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.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,928.10 $3,928.10 2.7×
Abdomen 1 View (74018) $4,199.29 $4,199.29 46.2×
Abdomen 2 views (74019) $6,253.71 $6,253.71 57.3×
Acute Gastrointestinal 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×
Adrenal Cortex & Medulla Img (78075) $7,083.37 $7,083.37 5.2×
Angio internal mammary (75756) $17,573.30 $17,573.30 5.3×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$31,562.26–$34,718.49 $31,562.26–$34,718.49 varies
Angiography extremity bilateral rs&i (75716)
range across 3 matching MRF lines
$20,673.25–$34,746.92 $20,673.25–$34,746.92 varies
Angiography extremity unilateral rs&i (75710)
range across 4 matching MRF lines
$15,067.75–$20,912.65 $15,067.75–$20,912.65 varies
Angiography pulmonary unilateral slctv rs&i (75741)
range across 6 matching MRF lines
$16,611.64–$20,876.14 $16,611.64–$20,876.14 varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746)
range across 2 matching MRF lines
$13,555.94–$14,911.53 $13,555.94–$14,911.53 varies
Ankle 2 views (73600)
range across 3 matching MRF lines
$5,022.42–$10,019.24 $5,022.42–$10,019.24 varies
Aortography thoracic serialography rs&i (75605)
range across 3 matching MRF lines
$4,122.48–$17,384.60 $4,122.48–$17,384.60 varies
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines
$14,500.23–$15,950.29 $14,500.23–$15,950.29 varies
Artery X-Rays Pelvis (75736)
range across 2 matching MRF lines
$19,551.90–$24,061.31 $19,551.90–$24,061.31 varies
Artery X-Rays Spine (75705) $9,905.98 $9,905.98 1.7×
Arthrogram ankle (73615)
range across 3 matching MRF lines
$4,071.65–$8,191.70 $4,071.65–$8,191.70 varies
Arthrogram hip (73525)
range across 3 matching MRF lines
$7,170.74–$14,331.25 $7,170.74–$14,331.25 varies
Arthrogram Wrist (73115)
range across 3 matching MRF lines
$6,328.30–$12,666.28 $6,328.30–$12,666.28 varies
Basic radiation dosimetry calculation (77300) $1,799.60 $1,799.60 12.8×
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 Imaging Limited Area (78300) $5,541.40 $5,541.40 13.3×
Bone Imaging Whole Body (78306) $13,528.54 $13,528.54 32.4×
Bone marrow imaging limited area (78102) $3,808.87 $3,808.87 9.1×
Bone marrow imaging; multiple areas (78103) $5,374.31 $5,374.31 12.9×
Bone marrow imaging; whole body (78104) $6,939.74 $6,939.74 16.6×
Brain Flow Imaging Only (78610) $4,822.50 $4,822.50 8.5×
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×
Cardiac MRI w/w/o contrast & further seq (75561) $39,662.95 $39,662.95 108.9×
Cardiac MRI w/w/o contrast w/stress (75563) $39,662.95 $39,662.95 48.5×
Cat Scan Follow-Up Study (76380) $6,868.38 $6,868.38 75.6×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $4,757.95 $4,757.95 8.4×
Cerebrospinal Fluid Scan (78630) $7,165.53 $7,165.53 12.6×
Chest 1 view (71045)
range across 2 matching MRF lines
$75–$4,429.83 $75–$4,429.83 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$95–$5,042.91 $95–$5,042.91 varies
Chest 3 views (71047) $5,854.09 $5,854.09 64.4×
Chest 4 or more views (71048) $5,042.91 $5,042.91 46.2×
Cholecystography Oral Contrast (74290) $2,923.64 $2,923.64 16.0×
Clavicle complete (73000)
range across 3 matching MRF lines
$4,223.21–$8,468.61 $4,223.21–$8,468.61 varies
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$29,629.39–$32,592.33 $29,629.39–$32,592.33 varies
Contrast X-Ray Bladder (74430) $2,909.96 $2,909.96 8.0×
Contrast X-Ray Of Elbow (73085)
range across 3 matching MRF lines
$7,556.69–$15,022.88 $7,556.69–$15,022.88 varies
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$5,746.50–$11,477.62 $5,746.50–$11,477.62 varies
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 Abdomen and Pelvis (74174) $23,046.37 $23,046.37 63.3×
CT Angio Chest (71275) $10,081.83 $10,081.83 55.0×
CT Angio Head (70496) $11,521.64 $11,521.64 62.9×
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 Angio Neck (70498) $11,521.64 $11,521.64 62.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $11,521.64 $11,521.64 62.9×
CT cervical spine w/ contrast (72126) $25,236.87 $25,236.87 69.3×
CT cervical spine w/o contrast (72125) $14,441.27 $14,441.27 132.3×
CT cervical spine w/wo cont (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 Colonogrphy Dx Image Postprocess W/Contrast (74262) $17,148.63 $17,148.63 93.6×
CT colonogrphy dx image postprocess w/o contrast (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 no contrast quant eval coronry 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 l-spine w&w/o contrast (72133) $39,307.42 $39,307.42 214.6×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$13,436.79–$22,681.80 $13,436.79–$22,681.80 varies
CT lower extremity w/contrast material (73701)
range across 4 matching MRF lines
$10,521.73–$26,859.75 $10,521.73–$26,859.75 varies
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 wo contrast (70486) $25,236.87 $25,236.87 231.2×
CT neck tissue combo (70492) $27,458.12 $27,458.12 149.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (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&w/o contrast (72194) $24,287.75 $24,287.75 132.6×
CT pelvis w/o contrast (72192) $13,436.79 $13,436.79 123.1×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$16,491.80–$36,129.37 $16,491.80–$36,129.37 varies
CT scans face/jaw combo (70488) $27,458.12 $27,458.12 149.9×
CT soft tissue neck w contrast (70491) $26,292.13 $26,292.13 143.5×
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 cont (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)
range across 3 matching MRF lines
$11,344.74–$22,383.38 $11,344.74–$22,383.38 varies
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines
$16,491.80–$36,129.37 $16,491.80–$36,129.37 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$13,436.79–$26,859.75 $13,436.79–$26,859.75 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $21,031.23 $21,031.23 114.8×
Cta Abdomen (74175) $11,521.64 $11,521.64 62.9×
CTA pelvis (72191) $11,521.64 $11,521.64 62.9×
Dilation ureters/urethra rs&i (74485)
range across 2 matching MRF lines
$4,124.15–$4,435.65 $4,124.15–$4,435.65 varies
Discography Cerv/Thor Spine (72285) $9,863.55 $9,863.55 4.8×
Diskography lumbar (72295)
range across 2 matching MRF lines
$7,885.88–$9,863.59 $7,885.88–$9,863.59 varies
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 fetal heart (76825) $3,427.70 $3,427.70 6.0×
Echo exam uterus (76831) $6,530.71 $6,530.71 26.2×
Echo Guide For Artery Repair (76936)
range across 2 matching MRF lines
$2,464.19–$3,427.70 $2,464.19–$3,427.70 varies
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,372.66 $1,372.66 5.5×
Echograp Trans R Pros Study (76873) $2,907.66 $2,907.66 26.6×
Esophagram (74220) $5,022.42 $5,022.42 27.4×
Fetal Biophys Profile W/Nst (76818) $1,340.99 $1,340.99 12.3×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$6,619.35–$9,170.48 $6,619.35–$9,170.48 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$2,956.49–$3,252.13 $2,956.49–$3,252.13 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$2,862.16–$5,778.95 $2,862.16–$5,778.95 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$4,223.21–$8,321.75 $4,223.21–$8,321.75 varies
Gastric emptying imaging study (78264) $10,255.34 $10,255.34 24.6×
Gastroesophageal Reflux Exam (78262) $10,255.34 $10,255.34 24.6×
Gated Heart Planar Single (78472) $9,166.73 $9,166.73 22.0×
Hand 2 views (73120)
range across 3 matching MRF lines
$2,293.47–$5,005.35 $2,293.47–$5,005.35 varies
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 Image W/Drug (78227) $16,272.10 $16,272.10 28.7×
Hepatobiliary System Imaging (78226) $14,884.19 $14,884.19 35.7×
Ht Musc Image Planar Mult (78454) $21,694.67 $21,694.67 16.0×
Ht Muscle Image Spect Sing (78451) $21,694.67 $21,694.67 16.0×
Hysterosalpingogram (74740) $13,070.94 $13,070.94 52.5×
Interstitial radiation source applic complex (77778) $1,113.56 $1,113.56 1.5×
K Flow/Funct Image Multiple (78709) $14,925.26 $14,925.26 26.3×
K Flow/Funct Image W/Drug (78708) $9,920.82 $9,920.82 17.5×
K Flow/Funct Image W/O Drug (78707) $10,476.88 $10,476.88 18.5×
Knee 3 Views (73562)
range across 3 matching MRF lines
$4,516.93–$9,056.08 $4,516.93–$9,056.08 varies
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×
Lung Ventilat&Perfus Imaging (78582) $8,358.32 $8,358.32 14.7×
Lymph System Imaging (78195) $7,096.57 $7,096.57 12.5×
Lymphangiography Extremity Only Bilateral Rs&I (75803)
range across 2 matching MRF lines
$12,150.53–$13,365.58 $12,150.53–$13,365.58 varies
Lymphangiography extremity only unilateral rs&i (75801)
range across 3 matching MRF lines
$6,069.75–$6,676.70 $6,069.75–$6,676.70 varies
Magnetic Image Jaw Joint (70336) $24,333.18 $24,333.18 97.7×
Meckels Divert Exam (78290) $3,943.68 $3,943.68 9.4×
Mra Head W/O & W/Contrast Material (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 contrast (74181) $9,373.31 $9,373.31 37.6×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$21,728.64–$32,593.72 $21,728.64–$32,593.72 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$31,708.91–$39,662.95 $31,708.91–$39,662.95 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines
$6,939.74–$29,617.75 $6,939.74–$29,617.75 varies
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 contrast (72142) $24,168.58 $24,168.58 66.3×
MRI cervical spine w/o cont (72141) $8,012.91 $8,012.91 32.2×
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 chest wo w contrast (71552) $32,546.91 $32,546.91 89.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$22,853.49–$34,290.81 $22,853.49–$34,290.81 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$26,267.33–$39,394.20 $26,267.33–$39,394.20 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$21,654.64–$32,481.98 $21,654.64–$32,481.98 varies
MRI lumbar spine w contrast (72149) $24,168.58 $24,168.58 66.3×
Mri Neck Spine W/O & W/Dye (72156) $32,181.51 $32,181.51 88.3×
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 Orbt/Fac/Nck W/O &W/Dye (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 (72197) $31,592.66 $31,592.66 86.7×
MRI pelvis w/o contrast (72195) $6,806.76 $6,806.76 27.3×
MRI thoracic spine w/o contrast (72146) $8,012.91 $8,012.91 32.2×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$23,694.50–$29,617.75 $23,694.50–$29,617.75 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$8,012.91–$10,010.47 $8,012.91–$10,010.47 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$16,019.80–$31,708.91 $16,019.80–$31,708.91 varies
MRI, abdomen, combo (74183) $32,546.91 $32,546.91 89.3×
MRI, dorsal spine combo (72157) $32,546.91 $32,546.91 89.3×
MRI, dorsal spine contrast (72147) $24,523.42 $24,523.42 67.3×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$8,012.91–$16,019.80 $8,012.91–$16,019.80 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$31,708.91–$39,637.29 $31,708.91–$39,637.29 varies
MRI, lumbar spine combo (72158) $32,181.51 $32,181.51 88.3×
Myelogram cervical (72240)
range across 2 matching MRF lines
$9,699.40–$13,439.80 $9,699.40–$13,439.80 varies
Myelogram Lumbar (72265)
range across 2 matching MRF lines
$9,699.40–$13,439.80 $9,699.40–$13,439.80 varies
Myelography thoracic (72255)
range across 2 matching MRF lines
$9,699.40–$13,439.80 $9,699.40–$13,439.80 varies
Myelograpy 2/more regions rs&i (72270) $3,695.53 $3,695.53 4.5×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $21,694.67 $21,694.67 16.0×
Myocardial Spect Multiple Studies (78452) $21,694.67 $21,694.67 16.0×
Neck soft tissue (70360) $3,553.78 $3,553.78 39.1×
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines
$2,401.34–$16,834.75 $2,401.34–$16,834.75 varies
Nuclear Rx Intra-Arterial (79445) $15,867.17 $15,867.17 65.1×
Nuclear Rx Oral Admin (79005) $11,164.96 $11,164.96 45.8×
Oph us dx ant sgm us immersion b-scan/hr biom (76513)
range across 2 matching MRF lines
$2,247.73–$4,607.66 $2,247.73–$4,607.66 varies
Ophthalmic Ultrasonic Foreign Body Localization (76529)
range across 2 matching MRF lines
$2,247.73–$4,607.66 $2,247.73–$4,607.66 varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 2 matching MRF lines
$2,247.73–$4,607.66 $2,247.73–$4,607.66 varies
Ophthalmic us dx quantitative a-scan only (76511)
range across 2 matching MRF lines
$2,247.73–$4,607.66 $2,247.73–$4,607.66 varies
Optic foramina (70190)
range across 2 matching MRF lines
$3,456.44–$6,859.95 $3,456.44–$6,859.95 varies
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 Rs&I (74190) $1,615.67 $1,615.67 2.8×
Pet Image Skull-Thigh (78812) $7,258.80 $7,258.80 4.9×
Pet Imaging Limited Area Chest Head/Neck (78811) $7,258.80 $7,258.80 5.4×
Pet Myocardial Sngl Study (78491) $7,258.80 $7,258.80 4.9×
PET whole body (78813) $7,258.80 $7,258.80 4.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $21,855.47 $21,855.47 6.6×
Pulmonary Perfusion Imaging Particulate (78580) $8,358.32 $8,358.32 20.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $6,253.71 $6,253.71 57.3×
Radex abscess/fistula/sinus tract rs&i (76080) $4,214.66 $4,214.66 7.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$4,171.97–$10,787.72 $4,171.97–$10,787.72 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$4,223.21–$8,321.75 $4,223.21–$8,321.75 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$4,223.21–$8,453.26 $4,223.21–$8,453.26 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $5,908.74 $5,908.74 54.1×
Radex fingr minimum 2 views (73140) $2,923.64 $2,923.64 32.2×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$4,223.21–$8,321.75 $4,223.21–$8,321.75 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$3,157.58–$6,313.46 $3,157.58–$6,313.46 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 3 matching MRF lines
$5,174.41–$10,401.77 $5,174.41–$10,401.77 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,718.71 $2,718.71 29.9×
Radex Ribs Unilateral 2 Views (71100) $3,644.29 $3,644.29 40.1×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$4,243.70–$8,468.61 $4,243.70–$8,468.61 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $10,080.71 $10,080.71 55.0×
Radex Spine 1 View Specify Level (72020) $1,941.69 $1,941.69 21.4×
Radex Sternum Minimum 2 Views (71120) $3,707.47 $3,707.47 40.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $5,555.22 $5,555.22 61.1×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$2,923.64–$5,778.95 $2,923.64–$5,778.95 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$3,383.01–$6,743.80 $3,383.01–$6,743.80 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $2,436.93 $2,436.93 22.3×
Radiolog exam mandible compl minimum 4 views (70110) $4,199.29 $4,199.29 38.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $6,253.71 $6,253.71 57.3×
Radiologic exam colon double contrast study (74280) $9,670.85 $9,670.85 52.8×
Radiologic exam colon single contrast study (74270) $7,754.79 $7,754.79 42.3×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$5,162.45–$10,321.50 $5,162.45–$10,321.50 varies
Radiologic exam pelvis compl minimum 3 views (72190) $5,620.13 $5,620.13 51.5×
Radiologic Exam Small Int Single Contrast Study (74250) $5,908.74 $5,908.74 32.3×
Radiologic exam swallow function contrast study (74230) $6,282.72 $6,282.72 34.3×
Radiologic exam upr gi trc double contrast study (74246) $2,614.89 $2,614.89 14.3×
Radiologic examination femur 1 view (73551) $2,110.75 $2,110.75 23.2×
Radiologic examination femur minimum 2 views (73552) $4,223.21 $4,223.21 46.5×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,359.35–$2,693.10 $1,359.35–$2,693.10 varies
Radiologic Examination Salivary Gland Calculus (70380) $8,468.61 $8,468.61 93.2×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$4,223.21–$8,321.75 $4,223.21–$8,321.75 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $5,770.40 $5,770.40 10.1×
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×
Salivary Gland Imaging (78230) $4,314.87 $4,314.87 10.3×
Scapula (73010)
range across 3 matching MRF lines
$3,270.29–$6,552.55 $3,270.29–$6,552.55 varies
Sella turcica (70240) $2,315.68 $2,315.68 25.5×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$1,910.94–$3,845.81 $1,910.94–$3,845.81 varies
Shoulder Arthrography (73040)
range across 6 matching MRF lines
$3,968.76–$9,938.46 $3,968.76–$9,938.46 varies
Sialogram (70390) $5,908.74 $5,908.74 23.7×
Skull less than 4 views (70250) $3,068.79 $3,068.79 28.1×
Special Physics Consult (77370) $1,802.90 $1,802.90 12.8×
Special treatment procedure (77470) $1,683 $1,683 2.9×
Sternoclavicular joints (71130) $3,456.44 $3,456.44 38.0×
Superior sagittal sinus venogram (75870) $12,071.92 $12,071.92 3.7×
Temporomandble Jt Arthrography Rs&I (70332)
range across 3 matching MRF lines
$3,505.37–$7,013.16 $3,505.37–$7,013.16 varies
Testicular Imaging W/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×
Thoracic spine 2 views (72070) $5,555.22 $5,555.22 50.9×
Thoracic spine 3 views (72072) $8,012.65 $8,012.65 73.4×
Thyroid Imaging With Vascular Flow (78013) $2,589.52 $2,589.52 6.2×
Thyroid Met Imaging Body (78018) $9,916.42 $9,916.42 17.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $14,678.77 $14,678.77 35.2×
Tx devices design & construction simple (77332) $197.99 $197.99 1.4×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$1,875.53–$3,752.38 $1,875.53–$3,752.38 varies
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 us procedure (76999) $2,679.33 $2,679.33 29.5×
Upper gi w/o kub (74240) $2,478.27 $2,478.27 13.5×
Urethrocystogram voiding (74455) $15,622.29 $15,622.29 62.7×
Urethrocystography retrograde (74450) $5,878 $5,878 23.6×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$2,813.97–$5,627.92 $2,813.97–$5,627.92 varies
Us chest (76604) $1,191.84 $1,191.84 10.9×
Us complete joint (76881) $3,349.83 $3,349.83 30.7×
Us exam, pelvic, limited (76857) $2,392.92 $2,392.92 21.9×
Us kidney transplant (76776) $2,679.33 $2,679.33 24.5×
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 1 or more fetuses (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 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 thyroid (76536) $4,040.11 $4,040.11 37.0×
Us transrectal (76872) $3,640.20 $3,640.20 33.3×
Vascular Flow Imaging (78445) $4,822.50 $4,822.50 11.6×
Vein X-Ray Chest (75827) $6,920.18 $6,920.18 4.2×
Vein X-Ray Liver W/O Hemodyn (75887) $4,374.80 $4,374.80 1.3×
Vein X-Ray Spleen/Liver (75810) $11,008.89 $11,008.89 3.3×
Venogram Sinus/Jugular (75860) $6,451.51 $6,451.51 2.0×
Venography caval inferior serialography rs&i (75825) $6,920.18 $6,920.18 2.1×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$6,475.87–$10,310.27 $6,475.87–$10,310.27 varies
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
$6,475.87–$7,096.65 $6,475.87–$7,096.65 varies
Venography Renal Bilateral (75833)
range across 2 matching MRF lines
$13,281.11–$14,609.24 $13,281.11–$14,609.24 varies
Venography Renal Unilateral (75831)
range across 4 matching MRF lines
$6,291.07–$6,920.18 $6,291.07–$6,920.18 varies
Venous sampling by catheter (75893)
range across 3 matching MRF lines
$955.56–$14,609.24 $955.56–$14,609.24 varies
Venous thrombosis imaging (78457) $3,843.92 $3,843.92 6.8×
Venous Thrombosis Imaging Venogram Bilateral (78458) $7,693.71 $7,693.71 18.4×
Wrist 2 views (73100)
range across 3 matching MRF lines
$2,090.25–$4,163.45 $2,090.25–$4,163.45 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $4,979.74 $4,979.74 54.8×
X-ray antegrade pyelogram tube (74425)
range across 5 matching MRF lines
$4,337.62–$6,011.19 $4,337.62–$6,011.19 varies
X-Ray Aorta Leg Arteries (75630)
range across 2 matching MRF lines
$31,588.10–$34,746.92 $31,588.10–$34,746.92 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$3,644.29–$6,552.55 $3,644.29–$6,552.55 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$1,306.42–$1,559.15 $1,306.42–$1,559.15 varies
X-Ray Exam Entire Spi 1 Vw (72081) $1,253.47 $1,253.47 13.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,489.15 $1,489.15 13.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $2,199.55 $2,199.55 20.1×
X-Ray Exam Hip Uni 1 View (73501) $5,934.35 $5,934.35 65.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $8,132.19 $8,132.19 89.5×
X-Ray Exam Hip Uni 4/> Views (73503) $9,580.34 $9,580.34 87.8×
X-Ray Exam Hips Bi 2 Views (73521) $7,696.73 $7,696.73 70.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $12,092.41 $12,092.41 110.8×
X-Ray Exam Hips Bi 5/> Views (73523) $13,542.28 $13,542.28 124.0×
X-Ray Exam L-S Spine Bending (72114) $11,130.96 $11,130.96 102.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $5,136.84 $5,136.84 56.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $8,357.61 $8,357.61 76.6×
X-Ray Exam Unilat Ribs/Chest (71101) $5,908.74 $5,908.74 54.1×
X-ray eye for foreign body (70030)
range across 3 matching MRF lines
$3,155.88–$5,778.95 $3,155.88–$5,778.95 varies
X-ray humerus (73060) $4,223.21 $4,223.21 46.5×
X-ray IV pyelogram (ivp) (74400) $3,336.91 $3,336.91 18.2×
X-ray IV pyelogram+tomography (74415) $8,410.56 $8,410.56 45.9×
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 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 Tmj Unilat (70328) $2,778.48 $2,778.48 30.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $7,898.24 $7,898.24 21.7×
X-Rays Bone Survey Complete (77075) $5,908.74 $5,908.74 54.1×
Xr c-spine 4 or 5 views (72050) $7,445.69 $7,445.69 68.2×
XR Mastoids < 3 Views Bilateral (70120) $8,468.61 $8,468.61 77.6×
Xr orbits complete 4 views (70200) $5,432.28 $5,432.28 49.8×
Xr Tomogram Single Plane (76100) $6,098.29 $6,098.29 55.9×

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.