Imaging prices at HCA Florida Osceola Hospital
Kissimmee, 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) | $4,658.48 | $4,658.48 | 42.7× |
| Acute gi blood loss imaging (78278) | $7,518.85 | $7,518.85 | 18.0× |
| Angiography extremity bilateral rs&i (75716) | $21,063 | $21,063 | 6.4× |
| Angiography extremity unilateral rs&i (75710) | $8,846.85 | $8,846.85 | 2.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $5,673.65 | $5,673.65 | 1.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $16,128.90 | $16,128.90 | 4.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,176.92 | $7,176.92 | 2.2× |
| Angiography Spinal Selective Rs&I (75705) | $4,500.95 | $4,500.95 | 0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $6,542.68 | $6,542.68 | 1.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $5,622.95 | $5,622.95 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,408.35 | $8,408.35 | 2.6× |
| Ankle 2 views (73600) | $2,307.20 | $2,307.20 | 25.4× |
| Aortogram thoracic (75605) | $16,627.10 | $16,627.10 | 2.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $27,211.35 | $27,211.35 | 8.3× |
| Aortography abdominal serialography rs&i (75625) | $17,762.35 | $17,762.35 | 5.4× |
| Artery X-Rays Adrenal Gland (75731) | $10,768.20 | $10,768.20 | 3.3× |
| Arthrogram hip (73525) | $6,845.30 | $6,845.30 | 18.8× |
| Arthrogram knee (73580) | $7,096.20 | $7,096.20 | 19.5× |
| Arthrogram shoulder (73040) | $9,525.85 | $9,525.85 | 26.1× |
| Arthrogram wrist (73115) | $7,096.20 | $7,096.20 | 19.5× |
| Basic dosimetry (77300) | $117.25 | $117.25 | 0.8× |
| Bone &/Joint Imaging Limited Area (78300) | $8,451.45 | $8,451.45 | 20.2× |
| Bone &/joint imaging whole body (78306) | $15,401.55 | $15,401.55 | 36.9× |
| Bone age studies (77072) | $2,066.80 | $2,066.80 | 18.9× |
| Bone Imaging 3 Phase (78315) | $9,976.95 | $9,976.95 | 23.9× |
| Bone survey complete (77075) | $6,723.05 | $6,723.05 | 61.6× |
| Bone survey infant (77076) | $3,398.98 | $3,398.98 | 31.1× |
| Bowel imaging (78290) | $9,104.25 | $9,104.25 | 21.8× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $7,404.35 | $7,404.35 | 17.7× |
| Brain Imaging Vascular Flow Only (78610) | $9,203.10 | $9,203.10 | 16.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $11,377.20 | $11,377.20 | 27.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,474.35 | $7,474.35 | 20.5× |
| Cervical spine 2 or 3 views (72040) | $2,537.55 | $2,537.55 | 27.9× |
| Chest 1 view (71045) | $2,620.48 | $2,620.48 | 28.8× |
| Chest xray 3 views (71047) | $3,961.08 | $3,961.08 | 43.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $5,109.80 | $5,109.80 | 27.9× |
| Clavicle complete (73000) | $3,376.20 | $3,376.20 | 37.2× |
| Continuing medical physics consltj pr wk (77336) | $525.75 | $525.75 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $25,867.40 | $25,867.40 | 71.0× |
| CT abdomen and pelvis without contrast (74176) | $25,867.40 | $25,867.40 | 103.8× |
| CT abdomen w contrast (74160) | $21,799.20 | $21,799.20 | 119.0× |
| CT abdomen w wo contrast (74170) | $21,799.20 | $21,799.20 | 119.0× |
| CT abdomen w/o contrast (74150) | $21,799.20 | $21,799.20 | 199.7× |
| CT angio hrt w/3d image (75574) | $22,797.98 | $22,797.98 | 62.6× |
| CT angio lwr extr w/o&w/dye (73706) | $19,448.40 | $19,448.40 | 106.2× |
| CT angiography upper extremity lt (73206) | $18,728.10 | $18,728.10 | 102.2× |
| CT c-spine w/contrast (72126) | $21,799.20 | $21,799.20 | 59.8× |
| CT c-spine w/o contrast (72125) | $21,799.20 | $21,799.20 | 199.7× |
| CT cervical spine w&w/o contrast (72127) | $21,799.20 | $21,799.20 | 119.0× |
| CT chest w contrast (71260) | $21,799.20 | $21,799.20 | 119.0× |
| CT chest w/wo contrast (71270) | $20,184.55 | $20,184.55 | 110.2× |
| CT head/brain with contrast (70460) | $21,799.20 | $21,799.20 | 119.0× |
| CT head/brain without and with contrast (70470) | $21,799.20 | $21,799.20 | 119.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $20,991.88 | $20,991.88 | 57.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,845 | $1,845 | 20.3× |
| CT iac w contrast (70481) | $21,799.20 | $21,799.20 | 119.0× |
| CT limited/localized follow up study (76380) | $20,991.88 | $20,991.88 | 231.0× |
| CT lower ext w/o (73700) | $21,799.20 | $21,799.20 | 199.7× |
| CT lower extremity w wo contrast (73702) | $21,799.20 | $21,799.20 | 119.0× |
| CT lower extremity w/contrast material (73701) | $21,799.20 | $21,799.20 | 119.0× |
| CT lumbar spine w & w/o contrast (72133) | $21,934.10 | $21,934.10 | 119.7× |
| CT lumbar spine w/contrast (72132) | $21,799.20 | $21,799.20 | 59.8× |
| CT lumbar spine w/o contrast (72131) | $21,799.20 | $21,799.20 | 199.7× |
| CT maxillofacial w contrast (70487) | $21,799.20 | $21,799.20 | 119.0× |
| CT maxillofacial w/wo contrast (70488) | $21,799.20 | $21,799.20 | 119.0× |
| CT maxillofacial wo contrast (70486) | $21,799.20 | $21,799.20 | 199.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $21,799.20 | $21,799.20 | 119.0× |
| CT orbits w/o contrast (70480) | $21,799.20 | $21,799.20 | 199.7× |
| CT pelvis w/o contrast (72192) | $21,799.20 | $21,799.20 | 199.7× |
| CT pelvis w/wo contrast (72194) | $21,799.20 | $21,799.20 | 119.0× |
| CT scan of arm combo (73202) | $21,799.20 | $21,799.20 | 119.0× |
| CT soft tissue neck w contrast (70491) | $21,799.20 | $21,799.20 | 119.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $21,799.20 | $21,799.20 | 119.0× |
| CT soft tissue neck w/o contrast (70490) | $21,799.20 | $21,799.20 | 199.7× |
| CT thoracic spine w/contrast (72129) | $21,799.20 | $21,799.20 | 119.0× |
| CT thoracic spine w/o contrast (72128) | $21,799.20 | $21,799.20 | 199.7× |
| CT thoracic spine w/wo contrast (72130) | $21,799.20 | $21,799.20 | 119.0× |
| CT thorax w/o contrast (71250) | $21,799.20 | $21,799.20 | 199.7× |
| CT unlisted procedure (76497) | $1,550.12 | $1,550.12 | 17.1× |
| CT upper ext wo (73200) | $21,860.18 | $21,860.18 | 200.2× |
| CT upper extremity with contrast (73201) | $21,799.20 | $21,799.20 | 59.8× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $21,799.20 | $21,799.20 | 119.0× |
| Cta Abdomen (74175) | $21,799.20 | $21,799.20 | 119.0× |
| CTA abdomen pelvis (74174) | $25,867.40 | $25,867.40 | 71.0× |
| CTA chest (71275) | $20,991.88 | $20,991.88 | 114.6× |
| Cta Head (70496) | $20,991.88 | $20,991.88 | 114.6× |
| Cta Neck (70498) | $20,991.88 | $20,991.88 | 114.6× |
| Cta Pelvis (72191) | $21,799.20 | $21,799.20 | 119.0× |
| Cystography minimum 3 views rs&i (74430) | $5,109.80 | $5,109.80 | 14.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $9,265.20 | $9,265.20 | 4.2× |
| Dxa bone density study 1/> sites axial skel (77080) | $5,780 | $5,780 | 52.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $3,377.80 | $3,377.80 | 37.2× |
| Esophagus (74220) | $5,434 | $5,434 | 29.7× |
| Facial bones min 3 views (70150) | $4,630.55 | $4,630.55 | 42.4× |
| Fetal biophysical profile non-stress testing (76818) | $4,925.60 | $4,925.60 | 45.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,737.98 | $4,737.98 | 43.4× |
| Fluoroscopy up to 1 hr (76000) | $3,696.28 | $3,696.28 | 14.8× |
| Foot 2 views (73620) | $3,028.05 | $3,028.05 | 33.3× |
| Forearm 2 views (73090) | $3,127.90 | $3,127.90 | 34.4× |
| Hand 2 views (73120) | $2,151.28 | $2,151.28 | 19.7× |
| Heart Infarct Image (78466) | $7,994.70 | $7,994.70 | 19.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $4,747.40 | $4,747.40 | 1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $14,064.85 | $14,064.85 | 24.8× |
| Hepatobiliary syst imaging including gallbladder (78226) | $12,911.70 | $12,911.70 | 30.9× |
| Hysterosalpingogram (74740) | $5,745.20 | $5,745.20 | 23.1× |
| Interstitial radiation source applic complex (77778) | $20,503.60 | $20,503.60 | 28.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $20,503.60 | $20,503.60 | 28.2× |
| Kidney imaging morphology (78700) | $8,207.80 | $8,207.80 | 19.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $12,156.25 | $12,156.25 | 21.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $12,911.70 | $12,911.70 | 22.8× |
| Knee 3 views (73562) | $2,746.22 | $2,746.22 | 30.2× |
| Liver & spleen imaging static only (78215) | $12,309.20 | $12,309.20 | 29.5× |
| Lung perf&ventilat diferentl (78598) | $24,606.20 | $24,606.20 | 43.4× |
| Lung perfusion differential (78597) | $23,766.60 | $23,766.60 | 56.9× |
| Lung ventilation imaging (78579) | $10,596.60 | $10,596.60 | 25.4× |
| Lymphoscintigraphy (78195) | $8,887.95 | $8,887.95 | 15.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $13,530.10 | $13,530.10 | 16.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $13,530.10 | $13,530.10 | 37.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $13,530.10 | $13,530.10 | 37.1× |
| Mammary ductogram or galactogram multiple (77054) | $6,062.40 | $6,062.40 | 24.3× |
| Mammary ductogram or galactogram single (77053) | $3,083 | $3,083 | 12.4× |
| Mr safety determination physician/other qhp (76016) | $285.30 | $285.30 | 3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $79.35 | $79.35 | 2.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $297.40 | $297.40 | 3.0× |
| Mr safety implt pos&/immoblj (76019) | $192.45 | $192.45 | 3.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $783.15 | $783.15 | 3.1× |
| MRA head w & w/o contrast (70546) | $20,322.78 | $20,322.78 | 55.8× |
| MRA head w/o contrast (70544) | $16,285.88 | $16,285.88 | 65.4× |
| MRA head with contrast (70545) | $20,508.05 | $20,508.05 | 56.3× |
| MRA neck w contrast (70548) | $10,618.12 | $10,618.12 | 29.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,322.78 | $20,322.78 | 55.8× |
| MRA neck w/o contrast (70547) | $8,983.18 | $8,983.18 | 36.1× |
| MRI abdomen w contrast (74182) | $23,061.40 | $23,061.40 | 63.3× |
| MRI abdomen w/o & w/contrast material (74183) | $27,480.18 | $27,480.18 | 75.4× |
| MRI abdomen w/o contrast (74181) | $17,842.68 | $17,842.68 | 71.6× |
| MRI any jt lower extrem w/contrast material (73722) | $13,530.10 | $13,530.10 | 16.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $13,530.10 | $13,530.10 | 37.1× |
| MRI breast wo contrast unilateral (77046) | $7,376.35 | $7,376.35 | 29.6× |
| MRI c-spine with contrast (72142) | $17,680.70 | $17,680.70 | 48.5× |
| MRI cardiac w/o contrast (75557) | $6,726.98 | $6,726.98 | 27.0× |
| MRI cervical spine w/o contrast (72141) | $15,602.20 | $15,602.20 | 62.6× |
| MRI chest w/o & w/contrast material (71552) | $11,433 | $11,433 | 31.4× |
| MRI chest w/o contrast (71550) | $7,348.42 | $7,348.42 | 29.5× |
| MRI chest with contrast (71551) | $9,799.80 | $9,799.80 | 12.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,530.10 | $13,530.10 | 37.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $13,530.10 | $13,530.10 | 37.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,530.10 | $13,530.10 | 54.3× |
| MRI orbit face &/neck w/o contrast (70540) | $12,247.60 | $12,247.60 | 49.2× |
| MRI orbit face neck w contrast (70542) | $10,618.12 | $10,618.12 | 29.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $15,339.92 | $15,339.92 | 42.1× |
| MRI pelvis w/contrast (72196) | $18,028.32 | $18,028.32 | 49.5× |
| MRI pelvis w/o & w/contrast material (72197) | $15,339.92 | $15,339.92 | 42.1× |
| MRI pelvis w/o contrast (72195) | $9,119.58 | $9,119.58 | 36.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,756.58 | $19,756.58 | 54.2× |
| MRI spinal canal lumbar w/contrast material (72149) | $19,029.05 | $19,029.05 | 52.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $20,157.18 | $20,157.18 | 55.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $19,029.05 | $19,029.05 | 52.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $23,189.18 | $23,189.18 | 63.7× |
| MRI temporomandibular joint (70336) | $16,599.02 | $16,599.02 | 66.6× |
| MRI thoracic spine w/o contrast (72146) | $13,914.10 | $13,914.10 | 55.8× |
| MRI up ext w/o contrast (73218) | $13,530.10 | $13,530.10 | 54.3× |
| MRI upper ext joint w/o contrast (73221) | $13,530.10 | $13,530.10 | 54.3× |
| MRI, joint upper extrem combo (73223) | $19,384.28 | $19,384.28 | 53.2× |
| Myelogram Cervical (72240) | $15,995.20 | $15,995.20 | 19.5× |
| Myelogram Lumbar (72265) | $15,995.20 | $15,995.20 | 19.5× |
| Myelogram thoracic (72255) | $14,540.25 | $14,540.25 | 17.8× |
| Myelography 2 or more regions (72270) | $16,072.30 | $16,072.30 | 19.6× |
| Myocardial Spect Multiple Studies (78452) | $28,114.80 | $28,114.80 | 20.8× |
| Myocardial spect single study at rest or stress (78451) | $26,660.45 | $26,660.45 | 19.7× |
| Neck soft tissue (70360) | $3,091.40 | $3,091.40 | 34.0× |
| Nm cisternogram (78630) | $4,716.95 | $4,716.95 | 8.3× |
| Nm gastric emptying study (78264) | $4,767.55 | $4,767.55 | 11.4× |
| Nm peritoneal-venous shunt patency (78291) | $7,329.45 | $7,329.45 | 17.6× |
| Noncardiac Vascular Flow Imaging (78445) | $5,224.95 | $5,224.95 | 12.5× |
| Nonvascular shunt X-ray (75809) | $27,508.35 | $27,508.35 | 252.0× |
| Parathyroid Planar Imaging (78070) | $3,737.60 | $3,737.60 | 9.0× |
| Pelvis 1 or 2 views (72170) | $3,252.55 | $3,252.55 | 29.8× |
| Peritoneogram after injection (74190) | $5,622.95 | $5,622.95 | 9.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,889.50 | $8,889.50 | 2.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $7,501.25 | $7,501.25 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $17,353.15 | $17,353.15 | 41.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $23,766.60 | $23,766.60 | 41.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $5,671.55 | $5,671.55 | 9.9× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,902.15 | $2,902.15 | 31.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,801.70 | $2,801.70 | 30.8× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,649.20 | $3,649.20 | 40.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $4,978.72 | $4,978.72 | 45.6× |
| Radex fingr minimum 2 views (73140) | $2,813.05 | $2,813.05 | 31.0× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,899 | $2,899 | 31.9× |
| Radex Hand Minimum 3 Views (73130) | $2,999.32 | $2,999.32 | 33.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $3,510.98 | $3,510.98 | 32.2× |
| Radex Humerus Minimum 2 Views (73060) | $3,502.30 | $3,502.30 | 38.5× |
| Radex Kne 1/2 Views (73560) | $3,142.70 | $3,142.70 | 34.6× |
| Radex Kne Compl 4/More Views (73564) | $3,560.75 | $3,560.75 | 32.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,945.40 | $4,945.40 | 45.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,628.68 | $3,628.68 | 39.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $3,510.98 | $3,510.98 | 32.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,640.65 | $3,640.65 | 40.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,228.85 | $2,228.85 | 24.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,767.48 | $3,767.48 | 41.5× |
| Radex Toe Minimum 2 Views (73660) | $2,957 | $2,957 | 32.5× |
| Radex upper extremity infant minimum 2 views (73092) | $4,682.35 | $4,682.35 | 42.9× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,548.42 | $3,548.42 | 39.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $4,287.42 | $4,287.42 | 47.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $5,023.22 | $5,023.22 | 46.0× |
| Radiologic exam chest 2 views (71046) | $3,168.82 | $3,168.82 | 34.9× |
| Radiologic exam colon single contrast study (74270) | $7,666.80 | $7,666.80 | 41.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $8,368.55 | $8,368.55 | 45.7× |
| Radiologic exam upr gi trc single contrast study (74240) | $14,340.25 | $14,340.25 | 78.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $6,204.30 | $6,204.30 | 68.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,470.22 | $3,470.22 | 38.2× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $2,182.72 | $2,182.72 | 20.0× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $2,182.72 | $2,182.72 | 20.0× |
| Radiological examination surgical specimen (76098) | $1,991.80 | $1,991.80 | 3.5× |
| Renal Cyst Study (74470) | $8,668.35 | $8,668.35 | 15.2× |
| Ribs bilateral 3 views (71110) | $3,968.45 | $3,968.45 | 36.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $5,139.75 | $5,139.75 | 12.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $13,314.80 | $13,314.80 | 31.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $45,832.40 | $45,832.40 | 80.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $19,367.20 | $19,367.20 | 34.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,727 | $10,727 | 18.9× |
| Scapula (73010) | $3,289.30 | $3,289.30 | 30.1× |
| Sella turcica (70240) | $2,409.40 | $2,409.40 | 26.5× |
| Shoulder 1 view (73020) | $2,186.70 | $2,186.70 | 24.1× |
| Sialogram (70390) | $5,761.65 | $5,761.65 | 23.1× |
| Small bowel series (74250) | $7,888.60 | $7,888.60 | 43.1× |
| Special dosimetry (77331) | $47.75 | $47.75 | 0.3× |
| Special Physics Consult (77370) | $1,538.50 | $1,538.50 | 11.0× |
| Special treatment procedure (77470) | $817.50 | $817.50 | 1.4× |
| Spine thoracic 3 views (72072) | $3,710.50 | $3,710.50 | 34.0× |
| Testicular Imaging With Vascular Flow (78761) | $9,203.10 | $9,203.10 | 22.0× |
| Ther rad simulaj-aided field setting complex (77290) | $742.75 | $742.75 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $337.75 | $337.75 | 2.4× |
| Thoracolumbar 2 views (72080) | $3,445.75 | $3,445.75 | 37.9× |
| Thyroid carcinoma metastases img whole body (78018) | $13,770.95 | $13,770.95 | 24.3× |
| Thyroid imaging w/blood flow (78013) | $4,570 | $4,570 | 10.9× |
| Thyroid uptake measurement (78012) | $4,043.35 | $4,043.35 | 9.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $11,126.65 | $11,126.65 | 26.7× |
| Tmj unilateral (70328) | $1,949.72 | $1,949.72 | 21.5× |
| Treatment device complex (77334) | $281.50 | $281.50 | 0.7× |
| Treatment devices simple (77332) | $126 | $126 | 0.9× |
| Ultrasound breast complete (76641) | $4,116.95 | $4,116.95 | 37.7× |
| Ultrasound, abdomen limited (76705) | $4,997.95 | $4,997.95 | 45.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,887.70 | $1,887.70 | 17.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $2,284.05 | $2,284.05 | 25.1× |
| Unlisted ultrasound procedure (76999) | $1,910.95 | $1,910.95 | 21.0× |
| Urethrocystogram voiding (74455) | $5,584.10 | $5,584.10 | 22.4× |
| Urethrocystography retrograde rs&i (74450) | $3,861.15 | $3,861.15 | 15.5× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $8,456.35 | $8,456.35 | 46.2× |
| Us breast unilateral limited (76642) | $3,454.80 | $3,454.80 | 38.0× |
| Us chest (76604) | $1,468.20 | $1,468.20 | 13.4× |
| Us compl joint r-t w/image documentation (76881) | $4,956.10 | $4,956.10 | 45.4× |
| Us encephalogram (76506) | $1,213.40 | $1,213.40 | 11.1× |
| Us infant hips w manipulation (76885) | $4,953.28 | $4,953.28 | 54.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,309.62 | $3,309.62 | 30.3× |
| Us ob detailed single fetus (76811) | $6,775.90 | $6,775.90 | 27.2× |
| Us ob limited (76815) | $5,395.65 | $5,395.65 | 49.4× |
| Us ob transvaginal (76817) | $7,227.40 | $7,227.40 | 66.2× |
| Us pelvic non ob complete (76856) | $5,673.70 | $5,673.70 | 52.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $5,149.60 | $5,149.60 | 47.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $7,227.40 | $7,227.40 | 66.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $4,281.60 | $4,281.60 | 39.2× |
| Us retroperitoneal complete (76770) | $6,615.95 | $6,615.95 | 60.6× |
| Us retroperitoneal limited (76775) | $6,191.30 | $6,191.30 | 56.7× |
| Us scrotum and contents (76870) | $5,212.35 | $5,212.35 | 47.7× |
| Us soft tissue head/neck (76536) | $5,244.40 | $5,244.40 | 48.0× |
| Us spinal canal and contents (76800) | $746.05 | $746.05 | 6.8× |
| Us transrectal (76872) | $4,026.20 | $4,026.20 | 36.9× |
| Venogram extremity bilateral (75822) | $6,472.50 | $6,472.50 | 3.9× |
| Venogram Extremity Unilateral (75820) | $5,273.50 | $5,273.50 | 3.2× |
| Venography caval inferior serialography rs&i (75825) | $6,202.70 | $6,202.70 | 1.9× |
| Venography caval superior serialography rs&i (75827) | $5,898.75 | $5,898.75 | 3.6× |
| Venography renal unilateral selective rs&i (75831) | $4,747.40 | $4,747.40 | 1.4× |
| Venous sampling by catheter (75893) | $10,439.85 | $10,439.85 | 1.8× |
| Wrist 2 views (73100) | $2,357.15 | $2,357.15 | 25.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,206.55 | $4,206.55 | 38.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,158.40 | $3,158.40 | 34.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,887 | $7,887 | 43.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $3,649.20 | $3,649.20 | 40.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,894.42 | $2,894.42 | 31.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,629.80 | $2,629.80 | 24.1× |
| X-ray exam of femur 2/> (73552) | $3,641.80 | $3,641.80 | 40.1× |
| X-ray eye for foreign body (70030) | $2,228.85 | $2,228.85 | 24.5× |
| X-ray IV pyelogram (ivp) (74400) | $7,957.15 | $7,957.15 | 43.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,841.65 | $2,841.65 | 31.3× |
| X-ray leg, infant (73592) | $5,025.35 | $5,025.35 | 55.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $4,493.28 | $4,493.28 | 41.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $6,694.48 | $6,694.48 | 61.3× |
| X-ray nose-rectum child f.b. (76010) | $2,228.85 | $2,228.85 | 24.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,926.70 | $4,926.70 | 45.1× |
| X-ray retrograde pyelogram (74420) | $2,931.48 | $2,931.48 | 8.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,168.82 | $3,168.82 | 34.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,968.45 | $3,968.45 | 36.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,223.30 | $5,223.30 | 47.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,138.38 | $2,138.38 | 19.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,310.65 | $4,310.65 | 47.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,324.20 | $4,324.20 | 47.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,884.45 | $3,884.45 | 35.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $3,065.50 | $3,065.50 | 28.1× |
| X-Ray Spine One View - Xr Spine (72020) | $2,492.82 | $2,492.82 | 27.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,277.05 | $3,277.05 | 36.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,699.75 | $3,699.75 | 40.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,710.50 | $3,710.50 | 34.0× |
| Xr bone length studies (77073) | $3,293.30 | $3,293.30 | 30.2× |
| Xr c-spine 4 or 5 views (72050) | $4,034.05 | $4,034.05 | 37.0× |
| Xr c-spine 6 or more views (72052) | $5,115.82 | $5,115.82 | 46.9× |
| Xr chest 4+ views (71048) | $4,483.32 | $4,483.32 | 41.1× |
| Xr urogram antegrade (74425) | $6,609.35 | $6,609.35 | 18.1× |