Imaging prices at HCA Florida Poinciana Hospital
Kissimmee, FL · every code in this section with a posted price and a Medicare benchmark.
284 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $4,097.35 | $4,097.35 | 37.5× |
| Acute gi blood loss imaging (78278) | $7,303.70 | $7,303.70 | 17.5× |
| Angiography extremity bilateral rs&i (75716) | $16,757.35 | $16,757.35 | 5.1× |
| Angiography extremity unilateral rs&i (75710) | $7,038.35 | $7,038.35 | 2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $2,999.05 | $2,999.05 | 0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,831.35 | $12,831.35 | 3.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,391.60 | $5,391.60 | 1.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $4,067.85 | $4,067.85 | 0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $14,230.10 | $14,230.10 | 4.3× |
| Ankle 2 views (73600) | $2,100.20 | $2,100.20 | 23.1× |
| Aortogram thoracic (75605) | $13,227.85 | $13,227.85 | 2.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $21,648.90 | $21,648.90 | 6.6× |
| Aortography abdominal serialography rs&i (75625) | $14,131.80 | $14,131.80 | 4.3× |
| Arthrogram hip (73525) | $5,571.80 | $5,571.80 | 15.3× |
| Arthrogram knee (73580) | $5,997.40 | $5,997.40 | 16.5× |
| Arthrogram shoulder (73040) | $7,753.72 | $7,753.72 | 21.3× |
| Arthrogram wrist (73115) | $5,553.15 | $5,553.15 | 15.2× |
| Bone &/Joint Imaging Limited Area (78300) | $8,210.35 | $8,210.35 | 19.7× |
| Bone &/joint imaging whole body (78306) | $14,962 | $14,962 | 35.8× |
| Bone age studies (77072) | $1,811.15 | $1,811.15 | 16.6× |
| Bone Imaging 3 Phase (78315) | $9,692.05 | $9,692.05 | 23.2× |
| Bone survey complete (77075) | $5,892.48 | $5,892.48 | 54.0× |
| Bone survey infant (77076) | $2,978.98 | $2,978.98 | 27.3× |
| Bowel imaging (78290) | $8,844.50 | $8,844.50 | 21.2× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $7,192.10 | $7,192.10 | 17.2× |
| Brain Imaging Vascular Flow Only (78610) | $8,940.10 | $8,940.10 | 15.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $11,052.75 | $11,052.75 | 26.5× |
| Cervical spine 2 or 3 views (72040) | $2,224.15 | $2,224.15 | 24.5× |
| Chest 1 view (71045) | $2,304.60 | $2,304.60 | 25.4× |
| Chest xray 3 views (71047) | $3,483.95 | $3,483.95 | 38.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,159.38 | $4,159.38 | 22.7× |
| Clavicle complete (73000) | $2,853.60 | $2,853.60 | 31.4× |
| CT abdomen and pelvis without and with contrast (74178) | $25,987.80 | $25,987.80 | 71.3× |
| CT abdomen and pelvis without contrast (74176) | $25,987.80 | $25,987.80 | 104.3× |
| CT abdomen w contrast (74160) | $21,900.70 | $21,900.70 | 119.6× |
| CT abdomen w wo contrast (74170) | $21,900.70 | $21,900.70 | 119.6× |
| CT abdomen w/o contrast (74150) | $21,900.70 | $21,900.70 | 200.6× |
| CT angio hrt w/3d image (75574) | $21,900.70 | $21,900.70 | 60.1× |
| CT angio lwr extr w/o&w/dye (73706) | $19,538.30 | $19,538.30 | 106.7× |
| CT angiography upper extremity lt (73206) | $19,538.30 | $19,538.30 | 106.7× |
| CT c-spine w/contrast (72126) | $21,900.70 | $21,900.70 | 60.1× |
| CT c-spine w/o contrast (72125) | $21,900.70 | $21,900.70 | 200.6× |
| CT cervical spine w&w/o contrast (72127) | $21,900.70 | $21,900.70 | 119.6× |
| CT chest w contrast (71260) | $21,900.70 | $21,900.70 | 119.6× |
| CT chest w/wo contrast (71270) | $21,900.70 | $21,900.70 | 119.6× |
| CT head/brain with contrast (70460) | $21,900.70 | $21,900.70 | 119.6× |
| CT head/brain without and with contrast (70470) | $21,900.70 | $21,900.70 | 119.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $22,118.68 | $22,118.68 | 60.7× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $22,118.68 | $22,118.68 | 243.4× |
| CT iac w contrast (70481) | $21,900.70 | $21,900.70 | 119.6× |
| CT limited/localized follow up study (76380) | $22,118.68 | $22,118.68 | 243.4× |
| CT lower ext w/o (73700) | $21,900.70 | $21,900.70 | 200.6× |
| CT lower extremity w wo contrast (73702) | $21,900.70 | $21,900.70 | 119.6× |
| CT lower extremity w/contrast material (73701) | $21,900.70 | $21,900.70 | 119.6× |
| CT lumbar spine w & w/o contrast (72133) | $21,900.70 | $21,900.70 | 119.6× |
| CT lumbar spine w/contrast (72132) | $21,900.70 | $21,900.70 | 60.1× |
| CT lumbar spine w/o contrast (72131) | $21,900.70 | $21,900.70 | 200.6× |
| CT maxillofacial w contrast (70487) | $21,900.70 | $21,900.70 | 119.6× |
| CT maxillofacial w/wo contrast (70488) | $21,900.70 | $21,900.70 | 119.6× |
| CT maxillofacial wo contrast (70486) | $21,900.70 | $21,900.70 | 200.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $21,900.70 | $21,900.70 | 119.6× |
| CT orbits w/o contrast (70480) | $21,900.70 | $21,900.70 | 200.6× |
| CT pelvis w/o contrast (72192) | $21,900.70 | $21,900.70 | 200.6× |
| CT pelvis w/wo contrast (72194) | $21,900.70 | $21,900.70 | 119.6× |
| CT scan of arm combo (73202) | $21,900.70 | $21,900.70 | 119.6× |
| CT soft tissue neck w contrast (70491) | $21,900.70 | $21,900.70 | 119.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $21,900.70 | $21,900.70 | 119.6× |
| CT soft tissue neck w/o contrast (70490) | $21,900.70 | $21,900.70 | 200.6× |
| CT thoracic spine w/contrast (72129) | $21,900.70 | $21,900.70 | 119.6× |
| CT thoracic spine w/o contrast (72128) | $21,900.70 | $21,900.70 | 200.6× |
| CT thoracic spine w/wo contrast (72130) | $21,900.70 | $21,900.70 | 119.6× |
| CT thorax w/o contrast (71250) | $21,900.70 | $21,900.70 | 200.6× |
| CT unlisted procedure (76497) | $1,633.98 | $1,633.98 | 18.0× |
| CT upper ext wo (73200) | $21,900.70 | $21,900.70 | 200.6× |
| CT upper extremity with contrast (73201) | $21,900.70 | $21,900.70 | 60.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $22,118.68 | $22,118.68 | 120.8× |
| Cta Abdomen (74175) | $21,900.70 | $21,900.70 | 119.6× |
| CTA abdomen pelvis (74174) | $25,987.80 | $25,987.80 | 71.3× |
| CTA chest (71275) | $21,900.70 | $21,900.70 | 119.6× |
| Cta Head (70496) | $21,900.70 | $21,900.70 | 119.6× |
| Cta Neck (70498) | $21,900.70 | $21,900.70 | 119.6× |
| Cta Pelvis (72191) | $21,900.70 | $21,900.70 | 119.6× |
| Cystography minimum 3 views rs&i (74430) | $4,159.38 | $4,159.38 | 11.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $4,704.22 | $4,704.22 | 43.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $2,749.30 | $2,749.30 | 30.3× |
| Esophagus (74220) | $4,423.12 | $4,423.12 | 24.1× |
| Facial bones min 3 views (70150) | $4,058.80 | $4,058.80 | 37.2× |
| Fetal biophysical profile non-stress testing (76818) | $4,344.50 | $4,344.50 | 39.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,344.50 | $4,344.50 | 39.8× |
| Fluoroscopy up to 1 hr (76000) | $4,101.60 | $4,101.60 | 16.5× |
| Foot 2 views (73620) | $2,560.25 | $2,560.25 | 28.2× |
| Forearm 2 views (73090) | $2,643.40 | $2,643.40 | 29.1× |
| Hand 2 views (73120) | $1,813.25 | $1,813.25 | 16.6× |
| Heart Infarct Image (78466) | $7,766.75 | $7,766.75 | 18.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $13,662.55 | $13,662.55 | 24.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $12,542.40 | $12,542.40 | 30.0× |
| Hysterosalpingogram (74740) | $4,676.62 | $4,676.62 | 18.8× |
| Interstitial radiation source applic complex (77778) | $18,441.65 | $18,441.65 | 25.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $18,441.65 | $18,441.65 | 25.4× |
| Kidney imaging morphology (78700) | $7,972.95 | $7,972.95 | 19.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $11,809.20 | $11,809.20 | 20.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $12,542.40 | $12,542.40 | 22.1× |
| Knee 3 views (73562) | $2,498.70 | $2,498.70 | 27.5× |
| Liver & spleen imaging static only (78215) | $11,957 | $11,957 | 28.6× |
| Lung perf&ventilat diferentl (78598) | $23,902.80 | $23,902.80 | 42.2× |
| Lung perfusion differential (78597) | $23,086.85 | $23,086.85 | 55.3× |
| Lung ventilation imaging (78579) | $10,293.85 | $10,293.85 | 24.7× |
| Lymphoscintigraphy (78195) | $8,633.45 | $8,633.45 | 15.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $12,663.55 | $12,663.55 | 15.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $12,663.55 | $12,663.55 | 34.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $12,663.55 | $12,663.55 | 34.8× |
| Mammary ductogram or galactogram multiple (77054) | $4,933.25 | $4,933.25 | 19.8× |
| Mammary ductogram or galactogram single (77053) | $2,509.38 | $2,509.38 | 10.1× |
| MRA head w & w/o contrast (70546) | $19,107.55 | $19,107.55 | 52.4× |
| MRA head w/o contrast (70544) | $15,311.20 | $15,311.20 | 61.4× |
| MRA head with contrast (70545) | $19,281.85 | $19,281.85 | 52.9× |
| MRA neck w contrast (70548) | $9,982.90 | $9,982.90 | 27.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $19,107.55 | $19,107.55 | 52.4× |
| MRA neck w/o contrast (70547) | $8,445.95 | $8,445.95 | 33.9× |
| MRI abdomen w contrast (74182) | $21,682.20 | $21,682.20 | 59.5× |
| MRI abdomen w/o & w/contrast material (74183) | $25,837 | $25,837 | 70.9× |
| MRI abdomen w/o contrast (74181) | $16,775.50 | $16,775.50 | 67.3× |
| MRI any jt lower extrem w/contrast material (73722) | $12,663.55 | $12,663.55 | 15.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,663.55 | $12,663.55 | 34.8× |
| MRI breast w/o contrast bilateral (77047) | $6,903.80 | $6,903.80 | 27.7× |
| MRI breast wo contrast unilateral (77046) | $6,903.80 | $6,903.80 | 27.7× |
| MRI c-spine with contrast (72142) | $16,624 | $16,624 | 45.6× |
| MRI cervical spine w/o contrast (72141) | $14,670.05 | $14,670.05 | 58.9× |
| MRI chest w/o & w/contrast material (71552) | $10,749.20 | $10,749.20 | 29.5× |
| MRI chest w/o contrast (71550) | $6,909.40 | $6,909.40 | 27.7× |
| MRI chest with contrast (71551) | $9,213.75 | $9,213.75 | 11.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $12,663.55 | $12,663.55 | 34.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $12,663.55 | $12,663.55 | 34.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $12,663.55 | $12,663.55 | 50.8× |
| MRI orbit face &/neck w/o contrast (70540) | $11,515.90 | $11,515.90 | 46.2× |
| MRI orbit face neck w contrast (70542) | $9,982.90 | $9,982.90 | 27.4× |
| MRI orbit/face/neck w&w/o cont (70543) | $14,423.15 | $14,423.15 | 39.6× |
| MRI pelvis w/contrast (72196) | $16,951.20 | $16,951.20 | 46.5× |
| MRI pelvis w/o & w/contrast material (72197) | $14,423.15 | $14,423.15 | 39.6× |
| MRI pelvis w/o contrast (72195) | $8,573.95 | $8,573.95 | 34.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $18,574.75 | $18,574.75 | 51.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $17,890.50 | $17,890.50 | 49.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $18,952.85 | $18,952.85 | 52.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $17,890.50 | $17,890.50 | 49.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $21,802.95 | $21,802.95 | 59.8× |
| MRI temporomandibular joint (70336) | $13,742 | $13,742 | 55.2× |
| MRI thoracic spine w/o contrast (72146) | $13,081.60 | $13,081.60 | 52.5× |
| MRI up ext w/o contrast (73218) | $12,663.55 | $12,663.55 | 50.8× |
| MRI upper ext joint w/o contrast (73221) | $12,663.55 | $12,663.55 | 50.8× |
| MRI, joint upper extrem combo (73223) | $18,992.15 | $18,992.15 | 52.1× |
| Myelogram Cervical (72240) | $13,018.82 | $13,018.82 | 15.9× |
| Myelogram Lumbar (72265) | $13,018.82 | $13,018.82 | 15.9× |
| Myelography 2 or more regions (72270) | $13,082.20 | $13,082.20 | 16.0× |
| Myocardial Spect Multiple Studies (78452) | $27,310.80 | $27,310.80 | 20.2× |
| Myocardial spect single study at rest or stress (78451) | $25,898.30 | $25,898.30 | 19.2× |
| Neck soft tissue (70360) | $2,709.72 | $2,709.72 | 29.8× |
| Nm cisternogram (78630) | $4,582 | $4,582 | 8.1× |
| Nm gastric emptying study (78264) | $4,631 | $4,631 | 11.1× |
| Nm peritoneal-venous shunt patency (78291) | $7,119.80 | $7,119.80 | 17.1× |
| Noncardiac Vascular Flow Imaging (78445) | $5,075.30 | $5,075.30 | 12.2× |
| Nonvascular shunt X-ray (75809) | $22,389.85 | $22,389.85 | 205.1× |
| Parathyroid Planar Imaging (78070) | $3,630.10 | $3,630.10 | 8.7× |
| Pelvis 1 or 2 views (72170) | $2,850.85 | $2,850.85 | 26.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $16,857.05 | $16,857.05 | 40.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $23,086.85 | $23,086.85 | 40.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $5,032.05 | $5,032.05 | 8.8× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,642 | $2,642 | 29.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,550.30 | $2,550.30 | 28.1× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,083.95 | $3,083.95 | 33.9× |
| Radex fingr minimum 2 views (73140) | $2,465.42 | $2,465.42 | 27.1× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,560.25 | $2,560.25 | 28.2× |
| Radex Hand Minimum 3 Views (73130) | $2,729.75 | $2,729.75 | 30.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,235.25 | $2,235.25 | 24.6× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,235.25 | $2,235.25 | 20.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,112.40 | $2,112.40 | 19.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,112.40 | $2,112.40 | 19.3× |
| Radex Humerus Minimum 2 Views (73060) | $2,960.50 | $2,960.50 | 32.6× |
| Radex Kne 1/2 Views (73560) | $2,668.50 | $2,668.50 | 29.4× |
| Radex Kne Compl 4/More Views (73564) | $3,009.30 | $3,009.30 | 27.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,334.15 | $4,334.15 | 39.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,179.65 | $3,179.65 | 35.0× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $3,076.72 | $3,076.72 | 28.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,157.90 | $3,157.90 | 34.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,953.28 | $1,953.28 | 21.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,301.32 | $3,301.32 | 36.3× |
| Radex Toe Minimum 2 Views (73660) | $2,498.70 | $2,498.70 | 27.5× |
| Radex upper extremity infant minimum 2 views (73092) | $3,957.65 | $3,957.65 | 36.3× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,147.45 | $3,147.45 | 34.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $3,770.88 | $3,770.88 | 41.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,417.98 | $4,417.98 | 40.5× |
| Radiologic exam chest 2 views (71046) | $2,787.45 | $2,787.45 | 30.7× |
| Radiologic exam colon single contrast study (74270) | $6,240.72 | $6,240.72 | 34.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,426.10 | $6,426.10 | 35.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $9,410.50 | $9,410.50 | 51.4× |
| Radiologic examination femur 1 view (73551) | $2,812.60 | $2,812.60 | 30.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $5,243.60 | $5,243.60 | 57.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,157.90 | $3,157.90 | 34.7× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,839.45 | $1,839.45 | 16.8× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $1,839.45 | $1,839.45 | 16.8× |
| Radiological examination surgical specimen (76098) | $1,612.70 | $1,612.70 | 2.8× |
| Ribs bilateral 3 views (71110) | $3,477.12 | $3,477.12 | 31.9× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $4,993.25 | $4,993.25 | 12.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $12,933.85 | $12,933.85 | 31.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $44,522.10 | $44,522.10 | 78.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $18,813.60 | $18,813.60 | 33.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,420 | $10,420 | 18.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $958.65 | $958.65 | 3.8× |
| Scapula (73010) | $2,780.35 | $2,780.35 | 25.5× |
| Sella turcica (70240) | $2,112.40 | $2,112.40 | 23.2× |
| Shoulder 1 view (73020) | $1,848.25 | $1,848.25 | 20.3× |
| Sialogram (70390) | $5,049.40 | $5,049.40 | 20.3× |
| Small bowel series (74250) | $6,421.32 | $6,421.32 | 35.1× |
| Spine thoracic 3 views (72072) | $3,019.48 | $3,019.48 | 27.7× |
| Testicular Imaging With Vascular Flow (78761) | $8,940.10 | $8,940.10 | 21.4× |
| Thoracolumbar 2 views (72080) | $3,019.48 | $3,019.48 | 33.2× |
| Thyroid carcinoma metastases img whole body (78018) | $13,377.45 | $13,377.45 | 23.6× |
| Thyroid imaging w/blood flow (78013) | $4,439.45 | $4,439.45 | 10.6× |
| Thyroid uptake measurement (78012) | $3,927.40 | $3,927.40 | 9.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $10,808.70 | $10,808.70 | 25.9× |
| Tmj unilateral (70328) | $1,885.10 | $1,885.10 | 20.7× |
| Ultrasound breast complete (76641) | $3,487.60 | $3,487.60 | 31.9× |
| Ultrasound Exam Aaa Screen (76706) | $4,909.85 | $4,909.85 | 45.0× |
| Ultrasound, abdomen limited (76705) | $4,407.78 | $4,407.78 | 40.4× |
| Umbilical-artery Doppler (OB) (76820) | $1,801.02 | $1,801.02 | 16.5× |
| Unlisted ultrasound procedure (76999) | $1,684.70 | $1,684.70 | 18.5× |
| Urethrocystogram voiding (74455) | $4,544.42 | $4,544.42 | 18.2× |
| Urethrocystography retrograde rs&i (74450) | $3,142.15 | $3,142.15 | 12.6× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $6,882.72 | $6,882.72 | 37.6× |
| Us breast unilateral limited (76642) | $3,487.60 | $3,487.60 | 38.4× |
| Us chest (76604) | $1,293.65 | $1,293.65 | 11.8× |
| Us compl joint r-t w/image documentation (76881) | $4,371.38 | $4,371.38 | 40.0× |
| Us encephalogram (76506) | $1,069.85 | $1,069.85 | 9.8× |
| Us infant hips w manipulation (76885) | $4,540.75 | $4,540.75 | 50.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,034.92 | $3,034.92 | 27.8× |
| Us ob detailed single fetus (76811) | $5,975.10 | $5,975.10 | 24.0× |
| Us ob limited (76815) | $4,758.52 | $4,758.52 | 43.6× |
| Us ob transvaginal (76817) | $6,373.60 | $6,373.60 | 58.4× |
| Us pelvic non ob complete (76856) | $5,003.55 | $5,003.55 | 45.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $4,540.75 | $4,540.75 | 41.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $6,373.60 | $6,373.60 | 58.4× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $3,774.58 | $3,774.58 | 34.6× |
| Us retroperitoneal complete (76770) | $5,834.02 | $5,834.02 | 53.4× |
| Us retroperitoneal limited (76775) | $5,460.30 | $5,460.30 | 50.0× |
| Us scrotum and contents (76870) | $4,596.22 | $4,596.22 | 42.1× |
| Us soft tissue head/neck (76536) | $4,624.88 | $4,624.88 | 42.4× |
| Us spinal canal and contents (76800) | $4,407.78 | $4,407.78 | 40.4× |
| Us transrectal (76872) | $3,550.40 | $3,550.40 | 32.5× |
| Us,transplanted kidney, real time/ doppler (76776) | $6,006.20 | $6,006.20 | 55.0× |
| Venogram extremity bilateral (75822) | $5,107.18 | $5,107.18 | 3.1× |
| Venogram Extremity Unilateral (75820) | $3,777.55 | $3,777.55 | 2.3× |
| Venography caval inferior serialography rs&i (75825) | $3,840.15 | $3,840.15 | 1.2× |
| Venography caval superior serialography rs&i (75827) | $4,499.05 | $4,499.05 | 2.7× |
| Wrist 2 views (73100) | $2,100.20 | $2,100.20 | 23.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,687.05 | $3,687.05 | 33.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,768 | $2,768 | 30.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,418.92 | $6,418.92 | 35.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $3,157.90 | $3,157.90 | 34.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,235.25 | $2,235.25 | 24.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,112.40 | $2,112.40 | 19.3× |
| X-ray exam of femur 2/> (73552) | $2,812.60 | $2,812.60 | 30.9× |
| X-ray eye for foreign body (70030) | $1,878.15 | $1,878.15 | 20.7× |
| X-ray IV pyelogram (ivp) (74400) | $6,974.02 | $6,974.02 | 38.1× |
| X-ray leg, infant (73592) | $4,573.40 | $4,573.40 | 50.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,937.85 | $3,937.85 | 36.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $5,867.95 | $5,867.95 | 53.8× |
| X-ray nose-rectum child f.b. (76010) | $1,953.28 | $1,953.28 | 21.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,317.82 | $4,317.82 | 39.6× |
| X-ray retrograde pyelogram (74420) | $2,569.68 | $2,569.68 | 7.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,883.65 | $2,883.65 | 31.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,610.85 | $3,610.85 | 33.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,577.45 | $4,577.45 | 41.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,874.55 | $1,874.55 | 17.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,777.32 | $3,777.32 | 41.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,790.28 | $3,790.28 | 41.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,404.90 | $3,404.90 | 31.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,686.90 | $2,686.90 | 24.6× |
| X-Ray Spine One View - Xr Spine (72020) | $2,184.62 | $2,184.62 | 24.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,242.35 | $3,242.35 | 35.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,099.92 | $3,099.92 | 28.4× |
| Xr bone length studies (77073) | $2,885.90 | $2,885.90 | 26.4× |
| Xr c-spine 4 or 5 views (72050) | $3,535.42 | $3,535.42 | 32.4× |
| Xr c-spine 6 or more views (72052) | $4,484.80 | $4,484.80 | 41.1× |
| Xr chest 4+ views (71048) | $3,943.32 | $3,943.32 | 36.1× |
| Xr urogram antegrade (74425) | $5,378.62 | $5,378.62 | 14.8× |