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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,937 | $4,937 | 3.4× |
| Abdomen 1 View (74018) | $3,867.89 | $3,867.89 | 42.6× |
| Abdomen 2 views (74019) | $4,007.64 | $4,007.64 | 36.7× |
| Acute Gastrointestinal 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× |
| Adrenal Cortex & Medulla Img (78075) | $3,953.07 | $3,953.07 | 2.9× |
| Angio internal mammary (75756) | $21,064.41 | $21,064.41 | 6.4× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$15,443.59–$24,973.55 | $15,443.59–$24,973.55 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $42,079.57 | $42,079.57 | 12.8× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$22,921.15–$26,325.85 | $22,921.15–$26,325.85 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$17,006.19–$21,064.41 | $17,006.19–$21,064.41 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$13,453.75–$21,064.41 | $13,453.75–$21,064.41 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $21,064.41 | $21,064.41 | 6.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$2,330.58–$4,630.55 | $2,330.58–$4,630.55 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$24,499.72–$28,145.33 | $24,499.72–$28,145.33 | varies |
| Artery X-Rays Abdomen (75726) | $21,064.41 | $21,064.41 | 3.6× |
| Artery X-Rays Adrenal Gland (75731) | $21,064.41 | $21,064.41 | 6.4× |
| Artery X-Rays Pelvis (75736) | $21,064.41 | $21,064.41 | 3.6× |
| Artery X-Rays Spine (75705) | $21,064.41 | $21,064.41 | 3.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$5,264.11–$10,502.92 | $5,264.11–$10,502.92 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$8,037.91–$16,023.91 | $8,037.91–$16,023.91 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$5,264.11–$10,697.25 | $5,264.11–$10,697.25 | varies |
| Basic radiation dosimetry calculation (77300) | $485 | $485 | 3.5× |
| 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 Imaging Limited Area (78300) | $3,569.74 | $3,569.74 | 8.6× |
| Bone Imaging Multiple Areas (78305) | $8,639.52 | $8,639.52 | 20.7× |
| Bone Imaging Whole Body (78306) | $8,651.50 | $8,651.50 | 20.7× |
| Bone survey infant (77076) | $3,395.38 | $3,395.38 | 31.1× |
| Brachytx isodose complex (77318) | $4,635 | $4,635 | 11.9× |
| Brachytx isodose intermed (77317) | $2,334 | $2,334 | 6.0× |
| Brachytx Isodose Plan Simple (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× |
| Cardiac Shunt Detection (78428) | $8,168.35 | $8,168.35 | 19.6× |
| Cat Scan Follow-Up Study (76380) | $6,908.04 | $6,908.04 | 76.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $14,652.98 | $14,652.98 | 25.8× |
| Cerebrospinal Fluid Scan (78630) | $24,383.92 | $24,383.92 | 43.0× |
| Chest 1 view (71045) | $2,783.12 | $2,783.12 | 30.6× |
| Chest 2 views (71046) | $3,046.66 | $3,046.66 | 33.5× |
| Chest 3 views (71047) | $3,179.76 | $3,179.76 | 35.0× |
| Chest 4 or more views (71048) | $3,178.43 | $3,178.43 | 29.1× |
| Cholecystography Oral Contrast (74290) | $2,953.49 | $2,953.49 | 16.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,872.30–$5,716.65 | $2,872.30–$5,716.65 | varies |
| 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× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$18,341.18–$21,064.41 | $18,341.18–$21,064.41 | varies |
| Contrast X-Ray Bladder (74430) | $4,867.47 | $4,867.47 | 13.4× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$4,438.89–$8,853.81 | $4,438.89–$8,853.81 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$8,379.98–$16,721.35 | $8,379.98–$16,721.35 | varies |
| 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 Abdomen and Pelvis (74174) | $23,820.34 | $23,820.34 | 65.4× |
| CT Angio Chest (71275) | $22,904.34 | $22,904.34 | 125.0× |
| CT Angio Head (70496) | $18,159.85 | $18,159.85 | 99.1× |
| CT angio hrt w/3d image (75574) | $2,470.05 | $2,470.05 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$17,199.73–$20,711 | $17,199.73–$20,711 | varies |
| CT Angio Neck (70498) | $21,084.31 | $21,084.31 | 115.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,191.63–$13,604.98 | $3,191.63–$13,604.98 | varies |
| CT cervical spine w/ contrast (72126) | $17,855.71 | $17,855.71 | 49.0× |
| CT cervical spine w/o contrast (72125) | $17,855.71 | $17,855.71 | 163.6× |
| CT cervical spine w/wo cont (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 no contrast quant eval coronry calcium (75571) | $1,820.04 | $1,820.04 | 20.0× |
| CT iac w contrast (70481) | $13,265.05 | $13,265.05 | 72.4× |
| CT l-spine w&w/o contrast (72133) | $21,634.14 | $21,634.14 | 118.1× |
| CT lower ext w/o (73700) | $16,739.35 | $16,739.35 | 153.3× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$16,739.35–$27,182.52 | $16,739.35–$27,182.52 | varies |
| 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 wo contrast (70486) | $6,646.84 | $6,646.84 | 60.9× |
| CT neck tissue combo (70492) | $26,971.41 | $26,971.41 | 147.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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&w/o contrast (72194) | $20,961.46 | $20,961.46 | 114.4× |
| CT pelvis w/o contrast (72192) | $15,584.83 | $15,584.83 | 142.8× |
| CT scan of leg combo (73702) | $14,963.44 | $14,963.44 | 81.7× |
| CT scans face/jaw combo (70488) | $11,876.77 | $11,876.77 | 64.8× |
| CT soft tissue neck w contrast (70491) | $16,905.14 | $16,905.14 | 92.3× |
| 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 cont (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) range across 3 matching MRF lines |
$15,033.81–$30,039 | $15,033.81–$30,039 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$13,604.98–$27,182.52 | $13,604.98–$27,182.52 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$15,033.81–$24,329.61 | $15,033.81–$24,329.61 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $23,819.14 | $23,819.14 | 130.0× |
| Cta Abdomen (74175) | $23,819.14 | $23,819.14 | 130.0× |
| CTA pelvis (72191) | $23,820.34 | $23,820.34 | 130.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$2,028.44–$2,068.37 | $2,028.44–$2,068.37 | varies |
| Dilation ureters/urethra rs&i (74485) | $5,057.80 | $5,057.80 | 2.3× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$6,744.18–$6,870.62 | $6,744.18–$6,870.62 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$6,744.18–$6,870.62 | $6,744.18–$6,870.62 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,567.50 | $2,567.50 | 23.5× |
| Dxa Bone Density Axial (77080) | $1,362.94 | $1,362.94 | 12.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $408.62 | $408.62 | 4.5× |
| Echo exam of fetal heart (76825) | $3,838.60 | $3,838.60 | 6.7× |
| Echo exam uterus (76831) | $5,603.51 | $5,603.51 | 22.5× |
| Echo Guide For Artery Repair (76936) | $7,066.28 | $7,066.28 | 31.3× |
| Echograp Trans R Pros Study (76873) | $1,661.09 | $1,661.09 | 15.2× |
| Esophagram (74220) | $2,507.60 | $2,507.60 | 13.7× |
| Fetal Biophys Profile W/Nst (76818) | $2,301.30 | $2,301.30 | 21.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$4,594.61–$5,277.42 | $4,594.61–$5,277.42 | varies |
| Follow-Up Angiography (75898) | $5,663.41 | $5,663.41 | 1.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,980.53–$3,946.42 | $1,980.53–$3,946.42 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,546.20–$5,060.46 | $2,546.20–$5,060.46 | varies |
| Gastric emptying imaging study (78264) | $6,205.12 | $6,205.12 | 14.9× |
| Gastroesophageal Reflux Exam (78262) | $3,519.16 | $3,519.16 | 8.4× |
| Gated Heart Planar Single (78472) | $15,511.47 | $15,511.47 | 37.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,887.36–$3,760.08 | $1,887.36–$3,760.08 | varies |
| 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 Image W/Drug (78227) | $9,395.53 | $9,395.53 | 16.6× |
| Hepatobiliary System Imaging (78226) | $8,284.14 | $8,284.14 | 19.8× |
| Ht Musc Image Planar Mult (78454) | $21,309.31 | $21,309.31 | 15.8× |
| Ht Muscle Image Spect Sing (78451) | $20,253.83 | $20,253.83 | 15.0× |
| Hysterosalpingogram (74740) | $312.79 | $312.79 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,027.53 | $1,027.53 | 11.3× |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$874.47–$1,661.09 | $874.47–$1,661.09 | varies |
| Joint Survey Single View (77077) | $1,312.37 | $1,312.37 | 12.0× |
| K Flow/Funct Image Multiple (78709) | $9,872.03 | $9,872.03 | 17.4× |
| K Flow/Funct Image W/Drug (78708) | $6,227.75 | $6,227.75 | 11.0× |
| K Flow/Funct Image W/O Drug (78707) | $4,154.05 | $4,154.05 | 7.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,872.30–$7,623.97 | $2,872.30–$7,623.97 | varies |
| Leveen/Shunt Patency Exam (78291) | $3,175.77 | $3,175.77 | 7.6× |
| 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 Ventilat&Perfus Imaging (78582) | $8,447.86 | $8,447.86 | 14.9× |
| Lung Ventilation Imaging (78579) | $5,812.48 | $5,812.48 | 13.9× |
| Lymph System Imaging (78195) | $10,311.26 | $10,311.26 | 18.2× |
| Magnetic Image Jaw Joint (70336) | $10,193.04 | $10,193.04 | 40.9× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$1,521.33–$3,046.66 | $1,521.33–$3,046.66 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,293.73–$2,584.80 | $1,293.73–$2,584.80 | varies |
| Meckels Divert Exam (78290) | $7,709.15 | $7,709.15 | 18.5× |
| 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/O & W/Contrast Material (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 contrast (74181) | $10,193.04 | $10,193.04 | 40.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$11,044.88–$22,063.14 | $11,044.88–$22,063.14 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$12,725.57–$25,439.04 | $12,725.57–$25,439.04 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$11,044.88–$22,063.14 | $11,044.88–$22,063.14 | varies |
| MRI brain functional w/o physician admnistration (70554) | $12,725.57 | $12,725.57 | 51.1× |
| MRI brain functional w/physician admnistration (70555) | $12,725.57 | $12,725.57 | 51.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $12,725.57 | $12,725.57 | 51.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $10,193.04 | $10,193.04 | 40.9× |
| MRI cervical spine w contrast (72142) | $11,044.88 | $11,044.88 | 30.3× |
| MRI cervical spine w/o cont (72141) | $10,193.04 | $10,193.04 | 40.9× |
| 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 chest wo w contrast (71552) | $12,725.57 | $12,725.57 | 34.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$11,044.88–$22,063.14 | $11,044.88–$22,063.14 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$12,725.57–$25,439.04 | $12,725.57–$25,439.04 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$10,193.04–$20,364.30 | $10,193.04–$20,364.30 | varies |
| MRI lumbar spine w contrast (72149) | $11,044.88 | $11,044.88 | 30.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,725.57 | $12,725.57 | 34.9× |
| 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 Orbt/Fac/Nck W/O &W/Dye (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 (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 thoracic spine w/o contrast (72146) | $10,193.04 | $10,193.04 | 40.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$11,044.88–$22,063.14 | $11,044.88–$22,063.14 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$10,193.04–$20,364.30 | $10,193.04–$20,364.30 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$12,725.57–$25,439.04 | $12,725.57–$25,439.04 | varies |
| MRI, abdomen, combo (74183) | $12,725.57 | $12,725.57 | 34.9× |
| MRI, dorsal spine combo (72157) | $12,725.57 | $12,725.57 | 34.9× |
| MRI, dorsal spine contrast (72147) | $11,044.88 | $11,044.88 | 30.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,193.04–$20,364.30 | $10,193.04–$20,364.30 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$12,725.57–$25,439.04 | $12,725.57–$25,439.04 | varies |
| MRI, lumbar spine combo (72158) | $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× |
| Myelography thoracic (72255) | $7,932.76 | $7,932.76 | 9.7× |
| Myelograpy 2/more regions rs&i (72270) | $10,553.50 | $10,553.50 | 12.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $8,833.85 | $8,833.85 | 21.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $15,786.99 | $15,786.99 | 11.7× |
| Myocardial Spect Multiple Studies (78452) | $21,309.31 | $21,309.31 | 15.8× |
| 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× |
| Nonvascular Shunt X-Ray (75809) | $2,872.30 | $2,872.30 | 26.3× |
| Nuclear Rx Oral Admin (79005) | $5,572.90 | $5,572.90 | 22.9× |
| Optic foramina (70190) | $3,814.65 | $3,814.65 | 42.0× |
| 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 Rs&I (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× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,010.80 | $6,010.80 | 14.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $4,788.94 | $4,788.94 | 43.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,636.71–$2,684.63 | $2,636.71–$2,684.63 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,677.97–$5,314.68 | $2,677.97–$5,314.68 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$2,256.05–$4,482.81 | $2,256.05–$4,482.81 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$3,179.76–$6,344.88 | $3,179.76–$6,344.88 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,718.81 | $3,718.81 | 34.1× |
| Radex fingr minimum 2 views (73140) | $2,445.05 | $2,445.05 | 26.9× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,639.37–$5,264.11 | $2,639.37–$5,264.11 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,582.14–$5,120.36 | $2,582.14–$5,120.36 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$2,856.33–$5,676.72 | $2,856.33–$5,676.72 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$1,808.83–$3,592.37 | $1,808.83–$3,592.37 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,531.56 | $2,531.56 | 27.9× |
| Radex Ribs Unilateral 2 Views (71100) | $2,330.58 | $2,330.58 | 25.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,315.52–$6,605.75 | $3,315.52–$6,605.75 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,887.36 | $1,887.36 | 20.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $5,185.58 | $5,185.58 | 28.3× |
| Radex Spine 1 View Specify Level (72020) | $2,366.52 | $2,366.52 | 26.0× |
| Radex Sternum Minimum 2 Views (71120) | $3,626.98 | $3,626.98 | 39.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,370.09 | $3,370.09 | 37.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$2,445.05–$4,867.47 | $2,445.05–$4,867.47 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$2,856.33–$5,676.72 | $2,856.33–$5,676.72 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,531.56–$5,039.17 | $2,531.56–$5,039.17 | varies |
| 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× |
| Radiolog exam mandible compl minimum 4 views (70110) | $4,002.32 | $4,002.32 | 36.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,788.94 | $4,788.94 | 43.9× |
| Radiologic exam colon double contrast study (74280) | $9,246.46 | $9,246.46 | 50.5× |
| 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 knee complete 4/more views (73564) range across 3 matching MRF lines |
$3,826.63–$6,364.84 | $3,826.63–$6,364.84 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,937.10 | $3,937.10 | 36.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,861.72 | $5,861.72 | 32.0× |
| Radiologic exam swallow function contrast study (74230) | $3,046.66 | $3,046.66 | 16.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,344.88 | $6,344.88 | 34.6× |
| Radiologic examination femur 1 view (73551) | $2,972.12 | $2,972.12 | 32.7× |
| Radiologic examination femur minimum 2 views (73552) | $3,315.52 | $3,315.52 | 36.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$2,788.45–$5,554.26 | $2,788.45–$5,554.26 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,452.12 | $1,452.12 | 13.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$3,153.14–$6,253.04 | $3,153.14–$6,253.04 | varies |
| 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× |
| Scapula (73010) range across 3 matching MRF lines |
$2,471.67–$5,716.65 | $2,471.67–$5,716.65 | varies |
| 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) range across 3 matching MRF lines |
$1,594.54–$3,126.52 | $1,594.54–$3,126.52 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$7,429.64–$14,823.35 | $7,429.64–$14,823.35 | varies |
| Sialogram (70390) | $3,772.05 | $3,772.05 | 15.1× |
| Skull less than 4 views (70250) | $3,477.90 | $3,477.90 | 31.9× |
| 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× |
| Sternoclavicular joints (71130) | $3,029.36 | $3,029.36 | 33.3× |
| 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 W/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 Intermed (77285) | $1,151 | $1,151 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,151 | $1,151 | 8.2× |
| Thoracic spine 2 views (72070) | $787.95 | $787.95 | 7.2× |
| Thoracic spine 3 views (72072) | $3,652.26 | $3,652.26 | 33.5× |
| Thoracolumbar 2 views (72080) | $2,028.44 | $2,028.44 | 22.3× |
| Thyroid Met Imaging 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× |
| Tx Devices Design & Construction Complex (77334) | $1,151 | $1,151 | 2.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,844.77–$3,684.21 | $1,844.77–$3,684.21 | varies |
| Ultrasound elastography first target lesion (76982) | $370.02 | $370.02 | 3.4× |
| Ultrasound Elastography Parenchyma (76981) | $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 us procedure (76999) | $2,113.87 | $2,113.87 | 23.3× |
| Upper gi w/o kub (74240) | $6,344.88 | $6,344.88 | 34.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$3,622.98–$4,043.58 | $3,622.98–$4,043.58 | varies |
| Urea breath test c-14 isotopic analysis (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 (74450) | $4,884.77 | $4,884.77 | 19.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,467.13–$4,898.08 | $1,467.13–$4,898.08 | varies |
| Us chest (76604) | $4,898.08 | $4,898.08 | 44.9× |
| Us complete joint (76881) range across 4 matching MRF lines |
$1,844.77–$2,687.29 | $1,844.77–$2,687.29 | varies |
| Us exam, pelvic, limited (76857) | $1,661.09 | $1,661.09 | 15.2× |
| Us head (76506) | $2,012.47 | $2,012.47 | 18.4× |
| Us kidney transplant (76776) | $3,402.04 | $3,402.04 | 31.2× |
| 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 1 or more fetuses (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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,898.08 | $4,898.08 | 44.9× |
| Us preg uterus real time f/u trnsabdl per 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 spinal canal and contents (76800) | $4,790.27 | $4,790.27 | 43.9× |
| Us thyroid (76536) | $4,898.08 | $4,898.08 | 44.9× |
| Us transrectal (76872) | $4,119.45 | $4,119.45 | 37.7× |
| Vascular Flow Imaging (78445) | $7,894.16 | $7,894.16 | 18.9× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$20,585.25–$23,637.23 | $20,585.25–$23,637.23 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $24,386.58 | $24,386.58 | 7.4× |
| Vein X-Ray Skull Epidural (75872) | $23,675.83 | $23,675.83 | 36.1× |
| Vein X-Ray Spleen/Liver (75810) | $21,019.15 | $21,019.15 | 6.4× |
| Venogram Sinus/Jugular (75860) | $23,675.83 | $23,675.83 | 7.2× |
| Venography Adrenal Unilateral (75840) | $23,675.83 | $23,675.83 | 7.2× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$20,776.91–$23,637.23 | $20,776.91–$23,637.23 | varies |
| Venography extremity bilateral rs&i (75822) | $11,632.94 | $11,632.94 | 7.1× |
| Venography extremity unilateral rs&i (75820) | $5,583.55 | $5,583.55 | 3.4× |
| Venography Renal Bilateral (75833) | $24,525.01 | $24,525.01 | 7.4× |
| Venography Renal Unilateral (75831) | $23,675.83 | $23,675.83 | 7.2× |
| Venous sampling by catheter (75893) | $22,304.90 | $22,304.90 | 3.8× |
| Venous thrombosis imaging (78457) | $2,422.42 | $2,422.42 | 4.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $4,787.61 | $4,787.61 | 11.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$2,531.56–$5,039.17 | $2,531.56–$5,039.17 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,177.10 | $3,177.10 | 35.0× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$2,154.89–$2,482.32 | $2,154.89–$2,482.32 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$19,095.86–$21,928.23 | $19,095.86–$21,928.23 | varies |
| X-Ray Bend Only L-S Spine (72120) | $3,937.10 | $3,937.10 | 36.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,870.97–$5,696.68 | $2,870.97–$5,696.68 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$729.39–$1,486.73 | $729.39–$1,486.73 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $4,251.21 | $4,251.21 | 46.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $5,985.51 | $5,985.51 | 54.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $7,721.13 | $7,721.13 | 70.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $3,354.12 | $3,354.12 | 36.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,914.47 | $3,914.47 | 43.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,606.59 | $4,606.59 | 42.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $6,451.36 | $6,451.36 | 59.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $8,929.68 | $8,929.68 | 81.8× |
| X-Ray Exam L-S Spine Bending (72114) | $5,438.47 | $5,438.47 | 49.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $3,314.19 | $3,314.19 | 36.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $5,438.47 | $5,438.47 | 49.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,346.13 | $3,346.13 | 30.7× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,457.45–$2,914.89 | $1,457.45–$2,914.89 | varies |
| X-ray humerus (73060) | $2,881.62 | $2,881.62 | 31.7× |
| 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 Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,937.10 | $3,937.10 | 36.1× |
| X-ray nose-rectum child f.b. (76010) | $2,783.12 | $2,783.12 | 30.6× |
| 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 thoracic spine 4 vw (72074) | $3,652.26 | $3,652.26 | 33.5× |
| X-Ray Tmj Unilat (70328) | $1,722.31 | $1,722.31 | 19.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $6,436.72 | $6,436.72 | 17.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$3,726.80–$4,127.43 | $3,726.80–$4,127.43 | varies |
| X-Rays Bone Survey Complete (77075) | $5,477.07 | $5,477.07 | 50.2× |
| Xr c-spine 4 or 5 views (72050) | $4,493.46 | $4,493.46 | 41.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $1,457.45 | $1,457.45 | 13.4× |
| Xr orbits complete 4 views (70200) | $3,814.65 | $3,814.65 | 34.9× |
| Xr Tomogram Single Plane (76100) | $3,535.14 | $3,535.14 | 32.4× |
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.