Imaging prices at HCA Florida Pasadena Hospital
Saint Petersburg, FL · every code in this section with a posted price and a Medicare benchmark.
365 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,880.50 | $3,880.50 | 2.7× |
| Abdomen 2 views (74019) | $4,170.08 | $4,170.08 | 38.2× |
| Acute gi blood loss imaging (78278) | $8,010.82 | $8,010.82 | 19.2× |
| Angio Adrenal Bilat Select (75733) | $18,877.01 | $18,877.01 | 5.7× |
| Angiography extremity bilateral rs&i (75716) | $17,432.06 | $17,432.06 | 5.3× |
| Angiography extremity unilateral rs&i (75710) | $22,897.48 | $22,897.48 | 6.9× |
| Angiography internal mammary rs&i (75756) | $7,219.03 | $7,219.03 | 2.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $18,198.32 | $18,198.32 | 3.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $13,326.88 | $13,326.88 | 4.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,471.66 | $10,471.66 | 3.2× |
| Angiography Spinal Selective Rs&I (75705) | $5,344.20 | $5,344.20 | 0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $17,431.90 | $17,431.90 | 3.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $4,496.52 | $4,496.52 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,769.52 | $7,769.52 | 2.4× |
| Ankle 2 views (73600) | $1,934.45 | $1,934.45 | 21.3× |
| Aortogram thoracic (75605) | $8,339.28 | $8,339.28 | 1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $27,752.57 | $27,752.57 | 8.4× |
| Aortography abdominal serialography rs&i (75625) | $21,177.48 | $21,177.48 | 6.4× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $721.60 | $721.60 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $18,877.01 | $18,877.01 | 5.7× |
| Arthrogram ankle (73615) | $4,169 | $4,169 | 11.4× |
| Arthrogram elbow (73085) | $4,581.73 | $4,581.73 | 12.6× |
| Arthrogram hip (73525) | $2,143.96 | $2,143.96 | 5.9× |
| Arthrogram knee (73580) | $4,581.73 | $4,581.73 | 12.6× |
| Arthrogram shoulder (73040) | $4,581.73 | $4,581.73 | 12.6× |
| Arthrogram wrist (73115) | $4,189.84 | $4,189.84 | 11.5× |
| Basic dosimetry (77300) | $186.90 | $186.90 | 1.3× |
| Bone &/Joint Imaging Limited Area (78300) | $6,699.69 | $6,699.69 | 16.0× |
| Bone &/Joint Imaging Multiple Areas (78305) | $9,626.80 | $9,626.80 | 23.1× |
| Bone &/joint imaging whole body (78306) | $11,938.66 | $11,938.66 | 28.6× |
| Bone age studies (77072) | $2,662.34 | $2,662.34 | 24.4× |
| Bone Imaging 3 Phase (78315) | $10,889.96 | $10,889.96 | 26.1× |
| Bone survey complete (77075) | $9,887.18 | $9,887.18 | 90.6× |
| Bone survey infant (77076) | $455.81 | $455.81 | 4.2× |
| Bowel imaging (78290) | $8,300.14 | $8,300.14 | 19.9× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $8,434.67 | $8,434.67 | 20.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $11,938.66 | $11,938.66 | 21.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $11,162.42 | $11,162.42 | 26.7× |
| Cervical spine 2 or 3 views (72040) | $2,034.50 | $2,034.50 | 22.4× |
| Chest 1 view (71045) | $2,560.16 | $2,560.16 | 28.2× |
| Chest xray 3 views (71047) | $3,882.10 | $3,882.10 | 42.7× |
| Cholecystography, oral contrast Non-Facility (74290) | $1,974.31 | $1,974.31 | 10.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,310.40 | $3,310.40 | 18.1× |
| Clavicle complete (73000) | $2,497.03 | $2,497.03 | 27.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $11,220.07 | $11,220.07 | 102.8× |
| Continuing medical physics consltj pr wk (77336) | $426.60 | $426.60 | 3.0× |
| Corpora cavernosography (74445) | $8,825.76 | $8,825.76 | 80.8× |
| CT abdomen and pelvis without and with contrast (74178) | $36,372.31 | $36,372.31 | 99.8× |
| CT abdomen and pelvis without contrast (74176) | $31,220.43 | $31,220.43 | 125.3× |
| CT abdomen w contrast (74160) | $18,188.77 | $18,188.77 | 99.3× |
| CT abdomen w wo contrast (74170) | $18,188.77 | $18,188.77 | 99.3× |
| CT abdomen w/o contrast (74150) | $13,035.55 | $13,035.55 | 119.4× |
| CT angio hrt w/3d image (75574) | $14,076.20 | $14,076.20 | 38.6× |
| CT angio lwr extr w/o&w/dye (73706) | $15,819.94 | $15,819.94 | 86.4× |
| CT angiography upper extremity lt (73206) | $15,819.94 | $15,819.94 | 86.4× |
| CT c-spine w/contrast (72126) | $15,935.57 | $15,935.57 | 43.7× |
| CT c-spine w/o contrast (72125) | $15,935.57 | $15,935.57 | 146.0× |
| CT cervical spine w&w/o contrast (72127) | $13,859.86 | $13,859.86 | 75.7× |
| CT chest w contrast (71260) | $15,050.91 | $15,050.91 | 82.2× |
| CT chest w/wo contrast (71270) | $18,357.12 | $18,357.12 | 100.2× |
| CT head/brain with contrast (70460) | $15,935.57 | $15,935.57 | 87.0× |
| CT head/brain without and with contrast (70470) | $16,645.46 | $16,645.46 | 90.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $18,864.15 | $18,864.15 | 51.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $3,297.51 | $3,297.51 | 36.3× |
| CT hrt w/3d image congen (75573) | $14,076.20 | $14,076.20 | 38.6× |
| CT iac w contrast (70481) | $12,927.83 | $12,927.83 | 70.6× |
| CT limited/localized follow up study (76380) | $1,978.46 | $1,978.46 | 21.8× |
| CT lower ext w/o (73700) | $15,935.57 | $15,935.57 | 146.0× |
| CT lower extremity w wo contrast (73702) | $15,819.94 | $15,819.94 | 86.4× |
| CT lower extremity w/contrast material (73701) | $15,819.94 | $15,819.94 | 86.4× |
| CT lumbar spine w & w/o contrast (72133) | $15,819.94 | $15,819.94 | 86.4× |
| CT lumbar spine w/contrast (72132) | $18,188.77 | $18,188.77 | 49.9× |
| CT lumbar spine w/o contrast (72131) | $18,188.77 | $18,188.77 | 166.6× |
| CT maxillofacial w contrast (70487) | $15,935.57 | $15,935.57 | 87.0× |
| CT maxillofacial w/wo contrast (70488) | $17,087.18 | $17,087.18 | 93.3× |
| CT maxillofacial wo contrast (70486) | $14,797.11 | $14,797.11 | 135.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $18,188.77 | $18,188.77 | 99.3× |
| CT orbits w/o contrast (70480) | $18,188.77 | $18,188.77 | 166.6× |
| CT pelvis w/o contrast (72192) | $18,188.77 | $18,188.77 | 166.6× |
| CT pelvis w/wo contrast (72194) | $18,188.77 | $18,188.77 | 99.3× |
| CT scan of arm combo (73202) | $15,819.94 | $15,819.94 | 86.4× |
| CT soft tissue neck w contrast (70491) | $15,935.57 | $15,935.57 | 87.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $15,935.57 | $15,935.57 | 87.0× |
| CT soft tissue neck w/o contrast (70490) | $14,797.11 | $14,797.11 | 135.5× |
| CT thoracic spine w/contrast (72129) | $7,746.99 | $7,746.99 | 42.3× |
| CT thoracic spine w/o contrast (72128) | $7,746.99 | $7,746.99 | 71.0× |
| CT thoracic spine w/wo contrast (72130) | $11,087.39 | $11,087.39 | 60.5× |
| CT thorax w/o contrast (71250) | $16,107.82 | $16,107.82 | 147.5× |
| CT upper ext wo (73200) | $15,935.57 | $15,935.57 | 146.0× |
| CT upper extremity with contrast (73201) | $15,819.94 | $15,819.94 | 43.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $18,188.77 | $18,188.77 | 99.3× |
| Cta Abdomen (74175) | $18,188.77 | $18,188.77 | 99.3× |
| CTA abdomen pelvis (74174) | $36,372.31 | $36,372.31 | 99.8× |
| CTA chest (71275) | $18,357.12 | $18,357.12 | 100.2× |
| Cta Head (70496) | $16,645.46 | $16,645.46 | 90.9× |
| Cta Neck (70498) | $15,935.57 | $15,935.57 | 87.0× |
| Cta Pelvis (72191) | $18,188.77 | $18,188.77 | 99.3× |
| Cystography minimum 3 views rs&i (74430) | $1,850.43 | $1,850.43 | 5.1× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $8,503.09 | $8,503.09 | 3.9× |
| Diskogram cervical (72285) | $6,607.90 | $6,607.90 | 3.2× |
| Diskography lumbar (72295) | $5,039.67 | $5,039.67 | 2.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,877.84 | $2,877.84 | 26.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,736.78 | $2,736.78 | 25.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,381.68 | $1,381.68 | 15.2× |
| Esophagus (74220) | $3,801.86 | $3,801.86 | 20.8× |
| Facial bones min 3 views (70150) | $3,534 | $3,534 | 32.4× |
| Fetal biophysical profile non-stress testing (76818) | $3,212.25 | $3,212.25 | 29.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,608.94 | $1,608.94 | 14.7× |
| Fetal Echo (76825) | $1,951.97 | $1,951.97 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $4,170.78 | $4,170.78 | 16.7× |
| Foot 2 views (73620) | $1,958 | $1,958 | 21.5× |
| Forearm 2 views (73090) | $1,918.77 | $1,918.77 | 21.1× |
| Hand 2 views (73120) | $682.23 | $682.23 | 6.2× |
| Heart Infarct Image (78466) | $9,894.96 | $9,894.96 | 23.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,566.70 | $5,566.70 | 1.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $5,566.70 | $5,566.70 | 1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $12,103.72 | $12,103.72 | 21.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,708.54 | $11,708.54 | 28.0× |
| Hysterosalpingogram (74740) | $7,830.08 | $7,830.08 | 31.4× |
| Interstitial radiation source applic complex (77778) | $816.20 | $816.20 | 1.1× |
| Intracavitary Radiation Source Applic Simple (77761) | $4,175.85 | $4,175.85 | 7.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $11,750.88 | $11,750.88 | 20.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $11,162.42 | $11,162.42 | 19.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $11,750.88 | $11,750.88 | 20.7× |
| Knee 3 views (73562) | $3,236.75 | $3,236.75 | 35.6× |
| Liver & spleen imaging static only (78215) | $12,034.63 | $12,034.63 | 28.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,867.56 | $8,867.56 | 21.2× |
| Liver imaging static only (78201) | $3,391.36 | $3,391.36 | 6.0× |
| Liver imaging w/vascular flow (78202) | $8,867.56 | $8,867.56 | 15.6× |
| Lung perf&ventilat diferentl (78598) | $21,947.84 | $21,947.84 | 38.7× |
| Lung perfusion differential (78597) | $11,748.13 | $11,748.13 | 28.1× |
| Lung ventilation imaging (78579) | $11,748.13 | $11,748.13 | 28.1× |
| Lymphoscintigraphy (78195) | $9,626.80 | $9,626.80 | 17.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $13,083.95 | $13,083.95 | 16.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $4,523.75 | $4,523.75 | 12.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $13,123.51 | $13,123.51 | 36.0× |
| Mammary ductogram or galactogram multiple (77054) | $1,815.96 | $1,815.96 | 7.3× |
| Mammary ductogram or galactogram single (77053) | $998.45 | $998.45 | 4.0× |
| MRA head w & w/o contrast (70546) | $23,154.92 | $23,154.92 | 63.6× |
| MRA head w/o contrast (70544) | $19,135.74 | $19,135.74 | 76.8× |
| MRA head with contrast (70545) | $21,051.90 | $21,051.90 | 57.8× |
| MRA neck w contrast (70548) | $21,051.90 | $21,051.90 | 57.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $23,154.92 | $23,154.92 | 63.6× |
| MRA neck w/o contrast (70547) | $19,135.74 | $19,135.74 | 76.8× |
| MRI abdomen w contrast (74182) | $17,383.44 | $17,383.44 | 47.7× |
| MRI abdomen w/o & w/contrast material (74183) | $17,725.57 | $17,725.57 | 48.7× |
| MRI abdomen w/o contrast (74181) | $16,111.27 | $16,111.27 | 64.7× |
| MRI any jt lower extrem w/contrast material (73722) | $16,165.91 | $16,165.91 | 19.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $14,397.80 | $14,397.80 | 39.5× |
| MRI breast w/o contrast bilateral (77047) | $17,674.21 | $17,674.21 | 70.9× |
| MRI breast wo contrast unilateral (77046) | $13,959.37 | $13,959.37 | 56.0× |
| MRI c-spine with contrast (72142) | $17,291.45 | $17,291.45 | 47.5× |
| MRI cervical spine w/o contrast (72141) | $13,832.86 | $13,832.86 | 55.5× |
| MRI chest w/o & w/contrast material (71552) | $13,931.80 | $13,931.80 | 38.2× |
| MRI chest w/o contrast (71550) | $12,441.39 | $12,441.39 | 49.9× |
| MRI chest with contrast (71551) | $13,932.06 | $13,932.06 | 17.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $16,165.91 | $16,165.91 | 44.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,154.32 | $4,154.32 | 11.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,083.95 | $13,083.95 | 52.5× |
| MRI orbit face &/neck w/o contrast (70540) | $14,580.36 | $14,580.36 | 58.5× |
| MRI orbit face neck w contrast (70542) | $6,092.03 | $6,092.03 | 16.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $22,942.18 | $22,942.18 | 63.0× |
| MRI pelvis w/contrast (72196) | $13,059.51 | $13,059.51 | 35.8× |
| MRI pelvis w/o & w/contrast material (72197) | $16,582.78 | $16,582.78 | 45.5× |
| MRI pelvis w/o contrast (72195) | $12,198.46 | $12,198.46 | 49.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $17,543.01 | $17,543.01 | 48.2× |
| MRI spinal canal lumbar w/contrast material (72149) | $17,589.01 | $17,589.01 | 48.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $17,543.01 | $17,543.01 | 48.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $5,357.50 | $5,357.50 | 14.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $17,738.50 | $17,738.50 | 48.7× |
| MRI temporomandibular joint (70336) | $6,092.03 | $6,092.03 | 24.4× |
| MRI thoracic spine w/o contrast (72146) | $14,045.63 | $14,045.63 | 56.4× |
| MRI up ext w/o contrast (73218) | $13,568.37 | $13,568.37 | 54.5× |
| MRI upper ext joint w/o contrast (73221) | $12,441.39 | $12,441.39 | 49.9× |
| MRI, joint upper extrem combo (73223) | $14,397.80 | $14,397.80 | 39.5× |
| Myelogram Cervical (72240) | $10,888.55 | $10,888.55 | 13.3× |
| Myelogram Lumbar (72265) | $10,888.55 | $10,888.55 | 13.3× |
| Myelogram thoracic (72255) | $11,801.26 | $11,801.26 | 14.4× |
| Myelography 2 or more regions (72270) | $14,094.94 | $14,094.94 | 17.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $11,162.42 | $11,162.42 | 8.3× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $18,413.86 | $18,413.86 | 13.6× |
| Myocardial Spect Multiple Studies (78452) | $32,199.82 | $32,199.82 | 23.8× |
| Myocardial spect single study at rest or stress (78451) | $24,424.74 | $24,424.74 | 18.1× |
| Neck soft tissue (70360) | $1,676.30 | $1,676.30 | 18.4× |
| Nm adrenal scan (78075) | $13,124.19 | $13,124.19 | 9.7× |
| Nm bone marrow wb (78104) | $8,771.70 | $8,771.70 | 21.0× |
| Nm cisternogram (78630) | $8,473.82 | $8,473.82 | 14.9× |
| Nm gastric emptying study (78264) | $10,882.89 | $10,882.89 | 26.1× |
| Nm gastroesophageal reflux study (78262) | $6,592.71 | $6,592.71 | 15.8× |
| Nm peritoneal-venous shunt patency (78291) | $7,549.39 | $7,549.39 | 18.1× |
| Nm red cell sequestration (78140) | $3,520.34 | $3,520.34 | 8.4× |
| Noncardiac Vascular Flow Imaging (78445) | $22,722.63 | $22,722.63 | 54.4× |
| Nonvascular shunt X-ray (75809) | $4,170.78 | $4,170.78 | 38.2× |
| Nuclear Rx Oral Admin (79005) | $12,402.72 | $12,402.72 | 50.9× |
| Osseous survey limited (77074) | $3,377.43 | $3,377.43 | 30.9× |
| Parathyroid Planar Imaging (78070) | $13,124.19 | $13,124.19 | 31.4× |
| Pelvis 1 or 2 views (72170) | $2,680.38 | $2,680.38 | 24.6× |
| PET image w/CT, skull-thigh (78815) | $15,131.60 | $15,131.60 | 10.1× |
| PET imaging CT for attenuation limited area (78814) | $15,136.33 | $15,136.33 | 10.1× |
| PET imaging for CT attenuation whole body (78816) | $15,674.56 | $15,674.56 | 10.5× |
| PET whole body (78813) | $15,131.60 | $15,131.60 | 10.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,539.18 | $11,539.18 | 3.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $11,539.18 | $11,539.18 | 3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,206.90 | $10,206.90 | 24.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $21,947.84 | $21,947.84 | 38.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,796.74 | $1,796.74 | 3.1× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,034 | $3,034 | 33.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,242.09 | $2,242.09 | 24.7× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,408.70 | $2,408.70 | 26.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,542.67 | $1,542.67 | 17.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,569.69 | $2,569.69 | 23.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $3,082.48 | $3,082.48 | 28.2× |
| Radex fingr minimum 2 views (73140) | $1,500.72 | $1,500.72 | 16.5× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,242.09 | $2,242.09 | 24.7× |
| Radex Hand Minimum 3 Views (73130) | $2,481.35 | $2,481.35 | 27.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,260.63 | $2,260.63 | 24.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $4,110.93 | $4,110.93 | 37.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $4,005.47 | $4,005.47 | 36.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $4,929.90 | $4,929.90 | 45.2× |
| Radex Humerus Minimum 2 Views (73060) | $2,385.84 | $2,385.84 | 26.3× |
| Radex Kne 1/2 Views (73560) | $2,145.24 | $2,145.24 | 23.6× |
| Radex Kne Compl 4/More Views (73564) | $3,038.31 | $3,038.31 | 27.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $3,770.50 | $3,770.50 | 34.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,719.34 | $2,719.34 | 29.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $3,644.10 | $3,644.10 | 33.4× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,433.46 | $3,433.46 | 37.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,943.12 | $1,943.12 | 21.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $2,183.51 | $2,183.51 | 20.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,534 | $3,534 | 38.9× |
| Radex Toe Minimum 2 Views (73660) | $1,871.73 | $1,871.73 | 20.6× |
| Radex upper extremity infant minimum 2 views (73092) | $1,304.08 | $1,304.08 | 11.9× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,368.84 | $2,368.84 | 26.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,593.83 | $3,593.83 | 32.9× |
| Radiation treatment delivery level 1 (77402) | $249.50 | $249.50 | 2.3× |
| Radiation treatment delivery level 3 (77412) | $326.20 | $326.20 | 0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,575.52 | $1,575.52 | 17.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $5,185.74 | $5,185.74 | 47.5× |
| Radiologic exam chest 2 views (71046) | $2,734.28 | $2,734.28 | 30.1× |
| Radiologic exam colon single contrast study (74270) | $4,623.73 | $4,623.73 | 25.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,148.50 | $3,148.50 | 17.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $9,010.90 | $9,010.90 | 49.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,582.38 | $5,582.38 | 30.5× |
| Radiologic examination femur 1 view (73551) | $2,260.63 | $2,260.63 | 24.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,096.77 | $2,096.77 | 23.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $3,615.26 | $3,615.26 | 6.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,146.62 | $1,146.62 | 10.5× |
| Radiological examination surgical specimen (76098) | $1,652.30 | $1,652.30 | 2.9× |
| Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion Non-Facility (79403) | $8,103.37 | $8,103.37 | 33.3× |
| Red cell survival study Non-Facility (78130) | $8,867.56 | $8,867.56 | 21.2× |
| Ribs bilateral 3 views (71110) | $2,688.10 | $2,688.10 | 24.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $9,398.24 | $9,398.24 | 22.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $8,859.06 | $8,859.06 | 21.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,626.80 | $9,626.80 | 17.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $9,894.96 | $9,894.96 | 17.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $9,721.42 | $9,721.42 | 17.1× |
| Salivary gland function study (78232) | $10,084.05 | $10,084.05 | 24.2× |
| Scapula (73010) | $3,340.98 | $3,340.98 | 30.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $62.21 | $62.21 | 2.7× |
| Sella turcica (70240) | $2,767.67 | $2,767.67 | 30.5× |
| Shoulder 1 view (73020) | $1,830.44 | $1,830.44 | 20.1× |
| Sialogram (70390) | $2,415.90 | $2,415.90 | 9.7× |
| Simulation intermediate (77285) | $805.70 | $805.70 | 2.1× |
| Small bowel series (74250) | $3,390.10 | $3,390.10 | 18.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $562.70 | $562.70 | 1.4× |
| Special dosimetry (77331) | $388.80 | $388.80 | 2.8× |
| Special Physics Consult (77370) | $696.65 | $696.65 | 5.0× |
| Special treatment procedure (77470) | $1,552 | $1,552 | 2.7× |
| Speech evaluation complex (70371) | $3,310.40 | $3,310.40 | 13.3× |
| Spine thoracic 3 views (72072) | $3,060.12 | $3,060.12 | 28.0× |
| Testicular Imaging With Vascular Flow (78761) | $9,206.27 | $9,206.27 | 22.1× |
| Ther rad simulaj-aided field setting complex (77290) | $947.20 | $947.20 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) | $483.90 | $483.90 | 3.4× |
| Thoracolumbar 2 views (72080) | $1,525.26 | $1,525.26 | 16.8× |
| Thyroid carcinoma metastases img whole body (78018) | $10,882.89 | $10,882.89 | 19.2× |
| Thyroid imaging w/blood flow (78013) | $6,934.02 | $6,934.02 | 16.6× |
| Thyroid uptake measurement (78012) | $6,934.02 | $6,934.02 | 16.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,125.16 | $8,125.16 | 19.5× |
| Tmj unilateral (70328) | $3,293.27 | $3,293.27 | 36.2× |
| Tomogram (76100) | $5,664.98 | $5,664.98 | 51.9× |
| Treatment device complex (77334) | $450.40 | $450.40 | 1.2× |
| Treatment device intermediate (77333) | $264.60 | $264.60 | 1.9× |
| Treatment devices simple (77332) | $284.10 | $284.10 | 2.0× |
| Ultrasound breast complete (76641) | $4,993.42 | $4,993.42 | 45.7× |
| Ultrasound Exam Aaa Screen (76706) | $2,185.50 | $2,185.50 | 20.0× |
| Ultrasound, abdomen limited (76705) | $2,819.31 | $2,819.31 | 25.8× |
| Umbilical-artery Doppler (OB) (76820) | $2,184.84 | $2,184.84 | 20.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $11,925.14 | $11,925.14 | 131.2× |
| Unlisted ultrasound procedure (76999) | $4,331.53 | $4,331.53 | 47.7× |
| Urethrocystogram voiding (74455) | $6,869.98 | $6,869.98 | 27.6× |
| Urethrocystography retrograde rs&i (74450) | $6,869.98 | $6,869.98 | 27.6× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $6,277.48 | $6,277.48 | 34.3× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $9,905.41 | $9,905.41 | 54.1× |
| Us breast unilateral limited (76642) | $3,327.31 | $3,327.31 | 36.6× |
| Us chest (76604) | $3,481.84 | $3,481.84 | 31.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $5,199.43 | $5,199.43 | 23.1× |
| Us compl joint r-t w/image documentation (76881) | $2,853.79 | $2,853.79 | 26.1× |
| Us encephalogram (76506) | $2,986.42 | $2,986.42 | 27.4× |
| Us hips infant static (76886) | $640.85 | $640.85 | 7.1× |
| Us infant hips w manipulation (76885) | $2,834.06 | $2,834.06 | 31.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,268.08 | $2,268.08 | 20.8× |
| Us ob detailed single fetus (76811) | $4,073.17 | $4,073.17 | 16.3× |
| Us ob limited (76815) | $4,170.18 | $4,170.18 | 38.2× |
| Us ob transvaginal (76817) | $4,073.17 | $4,073.17 | 37.3× |
| Us pelvic non ob complete (76856) | $3,669.47 | $3,669.47 | 33.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,382.78 | $2,382.78 | 21.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,785.56 | $3,785.56 | 34.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $1,951.97 | $1,951.97 | 17.9× |
| Us retroperitoneal complete (76770) | $2,686.86 | $2,686.86 | 24.6× |
| Us retroperitoneal limited (76775) | $3,721.78 | $3,721.78 | 34.1× |
| Us scrotum and contents (76870) | $3,387.19 | $3,387.19 | 31.0× |
| Us soft tissue head/neck (76536) | $3,169.30 | $3,169.30 | 29.0× |
| Us spinal canal and contents (76800) | $2,834.06 | $2,834.06 | 26.0× |
| Us transrectal (76872) | $4,733.75 | $4,733.75 | 43.4× |
| Us transrectal prostate volume (76873) | $4,355.43 | $4,355.43 | 39.9× |
| Us,transplanted kidney, real time/ doppler (76776) | $6,130.98 | $6,130.98 | 56.2× |
| Venogram adrenal unilat (75840) | $7,932.78 | $7,932.78 | 2.4× |
| Venogram extremity bilateral (75822) | $8,170.51 | $8,170.51 | 5.0× |
| Venogram Extremity Unilateral (75820) | $5,550.27 | $5,550.27 | 3.4× |
| Venography caval inferior serialography rs&i (75825) | $5,266.80 | $5,266.80 | 1.6× |
| Venography caval superior serialography rs&i (75827) | $11,240.11 | $11,240.11 | 6.8× |
| Venography Renal Bilateral (75833) | $12,985.02 | $12,985.02 | 3.9× |
| Venography renal unilateral selective rs&i (75831) | $11,499.32 | $11,499.32 | 3.5× |
| Venography venous sinus/jugular cath rs&i (75860) | $11,470.12 | $11,470.12 | 3.5× |
| Venous sampling by catheter (75893) | $16,319.42 | $16,319.42 | 2.8× |
| Vertebral fracture assessment via dxa (77086) | $3,558.83 | $3,558.83 | 39.2× |
| Wrist 2 views (73100) | $2,488.53 | $2,488.53 | 27.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,529.48 | $4,529.48 | 41.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,052.49 | $2,052.49 | 22.6× |
| X-ray b.e. reductn intuss (74283) | $4,623.73 | $4,623.73 | 25.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $5,857.21 | $5,857.21 | 32.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,813.27 | $2,813.27 | 31.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,801.86 | $3,801.86 | 41.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,418.56 | $4,418.56 | 40.5× |
| X-ray exam of femur 2/> (73552) | $3,185.06 | $3,185.06 | 35.0× |
| X-ray eye for foreign body (70030) | $1,188.58 | $1,188.58 | 13.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $3,534 | $3,534 | 38.9× |
| X-ray IV pyelogram (ivp) (74400) | $5,269.02 | $5,269.02 | 28.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,220.22 | $2,220.22 | 24.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,418.59 | $3,418.59 | 37.6× |
| X-ray leg, infant (73592) | $1,304.08 | $1,304.08 | 14.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,120.44 | $3,120.44 | 28.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,747.64 | $2,747.64 | 25.2× |
| X-ray nose-rectum child f.b. (76010) | $1,756.34 | $1,756.34 | 19.3× |
| X-ray optic foramen (70190) | $2,195.97 | $2,195.97 | 24.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,778.90 | $2,778.90 | 25.5× |
| X-ray retrograde pyelogram (74420) | $5,246.15 | $5,246.15 | 14.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,184.40 | $2,184.40 | 24.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,563 | $3,563 | 32.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,005.01 | $4,005.01 | 36.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,640.19 | $2,640.19 | 24.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,385.84 | $2,385.84 | 26.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,534 | $3,534 | 38.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,100.46 | $5,100.46 | 46.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,465.16 | $2,465.16 | 22.6× |
| X-Ray Small Bowel Enteroclysis (74251) | $4,710.63 | $4,710.63 | 25.7× |
| X-Ray Spine One View - Xr Spine (72020) | $1,350.59 | $1,350.59 | 14.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,317.61 | $2,317.61 | 25.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,385.84 | $2,385.84 | 26.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,857.54 | $3,857.54 | 35.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,958.82 | $3,958.82 | 36.3× |
| Xr bone length studies (77073) | $10,546.39 | $10,546.39 | 96.6× |
| Xr c-spine 4 or 5 views (72050) | $2,834.76 | $2,834.76 | 26.0× |
| Xr c-spine 6 or more views (72052) | $4,328.34 | $4,328.34 | 39.6× |
| Xr chest 4+ views (71048) | $3,790.37 | $3,790.37 | 34.7× |
| Xr urogram antegrade (74425) | $1,850.43 | $1,850.43 | 5.1× |