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-Dimensional radiotherapy plan including dose-volume histograms (77295) | $3,880.50 | $3,880.50 | 2.7× |
| 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× |
| Angio adrenal unilat select (75731) | $18,877.01 | $18,877.01 | 5.7× |
| Angio extremity unilateral (75710) | $22,897.48 | $22,897.48 | 6.9× |
| Angio pulmonary unilateral (75741) | $10,471.66 | $10,471.66 | 3.2× |
| Angiogram extremity bilateral (75716) | $17,432.06 | $17,432.06 | 5.3× |
| Angiogram pelvic (75736) | $18,198.32 | $18,198.32 | 3.1× |
| Angiography internal mammary rs&i (75756) | $7,219.03 | $7,219.03 | 2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $13,326.88 | $13,326.88 | 4.0× |
| 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× |
| Aortography thoracic w/o serialography rs&i (75600) | $721.60 | $721.60 | 0.2× |
| Arthrography knee lt (73580) | $4,581.73 | $4,581.73 | 12.6× |
| Arthrography wrist lt (73115) | $4,189.84 | $4,189.84 | 11.5× |
| Barium enema (74270) | $4,623.73 | $4,623.73 | 25.2× |
| Basic dosimetry (77300) | $186.90 | $186.90 | 1.3× |
| Bilat selctv renal venogram (75833) | $12,985.02 | $12,985.02 | 3.9× |
| Bone age studies (77072) | $2,662.34 | $2,662.34 | 24.4× |
| Bone imaging limited area (78300) | $6,699.69 | $6,699.69 | 16.0× |
| Bone marrow imaging whole body (78104) | $8,771.70 | $8,771.70 | 21.0× |
| Bone survey complete (77075) | $9,887.18 | $9,887.18 | 90.6× |
| Bowel imaging (78290) | $8,300.14 | $8,300.14 | 19.9× |
| Brain image w/flow 4 + views (78606) | $11,938.66 | $11,938.66 | 21.1× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) | $8,434.67 | $8,434.67 | 20.2× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (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× |
| Cisternogram (78630) | $8,473.82 | $8,473.82 | 14.9× |
| Clavicle complete (73000) | $2,497.03 | $2,497.03 | 27.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $12,927.83 | $12,927.83 | 70.6× |
| Continuing medical physics consltj pr wk (77336) | $426.60 | $426.60 | 3.0× |
| Contrast exam abdominl aorta (75625) | $21,177.48 | $21,177.48 | 6.4× |
| Contrast exam thoracic aorta (75605) | $8,339.28 | $8,339.28 | 1.4× |
| Corpora cavernosography (74445) | $8,825.76 | $8,825.76 | 80.8× |
| CT - st neck w&wo contr (70492) | $15,935.57 | $15,935.57 | 87.0× |
| 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 wo contrast (74170) | $18,188.77 | $18,188.77 | 99.3× |
| CT abdomen w/contrast (74160) | $18,188.77 | $18,188.77 | 99.3× |
| CT abdomen w/o contrast (74150) | $13,035.55 | $13,035.55 | 119.4× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $36,372.31 | $36,372.31 | 99.8× |
| CT angio abdom w/o & w/dye (74175) | $18,188.77 | $18,188.77 | 99.3× |
| CT angio abdominal arteries (75635) | $18,188.77 | $18,188.77 | 99.3× |
| CT angio hrt w/3d image (75574) | $14,076.20 | $14,076.20 | 38.6× |
| CT angiograph pelv w/o&w/dye (72191) | $18,188.77 | $18,188.77 | 99.3× |
| CT cervical spine w/contrast (72126) | $15,935.57 | $15,935.57 | 43.7× |
| CT cervical spine w/o contrast (72125) | $15,935.57 | $15,935.57 | 146.0× |
| CT chest w/contrast (71260) | $15,050.91 | $15,050.91 | 82.2× |
| CT extremity upper w & w/o contrast (73202) | $15,819.94 | $15,819.94 | 86.4× |
| 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 limited/localized follow up study (76380) | $1,978.46 | $1,978.46 | 21.8× |
| CT lower ext w/wo contrast (73702) | $15,819.94 | $15,819.94 | 86.4× |
| CT lower extremity w contrast (73701) | $15,819.94 | $15,819.94 | 86.4× |
| CT lower extremity w/o contrast unilateral (73700) | $15,935.57 | $15,935.57 | 146.0× |
| 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 lumbar spine w/o then w/ con (72133) | $15,819.94 | $15,819.94 | 86.4× |
| CT maxillofacial area w/o contrast (70486) | $14,797.11 | $14,797.11 | 135.5× |
| CT maxillofacial w/contrast (70487) | $15,935.57 | $15,935.57 | 87.0× |
| CT maxillofacial w/o then w/ con (70488) | $17,087.18 | $17,087.18 | 93.3× |
| CT orbit sella ear w/o con (70480) | $18,188.77 | $18,188.77 | 166.6× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $18,188.77 | $18,188.77 | 99.3× |
| CT pelvis w & w/o contrast (72194) | $18,188.77 | $18,188.77 | 99.3× |
| CT pelvis w/o contrast (72192) | $18,188.77 | $18,188.77 | 166.6× |
| CT soft tissue neck w/contrast (70491) | $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 spine cervical w/wo contrast (72127) | $13,859.86 | $13,859.86 | 75.7× |
| 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/o then w/ con (72130) | $11,087.39 | $11,087.39 | 60.5× |
| CT thorax lung cancer scr c- (71271) | $11,220.07 | $11,220.07 | 102.8× |
| CT thorax w/o contrast (71250) | $16,107.82 | $16,107.82 | 147.5× |
| CT thorax w/o then w/ contrast (71270) | $18,357.12 | $18,357.12 | 100.2× |
| CT upper extremity w/dye (73201) | $15,819.94 | $15,819.94 | 43.4× |
| CT upper extremity w/o contrast rt (73200) | $15,935.57 | $15,935.57 | 146.0× |
| CTA chest w/wo contrast (71275) | $18,357.12 | $18,357.12 | 100.2× |
| CTA head w contrast (70496) | $16,645.46 | $16,645.46 | 90.9× |
| CTA lower extremity w/wo contrast unilateral (73706) | $15,819.94 | $15,819.94 | 86.4× |
| Cta Neck (70498) | $15,935.57 | $15,935.57 | 87.0× |
| CTA upper extremity w/wo contrast unilateral (73206) | $15,819.94 | $15,819.94 | 86.4× |
| Dilation ureters/urethra rs&i (74485) | $8,503.09 | $8,503.09 | 3.9× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (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× |
| Esophogram (74220) | $3,801.86 | $3,801.86 | 20.8× |
| Fetal biophysical profile non-stress testing (76818) | $3,212.25 | $3,212.25 | 29.4× |
| Fetal biophysical profile w/o nst (76819) | $1,608.94 | $1,608.94 | 14.7× |
| Fetal echo complete (76825) | $1,951.97 | $1,951.97 | 3.4× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $4,170.78 | $4,170.78 | 16.7× |
| Gastric emptying study (78264) | $10,882.89 | $10,882.89 | 26.1× |
| Gastroesophageal reflux study (78262) | $6,592.71 | $6,592.71 | 15.8× |
| Gated heart planar single (78472) | $11,162.42 | $11,162.42 | 26.7× |
| Heart infarct image (78466) | $9,894.96 | $9,894.96 | 23.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $5,566.70 | $5,566.70 | 1.7× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) | $5,566.70 | $5,566.70 | 1.7× |
| Hepatobil syst image w/drug (78227) | $12,103.72 | $12,103.72 | 21.3× |
| Hepatobiliary system imaging (78226) | $11,708.54 | $11,708.54 | 28.0× |
| Humerus min 2 views (73060) | $2,385.84 | $2,385.84 | 26.3× |
| Hysterosalpingography (74740) | $7,830.08 | $7,830.08 | 31.4× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) | $816.20 | $816.20 | 1.1× |
| Intracavitary radiation source applic simple (77761) | $4,175.85 | $4,175.85 | 7.2× |
| Ivp (74400) | $5,269.02 | $5,269.02 | 28.8× |
| Ivp w tomography (74415) | $9,905.41 | $9,905.41 | 54.1× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) | $11,750.88 | $11,750.88 | 20.7× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) | $11,750.88 | $11,750.88 | 20.7× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $11,162.42 | $11,162.42 | 19.7× |
| Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age Under 21 (78140) | $3,520.34 | $3,520.34 | 8.4× |
| Liver & spleen; static only (78215) | $12,034.63 | $12,034.63 | 28.8× |
| Liver & spleen; w vasc flow (78216) | $8,867.56 | $8,867.56 | 21.2× |
| 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 ventilat&perfus imaging (78582) | $21,947.84 | $21,947.84 | 38.7× |
| Lung ventilation imaging (78579) | $11,748.13 | $11,748.13 | 28.1× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $14,397.80 | $14,397.80 | 39.5× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $4,154.32 | $4,154.32 | 11.4× |
| Mammary ductogram multiple ducts (77054) | $1,815.96 | $1,815.96 | 7.3× |
| Mammary ductogram 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/contrast (70545) | $21,051.90 | $21,051.90 | 57.8× |
| MRA head w/o contrast (70544) | $19,135.74 | $19,135.74 | 76.8× |
| MRA neck w/contrast (70548) | $21,051.90 | $21,051.90 | 57.8× |
| MRA neck w/o contrast (70547) | $19,135.74 | $19,135.74 | 76.8× |
| MRA neck w/wo contrast (70549) | $23,154.92 | $23,154.92 | 63.6× |
| 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 jnt lwr ext with con lt (73722) | $16,165.91 | $16,165.91 | 19.7× |
| MRI breast without contrast bilateral (77047) | $17,674.21 | $17,674.21 | 70.9× |
| MRI breast without contrast material unilateral (77046) | $13,959.37 | $13,959.37 | 56.0× |
| MRI cervical spine w/o contrast (72141) | $13,832.86 | $13,832.86 | 55.5× |
| MRI cervical spine with contrast (72142) | $17,291.45 | $17,291.45 | 47.5× |
| MRI chest w & w/o contrast (71552) | $13,931.80 | $13,931.80 | 38.2× |
| MRI chest w/contrast (71551) | $13,932.06 | $13,932.06 | 17.0× |
| MRI chest w/o contrast (71550) | $12,441.39 | $12,441.39 | 49.9× |
| MRI joint upper ext w/contrast (73222) | $13,083.95 | $13,083.95 | 16.0× |
| MRI joint upr extr w/o&w/dye (73223) | $14,397.80 | $14,397.80 | 39.5× |
| MRI joint upr extrem w/o dye (73221) | $12,441.39 | $12,441.39 | 49.9× |
| Mri Lower Extremity W/O Dye (73718) | $13,083.95 | $13,083.95 | 52.5× |
| MRI lumbar spine with contrast (72149) | $17,589.01 | $17,589.01 | 48.3× |
| MRI lumbar w/wo contrast (72158) | $17,543.01 | $17,543.01 | 48.2× |
| MRI lwr ext w/o jnts with con rt (73719) | $16,165.91 | $16,165.91 | 44.4× |
| MRI orbit/face/neck w/contrast (70542) | $6,092.03 | $6,092.03 | 16.7× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $22,942.18 | $22,942.18 | 63.0× |
| MRI orbit/face/neck w/o contrast (70540) | $14,580.36 | $14,580.36 | 58.5× |
| MRI pelvis w/ contrast (72196) | $13,059.51 | $13,059.51 | 35.8× |
| MRI pelvis w/o contrast (72195) | $12,198.46 | $12,198.46 | 49.0× |
| MRI pelvis w/wo contrast (72197) | $16,582.78 | $16,582.78 | 45.5× |
| MRI spine cervical wo/w contrast (72156) | $17,543.01 | $17,543.01 | 48.2× |
| MRI spine thoracic w/contrast (72147) | $5,357.50 | $5,357.50 | 14.7× |
| MRI thoracic spine w wo contrast (72157) | $17,738.50 | $17,738.50 | 48.7× |
| MRI thoracic spine w/o contrast (72146) | $14,045.63 | $14,045.63 | 56.4× |
| MRI tmj (70336) | $6,092.03 | $6,092.03 | 24.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,568.37 | $13,568.37 | 54.5× |
| Mri Upper Extremity W/Dye (73219) | $4,523.75 | $4,523.75 | 12.4× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $13,123.51 | $13,123.51 | 36.0× |
| 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× |
| Myelography lumbosacral (72265) | $10,888.55 | $10,888.55 | 13.3× |
| 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 single study at rest or stress (78451) | $24,424.74 | $24,424.74 | 18.1× |
| Nm adrenal imaging (78075) | $13,124.19 | $13,124.19 | 9.7× |
| Nm bone 3 phase (78315) | $10,889.96 | $10,889.96 | 26.1× |
| Nm bone imaging whole body (78306) | $11,938.66 | $11,938.66 | 28.6× |
| Nm bone multi (78305) | $9,626.80 | $9,626.80 | 23.1× |
| Nm heart perfusion spect stress rest (78452) | $32,199.82 | $32,199.82 | 23.8× |
| Nm liver image static only (78201) | $3,391.36 | $3,391.36 | 6.0× |
| Nm lymph system (78195) | $9,626.80 | $9,626.80 | 17.0× |
| Nm thyroid imaging only (78013) | $6,934.02 | $6,934.02 | 16.6× |
| Nose to rectum for fb child (76010) | $1,756.34 | $1,756.34 | 19.3× |
| Nuclear medicine study of red blood cell survival (78130) | $8,867.56 | $8,867.56 | 21.2× |
| Ob us < 14 wks single fetus (76801) | $3,785.56 | $3,785.56 | 34.7× |
| Oral radiopharm rx (79005) | $12,402.72 | $12,402.72 | 50.9× |
| Parathyroid imaging (78070) | $13,124.19 | $13,124.19 | 31.4× |
| Peritoneal-venous shunt patency test (78291) | $7,549.39 | $7,549.39 | 18.1× |
| PET imaging CT attenuation skull base mid-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 imaging whole body (78813) | $15,131.60 | $15,131.60 | 10.1× |
| 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× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,796.74 | $1,796.74 | 3.1× |
| 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 entir thrc lmbr crv sac spi w/skull 6/> vw (72084) | $3,593.83 | $3,593.83 | 32.9× |
| Radex hip unilateral with pelvis 1 view (73501) | $2,260.63 | $2,260.63 | 24.9× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $3,801.86 | $3,801.86 | 41.8× |
| 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 spine cervical 2 or 3 views (72040) | $2,034.50 | $2,034.50 | 22.4× |
| Radex spine cervical 4 or 5 views (72050) | $2,834.76 | $2,834.76 | 26.0× |
| Radex spine cervical 6 or more views (72052) | $4,328.34 | $4,328.34 | 39.6× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) | $1,525.26 | $1,525.26 | 16.8× |
| Radiation tx delivery lvl 1 (77402) | $249.50 | $249.50 | 2.3× |
| Radiation tx delivery lvl 3 (77412) | $326.20 | $326.20 | 0.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) | $3,790.37 | $3,790.37 | 34.7× |
| 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 - Xr Femur 1 Vw Right (73551) | $2,260.63 | $2,260.63 | 24.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $3,185.06 | $3,185.06 | 35.0× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) | $4,529.48 | $4,529.48 | 41.5× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) | $5,664.98 | $5,664.98 | 51.9× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) | $3,958.82 | $3,958.82 | 36.3× |
| Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion UNSCHEDULED (79403) | $8,103.37 | $8,103.37 | 33.3× |
| 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 funct study (78232) | $10,084.05 | $10,084.05 | 24.2× |
| Screening digital breast tomosynthesis; bilateral (77063) | $62.21 | $62.21 | 2.7× |
| Selective spinal angiogram (75705) | $5,344.20 | $5,344.20 | 0.9× |
| Shoulder arthrogram (73040) | $4,581.73 | $4,581.73 | 12.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $4,170.78 | $4,170.78 | 38.2× |
| Simulation complex (77290) | $947.20 | $947.20 | 2.4× |
| Simulation intermediate (77285) | $805.70 | $805.70 | 2.1× |
| Simulation simple (77280) | $483.90 | $483.90 | 3.4× |
| 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× |
| Testicular imaging w/flow (78761) | $9,206.27 | $9,206.27 | 22.1× |
| Therapeutic enema barium or air (74283) | $4,623.73 | $4,623.73 | 25.2× |
| Thyroid met imaging body (78018) | $10,882.89 | $10,882.89 | 19.2× |
| Thyroid uptake single/multiple quant 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× |
| Treatment device intermediate (77333) | $264.60 | $264.60 | 1.9× |
| Treatment devices complex (77334) | $450.40 | $450.40 | 1.2× |
| Treatment devices simple (77332) | $284.10 | $284.10 | 2.0× |
| Ultrasound breast limited (76642) | $3,327.31 | $3,327.31 | 36.6× |
| 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× |
| Urethrocystography retrograde rs&i (74450) | $6,869.98 | $6,869.98 | 27.6× |
| Urethrocystography voiding (74455) | $6,869.98 | $6,869.98 | 27.6× |
| Urography antegrade (74425) | $1,850.43 | $1,850.43 | 5.1× |
| Urography retrograde w/wo kub (74420) | $5,246.15 | $5,246.15 | 14.4× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) | $6,277.48 | $6,277.48 | 34.3× |
| Us abdominal aorta real time screen study aaa (76706) | $2,185.50 | $2,185.50 | 20.0× |
| Us breast uni real time with image complete (76641) | $4,993.42 | $4,993.42 | 45.7× |
| Us chest (76604) | $3,481.84 | $3,481.84 | 31.9× |
| 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 guided compression repair (76936) | $5,199.43 | $5,199.43 | 23.1× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) | $2,834.06 | $2,834.06 | 31.2× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) | $640.85 | $640.85 | 7.1× |
| Us kidney transplanted (76776) | $6,130.98 | $6,130.98 | 56.2× |
| Us lmtd jt/fcl eval 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 followup per fetus (76816) | $1,951.97 | $1,951.97 | 17.9× |
| Us ob limited 1 or more fetuses (76815) | $4,170.18 | $4,170.18 | 38.2× |
| Us obstetric transvaginal (76817) | $4,073.17 | $4,073.17 | 37.3× |
| Us pelvic limited or f/u non-ob (76857) | $2,382.78 | $2,382.78 | 21.8× |
| Us pelvis complete (76856) | $3,669.47 | $3,669.47 | 33.6× |
| 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 (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 (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 unlstd proc (76999) | $4,331.53 | $4,331.53 | 47.7× |
| Vascular flow imaging (78445) | $22,722.63 | $22,722.63 | 54.4× |
| Vein X-ray liver w/hemodynam (75885) | $11,539.18 | $11,539.18 | 3.5× |
| Venogram extremity bilateral (75822) | $8,170.51 | $8,170.51 | 5.0× |
| Venogram ivc w serialography (75825) | $5,266.80 | $5,266.80 | 1.6× |
| Venogram svc w serialography (75827) | $11,240.11 | $11,240.11 | 6.8× |
| Venography adrenal unilateral selective rs&i (75840) | $7,932.78 | $7,932.78 | 2.4× |
| Venography ext unilateral (75820) | $5,550.27 | $5,550.27 | 3.4× |
| 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× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,052.49 | $2,052.49 | 22.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,034 | $3,034 | 33.4× |
| X-ray aorta leg arteries (75630) | $27,752.57 | $27,752.57 | 8.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $5,857.21 | $5,857.21 | 32.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,408.70 | $2,408.70 | 26.5× |
| X-ray exam hips bi 3-4 views (73522) | $4,418.56 | $4,418.56 | 40.5× |
| X-ray exam of finger(s) (73140) | $1,500.72 | $1,500.72 | 16.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $4,710.63 | $4,710.63 | 25.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $3,534 | $3,534 | 38.9× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $1,958 | $1,958 | 21.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,242.09 | $2,242.09 | 24.7× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $682.23 | $682.23 | 6.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $2,481.35 | $2,481.35 | 27.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,242.09 | $2,242.09 | 24.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,220.22 | $2,220.22 | 24.4× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) | $3,236.75 | $3,236.75 | 35.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $3,038.31 | $3,038.31 | 27.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,418.59 | $3,418.59 | 37.6× |
| 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 Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) | $1,146.62 | $1,146.62 | 10.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,184.40 | $2,184.40 | 24.0× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,433.46 | $3,433.46 | 37.8× |
| 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 Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,317.61 | $2,317.61 | 25.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,871.73 | $1,871.73 | 20.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $2,488.53 | $2,488.53 | 27.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,368.84 | $2,368.84 | 26.1× |
| Xr abdomen 1 view (74018) | $1,575.52 | $1,575.52 | 17.3× |
| Xr abdomen 2 views (74019) | $4,170.08 | $4,170.08 | 38.2× |
| Xr abdomen 3 views (74021) | $5,185.74 | $5,185.74 | 47.5× |
| Xr arthrogram ankle (73615) | $4,169 | $4,169 | 11.4× |
| Xr arthrogram elbow (73085) | $4,581.73 | $4,581.73 | 12.6× |
| Xr arthrogram hip (73525) | $2,143.96 | $2,143.96 | 5.9× |
| Xr bone density appendicular (77081) | $1,381.68 | $1,381.68 | 15.2× |
| Xr bone density axial (77080) | $2,736.78 | $2,736.78 | 25.1× |
| Xr bone length study (77073) | $10,546.39 | $10,546.39 | 96.6× |
| Xr bone survey infant (77076) | $455.81 | $455.81 | 4.2× |
| Xr bone survey limited (77074) | $3,377.43 | $3,377.43 | 30.9× |
| Xr chest 1 view (71045) | $2,560.16 | $2,560.16 | 28.2× |
| Xr chest 2 views (71046) | $2,734.28 | $2,734.28 | 30.1× |
| Xr chest 3 views (71047) | $3,882.10 | $3,882.10 | 42.7× |
| Xr cystogram 3+ views (74430) | $1,850.43 | $1,850.43 | 5.1× |
| Xr eye foreign body (70030) | $1,188.58 | $1,188.58 | 13.1× |
| Xr facial bones 3 views (70150) | $3,534 | $3,534 | 32.4× |
| Xr lower extremity 2 views infant (73592) | $1,304.08 | $1,304.08 | 14.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) | $2,183.51 | $2,183.51 | 20.0× |
| Xr mandible 4 views (70110) | $3,770.50 | $3,770.50 | 34.5× |
| Xr myelogram c-spine (72240) | $10,888.55 | $10,888.55 | 13.3× |
| Xr nasal bones (70160) | $2,719.34 | $2,719.34 | 29.9× |
| Xr pelvis 3 views (72190) | $3,644.10 | $3,644.10 | 33.4× |
| Xr sella turcica (70240) | $2,767.67 | $2,767.67 | 30.5× |
| Xr sialogram (70390) | $2,415.90 | $2,415.90 | 9.7× |
| Xr spine 1 view (72020) | $1,350.59 | $1,350.59 | 14.9× |
| Xr sternum 2 views (71120) | $2,385.84 | $2,385.84 | 26.3× |
| Xr surgical specimen (76098) | $1,652.30 | $1,652.30 | 2.9× |
| Xr upper extremity 2 views infant (73092) | $1,304.08 | $1,304.08 | 11.9× |
| Xray elbow 2 views (73070) | $2,813.27 | $2,813.27 | 31.0× |
| Xray forearm 2 views (73090) | $1,918.77 | $1,918.77 | 21.1× |
| Xray internal auditory meati compl (70134) | $3,615.26 | $3,615.26 | 6.3× |
| Xray knee 1 or 2 views rt (73560) | $2,145.24 | $2,145.24 | 23.6× |
| Xray neck soft tissue (70360) | $1,676.30 | $1,676.30 | 18.4× |
| Xray optic foramina (70190) | $2,195.97 | $2,195.97 | 24.2× |
| Xray orbits complete min 4 views (70200) | $2,778.90 | $2,778.90 | 25.5× |
| Xray pelvis 1 or 2 views (72170) | $2,680.38 | $2,680.38 | 24.6× |
| Xray ribs bilateral 3 views (71110) | $2,688.10 | $2,688.10 | 24.6× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $3,563 | $3,563 | 32.6× |
| Xray scapula complete (73010) | $3,340.98 | $3,340.98 | 30.6× |
| Xray shoulder 1 view (73020) | $1,830.44 | $1,830.44 | 20.1× |
| Xray sinuses paranasal <3 views (70210) | $1,943.12 | $1,943.12 | 21.4× |
| Xray spine thoracic 2 views (72070) | $3,857.54 | $3,857.54 | 35.3× |
| Xray spine thoracic 3 views (72072) | $3,060.12 | $3,060.12 | 28.0× |
| Xray tibia-fibula 2 views bil (73590) | $2,096.77 | $2,096.77 | 23.1× |
| Xray tmj open - closed unilat (70328) | $3,293.27 | $3,293.27 | 36.2× |
| Xray tmj's bilateral open-clsc (70330) | $3,534 | $3,534 | 38.9× |