Imaging prices at HCA Florida Orange Park Hospital
Orange Park, FL · every code in this section with a posted price and a Medicare benchmark.
344 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,044.68 | $5,044.68 | 3.5× |
| Abdomen 1 View (74018) | $1,882.57 | $1,882.57 | 20.7× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$3,839.79–$3,875.95 | $3,839.79–$3,875.95 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,898.50 | $2,898.50 | 6.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$10,525.59–$30,109.45 | $10,525.59–$30,109.45 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $16,875.48 | $16,875.48 | 5.1× |
| Angiography extremity bilateral rs&i (75716) | $14,256.91 | $14,256.91 | 4.3× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$6,705.63–$6,770.95 | $6,705.63–$6,770.95 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$10,397.29–$22,302.73 | $10,397.29–$22,302.73 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $14,456.36 | $14,456.36 | 4.4× |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$2,440.11–$3,274.08 | $2,440.11–$3,274.08 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$7,973.51–$16,986.28 | $7,973.51–$16,986.28 | varies |
| Artery X-Rays Abdomen (75726) | $7,400.81 | $7,400.81 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $14,456.36 | $14,456.36 | 4.4× |
| Artery X-Rays Pelvis (75736) | $9,025.60 | $9,025.60 | 1.6× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$5,704.86–$26,171.68 | $5,704.86–$26,171.68 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$4,474.31–$5,953.31 | $4,474.31–$5,953.31 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$4,204.87–$5,590.56 | $4,204.87–$5,590.56 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$5,868.16–$7,804.38 | $5,868.16–$7,804.38 | varies |
| Basic radiation dosimetry calculation (77300) | $607.69 | $607.69 | 4.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$3,607.68–$3,647.33 | $3,607.68–$3,647.33 | varies |
| Bone Imaging 3 Phase (78315) | $6,354.55 | $6,354.55 | 15.2× |
| Bone Imaging Limited Area (78300) | $7,922.19 | $7,922.19 | 19.0× |
| Bone Imaging Whole Body (78306) | $13,496.41 | $13,496.41 | 32.3× |
| Bone marrow imaging limited area (78102) | $1,797.42 | $1,797.42 | 4.3× |
| Bone marrow imaging; multiple areas (78103) | $1,797.42 | $1,797.42 | 4.3× |
| Bone marrow imaging; whole body (78104) | $1,797.42 | $1,797.42 | 4.3× |
| Bone survey infant (77076) | $3,930.77 | $3,930.77 | 36.0× |
| Brain Flow Imaging Only (78610) | $4,420.66 | $4,420.66 | 7.8× |
| Brain Image W/Flow < 4 Views (78601) | $5,195.15 | $5,195.15 | 12.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$4,997.12–$4,999.36 | $4,997.12–$4,999.36 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,693.61 | $1,693.61 | 3.0× |
| Cerebrospinal Fluid Scan (78630) | $4,119.72 | $4,119.72 | 7.3× |
| Chest 1 view (71045) | $1,706.44 | $1,706.44 | 18.8× |
| Chest 2 views (71046) | $3,237.93 | $3,237.93 | 35.6× |
| Chest 3 views (71047) range across 3 matching MRF lines |
$3,720.82–$3,754.64 | $3,720.82–$3,754.64 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$4,231.70–$4,267.86 | $4,231.70–$4,267.86 | varies |
| Cholecystography Oral Contrast (74290) | $3,137.62 | $3,137.62 | 17.1× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$2,546.25–$2,567.25 | $2,546.25–$2,567.25 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $329.10 | $329.10 | 3.0× |
| Continuing medical physics consltj pr wk (77336) | $607.69 | $607.69 | 4.3× |
| Contrast Exam Abdominl Aorta (75625) | $12,067.57 | $12,067.57 | 3.7× |
| Contrast X-Ray Bladder (74430) | $3,916.77 | $3,916.77 | 10.8× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$1,351.86–$1,796.26 | $1,351.86–$1,796.26 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$4,529.13–$6,026.79 | $4,529.13–$6,026.79 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $20,656.77 | $20,656.77 | 56.7× |
| CT abdomen and pelvis without contrast (74176) | $18,083.52 | $18,083.52 | 72.6× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$20,345.64–$20,360.25 | $20,345.64–$20,360.25 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$20,345.64–$20,360.25 | $20,345.64–$20,360.25 | varies |
| CT abdomen w/o contrast (74150) | $17,873.48 | $17,873.48 | 163.7× |
| CT Angio Abdomen and Pelvis (74174) | $21,768.74 | $21,768.74 | 59.8× |
| CT Angio Chest (71275) | $23,071.65 | $23,071.65 | 126.0× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$22,862.74–$23,071.65 | $22,862.74–$23,071.65 | varies |
| CT angio hrt w/3d image (75574) | $1,415.23 | $1,415.23 | 3.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$22,862.74–$23,071.65 | $22,862.74–$23,071.65 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$22,862.74–$23,071.65 | $22,862.74–$23,071.65 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$22,862.74–$23,071.65 | $22,862.74–$23,071.65 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$15,268.78–$15,405.81 | $15,268.78–$15,405.81 | varies |
| CT cervical spine w/o contrast (72125) | $14,120.87 | $14,120.87 | 129.3× |
| CT cervical spine w/wo cont (72127) | $16,787.35 | $16,787.35 | 91.6× |
| CT chest w contrast (71260) | $20,196.26 | $20,196.26 | 110.3× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$20,181.66–$20,360.25 | $20,181.66–$20,360.25 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$16,992.89–$17,143.40 | $16,992.89–$17,143.40 | varies |
| CT head/brain without and with contrast (70470) | $19,921.08 | $19,921.08 | 108.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,418.60 | $1,418.60 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $425.69 | $425.69 | 4.7× |
| CT hrt w/3d image congen (75573) | $1,415.23 | $1,415.23 | 3.9× |
| CT iac w contrast (70481) | $15,651.79 | $15,651.79 | 85.4× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$23,205.31–$23,416.47 | $23,205.31–$23,416.47 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$14,955.41–$18,528.31 | $14,955.41–$18,528.31 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$15,612.48–$19,508.86 | $15,612.48–$19,508.86 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$17,042.31–$17,199.56 | $17,042.31–$17,199.56 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$15,628.20–$15,637.19 | $15,628.20–$15,637.19 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$16,541.37–$16,694.12 | $16,541.37–$16,694.12 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$17,166.99–$17,169.24 | $17,166.99–$17,169.24 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$18,949.51–$18,950.63 | $18,949.51–$18,950.63 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $17,845.40 | $17,845.40 | 97.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$15,455.23–$15,459.72 | $15,455.23–$15,459.72 | varies |
| CT pelvis w&w/o contrast (72194) | $22,121.42 | $22,121.42 | 120.8× |
| CT pelvis w/o contrast (72192) | $18,287.94 | $18,287.94 | 167.5× |
| CT scan of leg combo (73702) | $17,345.58 | $17,345.58 | 94.7× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$20,743.26–$20,924.09 | $20,743.26–$20,924.09 | varies |
| CT soft tissue neck w contrast (70491) | $18,760.81 | $18,760.81 | 102.4× |
| CT soft tissue neck w/o contrast (70490) | $15,135.12 | $15,135.12 | 138.6× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$19,921.08–$20,091.80 | $19,921.08–$20,091.80 | varies |
| CT thoracic spine w/o contrast (72128) | $11,786.86 | $11,786.86 | 108.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$21,879.94–$21,891.17 | $21,879.94–$21,891.17 | varies |
| CT thorax w/o contrast (71250) | $16,968.18 | $16,968.18 | 155.4× |
| CT upper ext wo (73200) range across 7 matching MRF lines |
$14,955.41–$18,519.32 | $14,955.41–$18,519.32 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$17,345.58–$21,683.38 | $17,345.58–$21,683.38 | varies |
| CT upper extremity with contrast (73201) range across 8 matching MRF lines |
$15,606.86–$19,514.48 | $15,606.86–$19,514.48 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$25,869.54–$26,106.54 | $25,869.54–$26,106.54 | varies |
| Cta Abdomen (74175) | $23,071.65 | $23,071.65 | 126.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$22,862.74–$23,071.65 | $22,862.74–$23,071.65 | varies |
| Dilation ureters/urethra rs&i (74485) | $10,127.85 | $10,127.85 | 4.6× |
| Discography Cerv/Thor Spine (72285) | $3,761.64 | $3,761.64 | 1.8× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,754.64–$10,565.25 | $3,754.64–$10,565.25 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$782.65–$2,821.52 | $782.65–$2,821.52 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$2,582.41–$2,821.52 | $2,582.41–$2,821.52 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$823.48–$1,672.62 | $823.48–$1,672.62 | varies |
| Dxa Bone Density Axial (77080) | $2,758.54 | $2,758.54 | 25.3× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$2,582.41–$4,755.41 | $2,582.41–$4,755.41 | varies |
| Echo exam uterus (76831) | $1,284.21 | $1,284.21 | 5.2× |
| Echo Guide For Artery Repair (76936) | $1,400.85 | $1,400.85 | 6.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$782.65–$4,755.41 | $782.65–$4,755.41 | varies |
| Echograp Trans R Pros Study (76873) | $5,370.11 | $5,370.11 | 49.2× |
| Esophagram (74220) | $3,324.24 | $3,324.24 | 18.1× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$1,180.40–$7,788.05 | $1,180.40–$7,788.05 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$1,632.96–$5,884.49 | $1,632.96–$5,884.49 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$268.27–$2,107.68 | $268.27–$2,107.68 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$8,360.76–$8,438.90 | $8,360.76–$8,438.90 | varies |
| Foot 2 views (73620) range across 8 matching MRF lines |
$2,359.63–$3,160.94 | $2,359.63–$3,160.94 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$2,452.94–$3,067.63 | $2,452.94–$3,067.63 | varies |
| Gastric emptying imaging study (78264) | $8,887.97 | $8,887.97 | 21.3× |
| Gated Heart Planar Single (78472) | $9,494.50 | $9,494.50 | 22.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$2,048.20–$2,749.20 | $2,048.20–$2,749.20 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,698.24 | $7,698.24 | 2.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $13,133.66 | $13,133.66 | 4.0× |
| Hepatobil Syst Image W/Drug (78227) | $17,701.29 | $17,701.29 | 31.2× |
| Hepatobiliary System Imaging (78226) | $17,703.62 | $17,703.62 | 42.4× |
| Ht Musc Image Planar Mult (78454) | $21,679.88 | $21,679.88 | 16.0× |
| Ht Muscle Image Spect Sing (78451) | $15,305.50 | $15,305.50 | 11.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$4,620.11–$4,662.10 | $4,620.11–$4,662.10 | varies |
| Interstitial radiation source applic complex (77778) | $6,064.11 | $6,064.11 | 8.3× |
| K Flow/Funct Image Multiple (78709) | $10,882.51 | $10,882.51 | 19.2× |
| K Flow/Funct Image W/Drug (78708) | $7,741.40 | $7,741.40 | 13.7× |
| K Flow/Funct Image W/O Drug (78707) | $10,980.49 | $10,980.49 | 19.4× |
| Kidney Imaging Morphol (78700) | $3,124.79 | $3,124.79 | 7.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,093.29 | $3,093.29 | 7.4× |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$2,114.68–$4,263.19 | $2,114.68–$4,263.19 | varies |
| Liver & Spleen Imaging Static Only (78215) | $8,926.46 | $8,926.46 | 21.4× |
| Liver imaging static only (78201) | $2,224.32 | $2,224.32 | 3.9× |
| Liver imaging w/vascular flow (78202) | $1,600.30 | $1,600.30 | 2.8× |
| Lung perfusion differential (78597) | $20,232.37 | $20,232.37 | 48.5× |
| Lung Ventilat&Perfus Imaging (78582) | $20,232.37 | $20,232.37 | 35.7× |
| Lung Ventilation Imaging (78579) | $20,232.37 | $20,232.37 | 48.5× |
| Lymph System Imaging (78195) | $17,223.06 | $17,223.06 | 30.4× |
| Magnetic Image Jaw Joint (70336) | $15,558.61 | $15,558.61 | 62.4× |
| Mammary ductogram or galactogram multiple (77054) | $2,890.34 | $2,890.34 | 11.6× |
| Mammary ductogram or galactogram single (77053) | $1,863.91 | $1,863.91 | 7.5× |
| Meckels Divert Exam (78290) | $7,302.83 | $7,302.83 | 17.5× |
| MRA head w/o contrast (70544) | $11,760.81 | $11,760.81 | 47.2× |
| MRA head with contrast (70545) | $11,760.81 | $11,760.81 | 32.3× |
| MRA neck w contrast (70548) | $11,760.81 | $11,760.81 | 32.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,381.34 | $12,381.34 | 34.0× |
| MRA neck w/o contrast (70547) | $11,760.81 | $11,760.81 | 47.2× |
| MRI abdomen w contrast (74182) | $22,987.41 | $22,987.41 | 63.1× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$22,987.41–$23,196.20 | $22,987.41–$23,196.20 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$24,646.03–$32,779.34 | $24,646.03–$32,779.34 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$25,862.59–$34,397.14 | $25,862.59–$34,397.14 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$22,569.84–$30,019.64 | $22,569.84–$30,019.64 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $12,930.71 | $12,930.71 | 51.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $11,674.50 | $11,674.50 | 46.9× |
| MRI cervical spine w contrast (72142) | $25,983.89 | $25,983.89 | 71.3× |
| MRI cervical spine w/o cont (72141) | $12,593.62 | $12,593.62 | 50.5× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$19,208.28–$19,379.74 | $19,208.28–$19,379.74 | varies |
| MRI chest with contrast (71551) | $19,208.28 | $19,208.28 | 23.5× |
| MRI chest wo w contrast (71552) | $20,346.68 | $20,346.68 | 55.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$9,438.51–$12,552.80 | $9,438.51–$12,552.80 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$10,844.02–$14,422.54 | $10,844.02–$14,422.54 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$10,305.14–$13,704.03 | $10,305.14–$13,704.03 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$25,983.89–$26,224.17 | $25,983.89–$26,224.17 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $15,604.10 | $15,604.10 | 42.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$17,527.49–$17,693.12 | $17,527.49–$17,693.12 | varies |
| MRI orbit face neck w contrast (70542) | $17,527.49 | $17,527.49 | 48.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$18,390.63–$18,559.76 | $18,390.63–$18,559.76 | varies |
| MRI pelvis w contrast (72196) | $4,056.74 | $4,056.74 | 11.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$17,941.56–$18,103.69 | $17,941.56–$18,103.69 | varies |
| MRI pelvis w/o contrast (72195) | $3,449.04 | $3,449.04 | 13.8× |
| MRI thoracic spine w/o contrast (72146) | $14,829.61 | $14,829.61 | 59.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$10,305.14–$13,728.53 | $10,305.14–$13,728.53 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$10,305.14–$13,704.03 | $10,305.14–$13,704.03 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$10,944.33–$34,397.14 | $10,944.33–$34,397.14 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$24,140.98–$24,361.43 | $24,140.98–$24,361.43 | varies |
| MRI, dorsal spine combo (72157) | $15,604.10 | $15,604.10 | 42.8× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$24,646.03–$24,866.48 | $24,646.03–$24,866.48 | varies |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$24,866.48–$33,511.84 | $24,866.48–$33,511.84 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$25,862.59–$34,397.14 | $25,862.59–$34,397.14 | varies |
| MRI, lumbar spine combo (72158) | $15,604.10 | $15,604.10 | 42.8× |
| Myelogram cervical (72240) | $9,994.88 | $9,994.88 | 12.2× |
| Myelogram Lumbar (72265) | $10,387.96 | $10,387.96 | 12.7× |
| Myelography thoracic (72255) | $10,295.81 | $10,295.81 | 12.6× |
| Myelograpy 2/more regions rs&i (72270) | $16,749.50 | $16,749.50 | 20.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $9,952.89 | $9,952.89 | 23.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $12,207.54 | $12,207.54 | 9.0× |
| Myocardial Spect Multiple Studies (78452) | $24,605.21 | $24,605.21 | 18.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$2,312.97–$2,332.80 | $2,312.97–$2,332.80 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,217.72 | $1,217.72 | 2.9× |
| Nm csf leak detection (78650) | $7,042.72 | $7,042.72 | 5.2× |
| Nonvascular Shunt X-Ray (75809) | $531.88 | $531.88 | 4.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,998.02 | $4,998.02 | 3.5× |
| Nuclear Rx Intra-Arterial (79445) | $1,101.08 | $1,101.08 | 4.5× |
| Nuclear Rx Oral Admin (79005) | $2,198.66 | $2,198.66 | 9.0× |
| Ob us nuchal meas 1 gest (76813) | $1,672.62 | $1,672.62 | 15.3× |
| Optic foramina (70190) | $1,807.92 | $1,807.92 | 19.9× |
| Parathyroid Planar Imaging (78070) | $7,938.52 | $7,938.52 | 19.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$2,420.28–$2,422.61 | $2,420.28–$2,422.61 | varies |
| Peritoneogram Rs&I (74190) | $1,608.47 | $1,608.47 | 2.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $7,793.88 | $7,793.88 | 5.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,116.60 | $6,116.60 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,096.36 | $10,096.36 | 24.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$5,553.23–$5,554.40 | $5,553.23–$5,554.40 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,469.66–$1,484.83 | $1,469.66–$1,484.83 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$2,459.94–$3,274.08 | $2,459.94–$3,274.08 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$1,974.72–$2,490.26 | $1,974.72–$2,490.26 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$2,529.92–$3,363.90 | $2,529.92–$3,363.90 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$3,805.96–$3,807.13 | $3,805.96–$3,807.13 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$2,139.18–$2,152.01 | $2,139.18–$2,152.01 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$2,588.24–$3,444.38 | $2,588.24–$3,444.38 | varies |
| Radex Hand Minimum 3 Views (73130) range across 10 matching MRF lines |
$2,413.28–$3,047.80 | $2,413.28–$3,047.80 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$505.05–$507.38 | $505.05–$507.38 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$3,069.96–$3,317.24 | $3,069.96–$3,317.24 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,484.43 | $2,484.43 | 27.3× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$2,722.38–$3,589.01 | $2,722.38–$3,589.01 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$370.92–$377.91 | $370.92–$377.91 | varies |
| Radex Spine 1 View Specify Level (72020) | $1,844.08 | $1,844.08 | 20.3× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$3,622.84–$3,632.17 | $3,622.84–$3,632.17 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$3,262.42–$3,297.41 | $3,262.42–$3,297.41 | varies |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$1,877.90–$2,483.27 | $1,877.90–$2,483.27 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$505.05–$507.38 | $505.05–$507.38 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$2,408.62–$2,982.48 | $2,408.62–$2,982.48 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$2,839.02–$2,872.84 | $2,839.02–$2,872.84 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $5,553.23 | $5,553.23 | 50.9× |
| Radiologic exam colon double contrast study (74280) | $6,143.43 | $6,143.43 | 33.5× |
| Radiologic exam colon single contrast study (74270) | $5,312.95 | $5,312.95 | 29.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $6,647.31 | $6,647.31 | 36.3× |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$2,219.66–$2,953.32 | $2,219.66–$2,953.32 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$2,505.43–$2,529.92 | $2,505.43–$2,529.92 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,773.68 | $5,773.68 | 31.5× |
| Radiologic exam swallow function contrast study (74230) | $4,013.58 | $4,013.58 | 21.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,072.28 | $6,072.28 | 33.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$439.73–$1,384.52 | $439.73–$1,384.52 | varies |
| Radiologic examination femur minimum 2 views (73552) | $439.73 | $439.73 | 4.8× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$2,045.87–$2,531.09 | $2,045.87–$2,531.09 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$3,978.59–$3,983.26 | $3,978.59–$3,983.26 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $790.82 | $790.82 | 8.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$2,566.08–$3,208.77 | $2,566.08–$3,208.77 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $839.81 | $839.81 | 1.5× |
| Renal Cyst Study (74470) | $4,539.63 | $4,539.63 | 8.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,039.64 | $3,039.64 | 7.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,024.87 | $2,024.87 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,840.15 | $8,840.15 | 15.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,081.23 | $4,081.23 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,123.22 | $4,123.22 | 7.3× |
| Scapula (73010) range across 7 matching MRF lines |
$1,877.90–$2,493.76 | $1,877.90–$2,493.76 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $454.90 | $454.90 | 19.5× |
| Sella turcica (70240) range across 2 matching MRF lines |
$1,715.77–$1,721.61 | $1,715.77–$1,721.61 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$1,441.67–$1,909.40 | $1,441.67–$1,909.40 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$5,583.56–$7,421.80 | $5,583.56–$7,421.80 | varies |
| Sialogram (70390) | $2,293.14 | $2,293.14 | 9.2× |
| Skull less than 4 views (70250) | $3,735.98 | $3,735.98 | 34.2× |
| Special dosimetry (77331) | $607.69 | $607.69 | 4.3× |
| Special Physics Consult (77370) | $603.03 | $603.03 | 4.3× |
| Special teletherapy port plan (77321) | $1,382.18 | $1,382.18 | 3.5× |
| Special treatment procedure (77470) | $3,332.40 | $3,332.40 | 5.8× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$2,970.82–$2,998.81 | $2,970.82–$2,998.81 | varies |
| Superior sagittal sinus venogram (75870) | $4,561.79 | $4,561.79 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,382.18 | $1,382.18 | 3.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,382.18 | $1,382.18 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $607.69 | $607.69 | 4.3× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$3,159.78–$3,160.94 | $3,159.78–$3,160.94 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$2,546.25–$2,567.25 | $2,546.25–$2,567.25 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $8,847.14 | $8,847.14 | 21.2× |
| Thyroid Met Imaging Body (78018) | $1,108.08 | $1,108.08 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,847.14 | $8,847.14 | 21.2× |
| Tx Devices Design & Construction Complex (77334) | $1,020.60 | $1,020.60 | 2.6× |
| Tx devices design & construction intermediate (77333) | $1,011.27 | $1,011.27 | 7.2× |
| Tx devices design & construction simple (77332) | $1,011.27 | $1,011.27 | 7.2× |
| Ultrasound Breast Limited (76642) | $3,697.49 | $3,697.49 | 40.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$5,764.35–$5,770.18 | $5,764.35–$5,770.18 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$913.29–$1,672.62 | $913.29–$1,672.62 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,706.44 | $1,706.44 | 18.8× |
| Upper gi w/o kub (74240) | $1,012.44 | $1,012.44 | 5.5× |
| Ureteral Reflux Study (78740) | $6,437.36 | $6,437.36 | 15.4× |
| Urethrocystogram voiding (74455) | $5,013.19 | $5,013.19 | 20.1× |
| Urethrocystography retrograde (74450) | $2,778.36 | $2,778.36 | 11.2× |
| Us breast unilateral complete (76641) | $3,697.49 | $3,697.49 | 33.9× |
| Us chest (76604) range across 2 matching MRF lines |
$4,655.10–$4,980.53 | $4,655.10–$4,980.53 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$2,176.50–$2,197.50 | $2,176.50–$2,197.50 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$1,618.96–$5,223.14 | $1,618.96–$5,223.14 | varies |
| Us head (76506) | $1,886.07 | $1,886.07 | 17.3× |
| Us kidney transplant (76776) | $4,024.08 | $4,024.08 | 36.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$471.23–$2,199.83 | $471.23–$2,199.83 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$2,821.52–$4,867.39 | $2,821.52–$4,867.39 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,091.75–$4,424.16 | $1,091.75–$4,424.16 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,775.26–$1,949.05 | $1,775.26–$1,949.05 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,827.35–$6,130.60 | $2,827.35–$6,130.60 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$2,821.52–$4,424.16 | $2,821.52–$4,424.16 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$1,721.61–$2,821.52 | $1,721.61–$2,821.52 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$11,714.16–$11,824.96 | $11,714.16–$11,824.96 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$3,983.26–$4,024.08 | $3,983.26–$4,024.08 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$4,692.43–$4,744.92 | $4,692.43–$4,744.92 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$4,755.41–$4,824.23 | $4,755.41–$4,824.23 | varies |
| Us transrectal (76872) | $5,338.61 | $5,338.61 | 48.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$6,260.07–$6,380.21 | $6,260.07–$6,380.21 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,698.24 | $7,698.24 | 2.3× |
| Vein X-Ray Skull Epidural (75872) | $5,936.98 | $5,936.98 | 9.1× |
| Venogram Sinus/Jugular (75860) | $15,744.07 | $15,744.07 | 4.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,647.33–$19,410.06 | $3,647.33–$19,410.06 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,839.02–$2,868.18 | $2,839.02–$2,868.18 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,639.56–$2,667.56 | $2,639.56–$2,667.56 | varies |
| Venography Renal Bilateral (75833) | $9,634.46 | $9,634.46 | 2.9× |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$9,346.36–$9,435.01 | $9,346.36–$9,435.01 | varies |
| Venous sampling by catheter (75893) | $3,873.61 | $3,873.61 | 0.7× |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$2,413.28–$3,208.77 | $2,413.28–$3,208.77 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$2,913.67–$2,942.83 | $2,913.67–$2,942.83 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,420.28 | $2,420.28 | 6.6× |
| X-Ray Aorta Leg Arteries (75630) | $19,508.04 | $19,508.04 | 5.9× |
| X-Ray Bend Only L-S Spine (72120) | $502.72 | $502.72 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$1,947.89–$3,232.09 | $1,947.89–$3,232.09 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,750.77–$1,761.26 | $1,750.77–$1,761.26 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $439.73 | $439.73 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $725.50 | $725.50 | 6.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $439.73 | $439.73 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $439.73 | $439.73 | 4.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $725.50 | $725.50 | 6.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $725.50 | $725.50 | 6.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $725.50 | $725.50 | 6.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,384.52 | $1,384.52 | 12.7× |
| X-Ray Exam L-S Spine Bending (72114) | $6,418.70 | $6,418.70 | 58.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,868.18–$2,872.84 | $2,868.18–$2,872.84 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,620.51 | $3,620.51 | 33.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$3,230.93–$3,260.09 | $3,230.93–$3,260.09 | varies |
| X-ray eye for foreign body (70030) | $929.62 | $929.62 | 10.2× |
| X-ray humerus (73060) range across 9 matching MRF lines |
$2,373.62–$3,951.76 | $2,373.62–$3,951.76 | varies |
| X-ray IV pyelogram (ivp) (74400) | $5,666.37 | $5,666.37 | 30.9× |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$6,446.69–$6,506.18 | $6,446.69–$6,506.18 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,324.64 | $2,324.64 | 25.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$2,201–$2,219.66 | $2,201–$2,219.66 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$2,802.86–$2,805.19 | $2,802.86–$2,805.19 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$1,882.57–$1,900.07 | $1,882.57–$1,900.07 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$3,871.28–$3,874.78 | $3,871.28–$3,874.78 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$2,413.28–$2,420.28 | $2,413.28–$2,420.28 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,367 | $4,367 | 48.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$3,804.80–$3,805.96 | $3,804.80–$3,805.96 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$5,168.32–$5,216.14 | $5,168.32–$5,216.14 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$4,505.80–$4,546.63 | $4,505.80–$4,546.63 | varies |
| X-Rays Bone Length Studies (77073) | $3,835.12 | $3,835.12 | 35.1× |
| X-Rays Bone Survey Complete (77075) | $5,342.11 | $5,342.11 | 48.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$5,666.37–$5,668.70 | $5,666.37–$5,668.70 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$1,998.04–$2,015.54 | $1,998.04–$2,015.54 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $3,317.24 | $3,317.24 | 30.4× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$3,639.17–$3,647.33 | $3,639.17–$3,647.33 | varies |
| Xr Tomogram Single Plane (76100) | $3,317.24 | $3,317.24 | 30.4× |
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.