Imaging prices at HCA Florida Sarasota Doctors Hospital
Sarasota, FL · every code in this section with a posted price and a Medicare benchmark.
369 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,937 | $4,937 | 3.4× |
| Abdomen 2 views (74019) | $4,007.64 | $4,007.64 | 36.7× |
| Acute gi blood loss imaging (78278) | $9,305.02 | $9,305.02 | 22.3× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $3,680.22 | $3,680.22 | 2.7× |
| Angio Adrenal Bilat Select (75733) | $42,079.57 | $42,079.57 | 12.8× |
| Angiography extremity bilateral rs&i (75716) | $25,852.01 | $25,852.01 | 7.8× |
| Angiography extremity unilateral rs&i (75710) | $20,675.75 | $20,675.75 | 6.3× |
| Angiography internal mammary rs&i (75756) | $21,064.41 | $21,064.41 | 6.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $21,064.41 | $21,064.41 | 3.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $20,208.57 | $20,208.57 | 6.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,454 | $14,454 | 4.4× |
| Angiography Spinal Selective Rs&I (75705) | $21,064.41 | $21,064.41 | 3.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $21,064.41 | $21,064.41 | 3.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $5,663.41 | $5,663.41 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $21,064.41 | $21,064.41 | 6.4× |
| Ankle 2 views (73600) | $2,330.58 | $2,330.58 | 25.6× |
| Aortogram thoracic (75605) | $26,322.52 | $26,322.52 | 4.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $20,512.04 | $20,512.04 | 6.2× |
| Aortography abdominal serialography rs&i (75625) | $20,675.75 | $20,675.75 | 6.3× |
| Artery X-Rays Adrenal Gland (75731) | $21,064.41 | $21,064.41 | 6.4× |
| Arthrogram ankle (73615) | $5,264.11 | $5,264.11 | 14.4× |
| Arthrogram elbow (73085) | $4,438.89 | $4,438.89 | 12.2× |
| Arthrogram hip (73525) | $8,037.91 | $8,037.91 | 22.1× |
| Arthrogram knee (73580) | $8,379.98 | $8,379.98 | 23.0× |
| Arthrogram shoulder (73040) | $7,429.64 | $7,429.64 | 20.4× |
| Arthrogram wrist (73115) | $7,883.52 | $7,883.52 | 21.6× |
| Basic dosimetry (77300) | $485 | $485 | 3.5× |
| Bone &/Joint Imaging Limited Area (78300) | $3,569.74 | $3,569.74 | 8.6× |
| Bone &/Joint Imaging Multiple Areas (78305) | $8,639.52 | $8,639.52 | 20.7× |
| Bone &/joint imaging whole body (78306) | $8,651.50 | $8,651.50 | 20.7× |
| Bone age studies (77072) | $1,213.87 | $1,213.87 | 11.1× |
| Bone Imaging 3 Phase (78315) | $14,652.98 | $14,652.98 | 35.1× |
| Bone survey complete (77075) | $5,477.07 | $5,477.07 | 50.2× |
| Bone survey infant (77076) | $3,395.38 | $3,395.38 | 31.1× |
| Bowel imaging (78290) | $7,709.15 | $7,709.15 | 18.5× |
| Brachytx isodose complex (77318) | $4,635 | $4,635 | 11.9× |
| Brachytx isodose intermed (77317) | $2,334 | $2,334 | 6.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $1,556 | $1,556 | 4.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,284.14 | $8,284.14 | 14.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $15,511.47 | $15,511.47 | 37.2× |
| Cardiac shunt detection (78428) | $8,168.35 | $8,168.35 | 19.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $14,652.98 | $14,652.98 | 25.8× |
| Cervical spine 2 or 3 views (72040) | $3,314.19 | $3,314.19 | 36.5× |
| Chest 1 view (71045) | $2,783.12 | $2,783.12 | 30.6× |
| Chest xray 3 views (71047) | $3,179.76 | $3,179.76 | 35.0× |
| Cholecystography, oral contrast Non-Facility (74290) | $2,953.49 | $2,953.49 | 16.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,046.66 | $3,046.66 | 16.6× |
| Clavicle complete (73000) | $2,872.30 | $2,872.30 | 31.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $13,119.55 | $13,119.55 | 120.2× |
| Continuing medical physics consltj pr wk (77336) | $1,556 | $1,556 | 11.1× |
| Corpora cavernosography (74445) | $1,980.53 | $1,980.53 | 18.1× |
| CT abdomen and pelvis without and with contrast (74178) | $23,778.59 | $23,778.59 | 65.3× |
| CT abdomen and pelvis without contrast (74176) | $23,778.59 | $23,778.59 | 95.4× |
| CT abdomen w contrast (74160) | $22,055.15 | $22,055.15 | 120.4× |
| CT abdomen w wo contrast (74170) | $23,778.59 | $23,778.59 | 129.8× |
| CT abdomen w/o contrast (74150) | $22,055.15 | $22,055.15 | 202.0× |
| CT angio hrt w/3d image (75574) | $2,470.05 | $2,470.05 | 6.8× |
| CT angio lwr extr w/o&w/dye (73706) | $17,199.73 | $17,199.73 | 93.9× |
| CT angiography upper extremity lt (73206) | $13,604.98 | $13,604.98 | 74.3× |
| CT c-spine w/contrast (72126) | $17,855.71 | $17,855.71 | 49.0× |
| CT c-spine w/o contrast (72125) | $17,855.71 | $17,855.71 | 163.6× |
| CT cervical spine w&w/o contrast (72127) | $19,050.78 | $19,050.78 | 104.0× |
| CT chest w contrast (71260) | $19,203.44 | $19,203.44 | 104.8× |
| CT chest w/wo contrast (71270) | $22,067.08 | $22,067.08 | 120.5× |
| CT head/brain with contrast (70460) | $18,013.14 | $18,013.14 | 98.3× |
| CT head/brain without and with contrast (70470) | $18,159.85 | $18,159.85 | 99.1× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,820.04 | $1,820.04 | 20.0× |
| CT iac w contrast (70481) | $13,265.05 | $13,265.05 | 72.4× |
| CT limited/localized follow up study (76380) | $6,908.04 | $6,908.04 | 76.0× |
| CT lower ext w/o (73700) | $16,739.35 | $16,739.35 | 153.3× |
| CT lower extremity w wo contrast (73702) | $14,963.44 | $14,963.44 | 81.7× |
| CT lower extremity w/contrast material (73701) | $16,739.35 | $16,739.35 | 91.4× |
| CT lumbar spine w & w/o contrast (72133) | $21,634.14 | $21,634.14 | 118.1× |
| CT lumbar spine w/contrast (72132) | $19,880.88 | $19,880.88 | 54.6× |
| CT lumbar spine w/o contrast (72131) | $19,880.88 | $19,880.88 | 182.1× |
| CT maxillofacial w contrast (70487) | $9,751.40 | $9,751.40 | 53.2× |
| CT maxillofacial w/wo contrast (70488) | $11,876.77 | $11,876.77 | 64.8× |
| CT maxillofacial wo contrast (70486) | $6,646.84 | $6,646.84 | 60.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $16,973.12 | $16,973.12 | 92.7× |
| CT orbits w/o contrast (70480) | $16,383.93 | $16,383.93 | 150.1× |
| CT pelvis w/o contrast (72192) | $15,584.83 | $15,584.83 | 142.8× |
| CT pelvis w/wo contrast (72194) | $20,961.46 | $20,961.46 | 114.4× |
| CT scan of arm combo (73202) | $16,797.79 | $16,797.79 | 91.7× |
| CT soft tissue neck w contrast (70491) | $16,905.14 | $16,905.14 | 92.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $26,971.41 | $26,971.41 | 147.2× |
| CT soft tissue neck w/o contrast (70490) | $16,905.14 | $16,905.14 | 154.9× |
| CT thoracic spine w/contrast (72129) | $19,319.14 | $19,319.14 | 105.5× |
| CT thoracic spine w/o contrast (72128) | $17,855.71 | $17,855.71 | 163.6× |
| CT thoracic spine w/wo contrast (72130) | $19,319.14 | $19,319.14 | 105.5× |
| CT thorax w/o contrast (71250) | $19,203.44 | $19,203.44 | 175.9× |
| CT upper ext wo (73200) | $15,033.81 | $15,033.81 | 137.7× |
| CT upper extremity with contrast (73201) | $15,033.81 | $15,033.81 | 41.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $23,819.14 | $23,819.14 | 130.0× |
| Cta Abdomen (74175) | $23,819.14 | $23,819.14 | 130.0× |
| CTA abdomen pelvis (74174) | $23,820.34 | $23,820.34 | 65.4× |
| CTA chest (71275) | $22,904.34 | $22,904.34 | 125.0× |
| Cta Head (70496) | $18,159.85 | $18,159.85 | 99.1× |
| Cta Neck (70498) | $21,084.31 | $21,084.31 | 115.1× |
| Cta Pelvis (72191) | $23,820.34 | $23,820.34 | 130.0× |
| Cystography minimum 3 views rs&i (74430) | $4,867.47 | $4,867.47 | 13.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $2,048.40 | $2,048.40 | 8.2× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $5,057.80 | $5,057.80 | 2.3× |
| Diskogram cervical (72285) | $6,807.40 | $6,807.40 | 3.3× |
| Diskography lumbar (72295) | $6,807.40 | $6,807.40 | 3.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,567.50 | $2,567.50 | 23.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,362.94 | $1,362.94 | 12.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $408.62 | $408.62 | 4.5× |
| Esophagus (74220) | $2,507.60 | $2,507.60 | 13.7× |
| Facial bones min 3 views (70150) | $3,718.81 | $3,718.81 | 34.1× |
| Fetal biophysical profile non-stress testing (76818) | $2,301.30 | $2,301.30 | 21.1× |
| Fetal Echo (76825) | $3,838.60 | $3,838.60 | 6.7× |
| Fluoroscopy up to 1 hr (76000) | $5,173.60 | $5,173.60 | 20.8× |
| Foot 2 views (73620) | $1,980.53 | $1,980.53 | 21.8× |
| Forearm 2 views (73090) | $2,546.20 | $2,546.20 | 28.0× |
| Functional MRI brain by phys/psych (70555) | $12,725.57 | $12,725.57 | 51.1× |
| Functional MRI brain by tech (70554) | $12,725.57 | $12,725.57 | 51.1× |
| Hand 2 views (73120) | $1,887.36 | $1,887.36 | 17.3× |
| Heart Infarct Image (78466) | $8,833.85 | $8,833.85 | 21.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $24,386.58 | $24,386.58 | 7.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $24,386.58 | $24,386.58 | 7.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $9,395.53 | $9,395.53 | 16.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $8,284.14 | $8,284.14 | 19.8× |
| Hysterosalpingogram (74740) | $312.79 | $312.79 | 1.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $1,312.37 | $1,312.37 | 12.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,154.05 | $4,154.05 | 7.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,227.75 | $6,227.75 | 11.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $9,872.03 | $9,872.03 | 17.4× |
| Knee 3 views (73562) | $2,872.30 | $2,872.30 | 31.6× |
| Liver & spleen imaging static only (78215) | $11,087.23 | $11,087.23 | 26.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,066.62 | $3,066.62 | 7.3× |
| Liver imaging w/vascular flow (78202) | $3,066.62 | $3,066.62 | 5.4× |
| Lung perf&ventilat diferentl (78598) | $10,220.75 | $10,220.75 | 18.0× |
| Lung perfusion differential (78597) | $6,836.02 | $6,836.02 | 16.4× |
| Lung ventilation imaging (78579) | $5,812.48 | $5,812.48 | 13.9× |
| Lymphoscintigraphy (78195) | $10,311.26 | $10,311.26 | 18.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $11,044.88 | $11,044.88 | 13.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $11,044.88 | $11,044.88 | 30.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $12,725.57 | $12,725.57 | 34.9× |
| Mammary ductogram or galactogram multiple (77054) | $2,284 | $2,284 | 9.2× |
| Mammary ductogram or galactogram single (77053) | $1,939.26 | $1,939.26 | 7.8× |
| Mr safety determination physician/other qhp (76016) | $136 | $136 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $136 | $136 | 4.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $136 | $136 | 1.4× |
| Mr safety implt pos&/immoblj (76019) | $136 | $136 | 2.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $136 | $136 | 0.5× |
| MRA head w & w/o contrast (70546) | $12,725.57 | $12,725.57 | 34.9× |
| MRA head w/o contrast (70544) | $10,193.04 | $10,193.04 | 40.9× |
| MRA head with contrast (70545) | $11,044.88 | $11,044.88 | 30.3× |
| MRA neck w contrast (70548) | $11,044.88 | $11,044.88 | 30.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,725.57 | $12,725.57 | 34.9× |
| MRA neck w/o contrast (70547) | $10,193.04 | $10,193.04 | 40.9× |
| MRI abdomen w contrast (74182) | $11,044.88 | $11,044.88 | 30.3× |
| MRI abdomen w/o & w/contrast material (74183) | $12,725.57 | $12,725.57 | 34.9× |
| MRI abdomen w/o contrast (74181) | $10,193.04 | $10,193.04 | 40.9× |
| MRI any jt lower extrem w/contrast material (73722) | $11,044.88 | $11,044.88 | 13.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,725.57 | $12,725.57 | 34.9× |
| MRI breast w/o contrast bilateral (77047) | $12,725.57 | $12,725.57 | 51.1× |
| MRI breast wo contrast unilateral (77046) | $10,193.04 | $10,193.04 | 40.9× |
| MRI c-spine with contrast (72142) | $11,044.88 | $11,044.88 | 30.3× |
| MRI cervical spine w/o contrast (72141) | $10,193.04 | $10,193.04 | 40.9× |
| MRI chest w/o & w/contrast material (71552) | $12,725.57 | $12,725.57 | 34.9× |
| MRI chest w/o contrast (71550) | $10,193.04 | $10,193.04 | 40.9× |
| MRI chest with contrast (71551) | $11,044.88 | $11,044.88 | 13.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $11,044.88 | $11,044.88 | 30.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $12,725.57 | $12,725.57 | 34.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,193.04 | $10,193.04 | 40.9× |
| MRI orbit face &/neck w/o contrast (70540) | $10,193.04 | $10,193.04 | 40.9× |
| MRI orbit face neck w contrast (70542) | $11,044.88 | $11,044.88 | 30.3× |
| MRI orbit/face/neck w&w/o cont (70543) | $12,725.57 | $12,725.57 | 34.9× |
| MRI pelvis w/contrast (72196) | $11,044.88 | $11,044.88 | 30.3× |
| MRI pelvis w/o & w/contrast material (72197) | $12,725.57 | $12,725.57 | 34.9× |
| MRI pelvis w/o contrast (72195) | $10,381.80 | $10,381.80 | 41.7× |
| MRI spectroscopy (76390) | $12,725.57 | $12,725.57 | 140.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $12,725.57 | $12,725.57 | 34.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,044.88 | $11,044.88 | 30.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $12,725.57 | $12,725.57 | 34.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,044.88 | $11,044.88 | 30.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $12,725.57 | $12,725.57 | 34.9× |
| MRI temporomandibular joint (70336) | $10,193.04 | $10,193.04 | 40.9× |
| MRI thoracic spine w/o contrast (72146) | $10,193.04 | $10,193.04 | 40.9× |
| MRI up ext w/o contrast (73218) | $10,193.04 | $10,193.04 | 40.9× |
| MRI upper ext joint w/o contrast (73221) | $10,193.04 | $10,193.04 | 40.9× |
| MRI, joint upper extrem combo (73223) | $12,725.57 | $12,725.57 | 34.9× |
| Myelogram Cervical (72240) | $7,932.76 | $7,932.76 | 9.7× |
| Myelogram Lumbar (72265) | $7,932.76 | $7,932.76 | 9.7× |
| Myelogram thoracic (72255) | $7,932.76 | $7,932.76 | 9.7× |
| Myelography 2 or more regions (72270) | $10,553.50 | $10,553.50 | 12.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $15,786.99 | $15,786.99 | 11.7× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $21,309.31 | $21,309.31 | 15.8× |
| Myocardial Spect Multiple Studies (78452) | $21,309.31 | $21,309.31 | 15.8× |
| Myocardial spect single study at rest or stress (78451) | $20,253.83 | $20,253.83 | 15.0× |
| Neck soft tissue (70360) | $2,684.63 | $2,684.63 | 29.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $5,624.81 | $5,624.81 | 13.5× |
| Nm adrenal scan (78075) | $3,953.07 | $3,953.07 | 2.9× |
| Nm cisternogram (78630) | $24,383.92 | $24,383.92 | 43.0× |
| Nm gastric emptying study (78264) | $6,205.12 | $6,205.12 | 14.9× |
| Nm gastroesophageal reflux study (78262) | $3,519.16 | $3,519.16 | 8.4× |
| Nm peritoneal-venous shunt patency (78291) | $3,175.77 | $3,175.77 | 7.6× |
| Noncardiac Vascular Flow Imaging (78445) | $7,894.16 | $7,894.16 | 18.9× |
| Nonvascular shunt X-ray (75809) | $2,872.30 | $2,872.30 | 26.3× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $4,787.61 | $4,787.61 | 11.5× |
| Nuclear Rx Oral Admin (79005) | $5,572.90 | $5,572.90 | 22.9× |
| Osseous survey limited (77074) | $1,452.12 | $1,452.12 | 13.3× |
| Parathyroid Planar Imaging (78070) | $4,154.05 | $4,154.05 | 10.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $8,308.10 | $8,308.10 | 19.9× |
| Pelvis 1 or 2 views (72170) | $2,884.28 | $2,884.28 | 26.4× |
| Peritoneogram after injection (74190) | $1,378.92 | $1,378.92 | 2.4× |
| Platelet survival study Non-Facility (78191) | $5,324 | $5,324 | 12.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $24,386.58 | $24,386.58 | 7.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $24,386.58 | $24,386.58 | 7.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,010.80 | $6,010.80 | 14.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,447.86 | $8,447.86 | 14.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,660.67 | $2,660.67 | 4.7× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,677.97 | $2,677.97 | 29.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,256.05 | $2,256.05 | 24.8× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,179.76 | $3,179.76 | 35.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $4,251.21 | $4,251.21 | 46.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $5,985.51 | $5,985.51 | 54.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $7,721.13 | $7,721.13 | 70.7× |
| Radex fingr minimum 2 views (73140) | $2,445.05 | $2,445.05 | 26.9× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,639.37 | $2,639.37 | 29.0× |
| Radex Hand Minimum 3 Views (73130) | $2,582.14 | $2,582.14 | 28.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $3,354.12 | $3,354.12 | 36.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $4,606.59 | $4,606.59 | 42.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $6,451.36 | $6,451.36 | 59.1× |
| Radex Humerus Minimum 2 Views (73060) | $2,881.62 | $2,881.62 | 31.7× |
| Radex Kne 1/2 Views (73560) | $2,788.45 | $2,788.45 | 30.7× |
| Radex Kne Compl 4/More Views (73564) | $3,826.63 | $3,826.63 | 35.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,002.32 | $4,002.32 | 36.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,531.56 | $2,531.56 | 27.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $3,937.10 | $3,937.10 | 36.1× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,315.52 | $3,315.52 | 36.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,887.36 | $1,887.36 | 20.8× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $3,937.10 | $3,937.10 | 36.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,370.09 | $3,370.09 | 37.1× |
| Radex Toe Minimum 2 Views (73660) | $2,445.05 | $2,445.05 | 26.9× |
| Radex upper extremity infant minimum 2 views (73092) | $2,856.33 | $2,856.33 | 26.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,531.56 | $2,531.56 | 27.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $8,462.50 | $8,462.50 | 77.5× |
| Radiation treatment delivery level 1 (77402) | $1,315 | $1,315 | 12.3× |
| Radiation treatment delivery level 2 (77407) | $1,433 | $1,433 | 3.6× |
| Radiation treatment delivery level 3 (77412) | $2,475 | $2,475 | 4.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $3,867.89 | $3,867.89 | 42.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,788.94 | $4,788.94 | 43.9× |
| Radiologic exam chest 2 views (71046) | $3,046.66 | $3,046.66 | 33.5× |
| Radiologic exam colon single contrast study (74270) | $6,537.87 | $6,537.87 | 35.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,507.60 | $2,507.60 | 13.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,344.88 | $6,344.88 | 34.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $6,344.88 | $6,344.88 | 34.6× |
| Radiologic examination femur 1 view (73551) | $2,972.12 | $2,972.12 | 32.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,153.14 | $3,153.14 | 34.7× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,808.83 | $1,808.83 | 16.6× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $1,457.45 | $1,457.45 | 13.4× |
| Radiological examination surgical specimen (76098) | $1,453.45 | $1,453.45 | 2.5× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $7,820.96 | $7,820.96 | 32.1× |
| Ribs bilateral 3 views (71110) | $5,308.03 | $5,308.03 | 48.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $4,513.42 | $4,513.42 | 10.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,087.58 | $7,087.58 | 17.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $24,383.92 | $24,383.92 | 43.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,021.03 | $7,021.03 | 12.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,459 | $10,459 | 18.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $5,603.51 | $5,603.51 | 22.5× |
| Scapula (73010) | $2,471.67 | $2,471.67 | 22.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $62.56 | $62.56 | 2.7× |
| Sella turcica (70240) | $2,630.06 | $2,630.06 | 28.9× |
| Shoulder 1 view (73020) | $1,594.54 | $1,594.54 | 17.5× |
| Sialogram (70390) | $3,772.05 | $3,772.05 | 15.1× |
| Simulation intermediate (77285) | $1,151 | $1,151 | 2.9× |
| Small bowel series (74250) | $5,861.72 | $5,861.72 | 32.0× |
| Special dosimetry (77331) | $1,556 | $1,556 | 11.1× |
| Special Physics Consult (77370) | $1,079 | $1,079 | 7.7× |
| Special treatment procedure (77470) | $580 | $580 | 1.0× |
| Spine thoracic 3 views (72072) | $3,652.26 | $3,652.26 | 33.5× |
| Splenoportograpy rs&i (75810) | $21,019.15 | $21,019.15 | 6.4× |
| Superior sagittal sinus venogram (75870) | $23,675.83 | $23,675.83 | 7.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,635 | $4,635 | 11.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,556 | $1,556 | 4.0× |
| Testicular Imaging With Vascular Flow (78761) | $8,977.60 | $8,977.60 | 21.5× |
| Ther rad simulaj-aided field setting complex (77290) | $1,151 | $1,151 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,151 | $1,151 | 8.2× |
| Thoracolumbar 2 views (72080) | $2,028.44 | $2,028.44 | 22.3× |
| Thyroid carcinoma metastases img whole body (78018) | $11,919.11 | $11,919.11 | 21.0× |
| Thyroid uptake measurement (78012) | $4,826.21 | $4,826.21 | 11.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,826.21 | $4,826.21 | 11.6× |
| Tmj unilateral (70328) | $1,722.31 | $1,722.31 | 19.0× |
| Tomogram (76100) | $3,535.14 | $3,535.14 | 32.4× |
| Treatment device complex (77334) | $1,151 | $1,151 | 2.9× |
| Ultrasound breast complete (76641) | $2,450.37 | $2,450.37 | 22.4× |
| Ultrasound elastography first target lesion (76982) | $370.02 | $370.02 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $1,227.18 | $1,227.18 | 11.2× |
| Ultrasound, abdomen limited (76705) | $5,358.61 | $5,358.61 | 49.1× |
| Unlisted ultrasound procedure (76999) | $2,113.87 | $2,113.87 | 23.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $3,833.28 | $3,833.28 | 346.6× |
| Urea breath test, C-14 (isotopic); analysis Facility (78268) | $271.52 | $271.52 | 2.9× |
| Ureteral reflux study (78740) | $3,352.79 | $3,352.79 | 8.0× |
| Urethrocystogram voiding (74455) | $4,630.55 | $4,630.55 | 18.6× |
| Urethrocystography retrograde rs&i (74450) | $4,884.77 | $4,884.77 | 19.6× |
| Us breast unilateral limited (76642) | $2,764.49 | $2,764.49 | 30.4× |
| Us chest (76604) | $4,898.08 | $4,898.08 | 44.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $7,066.28 | $7,066.28 | 31.3× |
| Us compl joint r-t w/image documentation (76881) | $2,266.03 | $2,266.03 | 20.8× |
| Us elastography parenchyma (76981) | $370.02 | $370.02 | 3.4× |
| Us encephalogram (76506) | $2,012.47 | $2,012.47 | 18.4× |
| Us hips infant static (76886) | $874.47 | $874.47 | 9.6× |
| Us infant hips w manipulation (76885) | $1,027.53 | $1,027.53 | 11.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,844.77 | $1,844.77 | 16.9× |
| Us ob detailed single fetus (76811) | $6,653.67 | $6,653.67 | 26.7× |
| Us ob limited (76815) | $2,689.95 | $2,689.95 | 24.6× |
| Us ob transvaginal (76817) | $2,647.36 | $2,647.36 | 24.2× |
| Us pelvic non ob complete (76856) | $5,930.94 | $5,930.94 | 54.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,661.09 | $1,661.09 | 15.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,898.08 | $4,898.08 | 44.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $2,829.71 | $2,829.71 | 25.9× |
| Us retroperitoneal complete (76770) | $7,040.99 | $7,040.99 | 64.5× |
| Us retroperitoneal limited (76775) | $2,455.70 | $2,455.70 | 22.5× |
| Us scrotum and contents (76870) | $5,737.94 | $5,737.94 | 52.6× |
| Us soft tissue head/neck (76536) | $4,898.08 | $4,898.08 | 44.9× |
| Us spinal canal and contents (76800) | $4,790.27 | $4,790.27 | 43.9× |
| Us transrectal (76872) | $4,119.45 | $4,119.45 | 37.7× |
| Us transrectal prostate volume (76873) | $1,661.09 | $1,661.09 | 15.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $3,402.04 | $3,402.04 | 31.2× |
| Venogram adrenal unilat (75840) | $23,675.83 | $23,675.83 | 7.2× |
| Venogram extremity bilateral (75822) | $11,632.94 | $11,632.94 | 7.1× |
| Venogram Extremity Unilateral (75820) | $5,583.55 | $5,583.55 | 3.4× |
| Venography caval inferior serialography rs&i (75825) | $23,205.99 | $23,205.99 | 7.0× |
| Venography caval superior serialography rs&i (75827) | $23,205.99 | $23,205.99 | 14.1× |
| Venography Renal Bilateral (75833) | $24,525.01 | $24,525.01 | 7.4× |
| Venography renal unilateral selective rs&i (75831) | $23,675.83 | $23,675.83 | 7.2× |
| Venography venous sinus/jugular cath rs&i (75860) | $23,675.83 | $23,675.83 | 7.2× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) | $23,675.83 | $23,675.83 | 36.1× |
| Venous sampling by catheter (75893) | $22,304.90 | $22,304.90 | 3.8× |
| Venous thrombosis imaging, venogram; unilateral Non-Facility (78457) | $2,422.42 | $2,422.42 | 4.3× |
| Wrist 2 views (73100) | $2,531.56 | $2,531.56 | 27.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,788.94 | $4,788.94 | 43.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,177.10 | $3,177.10 | 35.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $9,246.46 | $9,246.46 | 50.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,870.97 | $2,870.97 | 31.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,914.47 | $3,914.47 | 43.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $8,929.68 | $8,929.68 | 81.8× |
| X-ray exam of femur 2/> (73552) | $3,315.52 | $3,315.52 | 36.5× |
| X-ray eye for foreign body (70030) | $1,457.45 | $1,457.45 | 16.0× |
| X-ray IV pyelogram (ivp) (74400) | $7,679.87 | $7,679.87 | 41.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,642.45 | $1,642.45 | 18.1× |
| X-ray leg, infant (73592) | $2,856.33 | $2,856.33 | 31.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,937.10 | $3,937.10 | 36.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $5,438.47 | $5,438.47 | 49.8× |
| X-ray nose-rectum child f.b. (76010) | $2,783.12 | $2,783.12 | 30.6× |
| X-ray optic foramen (70190) | $3,814.65 | $3,814.65 | 42.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,814.65 | $3,814.65 | 34.9× |
| X-ray retrograde pyelogram (74420) | $6,436.72 | $6,436.72 | 17.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,330.58 | $2,330.58 | 25.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,346.13 | $3,346.13 | 30.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,308.03 | $5,308.03 | 48.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,749.85 | $2,749.85 | 25.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,315.52 | $3,315.52 | 36.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,578.64 | $4,578.64 | 50.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,806.24 | $4,806.24 | 44.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $3,477.90 | $3,477.90 | 31.9× |
| X-Ray Small Bowel Enteroclysis (74251) | $5,185.58 | $5,185.58 | 28.3× |
| X-Ray Spine One View - Xr Spine (72020) | $2,366.52 | $2,366.52 | 26.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,029.36 | $3,029.36 | 33.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,626.98 | $3,626.98 | 39.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $787.95 | $787.95 | 7.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,652.26 | $3,652.26 | 33.5× |
| Xr bone length studies (77073) | $3,927.12 | $3,927.12 | 36.0× |
| Xr c-spine 4 or 5 views (72050) | $4,493.46 | $4,493.46 | 41.2× |
| Xr c-spine 6 or more views (72052) | $5,438.47 | $5,438.47 | 49.8× |
| Xr chest 4+ views (71048) | $3,178.43 | $3,178.43 | 29.1× |
| Xr urogram antegrade (74425) | $2,482.32 | $2,482.32 | 6.8× |