Imaging prices at HCA Florida Mercy Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $13,693 $13,693 9.5×
Abdomen 1 View (74018) $1,949 $1,949 21.4×
Abdomen 2 views (74019) $2,706 $2,706 24.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,961 $2,961 7.1×
Angio internal mammary (75756) $5,886 $5,886 1.8×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$15,594–$18,229 $15,594–$18,229 varies
Angiography Adrenal Bilateral Slctv Rs&I (75733) $18,229 $18,229 5.5×
Angiography extremity bilateral rs&i (75716) $18,229 $18,229 5.5×
Angiography extremity unilateral rs&i (75710) $18,229 $18,229 5.5×
Angiography pulmonary unilateral slctv rs&i (75741) $18,229 $18,229 5.5×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,849 $10,849 3.3×
Ankle 2 views (73600)
range across 3 matching MRF lines
$671–$1,073 $671–$1,073 varies
Aortography thoracic serialography rs&i (75605) $18,229 $18,229 3.1×
Artery X-Rays Abdomen (75726) $18,229 $18,229 3.1×
Artery X-Rays Adrenal Gland (75731) $18,229 $18,229 5.5×
Artery X-Rays Pelvis (75736) $18,229 $18,229 3.1×
Artery X-Rays Spine (75705) $18,229 $18,229 3.1×
Arthrogram ankle (73615) $2,462 $2,462 6.8×
Arthrogram hip (73525) $2,462 $2,462 6.8×
Arthrogram Wrist (73115) $2,462 $2,462 6.8×
Basic radiation dosimetry calculation (77300)
range across 2 matching MRF lines
$598–$3,618 $598–$3,618 varies
Bone age studies (77072) $1,318 $1,318 12.1×
Bone Imaging 3 Phase (78315) $5,948 $5,948 14.2×
Bone Imaging Limited Area (78300) $15,313 $15,313 36.7×
Bone Imaging Multiple Areas (78305) $4,078 $4,078 9.8×
Bone Imaging Whole Body (78306) $7,951 $7,951 19.0×
Bone marrow imaging; multiple areas (78103) $6,339 $6,339 15.2×
Bone survey infant (77076) $21,805 $21,805 199.7×
Brachytx isodose complex (77318) $5,201 $5,201 13.3×
Brachytx isodose intermed (77317) $5,178 $5,178 13.2×
Brachytx Isodose Plan Simple (77316) $2,258 $2,258 5.8×
Brain Image W/Flow < 4 Views (78601) $3,230 $3,230 7.7×
Brain imaging < 4 static views (78600) $5,494 $5,494 13.2×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $3,799 $3,799 6.7×
Brain Imaging Pet Metabolic Evaluation (78608) $9,461 $9,461 6.3×
Cardiac Shunt Detection (78428) $2,637 $2,637 6.3×
Cat Scan Follow-Up Study (76380) $10,941 $10,941 120.4×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,472 $2,472 4.4×
Cerebrospinal Fluid Scan (78630) $2,900 $2,900 5.1×
Chest 1 view (71045) $905 $905 10.0×
Chest 2 views (71046) $1,886 $1,886 20.8×
Chest 3 views (71047) $2,597 $2,597 28.6×
Chest 4 or more views (71048) $3,238 $3,238 29.7×
Clavicle complete (73000)
range across 3 matching MRF lines
$1,372–$1,667 $1,372–$1,667 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $12,174 $12,174 111.5×
Continuing medical physics consltj pr wk (77336) $1,441 $1,441 10.3×
Contrast Exam Abdominl Aorta (75625) $18,229 $18,229 5.5×
Contrast X-Ray Bladder (74430) $2,512 $2,512 6.9×
Contrast X-Ray Of Elbow (73085) $2,462 $2,462 6.8×
Contrast X-Ray Of Knee Joint (73580) $2,462 $2,462 6.8×
Contrast Xray Throat/Cerv Esopha (74210) $1,570 $1,570 8.6×
CT abdomen and pelvis without and with contrast (74178) $28,567 $28,567 78.4×
CT abdomen and pelvis without contrast (74176) $25,352 $25,352 101.7×
CT abdomen w contrast (74160) $14,761 $14,761 80.6×
CT abdomen w wo contrast (74170) $16,435 $16,435 89.7×
CT abdomen w/o contrast (74150) $13,646 $13,646 125.0×
CT Angio Abdomen and Pelvis (74174) $19,148 $19,148 52.6×
CT Angio Chest (71275) $17,813 $17,813 97.2×
CT Angio Head (70496) $21,046 $21,046 114.9×
CT angio hrt w/3d image (75574) $14,411 $14,411 39.6×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$2,312–$4,618 $2,312–$4,618 varies
CT Angio Neck (70498) $5,490 $5,490 30.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $10,770 $10,770 58.8×
CT cervical spine w/ contrast (72126) $13,235 $13,235 36.3×
CT cervical spine w/o contrast (72125) $12,133 $12,133 111.1×
CT cervical spine w/wo cont (72127) $14,245 $14,245 77.8×
CT chest w contrast (71260) $13,458 $13,458 73.5×
CT chest w/wo contrast (71270) $16,371 $16,371 89.4×
CT head/brain with contrast (70460) $13,387 $13,387 73.1×
CT head/brain without and with contrast (70470) $19,140 $19,140 104.5×
CT heart contrast eval cardiac structure&morph (75572) $3,448 $3,448 9.5×
CT heart no contrast quant eval coronry calcium (75571) $3,448 $3,448 37.9×
CT hrt w/3d image congen (75573) $3,448 $3,448 9.5×
CT iac w contrast (70481) $15,801 $15,801 86.3×
CT l-spine w&w/o contrast (72133) $14,245 $14,245 77.8×
CT lower ext w/o (73700) $13,056 $13,056 119.6×
CT lower extremity w/contrast material (73701) $13,985 $13,985 76.3×
CT lumbar spine w contrast (72132) $13,235 $13,235 36.3×
CT lumbar spine w/o contrast (72131) $12,133 $12,133 111.1×
CT maxillofacial w contrast (70487) $14,545 $14,545 79.4×
CT maxillofacial wo contrast (70486) $10,937 $10,937 100.2×
CT neck tissue combo (70492) $15,515 $15,515 84.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $25,004 $25,004 136.5×
CT orbits w/o contrast (70480) $9,220 $9,220 84.5×
CT pelvis w&w/o contrast (72194) $13,111 $13,111 71.6×
CT pelvis w/o contrast (72192) $11,721 $11,721 107.4×
CT scan of leg combo (73702) $18,290 $18,290 99.9×
CT scans face/jaw combo (70488) $15,515 $15,515 84.7×
CT soft tissue neck w contrast (70491) $12,754 $12,754 69.6×
CT soft tissue neck w/o contrast (70490) $11,701 $11,701 107.2×
CT thoracic spine w contrast (72129) $12,335 $12,335 67.3×
CT thoracic spine w/o contrast (72128) $10,456 $10,456 95.8×
CT thoracic spine w/wo cont (72130) $17,434 $17,434 95.2×
CT thorax w/o contrast (71250) $12,174 $12,174 111.5×
CT upper ext wo (73200) $12,868 $12,868 117.9×
CT upper extremity w/o & w/contrast material (73202) $18,290 $18,290 99.9×
CT upper extremity with contrast (73201) $13,985 $13,985 38.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,618 $4,618 25.2×
Cta Abdomen (74175) $16,232 $16,232 88.6×
CTA pelvis (72191) $14,418 $14,418 78.7×
Dilation ureters/urethra rs&i (74485) $9,299 $9,299 4.3×
Discography Cerv/Thor Spine (72285) $14,215 $14,215 7.0×
Diskography lumbar (72295) $14,215 $14,215 7.0×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $1,102 $1,102 10.1×
Doppler Echo Fetal Spectral Display Complete (76827) $1,647 $1,647 15.1×
Doppler Fetal Mid Cerebral Artery (76821) $2,203 $2,203 20.2×
Dxa Bone Density Axial (77080) $2,457 $2,457 22.5×
Echo exam of fetal heart (76825) $11,267 $11,267 19.7×
Echo exam uterus (76831) $1,299 $1,299 5.2×
Echo Guide For Artery Repair (76936) $1,034 $1,034 4.6×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,753 $1,753 7.0×
Echograp Trans R Pros Study (76873) $3,819 $3,819 35.0×
Esophagram (74220) $2,280 $2,280 12.4×
Fetal Biophys Profile W/Nst (76818) $5,029 $5,029 46.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $3,789 $3,789 34.7×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $9,522 $9,522 38.2×
Fluoroscopy up to 1 hr (76000) $1,884 $1,884 7.6×
Follow-Up Angiography (75898) $5,142 $5,142 1.6×
Foot 2 views (73620)
range across 3 matching MRF lines
$725–$1,445 $725–$1,445 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,700–$1,810 $1,700–$1,810 varies
Gastric emptying imaging study (78264) $7,237 $7,237 17.3×
Gastroesophageal Reflux Exam (78262) $3,559 $3,559 8.5×
Gated Heart Planar Single (78472) $7,673 $7,673 18.4×
Gated Heart, Multiple (78473) $4,515 $4,515 10.8×
Hand 2 views (73120)
range across 3 matching MRF lines
$725–$1,445 $725–$1,445 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,065 $4,065 5.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $4,065 $4,065 5.6×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $4,065 $4,065 5.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $18,229 $18,229 5.5×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $18,229 $18,229 5.5×
Hepatobil Syst Image W/Drug (78227) $5,351 $5,351 9.4×
Hepatobiliary System Imaging (78226) $5,351 $5,351 12.8×
Ht Muscle Image Spect Sing (78451) $1,427 $1,427 1.1×
Hysterosalpingogram (74740) $2,875 $2,875 11.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $3,390 $3,390 37.3×
Infusion Ivp (74410) $2,512 $2,512 13.7×
Interstitial radiation source applic complex (77778)
range across 2 matching MRF lines
$3,870–$20,912 $3,870–$20,912 varies
Intracavitary Radiation Source Applic Complex (77763) $2,646 $2,646 3.6×
Intracavitary Radiation Source Applic Intermed (77762) $2,646 $2,646 4.6×
Intracavitary radiation source applic simple (77761) $2,646 $2,646 4.6×
Joint Survey Single View (77077) $749 $749 6.9×
K Flow/Funct Image Multiple (78709) $2,680 $2,680 4.7×
K Flow/Funct Image W/Drug (78708) $4,769 $4,769 8.4×
K Flow/Funct Image W/O Drug (78707) $4,537 $4,537 8.0×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $1,061 $1,061 2.5×
Kidney Imaging Morphol (78700) $3,421 $3,421 8.2×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $4,097 $4,097 9.8×
Knee 3 Views (73562)
range across 3 matching MRF lines
$1,445–$1,700 $1,445–$1,700 varies
Leveen/Shunt Patency Exam (78291) $5,459 $5,459 13.1×
Liver & Spleen Imaging Static Only (78215) $6,161 $6,161 14.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,385 $2,385 5.7×
Liver imaging static only (78201) $4,602 $4,602 8.1×
Liver imaging w/vascular flow (78202) $10,464 $10,464 18.5×
Lung Perf&Ventilat Diferentl (78598) $7,684 $7,684 13.6×
Lung perfusion differential (78597) $6,590 $6,590 15.8×
Lung Ventilat&Perfus Imaging (78582) $9,603 $9,603 16.9×
Lung Ventilation Imaging (78579) $7,650 $7,650 18.3×
Lymph System Imaging (78195) $5,938 $5,938 10.5×
Lymphangiography extremity only unilateral rs&i (75801) $1,892 $1,892 2.9×
Lymphangiography, pelvic/abdominal, unilateral (75805) $9,595 $9,595 2.9×
Magnetic Image Jaw Joint (70336) $13,816 $13,816 55.4×
Mammary ductogram or galactogram multiple (77054) $2,109 $2,109 8.5×
Mammary ductogram or galactogram single (77053) $2,200 $2,200 8.8×
Meckels Divert Exam (78290) $7,529 $7,529 18.0×
Mlc imrt design & construction per imrt plan (77338) $4,854 $4,854 12.4×
Mra Head W/O & W/Contrast Material (70546) $8,239 $8,239 22.6×
MRA head w/o contrast (70544) $5,152 $5,152 20.7×
MRA head with contrast (70545) $5,494 $5,494 15.1×
MRA neck w contrast (70548) $5,494 $5,494 15.1×
Mra Neck W/O &W/Contrast Material (70549) $8,239 $8,239 22.6×
MRA neck w/o contrast (70547) $5,152 $5,152 20.7×
MRI abdomen w contrast (74182) $15,170 $15,170 41.6×
MRI abdomen w/o contrast (74181) $5,339 $5,339 21.4×
MRI any jt lower extrem w/contrast material (73722) $14,811 $14,811 18.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$13,491–$17,932 $13,491–$17,932 varies
MRI any jt upper extremity w/contrast matrl (73222) $14,811 $14,811 18.1×
MRI Breast W/O Contrast Bilateral (77047) $2,622 $2,622 10.5×
MRI Breast Without Contrast Material Unilateral (77046) $2,622 $2,622 10.5×
MRI cervical spine w contrast (72142) $14,450 $14,450 39.7×
MRI cervical spine w/o cont (72141) $7,840 $7,840 31.5×
MRI chest w/o contrast (71550) $9,216 $9,216 37.0×
MRI chest with contrast (71551) $10,787 $10,787 13.2×
MRI chest wo w contrast (71552) $13,368 $13,368 36.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$13,491–$17,932 $13,491–$17,932 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$8,428–$13,254 $8,428–$13,254 varies
MRI lumbar spine w contrast (72149) $14,370 $14,370 39.4×
Mri Neck Spine W/O & W/Dye (72156) $20,270 $20,270 55.6×
MRI orbit face &/neck w/o contrast (70540) $5,276 $5,276 21.2×
MRI orbit face neck w contrast (70542) $5,339 $5,339 14.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $16,188 $16,188 44.4×
MRI pelvis w contrast (72196) $11,902 $11,902 32.7×
MRI pelvis w/o & w contrast (72197) $16,188 $16,188 44.4×
MRI pelvis w/o contrast (72195) $9,523 $9,523 38.2×
MRI spectroscopy (76390) $2,064 $2,064 22.7×
MRI thoracic spine w/o contrast (72146) $7,121 $7,121 28.6×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$8,428–$13,491 $8,428–$13,491 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$13,491–$17,932 $13,491–$17,932 varies
MRI, abdomen, combo (74183) $16,188 $16,188 44.4×
MRI, dorsal spine combo (72157) $20,944 $20,944 57.5×
MRI, dorsal spine contrast (72147) $14,925 $14,925 41.0×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$8,428–$13,254 $8,428–$13,254 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$13,491–$17,932 $13,491–$17,932 varies
MRI, lumbar spine combo (72158) $20,150 $20,150 55.3×
Myelogram cervical (72240) $6,500 $6,500 7.9×
Myelogram Lumbar (72265) $5,744 $5,744 7.0×
Myelography thoracic (72255) $5,744 $5,744 7.0×
Myelograpy 2/more regions rs&i (72270) $2,308 $2,308 2.8×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $4,897 $4,897 11.7×
Myocardial Imaging Pet Metabolic Evaluation (78459) $4,795 $4,795 3.5×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $9,492 $9,492 7.0×
Myocardial Spect Multiple Studies (78452) $14,560 $14,560 10.8×
N-invas est c ffr sw aly CTA (75580) $3,378 $3,378 3.8×
Neck soft tissue (70360) $1,585 $1,585 17.4×
Nm csf leak detection (78650) $4,504 $4,504 3.3×
Nm myocard infarct spect (78469) $3,084 $3,084 5.4×
Nonvascular Shunt X-Ray (75809) $1,135 $1,135 10.4×
Ntsty modul radthx pln dose-vol histos (77301) $9,675 $9,675 6.7×
Nuclear Rx Intra-Arterial (79445) $1,394 $1,394 5.7×
Nuclear Rx Oral Admin (79005) $7,398 $7,398 30.4×
Ob us nuchal meas 1 gest (76813) $757 $757 6.9×
Optic foramina (70190) $560 $560 6.2×
Parathyroid Planar Imaging (78070) $3,312 $3,312 7.9×
Parathyroid planar imaging w/wo subtraction (78071) $1,681 $1,681 4.0×
Pelvis 1 or 2 views (72170) $1,774 $1,774 16.2×
Pet Image Skull-Thigh (78812) $9,464 $9,464 6.3×
PET image w/CT, full body (78816) $9,464 $9,464 6.3×
PET imaging CT attenuation skull base mid-thigh (78815) $9,464 $9,464 6.3×
Pet Imaging Limited Area Chest Head/Neck (78811) $61,388 $61,388 45.4×
PET whole body (78813) $9,464 $9,464 6.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $18,229 $18,229 5.5×
Pulmonary Perfusion Imaging Particulate (78580) $6,658 $6,658 15.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $2,801 $2,801 25.7×
Radex abscess/fistula/sinus tract rs&i (76080) $2,109 $2,109 3.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$1,299–$1,445 $1,299–$1,445 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$1,700–$1,892 $1,700–$1,892 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$1,700–$1,892 $1,700–$1,892 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $2,663 $2,663 24.4×
Radex fingr minimum 2 views (73140) $1,552 $1,552 17.1×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$1,700–$1,743 $1,700–$1,743 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$1,618–$1,810 $1,618–$1,810 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$1,716–$1,892 $1,716–$1,892 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $986 $986 9.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,779 $1,779 19.6×
Radex Ribs Unilateral 2 Views (71100) $725 $725 8.0×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$1,806–$3,690 $1,806–$3,690 varies
Radex Sinuses Paransl < 3 Views (70210) $694 $694 7.6×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $2,111 $2,111 11.5×
Radex Spine 1 View Specify Level (72020) $1,482 $1,482 16.3×
Radex Sternum Minimum 2 Views (71120) $2,021 $2,021 22.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,198 $2,198 24.2×
Radex Toe Minimum 2 Views (73660)
range across 5 matching MRF lines
$1,400–$1,700 $1,400–$1,700 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$538–$725 $538–$725 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$1,699–$1,810 $1,699–$1,810 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $2,061 $2,061 18.9×
Radiation Delivery Stereotactic Cranial Linear (77372) $24,767 $24,767 3.2×
Radiation treatment delivery level 1 (77402) $2,191 $2,191 20.6×
Radiation treatment delivery level 2 (77407) $2,308 $2,308 5.7×
Radiation treatment delivery level 3 (77412) $4,000 $4,000 6.9×
Radiolog exam mandible compl minimum 4 views (70110) $2,424 $2,424 22.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $3,049 $3,049 27.9×
Radiologic exam colon double contrast study (74280) $4,438 $4,438 24.2×
Radiologic exam colon single contrast study (74270) $4,186 $4,186 22.9×
Radiologic exam knee complete 4/more views (73564) $3,496 $3,496 32.0×
Radiologic exam pelvis compl minimum 3 views (72190) $2,061 $2,061 18.9×
Radiologic Exam Small Int Single Contrast Study (74250) $2,727 $2,727 14.9×
Radiologic exam swallow function contrast study (74230) $3,376 $3,376 18.4×
Radiologic examination femur 1 view (73551) $1,510 $1,510 16.6×
Radiologic examination femur minimum 2 views (73552) $1,700 $1,700 18.7×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$725–$1,024 $725–$1,024 varies
Radiologic Examination Osseous Survey Limited (77074) $4,661 $4,661 42.7×
Radiologic Examination Salivary Gland Calculus (70380) $725 $725 8.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$1,700–$1,892 $1,700–$1,892 varies
Red Cell Volume Determination Spx 1 Sampling (78120) $13,292 $13,292 31.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,132 $1,132 2.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,132 $1,132 2.8×
Renal Cyst Study (74470) $2,109 $2,109 3.7×
Ribs bilateral 3 views (71110) $927 $927 8.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $5,392 $5,392 12.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $7,893 $7,893 18.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $8,013 $8,013 14.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $9,974 $9,974 17.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $7,893 $7,893 13.9×
Rp Therapy Intravenous Administration (79101) $6,049 $6,049 24.8×
Salivary Gland Function Study (78232) $1,388 $1,388 3.3×
Salivary Gland Imaging (78230) $1,281 $1,281 3.1×
Scapula (73010)
range across 3 matching MRF lines
$1,570–$3,130 $1,570–$3,130 varies
Screening Digital Breast Tomosynthesis Bi (77063) $131 $131 5.6×
Sella turcica (70240) $537 $537 5.9×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$1,667–$3,391 $1,667–$3,391 varies
Shoulder Arthrography (73040) $2,462 $2,462 6.8×
Sialogram (70390) $3,124 $3,124 12.5×
Skull less than 4 views (70250) $1,595 $1,595 14.6×
Special dosimetry (77331) $3,439 $3,439 24.5×
Special Physics Consult (77370) $2,307 $2,307 16.4×
Special teletherapy port plan (77321) $3,956 $3,956 10.1×
Special treatment procedure (77470)
range across 2 matching MRF lines
$2,792–$9,351 $2,792–$9,351 varies
Spleen Imaging (78185) $2,514 $2,514 6.0×
Stereotactic Body Radiation Delivery (77373) $13,254 $13,254 7.1×
Sternoclavicular joints (71130) $1,796 $1,796 19.8×
Superior sagittal sinus venogram (75870) $17,694 $17,694 5.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $4,469 $4,469 11.4×
Telethx isodose pln smpl w/dosimetry calculation (77306) $2,823 $2,823 7.2×
Testicular Imaging W/Flow (78761) $5,699 $5,699 13.7×
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines
$2,249–$6,791 $2,249–$6,791 varies
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $4,047 $4,047 10.4×
Ther rad simulaj-aided field setting simple (77280) $2,501 $2,501 17.8×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $2,527 $2,527 13.8×
Thoracic spine 2 views (72070) $2,028 $2,028 18.6×
Thoracolumbar 2 views (72080) $1,553 $1,553 17.1×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $9,237 $9,237 22.1×
Thyroid Imaging With Vascular Flow (78013) $4,581 $4,581 11.0×
Thyroid Met Imaging Body (78018) $8,416 $8,416 14.8×
Thyroid Uptake Measurement (78012) $2,725 $2,725 6.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $12,506 $12,506 30.0×
Tx Devices Design & Construction Complex (77334) $4,854 $4,854 12.4×
Tx devices design & construction intermediate (77333) $5,513 $5,513 39.3×
Tx devices design & construction simple (77332) $3,012 $3,012 21.5×
Ultrasound Breast Limited (76642)
range across 5 matching MRF lines
$3,072–$4,605 $3,072–$4,605 varies
Ultrasound Exam Aaa Screen (76706) $3,124 $3,124 28.6×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$1,336–$3,124 $1,336–$3,124 varies
Umbilical-artery Doppler (OB) (76820) $2,203 $2,203 20.2×
Upper gi w/o kub (74240) $3,401 $3,401 18.6×
Ureteral Reflux Study (78740) $5,537 $5,537 13.3×
Urethrocystogram voiding (74455) $3,226 $3,226 12.9×
Urethrocystography retrograde (74450) $2,383 $2,383 9.6×
Us breast unilateral complete (76641)
range across 6 matching MRF lines
$598–$5,223 $598–$5,223 varies
Us chest (76604) $1,110 $1,110 10.2×
Us complete joint (76881) $902 $902 8.3×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$2,107–$3,808 $2,107–$3,808 varies
Us head (76506) $1,647 $1,647 15.1×
Us kidney transplant (76776) $2,464 $2,464 22.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $902 $902 8.3×
Us ob detailed single fetus (76811) $2,512 $2,512 10.1×
Us ob limited 1 or more fetuses (76815) $2,410 $2,410 22.1×
Us ob transvaginal (76817) $1,567 $1,567 14.4×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$2,107–$3,808 $2,107–$3,808 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $5,370 $5,370 49.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $2,027 $2,027 18.6×
Us retroperitoneal complete (76770) $5,969 $5,969 54.7×
Us retroperitoneal limited (76775) $3,204 $3,204 29.3×
Us scrotum and contents (76870) $3,353 $3,353 30.7×
Us spinal canal and contents (76800) $3,793 $3,793 34.7×
Us thyroid (76536) $3,335 $3,335 30.5×
Us transrectal (76872) $1,665 $1,665 15.3×
Vascular Flow Imaging (78445) $3,940 $3,940 9.4×
Vein X-Ray Chest (75827) $9,271 $9,271 5.6×
Vein X-Ray Liver W/O Hemodyn (75887) $5,886 $5,886 1.8×
Vein X-Ray Spleen/Liver (75810) $18,229 $18,229 5.5×
Venogram Sinus/Jugular (75860) $5,886 $5,886 1.8×
Venography Adrenal Unilateral (75840) $18,229 $18,229 5.5×
Venography caval inferior serialography rs&i (75825) $18,229 $18,229 5.5×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$3,653–$5,886 $3,653–$5,886 varies
Venography extremity unilateral rs&i (75820) $5,885 $5,885 3.6×
Venography Renal Bilateral (75833) $18,229 $18,229 5.5×
Venography Renal Unilateral (75831) $18,229 $18,229 5.5×
Venous sampling by catheter (75893) $18,229 $18,229 3.1×
Venous Thrombosis Imaging Venogram Bilateral (78458) $3,846 $3,846 9.2×
Wrist 2 views (73100)
range across 3 matching MRF lines
$459–$650 $459–$650 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,008 $2,008 22.1×
X-ray antegrade pyelogram tube (74425) $1,027 $1,027 2.8×
X-Ray Aorta Leg Arteries (75630) $18,229 $18,229 5.5×
X-Ray Bend Only L-S Spine (72120) $2,226 $2,226 20.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$725–$1,445 $725–$1,445 varies
X-Ray Exam Breast Specimen (76098) $2,655 $2,655 4.7×
X-Ray Exam Entire Spi 1 Vw (72081) $1,892 $1,892 20.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,966 $1,966 18.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $2,014 $2,014 18.4×
X-Ray Exam Hip Uni 1 View (73501) $357 $357 3.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,756 $1,756 19.3×
X-Ray Exam Hip Uni 4/> Views (73503) $1,867 $1,867 17.1×
X-Ray Exam Hips Bi 2 Views (73521) $1,754 $1,754 16.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,832 $1,832 16.8×
X-Ray Exam Hips Bi 5/> Views (73523) $1,906 $1,906 17.5×
X-Ray Exam L-S Spine Bending (72114) $3,105 $3,105 28.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $2,048 $2,048 22.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,597 $2,597 23.8×
X-Ray Exam Unilat Ribs/Chest (71101) $2,214 $2,214 20.3×
X-ray eye for foreign body (70030) $1,504 $1,504 16.5×
X-ray humerus (73060) $1,667 $1,667 18.3×
X-ray IV pyelogram (ivp) (74400) $3,727 $3,727 20.3×
X-ray IV pyelogram+tomography (74415) $5,159 $5,159 28.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $506 $506 5.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,814 $2,814 25.8×
X-ray nose-rectum child f.b. (76010) $725 $725 8.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $3,337 $3,337 30.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,486 $1,486 13.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,896 $1,896 20.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,472 $2,472 27.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $2,814 $2,814 25.8×
X-Ray Stress View (77071) $385 $385 4.2×
X-Ray Tmj Unilat (70328) $725 $725 8.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $3,919 $3,919 10.8×
X-Rays Bone Length Studies (77073) $2,213 $2,213 20.3×
X-Rays Bone Survey Complete (77075) $5,719 $5,719 52.4×
Xr c-spine 4 or 5 views (72050) $2,440 $2,440 22.4×
Xr facial bones less than 3 views (70140) $725 $725 8.0×
Xr orbits complete 4 views (70200) $2,546 $2,546 23.3×
Xr Tomogram Single Plane (76100) $2,671 $2,671 24.5×

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.