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.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $4,153.93 $4,153.93 45.7×
Abdomen 2 views (74019) $5,820.10 $5,820.10 53.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $5,688.21 $5,688.21 13.6×
Angio internal mammary (75756) $13,935.57 $13,935.57 4.2×
Angio pulmonary bilat (75743) $26,789.40 $26,789.40 8.1×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $30,366.16 $30,366.16 9.2×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines
$22,551.98–$32,942.25 $22,551.98–$32,942.25 varies
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines
$20,538.54–$22,551.98 $20,538.54–$22,551.98 varies
Angiography pulmonary unilateral slctv rs&i (75741) $14,287.68 $14,287.68 4.3×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746)
range across 2 matching MRF lines
$12,988.80–$14,287.68 $12,988.80–$14,287.68 varies
Ankle 2 views (73600)
range across 6 matching MRF lines
$3,147.21–$4,424.97 $3,147.21–$4,424.97 varies
Aortography thoracic serialography rs&i (75605) $32,142.44 $32,142.44 5.5×
Artery X-Rays Abdomen (75726) $10,481.02 $10,481.02 1.8×
Artery X-Rays Adrenal Gland (75731) $24,112.88 $24,112.88 7.3×
Artery X-Rays Pelvis (75736) $21,431.52 $21,431.52 3.7×
Artery X-Rays Spine (75705) $16,967.83 $16,967.83 2.9×
Arthrogram ankle (73615) $8,311.49 $8,311.49 22.8×
Arthrogram hip (73525) $8,311.49 $8,311.49 22.8×
Arthrogram Wrist (73115) $8,311.49 $8,311.49 22.8×
Bone Imaging 3 Phase (78315) $4,515.72 $4,515.72 10.8×
Bone Imaging Limited Area (78300) $3,126.64 $3,126.64 7.5×
Bone Imaging Whole Body (78306) $4,299.13 $4,299.13 10.3×
Bone marrow imaging limited area (78102) $799.81 $799.81 1.9×
Bone marrow imaging; whole body (78104) $799.81 $799.81 1.9×
Bone survey infant (77076)
range across 2 matching MRF lines
$842.16–$890.56 $842.16–$890.56 varies
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $4,515.72 $4,515.72 8.0×
Cat Scan Follow-Up Study (76380)
range across 2 matching MRF lines
$7,497.84–$7,824.91 $7,497.84–$7,824.91 varies
Cerebrospinal Fluid Scan (78630) $5,259.87 $5,259.87 9.3×
Chest 1 view (71045) $2,069.10 $2,069.10 22.8×
Chest 2 views (71046) $2,082.41 $2,082.41 22.9×
Chest 3 views (71047) $2,727.34 $2,727.34 30.0×
Chest 4 or more views (71048) $2,699.51 $2,699.51 24.7×
Clavicle complete (73000)
range across 4 matching MRF lines
$2,438.15–$3,251.27 $2,438.15–$3,251.27 varies
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×
Contrast Exam Abdominl Aorta (75625) $32,142.44 $32,142.44 9.7×
Contrast X-Ray Bladder (74430) $7,065.19 $7,065.19 19.4×
Contrast X-Ray Of Elbow (73085) $8,311.49 $8,311.49 22.8×
Contrast X-Ray Of Knee Joint (73580) $8,311.49 $8,311.49 22.8×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$34,579.62–$37,524.37 $34,579.62–$37,524.37 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$29,895.23–$32,442.58 $29,895.23–$32,442.58 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$17,648.52–$20,255.65 $17,648.52–$20,255.65 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$21,806.57–$22,754.93 $21,806.57–$22,754.93 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$18,600.41–$19,411.62 $18,600.41–$19,411.62 varies
CT Angio Abdomen and Pelvis (74174) $38,639.19 $38,639.19 106.1×
CT Angio Chest (71275) $24,559.06 $24,559.06 134.1×
CT Angio Head (70496) $24,559.06 $24,559.06 134.1×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$15,641.60–$31,278.51 $15,641.60–$31,278.51 varies
CT Angio Neck (70498) $24,559.06 $24,559.06 134.1×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$15,641.60–$22,655.29 $15,641.60–$22,655.29 varies
CT cervical spine w/ contrast (72126) $17,256.99 $17,256.99 47.4×
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$16,001.49–$16,695.47 $16,001.49–$16,695.47 varies
CT cervical spine w/wo cont (72127) $19,823.09 $19,823.09 108.2×
CT chest w contrast (71260)
range across 2 matching MRF lines
$9,972.50–$10,405.07 $9,972.50–$10,405.07 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$17,738.79–$20,359.99 $17,738.79–$20,359.99 varies
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$15,277.02–$15,942.87 $15,277.02–$15,942.87 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$15,921.77–$16,609.89 $15,921.77–$16,609.89 varies
CT iac w contrast (70481)
range across 2 matching MRF lines
$10,827.09–$12,253.74 $10,827.09–$12,253.74 varies
CT lower ext w/o (73700)
range across 6 matching MRF lines
$12,489.37–$30,796.70 $12,489.37–$30,796.70 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$12,781.26–$33,604.30 $12,781.26–$33,604.30 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$18,113.92–$18,902.85 $18,113.92–$18,902.85 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$16,738.84–$17,473.85 $16,738.84–$17,473.85 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$9,609.09–$10,427.34 $9,609.09–$10,427.34 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$8,690.03–$9,994.78 $8,690.03–$9,994.78 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines
$11,353.43–$13,032.13 $11,353.43–$13,032.13 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$13,035.64–$13,604.20 $13,035.64–$13,604.20 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$9,160.12–$9,561.04 $9,160.12–$9,561.04 varies
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
$12,870.35–$14,771.78 $12,870.35–$14,771.78 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$11,353.43–$13,032.13 $11,353.43–$13,032.13 varies
CT scan of leg combo (73702)
range across 3 matching MRF lines
$12,489.37–$13,032.13 $12,489.37–$13,032.13 varies
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$10,598.49–$12,163.47 $10,598.49–$12,163.47 varies
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
$10,598.49–$12,163.47 $10,598.49–$12,163.47 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$9,085.10–$10,427.34 $9,085.10–$10,427.34 varies
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$16,469.22–$18,902.85 $16,469.22–$18,902.85 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$13,032.13–$16,183.19 $13,032.13–$16,183.19 varies
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$9,555.17–$9,971.32 $9,555.17–$9,971.32 varies
CT upper ext wo (73200)
range across 6 matching MRF lines
$4,296.37–$13,032.13 $4,296.37–$13,032.13 varies
CT upper extremity w/o & w/contrast material (73202)
range across 4 matching MRF lines
$12,474.12–$14,318.11 $12,474.12–$14,318.11 varies
CT upper extremity with contrast (73201) $13,614.74 $13,614.74 37.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $22,929.60 $22,929.60 125.2×
Cta Abdomen (74175) $4,045.50 $4,045.50 22.1×
CTA pelvis (72191) $22,766.66 $22,766.66 124.3×
Dilation ureters/urethra rs&i (74485) $10,541.52 $10,541.52 4.8×
Dxa Bone Density Axial (77080) $873.62 $873.62 8.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $392.04 $392.04 4.3×
Echo Guide For Artery Repair (76936)
range across 2 matching MRF lines
$7,895.25–$8,367.15 $7,895.25–$8,367.15 varies
Echograp Trans R Pros Study (76873)
range across 2 matching MRF lines
$5,236.88–$5,287.70 $5,236.88–$5,287.70 varies
Esophageal Motility Study (78258) $4,617.36 $4,617.36 11.1×
Esophagram (74220)
range across 2 matching MRF lines
$4,153.93–$4,642.77 $4,153.93–$4,642.77 varies
Fetal Biophys Profile W/Nst (76818) $790.13 $790.13 7.2×
Fluoroscopy up to 1 hr (76000) $4,791.60 $4,791.60 19.2×
Follow-Up Angiography (75898) $8,732.57 $8,732.57 2.6×
Foot 2 views (73620)
range across 4 matching MRF lines
$3,718.33–$5,422.01 $3,718.33–$5,422.01 varies
Forearm 2 views (73090)
range across 6 matching MRF lines
$3,328.71–$3,932.50 $3,328.71–$3,932.50 varies
Gastric emptying imaging 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×
Gated Heart, Multiple (78473) $9,375.08 $9,375.08 22.5×
Hand 2 views (73120)
range across 4 matching MRF lines
$3,718.33–$3,932.50 $3,718.33–$3,932.50 varies
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 Image W/Drug (78227) $7,580.65 $7,580.65 13.4×
Hepatobiliary System Imaging (78226) $6,696.14 $6,696.14 16.0×
Ht Muscle Image Spect Sing (78451) $6,600.55 $6,600.55 4.9×
Interstitial radiation source applic complex (77778) $13,566.52 $13,566.52 18.7×
K Flow/Funct Image W/Drug (78708) $6,889.74 $6,889.74 12.2×
K Flow/Funct Image W/O Drug (78707) $6,889.74 $6,889.74 12.2×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $5,180.01 $5,180.01 12.4×
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×
Lung Ventilat&Perfus Imaging (78582) $12,633.61 $12,633.61 22.3×
Lymph System Imaging (78195) $3,142.37 $3,142.37 5.5×
Magnetic Image Jaw Joint (70336) $19,139.25 $19,139.25 76.8×
Meckels Divert Exam (78290) $3,816.34 $3,816.34 9.1×
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/O & W/Contrast Material (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 contrast (74181) $17,373.43 $17,373.43 69.7×
MRI any jt lower extrem w/contrast material (73722)
range across 5 matching MRF lines
$3,892.58–$18,357.60 $3,892.58–$18,357.60 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $19,013.16 $19,013.16 52.2×
MRI any jt upper extremity w/contrast matrl (73222)
range across 5 matching MRF lines
$3,892.58–$18,357.60 $3,892.58–$18,357.60 varies
MRI Breast W/O 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 contrast (72142) $18,357.60 $18,357.60 50.4×
MRI cervical spine w/o cont (72141) $17,373.43 $17,373.43 69.7×
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 chest wo w contrast (71552) $19,013.16 $19,013.16 52.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 5 matching MRF lines
$12,049.83–$18,357.60 $12,049.83–$18,357.60 varies
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 lumbar spine w contrast (72149) $18,357.60 $18,357.60 50.4×
Mri Neck Spine W/O & W/Dye (72156) $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 orbit face neck w contrast (70542) $18,357.60 $18,357.60 50.4×
Mri Orbt/Fac/Nck W/O &W/Dye (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 (72197) $19,013.16 $19,013.16 52.2×
MRI pelvis w/o contrast (72195) $17,373.43 $17,373.43 69.7×
MRI thoracic spine w/o contrast (72146) $17,373.43 $17,373.43 69.7×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 4 matching MRF lines
$12,049.83–$18,357.60 $12,049.83–$18,357.60 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $17,373.43 $17,373.43 69.7×
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$19,013.16–$19,668.72 $19,013.16–$19,668.72 varies
MRI, abdomen, combo (74183) $19,013.16 $19,013.16 52.2×
MRI, dorsal spine combo (72157) $19,013.16 $19,013.16 52.2×
MRI, dorsal spine contrast (72147)
range across 2 matching MRF lines
$17,416.97–$18,357.60 $17,416.97–$18,357.60 varies
MRI, joint upper extrem (73221) $17,373.43 $17,373.43 69.7×
MRI, joint upper extrem combo (73223) $19,013.16 $19,013.16 52.2×
MRI, lumbar spine combo (72158) $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×
Myelography thoracic (72255) $11,641.41 $11,641.41 14.2×
Myelograpy 2/more regions rs&i (72270) $16,618.14 $16,618.14 20.3×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $3,011.69 $3,011.69 7.2×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $5,302.22 $5,302.22 9.4×
Myocardial Spect Multiple Studies (78452) $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 myocard infarct spect (78469) $4,716.58 $4,716.58 8.3×
Nm red cell survival study (78130) $1,566.95 $1,566.95 3.8×
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines
$1,049.07–$1,051.49 $1,049.07–$1,051.49 varies
Optic foramina (70190) $2,496.23 $2,496.23 27.5×
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)
range across 2 matching MRF lines
$1,977.14–$2,210.67 $1,977.14–$2,210.67 varies
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $13,393.49 $13,393.49 4.1×
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines
$5,140.08–$5,867.29 $5,140.08–$5,867.29 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$6,284.74–$6,647.74 $6,284.74–$6,647.74 varies
Radex abscess/fistula/sinus tract rs&i (76080) $3,038.31 $3,038.31 5.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 6 matching MRF lines
$3,542.88–$5,242.93 $3,542.88–$5,242.93 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 6 matching MRF lines
$1,968.67–$3,932.50 $1,968.67–$3,932.50 varies
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$4,184.18–$4,910.18 $4,184.18–$4,910.18 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $2,911.26 $2,911.26 26.7×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$1,113.20–$1,862.19 $1,113.20–$1,862.19 varies
Radex foot complete minimum 3 views (73630)
range across 4 matching MRF lines
$4,184.18–$6,612.65 $4,184.18–$6,612.65 varies
Radex Hand Minimum 3 Views (73130)
range across 4 matching MRF lines
$4,184.18–$6,018.54 $4,184.18–$6,018.54 varies
Radex lower extremity infant minimum 2 views (73592)
range across 5 matching MRF lines
$982.52–$3,247.64 $982.52–$3,247.64 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 4 matching MRF lines
$3,113.33–$3,718.33 $3,113.33–$3,718.33 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $3,251.27 $3,251.27 35.8×
Radex Ribs Unilateral 2 Views (71100)
range across 4 matching MRF lines
$1,606.88–$3,718.33 $1,606.88–$3,718.33 varies
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$3,718.33–$3,950.65 $3,718.33–$3,950.65 varies
Radex Sinuses Paransl < 3 Views (70210) $4,184.18 $4,184.18 46.0×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $6,232.71 $6,232.71 34.0×
Radex Spine 1 View Specify Level (72020) $3,487.22 $3,487.22 38.4×
Radex Sternum Minimum 2 Views (71120) $3,718.33 $3,718.33 40.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$3,113.33–$3,487.22 $3,113.33–$3,487.22 varies
Radex Toe Minimum 2 Views (73660)
range across 5 matching MRF lines
$2,496.23–$3,009.27 $2,496.23–$3,009.27 varies
Radex upper extremity infant minimum 2 views (73092)
range across 4 matching MRF lines
$2,496.23–$2,787.84 $2,496.23–$2,787.84 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$4,184.18–$4,910.18 $4,184.18–$4,910.18 varies
Radiolog exam mandible compl minimum 4 views (70110) $3,718.33 $3,718.33 34.1×
Radiologic exam colon double contrast study (74280) $7,897.67 $7,897.67 43.1×
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines
$6,647.74–$7,436.66 $6,647.74–$7,436.66 varies
Radiologic Exam Esophagus Double Contrast Study (74221) $4,153.93 $4,153.93 22.7×
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines
$4,184.18–$6,647.74 $4,184.18–$6,647.74 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2,502.28 $2,502.28 22.9×
Radiologic Exam Small Int Single Contrast Study (74250) $5,820.10 $5,820.10 31.8×
Radiologic exam swallow function contrast study (74230)
range across 2 matching MRF lines
$4,363.26–$4,883.56 $4,363.26–$4,883.56 varies
Radiologic exam upr gi trc double contrast study (74246) $4,568.96 $4,568.96 24.9×
Radiologic examination femur 1 view (73551) $3,328.71 $3,328.71 36.6×
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$3,328.71–$6,625.96 $3,328.71–$6,625.96 varies
Radiologic examination knee 1/2 views (73560)
range across 7 matching MRF lines
$1,255.98–$3,932.50 $1,255.98–$3,932.50 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$3,718.33–$3,932.50 $3,718.33–$3,932.50 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134)
range across 2 matching MRF lines
$873.62–$923.23 $873.62–$923.23 varies
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$555.39–$588.06 $555.39–$588.06 varies
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×
Scapula (73010)
range across 3 matching MRF lines
$1,241.46–$3,718.33 $1,241.46–$3,718.33 varies
Screening Digital Breast Tomosynthesis Bi (77063) $894.19 $894.19 38.2×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$3,113.33–$3,487.22 $3,113.33–$3,487.22 varies
Shoulder Arthrography (73040) $8,311.49 $8,311.49 22.8×
Skull less than 4 views (70250) $4,410.45 $4,410.45 40.4×
Special Physics Consult (77370)
range across 2 matching MRF lines
$2,583.05–$3,235.85 $2,583.05–$3,235.85 varies
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$3,328.71–$3,718.33 $3,328.71–$3,718.33 varies
Superior sagittal sinus venogram (75870) $14,287.68 $14,287.68 4.3×
Tbs technical calculation only (77091)
range across 2 matching MRF lines
$454.30–$499.73 $454.30–$499.73 varies
Testicular Imaging W/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×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $2,533.74 $2,533.74 6.5×
Thoracic spine 2 views (72070) $4,410.45 $4,410.45 40.4×
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$3,732.85–$3,945.81 $3,732.85–$3,945.81 varies
Thoracolumbar 2 views (72080) $3,711.40 $3,711.40 40.8×
Thyroid Imaging With Vascular Flow (78013) $1,189.43 $1,189.43 2.8×
Thyroid Met Imaging Body (78018) $7,903.72 $7,903.72 13.9×
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×
Ultrasound Breast Limited (76642) $2,361.92 $2,361.92 26.0×
Ultrasound elastography first target lesion (76982) $792.55 $792.55 7.3×
Ultrasound Elastography Parenchyma (76981) $792.55 $792.55 7.3×
Ultrasound Exam Aaa Screen (76706) $2,429.68 $2,429.68 22.3×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$4,593.16–$4,719 $4,593.16–$4,719 varies
Unlisted us procedure (76999) $2,112.66 $2,112.66 23.2×
Upper gi w/o kub (74240) $5,820.10 $5,820.10 31.8×
Urethrocystogram voiding (74455) $6,647.74 $6,647.74 26.7×
Urethrocystography retrograde (74450) $2,058.21 $2,058.21 8.3×
Us breast unilateral complete (76641) $2,361.92 $2,361.92 21.6×
Us chest (76604)
range across 2 matching MRF lines
$3,886.52–$3,925.24 $3,886.52–$3,925.24 varies
Us complete joint (76881) $8,246.15 $8,246.15 75.5×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$2,997.17–$3,026.21 $2,997.17–$3,026.21 varies
Us kidney transplant (76776) $3,538.04 $3,538.04 32.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $5,498.24 $5,498.24 50.4×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$1,258.40–$1,271.71 $1,258.40–$1,271.71 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$4,173.29–$4,212.01 $4,173.29–$4,212.01 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$4,826.69–$4,871.46 $4,826.69–$4,871.46 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$3,887.73–$3,925.24 $3,887.73–$3,925.24 varies
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$4,727.47–$4,772.24 $4,727.47–$4,772.24 varies
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$3,504.16–$3,538.04 $3,504.16–$3,538.04 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$4,303.97–$4,345.11 $4,303.97–$4,345.11 varies
Us spinal canal and contents (76800) $3,925.24 $3,925.24 36.0×
Us thyroid (76536)
range across 2 matching MRF lines
$4,735.94–$4,781.92 $4,735.94–$4,781.92 varies
Us transrectal (76872)
range across 2 matching MRF lines
$1,609.30–$3,887.73 $1,609.30–$3,887.73 varies
Vein X-Ray Chest (75827) $13,254.34 $13,254.34 8.1×
Vein X-Ray Skull Epidural (75872) $11,614.79 $11,614.79 17.7×
Venogram Sinus/Jugular (75860) $14,731.75 $14,731.75 4.5×
Venography Adrenal Unilateral (75840)
range across 2 matching MRF lines
$9,014.50–$9,827.62 $9,014.50–$9,827.62 varies
Venography caval inferior serialography rs&i (75825) $11,614.79 $11,614.79 3.5×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$10,716.97–$21,433.94 $10,716.97–$21,433.94 varies
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
$5,436.53–$14,287.68 $5,436.53–$14,287.68 varies
Venography Renal Bilateral (75833) $17,860.81 $17,860.81 5.4×
Venography Renal Unilateral (75831) $14,287.68 $14,287.68 4.3×
Venous sampling by catheter (75893) $14,287.68 $14,287.68 2.5×
Wrist 2 views (73100)
range across 4 matching MRF lines
$3,328.71–$3,718.33 $3,328.71–$3,718.33 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $3,718.33 $3,718.33 40.9×
X-ray antegrade pyelogram tube (74425)
range across 4 matching MRF lines
$6,254.49–$6,647.74 $6,254.49–$6,647.74 varies
X-Ray Aorta Leg Arteries (75630)
range across 2 matching MRF lines
$32,142.44–$32,942.25 $32,142.44–$32,942.25 varies
X-Ray Bend Only L-S Spine (72120) $3,328.71 $3,328.71 30.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$832.48–$3,718.33 $832.48–$3,718.33 varies
X-Ray Exam Breast Specimen (76098)
range across 3 matching MRF lines
$613.47–$1,456.84 $613.47–$1,456.84 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $261.36 $261.36 2.4×
X-Ray Exam Hip Uni 1 View (73501) $5,307.06 $5,307.06 58.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $5,725.72 $5,725.72 63.0×
X-Ray Exam Hip Uni 4/> Views (73503) $5,725.72 $5,725.72 52.4×
X-Ray Exam Hips Bi 2 Views (73521) $3,747.37 $3,747.37 34.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $3,747.37 $3,747.37 34.3×
X-Ray Exam Hips Bi 5/> Views (73523) $3,747.37 $3,747.37 34.3×
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$3,927.66–$4,153.93 $3,927.66–$4,153.93 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$3,328.71–$3,718.33 $3,328.71–$3,718.33 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $4,642.77 $4,642.77 42.5×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 4 matching MRF lines
$3,542.88–$3,747.37 $3,542.88–$3,747.37 varies
X-ray eye for foreign body (70030) $2,323.20 $2,323.20 25.6×
X-ray humerus (73060) $3,718.33 $3,718.33 40.9×
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
$7,065.19–$7,896.46 $7,065.19–$7,896.46 varies
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 Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$3,328.71–$3,718.33 $3,328.71–$3,718.33 varies
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
$3,927.66–$4,153.93 $3,927.66–$4,153.93 varies
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)
range across 2 matching MRF lines
$1,080.53–$1,142.24 $1,080.53–$1,142.24 varies
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 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 Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
$6,647.74–$7,436.66 $6,647.74–$7,436.66 varies
X-Rays Bone Length Studies (77073) $3,747.37 $3,747.37 34.3×
X-Rays Bone Survey Complete (77075) $1,049.07 $1,049.07 9.6×
Xr c-spine 4 or 5 views (72050) $4,642.77 $4,642.77 42.5×
Xr facial bones less than 3 views (70140) $2,681.36 $2,681.36 29.5×
Xr orbits complete 4 views (70200) $3,251.27 $3,251.27 29.8×
Xr Tomogram Single Plane (76100)
range across 2 matching MRF lines
$3,328.71–$3,436.40 $3,328.71–$3,436.40 varies

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.