Imaging prices at HCA Florida Oak Hill Hospital
Brooksville, FL · every code in this section with a posted price and a Medicare benchmark.
308 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $2,958.45 | $2,958.45 | 27.1× |
| Acute gi blood loss imaging (78278) | $8,340.53 | $8,340.53 | 20.0× |
| Angiography extremity bilateral rs&i (75716) | $25,508.01 | $25,508.01 | 7.7× |
| Angiography extremity unilateral rs&i (75710) | $19,919.62 | $19,919.62 | 6.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $18,454.32 | $18,454.32 | 3.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $24,345.20 | $24,345.20 | 7.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $15,779 | $15,779 | 4.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $22,055.88 | $22,055.88 | 3.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $24,328.26 | $24,328.26 | 7.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,438.28 | $4,438.28 | 1.3× |
| Ankle 2 views (73600) | $2,478.08 | $2,478.08 | 27.3× |
| Aortogram thoracic (75605) | $17,014.42 | $17,014.42 | 2.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $18,588.62 | $18,588.62 | 5.6× |
| Aortography abdominal serialography rs&i (75625) | $17,998.14 | $17,998.14 | 5.5× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $14,146.11 | $14,146.11 | 4.3× |
| Arthrogram ankle (73615) | $4,624.62 | $4,624.62 | 12.7× |
| Arthrogram hip (73525) | $4,980.36 | $4,980.36 | 13.7× |
| Arthrogram knee (73580) | $4,988.83 | $4,988.83 | 13.7× |
| Arthrogram shoulder (73040) | $4,624.62 | $4,624.62 | 12.7× |
| Arthrogram wrist (73115) | $4,538.71 | $4,538.71 | 12.5× |
| Bone &/Joint Imaging Limited Area (78300) | $7,234.59 | $7,234.59 | 17.3× |
| Bone &/Joint Imaging Multiple Areas (78305) | $1,508.87 | $1,508.87 | 3.6× |
| Bone &/joint imaging whole body (78306) | $13,704.46 | $13,704.46 | 32.8× |
| Bone age studies (77072) | $3,061.30 | $3,061.30 | 28.0× |
| Bone Imaging 3 Phase (78315) | $13,088.57 | $13,088.57 | 31.4× |
| Bone survey complete (77075) | $6,922.41 | $6,922.41 | 63.4× |
| Bowel imaging (78290) | $9,018.13 | $9,018.13 | 21.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $10,669.78 | $10,669.78 | 18.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $31,865.96 | $31,865.96 | 21.3× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) | $9,477.93 | $9,477.93 | 16.7× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $13,982.76 | $13,982.76 | 33.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $8,460.32 | $8,460.32 | 14.9× |
| Cervical spine 2 or 3 views (72040) | $2,756.38 | $2,756.38 | 30.3× |
| Chest 1 view (71045) | $2,153.80 | $2,153.80 | 23.7× |
| Chest xray 3 views (71047) | $3,702.60 | $3,702.60 | 40.7× |
| Cholecystography, oral contrast Non-Facility (74290) | $4,300.34 | $4,300.34 | 23.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,168.45 | $4,168.45 | 22.8× |
| Clavicle complete (73000) | $2,534.95 | $2,534.95 | 27.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $18,417.38 | $18,417.38 | 168.7× |
| CT abdomen and pelvis without and with contrast (74178) | $44,436.68 | $44,436.68 | 122.0× |
| CT abdomen and pelvis without contrast (74176) | $36,982.99 | $36,982.99 | 148.4× |
| CT abdomen w contrast (74160) | $24,286.97 | $24,286.97 | 132.6× |
| CT abdomen w wo contrast (74170) | $24,201.21 | $24,201.21 | 132.1× |
| CT abdomen w/o contrast (74150) | $21,042.83 | $21,042.83 | 192.8× |
| CT angio hrt w/3d image (75574) | $25,949.47 | $25,949.47 | 71.2× |
| CT angio lwr extr w/o&w/dye (73706) | $26,341.51 | $26,341.51 | 143.8× |
| CT angiography upper extremity lt (73206) | $26,341.51 | $26,341.51 | 143.8× |
| CT c-spine w/contrast (72126) | $22,125.84 | $22,125.84 | 60.7× |
| CT c-spine w/o contrast (72125) | $18,106.19 | $18,106.19 | 165.9× |
| CT chest w contrast (71260) | $24,339.65 | $24,339.65 | 132.9× |
| CT chest w/wo contrast (71270) | $24,201.21 | $24,201.21 | 132.1× |
| CT colonography screening (74263) | $5,362.40 | $5,362.40 | 21.5× |
| CT colonography w/dye (74262) | $5,362.40 | $5,362.40 | 29.3× |
| CT colonography w/o cntrst (74261) | $5,362.40 | $5,362.40 | 49.1× |
| CT head/brain with contrast (70460) | $15,728.22 | $15,728.22 | 85.9× |
| CT head/brain without and with contrast (70470) | $18,624.42 | $18,624.42 | 101.7× |
| CT iac w contrast (70481) | $15,940.16 | $15,940.16 | 87.0× |
| CT limited/localized follow up study (76380) | $6,687.99 | $6,687.99 | 73.6× |
| CT lower ext w/o (73700) | $14,145.34 | $14,145.34 | 129.6× |
| CT lower extremity w wo contrast (73702) | $17,089.33 | $17,089.33 | 93.3× |
| CT lower extremity w/contrast material (73701) | $14,582.72 | $14,582.72 | 79.6× |
| CT lumbar spine w & w/o contrast (72133) | $22,125.84 | $22,125.84 | 120.8× |
| CT lumbar spine w/contrast (72132) | $22,125.84 | $22,125.84 | 60.7× |
| CT lumbar spine w/o contrast (72131) | $17,221.65 | $17,221.65 | 157.8× |
| CT maxillofacial w contrast (70487) | $17,720.27 | $17,720.27 | 96.7× |
| CT maxillofacial w/wo contrast (70488) | $20,779.42 | $20,779.42 | 113.4× |
| CT maxillofacial wo contrast (70486) | $15,541.99 | $15,541.99 | 142.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $19,812.79 | $19,812.79 | 108.2× |
| CT orbits w/o contrast (70480) | $17,464.22 | $17,464.22 | 160.0× |
| CT pelvis w/o contrast (72192) | $15,940.16 | $15,940.16 | 146.0× |
| CT pelvis w/wo contrast (72194) | $24,201.21 | $24,201.21 | 132.1× |
| CT scan of arm combo (73202) | $15,940.16 | $15,940.16 | 87.0× |
| CT soft tissue neck w contrast (70491) | $17,846.46 | $17,846.46 | 97.4× |
| CT soft tissue neck w/o & w/contrast material (70492) | $22,125.84 | $22,125.84 | 120.8× |
| CT soft tissue neck w/o contrast (70490) | $19,390.13 | $19,390.13 | 177.6× |
| CT thoracic spine w/contrast (72129) | $25,834.31 | $25,834.31 | 141.0× |
| CT thoracic spine w/o contrast (72128) | $22,008.23 | $22,008.23 | 201.6× |
| CT thoracic spine w/wo contrast (72130) | $29,509.70 | $29,509.70 | 161.1× |
| CT thorax w/o contrast (71250) | $19,891.21 | $19,891.21 | 182.2× |
| CT upper ext wo (73200) | $14,963.73 | $14,963.73 | 137.1× |
| CT upper extremity with contrast (73201) | $15,000.48 | $15,000.48 | 41.2× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $26,341.51 | $26,341.51 | 143.8× |
| Cta Abdomen (74175) | $26,341.51 | $26,341.51 | 143.8× |
| CTA abdomen pelvis (74174) | $52,683.01 | $52,683.01 | 144.6× |
| CTA chest (71275) | $26,341.51 | $26,341.51 | 143.8× |
| Cta Head (70496) | $19,883.85 | $19,883.85 | 108.6× |
| Cta Neck (70498) | $21,773 | $21,773 | 118.9× |
| Cta Pelvis (72191) | $26,341.51 | $26,341.51 | 143.8× |
| Cystography minimum 3 views rs&i (74430) | $1,384.24 | $1,384.24 | 3.8× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $5,891.49 | $5,891.49 | 2.7× |
| Diskogram cervical (72285) | $6,125.02 | $6,125.02 | 3.0× |
| Diskography lumbar (72295) | $6,125.02 | $6,125.02 | 3.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $3,924.03 | $3,924.03 | 35.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $4,279.77 | $4,279.77 | 47.1× |
| Esophagus (74220) | $3,096.39 | $3,096.39 | 16.9× |
| Facial bones min 3 views (70150) | $3,702.60 | $3,702.60 | 33.9× |
| Fetal biophysical profile non-stress testing (76818) | $2,130.81 | $2,130.81 | 19.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $6,425.10 | $6,425.10 | 58.9× |
| Fluoroscopy up to 1 hr (76000) | $3,671.14 | $3,671.14 | 14.7× |
| Foot 2 views (73620) | $2,478.08 | $2,478.08 | 27.3× |
| Forearm 2 views (73090) | $2,770.90 | $2,770.90 | 30.5× |
| Hand 2 views (73120) | $2,770.90 | $2,770.90 | 25.4× |
| Heart first pass single,planar (78481) | $16,850.46 | $16,850.46 | 29.7× |
| Heart Infarct Image (78466) | $11,934.23 | $11,934.23 | 28.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $16,977.51 | $16,977.51 | 29.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $16,977.51 | $16,977.51 | 40.7× |
| Hysterosalpingogram (74740) | $6,985.33 | $6,985.33 | 28.0× |
| Interstitial radiation source applic complex (77778) | $4,153.93 | $4,153.93 | 5.7× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) | $55.66 | $55.66 | 0.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $18,128.22 | $18,128.22 | 32.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $17,593.40 | $17,593.40 | 31.0× |
| Knee 3 views (73562) | $1,477.41 | $1,477.41 | 16.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $13,915 | $13,915 | 33.3× |
| Liver imaging static only (78201) | $8,511.14 | $8,511.14 | 15.0× |
| Liver imaging w/vascular flow (78202) | $9,192.37 | $9,192.37 | 16.2× |
| Lung perf&ventilat diferentl (78598) | $28,016.34 | $28,016.34 | 49.4× |
| Lung perfusion differential (78597) | $10,471.34 | $10,471.34 | 25.1× |
| Lymphoscintigraphy (78195) | $21,671.10 | $21,671.10 | 38.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $10,247 | $10,247 | 12.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $10,247 | $10,247 | 28.1× |
| Mammary ductogram or galactogram multiple (77054) | $1,799.27 | $1,799.27 | 7.2× |
| Mammary ductogram or galactogram single (77053) | $1,499.19 | $1,499.19 | 6.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $200 | $200 | 6.6× |
| MRA head w & w/o contrast (70546) | $9,492 | $9,492 | 26.1× |
| MRA head w/o contrast (70544) | $9,324 | $9,324 | 37.4× |
| MRA head with contrast (70545) | $8,633 | $8,633 | 23.7× |
| MRA neck w contrast (70548) | $9,324 | $9,324 | 25.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,252 | $10,252 | 28.1× |
| MRA neck w/o contrast (70547) | $9,324 | $9,324 | 37.4× |
| MRI abdomen w contrast (74182) | $10,247 | $10,247 | 28.1× |
| MRI abdomen w/o & w/contrast material (74183) | $10,247 | $10,247 | 28.1× |
| MRI abdomen w/o contrast (74181) | $10,247 | $10,247 | 41.1× |
| MRI any jt lower extrem w/contrast material (73722) | $10,247 | $10,247 | 12.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,247 | $10,247 | 28.1× |
| MRI breast w/o contrast bilateral (77047) | $10,252 | $10,252 | 41.1× |
| MRI breast wo contrast unilateral (77046) | $10,347 | $10,347 | 41.5× |
| MRI c-spine with contrast (72142) | $13,135 | $13,135 | 36.1× |
| MRI cervical spine w/o contrast (72141) | $12,087 | $12,087 | 48.5× |
| MRI chest w/o & w/contrast material (71552) | $10,252 | $10,252 | 28.1× |
| MRI chest w/o contrast (71550) | $5,839 | $5,839 | 23.4× |
| MRI chest with contrast (71551) | $10,252 | $10,252 | 12.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,247 | $10,247 | 28.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,489 | $9,489 | 38.1× |
| MRI orbit face &/neck w/o contrast (70540) | $10,247 | $10,247 | 41.1× |
| MRI orbit face neck w contrast (70542) | $10,247 | $10,247 | 28.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,247 | $10,247 | 28.1× |
| MRI pelvis w/contrast (72196) | $10,247 | $10,247 | 28.1× |
| MRI pelvis w/o & w/contrast material (72197) | $13,945 | $13,945 | 38.3× |
| MRI pelvis w/o contrast (72195) | $12,087 | $12,087 | 48.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $13,945 | $13,945 | 38.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $13,135 | $13,135 | 36.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $14,186 | $14,186 | 38.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $7,538 | $7,538 | 20.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $13,945 | $13,945 | 38.3× |
| MRI temporomandibular joint (70336) | $10,247 | $10,247 | 41.1× |
| MRI thoracic spine w/o contrast (72146) | $12,087 | $12,087 | 48.5× |
| MRI up ext w/o contrast (73218) | $9,868 | $9,868 | 39.6× |
| MRI upper ext joint w/o contrast (73221) | $10,247 | $10,247 | 41.1× |
| MRI, joint upper extrem combo (73223) | $10,247 | $10,247 | 28.1× |
| Myelogram Cervical (72240) | $11,115.06 | $11,115.06 | 13.6× |
| Myelogram Lumbar (72265) | $21,017.70 | $21,017.70 | 25.7× |
| Myelography 2 or more regions (72270) | $21,464.19 | $21,464.19 | 26.2× |
| Myocardial Spect Multiple Studies (78452) | $25,765.74 | $25,765.74 | 19.1× |
| Myocardial spect single study at rest or stress (78451) | $5,811.63 | $5,811.63 | 4.3× |
| Neck soft tissue (70360) | $2,436.94 | $2,436.94 | 26.8× |
| Nm adrenal scan (78075) | $21,193.15 | $21,193.15 | 15.7× |
| Nm bone marrow multi (78103) | $13,704.46 | $13,704.46 | 32.8× |
| Nm cardiac blood pool multiple (78473) | $28,295.85 | $28,295.85 | 67.8× |
| Nm cisternogram (78630) | $3,312.98 | $3,312.98 | 5.8× |
| Nm gastric emptying study (78264) | $12,443.64 | $12,443.64 | 29.8× |
| Nm kidney scan w/flow (78701) | $7,175.30 | $7,175.30 | 17.2× |
| Nm peritoneal-venous shunt patency (78291) | $8,460.32 | $8,460.32 | 20.3× |
| Nonvascular shunt X-ray (75809) | $4,041.40 | $4,041.40 | 37.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $15,985.31 | $15,985.31 | 38.3× |
| Nuclear Rx Oral Admin (79005) | $4,135.78 | $4,135.78 | 17.0× |
| Parathyroid Planar Imaging (78070) | $8,730.15 | $8,730.15 | 20.9× |
| Pelvis 1 or 2 views (72170) | $2,534.95 | $2,534.95 | 23.2× |
| PET imaging for CT attenuation whole body (78816) | $16,021.61 | $16,021.61 | 10.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $31,865.96 | $31,865.96 | 23.6× |
| PET whole body (78813) | $29,698.24 | $29,698.24 | 19.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,471.34 | $10,471.34 | 25.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $10,471.34 | $10,471.34 | 18.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,856.14 | $1,856.14 | 3.3× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,726.13 | $2,726.13 | 30.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,404.27 | $2,404.27 | 26.5× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,999.59 | $2,999.59 | 33.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,709.73 | $1,709.73 | 18.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,756.38 | $2,756.38 | 25.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $3,146 | $3,146 | 28.8× |
| Radex fingr minimum 2 views (73140) | $2,380.07 | $2,380.07 | 26.2× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,583.35 | $2,583.35 | 28.4× |
| Radex Hand Minimum 3 Views (73130) | $2,562.78 | $2,562.78 | 28.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,184.05 | $2,184.05 | 24.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,733.39 | $2,733.39 | 25.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,733.39 | $2,733.39 | 25.0× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,969.34 | $2,969.34 | 27.2× |
| Radex Humerus Minimum 2 Views (73060) | $2,756.38 | $2,756.38 | 30.3× |
| Radex Kne 1/2 Views (73560) | $1,776.28 | $1,776.28 | 19.5× |
| Radex Kne Compl 4/More Views (73564) | $2,739.44 | $2,739.44 | 25.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $3,455.76 | $3,455.76 | 31.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,756.38 | $2,756.38 | 30.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,733.39 | $2,733.39 | 25.0× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,780.58 | $2,780.58 | 30.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,085.37 | $1,085.37 | 11.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,380.74 | $3,380.74 | 37.2× |
| Radex Toe Minimum 2 Views (73660) | $2,416.37 | $2,416.37 | 26.6× |
| Radex upper extremity infant minimum 2 views (73092) | $2,770.90 | $2,770.90 | 25.4× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,562.78 | $2,562.78 | 28.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,844.17 | $3,844.17 | 35.2× |
| Radiation treatment delivery level 3 (77412) | $2,507 | $2,507 | 4.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,485.34 | $2,485.34 | 27.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,070.44 | $4,070.44 | 37.3× |
| Radiologic exam chest 2 views (71046) | $2,450.25 | $2,450.25 | 27.0× |
| Radiologic exam colon single contrast study (74270) | $5,843.09 | $5,843.09 | 31.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,096.39 | $3,096.39 | 16.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $6,586.03 | $6,586.03 | 36.0× |
| Radiologic examination femur 1 view (73551) | $1,247.51 | $1,247.51 | 13.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,756.38 | $2,756.38 | 30.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $3,713.49 | $3,713.49 | 6.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $3,237.96 | $3,237.96 | 29.7× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $4,620.99 | $4,620.99 | 11.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $21,671.10 | $21,671.10 | 51.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $18,537.20 | $18,537.20 | 32.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $21,193.15 | $21,193.15 | 37.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $12,443.64 | $12,443.64 | 21.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $10,668.57 | $10,668.57 | 7.9× |
| Rp Therapy Intravenous Administration (79101) | $12,201.64 | $12,201.64 | 50.1× |
| Scapula (73010) | $2,509.54 | $2,509.54 | 23.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $166.98 | $166.98 | 7.1× |
| Sella turcica (70240) | $2,960.87 | $2,960.87 | 32.6× |
| Shoulder 1 view (73020) | $1,247.51 | $1,247.51 | 13.7× |
| Sialogram (70390) | $2,184.05 | $2,184.05 | 8.8× |
| Small bowel series (74250) | $2,697.09 | $2,697.09 | 14.7× |
| Spine thoracic 3 views (72072) | $3,146 | $3,146 | 28.8× |
| Spleen imaging only (78185) | $5,655.54 | $5,655.54 | 13.5× |
| Testicular Imaging With Vascular Flow (78761) | $9,594.09 | $9,594.09 | 23.0× |
| Thoracolumbar 2 views (72080) | $3,146 | $3,146 | 34.6× |
| Thyroid carcinoma metastases img whole body (78018) | $18,620.69 | $18,620.69 | 32.8× |
| Thyroid imaging w/blood flow (78013) | $6,448.09 | $6,448.09 | 15.4× |
| Thyroid uptake measurement (78012) | $8,892.29 | $8,892.29 | 21.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $9,607.40 | $9,607.40 | 23.0× |
| Tomogram (76100) | $5,901.17 | $5,901.17 | 54.1× |
| Ultrasound breast complete (76641) | $10,811.35 | $10,811.35 | 99.0× |
| Ultrasound, abdomen limited (76705) | $5,294.96 | $5,294.96 | 48.5× |
| Umbilical-artery Doppler (OB) (76820) | $4,856.94 | $4,856.94 | 44.5× |
| Unlisted ultrasound procedure (76999) | $5,294.96 | $5,294.96 | 58.3× |
| Ureteral reflux study (78740) | $5,332.47 | $5,332.47 | 12.8× |
| Urethrocystogram voiding (74455) | $5,322.79 | $5,322.79 | 21.4× |
| Urethrocystography retrograde rs&i (74450) | $6,935.72 | $6,935.72 | 27.8× |
| Us breast unilateral limited (76642) | $10,811.35 | $10,811.35 | 119.0× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $5,962.28 | $5,962.28 | 26.4× |
| Us compl joint r-t w/image documentation (76881) | $5,112.25 | $5,112.25 | 46.8× |
| Us encephalogram (76506) | $3,697.76 | $3,697.76 | 33.9× |
| Us hips infant static (76886) | $4,243.47 | $4,243.47 | 46.7× |
| Us infant hips w manipulation (76885) | $4,243.47 | $4,243.47 | 46.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $5,112.25 | $5,112.25 | 46.8× |
| Us ob detailed single fetus (76811) | $6,667.10 | $6,667.10 | 26.8× |
| Us ob limited (76815) | $6,018.54 | $6,018.54 | 55.1× |
| Us ob transvaginal (76817) | $6,579.98 | $6,579.98 | 60.3× |
| Us pelvic non ob complete (76856) | $6,518.27 | $6,518.27 | 59.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $5,294.96 | $5,294.96 | 48.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $6,425.10 | $6,425.10 | 58.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $5,895.12 | $5,895.12 | 54.0× |
| Us retroperitoneal complete (76770) | $5,693.66 | $5,693.66 | 52.2× |
| Us retroperitoneal limited (76775) | $4,207.17 | $4,207.17 | 38.5× |
| Us scrotum and contents (76870) | $6,241.18 | $6,241.18 | 57.2× |
| Us soft tissue head/neck (76536) | $5,505.50 | $5,505.50 | 50.4× |
| Us transrectal (76872) | $13,974.29 | $13,974.29 | 128.0× |
| Venogram extremity bilateral (75822) | $7,535.88 | $7,535.88 | 4.6× |
| Venogram Extremity Unilateral (75820) | $4,209.59 | $4,209.59 | 2.6× |
| Venography caval inferior serialography rs&i (75825) | $13,109.14 | $13,109.14 | 4.0× |
| Venography caval superior serialography rs&i (75827) | $16,531.02 | $16,531.02 | 10.1× |
| Venous sampling by catheter (75893) | $8,996.35 | $8,996.35 | 1.5× |
| Vertebral fracture assessment via dxa (77086) | $2,286.90 | $2,286.90 | 25.2× |
| Wrist 2 views (73100) | $1,958.99 | $1,958.99 | 21.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,070.44 | $4,070.44 | 37.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $4,005.10 | $4,005.10 | 44.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,769.41 | $7,769.41 | 42.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,963.83 | $1,963.83 | 21.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,184.05 | $2,184.05 | 24.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,733.39 | $2,733.39 | 25.0× |
| X-ray exam of femur 2/> (73552) | $2,756.38 | $2,756.38 | 30.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,707.98 | $2,707.98 | 29.8× |
| X-ray IV pyelogram (ivp) (74400) | $6,242.39 | $6,242.39 | 34.1× |
| X-ray leg, infant (73592) | $2,770.90 | $2,770.90 | 30.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,280.31 | $3,280.31 | 30.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,697.76 | $3,697.76 | 33.9× |
| X-ray nose-rectum child f.b. (76010) | $2,404.27 | $2,404.27 | 26.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,751 | $3,751 | 34.4× |
| X-ray retrograde pyelogram (74420) | $5,585.36 | $5,585.36 | 15.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,369.85 | $3,369.85 | 30.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,729.22 | $3,729.22 | 34.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,945.14 | $2,945.14 | 27.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,282.19 | $4,282.19 | 47.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,751 | $3,751 | 41.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,807.33 | $4,807.33 | 44.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,256.65 | $2,256.65 | 20.7× |
| X-Ray Small Bowel Enteroclysis (74251) | $5,804.37 | $5,804.37 | 31.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,709.73 | $1,709.73 | 18.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,184.05 | $2,184.05 | 24.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,017.74 | $3,017.74 | 33.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,756.38 | $2,756.38 | 25.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,859.23 | $2,859.23 | 26.2× |
| Xr bone length studies (77073) | $681.23 | $681.23 | 6.2× |
| Xr c-spine 4 or 5 views (72050) | $3,844.17 | $3,844.17 | 35.2× |
| Xr c-spine 6 or more views (72052) | $4,624.62 | $4,624.62 | 42.4× |
| Xr chest 4+ views (71048) | $4,460.06 | $4,460.06 | 40.9× |
| Xr urogram antegrade (74425) | $3,510.21 | $3,510.21 | 9.6× |