Imaging prices at HCA Florida Putnam Hospital

Palatka, FL · every code in this section with a posted price and a Medicare benchmark.

216 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $677.25 $677.25 6.2×
Acute gi blood loss imaging (78278) $9,727 $9,727 23.3×
Angiography extremity bilateral rs&i (75716) $18,326.75 $18,326.75 5.6×
Angiography extremity unilateral rs&i (75710) $14,319.25 $14,319.25 4.3×
Angiography pulmonary bilateral slctv rs&i (75743) $10,347 $10,347 3.1×
Angiography pulmonary unilateral slctv rs&i (75741) $13,832.25 $13,832.25 4.2×
Angiography visceral slctv/supraslctv rs&i (75726) $34,050.25 $34,050.25 5.9×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $4,766.50 $4,766.50 1.4×
Ankle 2 views (73600) $1,670.75 $1,670.75 18.4×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $20,048 $20,048 6.1×
Aortography abdominal serialography rs&i (75625) $8,980.50 $8,980.50 2.7×
Arthrogram hip (73525) $2,567 $2,567 7.0×
Arthrogram shoulder (73040) $3,367.75 $3,367.75 9.2×
Bone &/joint imaging whole body (78306) $10,640.75 $10,640.75 25.5×
Bone age studies (77072) $738.25 $738.25 6.8×
Bone Imaging 3 Phase (78315) $6,108.25 $6,108.25 14.6×
Bone Marrow Imaging Limited Area (78102) $1,839.25 $1,839.25 4.4×
Bone survey complete (77075) $2,126.75 $2,126.75 19.5×
Bone survey infant (77076) $1,494 $1,494 13.7×
Cervical spine 2 or 3 views (72040) $1,583 $1,583 17.4×
Chest 1 view (71045) $354 $354 3.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $3,124.50 $3,124.50 17.1×
Clavicle complete (73000) $1,649.50 $1,649.50 18.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $356.50 $356.50 3.3×
CT abdomen and pelvis without and with contrast (74178) $2,732.75 $2,732.75 7.5×
CT abdomen and pelvis without contrast (74176) $22,248 $22,248 89.3×
CT abdomen w contrast (74160) $11,792.50 $11,792.50 64.4×
CT abdomen w wo contrast (74170) $12,459.75 $12,459.75 68.0×
CT abdomen w/o contrast (74150) $11,125.50 $11,125.50 101.9×
CT angio lwr extr w/o&w/dye (73706) $24,894.75 $24,894.75 135.9×
CT angiography upper extremity lt (73206) $14,422.50 $14,422.50 78.7×
CT c-spine w/contrast (72126) $12,155.75 $12,155.75 33.4×
CT c-spine w/o contrast (72125) $11,125.50 $11,125.50 101.9×
CT cervical spine w&w/o contrast (72127) $23,275.50 $23,275.50 127.1×
CT chest w contrast (71260) $10,453 $10,453 57.1×
CT chest w/wo contrast (71270) $11,125.50 $11,125.50 60.7×
CT head/brain with contrast (70460) $11,792.50 $11,792.50 64.4×
CT head/brain without and with contrast (70470) $12,459.75 $12,459.75 68.0×
CT iac w contrast (70481) $11,792.50 $11,792.50 64.4×
CT lower ext w/o (73700) $8,014.75 $8,014.75 73.4×
CT lower extremity w wo contrast (73702) $9,371.50 $9,371.50 51.2×
CT lower extremity w/contrast material (73701) $8,676 $8,676 47.4×
CT lumbar spine w & w/o contrast (72133) $24,245 $24,245 132.4×
CT lumbar spine w/contrast (72132) $12,155.75 $12,155.75 33.4×
CT lumbar spine w/o contrast (72131) $11,125.50 $11,125.50 101.9×
CT maxillofacial w contrast (70487) $11,792.50 $11,792.50 64.4×
CT maxillofacial w/wo contrast (70488) $12,459.75 $12,459.75 68.0×
CT maxillofacial wo contrast (70486) $11,125.50 $11,125.50 101.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $11,125.50 $11,125.50 60.7×
CT orbits w/o contrast (70480) $11,125.50 $11,125.50 101.9×
CT pelvis w/o contrast (72192) $11,125.50 $11,125.50 101.9×
CT pelvis w/wo contrast (72194) $12,459.75 $12,459.75 68.0×
CT scan of arm combo (73202) $9,369.50 $9,369.50 51.2×
CT soft tissue neck w contrast (70491) $11,792.50 $11,792.50 64.4×
CT soft tissue neck w/o & w/contrast material (70492) $12,459.75 $12,459.75 68.0×
CT soft tissue neck w/o contrast (70490) $11,125.50 $11,125.50 101.9×
CT thoracic spine w/contrast (72129) $11,792.50 $11,792.50 64.4×
CT thoracic spine w/o contrast (72128) $11,125.50 $11,125.50 101.9×
CT thoracic spine w/wo contrast (72130) $24,245 $24,245 132.4×
CT thorax w/o contrast (71250) $9,792 $9,792 89.7×
CT upper ext wo (73200) $8,014.75 $8,014.75 73.4×
CT upper extremity with contrast (73201) $8,676 $8,676 23.8×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $12,459.75 $12,459.75 68.0×
Cta Abdomen (74175) $12,459.75 $12,459.75 68.0×
CTA abdomen pelvis (74174) $2,732.75 $2,732.75 7.5×
CTA chest (71275) $11,125.50 $11,125.50 60.7×
Cta Head (70496) $12,459.75 $12,459.75 68.0×
Cta Neck (70498) $12,459.75 $12,459.75 68.0×
Cta Pelvis (72191) $12,459.75 $12,459.75 68.0×
Dxa bone density study 1/> sites axial skel (77080) $1,940.50 $1,940.50 17.8×
Esophagus (74220) $3,124.50 $3,124.50 17.1×
Facial bones min 3 views (70150) $2,540.50 $2,540.50 23.3×
Fluoroscopy up to 1 hr (76000) $490.50 $490.50 2.0×
Foot 2 views (73620) $1,491.25 $1,491.25 16.4×
Forearm 2 views (73090) $2,120 $2,120 23.3×
Hand 2 views (73120) $1,460.75 $1,460.75 13.4×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,285.50 $1,285.50 2.3×
Hepatobiliary syst imaging including gallbladder (78226) $1,285.50 $1,285.50 3.1×
Hysterosalpingogram (74740) $3,247.75 $3,247.75 13.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $7,531 $7,531 13.3×
Kidney img morphology vascular flow 1 w/rx (78708) $8,436.50 $8,436.50 14.9×
Kidney Img Morphology Vascular Flow Multiple (78709) $7,531 $7,531 13.3×
Knee 3 views (73562) $2,216.50 $2,216.50 24.4×
Lymphoscintigraphy (78195) $7,175.25 $7,175.25 12.7×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $10,076.25 $10,076.25 12.3×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $10,076.25 $10,076.25 27.7×
Mr safety determination physician/other qhp (76016) $136.65 $136.65 1.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $33.45 $33.45 1.1×
Mr safety implt electronics prepj supvj phys/qhp (76018) $239.73 $239.73 2.4×
Mr safety implt pos&/immoblj (76019) $366.30 $366.30 5.9×
Mr safety med physics xm customization plng&mntr (76017) $573.93 $573.93 2.3×
MRA head w & w/o contrast (70546) $9,244.25 $9,244.25 25.4×
MRA head w/o contrast (70544) $7,861.25 $7,861.25 31.5×
MRA head with contrast (70545) $9,244.25 $9,244.25 25.4×
Mra Neck W/O &W/Contrast Material (70549) $9,244.25 $9,244.25 25.4×
MRA neck w/o contrast (70547) $7,861.25 $7,861.25 31.5×
MRI abdomen w/o & w/contrast material (74183) $9,659.88 $9,659.88 26.5×
MRI abdomen w/o contrast (74181) $8,199.75 $8,199.75 32.9×
MRI any jt lower extrem w/contrast material (73722) $9,244.25 $9,244.25 11.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $10,076.25 $10,076.25 27.7×
MRI breast w/o contrast bilateral (77047) $9,823 $9,823 39.4×
MRI cervical spine w/o contrast (72141) $8,199.75 $8,199.75 32.9×
MRI chest w/o contrast (71550) $7,318.25 $7,318.25 29.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $10,076.25 $10,076.25 27.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $8,199.75 $8,199.75 32.9×
MRI orbit face &/neck w/o contrast (70540) $8,199.75 $8,199.75 32.9×
MRI orbit/face/neck w&w/o cont (70543) $10,076.25 $10,076.25 27.7×
MRI pelvis w/o & w/contrast material (72197) $2,161.25 $2,161.25 5.9×
MRI pelvis w/o contrast (72195) $7,522.75 $7,522.75 30.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $10,076.25 $10,076.25 27.7×
MRI spinal canal lumbar w/contrast material (72149) $9,244.25 $9,244.25 25.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $10,076.25 $10,076.25 27.7×
MRI spinal canal thoracic w/contrast matrl (72147) $9,244.25 $9,244.25 25.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $10,076.25 $10,076.25 27.7×
MRI thoracic spine w/o contrast (72146) $8,199.75 $8,199.75 32.9×
MRI up ext w/o contrast (73218) $7,861.25 $7,861.25 31.5×
MRI upper ext joint w/o contrast (73221) $8,199.75 $8,199.75 32.9×
MRI, joint upper extrem combo (73223) $10,076.25 $10,076.25 27.7×
Myocardial Spect Multiple Studies (78452) $22,634.75 $22,634.75 16.7×
Neck soft tissue (70360) $1,954 $1,954 21.5×
Nm gastric emptying study (78264) $7,872.50 $7,872.50 18.9×
Nm kidney scan w/flow (78701) $8,981.75 $8,981.75 21.5×
Nuclear Rx Oral Admin (79005) $911.75 $911.75 3.7×
Parathyroid Planar Imaging (78070) $6,632.75 $6,632.75 15.9×
Pelvis 1 or 2 views (72170) $2,064.50 $2,064.50 18.9×
Pulmonary Perfusion Imaging Particulate (78580) $6,626 $6,626 15.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,387.50 $1,387.50 2.4×
Radex Ankle Compl Minimum 3 Views (73610) $2,268.25 $2,268.25 25.0×
Radex Calcaneus Minimum 2 Views (73650) $2,129.25 $2,129.25 23.4×
Radex Elbw Compl Minimum 3 Views (73080) $2,431.50 $2,431.50 26.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $2,625.50 $2,625.50 24.0×
Radex fingr minimum 2 views (73140) $1,779 $1,779 19.6×
Radex Foot Compl Minimum 3 Views (73630) $2,100.25 $2,100.25 23.1×
Radex Hand Minimum 3 Views (73130) $2,182.50 $2,182.50 24.0×
Radex Hip Unilateral With Pelvis 1 View (73501) $3,162.25 $3,162.25 34.8×
Radex Hips Bilateral With Pelvis 2 Views (73521) $6,452 $6,452 59.1×
Radex Humerus Minimum 2 Views (73060) $2,112.25 $2,112.25 23.2×
Radex Kne 1/2 Views (73560) $2,039.75 $2,039.75 22.4×
Radex Kne Compl 4/More Views (73564) $2,393.75 $2,393.75 21.9×
Radex Mndbl Compl Minimum 4 Views (70110) $2,862 $2,862 26.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,306.25 $2,306.25 25.4×
Radex Sho Compl Minimum 2 Views (73030) $2,441.25 $2,441.25 26.9×
Radex Sinuses Paransl < 3 Views (70210) $1,717.75 $1,717.75 18.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,519.25 $2,519.25 27.7×
Radex Toe Minimum 2 Views (73660) $1,608.75 $1,608.75 17.7×
Radex upper extremity infant minimum 2 views (73092) $4,241 $4,241 38.8×
Radex Wrst Compl Minimum 3 Views (73110) $2,089 $2,089 23.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $2,625.50 $2,625.50 24.0×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $354 $354 3.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $677.25 $677.25 6.2×
Radiologic exam chest 2 views (71046) $354 $354 3.9×
Radiologic exam colon single contrast study (74270) $4,829 $4,829 26.4×
Radiologic exam upr gi trc double contrast study (74246) $4,614.50 $4,614.50 25.2×
Radiologic exam upr gi trc single contrast study (74240) $5,305 $5,305 29.0×
Radiologic examination tibia & fibula 2 views (73590) $2,170.75 $2,170.75 23.9×
Radiological examination surgical specimen (76098) $1,298.25 $1,298.25 2.3×
Ribs bilateral 3 views (71110) $1,642.25 $1,642.25 15.0×
Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) $2,949.25 $2,949.25 7.1×
Rp loclzj tum plnr whole body single day imaging (78802) $9,476.25 $9,476.25 16.7×
Scapula (73010) $4,003 $4,003 36.7×
Shoulder 1 view (73020) $1,223 $1,223 13.5×
Small bowel series (74250) $3,495.25 $3,495.25 19.1×
Spine thoracic 3 views (72072) $2,289 $2,289 21.0×
Thoracolumbar 2 views (72080) $961 $961 10.6×
Thyroid imaging w/blood flow (78013) $2,902.75 $2,902.75 7.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $7,430.75 $7,430.75 17.8×
Ultrasound breast complete (76641) $2,368.25 $2,368.25 21.7×
Ultrasound Exam Aaa Screen (76706) $536.50 $536.50 4.9×
Ultrasound, abdomen limited (76705) $4,004 $4,004 36.7×
Urethrocystogram voiding (74455) $3,253.25 $3,253.25 13.1×
Urethrocystography retrograde rs&i (74450) $2,785.75 $2,785.75 11.2×
Us breast unilateral limited (76642) $2,368.25 $2,368.25 26.1×
Us chest (76604) $2,122 $2,122 19.4×
Us compl joint r-t w/image documentation (76881) $441.75 $441.75 4.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $331.75 $331.75 3.0×
Us ob limited (76815) $243.75 $243.75 2.2×
Us ob transvaginal (76817) $1,078 $1,078 9.9×
Us pelvic non ob complete (76856) $4,742.25 $4,742.25 43.4×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $263.25 $263.25 2.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $4,123.25 $4,123.25 37.8×
Us retroperitoneal complete (76770) $3,612.50 $3,612.50 33.1×
Us retroperitoneal limited (76775) $1,812.75 $1,812.75 16.6×
Us scrotum and contents (76870) $3,665.25 $3,665.25 33.6×
Us soft tissue head/neck (76536) $3,413 $3,413 31.3×
Us transrectal (76872) $1,450 $1,450 13.3×
Us,transplanted kidney, real time/ doppler (76776) $1,757 $1,757 16.1×
Venogram extremity bilateral (75822) $3,040.25 $3,040.25 1.8×
Venogram Extremity Unilateral (75820) $3,040.25 $3,040.25 1.8×
Venography caval inferior serialography rs&i (75825) $13,832.25 $13,832.25 4.2×
Venography caval superior serialography rs&i (75827) $13,832.25 $13,832.25 8.4×
Wrist 2 views (73100) $1,491.25 $1,491.25 16.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,649.50 $1,649.50 18.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $4,773.50 $4,773.50 26.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $2,100.25 $2,100.25 23.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $4,258.50 $4,258.50 46.9×
X-ray exam of femur 2/> (73552) $2,336.75 $2,336.75 25.7×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $1,432.50 $1,432.50 15.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,432.50 $1,432.50 15.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,821.25 $1,821.25 20.0×
X-ray leg, infant (73592) $4,241 $4,241 46.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,700 $2,700 24.7×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $4,086.75 $4,086.75 37.4×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $2,688.75 $2,688.75 24.6×
X-ray retrograde pyelogram (74420) $4,402.50 $4,402.50 12.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,448 $1,448 15.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $2,930 $2,930 26.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $4,838.50 $4,838.50 44.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $2,361.50 $2,361.50 21.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,956.25 $1,956.25 21.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,890 $2,890 31.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $1,717.75 $1,717.75 15.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $2,361.50 $2,361.50 26.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $2,176.75 $2,176.75 24.0×
Xr bone length studies (77073) $2,085.50 $2,085.50 19.1×
Xr c-spine 4 or 5 views (72050) $3,164.25 $3,164.25 29.0×
Xr c-spine 6 or more views (72052) $3,188.75 $3,188.75 29.2×