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.

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ProcedureCash priceGross charge× Medicare
Acute gi blood loss imaging (78278) $12,057.21 $12,057.21 28.9×
Angio extremity unilateral (75710) $18,825.40 $18,825.40 5.7×
Angio pulmonary unilateral (75741) $16,403.77 $16,403.77 5.0×
Angiogram extremity bilateral (75716) $29,178.05 $29,178.05 8.8×
Angiography pulmonary bilateral slctv rs&i (75743) $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×
Arthrography knee lt (73580) $11,417.05 $11,417.05 31.3×
Barium enema (74270) $5,996.96 $5,996.96 32.7×
Bilat selctv renal venogram (75833) $19,364.19 $19,364.19 5.9×
Bone age studies (77072) $3,398.18 $3,398.18 31.1×
Bone imaging limited area (78300) $13,310.04 $13,310.04 31.9×
Bone survey complete (77075) $12,292.59 $12,292.59 112.6×
Bowel imaging (78290) $3,576.53 $3,576.53 8.6×
Brain image w/flow 4 + views (78606) $12,625.78 $12,625.78 22.3×
Card MRI w/stress img & dye (75563) $13,400.90 $13,400.90 16.4×
Cardiac MRI w/wo contrast & further seq (75561) $21,142.34 $21,142.34 58.0×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $13,636.62 $13,636.62 74.4×
Cisternogram (78630) $4,250.93 $4,250.93 7.5×
Clavicle complete (73000) $2,926.74 $2,926.74 32.2×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $10,963.92 $10,963.92 59.9×
Contrast exam abdominl aorta (75625) $19,086.01 $19,086.01 5.8×
Contrast exam thoracic aorta (75605) $34,986.14 $34,986.14 6.0×
CT - st neck w&wo contr (70492) $19,577.77 $19,577.77 106.9×
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 wo contrast (74170) $18,986.95 $18,986.95 103.7×
CT abdomen w/contrast (74160) $14,457.31 $14,457.31 78.9×
CT abdomen w/o contrast (74150) $14,060.78 $14,060.78 128.8×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $35,635.72 $35,635.72 97.8×
CT angio abdom w/o & w/dye (74175) $17,597.79 $17,597.79 96.1×
CT angio abdominal arteries (75635) $17,597.79 $17,597.79 96.1×
CT angio hrt w/3d image (75574) $20,611.38 $20,611.38 56.6×
CT angiograph pelv w/o&w/dye (72191) $17,597.79 $17,597.79 96.1×
CT cervical spine w/contrast (72126) $14,101.77 $14,101.77 38.7×
CT cervical spine w/o contrast (72125) $13,660.30 $13,660.30 125.1×
CT chest w/contrast (71260) $13,567.77 $13,567.77 74.1×
CT extremity upper w & w/o contrast (73202) $18,986.95 $18,986.95 103.7×
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 lower ext w/wo contrast (73702) $18,986.95 $18,986.95 103.7×
CT lower extremity w contrast (73701) $12,662.36 $12,662.36 69.1×
CT lower extremity w/o contrast unilateral (73700) $12,172.01 $12,172.01 111.5×
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 lumbar spine w/o then w/ con (72133) $18,986.95 $18,986.95 103.7×
CT maxillofacial area w/o contrast (70486) $10,793.42 $10,793.42 98.9×
CT maxillofacial w/contrast (70487) $11,302.29 $11,302.29 61.7×
CT maxillofacial w/o then w/ con (70488) $16,425.40 $16,425.40 89.7×
CT orbit sella ear w/o con (70480) $11,743.77 $11,743.77 107.6×
CT orbit/ear/fossa w/o then w/ con (70482) $13,337.79 $13,337.79 72.8×
CT pelvis w & w/o contrast (72194) $14,457.31 $14,457.31 78.9×
CT pelvis w/o contrast (72192) $11,493.94 $11,493.94 105.3×
CT soft tissue neck w/contrast (70491) $13,058.89 $13,058.89 71.3×
CT soft tissue neck w/o contrast (70490) $13,058.89 $13,058.89 119.6×
CT spine cervical w/wo contrast (72127) $14,605.34 $14,605.34 79.7×
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/o then w/ con (72130) $18,986.95 $18,986.95 103.7×
CT thorax w/o contrast (71250) $13,199 $13,199 120.9×
CT thorax w/o then w/ contrast (71270) $14,605.34 $14,605.34 79.7×
CT upper extremity w/dye (73201) $12,662.36 $12,662.36 34.8×
CT upper extremity w/o contrast rt (73200) $12,172.01 $12,172.01 111.5×
CTA chest w/wo contrast (71275) $18,986.95 $18,986.95 103.7×
CTA head w contrast (70496) $18,986.95 $18,986.95 103.7×
CTA lower extremity w/wo contrast unilateral (73706) $18,986.95 $18,986.95 103.7×
Cta Neck (70498) $18,986.95 $18,986.95 103.7×
CTA upper extremity w/wo contrast unilateral (73206) $17,597.79 $17,597.79 96.1×
Dilation ureters/urethra rs&i (74485) $19,964.47 $19,964.47 9.1×
Esophogram (74220) $4,323.48 $4,323.48 23.6×
Fluoroscopy up to 1 hour physician/qhp time (76000) $2,898.92 $2,898.92 11.6×
Gastric emptying study (78264) $11,296.76 $11,296.76 27.1×
Gated heart planar single (78472) $9,670.03 $9,670.03 23.2×
Hepatobil syst image w/drug (78227) $13,801.03 $13,801.03 24.3×
Hepatobiliary system imaging (78226) $12,648.36 $12,648.36 30.3×
Humerus min 2 views (73060) $3,382.07 $3,382.07 37.2×
Hysterosalpingography (74740) $5,698.28 $5,698.28 22.9×
Ivp (74400) $7,251.68 $7,251.68 39.6×
Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) $12,648.36 $12,648.36 22.3×
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) $18,777.13 $18,777.13 33.1×
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) $10,955.33 $10,955.33 19.3×
Kidney w vascular flow (78701) $15,584.36 $15,584.36 37.3×
Liver & spleen; static only (78215) $15,004.50 $15,004.50 35.9×
Liver & spleen; w vasc flow (78216) $10,087.65 $10,087.65 24.2×
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 ventilat&perfus imaging (78582) $10,626.59 $10,626.59 18.7×
Lung ventilation imaging (78579) $10,385.34 $10,385.34 24.9×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $10,134.50 $10,134.50 27.8×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $10,885.59 $10,885.59 29.9×
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 contrast (70547) $10,929.51 $10,929.51 43.9×
MRA neck w/wo contrast (70549) $10,929.51 $10,929.51 30.0×
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 jnt lwr ext with con lt (73722) $6,507.93 $6,507.93 7.9×
MRI breast without contrast bilateral (77047) $10,544.45 $10,544.45 42.3×
MRI breast without contrast material unilateral (77046) $8,796.32 $8,796.32 35.3×
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 cervical spine with contrast (72142) $4,343.99 $4,343.99 11.9×
MRI chest w & w/o contrast (71552) $10,929.51 $10,929.51 30.0×
MRI chest w/contrast (71551) $10,134.50 $10,134.50 12.4×
MRI chest w/o contrast (71550) $10,642.54 $10,642.54 42.7×
MRI joint upper ext w/contrast (73222) $6,507.93 $6,507.93 7.9×
MRI joint upr extr w/o&w/dye (73223) $10,642.54 $10,642.54 29.2×
MRI joint upr extrem w/o dye (73221) $10,134.50 $10,134.50 40.7×
Mri Lower Extremity W/O Dye (73718) $10,885.59 $10,885.59 43.7×
MRI lumbar spine with contrast (72149) $4,343.99 $4,343.99 11.9×
MRI lumbar w/wo contrast (72158) $10,929.51 $10,929.51 30.0×
MRI lwr ext w/o jnts with con rt (73719) $10,885.59 $10,885.59 29.9×
MRI orbit/face/neck w/contrast (70542) $10,642.54 $10,642.54 29.2×
MRI orbit/face/neck w/o & w/contrast (70543) $10,929.51 $10,929.51 30.0×
MRI orbit/face/neck w/o contrast (70540) $10,134.50 $10,134.50 40.7×
MRI pelvis w/ contrast (72196) $6,507.93 $6,507.93 17.9×
MRI pelvis w/o contrast (72195) $10,134.50 $10,134.50 40.7×
MRI pelvis w/wo contrast (72197) $10,642.54 $10,642.54 29.2×
MRI spine cervical wo/w contrast (72156) $10,929.51 $10,929.51 30.0×
MRI spine thoracic w/contrast (72147) $6,507.93 $6,507.93 17.9×
MRI thoracic spine w wo contrast (72157) $10,929.51 $10,929.51 30.0×
MRI thoracic spine w/o contrast (72146) $10,642.54 $10,642.54 42.7×
MRI tmj (70336) $10,642.54 $10,642.54 42.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $10,885.59 $10,885.59 43.7×
Mri Upper Extremity W/Dye (73219) $10,885.59 $10,885.59 29.9×
MRI upr ext w/o jnts w/o-w/con rt (73220) $10,642.54 $10,642.54 29.2×
Myocardial spect single study at rest or stress (78451) $16,787.82 $16,787.82 12.4×
Nm bone 3 phase (78315) $14,458.50 $14,458.50 34.6×
Nm bone imaging whole body (78306) $13,809.50 $13,809.50 33.1×
Nm heart perfusion spect stress rest (78452) $22,101.12 $22,101.12 16.3×
Nm kidney imaging morphology (78700) $11,523.91 $11,523.91 27.6×
Nm liver image static only (78201) $10,087.65 $10,087.65 17.8×
Nm lymph system (78195) $3,978.62 $3,978.62 7.0×
Nm thyroid imaging only (78013) $8,137.84 $8,137.84 19.5×
Nose to rectum for fb child (76010) $2,178.58 $2,178.58 24.0×
Ob us < 14 wks single fetus (76801) $9,345.35 $9,345.35 85.6×
Oral radiopharm rx (79005) $7,546.81 $7,546.81 31.0×
Parathyrd planar w/spect&CT (78072) $11,021.64 $11,021.64 19.4×
Parathyroid 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×
Pulmonary perfusion imaging particulate (78580) $10,385.34 $10,385.34 24.9×
Radex abscess/fistula/sinus tract rs&i (76080) $7,056.96 $7,056.96 12.4×
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 hip unilateral with pelvis 1 view (73501) $2,131.73 $2,131.73 23.5×
Radex hip unilateral with pelvis 2-3 views (73502) $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 spine cervical 2 or 3 views (72040) $4,095.09 $4,095.09 45.1×
Radex spine cervical 4 or 5 views (72050) $3,991.14 $3,991.14 36.6×
Radex spine cervical 6 or more views (72052) $3,991.14 $3,991.14 36.6×
Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) $2,178.58 $2,178.58 24.0×
Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) $4,673.41 $4,673.41 42.8×
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 - Xr Femur 1 Vw Right (73551) $2,131.73 $2,131.73 23.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $2,131.73 $2,131.73 23.5×
Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) $4,673.41 $4,673.41 42.8×
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 infused sonohysterogram (76831) $3,543.12 $3,543.12 14.2×
Screening digital breast tomosynthesis; bilateral (77063) $137.62 $137.62 5.9×
Shoulder arthrogram (73040) $11,417.05 $11,417.05 31.3×
Shuntogram indwelling nonvascular shunt rs&i (75809) $893.10 $893.10 8.2×
Small bowel series (74250) $4,562.14 $4,562.14 24.9×
Spleen imaging only (78185) $8,799.53 $8,799.53 21.1×
Thyroid met imaging body (78018) $9,634.76 $9,634.76 17.0×
Thyroid uptake single/multiple quant 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 limited (76642) $7,681.54 $7,681.54 84.5×
Ultrasound, abdomen limited (76705) $4,755.40 $4,755.40 43.6×
Urethrocystography retrograde rs&i (74450) $6,339.55 $6,339.55 25.4×
Urethrocystography voiding (74455) $6,459.61 $6,459.61 25.9×
Urography antegrade (74425) $10,200.39 $10,200.39 28.0×
Urography retrograde w/wo kub (74420) $5,509.41 $5,509.41 15.1×
Us abdominal aorta real time screen study aaa (76706) $2,376.23 $2,376.23 21.8×
Us breast uni real time with image complete (76641) $5,380.57 $5,380.57 49.3×
Us chest (76604) $3,772.99 $3,772.99 34.6×
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 guided compression repair (76936) $1,420.18 $1,420.18 6.3×
Us kidney transplanted (76776) $10,676.22 $10,676.22 97.8×
Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) $4,360.09 $4,360.09 39.9×
Us ob limited 1 or more fetuses (76815) $2,958.95 $2,958.95 27.1×
Us obstetric transvaginal (76817) $10,780.17 $10,780.17 98.7×
Us pelvic limited or f/u non-ob (76857) $1,368.94 $1,368.94 12.5×
Us pelvis complete (76856) $9,278.01 $9,278.01 85.0×
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 (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×
Venogram extremity bilateral (75822) $5,745.12 $5,745.12 3.5×
Venogram ivc w serialography (75825) $10,357.04 $10,357.04 3.1×
Venogram svc w serialography (75827) $12,914.83 $12,914.83 7.9×
Venography ext unilateral (75820) $1,816.95 $1,816.95 1.1×
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×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $3,057.04 $3,057.04 33.6×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $3,313.26 $3,313.26 36.5×
X-ray aorta leg arteries (75630) $8,638.19 $8,638.19 2.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $6,504.99 $6,504.99 35.5×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $3,398.18 $3,398.18 37.4×
X-ray exam hips bi 3-4 views (73522) $2,904.77 $2,904.77 26.6×
X-ray exam of finger(s) (73140) $2,573.89 $2,573.89 28.3×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $4,934.02 $4,934.02 26.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $4,225.40 $4,225.40 46.5×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $2,450.90 $2,450.90 27.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $3,398.18 $3,398.18 37.4×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $2,493.36 $2,493.36 22.8×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $3,382.07 $3,382.07 37.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $2,297.17 $2,297.17 25.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,995.57 $1,995.57 22.0×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $3,316.19 $3,316.19 36.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $2,011.67 $2,011.67 18.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $2,989.69 $2,989.69 32.9×
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 Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) $1,740.82 $1,740.82 15.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $2,749.58 $2,749.58 30.3×
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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $3,843.27 $3,843.27 42.3×
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 Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $2,671.99 $2,671.99 29.4×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $2,573.89 $2,573.89 28.3×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $2,193.22 $2,193.22 24.1×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $2,671.99 $2,671.99 29.4×
Xr abdomen 1 view (74018) $1,510.95 $1,510.95 16.6×
Xr abdomen 2 views (74019) $2,948.69 $2,948.69 27.0×
Xr abdomen 3 views (74021) $2,948.69 $2,948.69 27.0×
Xr arthrogram elbow (73085) $5,374.71 $5,374.71 14.8×
Xr arthrogram hip (73525) $11,417.05 $11,417.05 31.3×
Xr bone density axial (77080) $3,534.33 $3,534.33 32.4×
Xr chest 1 view (71045) $1,510.95 $1,510.95 16.6×
Xr chest 2 views (71046) $3,475.77 $3,475.77 38.2×
Xr chest 3 views (71047) $3,475.77 $3,475.77 38.2×
Xr cystogram 3+ views (74430) $4,013.10 $4,013.10 11.0×
Xr eye foreign body (70030) $934.10 $934.10 10.3×
Xr facial bones 3 views (70150) $5,260.51 $5,260.51 48.2×
Xr lower extremity 2 views infant (73592) $2,450.90 $2,450.90 27.0×
Xr lumbar spine 4 views w/ flex ext (72120) $2,445.05 $2,445.05 22.4×
Xr mandible 4 views (70110) $4,045.31 $4,045.31 37.1×
Xr nasal bones (70160) $2,573.89 $2,573.89 28.3×
Xr pelvis 3 views (72190) $2,749.58 $2,749.58 25.2×
Xr sialogram (70390) $5,343.97 $5,343.97 21.4×
Xr spine 1 view (72020) $2,490.43 $2,490.43 27.4×
Xr sternum 2 views (71120) $2,671.99 $2,671.99 29.4×
Xr surgical specimen (76098) $2,248.86 $2,248.86 3.9×
Xr upper extremity 2 views infant (73092) $2,450.90 $2,450.90 22.5×
Xray elbow 2 views (73070) $2,671.99 $2,671.99 29.4×
Xray forearm 2 views (73090) $3,398.18 $3,398.18 37.4×
Xray knee 1 or 2 views rt (73560) $2,685.16 $2,685.16 29.5×
Xray neck soft tissue (70360) $1,956.04 $1,956.04 21.5×
Xray orbits complete min 4 views (70200) $4,844.71 $4,844.71 44.4×
Xray pelvis 1 or 2 views (72170) $2,616.35 $2,616.35 24.0×
Xray ribs bilateral 3 views (71110) $3,459.67 $3,459.67 31.7×
Xray ribs unilat w/ pa chest 3v rt (71101) $4,130.23 $4,130.23 37.8×
Xray scapula complete (73010) $2,671.99 $2,671.99 24.5×
Xray shoulder 1 view (73020) $2,445.05 $2,445.05 26.9×
Xray sinuses paranasal <3 views (70210) $2,671.99 $2,671.99 29.4×
Xray spine thoracic 2 views (72070) $2,573.89 $2,573.89 23.6×
Xray spine thoracic 3 views (72072) $3,874.01 $3,874.01 35.5×
Xray tibia-fibula 2 views bil (73590) $3,158.07 $3,158.07 34.7×
Xray tmj's bilateral open-clsc (70330) $4,045.31 $4,045.31 44.5×