Imaging prices at HCA Florida Memorial Hospital
Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.
370 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,572–$1,698 | $1,572–$1,698 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$2,499–$2,699 | $2,499–$2,699 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,867 | $2,867 | 6.9× |
| Angio pulmonary bilat (75743) | $16,944 | $16,944 | 5.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $20,013 | $20,013 | 6.1× |
| Angiography extremity bilateral rs&i (75716) | $16,944 | $16,944 | 5.1× |
| Angiography extremity unilateral rs&i (75710) | $16,944 | $16,944 | 5.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,407 | $7,407 | 2.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,407 | $7,407 | 2.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,544–$2,961 | $1,544–$2,961 | varies |
| Aortography thoracic serialography rs&i (75605) | $16,944 | $16,944 | 2.9× |
| Artery X-Rays Abdomen (75726) | $16,944 | $16,944 | 2.9× |
| Artery X-Rays Adrenal Gland (75731) | $16,944 | $16,944 | 5.1× |
| Artery X-Rays Pelvis (75736) | $16,944 | $16,944 | 2.9× |
| Artery X-Rays Spine (75705) | $20,013 | $20,013 | 3.4× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,616–$3,222 | $1,616–$3,222 | varies |
| Arthrogram hip (73525) | $4,791 | $4,791 | 13.2× |
| Arthrogram Wrist (73115) | $5,015 | $5,015 | 13.8× |
| Basic radiation dosimetry calculation (77300) | $634 | $634 | 4.5× |
| Bone age studies (77072) | $1,744 | $1,744 | 16.0× |
| Bone Imaging 3 Phase (78315) | $12,814 | $12,814 | 30.7× |
| Bone Imaging Limited Area (78300) | $6,094 | $6,094 | 14.6× |
| Bone Imaging Multiple Areas (78305) | $9,861 | $9,861 | 23.6× |
| Bone Imaging Whole Body (78306) | $9,581 | $9,581 | 23.0× |
| Bone survey infant (77076) | $2,167 | $2,167 | 19.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,007 | $3,007 | 5.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $14,609 | $14,609 | 9.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,927 | $2,927 | 7.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $7,049 | $7,049 | 12.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,359 | $1,359 | 3.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,733 | $2,733 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $2,621 | $2,621 | 28.8× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $4,412 | $4,412 | 7.8× |
| Cerebrospinal Fluid Scan (78630) | $4,393 | $4,393 | 7.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$1,364–$1,474 | $1,364–$1,474 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,638–$1,770 | $1,638–$1,770 | varies |
| Chest 3 views (71047) | $2,889 | $2,889 | 31.8× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$2,887–$3,118 | $2,887–$3,118 | varies |
| Cholecystography Oral Contrast (74290) | $2,587 | $2,587 | 14.1× |
| Clavicle complete (73000) | $2,320 | $2,320 | 25.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $431 | $431 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) | $16,944 | $16,944 | 5.1× |
| Contrast X-Ray Bladder (74430) | $2,597 | $2,597 | 7.1× |
| Contrast X-Ray Of Elbow (73085) | $3,555 | $3,555 | 9.8× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$3,818–$7,629 | $3,818–$7,629 | varies |
| Corpora cavernosography (74445) | $1,511 | $1,511 | 13.8× |
| CT abdomen and pelvis without and with contrast (74178) | $17,715 | $17,715 | 48.6× |
| CT abdomen and pelvis without contrast (74176) | $14,681 | $14,681 | 58.9× |
| CT abdomen w contrast (74160) | $15,718 | $15,718 | 85.8× |
| CT abdomen w wo contrast (74170) | $14,766 | $14,766 | 80.6× |
| CT abdomen w/o contrast (74150) | $15,013 | $15,013 | 137.5× |
| CT Angio Abdomen and Pelvis (74174) | $5,239 | $5,239 | 14.4× |
| CT Angio Chest (71275) | $18,982 | $18,982 | 103.6× |
| CT Angio Head (70496) | $16,891 | $16,891 | 92.2× |
| CT angio hrt w/3d image (75574) | $6,060 | $6,060 | 16.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $12,178 | $12,178 | 66.5× |
| CT Angio Neck (70498) | $16,570 | $16,570 | 90.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $13,703 | $13,703 | 74.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$12,338–$13,449 | $12,338–$13,449 | varies |
| CT cervical spine w/o contrast (72125) | $16,089 | $16,089 | 147.4× |
| CT cervical spine w/wo cont (72127) | $17,414 | $17,414 | 95.1× |
| CT chest w contrast (71260) | $18,187 | $18,187 | 99.3× |
| CT chest w/wo contrast (71270) | $16,778 | $16,778 | 91.6× |
| CT head/brain with contrast (70460) | $16,117 | $16,117 | 88.0× |
| CT head/brain without and with contrast (70470) | $16,933 | $16,933 | 92.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,060 | $6,060 | 16.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $6,060 | $6,060 | 66.7× |
| CT hrt w/3d image congen (75573) | $6,060 | $6,060 | 16.6× |
| CT iac w contrast (70481) | $15,251 | $15,251 | 83.3× |
| CT l-spine w&w/o contrast (72133) | $18,383 | $18,383 | 100.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$13,902–$21,642 | $13,902–$21,642 | varies |
| CT lower extremity w/contrast material (73701) | $2,192 | $2,192 | 12.0× |
| CT lumbar spine w contrast (72132) | $13,449 | $13,449 | 36.9× |
| CT lumbar spine w/o contrast (72131) | $14,662 | $14,662 | 134.3× |
| CT maxillofacial w contrast (70487) | $2,955 | $2,955 | 16.1× |
| CT maxillofacial wo contrast (70486) | $14,545 | $14,545 | 133.2× |
| CT neck tissue combo (70492) | $13,990 | $13,990 | 76.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $14,239 | $14,239 | 77.7× |
| CT orbits w/o contrast (70480) | $12,410 | $12,410 | 113.7× |
| CT pelvis w&w/o contrast (72194) | $11,297 | $11,297 | 61.7× |
| CT pelvis w/o contrast (72192) | $13,127 | $13,127 | 120.2× |
| CT scan of leg combo (73702) | $13,101 | $13,101 | 71.5× |
| CT scans face/jaw combo (70488) | $3,462 | $3,462 | 18.9× |
| CT soft tissue neck w contrast (70491) | $15,263 | $15,263 | 83.3× |
| CT soft tissue neck w/o contrast (70490) | $13,028 | $13,028 | 119.3× |
| CT thoracic spine w contrast (72129) | $12,397 | $12,397 | 67.7× |
| CT thoracic spine w/o contrast (72128) | $15,785 | $15,785 | 144.6× |
| CT thoracic spine w/wo cont (72130) | $17,414 | $17,414 | 95.1× |
| CT thorax w/o contrast (71250) | $13,333 | $13,333 | 122.1× |
| CT unlisted procedure (76497) | $386 | $386 | 4.2× |
| CT upper ext wo (73200) | $14,430 | $14,430 | 132.2× |
| CT upper extremity w/o & w/contrast material (73202) | $15,521 | $15,521 | 84.7× |
| CT upper extremity with contrast (73201) | $14,913 | $14,913 | 40.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,433 | $16,433 | 89.7× |
| Cta Abdomen (74175) | $15,904 | $15,904 | 86.8× |
| CTA pelvis (72191) | $15,876 | $15,876 | 86.7× |
| Dilation ureters/urethra rs&i (74485) | $11,714 | $11,714 | 5.4× |
| Discography Cerv/Thor Spine (72285) | $2,776 | $2,776 | 1.4× |
| Diskography lumbar (72295) | $9,880 | $9,880 | 4.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $896 | $896 | 8.2× |
| Dxa Bone Density Axial (77080) | $2,265 | $2,265 | 20.7× |
| Dxa bone density study (77085) | $749 | $749 | 6.9× |
| Echo exam of fetal heart (76825) | $3,115 | $3,115 | 5.5× |
| Echo Guide For Artery Repair (76936) | $1,359 | $1,359 | 6.0× |
| Esophagram (74220) | $3,191 | $3,191 | 17.4× |
| Fetal Biophys Profile W/Nst (76818) | $3,240 | $3,240 | 29.7× |
| Fluoroscopy up to 1 hr (76000) | $2,440 | $2,440 | 9.8× |
| Follow-Up Angiography (75898) | $1,572 | $1,572 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,537–$2,838 | $1,537–$2,838 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,998–$3,704 | $1,998–$3,704 | varies |
| Gastric emptying imaging study (78264) | $6,714 | $6,714 | 16.1× |
| Gastric Mucosa Imaging (78261) | $4,229 | $4,229 | 10.1× |
| Gastroesophageal Reflux Exam (78262) | $4,229 | $4,229 | 10.1× |
| Gated Heart Planar Single (78472) | $7,381 | $7,381 | 17.7× |
| Gated Heart, Multiple (78473) | $9,814 | $9,814 | 23.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,511–$2,816 | $1,511–$2,816 | varies |
| Heart first pass single,planar (78481) | $4,465 | $4,465 | 7.9× |
| Heart Image (Pet) Multiple (78492) | $15,921 | $15,921 | 10.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $16,944 | $16,944 | 5.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,407 | $7,407 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,946 | $2,946 | 5.2× |
| Hepatobiliary System Imaging (78226) | $2,946 | $2,946 | 7.1× |
| Ht Muscle Image Spect Sing (78451) | $4,343 | $4,343 | 3.2× |
| Hysterosalpingogram (74740) | $3,656 | $3,656 | 14.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $4,092 | $4,092 | 45.0× |
| Interstitial radiation source applic complex (77778) | $8,378 | $8,378 | 11.5× |
| Joint Survey Single View (77077) | $462 | $462 | 4.2× |
| K Flow/Funct Image Multiple (78709) | $10,919 | $10,919 | 19.3× |
| K Flow/Funct Image W/Drug (78708) | $2,965 | $2,965 | 5.2× |
| K Flow/Funct Image W/O Drug (78707) | $10,038 | $10,038 | 17.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $6,563 | $6,563 | 15.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $6,080 | $6,080 | 14.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,693–$2,538 | $1,693–$2,538 | varies |
| Leveen/Shunt Patency Exam (78291) | $6,556 | $6,556 | 15.7× |
| Liver & Spleen Imaging Static Only (78215) | $8,467 | $8,467 | 20.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,229 | $4,229 | 10.1× |
| Liver imaging static only (78201) | $3,239 | $3,239 | 5.7× |
| Liver imaging w/vascular flow (78202) | $4,229 | $4,229 | 7.5× |
| Lung Perf&Ventilat Diferentl (78598) | $3,176 | $3,176 | 5.6× |
| Lung perfusion differential (78597) | $2,032 | $2,032 | 4.9× |
| Lung Ventilat&Perfus Imaging (78582) | $3,176 | $3,176 | 5.6× |
| Lung Ventilation Imaging (78579) | $2,032 | $2,032 | 4.9× |
| Lymph System Imaging (78195) | $11,349 | $11,349 | 20.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $15,991 | $15,991 | 4.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $11,980 | $11,980 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $12,910 | $12,910 | 51.8× |
| Mammary ductogram or galactogram multiple (77054) | $2,292 | $2,292 | 9.2× |
| Mammary ductogram or galactogram single (77053) | $2,132 | $2,132 | 8.6× |
| Meckels Divert Exam (78290) | $3,866 | $3,866 | 9.3× |
| Medical physics dose eval radiation expos w/rprt (76145) | $657 | $657 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $93 | $93 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $11,728 | $11,728 | 32.2× |
| MRA head w/o contrast (70544) | $10,942 | $10,942 | 43.9× |
| MRA head with contrast (70545) | $11,364 | $11,364 | 31.2× |
| MRA neck w contrast (70548) | $12,231 | $12,231 | 33.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,748 | $12,748 | 35.0× |
| MRA neck w/o contrast (70547) | $10,904 | $10,904 | 43.8× |
| MRI abdomen w contrast (74182) | $17,208 | $17,208 | 47.2× |
| MRI abdomen w/o contrast (74181) | $16,348 | $16,348 | 65.6× |
| MRI any jt lower extrem w/contrast material (73722) | $14,227 | $14,227 | 17.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $16,434 | $16,434 | 45.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $13,133 | $13,133 | 16.0× |
| MRI bone marrow blood supply (77084) | $3,180 | $3,180 | 12.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $12,396 | $12,396 | 49.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $10,372 | $10,372 | 41.6× |
| MRI cardiac w/o cont stress (75559) | $1,857 | $1,857 | 3.3× |
| MRI cardiac w/o contrast (75557) | $3,654 | $3,654 | 14.7× |
| MRI cervical spine w contrast (72142) | $17,907 | $17,907 | 49.2× |
| MRI cervical spine w/o cont (72141) | $14,562 | $14,562 | 58.4× |
| MRI chest w/o contrast (71550) | $15,173 | $15,173 | 60.9× |
| MRI chest with contrast (71551) | $15,341 | $15,341 | 18.7× |
| MRI chest wo w contrast (71552) | $15,719 | $15,719 | 43.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,133 | $13,133 | 36.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $16,524 | $16,524 | 45.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $14,758 | $14,758 | 59.2× |
| MRI lumbar spine w contrast (72149) | $20,196 | $20,196 | 55.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $18,705 | $18,705 | 51.3× |
| MRI orbit face &/neck w/o contrast (70540) | $16,434 | $16,434 | 66.0× |
| MRI orbit face neck w contrast (70542) | $13,868 | $13,868 | 38.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $14,870 | $14,870 | 40.8× |
| MRI pelvis w contrast (72196) | $12,098 | $12,098 | 33.2× |
| MRI pelvis w/o & w contrast (72197) | $17,257 | $17,257 | 47.4× |
| MRI pelvis w/o contrast (72195) | $13,596 | $13,596 | 54.6× |
| MRI spectroscopy (76390) | $12,766 | $12,766 | 140.5× |
| MRI thoracic spine w/o contrast (72146) | $13,644 | $13,644 | 54.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$13,133–$19,696 | $13,133–$19,696 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,498 | $12,498 | 50.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $16,910 | $16,910 | 46.4× |
| MRI, abdomen, combo (74183) | $18,157 | $18,157 | 49.8× |
| MRI, dorsal spine combo (72157) | $21,305 | $21,305 | 58.5× |
| MRI, dorsal spine contrast (72147) | $19,698 | $19,698 | 54.1× |
| MRI, joint upper extrem (73221) | $12,390 | $12,390 | 49.7× |
| MRI, joint upper extrem combo (73223) | $16,554 | $16,554 | 45.4× |
| MRI, lumbar spine combo (72158) | $19,572 | $19,572 | 53.7× |
| Myelogram cervical (72240) | $8,891 | $8,891 | 10.9× |
| Myelogram Lumbar (72265) | $8,891 | $8,891 | 10.9× |
| Myelography thoracic (72255) | $8,891 | $8,891 | 10.9× |
| Myelograpy 2/more regions rs&i (72270) | $11,650 | $11,650 | 14.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,035 | $2,035 | 4.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $15,921 | $15,921 | 11.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,047 | $6,047 | 4.5× |
| Myocardial Spect Multiple Studies (78452) | $6,622 | $6,622 | 4.9× |
| Neck soft tissue (70360) | $2,415 | $2,415 | 26.6× |
| Nm myocard infarct spect (78469) | $6,398 | $6,398 | 11.3× |
| Nonvascular Shunt X-Ray (75809) | $588 | $588 | 5.4× |
| Nuclear Rx Intra-Arterial (79445) | $1,952 | $1,952 | 8.0× |
| Nuclear Rx Oral Admin (79005) | $852 | $852 | 3.5× |
| Ob us nuchal meas 1 gest (76813) | $1,697 | $1,697 | 15.5× |
| Optic foramina (70190) | $1,494 | $1,494 | 16.4× |
| Panoramic X-ray of jaws (70355) | $1,454 | $1,454 | 16.0× |
| Parathyroid Planar Imaging (78070) | $7,465 | $7,465 | 17.9× |
| Pelvis 1 or 2 views (72170) | $1,981 | $1,981 | 18.1× |
| Peritoneogram Rs&I (74190) | $2,888 | $2,888 | 5.1× |
| Pet Image W/Ct Lmtd (78814) | $14,609 | $14,609 | 9.8× |
| PET image w/CT, full body (78816) | $14,609 | $14,609 | 9.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $14,609 | $14,609 | 9.8× |
| Pet Myocardial Sngl Study (78491) | $10,655 | $10,655 | 7.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $16,944 | $16,944 | 5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,970 | $8,970 | 21.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,338 | $3,338 | 30.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,348 | $3,348 | 5.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,981–$3,688 | $1,981–$3,688 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$1,818–$3,650 | $1,818–$3,650 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,596–$2,759 | $1,596–$2,759 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,534 | $3,534 | 32.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$1,662–$2,858 | $1,662–$2,858 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,952–$3,726 | $1,952–$3,726 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,944–$3,593 | $1,944–$3,593 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $2,862 | $2,862 | 31.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,192 | $2,192 | 20.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,046 | $2,046 | 22.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $429 | $429 | 4.7× |
| Radex Ribs Unilateral 2 Views (71100) | $1,963 | $1,963 | 21.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,696–$5,004 | $2,696–$5,004 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,989 | $1,989 | 21.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,520 | $2,520 | 13.8× |
| Radex Spine 1 View Specify Level (72020) | $2,006 | $2,006 | 22.1× |
| Radex Sternum Minimum 2 Views (71120) | $1,869 | $1,869 | 20.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,432 | $2,432 | 26.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,551–$3,123 | $1,551–$3,123 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $2,862 | $2,862 | 26.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,423–$4,773 | $2,423–$4,773 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $7,320 | $7,320 | 67.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,319 | $3,319 | 30.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$2,697–$2,913 | $2,697–$2,913 | varies |
| Radiologic exam colon double contrast study (74280) | $4,412 | $4,412 | 24.1× |
| Radiologic exam colon single contrast study (74270) | $3,897 | $3,897 | 21.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,950–$3,589 | $1,950–$3,589 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,741 | $1,741 | 15.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,357 | $3,357 | 18.3× |
| Radiologic exam swallow function contrast study (74230) | $4,323 | $4,323 | 23.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,462 | $2,462 | 13.4× |
| Radiologic examination femur 1 view (73551) | $2,526 | $2,526 | 27.8× |
| Radiologic examination femur minimum 2 views (73552) | $2,526 | $2,526 | 27.8× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,632–$3,096 | $1,632–$3,096 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,950 | $1,950 | 17.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,951–$3,772 | $1,951–$3,772 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,295 | $2,295 | 4.0× |
| Radiopharm Dacryocystography (78660) | $4,602 | $4,602 | 11.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $13,020 | $13,020 | 53.4× |
| Renal Cyst Study (74470) | $2,193 | $2,193 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,167 | $4,167 | 10.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,520 | $6,520 | 15.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,708 | $12,708 | 22.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $12,321 | $12,321 | 21.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,133 | $8,133 | 14.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,610 | $2,610 | 1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,961 | $2,961 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,610 | $2,610 | 1.9× |
| Scapula (73010) | $2,480 | $2,480 | 22.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $457 | $457 | 19.5× |
| Sella turcica (70240) | $1,849 | $1,849 | 20.3× |
| Shoulder 1 view (73020) | $1,268 | $1,268 | 14.0× |
| Shoulder Arthrography (73040) | $5,538 | $5,538 | 15.2× |
| Skull less than 4 views (70250) | $2,102 | $2,102 | 19.3× |
| Speech evaluation, complex (70371) | $1,492 | $1,492 | 6.0× |
| Spleen Imaging (78185) | $4,229 | $4,229 | 10.1× |
| Sternoclavicular joints (71130) | $665 | $665 | 7.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,965 | $3,965 | 21.6× |
| Thoracic spine 2 views (72070) | $2,006 | $2,006 | 18.4× |
| Thoracic spine 3 views (72072) | $2,968 | $2,968 | 27.2× |
| Thoracolumbar 2 views (72080) | $638 | $638 | 7.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $4,937 | $4,937 | 11.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $4,229 | $4,229 | 10.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,438 | $1,438 | 3.4× |
| Thyroid Met Imaging Body (78018) | $10,750 | $10,750 | 19.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,227–$2,230 | $2,227–$2,230 | varies |
| Ultrasound Breast Limited (76642) | $2,481 | $2,481 | 27.3× |
| Ultrasound Exam Aaa Screen (76706) | $777 | $777 | 7.1× |
| Ultrasound, abdomen limited (76705) | $3,802 | $3,802 | 34.8× |
| Unlisted Dx Radiographic Procedure (76499) | $666 | $666 | 7.3× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $3,183 | $3,183 | 7.6× |
| Unlisted respiratory px dx nuclear medicine (78599) | $2,448 | $2,448 | 5.9× |
| Unlisted us procedure (76999) | $742 | $742 | 8.2× |
| Upper gi w/o kub (74240) | $3,372 | $3,372 | 18.4× |
| Urethrocystogram voiding (74455) | $3,688 | $3,688 | 14.8× |
| Urethrocystography retrograde (74450) | $3,676 | $3,676 | 14.8× |
| Us breast unilateral complete (76641) | $2,481 | $2,481 | 22.7× |
| Us chest (76604) | $2,698 | $2,698 | 24.7× |
| Us complete joint (76881) | $947 | $947 | 8.7× |
| Us exam, pelvic, limited (76857) | $1,407 | $1,407 | 12.9× |
| Us head (76506) | $1,934 | $1,934 | 17.7× |
| Us kidney transplant (76776) | $1,119 | $1,119 | 10.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $615 | $615 | 5.6× |
| Us ob detailed single fetus (76811) | $1,394 | $1,394 | 5.6× |
| Us ob limited 1 or more fetuses (76815) | $1,196 | $1,196 | 11.0× |
| Us ob transvaginal (76817) | $3,328 | $3,328 | 30.5× |
| Us pelvic non ob complete (76856) | $3,645 | $3,645 | 33.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $724 | $724 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,196 | $1,196 | 11.0× |
| Us retroperitoneal complete (76770) | $3,940 | $3,940 | 36.1× |
| Us retroperitoneal limited (76775) | $3,874 | $3,874 | 35.5× |
| Us scrotum and contents (76870) | $4,014 | $4,014 | 36.8× |
| Us thyroid (76536) | $3,284 | $3,284 | 30.1× |
| Us transrectal (76872) | $3,881 | $3,881 | 35.6× |
| Vein X-Ray Chest (75827) | $7,407 | $7,407 | 4.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,407 | $7,407 | 2.2× |
| Venogram Sinus/Jugular (75860) | $6,987 | $6,987 | 2.1× |
| Venography Adrenal Unilateral (75840) | $6,987 | $6,987 | 2.1× |
| Venography caval inferior serialography rs&i (75825) | $7,407 | $7,407 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $6,061 | $6,061 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $6,061 | $6,061 | 3.7× |
| Venography Renal Bilateral (75833) | $7,407 | $7,407 | 2.2× |
| Venography Renal Unilateral (75831) | $6,987 | $6,987 | 2.1× |
| Venous sampling by catheter (75893) | $20,013 | $20,013 | 3.4× |
| Vertebral fracture assessment via dxa (77086) | $471 | $471 | 5.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,820–$3,630 | $1,820–$3,630 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,073 | $2,073 | 22.8× |
| X-ray antegrade pyelogram tube (74425) | $2,448 | $2,448 | 6.7× |
| X-Ray Aorta Leg Arteries (75630) | $16,944 | $16,944 | 5.1× |
| X-Ray Bend Only L-S Spine (72120) | $2,029 | $2,029 | 18.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,739–$3,199 | $1,739–$3,199 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,207 | $1,207 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $6,730 | $6,730 | 74.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,249 | $3,249 | 29.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $6,900 | $6,900 | 63.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,849 | $1,849 | 20.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,266 | $2,266 | 24.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,812 | $4,812 | 44.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,396 | $2,396 | 21.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $6,900 | $6,900 | 63.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $7,739 | $7,739 | 70.9× |
| X-Ray Exam L-S Spine Bending (72114) | $5,107 | $5,107 | 46.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,706 | $2,706 | 29.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,140 | $4,140 | 37.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,801 | $2,801 | 25.7× |
| X-ray eye for foreign body (70030) | $1,266 | $1,266 | 13.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$2,373–$4,774 | $2,373–$4,774 | varies |
| X-ray IV pyelogram (ivp) (74400) | $4,585 | $4,585 | 25.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,892 | $2,892 | 31.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,167 | $2,167 | 23.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,231 | $2,231 | 20.4× |
| X-ray nose-rectum child f.b. (76010) | $1,311 | $1,311 | 14.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,145 | $3,145 | 28.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,767 | $1,767 | 16.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,170 | $1,170 | 10.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,682 | $2,682 | 29.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,988 | $2,988 | 32.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,461 | $3,461 | 31.7× |
| X-Ray Stress View (77071) | $1,454 | $1,454 | 16.0× |
| X-ray thoracic spine 4 vw (72074) | $3,262 | $3,262 | 29.9× |
| X-Ray Tmj Unilat (70328) | $1,344 | $1,344 | 14.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,774 | $4,774 | 13.1× |
| X-Rays Bone Length Studies (77073) | $1,693 | $1,693 | 15.5× |
| X-Rays Bone Survey Complete (77075) | $4,459 | $4,459 | 40.8× |
| Xr c-spine 4 or 5 views (72050) | $2,746 | $2,746 | 25.2× |
| Xr facial bones less than 3 views (70140) | $2,524 | $2,524 | 27.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $2,761 | $2,761 | 25.3× |
| Xr orbits complete 4 views (70200) | $3,112 | $3,112 | 28.5× |
| Xr Tomogram Single Plane (76100) | $4,831 | $4,831 | 44.3× |
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.