Imaging prices at HCA Florida South Shore Hospital
Sun City Center, FL · every code in this section with a posted price and a Medicare benchmark.
312 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) | $5,820.10 | $5,820.10 | 53.3× |
| Acute gi blood loss imaging (78278) | $5,688.21 | $5,688.21 | 13.6× |
| Angio Adrenal Bilat Select (75733) | $30,366.16 | $30,366.16 | 9.2× |
| Angiography extremity bilateral rs&i (75716) | $27,747.12 | $27,747.12 | 8.4× |
| Angiography extremity unilateral rs&i (75710) | $20,538.54 | $20,538.54 | 6.2× |
| Angiography internal mammary rs&i (75756) | $13,935.57 | $13,935.57 | 4.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $21,431.52 | $21,431.52 | 3.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $26,789.40 | $26,789.40 | 8.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,287.68 | $14,287.68 | 4.3× |
| Angiography Spinal Selective Rs&I (75705) | $16,967.83 | $16,967.83 | 2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $10,481.02 | $10,481.02 | 1.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $8,732.57 | $8,732.57 | 2.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $13,638.24 | $13,638.24 | 4.1× |
| Ankle 2 views (73600) | $3,328.71 | $3,328.71 | 36.6× |
| Aortogram thoracic (75605) | $32,142.44 | $32,142.44 | 5.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $32,542.34 | $32,542.34 | 9.9× |
| Aortography abdominal serialography rs&i (75625) | $32,142.44 | $32,142.44 | 9.7× |
| Artery X-Rays Adrenal Gland (75731) | $24,112.88 | $24,112.88 | 7.3× |
| Arthrogram ankle (73615) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrogram elbow (73085) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrogram hip (73525) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrogram knee (73580) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrogram shoulder (73040) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrogram wrist (73115) | $8,311.49 | $8,311.49 | 22.8× |
| Bone &/Joint Imaging Limited Area (78300) | $3,126.64 | $3,126.64 | 7.5× |
| Bone &/joint imaging whole body (78306) | $4,299.13 | $4,299.13 | 10.3× |
| Bone Imaging 3 Phase (78315) | $4,515.72 | $4,515.72 | 10.8× |
| Bone Marrow Imaging Limited Area (78102) | $799.81 | $799.81 | 1.9× |
| Bone survey complete (77075) | $1,049.07 | $1,049.07 | 9.6× |
| Bone survey infant (77076) | $866.36 | $866.36 | 7.9× |
| Bowel imaging (78290) | $3,816.34 | $3,816.34 | 9.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,515.72 | $4,515.72 | 8.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $6,600.55 | $6,600.55 | 15.8× |
| Cervical spine 2 or 3 views (72040) | $3,523.52 | $3,523.52 | 38.8× |
| Chest 1 view (71045) | $2,069.10 | $2,069.10 | 22.8× |
| Chest xray 3 views (71047) | $2,727.34 | $2,727.34 | 30.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,623.41 | $4,623.41 | 25.2× |
| Clavicle complete (73000) | $3,082.48 | $3,082.48 | 33.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $9,971.32 | $9,971.32 | 91.3× |
| Continuing medical physics consltj pr wk (77336) | $2,583.05 | $2,583.05 | 18.4× |
| CT abdomen and pelvis without and with contrast (74178) | $36,052 | $36,052 | 99.0× |
| CT abdomen and pelvis without contrast (74176) | $31,168.90 | $31,168.90 | 125.1× |
| CT abdomen w contrast (74160) | $18,952.08 | $18,952.08 | 103.5× |
| CT abdomen w wo contrast (74170) | $22,280.75 | $22,280.75 | 121.6× |
| CT abdomen w/o contrast (74150) | $19,006.02 | $19,006.02 | 174.1× |
| CT angio lwr extr w/o&w/dye (73706) | $15,641.60 | $15,641.60 | 85.4× |
| CT angiography upper extremity lt (73206) | $15,641.60 | $15,641.60 | 85.4× |
| CT c-spine w/contrast (72126) | $17,256.99 | $17,256.99 | 47.4× |
| CT c-spine w/o contrast (72125) | $16,348.48 | $16,348.48 | 149.8× |
| CT cervical spine w&w/o contrast (72127) | $19,823.09 | $19,823.09 | 108.2× |
| CT chest w contrast (71260) | $10,188.78 | $10,188.78 | 55.6× |
| CT chest w/wo contrast (71270) | $19,049.39 | $19,049.39 | 104.0× |
| CT head/brain with contrast (70460) | $15,609.94 | $15,609.94 | 85.2× |
| CT head/brain without and with contrast (70470) | $16,265.83 | $16,265.83 | 88.8× |
| CT iac w contrast (70481) | $11,540.42 | $11,540.42 | 63.0× |
| CT limited/localized follow up study (76380) | $7,661.38 | $7,661.38 | 84.3× |
| CT lower ext w/o (73700) | $13,032.13 | $13,032.13 | 119.4× |
| CT lower extremity w wo contrast (73702) | $13,032.13 | $13,032.13 | 71.1× |
| CT lower extremity w/contrast material (73701) | $12,781.26 | $12,781.26 | 69.8× |
| CT lumbar spine w/contrast (72132) | $18,508.38 | $18,508.38 | 50.8× |
| CT lumbar spine w/o contrast (72131) | $17,106.34 | $17,106.34 | 156.7× |
| CT maxillofacial w contrast (70487) | $10,018.22 | $10,018.22 | 54.7× |
| CT maxillofacial w/wo contrast (70488) | $11,380.98 | $11,380.98 | 62.1× |
| CT maxillofacial wo contrast (70486) | $9,342.40 | $9,342.40 | 85.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $13,319.92 | $13,319.92 | 72.7× |
| CT orbits w/o contrast (70480) | $9,360.58 | $9,360.58 | 85.7× |
| CT pelvis w/o contrast (72192) | $12,192.78 | $12,192.78 | 111.7× |
| CT pelvis w/wo contrast (72194) | $13,821.06 | $13,821.06 | 75.5× |
| CT scan of arm combo (73202) | $13,396.12 | $13,396.12 | 73.1× |
| CT soft tissue neck w contrast (70491) | $11,380.98 | $11,380.98 | 62.1× |
| CT soft tissue neck w/o & w/contrast material (70492) | $12,192.78 | $12,192.78 | 66.6× |
| CT soft tissue neck w/o contrast (70490) | $9,756.22 | $9,756.22 | 89.4× |
| CT thoracic spine w/contrast (72129) | $17,686.04 | $17,686.04 | 96.6× |
| CT thoracic spine w/o contrast (72128) | $14,607.66 | $14,607.66 | 133.8× |
| CT thorax w/o contrast (71250) | $9,763.24 | $9,763.24 | 89.4× |
| CT upper ext wo (73200) | $11,353.43 | $11,353.43 | 104.0× |
| CT upper extremity with contrast (73201) | $13,614.74 | $13,614.74 | 37.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $22,929.60 | $22,929.60 | 125.2× |
| Cta Abdomen (74175) | $4,045.50 | $4,045.50 | 22.1× |
| CTA abdomen pelvis (74174) | $38,639.19 | $38,639.19 | 106.1× |
| CTA chest (71275) | $24,559.06 | $24,559.06 | 134.1× |
| Cta Head (70496) | $24,559.06 | $24,559.06 | 134.1× |
| Cta Neck (70498) | $24,559.06 | $24,559.06 | 134.1× |
| Cta Pelvis (72191) | $22,766.66 | $22,766.66 | 124.3× |
| Cystography minimum 3 views rs&i (74430) | $7,065.19 | $7,065.19 | 19.4× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $10,541.52 | $10,541.52 | 4.8× |
| Dxa bone density study 1/> sites axial skel (77080) | $873.62 | $873.62 | 8.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $392.04 | $392.04 | 4.3× |
| Esophageal motility (78258) | $4,617.36 | $4,617.36 | 11.1× |
| Esophagus (74220) | $4,398.35 | $4,398.35 | 24.0× |
| Facial bones min 3 views (70150) | $2,911.26 | $2,911.26 | 26.7× |
| Fetal biophysical profile non-stress testing (76818) | $790.13 | $790.13 | 7.2× |
| Fluoroscopy up to 1 hr (76000) | $4,791.60 | $4,791.60 | 19.2× |
| Foot 2 views (73620) | $4,421.94 | $4,421.94 | 48.7× |
| Forearm 2 views (73090) | $3,717.72 | $3,717.72 | 40.9× |
| Gastric mucosa imaging (78261) | $4,438.28 | $4,438.28 | 10.6× |
| Hand 2 views (73120) | $3,718.33 | $3,718.33 | 34.1× |
| Heart Infarct Image (78466) | $3,011.69 | $3,011.69 | 7.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,287.68 | $14,287.68 | 4.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $12,502.93 | $12,502.93 | 3.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $7,580.65 | $7,580.65 | 13.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $6,696.14 | $6,696.14 | 16.0× |
| Interstitial radiation source applic complex (77778) | $13,566.52 | $13,566.52 | 18.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,889.74 | $6,889.74 | 12.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,889.74 | $6,889.74 | 12.2× |
| Knee 3 views (73562) | $1,620.19 | $1,620.19 | 17.8× |
| Liver & spleen imaging static only (78215) | $6,600.55 | $6,600.55 | 15.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $7,539.51 | $7,539.51 | 18.1× |
| Liver imaging static only (78201) | $4,377.78 | $4,377.78 | 7.7× |
| Lung perfusion differential (78597) | $4,674.23 | $4,674.23 | 11.2× |
| Lymphoscintigraphy (78195) | $3,142.37 | $3,142.37 | 5.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $18,357.60 | $18,357.60 | 22.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $18,357.60 | $18,357.60 | 50.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $19,013.16 | $19,013.16 | 52.2× |
| Mr safety determination physician/other qhp (76016) | $532.70 | $532.70 | 5.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $148.53 | $148.53 | 4.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $100.97 | $100.97 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $65.34 | $65.34 | 1.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,462.41 | $1,462.41 | 5.9× |
| MRA head w & w/o contrast (70546) | $19,013.16 | $19,013.16 | 52.2× |
| MRA head w/o contrast (70544) | $17,373.43 | $17,373.43 | 69.7× |
| MRA head with contrast (70545) | $18,357.60 | $18,357.60 | 50.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $19,013.16 | $19,013.16 | 52.2× |
| MRA neck w/o contrast (70547) | $17,373.43 | $17,373.43 | 69.7× |
| MRI abdomen w/o & w/contrast material (74183) | $19,013.16 | $19,013.16 | 52.2× |
| MRI abdomen w/o contrast (74181) | $17,373.43 | $17,373.43 | 69.7× |
| MRI any jt lower extrem w/contrast material (73722) | $18,357.60 | $18,357.60 | 22.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $19,013.16 | $19,013.16 | 52.2× |
| MRI breast w/o contrast bilateral (77047) | $18,357.60 | $18,357.60 | 73.7× |
| MRI breast wo contrast unilateral (77046) | $15,025 | $15,025 | 60.3× |
| MRI c-spine with contrast (72142) | $18,357.60 | $18,357.60 | 50.4× |
| MRI cervical spine w/o contrast (72141) | $17,373.43 | $17,373.43 | 69.7× |
| MRI chest w/o & w/contrast material (71552) | $19,013.16 | $19,013.16 | 52.2× |
| MRI chest w/o contrast (71550) | $17,373.43 | $17,373.43 | 69.7× |
| MRI chest with contrast (71551) | $18,357.60 | $18,357.60 | 22.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $18,357.60 | $18,357.60 | 50.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $19,013.16 | $19,013.16 | 52.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $17,373.43 | $17,373.43 | 69.7× |
| MRI orbit face &/neck w/o contrast (70540) | $17,373.43 | $17,373.43 | 69.7× |
| MRI orbit face neck w contrast (70542) | $18,357.60 | $18,357.60 | 50.4× |
| MRI orbit/face/neck w&w/o cont (70543) | $19,013.16 | $19,013.16 | 52.2× |
| MRI pelvis w/contrast (72196) | $18,193.31 | $18,193.31 | 49.9× |
| MRI pelvis w/o & w/contrast material (72197) | $19,013.16 | $19,013.16 | 52.2× |
| MRI pelvis w/o contrast (72195) | $17,373.43 | $17,373.43 | 69.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,013.16 | $19,013.16 | 52.2× |
| MRI spinal canal lumbar w/contrast material (72149) | $18,357.60 | $18,357.60 | 50.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $19,013.16 | $19,013.16 | 52.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $17,887.28 | $17,887.28 | 49.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $19,013.16 | $19,013.16 | 52.2× |
| MRI temporomandibular joint (70336) | $19,139.25 | $19,139.25 | 76.8× |
| MRI thoracic spine w/o contrast (72146) | $17,373.43 | $17,373.43 | 69.7× |
| MRI up ext w/o contrast (73218) | $17,373.43 | $17,373.43 | 69.7× |
| MRI upper ext joint w/o contrast (73221) | $17,373.43 | $17,373.43 | 69.7× |
| MRI, joint upper extrem combo (73223) | $19,013.16 | $19,013.16 | 52.2× |
| Myelogram Cervical (72240) | $11,641.41 | $11,641.41 | 14.2× |
| Myelogram Lumbar (72265) | $11,641.41 | $11,641.41 | 14.2× |
| Myelogram thoracic (72255) | $11,641.41 | $11,641.41 | 14.2× |
| Myelography 2 or more regions (72270) | $16,618.14 | $16,618.14 | 20.3× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $5,302.22 | $5,302.22 | 9.4× |
| Myocardial infarct spect (78469) | $4,716.58 | $4,716.58 | 8.3× |
| Myocardial Spect Multiple Studies (78452) | $6,600.55 | $6,600.55 | 4.9× |
| Myocardial spect single study at rest or stress (78451) | $6,600.55 | $6,600.55 | 4.9× |
| Neck soft tissue (70360) | $3,251.27 | $3,251.27 | 35.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,160.39 | $1,160.39 | 2.9× |
| Nm bone marrow wb (78104) | $799.81 | $799.81 | 1.9× |
| Nm cardiac blood pool multiple (78473) | $9,375.08 | $9,375.08 | 22.5× |
| Nm cisternogram (78630) | $5,259.87 | $5,259.87 | 9.3× |
| Nm gastric emptying study (78264) | $5,233.25 | $5,233.25 | 12.5× |
| Nm kidney scan w/flow (78701) | $5,180.01 | $5,180.01 | 12.4× |
| Nonvascular shunt X-ray (75809) | $1,050.28 | $1,050.28 | 9.6× |
| Parathyroid Planar Imaging (78070) | $1,566.95 | $1,566.95 | 3.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,566.95 | $1,566.95 | 3.8× |
| Pelvis 1 or 2 views (72170) | $2,093.90 | $2,093.90 | 19.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,393.49 | $13,393.49 | 4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,503.68 | $5,503.68 | 13.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $12,633.61 | $12,633.61 | 22.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,038.31 | $3,038.31 | 5.3× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,732.24 | $3,732.24 | 41.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,082.41 | $2,082.41 | 22.9× |
| Radex Elbw Compl Minimum 3 Views (73080) | $4,413.48 | $4,413.48 | 48.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $261.36 | $261.36 | 2.4× |
| Radex fingr minimum 2 views (73140) | $1,862.19 | $1,862.19 | 20.5× |
| Radex Foot Compl Minimum 3 Views (73630) | $4,547.18 | $4,547.18 | 50.0× |
| Radex Hand Minimum 3 Views (73130) | $4,713.56 | $4,713.56 | 51.9× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $5,307.06 | $5,307.06 | 58.4× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $5,725.72 | $5,725.72 | 52.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $3,747.37 | $3,747.37 | 34.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $3,747.37 | $3,747.37 | 34.3× |
| Radex Humerus Minimum 2 Views (73060) | $3,718.33 | $3,718.33 | 40.9× |
| Radex Kne 1/2 Views (73560) | $3,718.33 | $3,718.33 | 40.9× |
| Radex Kne Compl 4/More Views (73564) | $4,190.84 | $4,190.84 | 38.4× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $3,718.33 | $3,718.33 | 34.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,251.27 | $3,251.27 | 35.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,502.28 | $2,502.28 | 22.9× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,941.58 | $3,941.58 | 43.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $4,184.18 | $4,184.18 | 46.0× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $3,328.71 | $3,328.71 | 30.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,300.28 | $3,300.28 | 36.3× |
| Radex Toe Minimum 2 Views (73660) | $2,787.84 | $2,787.84 | 30.7× |
| Radex upper extremity infant minimum 2 views (73092) | $2,642.04 | $2,642.04 | 24.2× |
| Radex Wrst Compl Minimum 3 Views (73110) | $4,413.48 | $4,413.48 | 48.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $4,153.93 | $4,153.93 | 45.7× |
| Radiologic exam chest 2 views (71046) | $2,082.41 | $2,082.41 | 22.9× |
| Radiologic exam colon single contrast study (74270) | $7,042.20 | $7,042.20 | 38.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $4,153.93 | $4,153.93 | 22.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,568.96 | $4,568.96 | 24.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,820.10 | $5,820.10 | 31.8× |
| Radiologic examination femur 1 view (73551) | $3,328.71 | $3,328.71 | 36.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,718.33 | $3,718.33 | 40.9× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $898.42 | $898.42 | 1.6× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $3,407.96 | $3,407.96 | 31.2× |
| Radiological examination surgical specimen (76098) | $1,040.60 | $1,040.60 | 1.8× |
| Red cell survival study Non-Facility (78130) | $1,566.95 | $1,566.95 | 3.8× |
| Ribs bilateral 3 views (71110) | $571.72 | $571.72 | 5.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $2,472.03 | $2,472.03 | 5.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,346.32 | $4,346.32 | 10.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,882.35 | $4,882.35 | 8.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $3,901.04 | $3,901.04 | 6.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $3,901.04 | $3,901.04 | 6.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,448.76 | $7,448.76 | 5.5× |
| Sacroiliac Joints < 3 Views (72200) | $3,531.99 | $3,531.99 | 32.4× |
| Scapula (73010) | $3,718.33 | $3,718.33 | 34.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $894.19 | $894.19 | 38.2× |
| Shoulder 1 view (73020) | $3,300.28 | $3,300.28 | 36.3× |
| Simulation intermediate (77285) | $2,533.74 | $2,533.74 | 6.5× |
| Small bowel series (74250) | $5,820.10 | $5,820.10 | 31.8× |
| Special Physics Consult (77370) | $2,909.45 | $2,909.45 | 20.7× |
| Spine thoracic 3 views (72072) | $3,839.33 | $3,839.33 | 35.2× |
| Superior sagittal sinus venogram (75870) | $14,287.68 | $14,287.68 | 4.3× |
| Tbs technical calculation only (77091) | $477.02 | $477.02 | 5.2× |
| Testicular Imaging With Vascular Flow (78761) | $3,822.39 | $3,822.39 | 9.2× |
| Ther rad simulaj-aided field setting complex (77290) | $3,489.95 | $3,489.95 | 8.9× |
| Thoracolumbar 2 views (72080) | $3,711.40 | $3,711.40 | 40.8× |
| Thyroid carcinoma metastases img whole body (78018) | $7,903.72 | $7,903.72 | 13.9× |
| Thyroid imaging w/blood flow (78013) | $1,189.43 | $1,189.43 | 2.8× |
| Thyroid uptake measurement (78012) | $2,526.48 | $2,526.48 | 6.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,526.48 | $2,526.48 | 6.1× |
| Tomogram (76100) | $3,382.56 | $3,382.56 | 31.0× |
| Ultrasound breast complete (76641) | $2,361.92 | $2,361.92 | 21.6× |
| Ultrasound elastography first target lesion (76982) | $792.55 | $792.55 | 7.3× |
| Ultrasound Exam Aaa Screen (76706) | $2,429.68 | $2,429.68 | 22.3× |
| Ultrasound, abdomen limited (76705) | $4,637.93 | $4,637.93 | 42.5× |
| Unlisted ultrasound procedure (76999) | $2,112.66 | $2,112.66 | 23.2× |
| Urethrocystogram voiding (74455) | $6,647.74 | $6,647.74 | 26.7× |
| Urethrocystography retrograde rs&i (74450) | $2,058.21 | $2,058.21 | 8.3× |
| Us breast unilateral limited (76642) | $2,361.92 | $2,361.92 | 26.0× |
| Us chest (76604) | $3,905.88 | $3,905.88 | 35.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $8,131.20 | $8,131.20 | 36.1× |
| Us compl joint r-t w/image documentation (76881) | $8,246.15 | $8,246.15 | 75.5× |
| Us elastography parenchyma (76981) | $792.55 | $792.55 | 7.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $5,498.24 | $5,498.24 | 50.4× |
| Us ob limited (76815) | $1,265.06 | $1,265.06 | 11.6× |
| Us ob transvaginal (76817) | $4,192.65 | $4,192.65 | 38.4× |
| Us pelvic non ob complete (76856) | $4,849.08 | $4,849.08 | 44.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,011.69 | $3,011.69 | 27.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,906.48 | $3,906.48 | 35.8× |
| Us retroperitoneal complete (76770) | $4,749.86 | $4,749.86 | 43.5× |
| Us retroperitoneal limited (76775) | $3,521.10 | $3,521.10 | 32.3× |
| Us scrotum and contents (76870) | $4,324.54 | $4,324.54 | 39.6× |
| Us soft tissue head/neck (76536) | $4,758.93 | $4,758.93 | 43.6× |
| Us spinal canal and contents (76800) | $3,925.24 | $3,925.24 | 36.0× |
| Us transrectal (76872) | $2,748.52 | $2,748.52 | 25.2× |
| Us transrectal prostate volume (76873) | $5,262.29 | $5,262.29 | 48.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $3,538.04 | $3,538.04 | 32.4× |
| Venogram adrenal unilat (75840) | $9,421.06 | $9,421.06 | 2.9× |
| Venogram extremity bilateral (75822) | $16,075.46 | $16,075.46 | 9.8× |
| Venogram Extremity Unilateral (75820) | $9,862.10 | $9,862.10 | 6.0× |
| Venography caval inferior serialography rs&i (75825) | $11,614.79 | $11,614.79 | 3.5× |
| Venography caval superior serialography rs&i (75827) | $13,254.34 | $13,254.34 | 8.1× |
| Venography Renal Bilateral (75833) | $17,860.81 | $17,860.81 | 5.4× |
| Venography renal unilateral selective rs&i (75831) | $14,287.68 | $14,287.68 | 4.3× |
| Venography venous sinus/jugular cath rs&i (75860) | $14,731.75 | $14,731.75 | 4.5× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) | $11,614.79 | $11,614.79 | 17.7× |
| Venous sampling by catheter (75893) | $14,287.68 | $14,287.68 | 2.5× |
| Wrist 2 views (73100) | $3,523.52 | $3,523.52 | 38.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $6,466.24 | $6,466.24 | 59.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,718.33 | $3,718.33 | 40.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,897.67 | $7,897.67 | 43.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,299 | $2,299 | 25.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $5,725.72 | $5,725.72 | 63.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,747.37 | $3,747.37 | 34.3× |
| X-ray exam of femur 2/> (73552) | $3,328.71 | $3,328.71 | 36.6× |
| X-ray eye for foreign body (70030) | $2,323.20 | $2,323.20 | 25.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,681.36 | $2,681.36 | 29.5× |
| X-ray IV pyelogram (ivp) (74400) | $7,480.82 | $7,480.82 | 40.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $3,487.22 | $3,487.22 | 38.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $4,184.18 | $4,184.18 | 46.0× |
| X-ray leg, infant (73592) | $3,068.56 | $3,068.56 | 33.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,523.52 | $3,523.52 | 32.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $4,040.80 | $4,040.80 | 37.0× |
| X-ray nose-rectum child f.b. (76010) | $4,040.80 | $4,040.80 | 44.5× |
| X-ray optic foramen (70190) | $2,496.23 | $2,496.23 | 27.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,251.27 | $3,251.27 | 29.8× |
| X-ray retrograde pyelogram (74420) | $7,042.20 | $7,042.20 | 19.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,523.52 | $3,523.52 | 38.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,645.12 | $3,645.12 | 33.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,410.45 | $4,410.45 | 40.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,111.38 | $1,111.38 | 10.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,950.65 | $3,950.65 | 43.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,184.18 | $4,184.18 | 46.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,410.45 | $4,410.45 | 40.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $4,410.45 | $4,410.45 | 40.4× |
| X-Ray Small Bowel Enteroclysis (74251) | $6,232.71 | $6,232.71 | 34.0× |
| X-Ray Spine One View - Xr Spine (72020) | $3,487.22 | $3,487.22 | 38.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,523.52 | $3,523.52 | 38.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,718.33 | $3,718.33 | 40.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $4,410.45 | $4,410.45 | 40.4× |
| Xr bone length studies (77073) | $3,747.37 | $3,747.37 | 34.3× |
| Xr c-spine 4 or 5 views (72050) | $4,642.77 | $4,642.77 | 42.5× |
| Xr c-spine 6 or more views (72052) | $4,642.77 | $4,642.77 | 42.5× |
| Xr chest 4+ views (71048) | $2,699.51 | $2,699.51 | 24.7× |
| Xr urogram antegrade (74425) | $6,254.49 | $6,254.49 | 17.2× |