Imaging prices at HCA Florida Northside Hospital
Saint Petersburg, FL · every code in this section with a posted price and a Medicare benchmark.
337 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) | $3,928.10 | $3,928.10 | 2.7× |
| Abdomen 2 views (74019) | $6,253.71 | $6,253.71 | 57.3× |
| Acute gi blood loss imaging (78278) | $7,558.73 | $7,558.73 | 18.1× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $4,822.50 | $4,822.50 | 3.6× |
| Angiography extremity bilateral rs&i (75716) | $22,316.56 | $22,316.56 | 6.8× |
| Angiography extremity unilateral rs&i (75710) | $17,990.20 | $17,990.20 | 5.5× |
| Angiography internal mammary rs&i (75756) | $17,573.30 | $17,573.30 | 5.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $21,806.60 | $21,806.60 | 3.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $33,140.38 | $33,140.38 | 10.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $19,927.22 | $19,927.22 | 6.0× |
| Angiography Spinal Selective Rs&I (75705) | $9,905.98 | $9,905.98 | 1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $15,225.26 | $15,225.26 | 2.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $3,104.31 | $3,104.31 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $14,233.74 | $14,233.74 | 4.3× |
| Ankle 2 views (73600) | $5,022.42 | $5,022.42 | 55.3× |
| Aortogram thoracic (75605) | $15,804.18 | $15,804.18 | 2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $33,167.51 | $33,167.51 | 10.1× |
| Aortography abdominal serialography rs&i (75625) | $31,110.86 | $31,110.86 | 9.4× |
| Arthrogram ankle (73615) | $4,071.65 | $4,071.65 | 11.2× |
| Arthrogram elbow (73085) | $7,556.69 | $7,556.69 | 20.7× |
| Arthrogram hip (73525) | $7,170.74 | $7,170.74 | 19.7× |
| Arthrogram knee (73580) | $5,746.50 | $5,746.50 | 15.8× |
| Arthrogram shoulder (73040) | $6,796.48 | $6,796.48 | 18.7× |
| Arthrogram wrist (73115) | $6,328.30 | $6,328.30 | 17.4× |
| Basic dosimetry (77300) | $1,799.60 | $1,799.60 | 12.8× |
| Bone &/Joint Imaging Limited Area (78300) | $5,541.40 | $5,541.40 | 13.3× |
| Bone &/joint imaging whole body (78306) | $13,528.54 | $13,528.54 | 32.4× |
| Bone age studies (77072) | $3,466.68 | $3,466.68 | 31.8× |
| Bone Imaging 3 Phase (78315) | $5,523.80 | $5,523.80 | 13.2× |
| Bone Marrow Imaging Limited Area (78102) | $3,808.87 | $3,808.87 | 9.1× |
| Bone survey complete (77075) | $5,908.74 | $5,908.74 | 54.1× |
| Bowel imaging (78290) | $3,943.68 | $3,943.68 | 9.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $7,693.71 | $7,693.71 | 13.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,258.80 | $7,258.80 | 4.9× |
| Brain Imaging Vascular Flow Only (78610) | $4,822.50 | $4,822.50 | 8.5× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $9,166.73 | $9,166.73 | 22.0× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $39,662.95 | $39,662.95 | 48.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $39,662.95 | $39,662.95 | 108.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,757.95 | $4,757.95 | 8.4× |
| Cervical spine 2 or 3 views (72040) | $5,136.84 | $5,136.84 | 56.5× |
| Chest 1 view (71045) | $2,252.42 | $2,252.42 | 24.8× |
| Chest xray 3 views (71047) | $5,854.09 | $5,854.09 | 64.4× |
| Cholecystography, oral contrast Non-Facility (74290) | $2,923.64 | $2,923.64 | 16.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $6,282.72 | $6,282.72 | 34.3× |
| Clavicle complete (73000) | $4,223.21 | $4,223.21 | 46.5× |
| CT abdomen and pelvis without and with contrast (74178) | $48,392.45 | $48,392.45 | 132.8× |
| CT abdomen and pelvis without contrast (74176) | $31,599.17 | $31,599.17 | 126.8× |
| CT abdomen w contrast (74160) | $26,292.13 | $26,292.13 | 143.5× |
| CT abdomen w wo contrast (74170) | $16,616.41 | $16,616.41 | 90.7× |
| CT abdomen w/o contrast (74150) | $18,153.14 | $18,153.14 | 166.3× |
| CT angio hrt w/3d image (75574) | $22,897.16 | $22,897.16 | 62.8× |
| CT angio lwr extr w/o&w/dye (73706) | $11,521.64 | $11,521.64 | 62.9× |
| CT angiography upper extremity lt (73206) | $11,521.64 | $11,521.64 | 62.9× |
| CT c-spine w/contrast (72126) | $25,236.87 | $25,236.87 | 69.3× |
| CT c-spine w/o contrast (72125) | $14,441.27 | $14,441.27 | 132.3× |
| CT cervical spine w&w/o contrast (72127) | $39,307.42 | $39,307.42 | 214.6× |
| CT chest w contrast (71260) | $26,292.13 | $26,292.13 | 143.5× |
| CT chest w/wo contrast (71270) | $30,531.59 | $30,531.59 | 166.7× |
| CT colonography screening (74263) | $8,243.59 | $8,243.59 | 33.1× |
| CT colonography w/dye (74262) | $17,148.63 | $17,148.63 | 93.6× |
| CT colonography w/o cntrst (74261) | $8,243.59 | $8,243.59 | 75.5× |
| CT head/brain with contrast (70460) | $21,463.48 | $21,463.48 | 117.2× |
| CT head/brain without and with contrast (70470) | $27,458.12 | $27,458.12 | 149.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $24,729.24 | $24,729.24 | 67.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $12,033.88 | $12,033.88 | 132.4× |
| CT hrt w/3d image congen (75573) | $17,148.63 | $17,148.63 | 47.1× |
| CT iac w contrast (70481) | $12,473.84 | $12,473.84 | 68.1× |
| CT limited/localized follow up study (76380) | $6,868.38 | $6,868.38 | 75.6× |
| CT lower ext w/o (73700) | $13,436.79 | $13,436.79 | 123.1× |
| CT lower extremity w wo contrast (73702) | $16,491.80 | $16,491.80 | 90.0× |
| CT lower extremity w/contrast material (73701) | $13,436.79 | $13,436.79 | 73.4× |
| CT lumbar spine w & w/o contrast (72133) | $39,307.42 | $39,307.42 | 214.6× |
| CT lumbar spine w/contrast (72132) | $25,236.87 | $25,236.87 | 69.3× |
| CT lumbar spine w/o contrast (72131) | $20,248.25 | $20,248.25 | 185.5× |
| CT maxillofacial w contrast (70487) | $26,292.13 | $26,292.13 | 143.5× |
| CT maxillofacial w/wo contrast (70488) | $27,458.12 | $27,458.12 | 149.9× |
| CT maxillofacial wo contrast (70486) | $25,236.87 | $25,236.87 | 231.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $16,437.96 | $16,437.96 | 89.7× |
| CT orbits w/o contrast (70480) | $8,195.89 | $8,195.89 | 75.1× |
| CT pelvis w/o contrast (72192) | $13,436.79 | $13,436.79 | 123.1× |
| CT pelvis w/wo contrast (72194) | $24,287.75 | $24,287.75 | 132.6× |
| CT scan of arm combo (73202) | $16,491.80 | $16,491.80 | 90.0× |
| CT soft tissue neck w contrast (70491) | $26,292.13 | $26,292.13 | 143.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $27,458.12 | $27,458.12 | 149.9× |
| CT soft tissue neck w/o contrast (70490) | $25,236.87 | $25,236.87 | 231.2× |
| CT thoracic spine w/contrast (72129) | $25,236.87 | $25,236.87 | 137.8× |
| CT thoracic spine w/o contrast (72128) | $14,441.27 | $14,441.27 | 132.3× |
| CT thoracic spine w/wo contrast (72130) | $39,307.42 | $39,307.42 | 214.6× |
| CT thorax w/o contrast (71250) | $25,236.87 | $25,236.87 | 231.2× |
| CT upper ext wo (73200) | $11,344.74 | $11,344.74 | 103.9× |
| CT upper extremity with contrast (73201) | $13,436.79 | $13,436.79 | 36.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $21,031.23 | $21,031.23 | 114.8× |
| Cta Abdomen (74175) | $11,521.64 | $11,521.64 | 62.9× |
| CTA abdomen pelvis (74174) | $23,046.37 | $23,046.37 | 63.3× |
| CTA chest (71275) | $10,081.83 | $10,081.83 | 55.0× |
| Cta Head (70496) | $11,521.64 | $11,521.64 | 62.9× |
| Cta Neck (70498) | $11,521.64 | $11,521.64 | 62.9× |
| Cta Pelvis (72191) | $11,521.64 | $11,521.64 | 62.9× |
| Cystography minimum 3 views rs&i (74430) | $2,909.96 | $2,909.96 | 8.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $4,279.90 | $4,279.90 | 2.0× |
| Diskogram cervical (72285) | $9,863.55 | $9,863.55 | 4.8× |
| Diskography lumbar (72295) | $8,874.74 | $8,874.74 | 4.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,372.66 | $1,372.66 | 12.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $3,427.70 | $3,427.70 | 31.4× |
| Echo exam of eye (76529) | $3,427.70 | $3,427.70 | 37.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,372.66 | $1,372.66 | 5.5× |
| Esophagus (74220) | $5,022.42 | $5,022.42 | 27.4× |
| Facial bones min 3 views (70150) | $5,908.74 | $5,908.74 | 54.1× |
| Fetal biophysical profile non-stress testing (76818) | $1,340.99 | $1,340.99 | 12.3× |
| Fetal Echo (76825) | $3,427.70 | $3,427.70 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $7,281.27 | $7,281.27 | 29.2× |
| Foot 2 views (73620) | $2,862.16 | $2,862.16 | 31.5× |
| Forearm 2 views (73090) | $4,223.21 | $4,223.21 | 46.5× |
| Hand 2 views (73120) | $2,293.47 | $2,293.47 | 21.0× |
| Heart first pass single,planar (78481) | $3,645.85 | $3,645.85 | 6.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,956.49 | $2,956.49 | 0.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $2,956.49 | $2,956.49 | 0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $16,272.10 | $16,272.10 | 28.7× |
| Hepatobiliary syst imaging including gallbladder (78226) | $14,884.19 | $14,884.19 | 35.7× |
| Hysterosalpingogram (74740) | $13,070.94 | $13,070.94 | 52.5× |
| Interstitial radiation source applic complex (77778) | $1,113.56 | $1,113.56 | 1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $10,476.88 | $10,476.88 | 18.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $9,920.82 | $9,920.82 | 17.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $14,925.26 | $14,925.26 | 26.3× |
| Knee 3 views (73562) | $4,516.93 | $4,516.93 | 49.7× |
| Liver & spleen imaging static only (78215) | $5,586.89 | $5,586.89 | 13.4× |
| Liver imaging static only (78201) | $1,172.25 | $1,172.25 | 2.1× |
| Lung perfusion differential (78597) | $9,691.96 | $9,691.96 | 23.2× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) | $12,758.06 | $12,758.06 | 7.8× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) | $6,676.70 | $6,676.70 | 10.2× |
| Lymphoscintigraphy (78195) | $7,096.57 | $7,096.57 | 12.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $17,670.98 | $17,670.98 | 21.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $23,694.50 | $23,694.50 | 65.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $31,708.91 | $31,708.91 | 87.0× |
| MRA head w & w/o contrast (70546) | $31,592.66 | $31,592.66 | 86.7× |
| MRA head w/o contrast (70544) | $8,012.91 | $8,012.91 | 32.2× |
| MRA head with contrast (70545) | $14,682.04 | $14,682.04 | 40.3× |
| MRA neck w contrast (70548) | $22,820.28 | $22,820.28 | 62.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $31,592.66 | $31,592.66 | 86.7× |
| MRA neck w/o contrast (70547) | $22,820.28 | $22,820.28 | 91.6× |
| MRI abdomen w contrast (74182) | $28,129 | $28,129 | 77.2× |
| MRI abdomen w/o & w/contrast material (74183) | $32,546.91 | $32,546.91 | 89.3× |
| MRI abdomen w/o contrast (74181) | $9,373.31 | $9,373.31 | 37.6× |
| MRI any jt lower extrem w/contrast material (73722) | $21,728.64 | $21,728.64 | 26.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $31,708.91 | $31,708.91 | 87.0× |
| MRI c-spine with contrast (72142) | $24,168.58 | $24,168.58 | 66.3× |
| MRI cardiac w/o cont stress (75559) | $35,696.65 | $35,696.65 | 62.6× |
| MRI cardiac w/o contrast (75557) | $35,696.65 | $35,696.65 | 143.3× |
| MRI cervical spine w/o contrast (72141) | $8,012.91 | $8,012.91 | 32.2× |
| MRI chest w/o & w/contrast material (71552) | $32,546.91 | $32,546.91 | 89.3× |
| MRI chest w/o contrast (71550) | $8,012.91 | $8,012.91 | 32.2× |
| MRI chest with contrast (71551) | $24,333.18 | $24,333.18 | 29.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $22,853.49 | $22,853.49 | 62.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $26,267.33 | $26,267.33 | 72.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $21,654.64 | $21,654.64 | 86.9× |
| MRI orbit face &/neck w/o contrast (70540) | $8,012.91 | $8,012.91 | 32.2× |
| MRI orbit face neck w contrast (70542) | $24,333.18 | $24,333.18 | 66.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $32,352.13 | $32,352.13 | 88.8× |
| MRI pelvis w/contrast (72196) | $22,820.28 | $22,820.28 | 62.6× |
| MRI pelvis w/o & w/contrast material (72197) | $31,592.66 | $31,592.66 | 86.7× |
| MRI pelvis w/o contrast (72195) | $6,806.76 | $6,806.76 | 27.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $32,181.51 | $32,181.51 | 88.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $24,168.58 | $24,168.58 | 66.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $32,181.51 | $32,181.51 | 88.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $24,523.42 | $24,523.42 | 67.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $32,546.91 | $32,546.91 | 89.3× |
| MRI temporomandibular joint (70336) | $24,333.18 | $24,333.18 | 97.7× |
| MRI thoracic spine w/o contrast (72146) | $8,012.91 | $8,012.91 | 32.2× |
| MRI up ext w/o contrast (73218) | $8,012.91 | $8,012.91 | 32.2× |
| MRI upper ext joint w/o contrast (73221) | $8,012.91 | $8,012.91 | 32.2× |
| MRI, joint upper extrem combo (73223) | $31,708.91 | $31,708.91 | 87.0× |
| Myelogram Cervical (72240) | $11,569.60 | $11,569.60 | 14.1× |
| Myelogram Lumbar (72265) | $11,569.60 | $11,569.60 | 14.1× |
| Myelogram thoracic (72255) | $11,569.60 | $11,569.60 | 14.1× |
| Myelography 2 or more regions (72270) | $3,695.53 | $3,695.53 | 4.5× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) | $7,258.80 | $7,258.80 | 4.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $21,694.67 | $21,694.67 | 16.0× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $21,694.67 | $21,694.67 | 16.0× |
| Myocardial Spect Multiple Studies (78452) | $21,694.67 | $21,694.67 | 16.0× |
| Myocardial spect single study at rest or stress (78451) | $21,694.67 | $21,694.67 | 16.0× |
| Neck soft tissue (70360) | $3,553.78 | $3,553.78 | 39.1× |
| Nm adrenal scan (78075) | $7,083.37 | $7,083.37 | 5.2× |
| Nm bone marrow multi (78103) | $5,374.31 | $5,374.31 | 12.9× |
| Nm bone marrow wb (78104) | $6,939.74 | $6,939.74 | 16.6× |
| Nm cisternogram (78630) | $7,165.53 | $7,165.53 | 12.6× |
| Nm gastric emptying study (78264) | $10,255.34 | $10,255.34 | 24.6× |
| Nm gastroesophageal reflux study (78262) | $10,255.34 | $10,255.34 | 24.6× |
| Noncardiac Vascular Flow Imaging (78445) | $4,822.50 | $4,822.50 | 11.6× |
| Nonvascular shunt X-ray (75809) | $9,618.04 | $9,618.04 | 88.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $7,693.71 | $7,693.71 | 18.4× |
| Nuclear Rx Oral Admin (79005) | $11,164.96 | $11,164.96 | 45.8× |
| Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution… (76513) | $3,427.70 | $3,427.70 | 31.4× |
| Ophthalmic ultrasound, diagnostic; quantitative A-scan only Non-Facility (76511) | $3,427.70 | $3,427.70 | 31.4× |
| Parathyroid Planar Imaging (78070) | $7,814.02 | $7,814.02 | 18.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $10,280.28 | $10,280.28 | 24.6× |
| Pelvis 1 or 2 views (72170) | $4,171.97 | $4,171.97 | 38.2× |
| Peritoneogram after injection (74190) | $1,615.67 | $1,615.67 | 2.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $7,258.80 | $7,258.80 | 5.4× |
| PET whole body (78813) | $7,258.80 | $7,258.80 | 4.9× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) | $7,258.80 | $7,258.80 | 4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $21,855.47 | $21,855.47 | 6.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $4,374.80 | $4,374.80 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,358.32 | $8,358.32 | 20.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,358.32 | $8,358.32 | 14.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,214.66 | $4,214.66 | 7.4× |
| Radex Ankle Compl Minimum 3 Views (73610) | $4,171.97 | $4,171.97 | 45.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $4,223.21 | $4,223.21 | 46.5× |
| Radex Elbw Compl Minimum 3 Views (73080) | $4,223.21 | $4,223.21 | 46.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,253.47 | $1,253.47 | 13.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,489.15 | $1,489.15 | 13.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $2,199.55 | $2,199.55 | 20.1× |
| Radex fingr minimum 2 views (73140) | $2,923.64 | $2,923.64 | 32.2× |
| Radex Foot Compl Minimum 3 Views (73630) | $4,223.21 | $4,223.21 | 46.5× |
| Radex Hand Minimum 3 Views (73130) | $3,157.58 | $3,157.58 | 34.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $5,934.35 | $5,934.35 | 65.3× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $9,580.34 | $9,580.34 | 87.8× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $7,696.73 | $7,696.73 | 70.5× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $13,542.28 | $13,542.28 | 124.0× |
| Radex Humerus Minimum 2 Views (73060) | $4,223.21 | $4,223.21 | 46.5× |
| Radex Kne 1/2 Views (73560) | $1,359.35 | $1,359.35 | 15.0× |
| Radex Kne Compl 4/More Views (73564) | $5,162.45 | $5,162.45 | 47.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,199.29 | $4,199.29 | 38.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,718.71 | $2,718.71 | 29.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $5,620.13 | $5,620.13 | 51.5× |
| Radex Sho Compl Minimum 2 Views (73030) | $4,243.70 | $4,243.70 | 46.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $5,555.22 | $5,555.22 | 61.1× |
| Radex Toe Minimum 2 Views (73660) | $2,923.64 | $2,923.64 | 32.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,383.01 | $3,383.01 | 37.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,436.93 | $2,436.93 | 22.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $4,199.29 | $4,199.29 | 46.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $6,253.71 | $6,253.71 | 57.3× |
| Radiologic exam chest 2 views (71046) | $2,568.96 | $2,568.96 | 28.3× |
| Radiologic exam colon single contrast study (74270) | $7,754.79 | $7,754.79 | 42.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,614.89 | $2,614.89 | 14.3× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,478.27 | $2,478.27 | 13.5× |
| Radiologic examination femur 1 view (73551) | $2,110.75 | $2,110.75 | 23.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $8,468.61 | $8,468.61 | 93.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $4,223.21 | $4,223.21 | 46.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $5,770.40 | $5,770.40 | 10.1× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $5,174.41 | $5,174.41 | 47.4× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $8,468.61 | $8,468.61 | 77.6× |
| Radiological examination surgical specimen (76098) | $1,432.78 | $1,432.78 | 2.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $14,181.42 | $14,181.42 | 34.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,066.05 | $5,066.05 | 12.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,083.37 | $7,083.37 | 12.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $6,877.97 | $6,877.97 | 12.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $6,533.20 | $6,533.20 | 11.5× |
| Rp therapy intra-arterial particulate admn (79445) | $15,867.17 | $15,867.17 | 65.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $6,530.71 | $6,530.71 | 26.2× |
| Salivary gland imaging (78230) | $4,314.87 | $4,314.87 | 10.3× |
| Scapula (73010) | $3,270.29 | $3,270.29 | 30.0× |
| Sella turcica (70240) | $2,315.68 | $2,315.68 | 25.5× |
| Shoulder 1 view (73020) | $1,910.94 | $1,910.94 | 21.0× |
| Sialogram (70390) | $5,908.74 | $5,908.74 | 23.7× |
| Small bowel series (74250) | $5,908.74 | $5,908.74 | 32.3× |
| Special Physics Consult (77370) | $1,802.90 | $1,802.90 | 12.8× |
| Special treatment procedure (77470) | $1,683 | $1,683 | 2.9× |
| Spine thoracic 3 views (72072) | $8,012.65 | $8,012.65 | 73.4× |
| Splenoportograpy rs&i (75810) | $11,008.89 | $11,008.89 | 3.3× |
| Superior sagittal sinus venogram (75870) | $12,071.92 | $12,071.92 | 3.7× |
| Temporomandibular joint arthrography, radiological supervision and interpretation Non-Facility (70332) | $3,505.37 | $3,505.37 | 14.1× |
| Testicular Imaging With Vascular Flow (78761) | $6,735.66 | $6,735.66 | 16.1× |
| Ther rad simulaj-aided field setting complex (77290) | $1,684.10 | $1,684.10 | 4.3× |
| Thyroid carcinoma metastases img whole body (78018) | $9,916.42 | $9,916.42 | 17.5× |
| Thyroid imaging w/blood flow (78013) | $2,589.52 | $2,589.52 | 6.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $14,678.77 | $14,678.77 | 35.2× |
| Tmj unilateral (70328) | $2,778.48 | $2,778.48 | 30.6× |
| Tomogram (76100) | $6,098.29 | $6,098.29 | 55.9× |
| Treatment devices simple (77332) | $197.99 | $197.99 | 1.4× |
| Ultrasound breast complete (76641) | $4,220.94 | $4,220.94 | 38.7× |
| Ultrasound, abdomen limited (76705) | $3,390.75 | $3,390.75 | 31.1× |
| Unlisted magnetic resonance procedure (76498) | $8,012.91 | $8,012.91 | 88.2× |
| Unlisted ultrasound procedure (76999) | $2,679.33 | $2,679.33 | 29.5× |
| Urethrocystogram voiding (74455) | $15,622.29 | $15,622.29 | 62.7× |
| Urethrocystography retrograde rs&i (74450) | $5,878 | $5,878 | 23.6× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $8,410.56 | $8,410.56 | 45.9× |
| Us breast unilateral limited (76642) | $2,813.96 | $2,813.96 | 31.0× |
| Us chest (76604) | $1,191.84 | $1,191.84 | 10.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $2,945.94 | $2,945.94 | 13.1× |
| Us compl joint r-t w/image documentation (76881) | $3,349.83 | $3,349.83 | 30.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,894.46 | $2,894.46 | 26.5× |
| Us ob detailed single fetus (76811) | $4,424.20 | $4,424.20 | 17.8× |
| Us ob limited (76815) | $1,682.84 | $1,682.84 | 15.4× |
| Us ob transvaginal (76817) | $7,267.18 | $7,267.18 | 66.6× |
| Us pelvic non ob complete (76856) | $3,749.75 | $3,749.75 | 34.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,392.92 | $2,392.92 | 21.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,744.47 | $3,744.47 | 34.3× |
| Us retroperitoneal complete (76770) | $4,230.17 | $4,230.17 | 38.7× |
| Us retroperitoneal limited (76775) | $4,603.70 | $4,603.70 | 42.2× |
| Us scrotum and contents (76870) | $4,034.84 | $4,034.84 | 37.0× |
| Us soft tissue head/neck (76536) | $4,040.11 | $4,040.11 | 37.0× |
| Us transrectal (76872) | $3,640.20 | $3,640.20 | 33.3× |
| Us transrectal prostate volume (76873) | $2,907.66 | $2,907.66 | 26.6× |
| Us, eye b-scan (76512) | $3,427.70 | $3,427.70 | 31.4× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,679.33 | $2,679.33 | 24.5× |
| Venogram extremity bilateral (75822) | $8,393.07 | $8,393.07 | 5.1× |
| Venogram Extremity Unilateral (75820) | $6,786.26 | $6,786.26 | 4.1× |
| Venography caval inferior serialography rs&i (75825) | $6,920.18 | $6,920.18 | 2.1× |
| Venography caval superior serialography rs&i (75827) | $6,920.18 | $6,920.18 | 4.2× |
| Venography Renal Bilateral (75833) | $13,945.18 | $13,945.18 | 4.2× |
| Venography renal unilateral selective rs&i (75831) | $6,605.62 | $6,605.62 | 2.0× |
| Venography venous sinus/jugular cath rs&i (75860) | $6,451.51 | $6,451.51 | 2.0× |
| Venous sampling by catheter (75893) | $13,281.11 | $13,281.11 | 2.3× |
| Venous thrombosis imaging, venogram; unilateral Non-Facility (78457) | $3,843.92 | $3,843.92 | 6.8× |
| Wrist 2 views (73100) | $2,090.25 | $2,090.25 | 23.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $6,253.71 | $6,253.71 | 57.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $4,979.74 | $4,979.74 | 54.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $9,670.85 | $9,670.85 | 52.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $3,644.29 | $3,644.29 | 40.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $8,132.19 | $8,132.19 | 89.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $12,092.41 | $12,092.41 | 110.8× |
| X-ray exam of femur 2/> (73552) | $4,223.21 | $4,223.21 | 46.5× |
| X-ray eye for foreign body (70030) | $3,155.88 | $3,155.88 | 34.7× |
| X-ray IV pyelogram (ivp) (74400) | $3,336.91 | $3,336.91 | 18.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,707.72 | $1,707.72 | 18.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $5,681.62 | $5,681.62 | 52.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $11,130.96 | $11,130.96 | 102.0× |
| X-ray optic foramen (70190) | $5,158.20 | $5,158.20 | 56.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $5,432.28 | $5,432.28 | 49.8× |
| X-ray retrograde pyelogram (74420) | $7,898.24 | $7,898.24 | 21.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,644.29 | $3,644.29 | 40.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $5,908.74 | $5,908.74 | 54.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $6,253.71 | $6,253.71 | 57.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $5,700.39 | $5,700.39 | 52.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,686.98 | $3,686.98 | 40.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,223.21 | $4,223.21 | 46.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $6,388.60 | $6,388.60 | 58.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $3,068.79 | $3,068.79 | 28.1× |
| X-Ray Small Bowel Enteroclysis (74251) | $10,080.71 | $10,080.71 | 55.0× |
| X-Ray Spine One View - Xr Spine (72020) | $1,941.69 | $1,941.69 | 21.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,456.44 | $3,456.44 | 38.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,707.47 | $3,707.47 | 40.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $5,555.22 | $5,555.22 | 50.9× |
| Xr c-spine 4 or 5 views (72050) | $7,445.69 | $7,445.69 | 68.2× |
| Xr c-spine 6 or more views (72052) | $8,357.61 | $8,357.61 | 76.6× |
| Xr chest 4+ views (71048) | $5,042.91 | $5,042.91 | 46.2× |
| Xr urogram antegrade (74425) | $5,908.74 | $5,908.74 | 16.2× |