,883.16 | 59.4× |
| CT chest w/wo contrast (71270) | $13,541.58 | $13,541.58 | 73.9× |
| CT head/brain with contrast (70460) | $10,589.87 | $10,589.87 | 57.8× |
| CT head/brain without and with contrast (70470) | $12,003.63 | $12,003.63 | 65.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $15,116.56 | $15,116.56 | 41.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $15,116.56 | $15,116.56 | 166.3× |
| CT hrt w/3d image congen (75573) | $16,563.36 | $16,563.36 | 45.5× |
| CT iac w contrast (70481) | $7,618.58 | $7,618.58 | 41.6× |
| CT l-spine w&w/o contrast (72133) | $13,560.68 | $13,560.68 | 74.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$14,882.67–$16,943.58 | $14,882.67–$16,943.58 | varies |
| CT lower extremity w/contrast material (73701) | $16,342.13 | $16,342.13 | 89.2× |
| CT lumbar spine w contrast (72132) | $10,277.66 | $10,277.66 | 28.2× |
| CT lumbar spine w/o contrast (72131) | $9,148.55 | $9,148.55 | 83.8× |
| CT maxillofacial w contrast (70487) | $10,634.84 | $10,634.84 | 58.1× |
| CT maxillofacial wo contrast (70486) | $9,020.77 | $9,020.77 | 82.6× |
| CT neck tissue combo (70492) | $12,082.76 | $12,082.76 | 66.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,984.76 | $11,984.76 | 65.4× |
| CT orbits w/o contrast (70480) | $9,020.77 | $9,020.77 | 82.6× |
| CT pelvis w&w/o contrast (72194) | $11,974.19 | $11,974.19 | 65.4× |
| CT pelvis w/o contrast (72192) | $9,968.21 | $9,968.21 | 91.3× |
| CT scan of leg combo (73702) | $17,371.36 | $17,371.36 | 94.8× |
| CT scans face/jaw combo (70488) | $11,088.04 | $11,088.04 | 60.5× |
| CT soft tissue neck w contrast (70491) | $10,022.07 | $10,022.07 | 54.7× |
| CT soft tissue neck w/o contrast (70490) | $9,148.55 | $9,148.55 | 83.8× |
| CT thoracic spine w contrast (72129) | $8,212.14 | $8,212.14 | 44.8× |
| CT thoracic spine w/o contrast (72128) | $7,485.07 | $7,485.07 | 68.6× |
| CT thoracic spine w/wo cont (72130) | $14,166.19 | $14,166.19 | 77.3× |
| CT thorax w/o contrast (71250) | $10,009.59 | $10,009.59 | 91.7× |
| CT unlisted procedure (76497) | $3,949.26 | $3,949.26 | 43.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$6,423.33–$7,702.23 | $6,423.33–$7,702.23 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$9,643.67–$10,922.57 | $9,643.67–$10,922.57 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$8,147.89–$9,426.78 | $8,147.89–$9,426.78 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,368.39 | $7,368.39 | 40.2× |
| Cta Abdomen (74175) | $4,189.88 | $4,189.88 | 22.9× |
| CTA pelvis (72191) | $3,034.06 | $3,034.06 | 16.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $5,203.70 | $5,203.70 | 20.9× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $2,983.98 | $2,983.98 | 5.3× |
| Dilation ureters/urethra rs&i (74485) | $1,641.61 | $1,641.61 | 0.8× |
| Discography Cerv/Thor Spine (72285) range across 4 matching MRF lines |
$5,371.48–$13,668 | $5,371.48–$13,668 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$5,096.39–$12,276.58 | $5,096.39–$12,276.58 | varies |
| Dxa Bone Density Axial (77080) | $2,544.72 | $2,544.72 | 23.3× |
| Echo exam uterus (76831) | $4,906.47 | $4,906.47 | 19.7× |
| Echo Guide For Artery Repair (76936) | $12,964.35 | $12,964.35 | 57.5× |
| Echograp Trans R Pros Study (76873) | $9,851.92 | $9,851.92 | 90.2× |
| Esophagram (74220) | $2,059.88 | $2,059.88 | 11.2× |
| Fetal Biophys Profile W/Nst (76818) | $7,431.38 | $7,431.38 | 68.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,882.27–$2,966.95 | $1,882.27–$2,966.95 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$12,162.46–$12,444.22 | $12,162.46–$12,444.22 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,468.62–$2,937.32 | $1,468.62–$2,937.32 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,540.91–$3,081.87 | $1,540.91–$3,081.87 | varies |
| Gastric emptying imaging study (78264) | $8,071.14 | $8,071.14 | 19.3× |
| Gastroesophageal Reflux Exam (78262) | $5,318.52 | $5,318.52 | 12.7× |
| Gated Heart Planar Single (78472) | $13,800.57 | $13,800.57 | 33.1× |
| Gated Heart, Multiple (78473) | $10,338.69 | $10,338.69 | 24.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,461.71–$2,923.39 | $1,461.71–$2,923.39 | varies |
| Heart first pass single,planar (78481) | $2,668.17 | $2,668.17 | 4.7× |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$23,425.88–$27,219.24 | $23,425.88–$27,219.24 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,742.24 | $9,742.24 | 3.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,898.06 | $7,898.06 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $13,217.11 | $13,217.11 | 23.3× |
| Hepatobiliary System Imaging (78226) | $11,014.28 | $11,014.28 | 26.4× |
| Ht Muscle Image Spect Sing (78451) | $12,671.01 | $12,671.01 | 9.4× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,925.98–$3,736.38 | $1,925.98–$3,736.38 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $7,540.13 | $7,540.13 | 83.0× |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$6,439.50–$7,540.13 | $6,439.50–$7,540.13 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$1,125.52–$8,400.15 | $1,125.52–$8,400.15 | varies |
| K Flow/Funct Image Multiple (78709) | $10,574.56 | $10,574.56 | 18.6× |
| K Flow/Funct Image W/Drug (78708) | $5,924.25 | $5,924.25 | 10.4× |
| K Flow/Funct Image W/O Drug (78707) | $6,651.12 | $6,651.12 | 11.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,428.23 | $2,428.23 | 5.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,001.71–$4,003.37 | $2,001.71–$4,003.37 | varies |
| Leveen/Shunt Patency Exam (78291) | $8,532.33 | $8,532.33 | 20.4× |
| Liver & Spleen Imaging Static Only (78215) | $10,472.89 | $10,472.89 | 25.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,389.57 | $6,389.57 | 15.3× |
| Liver imaging static only (78201) | $11,553.75 | $11,553.75 | 20.4× |
| Liver imaging w/vascular flow (78202) | $5,496.74 | $5,496.74 | 9.7× |
| Lung Perf&Ventilat Diferentl (78598) | $19,265.44 | $19,265.44 | 34.0× |
| Lung perfusion differential (78597) | $9,614.21 | $9,614.21 | 23.0× |
| Lung Ventilat&Perfus Imaging (78582) | $18,386.98 | $18,386.98 | 32.4× |
| Lung Ventilation Imaging (78579) | $11,905.36 | $11,905.36 | 28.5× |
| Lymph System Imaging (78195) | $8,733.82 | $8,733.82 | 15.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,352.72 | $4,352.72 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $17,714.91 | $17,714.91 | 71.1× |
| Mammary ductogram or galactogram multiple (77054) | $3,364.04 | $3,364.04 | 13.5× |
| Mammary ductogram or galactogram single (77053) | $2,516.83 | $2,516.83 | 10.1× |
| Meckels Divert Exam (78290) | $8,566 | $8,566 | 20.5× |
| Mra Head W/O & W/Contrast Material (70546) | $18,819.61 | $18,819.61 | 51.7× |
| MRA head w/o contrast (70544) | $18,819.61 | $18,819.61 | 75.5× |
| MRA neck w contrast (70548) | $18,819.61 | $18,819.61 | 51.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $18,819.61 | $18,819.61 | 51.7× |
| MRA neck w/o contrast (70547) | $18,819.61 | $18,819.61 | 75.5× |
| MRI abdomen w contrast (74182) | $20,069.10 | $20,069.10 | 55.1× |
| MRI abdomen w/o contrast (74181) | $18,023.51 | $18,023.51 | 72.3× |
| MRI any jt lower extrem w/contrast material (73722) | $22,145.39 | $22,145.39 | 27.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $25,800.12 | $25,800.12 | 70.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $25,656.88 | $25,656.88 | 31.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $18,037.21 | $18,037.21 | 72.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $14,398.47 | $14,398.47 | 57.8× |
| MRI cervical spine w contrast (72142) | $19,131.88 | $19,131.88 | 52.5× |
| MRI cervical spine w/o cont (72141) | $16,635.48 | $16,635.48 | 66.8× |
| MRI chest w/o contrast (71550) | $17,714.91 | $17,714.91 | 71.1× |
| MRI chest with contrast (71551) | $17,714.91 | $17,714.91 | 21.6× |
| MRI chest wo w contrast (71552) | $22,555.71 | $22,555.71 | 61.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $17,304.73 | $17,304.73 | 47.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $22,145.39 | $22,145.39 | 60.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$16,285.24–$17,304.73 | $16,285.24–$17,304.73 | varies |
| MRI lumbar spine w contrast (72149) | $18,206.98 | $18,206.98 | 50.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $27,342.37 | $27,342.37 | 75.1× |
| MRI orbit face &/neck w/o contrast (70540) | $23,057.10 | $23,057.10 | 92.5× |
| MRI orbit face neck w contrast (70542) | $18,216.42 | $18,216.42 | 50.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $18,216.42 | $18,216.42 | 50.0× |
| MRI pelvis w contrast (72196) | $23,258.17 | $23,258.17 | 63.8× |
| MRI pelvis w/o & w contrast (72197) | $23,856.80 | $23,856.80 | 65.5× |
| MRI pelvis w/o contrast (72195) | $18,417.45 | $18,417.45 | 73.9× |
| MRI thoracic spine w/o contrast (72146) | $16,674.04 | $16,674.04 | 66.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $16,214.43 | $16,214.43 | 44.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $17,836.05 | $17,836.05 | 71.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$17,836.05–$22,145.39 | $17,836.05–$22,145.39 | varies |
| MRI, abdomen, combo (74183) | $22,864.20 | $22,864.20 | 62.8× |
| MRI, dorsal spine combo (72157) | $27,405.68 | $27,405.68 | 75.2× |
| MRI, dorsal spine contrast (72147) | $19,170.42 | $19,170.42 | 52.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$17,836.05–$22,676.83 | $17,836.05–$22,676.83 | varies |
| MRI, joint upper extrem combo (73223) | $22,676.83 | $22,676.83 | 62.2× |
| MRI, lumbar spine combo (72158) | $25,822.15 | $25,822.15 | 70.9× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$9,485.91–$18,538.17 | $9,485.91–$18,538.17 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$9,485.91–$18,538.17 | $9,485.91–$18,538.17 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$9,485.91–$18,538.17 | $9,485.91–$18,538.17 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$15,403.97–$24,456.22 | $15,403.97–$24,456.22 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,884.89 | $6,884.89 | 16.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$23,425.88–$24,434.27 | $23,425.88–$24,434.27 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $713 | $713 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $23,662.20 | $23,662.20 | 17.5× |
| Neck soft tissue (70360) | $1,833.29 | $1,833.29 | 20.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $8,733.82 | $8,733.82 | 20.9× |
| Nm csf leak detection (78650) | $8,282.68 | $8,282.68 | 6.1× |
| Nm myocard infarct spect (78469) | $13,311.55 | $13,311.55 | 23.5× |
| Nonvascular Shunt X-Ray (75809) | $5,348.78 | $5,348.78 | 49.0× |
| Nuclear Rx Intra-Arterial (79445) | $16,824.63 | $16,824.63 | 69.0× |
| Nuclear Rx Oral Admin (79005) | $15,289.56 | $15,289.56 | 62.7× |
| Optic foramina (70190) range across 3 matching MRF lines |
$1,516.77–$1,823.22 | $1,516.77–$1,823.22 | varies |
| Parathyroid Planar Imaging (78070) | $6,144.04 | $6,144.04 | 14.7× |
| Pelvis 1 or 2 views (72170) | $1,678.36 | $1,678.36 | 15.4× |
| Pet Image Skull-Thigh (78812) | $23,425.88 | $23,425.88 | 15.7× |
| Pet Image W/Ct Lmtd (78814) | $23,425.88 | $23,425.88 | 15.7× |
| PET image w/CT, full body (78816) | $23,425.88 | $23,425.88 | 15.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $23,425.88 | $23,425.88 | 15.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $23,425.88 | $23,425.88 | 17.3× |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$23,425.88–$27,219.24 | $23,425.88–$27,219.24 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$23,425.88–$24,754.16 | $23,425.88–$24,754.16 | varies |
| Proton tx delivery intermediate (77523) | $1,948.32 | $1,948.32 | 1.5× |
| Proton tx delivery simple w/o compensation (77520) | $1,156.03 | $1,156.03 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,485.99 | $10,485.99 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,614.21 | $9,614.21 | 23.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,472.88 | $2,472.88 | 22.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$544.25–$1,449.50 | $544.25–$1,449.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,613.01–$3,225.90 | $1,613.01–$3,225.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $1,441.15 | $1,441.15 | 15.9× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,678.36–$3,356.73 | $1,678.36–$3,356.73 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,356.62 | $3,356.62 | 30.7× |
| Radex fingr minimum 2 views (73140) | $1,540.91 | $1,540.91 | 17.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,702.50–$3,405.14 | $1,702.50–$3,405.14 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,692.08–$3,384.15 | $1,692.08–$3,384.15 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $1,855.54 | $1,855.54 | 20.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,875.21–$4,152.57 | $1,875.21–$4,152.57 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,585.65 | $1,585.65 | 17.4× |
| Radex Ribs Unilateral 2 Views (71100) | $2,297.47 | $2,297.47 | 25.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,647.54–$3,074.59 | $1,647.54–$3,074.59 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $2,742.15 | $2,742.15 | 30.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $4,058.31 | $4,058.31 | 22.2× |
| Radex Spine 1 View Specify Level (72020) | $2,125.72 | $2,125.72 | 23.4× |
| Radex Sternum Minimum 2 Views (71120) | $2,084.29 | $2,084.29 | 22.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,479.90 | $2,479.90 | 27.3× |
| Radex Toe Minimum 2 Views (73660) | $1,506.46 | $1,506.46 | 16.6× |
| Radex upper extremity infant minimum 2 views (73092) | $1,645.35 | $1,645.35 | 15.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,674.90–$3,349.83 | $1,674.90–$3,349.83 | varies |
| Radiation treatment delivery level 1 (77402) | $649.11 | $649.11 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $649.11 | $649.11 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $667.71 | $667.71 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,232.21 | $2,232.21 | 20.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,737.59 | $2,737.59 | 25.1× |
| Radiologic exam colon double contrast study (74280) | $4,835.79 | $4,835.79 | 26.4× |
| Radiologic exam colon single contrast study (74270) | $3,576.90 | $3,576.90 | 19.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,398.29 | $2,398.29 | 13.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,208.32–$4,420.97 | $2,208.32–$4,420.97 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,678.36 | $1,678.36 | 15.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,700.54 | $3,700.54 | 20.2× |
| Radiologic exam swallow function contrast study (74230) | $3,362.76 | $3,362.76 | 18.4× |
| Radiologic exam teeth complete full mouth (70320) | $5,668.15 | $5,668.15 | 22.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,906.93 | $3,906.93 | 21.3× |
| Radiologic examination femur 1 view (73551) | $1,486.61 | $1,486.61 | 16.4× |
| Radiologic examination femur minimum 2 views (73552) | $1,723.24 | $1,723.24 | 19.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$2,001.71–$4,003.37 | $2,001.71–$4,003.37 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,509.79–$3,019.67 | $1,509.79–$3,019.67 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,260.18 | $1,260.18 | 2.2× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $15,557.74 | $15,557.74 | 63.8× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $16,824.63 | $16,824.63 | 69.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $15,295.04 | $15,295.04 | 62.8× |
| Renal Cyst Study (74470) | $7,000.88 | $7,000.88 | 12.3× |
| Ribs bilateral 3 views (71110) | $2,188.67 | $2,188.67 | 20.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $8,474.79 | $8,474.79 | 20.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $8,733.82 | $8,733.82 | 20.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,165.18 | $6,165.18 | 10.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,981.03 | $4,981.03 | 8.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $9,501.57 | $9,501.57 | 16.8× |
| Rp Therapy Intravenous Administration (79101) | $8,986.29 | $8,986.29 | 36.9× |
| Salivary Gland Function Study (78232) | $8,877.87 | $8,877.87 | 21.3× |
| Scapula (73010) | $1,630.39 | $1,630.39 | 14.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $88.22 | $88.22 | 3.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,537.28–$3,295.11 | $1,537.28–$3,295.11 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$2,035.29–$3,623.79 | $2,035.29–$3,623.79 | varies |
| Sialogram (70390) | $681.69 | $681.69 | 2.7× |
| Skull less than 4 views (70250) | $1,537.28 | $1,537.28 | 14.1× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$609.49–$2,693.55 | $609.49–$2,693.55 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$595.75–$2,234.03 | $595.75–$2,234.03 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,152.78–$4,322.91 | $1,152.78–$4,322.91 | varies |
| Sternoclavicular joints (71130) | $1,702.50 | $1,702.50 | 18.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $609.49 | $609.49 | 1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $609.49 | $609.49 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,035.29 | $2,035.29 | 8.2× |
| Testicular Imaging W/Flow (78761) | $5,753.13 | $5,753.13 | 13.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$817.27–$3,064.80 | $817.27–$3,064.80 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $817.27 | $817.27 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $609.49 | $609.49 | 4.3× |
| Thoracic spine 2 views (72070) | $1,607.08 | $1,607.08 | 14.7× |
| Thoracic spine 3 views (72072) | $2,177.15 | $2,177.15 | 19.9× |
| Thoracolumbar 2 views (72080) | $2,177.15 | $2,177.15 | 24.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $5,740.33 | $5,740.33 | 13.8× |
| Thyroid Met Imaging Body (78018) | $9,169.71 | $9,169.71 | 16.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,631.36 | $8,631.36 | 20.7× |
| Tx Devices Design & Construction Complex (77334) | $717.84 | $717.84 | 1.8× |
| Tx devices design & construction intermediate (77333) | $717.84 | $717.84 | 5.1× |
| Tx devices design & construction simple (77332) | $717.84 | $717.84 | 5.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$2,777.39–$5,378.81 | $2,777.39–$5,378.81 | varies |
| Ultrasound Exam Aaa Screen (76706) | $5,990.13 | $5,990.13 | 54.9× |
| Ultrasound, abdomen limited (76705) | $4,440.13 | $4,440.13 | 40.7× |
| Unlisted Dx Radiographic Procedure (76499) | $8,953.55 | $8,953.55 | 98.5× |
| Unlisted us procedure (76999) | $4,141.24 | $4,141.24 | 45.6× |
| Upper gi w/o kub (74240) | $3,906.93 | $3,906.93 | 21.3× |
| Urethrocystogram voiding (74455) | $2,707 | $2,707 | 10.9× |
| Urethrocystography retrograde (74450) | $2,707.87 | $2,707.87 | 10.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$3,037.55–$5,899.11 | $3,037.55–$5,899.11 | varies |
| Us chest (76604) | $3,984.42 | $3,984.42 | 36.5× |
| Us complete joint (76881) range across 4 matching MRF lines |
$11,147.07–$16,720.57 | $11,147.07–$16,720.57 | varies |
| Us exam, pelvic, limited (76857) | $4,647.81 | $4,647.81 | 42.6× |
| Us head (76506) | $7,431.38 | $7,431.38 | 68.1× |
| Us kidney transplant (76776) | $9,945.66 | $9,945.66 | 91.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$7,431.38–$11,147.07 | $7,431.38–$11,147.07 | varies |
| Us ob limited 1 or more fetuses (76815) | $3,797.59 | $3,797.59 | 34.8× |
| Us ob transvaginal (76817) | $4,477.15 | $4,477.15 | 41.0× |
| Us pelvic non ob complete (76856) | $5,418.75 | $5,418.75 | 49.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $5,587.34 | $5,587.34 | 51.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $6,329.27 | $6,329.27 | 58.0× |
| Us retroperitoneal complete (76770) | $4,911.38 | $4,911.38 | 45.0× |
| Us retroperitoneal limited (76775) | $5,899 | $5,899 | 54.0× |
| Us scrotum and contents (76870) | $4,656.10 | $4,656.10 | 42.6× |
| Us spinal canal and contents (76800) | $7,431.38 | $7,431.38 | 68.1× |
| Us thyroid (76536) | $4,473.26 | $4,473.26 | 41.0× |
| Us transrectal (76872) | $4,170.87 | $4,170.87 | 38.2× |
| Vascular Flow Imaging (78445) | $4,471.17 | $4,471.17 | 10.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,159.76–$13,295.23 | $5,159.76–$13,295.23 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $14,342.11 | $14,342.11 | 4.3× |
| Vein X-Ray Spleen/Liver (75810) | $11,079.77 | $11,079.77 | 3.4× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$5,775.86–$11,717.28 | $5,775.86–$11,717.28 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,695.57–$12,231.56 | $4,695.57–$12,231.56 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,850–$8,022.47 | $1,850–$8,022.47 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,728.99–$5,355.56 | $1,728.99–$5,355.56 | varies |
| Venography Renal Bilateral (75833) | $5,321.71 | $5,321.71 | 1.6× |
| Venography Renal Unilateral (75831) | $7,165.88 | $7,165.88 | 2.2× |
| Venous sampling by catheter (75893) | $5,589.18 | $5,589.18 | 1.0× |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$4,260.55–$4,558.92 | $4,260.55–$4,558.92 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $6,447.93 | $6,447.93 | 15.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,513.29–$3,026.55 | $1,513.29–$3,026.55 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,279.37 | $1,279.37 | 14.1× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,785.90–$4,623.75 | $2,785.90–$4,623.75 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,204.95–$26,345.58 | $6,204.95–$26,345.58 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,080.08–$2,160.11 | $1,080.08–$2,160.11 | varies |
| X-Ray Exam Breast Specimen (76098) | $808.23 | $808.23 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,857.24 | $1,857.24 | 20.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,915.83 | $1,915.83 | 21.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,034.12 | $2,034.12 | 18.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,811.46 | $3,811.46 | 34.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,048.07 | $4,048.07 | 37.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,284.68 | $4,284.68 | 39.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,607.68 | $1,607.68 | 14.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,713.76 | $2,713.76 | 29.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,416.59 | $3,416.59 | 31.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,297.47 | $2,297.47 | 21.0× |
| X-ray eye for foreign body (70030) | $2,049.91 | $2,049.91 | 22.6× |
| X-ray humerus (73060) | $1,506.46 | $1,506.46 | 16.6× |
| X-ray IV pyelogram (ivp) (74400) | $3,879.60 | $3,879.60 | 21.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,441.15 | $1,441.15 | 15.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,001.71 | $2,001.71 | 22.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,606.12 | $1,606.12 | 14.7× |
| X-ray nose-rectum child f.b. (76010) | $4,814.96 | $4,814.96 | 53.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,270.64 | $3,270.64 | 30.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,101 | $2,101 | 19.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,671.60 | $1,671.60 | 18.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,933.84 | $2,933.84 | 32.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,672.29 | $2,672.29 | 24.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,785.90 | $2,785.90 | 7.6× |
| X-Rays Bone Survey Complete (77075) | $4,181.60 | $4,181.60 | 38.3× |
| Xr c-spine 4 or 5 views (72050) | $3,074.82 | $3,074.82 | 28.2× |
| Xr facial bones less than 3 views (70140) | $2,479.90 | $2,479.90 | 27.3× |
| Xr orbits complete 4 views (70200) | $3,322.29 | $3,322.29 | 30.4× |
| Xr Tomogram Single Plane (76100) | $2,818.52 | $2,818.52 | 25.8× |
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.