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 |
|---|---|---|---|
| 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× |
| Angio adrenal unilat select (75731) | $24,112.88 | $24,112.88 | 7.3× |
| Angio extremity unilateral (75710) | $20,538.54 | $20,538.54 | 6.2× |
| Angio pulmonary unilateral (75741) | $14,287.68 | $14,287.68 | 4.3× |
| Angiogram extremity bilateral (75716) | $27,747.12 | $27,747.12 | 8.4× |
| Angiogram pelvic (75736) | $21,431.52 | $21,431.52 | 3.7× |
| Angiography internal mammary rs&i (75756) | $13,935.57 | $13,935.57 | 4.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $26,789.40 | $26,789.40 | 8.1× |
| 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× |
| Arthrography knee lt (73580) | $8,311.49 | $8,311.49 | 22.8× |
| Arthrography wrist lt (73115) | $8,311.49 | $8,311.49 | 22.8× |
| Barium enema (74270) | $7,042.20 | $7,042.20 | 38.4× |
| Bilat selctv renal venogram (75833) | $17,860.81 | $17,860.81 | 5.4× |
| Bone imaging limited area (78300) | $3,126.64 | $3,126.64 | 7.5× |
| Bone marrow imaging whole body (78104) | $799.81 | $799.81 | 1.9× |
| Bone survey complete (77075) | $1,049.07 | $1,049.07 | 9.6× |
| Bowel imaging (78290) | $3,816.34 | $3,816.34 | 9.1× |
| Brain image w/flow 4 + views (78606) | $4,515.72 | $4,515.72 | 8.0× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) | $9,375.08 | $9,375.08 | 22.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,623.41 | $4,623.41 | 25.2× |
| Cisternogram (78630) | $5,259.87 | $5,259.87 | 9.3× |
| Clavicle complete (73000) | $3,082.48 | $3,082.48 | 33.9× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $11,540.42 | $11,540.42 | 63.0× |
| Continuing medical physics consltj pr wk (77336) | $2,583.05 | $2,583.05 | 18.4× |
| Contrast exam abdominl aorta (75625) | $32,142.44 | $32,142.44 | 9.7× |
| Contrast exam thoracic aorta (75605) | $32,142.44 | $32,142.44 | 5.5× |
| CT - st neck w&wo contr (70492) | $12,192.78 | $12,192.78 | 66.6× |
| 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 wo contrast (74170) | $22,280.75 | $22,280.75 | 121.6× |
| CT abdomen w/contrast (74160) | $18,952.08 | $18,952.08 | 103.5× |
| CT abdomen w/o contrast (74150) | $19,006.02 | $19,006.02 | 174.1× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $38,639.19 | $38,639.19 | 106.1× |
| CT angio abdom w/o & w/dye (74175) | $4,045.50 | $4,045.50 | 22.1× |
| CT angio abdominal arteries (75635) | $22,929.60 | $22,929.60 | 125.2× |
| CT angiograph pelv w/o&w/dye (72191) | $22,766.66 | $22,766.66 | 124.3× |
| CT cervical spine w/contrast (72126) | $17,256.99 | $17,256.99 | 47.4× |
| CT cervical spine w/o contrast (72125) | $16,348.48 | $16,348.48 | 149.8× |
| CT chest w/contrast (71260) | $10,188.78 | $10,188.78 | 55.6× |
| CT extremity upper w & w/o contrast (73202) | $13,396.12 | $13,396.12 | 73.1× |
| 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 limited/localized follow up study (76380) | $7,661.38 | $7,661.38 | 84.3× |
| CT lower ext w/wo contrast (73702) | $13,032.13 | $13,032.13 | 71.1× |
| CT lower extremity w contrast (73701) | $12,781.26 | $12,781.26 | 69.8× |
| CT lower extremity w/o contrast unilateral (73700) | $13,032.13 | $13,032.13 | 119.4× |
| 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 area w/o contrast (70486) | $9,342.40 | $9,342.40 | 85.6× |
| CT maxillofacial w/contrast (70487) | $10,018.22 | $10,018.22 | 54.7× |
| CT maxillofacial w/o then w/ con (70488) | $11,380.98 | $11,380.98 | 62.1× |
| CT orbit sella ear w/o con (70480) | $9,360.58 | $9,360.58 | 85.7× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $13,319.92 | $13,319.92 | 72.7× |
| CT pelvis w & w/o contrast (72194) | $13,821.06 | $13,821.06 | 75.5× |
| CT pelvis w/o contrast (72192) | $12,192.78 | $12,192.78 | 111.7× |
| CT soft tissue neck w/contrast (70491) | $11,380.98 | $11,380.98 | 62.1× |
| CT soft tissue neck w/o contrast (70490) | $9,756.22 | $9,756.22 | 89.4× |
| CT spine cervical w/wo contrast (72127) | $19,823.09 | $19,823.09 | 108.2× |
| 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 lung cancer scr c- (71271) | $9,971.32 | $9,971.32 | 91.3× |
| CT thorax w/o contrast (71250) | $9,763.24 | $9,763.24 | 89.4× |
| CT thorax w/o then w/ contrast (71270) | $19,049.39 | $19,049.39 | 104.0× |
| CT upper extremity w/dye (73201) | $13,614.74 | $13,614.74 | 37.4× |
| CT upper extremity w/o contrast rt (73200) | $11,353.43 | $11,353.43 | 104.0× |
| CTA chest w/wo contrast (71275) | $24,559.06 | $24,559.06 | 134.1× |
| CTA head w contrast (70496) | $24,559.06 | $24,559.06 | 134.1× |
| CTA lower extremity w/wo contrast unilateral (73706) | $15,641.60 | $15,641.60 | 85.4× |
| Cta Neck (70498) | $24,559.06 | $24,559.06 | 134.1× |
| CTA upper extremity w/wo contrast unilateral (73206) | $15,641.60 | $15,641.60 | 85.4× |
| Dilation ureters/urethra rs&i (74485) | $10,541.52 | $10,541.52 | 4.8× |
| Esophageal motility (78258) | $4,617.36 | $4,617.36 | 11.1× |
| Esophogram (74220) | $4,398.35 | $4,398.35 | 24.0× |
| Fetal biophysical profile non-stress testing (76818) | $790.13 | $790.13 | 7.2× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $4,791.60 | $4,791.60 | 19.2× |
| Gastric emptying study (78264) | $5,233.25 | $5,233.25 | 12.5× |
| Gastric mucosa imaging (78261) | $4,438.28 | $4,438.28 | 10.6× |
| Gated heart planar single (78472) | $6,600.55 | $6,600.55 | 15.8× |
| Heart infarct image (78466) | $3,011.69 | $3,011.69 | 7.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $12,502.93 | $12,502.93 | 3.8× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) | $14,287.68 | $14,287.68 | 4.3× |
| Hepatobil syst image w/drug (78227) | $7,580.65 | $7,580.65 | 13.4× |
| Hepatobiliary system imaging (78226) | $6,696.14 | $6,696.14 | 16.0× |
| Humerus min 2 views (73060) | $3,718.33 | $3,718.33 | 40.9× |
| Infusion of radioelement (77750) | $1,160.39 | $1,160.39 | 2.9× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) | $13,566.52 | $13,566.52 | 18.7× |
| Ivp (74400) | $7,480.82 | $7,480.82 | 40.8× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) | $6,889.74 | $6,889.74 | 12.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $6,889.74 | $6,889.74 | 12.2× |
| Kidney w vascular flow (78701) | $5,180.01 | $5,180.01 | 12.4× |
| Liver & spleen; static only (78215) | $6,600.55 | $6,600.55 | 15.8× |
| Liver & spleen; w vasc flow (78216) | $7,539.51 | $7,539.51 | 18.1× |
| Lung perfusion differential (78597) | $4,674.23 | $4,674.23 | 11.2× |
| Lung ventilat&perfus imaging (78582) | $12,633.61 | $12,633.61 | 22.3× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $19,013.16 | $19,013.16 | 52.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $19,013.16 | $19,013.16 | 52.2× |
| Mr safety determination physician/other qhp (76016) | $532.70 | $532.70 | 5.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $65.34 | $65.34 | 1.1× |
| 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 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/contrast (70545) | $18,357.60 | $18,357.60 | 50.4× |
| MRA head w/o contrast (70544) | $17,373.43 | $17,373.43 | 69.7× |
| MRA neck w/o contrast (70547) | $17,373.43 | $17,373.43 | 69.7× |
| MRA neck w/wo contrast (70549) | $19,013.16 | $19,013.16 | 52.2× |
| 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 jnt lwr ext with con lt (73722) | $18,357.60 | $18,357.60 | 22.4× |
| MRI breast without contrast bilateral (77047) | $18,357.60 | $18,357.60 | 73.7× |
| MRI breast without contrast material unilateral (77046) | $15,025 | $15,025 | 60.3× |
| MRI cervical spine w/o contrast (72141) | $17,373.43 | $17,373.43 | 69.7× |
| MRI cervical spine with contrast (72142) | $18,357.60 | $18,357.60 | 50.4× |
| MRI chest w & w/o contrast (71552) | $19,013.16 | $19,013.16 | 52.2× |
| MRI chest w/contrast (71551) | $18,357.60 | $18,357.60 | 22.4× |
| MRI chest w/o contrast (71550) | $17,373.43 | $17,373.43 | 69.7× |
| MRI joint upper ext w/contrast (73222) | $18,357.60 | $18,357.60 | 22.4× |
| MRI joint upr extr w/o&w/dye (73223) | $19,013.16 | $19,013.16 | 52.2× |
| MRI joint upr extrem w/o dye (73221) | $17,373.43 | $17,373.43 | 69.7× |
| Mri Lower Extremity W/O Dye (73718) | $17,373.43 | $17,373.43 | 69.7× |
| MRI lumbar spine with contrast (72149) | $18,357.60 | $18,357.60 | 50.4× |
| MRI lumbar w/wo contrast (72158) | $19,013.16 | $19,013.16 | 52.2× |
| MRI lwr ext w/o jnts with con rt (73719) | $18,357.60 | $18,357.60 | 50.4× |
| MRI orbit/face/neck w/contrast (70542) | $18,357.60 | $18,357.60 | 50.4× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $19,013.16 | $19,013.16 | 52.2× |
| MRI orbit/face/neck w/o contrast (70540) | $17,373.43 | $17,373.43 | 69.7× |
| MRI pelvis w/ contrast (72196) | $18,193.31 | $18,193.31 | 49.9× |
| MRI pelvis w/o contrast (72195) | $17,373.43 | $17,373.43 | 69.7× |
| MRI pelvis w/wo contrast (72197) | $19,013.16 | $19,013.16 | 52.2× |
| MRI spine cervical wo/w contrast (72156) | $19,013.16 | $19,013.16 | 52.2× |
| MRI spine thoracic w/contrast (72147) | $17,887.28 | $17,887.28 | 49.1× |
| MRI thoracic spine w wo contrast (72157) | $19,013.16 | $19,013.16 | 52.2× |
| MRI thoracic spine w/o contrast (72146) | $17,373.43 | $17,373.43 | 69.7× |
| MRI tmj (70336) | $19,139.25 | $19,139.25 | 76.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $17,373.43 | $17,373.43 | 69.7× |
| Mri Upper Extremity W/Dye (73219) | $18,357.60 | $18,357.60 | 50.4× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $19,013.16 | $19,013.16 | 52.2× |
| 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× |
| Myelography lumbosacral (72265) | $11,641.41 | $11,641.41 | 14.2× |
| Myocardial spect single study at rest or stress (78451) | $6,600.55 | $6,600.55 | 4.9× |
| Nm bone 3 phase (78315) | $4,515.72 | $4,515.72 | 10.8× |
| Nm bone imaging whole body (78306) | $4,299.13 | $4,299.13 | 10.3× |
| Nm bone marrow scan limited (78102) | $799.81 | $799.81 | 1.9× |
| Nm heart perfusion spect stress rest (78452) | $6,600.55 | $6,600.55 | 4.9× |
| Nm liver image static only (78201) | $4,377.78 | $4,377.78 | 7.7× |
| Nm lymph system (78195) | $3,142.37 | $3,142.37 | 5.5× |
| Nm myocard infarct spect (78469) | $4,716.58 | $4,716.58 | 8.3× |
| Nm thyroid imaging only (78013) | $1,189.43 | $1,189.43 | 2.8× |
| Nose to rectum for fb child (76010) | $4,040.80 | $4,040.80 | 44.5× |
| Nuclear medicine study of heart muscle following heart attack with measurement of internal blood volume ejected with… (78468) | $5,302.22 | $5,302.22 | 9.4× |
| Nuclear medicine study of red blood cell survival (78130) | $1,566.95 | $1,566.95 | 3.8× |
| Ob us < 14 wks single fetus (76801) | $3,906.48 | $3,906.48 | 35.8× |
| Parathyroid 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× |
| Pulmonary perfusion imaging particulate (78580) | $5,503.68 | $5,503.68 | 13.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,038.31 | $3,038.31 | 5.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $261.36 | $261.36 | 2.4× |
| Radex hip unilateral with pelvis 1 view (73501) | $5,307.06 | $5,307.06 | 58.4× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $5,725.72 | $5,725.72 | 63.0× |
| 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 spine cervical 2 or 3 views (72040) | $3,523.52 | $3,523.52 | 38.8× |
| Radex spine cervical 4 or 5 views (72050) | $4,642.77 | $4,642.77 | 42.5× |
| Radex spine cervical 6 or more views (72052) | $4,642.77 | $4,642.77 | 42.5× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) | $3,711.40 | $3,711.40 | 40.8× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) | $2,699.51 | $2,699.51 | 24.7× |
| 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 - Xr Femur 1 Vw Right (73551) | $3,328.71 | $3,328.71 | 36.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $3,328.71 | $3,328.71 | 36.6× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) | $6,466.24 | $6,466.24 | 59.2× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) | $3,382.56 | $3,382.56 | 31.0× |
| 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× |
| Screening digital breast tomosynthesis; bilateral (77063) | $894.19 | $894.19 | 38.2× |
| Selective spinal angiogram (75705) | $16,967.83 | $16,967.83 | 2.9× |
| Shoulder arthrogram (73040) | $8,311.49 | $8,311.49 | 22.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $1,050.28 | $1,050.28 | 9.6× |
| Simulation complex (77290) | $3,489.95 | $3,489.95 | 8.9× |
| 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× |
| 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 w/flow (78761) | $3,822.39 | $3,822.39 | 9.2× |
| Thyroid met imaging body (78018) | $7,903.72 | $7,903.72 | 13.9× |
| Thyroid uptake single/multiple quant 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× |
| Ultrasound breast limited (76642) | $2,361.92 | $2,361.92 | 26.0× |
| Ultrasound, abdomen limited (76705) | $4,637.93 | $4,637.93 | 42.5× |
| Ultrasound, elastography; first target lesion (76982) | $792.55 | $792.55 | 7.3× |
| Urethrocystography retrograde rs&i (74450) | $2,058.21 | $2,058.21 | 8.3× |
| Urethrocystography voiding (74455) | $6,647.74 | $6,647.74 | 26.7× |
| Urography antegrade (74425) | $6,254.49 | $6,254.49 | 17.2× |
| Urography retrograde w/wo kub (74420) | $7,042.20 | $7,042.20 | 19.3× |
| Us abdominal aorta real time screen study aaa (76706) | $2,429.68 | $2,429.68 | 22.3× |
| Us breast uni real time with image complete (76641) | $2,361.92 | $2,361.92 | 21.6× |
| Us chest (76604) | $3,905.88 | $3,905.88 | 35.8× |
| 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 guided compression repair (76936) | $8,131.20 | $8,131.20 | 36.1× |
| Us kidney transplanted (76776) | $3,538.04 | $3,538.04 | 32.4× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) | $5,498.24 | $5,498.24 | 50.4× |
| Us ob limited 1 or more fetuses (76815) | $1,265.06 | $1,265.06 | 11.6× |
| Us obstetric transvaginal (76817) | $4,192.65 | $4,192.65 | 38.4× |
| Us pelvic limited or f/u non-ob (76857) | $3,011.69 | $3,011.69 | 27.6× |
| Us pelvis complete (76856) | $4,849.08 | $4,849.08 | 44.4× |
| 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 (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 (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 unlstd proc (76999) | $2,112.66 | $2,112.66 | 23.2× |
| Vein X-ray liver w/hemodynam (75885) | $13,393.49 | $13,393.49 | 4.1× |
| Venogram epidural (75872) | $11,614.79 | $11,614.79 | 17.7× |
| Venogram extremity bilateral (75822) | $16,075.46 | $16,075.46 | 9.8× |
| Venogram ivc w serialography (75825) | $11,614.79 | $11,614.79 | 3.5× |
| Venogram svc w serialography (75827) | $13,254.34 | $13,254.34 | 8.1× |
| Venography adrenal unilateral selective rs&i (75840) | $9,421.06 | $9,421.06 | 2.9× |
| Venography ext unilateral (75820) | $9,862.10 | $9,862.10 | 6.0× |
| 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× |
| Venous sampling by catheter (75893) | $14,287.68 | $14,287.68 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,718.33 | $3,718.33 | 40.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,732.24 | $3,732.24 | 41.1× |
| X-ray aorta leg arteries (75630) | $32,542.34 | $32,542.34 | 9.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,897.67 | $7,897.67 | 43.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $4,413.48 | $4,413.48 | 48.6× |
| X-ray exam hips bi 3-4 views (73522) | $3,747.37 | $3,747.37 | 34.3× |
| X-ray exam of finger(s) (73140) | $1,862.19 | $1,862.19 | 20.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $6,232.71 | $6,232.71 | 34.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,681.36 | $2,681.36 | 29.5× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $4,421.94 | $4,421.94 | 48.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $4,547.18 | $4,547.18 | 50.0× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $3,718.33 | $3,718.33 | 34.1× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $4,713.56 | $4,713.56 | 51.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,082.41 | $2,082.41 | 22.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $3,487.22 | $3,487.22 | 38.4× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) | $1,620.19 | $1,620.19 | 17.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $4,190.84 | $4,190.84 | 38.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $4,184.18 | $4,184.18 | 46.0× |
| 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 Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) | $3,407.96 | $3,407.96 | 31.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,523.52 | $3,523.52 | 38.8× |
| 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $3,531.99 | $3,531.99 | 32.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,950.65 | $3,950.65 | 43.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,941.58 | $3,941.58 | 43.4× |
| 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 Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $3,523.52 | $3,523.52 | 38.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,787.84 | $2,787.84 | 30.7× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $3,523.52 | $3,523.52 | 38.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $4,413.48 | $4,413.48 | 48.6× |
| Xr abdomen 1 view (74018) | $4,153.93 | $4,153.93 | 45.7× |
| Xr abdomen 2 views (74019) | $5,820.10 | $5,820.10 | 53.3× |
| Xr arthrogram ankle (73615) | $8,311.49 | $8,311.49 | 22.8× |
| Xr arthrogram elbow (73085) | $8,311.49 | $8,311.49 | 22.8× |
| Xr arthrogram hip (73525) | $8,311.49 | $8,311.49 | 22.8× |
| Xr bone density appendicular (77081) | $392.04 | $392.04 | 4.3× |
| Xr bone density axial (77080) | $873.62 | $873.62 | 8.0× |
| Xr bone length study (77073) | $3,747.37 | $3,747.37 | 34.3× |
| Xr bone survey infant (77076) | $866.36 | $866.36 | 7.9× |
| Xr chest 1 view (71045) | $2,069.10 | $2,069.10 | 22.8× |
| Xr chest 2 views (71046) | $2,082.41 | $2,082.41 | 22.9× |
| Xr chest 3 views (71047) | $2,727.34 | $2,727.34 | 30.0× |
| Xr cystogram 3+ views (74430) | $7,065.19 | $7,065.19 | 19.4× |
| Xr eye foreign body (70030) | $2,323.20 | $2,323.20 | 25.6× |
| Xr facial bones 3 views (70150) | $2,911.26 | $2,911.26 | 26.7× |
| Xr lower extremity 2 views infant (73592) | $3,068.56 | $3,068.56 | 33.8× |
| Xr lumbar spine 4 views w/ flex ext (72120) | $3,328.71 | $3,328.71 | 30.5× |
| Xr mandible 4 views (70110) | $3,718.33 | $3,718.33 | 34.1× |
| Xr myelogram c-spine (72240) | $11,641.41 | $11,641.41 | 14.2× |
| Xr nasal bones (70160) | $3,251.27 | $3,251.27 | 35.8× |
| Xr pelvis 3 views (72190) | $2,502.28 | $2,502.28 | 22.9× |
| Xr spine 1 view (72020) | $3,487.22 | $3,487.22 | 38.4× |
| Xr sternum 2 views (71120) | $3,718.33 | $3,718.33 | 40.9× |
| Xr surgical specimen (76098) | $1,040.60 | $1,040.60 | 1.8× |
| Xr upper extremity 2 views infant (73092) | $2,642.04 | $2,642.04 | 24.2× |
| Xray elbow 2 views (73070) | $2,299 | $2,299 | 25.3× |
| Xray forearm 2 views (73090) | $3,717.72 | $3,717.72 | 40.9× |
| Xray internal auditory meati compl (70134) | $898.42 | $898.42 | 1.6× |
| Xray knee 1 or 2 views rt (73560) | $3,718.33 | $3,718.33 | 40.9× |
| Xray neck soft tissue (70360) | $3,251.27 | $3,251.27 | 35.8× |
| Xray optic foramina (70190) | $2,496.23 | $2,496.23 | 27.5× |
| Xray orbits complete min 4 views (70200) | $3,251.27 | $3,251.27 | 29.8× |
| Xray pelvis 1 or 2 views (72170) | $2,093.90 | $2,093.90 | 19.2× |
| Xray ribs bilateral 3 views (71110) | $571.72 | $571.72 | 5.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $3,645.12 | $3,645.12 | 33.4× |
| Xray scapula complete (73010) | $3,718.33 | $3,718.33 | 34.1× |
| Xray shoulder 1 view (73020) | $3,300.28 | $3,300.28 | 36.3× |
| Xray sinuses paranasal <3 views (70210) | $4,184.18 | $4,184.18 | 46.0× |
| Xray spine thoracic 2 views (72070) | $4,410.45 | $4,410.45 | 40.4× |
| Xray spine thoracic 3 views (72072) | $3,839.33 | $3,839.33 | 35.2× |
| Xray tibia-fibula 2 views bil (73590) | $3,718.33 | $3,718.33 | 40.9× |
| Xray tmj's bilateral open-clsc (70330) | $3,300.28 | $3,300.28 | 36.3× |