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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) | $5,044.68 | $5,044.68 | 3.5× |
| Acute gi blood loss imaging (78278) | $2,898.50 | $2,898.50 | 6.9× |
| Angio adrenal bilat select (75733) | $16,875.48 | $16,875.48 | 5.1× |
| Angio adrenal unilat select (75731) | $14,456.36 | $14,456.36 | 4.4× |
| Angio extremity unilateral (75710) | $6,738.29 | $6,738.29 | 2.0× |
| Angio pulmonary unilateral (75741) | $16,396.66 | $16,396.66 | 5.0× |
| Angiogram extremity bilateral (75716) | $14,256.91 | $14,256.91 | 4.3× |
| Angiogram pelvic (75736) | $9,025.60 | $9,025.60 | 1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $20,317.52 | $20,317.52 | 6.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,400.81 | $7,400.81 | 1.3× |
| Angrph cath f-up std tcat other than thrombylsis (75898) | $8,399.83 | $8,399.83 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $14,456.36 | $14,456.36 | 4.4× |
| Ankle 2 views (73600) | $2,815.69 | $2,815.69 | 31.0× |
| Arthrography knee lt (73580) | $4,641.69 | $4,641.69 | 12.7× |
| Arthrography wrist lt (73115) | $6,019.21 | $6,019.21 | 16.5× |
| Barium enema (74270) | $5,312.95 | $5,312.95 | 29.0× |
| Basic dosimetry (77300) | $607.69 | $607.69 | 4.3× |
| Bilat selctv renal venogram (75833) | $9,634.46 | $9,634.46 | 2.9× |
| Bone age studies (77072) | $3,627.50 | $3,627.50 | 33.2× |
| Bone imaging limited area (78300) | $7,922.19 | $7,922.19 | 19.0× |
| Bone marrow imaging whole body (78104) | $1,797.42 | $1,797.42 | 4.3× |
| Bone survey complete (77075) | $5,342.11 | $5,342.11 | 48.9× |
| Bowel imaging (78290) | $7,302.83 | $7,302.83 | 17.5× |
| Brain flow imaging only - nm brain flow only brain death (78610) | $4,420.66 | $4,420.66 | 7.8× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) | $5,195.15 | $5,195.15 | 12.4× |
| Cerebrospinal fluid leakage (78650) | $7,042.72 | $7,042.72 | 5.2× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) | $3,137.62 | $3,137.62 | 17.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,013.58 | $4,013.58 | 21.9× |
| Cisternogram (78630) | $4,119.72 | $4,119.72 | 7.3× |
| Clavicle complete (73000) | $2,567.25 | $2,567.25 | 28.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $15,651.79 | $15,651.79 | 85.4× |
| 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 exam thoracic aorta (75605) | $10,662.06 | $10,662.06 | 1.8× |
| Csf shunt evaluation (78645) | $1,693.61 | $1,693.61 | 3.0× |
| CT - st neck w&wo contr (70492) | $18,950.07 | $18,950.07 | 103.5× |
| 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 wo contrast (74170) | $20,352.94 | $20,352.94 | 111.1× |
| CT abdomen w/contrast (74160) | $20,352.94 | $20,352.94 | 111.1× |
| CT abdomen w/o contrast (74150) | $17,873.48 | $17,873.48 | 163.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $21,768.74 | $21,768.74 | 59.8× |
| CT angio abdom w/o & w/dye (74175) | $23,071.65 | $23,071.65 | 126.0× |
| CT angio abdominal arteries (75635) | $25,988.04 | $25,988.04 | 141.9× |
| CT angio hrt w/3d image (75574) | $1,415.23 | $1,415.23 | 3.9× |
| CT angiograph pelv w/o&w/dye (72191) | $22,967.20 | $22,967.20 | 125.4× |
| CT cervical spine w/contrast (72126) | $15,337.30 | $15,337.30 | 42.1× |
| CT cervical spine w/o contrast (72125) | $14,120.87 | $14,120.87 | 129.3× |
| CT chest w/contrast (71260) | $20,196.26 | $20,196.26 | 110.3× |
| CT extremity upper w & w/o contrast (73202) | $19,514.48 | $19,514.48 | 106.5× |
| CT head/brain with contrast (70460) | $17,068.14 | $17,068.14 | 93.2× |
| 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 w/o contrast quant eval coronary calcium (75571) | $425.69 | $425.69 | 4.7× |
| CT hrt w/3d image congen (75573) | $1,415.23 | $1,415.23 | 3.9× |
| CT limited/localized follow up study (76380) | $4,998.24 | $4,998.24 | 55.0× |
| CT lower ext w/wo contrast (73702) | $17,345.58 | $17,345.58 | 94.7× |
| CT lower extremity w contrast (73701) | $15,682.68 | $15,682.68 | 85.6× |
| CT lower extremity w/o contrast unilateral (73700) | $14,957.65 | $14,957.65 | 137.0× |
| CT lumbar spine w/contrast (72132) | $17,120.94 | $17,120.94 | 47.0× |
| CT lumbar spine w/o contrast (72131) | $15,632.70 | $15,632.70 | 143.2× |
| CT lumbar spine w/o then w/ con (72133) | $23,310.89 | $23,310.89 | 127.3× |
| CT maxillofacial area w/o contrast (70486) | $17,168.12 | $17,168.12 | 157.3× |
| CT maxillofacial w/contrast (70487) | $16,617.74 | $16,617.74 | 90.7× |
| CT maxillofacial w/o then w/ con (70488) | $20,833.68 | $20,833.68 | 113.7× |
| CT orbit sella ear w/o con (70480) | $15,457.48 | $15,457.48 | 141.6× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $17,845.40 | $17,845.40 | 97.4× |
| 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 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 spine cervical w/wo contrast (72127) | $16,787.35 | $16,787.35 | 91.6× |
| CT thoracic spine w/contrast (72129) | $20,006.44 | $20,006.44 | 109.2× |
| CT thoracic spine w/o contrast (72128) | $11,786.86 | $11,786.86 | 108.0× |
| CT thoracic spine w/o then w/ con (72130) | $21,885.56 | $21,885.56 | 119.5× |
| CT thorax lung cancer scr c- (71271) | $329.10 | $329.10 | 3.0× |
| CT thorax w/o contrast (71250) | $16,968.18 | $16,968.18 | 155.4× |
| CT thorax w/o then w/ contrast (71270) | $20,270.96 | $20,270.96 | 110.7× |
| CT upper extremity w/dye (73201) | $17,630.87 | $17,630.87 | 48.4× |
| CT upper extremity w/o contrast rt (73200) | $14,957.65 | $14,957.65 | 137.0× |
| CTA chest w/wo contrast (71275) | $23,071.65 | $23,071.65 | 126.0× |
| CTA head w contrast (70496) | $22,967.20 | $22,967.20 | 125.4× |
| CTA lower extremity w/wo contrast unilateral (73706) | $22,862.74 | $22,862.74 | 124.8× |
| Cta Neck (70498) | $22,967.20 | $22,967.20 | 125.4× |
| CTA upper extremity w/wo contrast unilateral (73206) | $22,967.20 | $22,967.20 | 125.4× |
| Dilation ureters/urethra rs&i (74485) | $10,127.85 | $10,127.85 | 4.6× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) | $3,761.64 | $3,761.64 | 1.8× |
| Diskography lumbar (72295) | $7,159.94 | $7,159.94 | 3.5× |
| Doppler echo fetal spectral display complete (76827) | $2,701.96 | $2,701.96 | 24.8× |
| Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study… (76828) | $1,802.08 | $1,802.08 | 16.5× |
| Doppler fetal mid cerebral artery (76821) | $1,248.05 | $1,248.05 | 11.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,769.03 | $2,769.03 | 11.1× |
| Esophogram (74220) | $3,324.24 | $3,324.24 | 18.1× |
| Fetal biophysical profile non-stress testing (76818) | $7,714.57 | $7,714.57 | 70.7× |
| Fetal biophysical profile w/o nst (76819) | $5,829.67 | $5,829.67 | 53.4× |
| Fetal echo complete (76825) | $3,668.91 | $3,668.91 | 6.4× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $2,085.52 | $2,085.52 | 8.4× |
| Gastric emptying study (78264) | $8,887.97 | $8,887.97 | 21.3× |
| Gated heart planar single (78472) | $9,494.50 | $9,494.50 | 22.7× |
| Heart infarct image (78466) | $9,952.89 | $9,952.89 | 23.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $13,133.66 | $13,133.66 | 4.0× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) | $7,698.24 | $7,698.24 | 2.3× |
| 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× |
| Humerus min 2 views (73060) | $2,969.65 | $2,969.65 | 32.7× |
| Hysterosalpingography (74740) | $4,641.10 | $4,641.10 | 18.6× |
| Imrt planning (77301) | $4,998.02 | $4,998.02 | 3.5× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) | $1,217.72 | $1,217.72 | 2.9× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) | $6,064.11 | $6,064.11 | 8.3× |
| Ivp (74400) | $5,666.37 | $5,666.37 | 30.9× |
| Ivp w tomography (74415) | $6,476.44 | $6,476.44 | 35.4× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) | $10,882.51 | $10,882.51 | 19.2× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) | $10,980.49 | $10,980.49 | 19.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $7,741.40 | $7,741.40 | 13.7× |
| Kidney w vascular flow (78701) | $3,093.29 | $3,093.29 | 7.4× |
| Liver & spleen; static only (78215) | $8,926.46 | $8,926.46 | 21.4× |
| 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× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $26,104.03 | $26,104.03 | 71.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $10,944.33 | $10,944.33 | 30.0× |
| Mammary ductogram multiple ducts (77054) | $2,890.34 | $2,890.34 | 11.6× |
| Mammary ductogram single (77053) | $1,863.91 | $1,863.91 | 7.5× |
| MRA head w/contrast (70545) | $11,760.81 | $11,760.81 | 32.3× |
| MRA head w/o contrast (70544) | $11,760.81 | $11,760.81 | 47.2× |
| MRA neck w/contrast (70548) | $11,760.81 | $11,760.81 | 32.3× |
| MRA neck w/o contrast (70547) | $11,760.81 | $11,760.81 | 47.2× |
| MRA neck w/wo contrast (70549) | $12,381.34 | $12,381.34 | 34.0× |
| MRI abdomen w/contrast (74182) | $22,987.41 | $22,987.41 | 63.1× |
| MRI abdomen w/o & w/contrast material (74183) | $24,251.20 | $24,251.20 | 66.6× |
| MRI abdomen w/o contrast (74181) | $22,989.74 | $22,989.74 | 92.3× |
| MRI any jnt lwr ext with con lt (73722) | $24,866.48 | $24,866.48 | 30.4× |
| MRI breast without 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/o contrast (72141) | $12,593.62 | $12,593.62 | 50.5× |
| MRI cervical spine with contrast (72142) | $25,983.89 | $25,983.89 | 71.3× |
| MRI chest w & w/o contrast (71552) | $20,346.68 | $20,346.68 | 55.8× |
| MRI chest w/contrast (71551) | $19,208.28 | $19,208.28 | 23.5× |
| MRI chest w/o contrast (71550) | $19,294.01 | $19,294.01 | 77.4× |
| MRI joint upper ext w/contrast (73222) | $22,783.29 | $22,783.29 | 27.8× |
| MRI joint upr extr w/o&w/dye (73223) | $26,104.03 | $26,104.03 | 71.7× |
| MRI joint upr extrem w/o dye (73221) | $27,051.15 | $27,051.15 | 108.6× |
| Mri Lower Extremity W/O Dye (73718) | $10,401.96 | $10,401.96 | 41.7× |
| MRI lumbar spine with contrast (72149) | $26,104.03 | $26,104.03 | 71.7× |
| MRI lumbar w/wo contrast (72158) | $15,604.10 | $15,604.10 | 42.8× |
| MRI lwr ext w/o jnts with con rt (73719) | $10,618.32 | $10,618.32 | 29.1× |
| MRI orbit/face/neck w/contrast (70542) | $17,527.49 | $17,527.49 | 48.1× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $18,475.20 | $18,475.20 | 50.7× |
| MRI orbit/face/neck w/o contrast (70540) | $17,610.30 | $17,610.30 | 70.7× |
| MRI pelvis w/ contrast (72196) | $4,056.74 | $4,056.74 | 11.1× |
| MRI pelvis w/o contrast (72195) | $3,449.04 | $3,449.04 | 13.8× |
| MRI pelvis w/wo contrast (72197) | $18,022.62 | $18,022.62 | 49.5× |
| MRI spine cervical wo/w contrast (72156) | $15,604.10 | $15,604.10 | 42.8× |
| MRI spine thoracic w/contrast (72147) | $24,756.26 | $24,756.26 | 68.0× |
| MRI thoracic spine w wo contrast (72157) | $15,604.10 | $15,604.10 | 42.8× |
| MRI thoracic spine w/o contrast (72146) | $14,829.61 | $14,829.61 | 59.5× |
| MRI tmj (70336) | $15,558.61 | $15,558.61 | 62.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,401.96 | $10,401.96 | 41.7× |
| Mri Upper Extremity W/Dye (73219) | $10,362.30 | $10,362.30 | 28.4× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $19,710.41 | $19,710.41 | 54.1× |
| Myelogram thoracic (72255) | $10,295.81 | $10,295.81 | 12.6× |
| Myelography 2 or more regions (72270) | $16,749.50 | $16,749.50 | 20.5× |
| Myelography lumbosacral (72265) | $10,387.96 | $10,387.96 | 12.7× |
| Myocardial perfusion planar 1 study rest/stress (78453) | $12,207.54 | $12,207.54 | 9.0× |
| Myocardial perfusion planar multiple studies (78454) | $21,679.88 | $21,679.88 | 16.0× |
| Myocardial spect single study at rest or stress (78451) | $15,305.50 | $15,305.50 | 11.3× |
| Nm bone 3 phase (78315) | $6,354.55 | $6,354.55 | 15.2× |
| Nm bone imaging whole body (78306) | $13,496.41 | $13,496.41 | 32.3× |
| Nm bone marrow scan limited (78102) | $1,797.42 | $1,797.42 | 4.3× |
| Nm bone marrow scan multiple (78103) | $1,797.42 | $1,797.42 | 4.3× |
| Nm heart perfusion spect stress rest (78452) | $24,605.21 | $24,605.21 | 18.2× |
| Nm kidney imaging morphology (78700) | $3,124.79 | $3,124.79 | 7.5× |
| Nm liver image static only (78201) | $2,224.32 | $2,224.32 | 3.9× |
| Nm lymph system (78195) | $17,223.06 | $17,223.06 | 30.4× |
| Nm thyroid imaging only (78013) | $8,847.14 | $8,847.14 | 21.2× |
| Nose to rectum for fb child (76010) | $1,883.74 | $1,883.74 | 20.7× |
| Ob us < 14 wks single fetus (76801) | $3,622.84 | $3,622.84 | 33.2× |
| Ob us nuchal meas 1 gest (76813) | $1,672.62 | $1,672.62 | 15.3× |
| Oral radiopharm rx (79005) | $2,198.66 | $2,198.66 | 9.0× |
| Parathyroid imaging (78070) | $7,938.52 | $7,938.52 | 19.0× |
| 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 w/o hemodyn evl intrp (75887) | $7,698.24 | $7,698.24 | 2.3× |
| Pulmonary perfusion imaging particulate (78580) | $10,096.36 | $10,096.36 | 24.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,477.24 | $1,477.24 | 2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $439.73 | $439.73 | 4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $725.50 | $725.50 | 6.6× |
| Radex hip unilateral with pelvis 1 view (73501) | $439.73 | $439.73 | 4.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $439.73 | $439.73 | 4.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) | $725.50 | $725.50 | 6.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $725.50 | $725.50 | 6.6× |
| Radex hips bilateral with pelvis minimum 5 views (73523) | $1,384.52 | $1,384.52 | 12.7× |
| Radex spine cervical 2 or 3 views (72040) | $2,870.51 | $2,870.51 | 31.6× |
| Radex spine cervical 4 or 5 views (72050) | $5,667.54 | $5,667.54 | 51.9× |
| Radex spine cervical 6 or more views (72052) | $3,620.51 | $3,620.51 | 33.2× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) | $2,556.75 | $2,556.75 | 28.1× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) | $4,249.78 | $4,249.78 | 38.9× |
| Radiologic exam esophagus double contrast study (74221) | $6,647.31 | $6,647.31 | 36.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,072.28 | $6,072.28 | 33.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,012.44 | $1,012.44 | 5.5× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) | $912.12 | $912.12 | 10.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $439.73 | $439.73 | 4.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) | $5,553.82 | $5,553.82 | 50.9× |
| Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) | $3,317.24 | $3,317.24 | 30.4× |
| Radiologic examination, salivary gland for calculus Other Diagnostic Radiology FS (70380) | $790.82 | $790.82 | 8.7× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) | $3,317.24 | $3,317.24 | 30.4× |
| 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× |
| Rp therapy intra-arterial particulate admn (79445) | $1,101.08 | $1,101.08 | 4.5× |
| Saline infused sonohysterogram (76831) | $1,284.21 | $1,284.21 | 5.2× |
| Screening digital breast tomosynthesis; bilateral (77063) | $454.90 | $454.90 | 19.5× |
| Selective spinal angiogram (75705) | $15,938.27 | $15,938.27 | 2.7× |
| Shoulder arthrogram (73040) | $5,631.38 | $5,631.38 | 15.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $531.88 | $531.88 | 4.9× |
| Simulation complex (77290) | $1,382.18 | $1,382.18 | 3.5× |
| Simulation intermediate (77285) | $1,382.18 | $1,382.18 | 3.5× |
| Simulation simple (77280) | $607.69 | $607.69 | 4.3× |
| Small bowel series (74250) | $5,773.68 | $5,773.68 | 31.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $1,382.18 | $1,382.18 | 3.5× |
| Special dosimetry (77331) | $607.69 | $607.69 | 4.3× |
| Special physics consult (77370) | $603.03 | $603.03 | 4.3× |
| Special treatment procedure (77470) | $3,332.40 | $3,332.40 | 5.8× |
| Superior sagittal sinus venogram (75870) | $4,561.79 | $4,561.79 | 1.4× |
| 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× |
| Treatment device intermediate (77333) | $1,011.27 | $1,011.27 | 7.2× |
| Treatment devices complex (77334) | $1,020.60 | $1,020.60 | 2.6× |
| Treatment devices 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) | $5,767.26 | $5,767.26 | 52.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,292.96 | $1,292.96 | 11.8× |
| Unlisted diagnostic radiographic procedure (76499) | $1,706.44 | $1,706.44 | 18.8× |
| Ureteral reflux study (78740) | $6,437.36 | $6,437.36 | 15.4× |
| Urethrocystography retrograde rs&i (74450) | $2,778.36 | $2,778.36 | 11.2× |
| Urethrocystography voiding (74455) | $5,013.19 | $5,013.19 | 20.1× |
| Urography antegrade (74425) | $2,420.28 | $2,420.28 | 6.6× |
| Urography retrograde w/wo kub (74420) | $4,526.22 | $4,526.22 | 12.4× |
| Us breast uni real time with image complete (76641) | $3,697.49 | $3,697.49 | 33.9× |
| Us chest (76604) | $4,817.82 | $4,817.82 | 44.1× |
| Us compl joint r-t w/image documentation (76881) | $2,187 | $2,187 | 20.0× |
| Us encephalogram (76506) | $1,886.07 | $1,886.07 | 17.3× |
| Us guided compression repair (76936) | $1,400.85 | $1,400.85 | 6.2× |
| Us kidney transplanted (76776) | $4,024.08 | $4,024.08 | 36.9× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) | $2,197.50 | $2,197.50 | 20.1× |
| Us ob detailed single fetus (76811) | $3,844.46 | $3,844.46 | 15.4× |
| Us ob followup per fetus (76816) | $1,769.43 | $1,769.43 | 16.2× |
| Us ob limited 1 or more fetuses (76815) | $2,757.96 | $2,757.96 | 25.3× |
| Us obstetric transvaginal (76817) | $1,862.16 | $1,862.16 | 17.1× |
| Us pelvic limited or f/u non-ob (76857) | $5,178.82 | $5,178.82 | 47.4× |
| Us pelvis complete (76856) | $4,478.98 | $4,478.98 | 41.0× |
| Us retroperitoneal complete (76770) | $11,769.56 | $11,769.56 | 107.8× |
| Us retroperitoneal limited (76775) | $4,020.58 | $4,020.58 | 36.8× |
| Us scrotum (76870) | $4,729.75 | $4,729.75 | 43.3× |
| Us soft tissue head/neck (76536) | $4,789.82 | $4,789.82 | 43.9× |
| Us transrectal (76872) | $5,338.61 | $5,338.61 | 48.9× |
| Us transrectal prostate volume (76873) | $5,370.11 | $5,370.11 | 49.2× |
| Vein X-ray liver w/hemodynam (75885) | $6,116.60 | $6,116.60 | 1.9× |
| Venogram epidural (75872) | $5,936.98 | $5,936.98 | 9.1× |
| Venogram extremity bilateral (75822) | $2,853.60 | $2,853.60 | 1.7× |
| Venogram ivc w serialography (75825) | $11,528.70 | $11,528.70 | 3.5× |
| Venogram svc w serialography (75827) | $6,320.14 | $6,320.14 | 3.8× |
| Venography ext unilateral (75820) | $2,653.56 | $2,653.56 | 1.6× |
| Venography renal unilateral selective rs&i (75831) | $9,346.36 | $9,346.36 | 2.8× |
| Venography venous sinus/jugular cath rs&i (75860) | $15,744.07 | $15,744.07 | 4.8× |
| Venous sampling by catheter (75893) | $3,873.61 | $3,873.61 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,928.25 | $2,928.25 | 32.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,198.27 | $3,198.27 | 35.2× |
| X-ray aorta leg arteries (75630) | $19,508.04 | $19,508.04 | 5.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,143.43 | $6,143.43 | 33.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $3,137.04 | $3,137.04 | 34.5× |
| X-ray exam hips bi 3-4 views (73522) | $725.50 | $725.50 | 6.6× |
| X-ray exam of finger(s) (73140) | $2,139.18 | $2,139.18 | 23.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,000.38 | $2,000.38 | 22.0× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $2,739.29 | $2,739.29 | 30.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $3,366.23 | $3,366.23 | 37.0× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $2,068.03 | $2,068.03 | 18.9× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $2,431.94 | $2,431.94 | 26.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,236.57 | $2,236.57 | 24.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,324.64 | $2,324.64 | 25.6× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) | $2,749.20 | $2,749.20 | 30.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,885.67 | $2,885.67 | 26.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,210.33 | $2,210.33 | 24.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,804.02 | $2,804.02 | 25.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $6,418.70 | $6,418.70 | 58.8× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) | $3,317.24 | $3,317.24 | 30.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,873.03 | $3,873.03 | 35.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,416.78 | $2,416.78 | 22.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,367 | $4,367 | 48.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,408.22 | $3,408.22 | 37.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,805.38 | $3,805.38 | 41.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,192.23 | $5,192.23 | 47.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $3,735.98 | $3,735.98 | 34.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,976.65 | $2,976.65 | 32.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,159.59 | $2,159.59 | 23.8× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $2,431.94 | $2,431.94 | 26.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,410.95 | $2,410.95 | 26.5× |
| Xr abdomen 1 view (74018) | $1,882.57 | $1,882.57 | 20.7× |
| Xr abdomen 2 views (74019) | $3,857.87 | $3,857.87 | 35.3× |
| Xr abdomen 3 views (74021) | $5,553.23 | $5,553.23 | 50.9× |
| Xr arthrogram ankle (73615) | $4,474.31 | $4,474.31 | 12.3× |
| Xr arthrogram elbow (73085) | $1,393.84 | $1,393.84 | 3.8× |
| Xr arthrogram hip (73525) | $4,204.87 | $4,204.87 | 11.5× |
| Xr bone density axial (77080) | $2,758.54 | $2,758.54 | 25.3× |
| Xr bone length study (77073) | $3,835.12 | $3,835.12 | 35.1× |
| Xr bone survey infant (77076) | $3,930.77 | $3,930.77 | 36.0× |
| Xr bone survey limited (77074) | $3,980.92 | $3,980.92 | 36.5× |
| Xr chest 1 view (71045) | $1,706.44 | $1,706.44 | 18.8× |
| Xr chest 2 views (71046) | $3,237.93 | $3,237.93 | 35.6× |
| Xr chest 3 views (71047) | $3,753.48 | $3,753.48 | 41.3× |
| Xr cystogram 3+ views (74430) | $3,916.77 | $3,916.77 | 10.8× |
| Xr eye foreign body (70030) | $929.62 | $929.62 | 10.2× |
| Xr facial bones 3 views (70150) | $3,806.54 | $3,806.54 | 34.9× |
| Xr lower extremity 2 views infant (73592) | $505.05 | $505.05 | 5.6× |
| Xr lumbar spine 4 views w/ flex ext (72120) | $502.72 | $502.72 | 4.6× |
| Xr mandible 4 views (70110) | $2,868.18 | $2,868.18 | 26.3× |
| Xr myelogram c-spine (72240) | $9,994.88 | $9,994.88 | 12.2× |
| Xr nasal bones (70160) | $2,484.43 | $2,484.43 | 27.3× |
| Xr pelvis 3 views (72190) | $2,517.68 | $2,517.68 | 23.1× |
| Xr sella turcica (70240) | $1,718.69 | $1,718.69 | 18.9× |
| Xr sialogram (70390) | $2,293.14 | $2,293.14 | 9.2× |
| Xr spine 1 view (72020) | $1,844.08 | $1,844.08 | 20.3× |
| Xr sternum 2 views (71120) | $3,627.50 | $3,627.50 | 39.9× |
| Xr surgical specimen (76098) | $1,756.02 | $1,756.02 | 3.1× |
| Xr upper extremity 2 views infant (73092) | $505.05 | $505.05 | 4.6× |
| Xray elbow 2 views (73070) | $1,966.55 | $1,966.55 | 21.6× |
| Xray forearm 2 views (73090) | $3,001.15 | $3,001.15 | 33.0× |
| Xray internal auditory meati compl (70134) | $839.81 | $839.81 | 1.5× |
| Xray knee 1 or 2 views rt (73560) | $2,291.40 | $2,291.40 | 25.2× |
| Xray neck soft tissue (70360) | $2,322.88 | $2,322.88 | 25.6× |
| Xray optic foramina (70190) | $1,807.92 | $1,807.92 | 19.9× |
| Xray orbits complete min 4 views (70200) | $3,643.25 | $3,643.25 | 33.4× |
| Xray pelvis 1 or 2 views (72170) | $2,421.44 | $2,421.44 | 22.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $3,260.09 | $3,260.09 | 29.9× |
| Xray scapula complete (73010) | $1,891.90 | $1,891.90 | 17.3× |
| Xray shoulder 1 view (73020) | $1,451 | $1,451 | 16.0× |
| Xray sinuses paranasal <3 views (70210) | $374.42 | $374.42 | 4.1× |
| Xray spine thoracic 3 views (72072) | $3,160.36 | $3,160.36 | 28.9× |
| Xray tibia-fibula 2 views bil (73590) | $3,177.27 | $3,177.27 | 35.0× |
| Xray tmj's bilateral open-clsc (70330) | $3,268.25 | $3,268.25 | 36.0× |