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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,880.50 | $3,880.50 | 2.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,394.69–$1,756.34 | $1,394.69–$1,756.34 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$3,693.68–$4,646.47 | $3,693.68–$4,646.47 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $8,010.82 | $8,010.82 | 19.2× |
| Adrenal Cortex & Medulla Img (78075) | $13,124.19 | $13,124.19 | 9.7× |
| Angio internal mammary (75756) | $7,219.03 | $7,219.03 | 2.2× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$9,995.19–$16,658.57 | $9,995.19–$16,658.57 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $18,877.01 | $18,877.01 | 5.7× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$13,459.39–$19,725.37 | $13,459.39–$19,725.37 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$12,158.85–$25,910.06 | $12,158.85–$25,910.06 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$8,696.11–$12,247.20 | $8,696.11–$12,247.20 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$7,005.37–$8,533.67 | $7,005.37–$8,533.67 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$1,693.16–$7,991.42 | $1,693.16–$7,991.42 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,468.58–$15,209.98 | $1,468.58–$15,209.98 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $721.60 | $721.60 | 0.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$15,209.98–$19,653.81 | $15,209.98–$19,653.81 | varies |
| Artery X-Rays Adrenal Gland (75731) | $18,877.01 | $18,877.01 | 5.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$15,245.42–$21,151.21 | $15,245.42–$21,151.21 | varies |
| Artery X-Rays Spine (75705) | $5,344.20 | $5,344.20 | 0.9× |
| Arthrogram ankle (73615) range across 5 matching MRF lines |
$4,157.38–$4,210.69 | $4,157.38–$4,210.69 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$1,518.51–$4,639.40 | $1,518.51–$4,639.40 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$4,157.38–$8,337.89 | $4,157.38–$8,337.89 | varies |
| Basic radiation dosimetry calculation (77300) | $186.90 | $186.90 | 1.3× |
| 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 Imaging Limited Area (78300) | $6,699.69 | $6,699.69 | 16.0× |
| Bone Imaging Multiple Areas (78305) | $9,626.80 | $9,626.80 | 23.1× |
| Bone Imaging Whole Body (78306) | $11,938.66 | $11,938.66 | 28.6× |
| Bone marrow imaging; whole body (78104) | $8,771.70 | $8,771.70 | 21.0× |
| Bone survey infant (77076) | $455.81 | $455.81 | 4.2× |
| Brain Image W/Flow < 4 Views (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× |
| Cat Scan Follow-Up Study (76380) | $1,978.46 | $1,978.46 | 21.8× |
| Cerebrospinal Fluid Scan (78630) | $8,473.82 | $8,473.82 | 14.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$75–$3,216.42 | $75–$3,216.42 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$95–$2,957.15 | $95–$2,957.15 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$3,439.62–$4,324.58 | $3,439.62–$4,324.58 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$3,442.90–$4,137.84 | $3,442.90–$4,137.84 | varies |
| Cholecystography Oral Contrast (74290) | $1,974.31 | $1,974.31 | 10.8× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$2,188.84–$6,754.86 | $2,188.84–$6,754.86 | varies |
| 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× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$14,688.56–$27,666.40 | $14,688.56–$27,666.40 | varies |
| Contrast X-Ray Bladder (74430) | $1,850.43 | $1,850.43 | 5.1× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$4,157.38–$11,983.57 | $4,157.38–$11,983.57 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$4,157.38–$9,153.33 | $4,157.38–$9,153.33 | varies |
| 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 Abdomen and Pelvis (74174) | $36,372.31 | $36,372.31 | 99.8× |
| CT Angio Chest (71275) | $18,357.12 | $18,357.12 | 100.2× |
| CT Angio Head (70496) | $16,645.46 | $16,645.46 | 90.9× |
| 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 Angio Neck (70498) | $15,935.57 | $15,935.57 | 87.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $15,819.94 | $15,819.94 | 86.4× |
| 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 cervical spine w/wo cont (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 no contrast quant eval coronry 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 l-spine w&w/o contrast (72133) | $15,819.94 | $15,819.94 | 86.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$15,935.57–$23,834.53 | $15,935.57–$23,834.53 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$15,819.94–$26,627.09 | $15,819.94–$26,627.09 | varies |
| 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 wo contrast (70486) | $14,797.11 | $14,797.11 | 135.5× |
| CT neck tissue combo (70492) | $15,935.57 | $15,935.57 | 87.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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&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 scan of leg combo (73702) range across 3 matching MRF lines |
$15,367.63–$31,891.39 | $15,367.63–$31,891.39 | varies |
| CT scans face/jaw combo (70488) | $17,087.18 | $17,087.18 | 93.3× |
| 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 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 cont (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) range across 3 matching MRF lines |
$15,935.57–$19,757.73 | $15,935.57–$19,757.73 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$15,819.94–$31,891.39 | $15,819.94–$31,891.39 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$15,819.94–$23,710.23 | $15,819.94–$23,710.23 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,188.77 | $18,188.77 | 99.3× |
| Cta Abdomen (74175) | $18,188.77 | $18,188.77 | 99.3× |
| CTA pelvis (72191) | $18,188.77 | $18,188.77 | 99.3× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$7,052.28–$9,953.90 | $7,052.28–$9,953.90 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$5,039.67–$8,176.12 | $5,039.67–$8,176.12 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$3,690.67–$7,976.71 | $3,690.67–$7,976.71 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,877.84 | $2,877.84 | 26.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$2,554.83–$2,918.74 | $2,554.83–$2,918.74 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,381.68 | $1,381.68 | 15.2× |
| Echo exam of fetal heart (76825) | $1,951.97 | $1,951.97 | 3.4× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$4,658.87–$5,739.99 | $4,658.87–$5,739.99 | varies |
| Echograp Trans R Pros Study (76873) | $4,355.43 | $4,355.43 | 39.9× |
| Esophagram (74220) | $3,801.86 | $3,801.86 | 20.8× |
| Fetal Biophys Profile W/Nst (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× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$2,511.28–$5,095.21 | $2,511.28–$5,095.21 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,426.34–$5,566.70 | $3,426.34–$5,566.70 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$1,918.79–$4,608.66 | $1,918.79–$4,608.66 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$1,677.16–$3,840.30 | $1,677.16–$3,840.30 | varies |
| Gastric emptying imaging study (78264) | $10,882.89 | $10,882.89 | 26.1× |
| Gastroesophageal Reflux Exam (78262) | $6,592.71 | $6,592.71 | 15.8× |
| Gated Heart Planar Single (78472) | $11,162.42 | $11,162.42 | 26.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$313.09–$3,992.15 | $313.09–$3,992.15 | varies |
| 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 Image W/Drug (78227) | $12,103.72 | $12,103.72 | 21.3× |
| Hepatobiliary System Imaging (78226) | $11,708.54 | $11,708.54 | 28.0× |
| Ht Musc Image Planar Mult (78454) | $18,413.86 | $18,413.86 | 13.6× |
| Ht Muscle Image Spect Sing (78451) | $24,424.74 | $24,424.74 | 18.1× |
| Hysterosalpingogram (74740) | $7,830.08 | $7,830.08 | 31.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,834.06 | $2,834.06 | 31.2× |
| Infant hip ultrasound, limited static exam (76886) | $640.85 | $640.85 | 7.1× |
| Infusion Ivp (74410) | $6,277.48 | $6,277.48 | 34.3× |
| 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× |
| K Flow/Funct Image Multiple (78709) | $11,750.88 | $11,750.88 | 20.7× |
| K Flow/Funct Image W/Drug (78708) | $11,162.42 | $11,162.42 | 19.7× |
| K Flow/Funct Image W/O Drug (78707) | $11,750.88 | $11,750.88 | 20.7× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$3,022.11–$7,223.90 | $3,022.11–$7,223.90 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $3,520.34 | $3,520.34 | 8.4× |
| Leveen/Shunt Patency Exam (78291) | $7,549.39 | $7,549.39 | 18.1× |
| 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 Ventilat&Perfus Imaging (78582) | $21,947.84 | $21,947.84 | 38.7× |
| Lung Ventilation Imaging (78579) | $11,748.13 | $11,748.13 | 28.1× |
| Lymph System Imaging (78195) | $9,626.80 | $9,626.80 | 17.0× |
| Magnetic Image Jaw Joint (70336) | $6,092.03 | $6,092.03 | 24.4× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$1,671.84–$1,960.07 | $1,671.84–$1,960.07 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$918.53–$1,078.37 | $918.53–$1,078.37 | varies |
| Meckels Divert Exam (78290) | $8,300.14 | $8,300.14 | 19.9× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $16,111.27 | $16,111.27 | 64.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$16,165.91–$26,698.61 | $16,165.91–$26,698.61 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$14,397.80–$32,489.26 | $14,397.80–$32,489.26 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,523.75–$24,263.25 | $4,523.75–$24,263.25 | varies |
| MRI Breast W/O 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 contrast (72142) | $17,291.45 | $17,291.45 | 47.5× |
| MRI cervical spine w/o cont (72141) | $13,832.86 | $13,832.86 | 55.5× |
| 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 chest wo w contrast (71552) | $13,931.80 | $13,931.80 | 38.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$16,165.91–$28,091.90 | $16,165.91–$28,091.90 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,154.32–$32,273.48 | $4,154.32–$32,273.48 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$13,083.95–$26,608.29 | $13,083.95–$26,608.29 | varies |
| MRI lumbar spine w contrast (72149) | $17,589.01 | $17,589.01 | 48.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,543.01 | $17,543.01 | 48.2× |
| 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 Orbt/Fac/Nck W/O &W/Dye (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 (72197) | $16,582.78 | $16,582.78 | 45.5× |
| MRI pelvis w/o contrast (72195) | $12,198.46 | $12,198.46 | 49.0× |
| MRI thoracic spine w/o contrast (72146) | $14,045.63 | $14,045.63 | 56.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$4,523.75–$24,263.25 | $4,523.75–$24,263.25 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$8,200.93–$13,568.37 | $8,200.93–$13,568.37 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$12,441.39–$13,568.37 | $12,441.39–$13,568.37 | varies |
| MRI, abdomen, combo (74183) | $17,725.57 | $17,725.57 | 48.7× |
| MRI, dorsal spine combo (72157) | $17,738.50 | $17,738.50 | 48.7× |
| MRI, dorsal spine contrast (72147) | $5,357.50 | $5,357.50 | 14.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$12,441.39–$13,123.51 | $12,441.39–$13,123.51 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$14,397.80–$32,469.18 | $14,397.80–$32,469.18 | varies |
| MRI, lumbar spine combo (72158) | $17,543.01 | $17,543.01 | 48.2× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$10,011.46–$11,765.64 | $10,011.46–$11,765.64 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$10,011.46–$11,765.64 | $10,011.46–$11,765.64 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$10,848.29–$12,754.24 | $10,848.29–$12,754.24 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$12,957.18–$15,232.71 | $12,957.18–$15,232.71 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $9,894.96 | $9,894.96 | 23.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $11,162.42 | $11,162.42 | 8.3× |
| Myocardial Spect Multiple Studies (78452) | $32,199.82 | $32,199.82 | 23.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,563.46–$1,789.14 | $1,563.46–$1,789.14 | varies |
| Nm red cell survival study (78130) | $8,867.56 | $8,867.56 | 21.2× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$3,914.38–$4,427.17 | $3,914.38–$4,427.17 | varies |
| Nuclear Rx Oral Admin (79005) | $12,402.72 | $12,402.72 | 50.9× |
| Optic foramina (70190) range across 6 matching MRF lines |
$2,133.76–$5,468.55 | $2,133.76–$5,468.55 | varies |
| Parathyroid Planar Imaging (78070) | $13,124.19 | $13,124.19 | 31.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$2,503.31–$2,857.45 | $2,503.31–$2,857.45 | varies |
| Pet Image W/Ct Lmtd (78814) | $15,136.33 | $15,136.33 | 10.1× |
| PET image w/CT, full body (78816) | $15,674.56 | $15,674.56 | 10.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $15,131.60 | $15,131.60 | 10.1× |
| 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× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,206.90 | $10,206.90 | 24.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$4,230.20–$4,828.76 | $4,230.20–$4,828.76 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,650.53–$1,942.94 | $1,650.53–$1,942.94 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$2,654.33–$8,602.59 | $2,654.33–$8,602.59 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,959.66–$6,637.61 | $1,959.66–$6,637.61 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$2,110.68–$6,742.43 | $2,110.68–$6,742.43 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$3,297.49–$3,770.50 | $3,297.49–$3,770.50 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$1,401.79–$2,352.31 | $1,401.79–$2,352.31 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$1,959.66–$6,637.61 | $1,959.66–$6,637.61 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$2,169.29–$4,959.82 | $2,169.29–$4,959.82 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$778.17–$1,491.45 | $778.17–$1,491.45 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 6 matching MRF lines |
$1,039.36–$8,295.23 | $1,039.36–$8,295.23 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$2,537.07–$2,901.61 | $2,537.07–$2,901.61 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$2,025.40–$2,343.41 | $2,025.40–$2,343.41 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$3,034.54–$6,754.86 | $3,034.54–$6,754.86 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,812.20–$2,074.03 | $1,812.20–$2,074.03 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $4,710.63 | $4,710.63 | 25.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,259.64–$1,441.54 | $1,259.64–$1,441.54 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$2,226.17–$2,545.51 | $2,226.17–$2,545.51 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$3,297.49–$3,770.50 | $3,297.49–$3,770.50 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$1,638.09–$4,608.66 | $1,638.09–$4,608.66 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$778.17–$1,491.45 | $778.17–$1,491.45 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$2,071.59–$5,379.74 | $2,071.59–$5,379.74 | varies |
| 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× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,770.50 | $3,770.50 | 34.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$5,145.21–$5,226.28 | $5,145.21–$5,226.28 | varies |
| Radiologic exam colon double contrast study (74280) | $5,857.21 | $5,857.21 | 32.0× |
| 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 knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,659.66–$8,233.05 | $2,659.66–$8,233.05 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$3,402.30–$3,885.90 | $3,402.30–$3,885.90 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,390.10 | $3,390.10 | 18.5× |
| Radiologic exam swallow function contrast study (74230) | $3,310.40 | $3,310.40 | 18.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $9,010.90 | $9,010.90 | 49.2× |
| Radiologic examination femur 1 view (73551) | $2,260.63 | $2,260.63 | 24.9× |
| Radiologic examination femur minimum 2 views (73552) | $3,185.06 | $3,185.06 | 35.0× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$1,877.93–$2,968.80 | $1,877.93–$2,968.80 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,377.43 | $3,377.43 | 30.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$1,835.30–$6,637.61 | $1,835.30–$6,637.61 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $3,615.26 | $3,615.26 | 6.3× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$2,352.31–$3,023.89 | $2,352.31–$3,023.89 | varies |
| 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× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $8,103.37 | $8,103.37 | 33.3× |
| Salivary Gland Function Study (78232) | $10,084.05 | $10,084.05 | 24.2× |
| Scapula (73010) range across 6 matching MRF lines |
$3,118.04–$5,225.14 | $3,118.04–$5,225.14 | varies |
| 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) range across 6 matching MRF lines |
$1,604.33–$3,672.24 | $1,604.33–$3,672.24 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$4,157.38–$9,905.41 | $4,157.38–$9,905.41 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$2,220.82–$2,610.98 | $2,220.82–$2,610.98 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$2,300.77–$2,629.55 | $2,300.77–$2,629.55 | varies |
| Special dosimetry (77331) | $388.80 | $388.80 | 2.8× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$681.50–$711.80 | $681.50–$711.80 | varies |
| Special teletherapy port plan (77321) | $562.70 | $562.70 | 1.4× |
| Special treatment procedure (77470) | $1,552 | $1,552 | 2.7× |
| Speech evaluation, complex (70371) | $3,310.40 | $3,310.40 | 13.3× |
| Sternoclavicular joints (71130) | $2,317.61 | $2,317.61 | 25.5× |
| Testicular Imaging W/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 Intermed (77285) | $805.70 | $805.70 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $483.90 | $483.90 | 3.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $4,623.73 | $4,623.73 | 25.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$3,601.29–$4,113.80 | $3,601.29–$4,113.80 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$2,856.88–$3,263.35 | $2,856.88–$3,263.35 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$1,503.05–$1,547.47 | $1,503.05–$1,547.47 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $6,934.02 | $6,934.02 | 16.6× |
| Thyroid Met Imaging Body (78018) | $10,882.89 | $10,882.89 | 19.2× |
| 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× |
| Tx Devices Design & Construction Complex (77334) | $450.40 | $450.40 | 1.2× |
| Tx devices design & construction intermediate (77333) | $264.60 | $264.60 | 1.9× |
| Tx devices design & construction simple (77332) | $284.10 | $284.10 | 2.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$2,218.68–$4,435.94 | $2,218.68–$4,435.94 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,185.50 | $2,185.50 | 20.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$486.42–$3,278.63 | $486.42–$3,278.63 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,184.84 | $2,184.84 | 20.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$6,466.83–$17,383.44 | $6,466.83–$17,383.44 | varies |
| Unlisted us procedure (76999) | $4,331.53 | $4,331.53 | 47.7× |
| Upper gi w/o kub (74240) | $5,582.38 | $5,582.38 | 30.5× |
| Urethrocystogram voiding (74455) | $6,869.98 | $6,869.98 | 27.6× |
| Urethrocystography retrograde (74450) | $6,869.98 | $6,869.98 | 27.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$3,329.46–$6,657.37 | $3,329.46–$6,657.37 | varies |
| Us chest (76604) | $3,481.84 | $3,481.84 | 31.9× |
| Us complete joint (76881) range across 5 matching MRF lines |
$2,346.77–$3,212.25 | $2,346.77–$3,212.25 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$2,201.10–$2,564.46 | $2,201.10–$2,564.46 | varies |
| Us head (76506) | $2,986.42 | $2,986.42 | 27.4× |
| Us kidney transplant (76776) | $6,130.98 | $6,130.98 | 56.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$2,196.07–$3,359.39 | $2,196.07–$3,359.39 | varies |
| Us ob detailed single fetus (76811) | $4,073.17 | $4,073.17 | 16.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$3,855.03–$4,485.33 | $3,855.03–$4,485.33 | varies |
| Us ob transvaginal (76817) | $4,073.17 | $4,073.17 | 37.3× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$3,391.36–$3,947.58 | $3,391.36–$3,947.58 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$3,497.95–$4,073.17 | $3,497.95–$4,073.17 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,951.97 | $1,951.97 | 17.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,481.79–$2,891.94 | $2,481.79–$2,891.94 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$486.42–$4,331.53 | $486.42–$4,331.53 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$3,130.23–$3,644.15 | $3,130.23–$3,644.15 | varies |
| Us spinal canal and contents (76800) | $2,834.06 | $2,834.06 | 26.0× |
| Us thyroid (76536) range across 3 matching MRF lines |
$3,140.89–$3,689.37 | $3,140.89–$3,689.37 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$4,402.09–$5,446.47 | $4,402.09–$5,446.47 | varies |
| Vascular Flow Imaging (78445) | $22,722.63 | $22,722.63 | 54.4× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,377.26–$18,102.96 | $4,377.26–$18,102.96 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $11,539.18 | $11,539.18 | 3.5× |
| Venogram Sinus/Jugular (75860) | $11,470.12 | $11,470.12 | 3.5× |
| Venography Adrenal Unilateral (75840) | $7,932.78 | $7,932.78 | 2.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,377.26–$6,156.34 | $4,377.26–$6,156.34 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,165.04–$12,175.98 | $4,165.04–$12,175.98 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$3,041.19–$6,462.64 | $3,041.19–$6,462.64 | varies |
| Venography Renal Bilateral (75833) | $12,985.02 | $12,985.02 | 3.9× |
| Venography Renal Unilateral (75831) | $11,499.32 | $11,499.32 | 3.5× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$12,985.02–$19,653.81 | $12,985.02–$19,653.81 | varies |
| Vertebral fracture assessment via dxa (77086) | $3,558.83 | $3,558.83 | 39.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$2,178.19–$3,318.80 | $2,178.19–$3,318.80 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,917.01–$2,187.97 | $1,917.01–$2,187.97 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,850.43 | $1,850.43 | 5.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$19,249.55–$36,255.59 | $19,249.55–$36,255.59 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$2,151.53–$2,215.49 | $2,151.53–$2,215.49 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,813.27–$5,625.13 | $2,813.27–$5,625.13 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,606.10–$1,944.38 | $1,606.10–$1,944.38 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,542.67 | $1,542.67 | 17.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,569.69 | $2,569.69 | 23.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,082.48 | $3,082.48 | 28.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,260.63 | $2,260.63 | 24.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,801.86 | $3,801.86 | 41.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,110.93 | $4,110.93 | 37.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,005.47 | $4,005.47 | 36.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,418.56 | $4,418.56 | 40.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,929.90 | $4,929.90 | 45.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,563.73–$2,931.54 | $2,563.73–$2,931.54 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,901.03–$2,167.98 | $1,901.03–$2,167.98 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$4,040.14–$4,616.54 | $4,040.14–$4,616.54 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,324.13–$3,801.86 | $3,324.13–$3,801.86 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,188.58–$4,608.66 | $1,188.58–$4,608.66 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$2,226.17–$2,545.51 | $2,226.17–$2,545.51 | varies |
| X-ray IV pyelogram (ivp) (74400) | $5,269.02 | $5,269.02 | 28.8× |
| X-ray IV pyelogram+tomography (74415) | $9,905.41 | $9,905.41 | 54.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$2,071.59–$2,368.84 | $2,071.59–$2,368.84 | varies |
| 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) range across 2 matching MRF lines |
$2,911.95–$3,328.94 | $2,911.95–$3,328.94 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,756.34 | $1,756.34 | 19.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$3,738.09–$4,271.93 | $3,738.09–$4,271.93 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$2,464.23–$2,816.15 | $2,464.23–$2,816.15 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$2,226.17–$2,545.51 | $2,226.17–$2,545.51 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$3,297.49–$3,770.50 | $3,297.49–$3,770.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$4,759.68–$5,441.25 | $4,759.68–$5,441.25 | varies |
| X-ray thoracic spine 4 vw (72074) | $3,958.82 | $3,958.82 | 36.3× |
| X-Ray Tmj Unilat (70328) | $3,293.27 | $3,293.27 | 36.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,246.15 | $5,246.15 | 14.4× |
| X-Rays Bone Length Studies (77073) | $10,546.39 | $10,546.39 | 96.6× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$9,227.97–$10,546.39 | $9,227.97–$10,546.39 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$2,645.45–$3,024.07 | $2,645.45–$3,024.07 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$3,297.49–$3,770.50 | $3,297.49–$3,770.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,787.31–$3,770.50 | $1,787.31–$3,770.50 | varies |
| Xr Tomogram Single Plane (76100) | $5,664.98 | $5,664.98 | 51.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.