Imaging prices at HCA Florida North Florida Hospital
Gainesville, FL · every code in this section with a posted price and a Medicare benchmark.
286 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $13,263.89 | $13,263.89 | 9.2× |
| Abdomen 2 views (74019) | $1,073.39 | $1,073.39 | 9.8× |
| Acute gi blood loss imaging (78278) | $8,372.29 | $8,372.29 | 20.1× |
| Angio Adrenal Bilat Select (75733) | $29,410.86 | $29,410.86 | 8.9× |
| Angiography extremity bilateral rs&i (75716) | $22,901.21 | $22,901.21 | 6.9× |
| Angiography extremity unilateral rs&i (75710) | $6,071.84 | $6,071.84 | 1.8× |
| Angiography internal mammary rs&i (75756) | $23,031.92 | $23,031.92 | 7.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $16,796.78 | $16,796.78 | 2.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $17,800.59 | $17,800.59 | 5.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $11,290.55 | $11,290.55 | 3.4× |
| Angiography Spinal Selective Rs&I (75705) | $61,159.69 | $61,159.69 | 10.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $13,696.01 | $13,696.01 | 2.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $7,783.10 | $7,783.10 | 2.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,290.55 | $11,290.55 | 3.4× |
| Ankle 2 views (73600) | $1,856.51 | $1,856.51 | 20.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $20,969.21 | $20,969.21 | 6.4× |
| Aortography abdominal serialography rs&i (75625) | $16,129.88 | $16,129.88 | 4.9× |
| Artery X-Rays Adrenal Gland (75731) | $29,410.86 | $29,410.86 | 8.9× |
| Arthrogram hip (73525) | $1,250 | $1,250 | 3.4× |
| Arthrogram knee (73580) | $1,195.50 | $1,195.50 | 3.3× |
| Arthrogram shoulder (73040) | $3,337.17 | $3,337.17 | 9.2× |
| Arthrogram wrist (73115) | $2,645.81 | $2,645.81 | 7.3× |
| Basic dosimetry (77300) | $1,910.77 | $1,910.77 | 13.6× |
| Bone &/Joint Imaging Limited Area (78300) | $8,698.44 | $8,698.44 | 20.8× |
| Bone &/joint imaging whole body (78306) | $11,233.36 | $11,233.36 | 26.9× |
| Bone Imaging 3 Phase (78315) | $9,437.31 | $9,437.31 | 22.6× |
| Bone survey complete (77075) | $5,352.71 | $5,352.71 | 49.0× |
| Bowel imaging (78290) | $11,177.96 | $11,177.96 | 26.8× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) | $3,167.93 | $3,167.93 | 5.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $12,306.04 | $12,306.04 | 29.5× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $3,319.77 | $3,319.77 | 4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,651.08 | $1,651.08 | 4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,687.33 | $4,687.33 | 8.3× |
| Cervical spine 2 or 3 views (72040) | $2,727.72 | $2,727.72 | 30.0× |
| Chest 1 view (71045) | $561.20 | $561.20 | 6.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,305.91 | $1,305.91 | 7.1× |
| Clavicle complete (73000) | $592.27 | $592.27 | 6.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,406.95 | $1,406.95 | 12.9× |
| Continuing medical physics consltj pr wk (77336) | $2,010.07 | $2,010.07 | 14.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,305.91 | $1,305.91 | 7.1× |
| CT abdomen and pelvis without and with contrast (74178) | $33,962.68 | $33,962.68 | 93.2× |
| CT abdomen and pelvis without contrast (74176) | $24,506.33 | $24,506.33 | 98.4× |
| CT abdomen w contrast (74160) | $19,984.89 | $19,984.89 | 109.1× |
| CT abdomen w wo contrast (74170) | $20,282.01 | $20,282.01 | 110.7× |
| CT abdomen w/o contrast (74150) | $15,918.77 | $15,918.77 | 145.8× |
| CT angio hrt w/3d image (75574) | $2,352.45 | $2,352.45 | 6.5× |
| CT angio lwr extr w/o&w/dye (73706) | $625 | $625 | 3.4× |
| CT angiography upper extremity lt (73206) | $18,963.21 | $18,963.21 | 103.5× |
| CT c-spine w/contrast (72126) | $22,043.20 | $22,043.20 | 60.5× |
| CT c-spine w/o contrast (72125) | $15,344.47 | $15,344.47 | 140.6× |
| CT cere prfu aly c+wo CT/CTA (70473) | $19,386.97 | $19,386.97 | 105.8× |
| CT cervical spine w&w/o contrast (72127) | $22,984.11 | $22,984.11 | 125.5× |
| CT chest w contrast (71260) | $18,833.26 | $18,833.26 | 102.8× |
| CT chest w/wo contrast (71270) | $20,933.44 | $20,933.44 | 114.3× |
| CT head/brain with contrast (70460) | $15,885.55 | $15,885.55 | 86.7× |
| CT head/brain without and with contrast (70470) | $19,034.34 | $19,034.34 | 103.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,352.50 | $1,352.50 | 3.7× |
| CT iac w contrast (70481) | $15,026.06 | $15,026.06 | 82.0× |
| CT limited/localized follow up study (76380) | $6,068.92 | $6,068.92 | 66.8× |
| CT lower ext w/o (73700) | $10,515.24 | $10,515.24 | 96.3× |
| CT lower extremity w wo contrast (73702) | $17,316.70 | $17,316.70 | 94.5× |
| CT lower extremity w/contrast material (73701) | $17,387.83 | $17,387.83 | 94.9× |
| CT lumbar spine w & w/o contrast (72133) | $17,387.83 | $17,387.83 | 94.9× |
| CT lumbar spine w/contrast (72132) | $23,223.41 | $23,223.41 | 63.7× |
| CT lumbar spine w/o contrast (72131) | $14,206.45 | $14,206.45 | 130.1× |
| CT maxillofacial w contrast (70487) | $12,531.03 | $12,531.03 | 68.4× |
| CT maxillofacial w/wo contrast (70488) | $16,983.99 | $16,983.99 | 92.7× |
| CT maxillofacial wo contrast (70486) | $10,289.91 | $10,289.91 | 94.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $13,968.81 | $13,968.81 | 76.3× |
| CT orbits w/o contrast (70480) | $10,479.35 | $10,479.35 | 96.0× |
| CT pelvis w/o contrast (72192) | $15,703.74 | $15,703.74 | 143.8× |
| CT pelvis w/wo contrast (72194) | $23,540.49 | $23,540.49 | 128.5× |
| CT scan of arm combo (73202) | $19,248.38 | $19,248.38 | 105.1× |
| CT soft tissue neck w contrast (70491) | $19,513.26 | $19,513.26 | 106.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $19,209.17 | $19,209.17 | 104.9× |
| CT soft tissue neck w/o contrast (70490) | $12,999.66 | $12,999.66 | 119.1× |
| CT thoracic spine w/contrast (72129) | $20,611.05 | $20,611.05 | 112.5× |
| CT thoracic spine w/o contrast (72128) | $15,347.77 | $15,347.77 | 140.6× |
| CT thoracic spine w/wo contrast (72130) | $15,100.51 | $15,100.51 | 82.4× |
| CT thorax w/o contrast (71250) | $13,759.77 | $13,759.77 | 126.0× |
| CT upper ext wo (73200) | $15,801.79 | $15,801.79 | 144.7× |
| CT upper extremity with contrast (73201) | $19,544.18 | $19,544.18 | 53.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $17,785.66 | $17,785.66 | 97.1× |
| Cta Abdomen (74175) | $20,147.75 | $20,147.75 | 110.0× |
| CTA abdomen pelvis (74174) | $23,462.73 | $23,462.73 | 64.4× |
| CTA chest (71275) | $20,741.34 | $20,741.34 | 113.2× |
| Cta Head (70496) | $18,963.21 | $18,963.21 | 103.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $18,931.60 | $18,931.60 | 52.0× |
| Cta Neck (70498) | $18,963.21 | $18,963.21 | 103.5× |
| Cta Pelvis (72191) | $17,778.34 | $17,778.34 | 97.1× |
| Cystography minimum 3 views rs&i (74430) | $4,985.65 | $4,985.65 | 13.7× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $3,487.44 | $3,487.44 | 1.6× |
| Diskography lumbar (72295) | $38,281.72 | $38,281.72 | 18.8× |
| Esophageal motility (78258) | $5,457.71 | $5,457.71 | 13.1× |
| Esophagus (74220) | $808.18 | $808.18 | 4.4× |
| Facial bones min 3 views (70150) | $3,382.14 | $3,382.14 | 31.0× |
| Fetal biophysical profile non-stress testing (76818) | $1,571.22 | $1,571.22 | 14.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,571.22 | $1,571.22 | 14.4× |
| Fluoroscopy up to 1 hr (76000) | $950.92 | $950.92 | 3.8× |
| Foot 2 views (73620) | $1,368.07 | $1,368.07 | 15.1× |
| Forearm 2 views (73090) | $2,529.20 | $2,529.20 | 27.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,055.80 | $2,055.80 | 3.6× |
| Hand 2 views (73120) | $773.44 | $773.44 | 7.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $17,795.83 | $17,795.83 | 5.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $9,977.28 | $9,977.28 | 17.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $6,935.46 | $6,935.46 | 16.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $8,948.94 | $8,948.94 | 15.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $10,698.75 | $10,698.75 | 18.9× |
| Knee 3 views (73562) | $2,344.57 | $2,344.57 | 25.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,164.40 | $8,164.40 | 19.6× |
| Liver imaging static only (78201) | $2,617.28 | $2,617.28 | 4.6× |
| Lung perfusion differential (78597) | $5,493.26 | $5,493.26 | 13.2× |
| Lung ventilation imaging (78579) | $3,712.10 | $3,712.10 | 8.9× |
| Lymphoscintigraphy (78195) | $6,945.76 | $6,945.76 | 12.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $3,125.90 | $3,125.90 | 3.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $1,519.13 | $1,519.13 | 4.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $1,519.13 | $1,519.13 | 4.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,750.74 | $1,750.74 | 4.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $100 | $100 | 3.3× |
| MRA head w & w/o contrast (70546) | $9,824.27 | $9,824.27 | 27.0× |
| MRA head w/o contrast (70544) | $6,544.52 | $6,544.52 | 26.3× |
| MRA head with contrast (70545) | $7,857.35 | $7,857.35 | 21.6× |
| MRA neck w contrast (70548) | $7,857.35 | $7,857.35 | 21.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,824.27 | $9,824.27 | 27.0× |
| MRA neck w/o contrast (70547) | $6,544.52 | $6,544.52 | 26.3× |
| MRI abdomen w contrast (74182) | $4,711.22 | $4,711.22 | 12.9× |
| MRI abdomen w/o & w/contrast material (74183) | $9,824.27 | $9,824.27 | 27.0× |
| MRI abdomen w/o contrast (74181) | $6,544.52 | $6,544.52 | 26.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,125.90 | $3,125.90 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,824.27 | $9,824.27 | 27.0× |
| MRI c-spine with contrast (72142) | $7,857.35 | $7,857.35 | 21.6× |
| MRI cardiac w/o cont stress (75559) | $2,254.79 | $2,254.79 | 4.0× |
| MRI cardiac w/o contrast (75557) | $1,046.74 | $1,046.74 | 4.2× |
| MRI cervical spine w/o contrast (72141) | $6,544.52 | $6,544.52 | 26.3× |
| MRI chest w/o & w/contrast material (71552) | $8,453.28 | $8,453.28 | 23.2× |
| MRI chest w/o contrast (71550) | $6,544.52 | $6,544.52 | 26.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,519.13 | $1,519.13 | 4.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,519.13 | $1,519.13 | 4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $964.06 | $964.06 | 3.9× |
| MRI orbit face &/neck w/o contrast (70540) | $6,544.52 | $6,544.52 | 26.3× |
| MRI orbit/face/neck w&w/o cont (70543) | $9,824.27 | $9,824.27 | 27.0× |
| MRI pelvis w/contrast (72196) | $7,857.35 | $7,857.35 | 21.6× |
| MRI pelvis w/o & w/contrast material (72197) | $9,824.27 | $9,824.27 | 27.0× |
| MRI pelvis w/o contrast (72195) | $1,053.13 | $1,053.13 | 4.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $9,824.27 | $9,824.27 | 27.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $7,857.35 | $7,857.35 | 21.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $9,824.27 | $9,824.27 | 27.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $7,857.35 | $7,857.35 | 21.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $9,824.27 | $9,824.27 | 27.0× |
| MRI thoracic spine w/o contrast (72146) | $6,544.52 | $6,544.52 | 26.3× |
| MRI up ext w/o contrast (73218) | $964.06 | $964.06 | 3.9× |
| MRI upper ext joint w/o contrast (73221) | $2,892.19 | $2,892.19 | 11.6× |
| MRI, joint upper extrem combo (73223) | $1,519.13 | $1,519.13 | 4.2× |
| Myelogram Lumbar (72265) | $8,621.52 | $8,621.52 | 10.5× |
| Myelography 2 or more regions (72270) | $7,054.93 | $7,054.93 | 8.6× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $17,847.02 | $17,847.02 | 13.2× |
| Myocardial Spect Multiple Studies (78452) | $17,847.02 | $17,847.02 | 13.2× |
| Myocardial spect single study at rest or stress (78451) | $17,847.02 | $17,847.02 | 13.2× |
| N-invas est c ffr sw aly CTA (75580) | $1,096.67 | $1,096.67 | 1.2× |
| Neck soft tissue (70360) | $2,293.03 | $2,293.03 | 25.2× |
| Nm adrenal scan (78075) | $5,550.66 | $5,550.66 | 4.1× |
| Nm bone marrow multi (78103) | $1,635.98 | $1,635.98 | 3.9× |
| Nm cisternogram (78630) | $7,216.31 | $7,216.31 | 12.7× |
| Nm gastric emptying study (78264) | $8,527.44 | $8,527.44 | 20.4× |
| Nm peritoneal-venous shunt patency (78291) | $1,635.98 | $1,635.98 | 3.9× |
| Nm red cell sequestration (78140) | $2,926.41 | $2,926.41 | 7.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,236.73 | $16,236.73 | 11.2× |
| Nuclear Rx Oral Admin (79005) | $452.46 | $452.46 | 1.9× |
| Parathyroid Planar Imaging (78070) | $10,917.34 | $10,917.34 | 26.2× |
| Pelvis 1 or 2 views (72170) | $2,493 | $2,493 | 22.8× |
| Peritoneogram after injection (74190) | $2,527.37 | $2,527.37 | 4.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $29,410.86 | $29,410.86 | 8.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $11,290.55 | $11,290.55 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,958.48 | $8,958.48 | 21.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,210.64 | $8,210.64 | 14.5× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) | $1,188.13 | $1,188.13 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $5,046.08 | $5,046.08 | 8.8× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,856.51 | $1,856.51 | 20.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,335.18 | $1,335.18 | 14.7× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,869.94 | $2,869.94 | 31.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,061.69 | $1,061.69 | 9.7× |
| Radex fingr minimum 2 views (73140) | $2,085.01 | $2,085.01 | 22.9× |
| Radex Foot Compl Minimum 3 Views (73630) | $1,368.07 | $1,368.07 | 15.1× |
| Radex Hand Minimum 3 Views (73130) | $2,413.67 | $2,413.67 | 26.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $641.63 | $641.63 | 7.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $1,061.69 | $1,061.69 | 9.7× |
| Radex Humerus Minimum 2 Views (73060) | $2,580.02 | $2,580.02 | 28.4× |
| Radex Kne 1/2 Views (73560) | $2,310.57 | $2,310.57 | 25.4× |
| Radex Kne Compl 4/More Views (73564) | $2,399.79 | $2,399.79 | 22.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $3,190.94 | $3,190.94 | 29.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,430.49 | $2,430.49 | 26.7× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,970.49 | $2,970.49 | 32.7× |
| Radex Toe Minimum 2 Views (73660) | $1,135.19 | $1,135.19 | 12.5× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,317.89 | $2,317.89 | 25.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $58,821.92 | $58,821.92 | 7.6× |
| Radiation treatment delivery level 1 (77402) | $1,523.80 | $1,523.80 | 14.3× |
| Radiation treatment delivery level 2 (77407) | $380.90 | $380.90 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $1,122.50 | $1,122.50 | 1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $561.20 | $561.20 | 6.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,073.39 | $1,073.39 | 9.8× |
| Radiologic exam chest 2 views (71046) | $561.20 | $561.20 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $5,458.37 | $5,458.37 | 29.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $808.18 | $808.18 | 4.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,603.96 | $4,603.96 | 25.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,064.99 | $5,064.99 | 27.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,720.42 | $2,720.42 | 29.9× |
| Radiological examination surgical specimen (76098) | $2,292.47 | $2,292.47 | 4.0× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $993.28 | $993.28 | 4.1× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $993.28 | $993.28 | 4.1× |
| Ribs bilateral 3 views (71110) | $4,069.47 | $4,069.47 | 37.3× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $1,886.35 | $1,886.35 | 4.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $14,533.52 | $14,533.52 | 25.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $13,215.52 | $13,215.52 | 23.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $18,943.40 | $18,943.40 | 33.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,550.66 | $5,550.66 | 4.1× |
| Rp therapy intra-arterial particulate admn (79445) | $1,129.86 | $1,129.86 | 4.6× |
| Rp Therapy Intravenous Administration (79101) | $27,287.78 | $27,287.78 | 112.0× |
| Scapula (73010) | $2,557.36 | $2,557.36 | 23.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $182.07 | $182.07 | 7.8× |
| Shoulder 1 view (73020) | $2,970.49 | $2,970.49 | 32.7× |
| Small bowel series (74250) | $4,192.67 | $4,192.67 | 22.9× |
| Special Physics Consult (77370) | $712.44 | $712.44 | 5.1× |
| Special treatment procedure (77470) | $2,619.67 | $2,619.67 | 4.5× |
| Spine thoracic 3 views (72072) | $3,610.27 | $3,610.27 | 33.1× |
| Splenoportograpy rs&i (75810) | $29,410.86 | $29,410.86 | 8.9× |
| Stereotactic Body Radiation Delivery (77373) | $58,821.92 | $58,821.92 | 31.5× |
| Superior sagittal sinus venogram (75870) | $8,982.64 | $8,982.64 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,082.96 | $1,082.96 | 2.8× |
| Testicular Imaging With Vascular Flow (78761) | $3,411.73 | $3,411.73 | 8.2× |
| Ther rad simulaj-aided field setting complex (77290) | $13,898.65 | $13,898.65 | 35.5× |
| Ther rad simulaj-aided field setting simple (77280) | $11,538.86 | $11,538.86 | 82.2× |
| Thyroid carcinoma metastases img whole body (78018) | $15,319.58 | $15,319.58 | 27.0× |
| Thyroid imaging w/blood flow (78013) | $6,777.24 | $6,777.24 | 16.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,904.55 | $7,904.55 | 18.9× |
| Tmj unilateral (70328) | $379.78 | $379.78 | 4.2× |
| Treatment device complex (77334) | $3,946.55 | $3,946.55 | 10.1× |
| Ultrasound breast complete (76641) | $1,043.42 | $1,043.42 | 9.6× |
| Ultrasound, abdomen limited (76705) | $2,113.51 | $2,113.51 | 19.4× |
| Unlisted miscellaneous px dx nuclear medicine (78999) | $9,357.06 | $9,357.06 | 22.4× |
| Urethrocystogram voiding (74455) | $6,057.96 | $6,057.96 | 24.3× |
| Urethrocystography retrograde rs&i (74450) | $2,886.04 | $2,886.04 | 11.6× |
| Us chest (76604) | $5,271.19 | $5,271.19 | 48.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $3,462.22 | $3,462.22 | 15.4× |
| Us encephalogram (76506) | $2,577.83 | $2,577.83 | 23.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $545.85 | $545.85 | 5.0× |
| Us ob detailed single fetus (76811) | $2,244.54 | $2,244.54 | 9.0× |
| Us ob limited (76815) | $3,481.23 | $3,481.23 | 31.9× |
| Us ob transvaginal (76817) | $1,646.40 | $1,646.40 | 15.1× |
| Us pelvic non ob complete (76856) | $3,109.23 | $3,109.23 | 28.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,686.41 | $2,686.41 | 24.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,646.40 | $1,646.40 | 15.1× |
| Us retroperitoneal complete (76770) | $4,056.31 | $4,056.31 | 37.2× |
| Us retroperitoneal limited (76775) | $860.61 | $860.61 | 7.9× |
| Us scrotum and contents (76870) | $3,258.94 | $3,258.94 | 29.9× |
| Us soft tissue head/neck (76536) | $3,104.84 | $3,104.84 | 28.4× |
| Venogram extremity bilateral (75822) | $8,234.06 | $8,234.06 | 5.0× |
| Venogram Extremity Unilateral (75820) | $7,575.25 | $7,575.25 | 4.6× |
| Venography caval inferior serialography rs&i (75825) | $8,121.76 | $8,121.76 | 2.5× |
| Venography caval superior serialography rs&i (75827) | $6,299.06 | $6,299.06 | 3.8× |
| Venography renal unilateral selective rs&i (75831) | $11,290.55 | $11,290.55 | 3.4× |
| Venography venous sinus/jugular cath rs&i (75860) | $11,290.55 | $11,290.55 | 3.4× |
| Wrist 2 views (73100) | $2,317.89 | $2,317.89 | 25.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,734.86 | $4,734.86 | 43.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,406.36 | $2,406.36 | 26.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,111.70 | $6,111.70 | 33.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $379.78 | $379.78 | 4.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $641.63 | $641.63 | 7.1× |
| X-ray exam of femur 2/> (73552) | $641.63 | $641.63 | 7.1× |
| X-ray eye for foreign body (70030) | $351.65 | $351.65 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,970.49 | $2,970.49 | 27.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $498.08 | $498.08 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $1,641.91 | $1,641.91 | 18.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,269.90 | $3,269.90 | 30.0× |
| X-ray retrograde pyelogram (74420) | $8,446.76 | $8,446.76 | 23.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,357.28 | $3,357.28 | 36.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,357.28 | $3,357.28 | 30.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,069.47 | $4,069.47 | 37.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,536.51 | $2,536.51 | 23.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,869.94 | $2,869.94 | 31.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,051.55 | $4,051.55 | 44.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,912.98 | $3,912.98 | 35.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,293.03 | $2,293.03 | 21.0× |
| X-Ray Spine One View - Xr Spine (72020) | $2,093.42 | $2,093.42 | 23.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $4,299.42 | $4,299.42 | 47.3× |
| Xr c-spine 4 or 5 views (72050) | $3,785.03 | $3,785.03 | 34.7× |
| Xr c-spine 6 or more views (72052) | $4,051.55 | $4,051.55 | 37.1× |