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
Acute gi blood loss imaging (78278) $9,727 $9,727 23.3×
Angio extremity unilateral (75710) $14,319.25 $14,319.25 4.3×
Angio pulmonary unilateral (75741) $13,832.25 $13,832.25 4.2×
Angiogram extremity bilateral (75716) $18,326.75 $18,326.75 5.6×
Angiography pulmonary bilateral slctv rs&i (75743) $10,347 $10,347 3.1×
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×
Barium enema (74270) $4,829 $4,829 26.4×
Bone age studies (77072) $738.25 $738.25 6.8×
Bone survey complete (77075) $2,126.75 $2,126.75 19.5×
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, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $11,792.50 $11,792.50 64.4×
Contrast exam abdominl aorta (75625) $8,980.50 $8,980.50 2.7×
CT - st neck w&wo contr (70492) $12,459.75 $12,459.75 68.0×
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 wo contrast (74170) $12,459.75 $12,459.75 68.0×
CT abdomen w/contrast (74160) $11,792.50 $11,792.50 64.4×
CT abdomen w/o contrast (74150) $11,125.50 $11,125.50 101.9×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $2,732.75 $2,732.75 7.5×
CT angio abdom w/o & w/dye (74175) $12,459.75 $12,459.75 68.0×
CT angio abdominal arteries (75635) $12,459.75 $12,459.75 68.0×
CT angiograph pelv w/o&w/dye (72191) $12,459.75 $12,459.75 68.0×
CT cervical spine w/contrast (72126) $12,155.75 $12,155.75 33.4×
CT cervical spine w/o contrast (72125) $11,125.50 $11,125.50 101.9×
CT chest w/contrast (71260) $10,453 $10,453 57.1×
CT extremity upper w & w/o contrast (73202) $9,369.50 $9,369.50 51.2×
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 lower ext w/wo contrast (73702) $9,371.50 $9,371.50 51.2×
CT lower extremity w contrast (73701) $8,676 $8,676 47.4×
CT lower extremity w/o contrast unilateral (73700) $8,014.75 $8,014.75 73.4×
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 lumbar spine w/o then w/ con (72133) $24,245 $24,245 132.4×
CT maxillofacial area w/o contrast (70486) $11,125.50 $11,125.50 101.9×
CT maxillofacial w/contrast (70487) $11,792.50 $11,792.50 64.4×
CT maxillofacial w/o then w/ con (70488) $12,459.75 $12,459.75 68.0×
CT orbit sella ear w/o con (70480) $11,125.50 $11,125.50 101.9×
CT orbit/ear/fossa w/o then w/ con (70482) $11,125.50 $11,125.50 60.7×
CT pelvis w & w/o contrast (72194) $12,459.75 $12,459.75 68.0×
CT pelvis w/o contrast (72192) $11,125.50 $11,125.50 101.9×
CT soft tissue neck w/contrast (70491) $11,792.50 $11,792.50 64.4×
CT soft tissue neck w/o contrast (70490) $11,125.50 $11,125.50 101.9×
CT spine cervical w/wo contrast (72127) $23,275.50 $23,275.50 127.1×
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/o then w/ con (72130) $24,245 $24,245 132.4×
CT thorax lung cancer scr c- (71271) $356.50 $356.50 3.3×
CT thorax w/o contrast (71250) $9,792 $9,792 89.7×
CT thorax w/o then w/ contrast (71270) $11,125.50 $11,125.50 60.7×
CT upper extremity w/dye (73201) $8,676 $8,676 23.8×
CT upper extremity w/o contrast rt (73200) $8,014.75 $8,014.75 73.4×
CTA chest w/wo contrast (71275) $11,125.50 $11,125.50 60.7×
CTA head w contrast (70496) $12,459.75 $12,459.75 68.0×
CTA lower extremity w/wo contrast unilateral (73706) $24,894.75 $24,894.75 135.9×
Cta Neck (70498) $12,459.75 $12,459.75 68.0×
CTA upper extremity w/wo contrast unilateral (73206) $14,422.50 $14,422.50 78.7×
Esophogram (74220) $3,124.50 $3,124.50 17.1×
Fluoroscopy up to 1 hour physician/qhp time (76000) $490.50 $490.50 2.0×
Gastric emptying study (78264) $7,872.50 $7,872.50 18.9×
Hepatobil syst image w/drug (78227) $1,285.50 $1,285.50 2.3×
Hepatobiliary system imaging (78226) $1,285.50 $1,285.50 3.1×
Humerus min 2 views (73060) $2,112.25 $2,112.25 23.2×
Hysterosalpingography (74740) $3,247.75 $3,247.75 13.0×
Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) $7,531 $7,531 13.3×
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) $7,531 $7,531 13.3×
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) $8,436.50 $8,436.50 14.9×
Kidney w vascular flow (78701) $8,981.75 $8,981.75 21.5×
Lung ventilat&perfus imaging (78582) $1,387.50 $1,387.50 2.4×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $10,076.25 $10,076.25 27.7×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $10,076.25 $10,076.25 27.7×
Mr safety determination physician/other qhp (76016) $136.65 $136.65 1.5×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $366.30 $366.30 5.9×
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 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/contrast (70545) $9,244.25 $9,244.25 25.4×
MRA head w/o contrast (70544) $7,861.25 $7,861.25 31.5×
MRA neck w/o contrast (70547) $7,861.25 $7,861.25 31.5×
MRA neck w/wo contrast (70549) $9,244.25 $9,244.25 25.4×
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 jnt lwr ext with con lt (73722) $9,244.25 $9,244.25 11.3×
MRI breast without 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 joint upper ext w/contrast (73222) $10,076.25 $10,076.25 12.3×
MRI joint upr extr w/o&w/dye (73223) $10,076.25 $10,076.25 27.7×
MRI joint upr extrem w/o dye (73221) $8,199.75 $8,199.75 32.9×
Mri Lower Extremity W/O Dye (73718) $8,199.75 $8,199.75 32.9×
MRI lumbar spine with contrast (72149) $9,244.25 $9,244.25 25.4×
MRI lumbar w/wo contrast (72158) $10,076.25 $10,076.25 27.7×
MRI orbit/face/neck w/o & w/contrast (70543) $10,076.25 $10,076.25 27.7×
MRI orbit/face/neck w/o contrast (70540) $8,199.75 $8,199.75 32.9×
MRI pelvis w/o contrast (72195) $7,522.75 $7,522.75 30.2×
MRI pelvis w/wo contrast (72197) $2,161.25 $2,161.25 5.9×
MRI spine cervical wo/w contrast (72156) $10,076.25 $10,076.25 27.7×
MRI spine thoracic w/contrast (72147) $9,244.25 $9,244.25 25.4×
MRI thoracic spine w wo contrast (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 upper extremity oth than jt w/o contr matrl (73218) $7,861.25 $7,861.25 31.5×
MRI upr ext w/o jnts w/o-w/con rt (73220) $10,076.25 $10,076.25 27.7×
Nm bone 3 phase (78315) $6,108.25 $6,108.25 14.6×
Nm bone imaging whole body (78306) $10,640.75 $10,640.75 25.5×
Nm bone marrow scan limited (78102) $1,839.25 $1,839.25 4.4×
Nm heart perfusion spect stress rest (78452) $22,634.75 $22,634.75 16.7×
Nm lymph system (78195) $7,175.25 $7,175.25 12.7×
Nm thyroid imaging only (78013) $2,902.75 $2,902.75 7.0×
Ob us < 14 wks single fetus (76801) $4,123.25 $4,123.25 37.8×
Oral radiopharm rx (79005) $911.75 $911.75 3.7×
Parathyroid imaging (78070) $6,632.75 $6,632.75 15.9×
Pulmonary perfusion imaging particulate (78580) $6,626 $6,626 15.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $2,625.50 $2,625.50 24.0×
Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) $2,625.50 $2,625.50 24.0×
Radex hip unilateral with pelvis 1 view (73501) $3,162.25 $3,162.25 34.8×
Radex hip unilateral with pelvis 2-3 views (73502) $4,258.50 $4,258.50 46.9×
Radex hips bilateral with pelvis 2 views (73521) $6,452 $6,452 59.1×
Radex spine cervical 2 or 3 views (72040) $1,583 $1,583 17.4×
Radex spine cervical 4 or 5 views (72050) $3,164.25 $3,164.25 29.0×
Radex spine cervical 6 or more views (72052) $3,188.75 $3,188.75 29.2×
Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) $961 $961 10.6×
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 Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $2,336.75 $2,336.75 25.7×
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×
Shoulder arthrogram (73040) $3,367.75 $3,367.75 9.2×
Small bowel series (74250) $3,495.25 $3,495.25 19.1×
Thyroid uptake w/blood flow sngle/mult quan meas (78014) $7,430.75 $7,430.75 17.8×
Ultrasound breast limited (76642) $2,368.25 $2,368.25 26.1×
Ultrasound, abdomen limited (76705) $4,004 $4,004 36.7×
Urethrocystography retrograde rs&i (74450) $2,785.75 $2,785.75 11.2×
Urethrocystography voiding (74455) $3,253.25 $3,253.25 13.1×
Urography retrograde w/wo kub (74420) $4,402.50 $4,402.50 12.1×
Us abdominal aorta real time screen study aaa (76706) $536.50 $536.50 4.9×
Us breast uni real time with image complete (76641) $2,368.25 $2,368.25 21.7×
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 kidney transplanted (76776) $1,757 $1,757 16.1×
Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) $331.75 $331.75 3.0×
Us ob limited 1 or more fetuses (76815) $243.75 $243.75 2.2×
Us obstetric transvaginal (76817) $1,078 $1,078 9.9×
Us pelvic limited or f/u non-ob (76857) $263.25 $263.25 2.4×
Us pelvis complete (76856) $4,742.25 $4,742.25 43.4×
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 (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×
Venogram extremity bilateral (75822) $3,040.25 $3,040.25 1.8×
Venogram ivc w serialography (75825) $13,832.25 $13,832.25 4.2×
Venogram svc w serialography (75827) $13,832.25 $13,832.25 8.4×
Venography ext unilateral (75820) $3,040.25 $3,040.25 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,649.50 $1,649.50 18.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $2,268.25 $2,268.25 25.0×
X-ray aorta leg arteries (75630) $20,048 $20,048 6.1×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $4,773.50 $4,773.50 26.1×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $2,431.50 $2,431.50 26.8×
X-ray exam of finger(s) (73140) $1,779 $1,779 19.6×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $1,432.50 $1,432.50 15.8×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $1,491.25 $1,491.25 16.4×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $2,100.25 $2,100.25 23.1×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $1,460.75 $1,460.75 13.4×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $2,182.50 $2,182.50 24.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $2,129.25 $2,129.25 23.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,432.50 $1,432.50 15.8×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $2,216.50 $2,216.50 24.4×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $2,393.75 $2,393.75 21.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,821.25 $1,821.25 20.0×
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 Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,448 $1,448 15.9×
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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $2,441.25 $2,441.25 26.9×
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 Toe(S) - Xr Toes 2+ Views Right (73660) $1,608.75 $1,608.75 17.7×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $1,491.25 $1,491.25 16.4×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $2,089 $2,089 23.0×
Xr abdomen 1 view (74018) $354 $354 3.9×
Xr abdomen 2 views (74019) $677.25 $677.25 6.2×
Xr abdomen 3 views (74021) $677.25 $677.25 6.2×
Xr arthrogram hip (73525) $2,567 $2,567 7.0×
Xr bone density axial (77080) $1,940.50 $1,940.50 17.8×
Xr bone length study (77073) $2,085.50 $2,085.50 19.1×
Xr bone survey infant (77076) $1,494 $1,494 13.7×
Xr chest 1 view (71045) $354 $354 3.9×
Xr chest 2 views (71046) $354 $354 3.9×
Xr facial bones 3 views (70150) $2,540.50 $2,540.50 23.3×
Xr lower extremity 2 views infant (73592) $4,241 $4,241 46.7×
Xr mandible 4 views (70110) $2,862 $2,862 26.2×
Xr nasal bones (70160) $2,306.25 $2,306.25 25.4×
Xr sternum 2 views (71120) $2,176.75 $2,176.75 24.0×
Xr surgical specimen (76098) $1,298.25 $1,298.25 2.3×
Xr upper extremity 2 views infant (73092) $4,241 $4,241 38.8×
Xray elbow 2 views (73070) $2,100.25 $2,100.25 23.1×
Xray forearm 2 views (73090) $2,120 $2,120 23.3×
Xray knee 1 or 2 views rt (73560) $2,039.75 $2,039.75 22.4×
Xray neck soft tissue (70360) $1,954 $1,954 21.5×
Xray orbits complete min 4 views (70200) $2,688.75 $2,688.75 24.6×
Xray pelvis 1 or 2 views (72170) $2,064.50 $2,064.50 18.9×
Xray ribs bilateral 3 views (71110) $1,642.25 $1,642.25 15.0×
Xray ribs unilat w/ pa chest 3v rt (71101) $2,930 $2,930 26.8×
Xray scapula complete (73010) $4,003 $4,003 36.7×
Xray shoulder 1 view (73020) $1,223 $1,223 13.5×
Xray sinuses paranasal <3 views (70210) $1,717.75 $1,717.75 18.9×
Xray spine thoracic 3 views (72072) $2,289 $2,289 21.0×
Xray tibia-fibula 2 views bil (73590) $2,170.75 $2,170.75 23.9×
Xray tmj's bilateral open-clsc (70330) $2,519.25 $2,519.25 27.7×