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.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $13,263.89 $13,263.89 9.2×
Abdomen 1 View (74018) $561.20 $561.20 6.2×
Abdomen 2 views (74019) $1,073.39 $1,073.39 9.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $8,372.29 $8,372.29 20.1×
Adrenal Cortex & Medulla Img (78075) $5,550.66 $5,550.66 4.1×
Angio internal mammary (75756) $23,031.92 $23,031.92 7.0×
Angio pulmonary bilat (75743) $17,800.59 $17,800.59 5.4×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $29,410.86 $29,410.86 8.9×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines
$17,795.83–$28,006.59 $17,795.83–$28,006.59 varies
Angiography extremity unilateral rs&i (75710)
range across 6 matching MRF lines
$5,723.07–$19,897.54 $5,723.07–$19,897.54 varies
Angiography pulmonary unilateral slctv rs&i (75741) $11,290.55 $11,290.55 3.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $11,290.55 $11,290.55 3.4×
Ankle 2 views (73600)
range across 3 matching MRF lines
$1,856.51–$3,714.46 $1,856.51–$3,714.46 varies
Artery X-Rays Abdomen (75726)
range across 3 matching MRF lines
$6,891.52–$17,800.59 $6,891.52–$17,800.59 varies
Artery X-Rays Adrenal Gland (75731) $29,410.86 $29,410.86 8.9×
Artery X-Rays Pelvis (75736)
range across 2 matching MRF lines
$13,696.01–$19,897.54 $13,696.01–$19,897.54 varies
Artery X-Rays Spine (75705) $61,159.69 $61,159.69 10.5×
Arthrogram hip (73525) $1,250 $1,250 3.4×
Arthrogram Wrist (73115) $2,645.81 $2,645.81 7.3×
Basic radiation dosimetry calculation (77300) $1,910.77 $1,910.77 13.6×
Bone Imaging 3 Phase (78315) $9,437.31 $9,437.31 22.6×
Bone Imaging Limited Area (78300)
range across 2 matching MRF lines
$8,147.96–$9,248.91 $8,147.96–$9,248.91 varies
Bone Imaging Whole Body (78306) $11,233.36 $11,233.36 26.9×
Bone marrow imaging; multiple areas (78103) $1,635.98 $1,635.98 3.9×
Brain Imaging Minimum 4 Static Views (78605) $3,167.93 $3,167.93 5.6×
Cardiac MRI w/w/o contrast & further seq (75561) $1,651.08 $1,651.08 4.5×
Cardiac MRI w/w/o contrast w/stress (75563) $3,319.77 $3,319.77 4.1×
Cat Scan Follow-Up Study (76380) $6,068.92 $6,068.92 66.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $4,687.33 $4,687.33 8.3×
Cerebrospinal Fluid Scan (78630) $7,216.31 $7,216.31 12.7×
Chest 1 view (71045) $561.20 $561.20 6.2×
Chest 2 views (71046) $561.20 $561.20 6.2×
Clavicle complete (73000)
range across 5 matching MRF lines
$379.78–$1,184.53 $379.78–$1,184.53 varies
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 Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$11,290.55–$20,969.21 $11,290.55–$20,969.21 varies
Contrast X-Ray Bladder (74430) $4,985.65 $4,985.65 13.7×
Contrast X-Ray Of Knee Joint (73580) $1,195.50 $1,195.50 3.3×
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 Abdomen and Pelvis (74174) $23,462.73 $23,462.73 64.4×
CT Angio Chest (71275) $20,741.34 $20,741.34 113.2×
CT Angio Head (70496) $18,963.21 $18,963.21 103.5×
CT angio hrt w/3d image (75574) $2,352.45 $2,352.45 6.5×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$625–$1,431.49 $625–$1,431.49 varies
CT Angio Neck (70498) $18,963.21 $18,963.21 103.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $18,963.21 $18,963.21 103.5×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $19,386.97 $19,386.97 105.8×
CT cervical spine w/ contrast (72126) $22,043.20 $22,043.20 60.5×
CT cervical spine w/o contrast (72125) $15,344.47 $15,344.47 140.6×
CT cervical spine w/wo cont (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 l-spine w&w/o contrast (72133) $17,387.83 $17,387.83 94.9×
CT lower ext w/o (73700) $10,515.24 $10,515.24 96.3×
CT lower extremity w/contrast material (73701) $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 wo contrast (70486) $10,289.91 $10,289.91 94.3×
CT neck tissue combo (70492) $19,209.17 $19,209.17 104.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (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&w/o contrast (72194) $23,540.49 $23,540.49 128.5×
CT pelvis w/o contrast (72192) $15,703.74 $15,703.74 143.8×
CT scan of leg combo (73702) $17,316.70 $17,316.70 94.5×
CT scans face/jaw combo (70488) $16,983.99 $16,983.99 92.7×
CT soft tissue neck w contrast (70491) $19,513.26 $19,513.26 106.5×
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 cont (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 w/o & w/contrast material (73202) $19,248.38 $19,248.38 105.1×
CT upper extremity with contrast (73201) $19,544.18 $19,544.18 53.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $17,785.66 $17,785.66 97.1×
Cta Abdomen (74175) $20,147.75 $20,147.75 110.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471)
range across 2 matching MRF lines
$18,900–$18,963.21 $18,900–$18,963.21 varies
CTA pelvis (72191) $17,778.34 $17,778.34 97.1×
Dilation ureters/urethra rs&i (74485) $3,487.44 $3,487.44 1.6×
Diskography lumbar (72295) $38,281.72 $38,281.72 18.8×
Echo Guide For Artery Repair (76936) $3,462.22 $3,462.22 15.4×
Esophageal Motility Study (78258) $5,457.71 $5,457.71 13.1×
Esophagram (74220) $808.18 $808.18 4.4×
Fetal Biophys Profile W/Nst (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)
range across 4 matching MRF lines
$496.84–$3,590.92 $496.84–$3,590.92 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$4,275.65–$11,290.55 $4,275.65–$11,290.55 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$1,368.07–$2,738.33 $1,368.07–$2,738.33 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$2,529.20–$5,054.75 $2,529.20–$5,054.75 varies
Gastric emptying imaging study (78264) $8,527.44 $8,527.44 20.4×
Gated Heart Planar Single (78472) $12,306.04 $12,306.04 29.5×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) $2,055.80 $2,055.80 3.6×
Hand 2 views (73120)
range across 5 matching MRF lines
$773.44–$1,545 $773.44–$1,545 varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $17,795.83 $17,795.83 5.4×
Hepatobil Syst Image W/Drug (78227) $9,977.28 $9,977.28 17.6×
Hepatobiliary System Imaging (78226)
range across 2 matching MRF lines
$1,635.98–$12,234.95 $1,635.98–$12,234.95 varies
Ht Musc Image Planar Mult (78454) $17,847.02 $17,847.02 13.2×
Ht Muscle Image Spect Sing (78451) $17,847.02 $17,847.02 13.2×
K Flow/Funct Image W/Drug (78708) $10,698.75 $10,698.75 18.9×
K Flow/Funct Image W/O Drug (78707) $8,948.94 $8,948.94 15.8×
Knee 3 Views (73562)
range across 3 matching MRF lines
$2,344.57–$4,689.53 $2,344.57–$4,689.53 varies
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $2,926.41 $2,926.41 7.0×
Leveen/Shunt Patency Exam (78291) $1,635.98 $1,635.98 3.9×
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 Ventilat&Perfus Imaging (78582) $8,210.64 $8,210.64 14.5×
Lung Ventilation Imaging (78579) $3,712.10 $3,712.10 8.9×
Lymph System Imaging (78195) $6,945.76 $6,945.76 12.2×
Meckels Divert Exam (78290) $11,177.96 $11,177.96 26.8×
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/O & W/Contrast Material (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 contrast (74181) $6,544.52 $6,544.52 26.3×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$3,125.90–$6,251.80 $3,125.90–$6,251.80 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $9,824.27 $9,824.27 27.0×
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$3,125.90–$6,251.80 $3,125.90–$6,251.80 varies
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 contrast (72142) $7,857.35 $7,857.35 21.6×
MRI cervical spine w/o cont (72141) $6,544.52 $6,544.52 26.3×
MRI chest w/o contrast (71550) $6,544.52 $6,544.52 26.3×
MRI chest wo w contrast (71552) $8,453.28 $8,453.28 23.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$1,519.13–$3,009.04 $1,519.13–$3,009.04 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$1,519.13–$2,997.29 $1,519.13–$2,997.29 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$964.06–$1,928.12 $964.06–$1,928.12 varies
MRI lumbar spine w contrast (72149) $7,857.35 $7,857.35 21.6×
Mri Neck Spine W/O & W/Dye (72156) $9,824.27 $9,824.27 27.0×
MRI orbit face &/neck w/o contrast (70540) $6,544.52 $6,544.52 26.3×
Mri Orbt/Fac/Nck W/O &W/Dye (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 (72197) $9,824.27 $9,824.27 27.0×
MRI pelvis w/o contrast (72195) $1,053.13 $1,053.13 4.2×
MRI thoracic spine w/o contrast (72146) $6,544.52 $6,544.52 26.3×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$1,519.13–$3,009.04 $1,519.13–$3,009.04 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$964.06–$1,928.12 $964.06–$1,928.12 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$1,519.13–$3,009.04 $1,519.13–$3,009.04 varies
MRI, abdomen, combo (74183) $9,824.27 $9,824.27 27.0×
MRI, dorsal spine combo (72157) $9,824.27 $9,824.27 27.0×
MRI, dorsal spine contrast (72147) $7,857.35 $7,857.35 21.6×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$2,892.19–$5,784.37 $2,892.19–$5,784.37 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$1,519.13–$3,009.04 $1,519.13–$3,009.04 varies
MRI, lumbar spine combo (72158) $9,824.27 $9,824.27 27.0×
Myelogram Lumbar (72265)
range across 2 matching MRF lines
$7,054.93–$10,188.11 $7,054.93–$10,188.11 varies
Myelograpy 2/more regions rs&i (72270) $7,054.93 $7,054.93 8.6×
Myocardial Spect Multiple Studies (78452) $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×
Ntsty modul radthx pln dose-vol histos (77301) $16,236.73 $16,236.73 11.2×
Nuclear Rx Intra-Arterial (79445)
range across 2 matching MRF lines
$1,120.36–$1,139.35 $1,120.36–$1,139.35 varies
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 Rs&I (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×
Pulmonary Perfusion Imaging Particulate (78580) $8,958.48 $8,958.48 21.5×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $1,188.13 $1,188.13 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $4,734.86 $4,734.86 43.4×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$5,045.84–$5,046.33 $5,045.84–$5,046.33 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$1,856.51–$3,714.46 $1,856.51–$3,714.46 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$1,335.18–$2,667.40 $1,335.18–$2,667.40 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$2,869.94–$5,735.49 $2,869.94–$5,735.49 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $3,382.14 $3,382.14 31.0×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$2,085.01–$4,168.55 $2,085.01–$4,168.55 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$1,368.07–$2,738.33 $1,368.07–$2,738.33 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$2,413.67–$4,829.55 $2,413.67–$4,829.55 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,430.49 $2,430.49 26.7×
Radex Ribs Unilateral 2 Views (71100) $3,357.28 $3,357.28 36.9×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$2,970.49–$5,942.42 $2,970.49–$5,942.42 varies
Radex Spine 1 View Specify Level (72020) $2,093.42 $2,093.42 23.0×
Radex Sternum Minimum 2 Views (71120) $4,299.42 $4,299.42 47.3×
Radex Toe Minimum 2 Views (73660) $1,135.19 $1,135.19 12.5×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,317.89–$4,636.51 $2,317.89–$4,636.51 varies
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×
Radiolog exam mandible compl minimum 4 views (70110) $3,190.94 $3,190.94 29.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,073.39 $1,073.39 9.8×
Radiologic exam colon double contrast study (74280) $6,111.70 $6,111.70 33.4×
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 knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,399.79–$4,796.64 $2,399.79–$4,796.64 varies
Radiologic Exam Small Int Single Contrast Study (74250) $4,192.67 $4,192.67 22.9×
Radiologic exam swallow function contrast study (74230) $1,305.91 $1,305.91 7.1×
Radiologic exam upr gi trc double contrast study (74246) $4,603.96 $4,603.96 25.1×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$641.63–$1,282.15 $641.63–$1,282.15 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$2,310.57–$4,620.42 $2,310.57–$4,620.42 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$2,720.42–$5,435.33 $2,720.42–$5,435.33 varies
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 Intravenous Administration (79101) $27,287.78 $27,287.78 112.0×
Scapula (73010)
range across 3 matching MRF lines
$2,557.36–$5,108.12 $2,557.36–$5,108.12 varies
Screening Digital Breast Tomosynthesis Bi (77063) $182.07 $182.07 7.8×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$2,970.49–$5,942.42 $2,970.49–$5,942.42 varies
Shoulder Arthrography (73040) $3,337.17 $3,337.17 9.2×
Skull less than 4 views (70250) $2,293.03 $2,293.03 21.0×
Special Physics Consult (77370) $712.44 $712.44 5.1×
Special treatment procedure (77470) $2,619.67 $2,619.67 4.5×
Stereotactic Body Radiation Delivery (77373) $58,821.92 $58,821.92 31.5×
Superior sagittal sinus venogram (75870)
range across 2 matching MRF lines
$6,674.72–$11,290.55 $6,674.72–$11,290.55 varies
Telethx isodose pln cplx w/basic dosimetry (77307) $1,082.96 $1,082.96 2.8×
Testicular Imaging W/Flow (78761) $3,411.73 $3,411.73 8.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines
$13,263.89–$14,533.41 $13,263.89–$14,533.41 varies
Ther rad simulaj-aided field setting simple (77280) $11,538.86 $11,538.86 82.2×
Thoracic spine 3 views (72072) $3,610.27 $3,610.27 33.1×
Thyroid Imaging With Vascular Flow (78013) $6,777.24 $6,777.24 16.2×
Thyroid Met Imaging Body (78018) $15,319.58 $15,319.58 27.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $7,904.55 $7,904.55 18.9×
Tx Devices Design & Construction Complex (77334) $3,946.55 $3,946.55 10.1×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$1,535.16–$4,012.08 $1,535.16–$4,012.08 varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $9,357.06 $9,357.06 22.4×
Upper gi w/o kub (74240) $5,064.99 $5,064.99 27.7×
Urethrocystogram voiding (74455) $6,057.96 $6,057.96 24.3×
Urethrocystography retrograde (74450) $2,886.04 $2,886.04 11.6×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$1,043.42–$2,087.19 $1,043.42–$2,087.19 varies
Us chest (76604) $5,271.19 $5,271.19 48.3×
Us exam, pelvic, limited (76857) $2,686.41 $2,686.41 24.6×
Us head (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 1 or more fetuses (76815) $3,481.23 $3,481.23 31.9×
Us ob transvaginal (76817)
range across 2 matching MRF lines
$1,571.22–$1,721.59 $1,571.22–$1,721.59 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$2,145.34–$4,073.12 $2,145.34–$4,073.12 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$1,571.22–$1,721.59 $1,571.22–$1,721.59 varies
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)
range across 2 matching MRF lines
$2,248.80–$4,269.09 $2,248.80–$4,269.09 varies
Us thyroid (76536)
range across 2 matching MRF lines
$1,604.61–$4,605.07 $1,604.61–$4,605.07 varies
Vein X-Ray Chest (75827)
range across 2 matching MRF lines
$4,569.24–$8,028.88 $4,569.24–$8,028.88 varies
Vein X-Ray Liver W/O Hemodyn (75887) $11,290.55 $11,290.55 3.4×
Vein X-Ray Spleen/Liver (75810) $29,410.86 $29,410.86 8.9×
Venogram Sinus/Jugular (75860) $11,290.55 $11,290.55 3.4×
Venography caval inferior serialography rs&i (75825) $8,121.76 $8,121.76 2.5×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$5,628.88–$10,839.24 $5,628.88–$10,839.24 varies
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines
$5,628.88–$9,521.62 $5,628.88–$9,521.62 varies
Venography Renal Unilateral (75831) $11,290.55 $11,290.55 3.4×
Wrist 2 views (73100)
range across 3 matching MRF lines
$2,317.89–$4,636.51 $2,317.89–$4,636.51 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,406.36 $2,406.36 26.5×
X-Ray Aorta Leg Arteries (75630) $20,969.21 $20,969.21 6.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$379.78–$759.56 $379.78–$759.56 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$2,128.14–$2,456.80 $2,128.14–$2,456.80 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,061.69 $1,061.69 9.7×
X-Ray Exam Hip Uni 1 View (73501) $641.63 $641.63 7.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $641.63 $641.63 7.1×
X-Ray Exam Hips Bi 2 Views (73521) $1,061.69 $1,061.69 9.7×
X-Ray Exam L-S Spine Bending (72114) $498.08 $498.08 4.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $2,727.72 $2,727.72 30.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $4,051.55 $4,051.55 37.1×
X-Ray Exam Unilat Ribs/Chest (71101) $3,357.28 $3,357.28 30.8×
X-ray eye for foreign body (70030) $351.65 $351.65 3.9×
X-ray humerus (73060) $2,580.02 $2,580.02 28.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,970.49 $2,970.49 27.2×
X-ray nose-rectum child f.b. (76010) $1,641.91 $1,641.91 18.1×
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 Tmj Unilat (70328) $379.78 $379.78 4.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $8,446.76 $8,446.76 23.2×
X-Rays Bone Survey Complete (77075) $5,352.71 $5,352.71 49.0×
Xr c-spine 4 or 5 views (72050) $3,785.03 $3,785.03 34.7×
Xr orbits complete 4 views (70200) $3,269.90 $3,269.90 30.0×

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.