Imaging prices at HCA Florida South Tampa Hospital
Tampa, FL · every code in this section with a posted price and a Medicare benchmark.
279 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) | $2,948.69 | $2,948.69 | 27.0× |
| Acute gi blood loss imaging (78278) | $12,057.21 | $12,057.21 | 28.9× |
| Angiography extremity bilateral rs&i (75716) | $29,178.05 | $29,178.05 | 8.8× |
| Angiography extremity unilateral rs&i (75710) | $18,825.40 | $18,825.40 | 5.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $16,403.77 | $16,403.77 | 5.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $16,403.77 | $16,403.77 | 5.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $25,664.21 | $25,664.21 | 4.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,486.04 | $2,486.04 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $16,403.77 | $16,403.77 | 5.0× |
| Ankle 2 views (73600) | $2,671.99 | $2,671.99 | 29.4× |
| Aortogram thoracic (75605) | $34,986.14 | $34,986.14 | 6.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,638.19 | $8,638.19 | 2.6× |
| Aortography abdominal serialography rs&i (75625) | $19,086.01 | $19,086.01 | 5.8× |
| Arthrogram elbow (73085) | $5,374.71 | $5,374.71 | 14.8× |
| Arthrogram hip (73525) | $11,417.05 | $11,417.05 | 31.3× |
| Arthrogram knee (73580) | $11,417.05 | $11,417.05 | 31.3× |
| Arthrogram shoulder (73040) | $11,417.05 | $11,417.05 | 31.3× |
| Bone &/Joint Imaging Limited Area (78300) | $13,310.04 | $13,310.04 | 31.9× |
| Bone &/joint imaging whole body (78306) | $13,809.50 | $13,809.50 | 33.1× |
| Bone age studies (77072) | $3,398.18 | $3,398.18 | 31.1× |
| Bone Imaging 3 Phase (78315) | $14,458.50 | $14,458.50 | 34.6× |
| Bone survey complete (77075) | $12,292.59 | $12,292.59 | 112.6× |
| Bowel imaging (78290) | $3,576.53 | $3,576.53 | 8.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $12,625.78 | $12,625.78 | 22.3× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $9,670.03 | $9,670.03 | 23.2× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $13,400.90 | $13,400.90 | 16.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $21,142.34 | $21,142.34 | 58.0× |
| Cervical spine 2 or 3 views (72040) | $4,095.09 | $4,095.09 | 45.1× |
| Chest 1 view (71045) | $1,510.95 | $1,510.95 | 16.6× |
| Chest xray 3 views (71047) | $3,475.77 | $3,475.77 | 38.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $13,636.62 | $13,636.62 | 74.4× |
| Clavicle complete (73000) | $2,926.74 | $2,926.74 | 32.2× |
| CT abdomen and pelvis without and with contrast (74178) | $33,440.30 | $33,440.30 | 91.8× |
| CT abdomen and pelvis without contrast (74176) | $25,554.73 | $25,554.73 | 102.6× |
| CT abdomen w contrast (74160) | $14,457.31 | $14,457.31 | 78.9× |
| CT abdomen w wo contrast (74170) | $18,986.95 | $18,986.95 | 103.7× |
| CT abdomen w/o contrast (74150) | $14,060.78 | $14,060.78 | 128.8× |
| CT angio hrt w/3d image (75574) | $20,611.38 | $20,611.38 | 56.6× |
| CT angio lwr extr w/o&w/dye (73706) | $18,986.95 | $18,986.95 | 103.7× |
| CT angiography upper extremity lt (73206) | $17,597.79 | $17,597.79 | 96.1× |
| CT c-spine w/contrast (72126) | $14,101.77 | $14,101.77 | 38.7× |
| CT c-spine w/o contrast (72125) | $13,660.30 | $13,660.30 | 125.1× |
| CT cervical spine w&w/o contrast (72127) | $14,605.34 | $14,605.34 | 79.7× |
| CT chest w contrast (71260) | $13,567.77 | $13,567.77 | 74.1× |
| CT chest w/wo contrast (71270) | $14,605.34 | $14,605.34 | 79.7× |
| CT head/brain with contrast (70460) | $11,614.22 | $11,614.22 | 63.4× |
| CT head/brain without and with contrast (70470) | $12,934.66 | $12,934.66 | 70.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $22,882.15 | $22,882.15 | 251.8× |
| CT hrt w/3d image congen (75573) | $20,421.05 | $20,421.05 | 56.1× |
| CT iac w contrast (70481) | $10,963.92 | $10,963.92 | 59.9× |
| CT lower ext w/o (73700) | $12,172.01 | $12,172.01 | 111.5× |
| CT lower extremity w wo contrast (73702) | $18,986.95 | $18,986.95 | 103.7× |
| CT lower extremity w/contrast material (73701) | $12,662.36 | $12,662.36 | 69.1× |
| CT lumbar spine w & w/o contrast (72133) | $18,986.95 | $18,986.95 | 103.7× |
| CT lumbar spine w/contrast (72132) | $14,457.31 | $14,457.31 | 39.7× |
| CT lumbar spine w/o contrast (72131) | $14,219.39 | $14,219.39 | 130.2× |
| CT maxillofacial w contrast (70487) | $11,302.29 | $11,302.29 | 61.7× |
| CT maxillofacial w/wo contrast (70488) | $16,425.40 | $16,425.40 | 89.7× |
| CT maxillofacial wo contrast (70486) | $10,793.42 | $10,793.42 | 98.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $13,337.79 | $13,337.79 | 72.8× |
| CT orbits w/o contrast (70480) | $11,743.77 | $11,743.77 | 107.6× |
| CT pelvis w/o contrast (72192) | $11,493.94 | $11,493.94 | 105.3× |
| CT pelvis w/wo contrast (72194) | $14,457.31 | $14,457.31 | 78.9× |
| CT scan of arm combo (73202) | $18,986.95 | $18,986.95 | 103.7× |
| CT soft tissue neck w contrast (70491) | $13,058.89 | $13,058.89 | 71.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $19,577.77 | $19,577.77 | 106.9× |
| CT soft tissue neck w/o contrast (70490) | $13,058.89 | $13,058.89 | 119.6× |
| CT thoracic spine w/contrast (72129) | $13,567.77 | $13,567.77 | 74.1× |
| CT thoracic spine w/o contrast (72128) | $13,434.28 | $13,434.28 | 123.1× |
| CT thoracic spine w/wo contrast (72130) | $18,986.95 | $18,986.95 | 103.7× |
| CT thorax w/o contrast (71250) | $13,199 | $13,199 | 120.9× |
| CT upper ext wo (73200) | $12,172.01 | $12,172.01 | 111.5× |
| CT upper extremity with contrast (73201) | $12,662.36 | $12,662.36 | 34.8× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $17,597.79 | $17,597.79 | 96.1× |
| Cta Abdomen (74175) | $17,597.79 | $17,597.79 | 96.1× |
| CTA abdomen pelvis (74174) | $35,635.72 | $35,635.72 | 97.8× |
| CTA chest (71275) | $18,986.95 | $18,986.95 | 103.7× |
| Cta Head (70496) | $18,986.95 | $18,986.95 | 103.7× |
| Cta Neck (70498) | $18,986.95 | $18,986.95 | 103.7× |
| Cta Pelvis (72191) | $17,597.79 | $17,597.79 | 96.1× |
| Cystography minimum 3 views rs&i (74430) | $4,013.10 | $4,013.10 | 11.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $19,964.47 | $19,964.47 | 9.1× |
| Dxa bone density study 1/> sites axial skel (77080) | $3,534.33 | $3,534.33 | 32.4× |
| Esophagus (74220) | $4,323.48 | $4,323.48 | 23.6× |
| Facial bones min 3 views (70150) | $5,260.51 | $5,260.51 | 48.2× |
| Fluoroscopy up to 1 hr (76000) | $2,898.92 | $2,898.92 | 11.6× |
| Foot 2 views (73620) | $2,450.90 | $2,450.90 | 27.0× |
| Forearm 2 views (73090) | $3,398.18 | $3,398.18 | 37.4× |
| Hand 2 views (73120) | $2,493.36 | $2,493.36 | 22.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $13,801.03 | $13,801.03 | 24.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $12,648.36 | $12,648.36 | 30.3× |
| Hysterosalpingogram (74740) | $5,698.28 | $5,698.28 | 22.9× |
| Kidney imaging morphology (78700) | $11,523.91 | $11,523.91 | 27.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $18,777.13 | $18,777.13 | 33.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $10,955.33 | $10,955.33 | 19.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $12,648.36 | $12,648.36 | 22.3× |
| Knee 3 views (73562) | $3,316.19 | $3,316.19 | 36.5× |
| Liver & spleen imaging static only (78215) | $15,004.50 | $15,004.50 | 35.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $10,087.65 | $10,087.65 | 24.2× |
| Liver imaging static only (78201) | $10,087.65 | $10,087.65 | 17.8× |
| Liver imaging w/vascular flow (78202) | $10,087.65 | $10,087.65 | 17.8× |
| Lung perf&ventilat diferentl (78598) | $10,879.14 | $10,879.14 | 19.2× |
| Lung perfusion differential (78597) | $6,959.78 | $6,959.78 | 16.7× |
| Lung ventilation imaging (78579) | $10,385.34 | $10,385.34 | 24.9× |
| Lymphoscintigraphy (78195) | $3,978.62 | $3,978.62 | 7.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $6,507.93 | $6,507.93 | 7.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $10,885.59 | $10,885.59 | 29.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $10,642.54 | $10,642.54 | 29.2× |
| MRA head w & w/o contrast (70546) | $10,929.51 | $10,929.51 | 30.0× |
| MRA head w/o contrast (70544) | $9,948.57 | $9,948.57 | 39.9× |
| MRA neck w contrast (70548) | $10,929.51 | $10,929.51 | 30.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,929.51 | $10,929.51 | 30.0× |
| MRA neck w/o contrast (70547) | $10,929.51 | $10,929.51 | 43.9× |
| MRI abdomen w contrast (74182) | $10,642.54 | $10,642.54 | 29.2× |
| MRI abdomen w/o & w/contrast material (74183) | $10,929.51 | $10,929.51 | 30.0× |
| MRI abdomen w/o contrast (74181) | $6,507.93 | $6,507.93 | 26.1× |
| MRI any jt lower extrem w/contrast material (73722) | $6,507.93 | $6,507.93 | 7.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,134.50 | $10,134.50 | 27.8× |
| MRI breast w/o contrast bilateral (77047) | $10,544.45 | $10,544.45 | 42.3× |
| MRI breast wo contrast unilateral (77046) | $8,796.32 | $8,796.32 | 35.3× |
| MRI c-spine with contrast (72142) | $4,343.99 | $4,343.99 | 11.9× |
| MRI cardiac w/o contrast (75557) | $13,400.90 | $13,400.90 | 53.8× |
| MRI cervical spine w/o contrast (72141) | $10,642.54 | $10,642.54 | 42.7× |
| MRI chest w/o & w/contrast material (71552) | $10,929.51 | $10,929.51 | 30.0× |
| MRI chest w/o contrast (71550) | $10,642.54 | $10,642.54 | 42.7× |
| MRI chest with contrast (71551) | $10,134.50 | $10,134.50 | 12.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,885.59 | $10,885.59 | 29.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,885.59 | $10,885.59 | 29.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,885.59 | $10,885.59 | 43.7× |
| MRI orbit face &/neck w/o contrast (70540) | $10,134.50 | $10,134.50 | 40.7× |
| MRI orbit face neck w contrast (70542) | $10,642.54 | $10,642.54 | 29.2× |
| MRI orbit/face/neck w&w/o cont (70543) | $10,929.51 | $10,929.51 | 30.0× |
| MRI pelvis w/contrast (72196) | $6,507.93 | $6,507.93 | 17.9× |
| MRI pelvis w/o & w/contrast material (72197) | $10,642.54 | $10,642.54 | 29.2× |
| MRI pelvis w/o contrast (72195) | $10,134.50 | $10,134.50 | 40.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $10,929.51 | $10,929.51 | 30.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $4,343.99 | $4,343.99 | 11.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $10,929.51 | $10,929.51 | 30.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $6,507.93 | $6,507.93 | 17.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $10,929.51 | $10,929.51 | 30.0× |
| MRI temporomandibular joint (70336) | $10,642.54 | $10,642.54 | 42.7× |
| MRI thoracic spine w/o contrast (72146) | $10,642.54 | $10,642.54 | 42.7× |
| MRI up ext w/o contrast (73218) | $10,885.59 | $10,885.59 | 43.7× |
| MRI upper ext joint w/o contrast (73221) | $10,134.50 | $10,134.50 | 40.7× |
| MRI, joint upper extrem combo (73223) | $10,642.54 | $10,642.54 | 29.2× |
| Myocardial Spect Multiple Studies (78452) | $22,101.12 | $22,101.12 | 16.3× |
| Myocardial spect single study at rest or stress (78451) | $16,787.82 | $16,787.82 | 12.4× |
| Neck soft tissue (70360) | $1,956.04 | $1,956.04 | 21.5× |
| Nm cisternogram (78630) | $4,250.93 | $4,250.93 | 7.5× |
| Nm gastric emptying study (78264) | $11,296.76 | $11,296.76 | 27.1× |
| Nm kidney scan w/flow (78701) | $15,584.36 | $15,584.36 | 37.3× |
| Nonvascular shunt X-ray (75809) | $893.10 | $893.10 | 8.2× |
| Nuclear Rx Oral Admin (79005) | $7,546.81 | $7,546.81 | 31.0× |
| Parathyrd planar w/spect&CT (78072) | $11,021.64 | $11,021.64 | 19.4× |
| Parathyroid Planar Imaging (78070) | $8,470.80 | $8,470.80 | 20.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $11,021.64 | $11,021.64 | 26.4× |
| Pelvis 1 or 2 views (72170) | $2,616.35 | $2,616.35 | 24.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,385.34 | $10,385.34 | 24.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $10,626.59 | $10,626.59 | 18.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $7,056.96 | $7,056.96 | 12.4× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,313.26 | $3,313.26 | 36.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,297.17 | $2,297.17 | 25.3× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,398.18 | $3,398.18 | 37.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $4,032.13 | $4,032.13 | 36.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $4,390.84 | $4,390.84 | 40.2× |
| Radex fingr minimum 2 views (73140) | $2,573.89 | $2,573.89 | 28.3× |
| Radex Foot Compl Minimum 3 Views (73630) | $3,398.18 | $3,398.18 | 37.4× |
| Radex Hand Minimum 3 Views (73130) | $3,382.07 | $3,382.07 | 37.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,131.73 | $2,131.73 | 23.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,904.77 | $2,904.77 | 26.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,904.77 | $2,904.77 | 26.6× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $3,840.33 | $3,840.33 | 35.2× |
| Radex Humerus Minimum 2 Views (73060) | $3,382.07 | $3,382.07 | 37.2× |
| Radex Kne 1/2 Views (73560) | $2,685.16 | $2,685.16 | 29.5× |
| Radex Kne Compl 4/More Views (73564) | $2,011.67 | $2,011.67 | 18.4× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,045.31 | $4,045.31 | 37.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,573.89 | $2,573.89 | 28.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,749.58 | $2,749.58 | 25.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,843.27 | $3,843.27 | 42.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,671.99 | $2,671.99 | 29.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $2,445.05 | $2,445.05 | 22.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $4,045.31 | $4,045.31 | 44.5× |
| Radex Toe Minimum 2 Views (73660) | $2,573.89 | $2,573.89 | 28.3× |
| Radex upper extremity infant minimum 2 views (73092) | $2,450.90 | $2,450.90 | 22.5× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,671.99 | $2,671.99 | 29.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,510.95 | $1,510.95 | 16.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,948.69 | $2,948.69 | 27.0× |
| Radiologic exam chest 2 views (71046) | $3,475.77 | $3,475.77 | 38.2× |
| Radiologic exam colon single contrast study (74270) | $5,996.96 | $5,996.96 | 32.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,945.69 | $6,945.69 | 37.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,509.43 | $4,509.43 | 24.6× |
| Radiologic examination femur 1 view (73551) | $2,131.73 | $2,131.73 | 23.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,158.07 | $3,158.07 | 34.7× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $1,740.82 | $1,740.82 | 15.9× |
| Radiological examination surgical specimen (76098) | $2,248.86 | $2,248.86 | 3.9× |
| Ribs bilateral 3 views (71110) | $3,459.67 | $3,459.67 | 31.7× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $9,634.76 | $9,634.76 | 23.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $17,666.79 | $17,666.79 | 42.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $13,200.01 | $13,200.01 | 23.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $13,908.26 | $13,908.26 | 24.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,385.34 | $10,385.34 | 18.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $3,543.12 | $3,543.12 | 14.2× |
| Scapula (73010) | $2,671.99 | $2,671.99 | 24.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $137.62 | $137.62 | 5.9× |
| Shoulder 1 view (73020) | $2,445.05 | $2,445.05 | 26.9× |
| Sialogram (70390) | $5,343.97 | $5,343.97 | 21.4× |
| Small bowel series (74250) | $4,562.14 | $4,562.14 | 24.9× |
| Spine thoracic 3 views (72072) | $3,874.01 | $3,874.01 | 35.5× |
| Spleen imaging only (78185) | $8,799.53 | $8,799.53 | 21.1× |
| Thoracolumbar 2 views (72080) | $2,178.58 | $2,178.58 | 24.0× |
| Thyroid carcinoma metastases img whole body (78018) | $9,634.76 | $9,634.76 | 17.0× |
| Thyroid imaging w/blood flow (78013) | $8,137.84 | $8,137.84 | 19.5× |
| Thyroid uptake measurement (78012) | $7,888.12 | $7,888.12 | 18.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $18,410.30 | $18,410.30 | 44.1× |
| Ultrasound breast complete (76641) | $5,380.57 | $5,380.57 | 49.3× |
| Ultrasound Exam Aaa Screen (76706) | $2,376.23 | $2,376.23 | 21.8× |
| Ultrasound, abdomen limited (76705) | $4,755.40 | $4,755.40 | 43.6× |
| Urethrocystogram voiding (74455) | $6,459.61 | $6,459.61 | 25.9× |
| Urethrocystography retrograde rs&i (74450) | $6,339.55 | $6,339.55 | 25.4× |
| Us breast unilateral limited (76642) | $7,681.54 | $7,681.54 | 84.5× |
| Us chest (76604) | $3,772.99 | $3,772.99 | 34.6× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $1,420.18 | $1,420.18 | 6.3× |
| Us compl joint r-t w/image documentation (76881) | $6,730.47 | $6,730.47 | 61.7× |
| Us elastography parenchyma (76981) | $4,755.40 | $4,755.40 | 43.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $4,360.09 | $4,360.09 | 39.9× |
| Us ob limited (76815) | $2,958.95 | $2,958.95 | 27.1× |
| Us ob transvaginal (76817) | $10,780.17 | $10,780.17 | 98.7× |
| Us pelvic non ob complete (76856) | $9,278.01 | $9,278.01 | 85.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,368.94 | $1,368.94 | 12.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $9,345.35 | $9,345.35 | 85.6× |
| Us retroperitoneal complete (76770) | $10,857.77 | $10,857.77 | 99.5× |
| Us retroperitoneal limited (76775) | $5,991.10 | $5,991.10 | 54.9× |
| Us scrotum and contents (76870) | $4,702.69 | $4,702.69 | 43.1× |
| Us soft tissue head/neck (76536) | $3,215.17 | $3,215.17 | 29.5× |
| Us transrectal (76872) | $5,590.67 | $5,590.67 | 51.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $10,676.22 | $10,676.22 | 97.8× |
| Venogram extremity bilateral (75822) | $5,745.12 | $5,745.12 | 3.5× |
| Venogram Extremity Unilateral (75820) | $1,816.95 | $1,816.95 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $10,357.04 | $10,357.04 | 3.1× |
| Venography caval superior serialography rs&i (75827) | $12,914.83 | $12,914.83 | 7.9× |
| Venography Renal Bilateral (75833) | $19,364.19 | $19,364.19 | 5.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $6,827.10 | $6,827.10 | 2.1× |
| Venous sampling by catheter (75893) | $67,881 | $67,881 | 11.7× |
| Wrist 2 views (73100) | $2,193.22 | $2,193.22 | 24.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $4,673.41 | $4,673.41 | 42.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,057.04 | $3,057.04 | 33.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,504.99 | $6,504.99 | 35.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,671.99 | $2,671.99 | 29.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,131.73 | $2,131.73 | 23.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,904.77 | $2,904.77 | 26.6× |
| X-ray exam of femur 2/> (73552) | $2,131.73 | $2,131.73 | 23.5× |
| X-ray eye for foreign body (70030) | $934.10 | $934.10 | 10.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $4,225.40 | $4,225.40 | 46.5× |
| X-ray IV pyelogram (ivp) (74400) | $7,251.68 | $7,251.68 | 39.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,995.57 | $1,995.57 | 22.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,989.69 | $2,989.69 | 32.9× |
| X-ray leg, infant (73592) | $2,450.90 | $2,450.90 | 27.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $5,996.96 | $5,996.96 | 54.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $7,056.96 | $7,056.96 | 64.6× |
| X-ray nose-rectum child f.b. (76010) | $2,178.58 | $2,178.58 | 24.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,844.71 | $4,844.71 | 44.4× |
| X-ray retrograde pyelogram (74420) | $5,509.41 | $5,509.41 | 15.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,749.58 | $2,749.58 | 30.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $4,130.23 | $4,130.23 | 37.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,071.64 | $5,071.64 | 46.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,718.84 | $2,718.84 | 24.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,506.54 | $2,506.54 | 27.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,045.31 | $4,045.31 | 44.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,701.22 | $4,701.22 | 43.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $4,844.71 | $4,844.71 | 44.4× |
| X-Ray Small Bowel Enteroclysis (74251) | $4,934.02 | $4,934.02 | 26.9× |
| X-Ray Spine One View - Xr Spine (72020) | $2,490.43 | $2,490.43 | 27.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,671.99 | $2,671.99 | 29.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,671.99 | $2,671.99 | 29.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,573.89 | $2,573.89 | 23.6× |
| Xr c-spine 4 or 5 views (72050) | $3,991.14 | $3,991.14 | 36.6× |
| Xr c-spine 6 or more views (72052) | $3,991.14 | $3,991.14 | 36.6× |
| Xr chest 4+ views (71048) | $4,673.41 | $4,673.41 | 42.8× |
| Xr urogram antegrade (74425) | $10,200.39 | $10,200.39 | 28.0× |