Imaging prices at HCA Florida St. Lucie Hospital
Port Saint Lucie, FL · every code in this section with a posted price and a Medicare benchmark.
338 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $564 | $564 | 6.2× |
| Abdomen 2 views (74019) | $522 | $522 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,950 | $6,950 | 16.6× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$6,704–$15,948 | $6,704–$15,948 | varies |
| Angio pulmonary bilat (75743) | $11,933 | $11,933 | 3.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $15,330 | $15,330 | 4.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$11,933–$21,033 | $11,933–$21,033 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$11,735–$21,033 | $11,735–$21,033 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,704 | $6,704 | 2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,704 | $6,704 | 2.0× |
| Ankle 2 views (73600) | $1,338 | $1,338 | 14.7× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$11,933–$16,381 | $11,933–$16,381 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$11,933–$34,065 | $11,933–$34,065 | varies |
| Artery X-Rays Adrenal Gland (75731) | $15,330 | $15,330 | 4.6× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$11,933–$21,033 | $11,933–$21,033 | varies |
| Artery X-Rays Spine (75705) | $30,968 | $30,968 | 5.3× |
| Arthrogram ankle (73615) | $2,129 | $2,129 | 5.8× |
| Arthrogram hip (73525) | $1,688 | $1,688 | 4.6× |
| Arthrogram Wrist (73115) | $5,406 | $5,406 | 14.8× |
| Bone age studies (77072) | $1,001 | $1,001 | 9.2× |
| Bone Imaging 3 Phase (78315) | $10,454 | $10,454 | 25.0× |
| Bone Imaging Limited Area (78300) | $7,213 | $7,213 | 17.3× |
| Bone Imaging Multiple Areas (78305) | $1,889 | $1,889 | 4.5× |
| Bone Imaging Whole Body (78306) | $9,667 | $9,667 | 23.2× |
| Bone survey infant (77076) | $2,901 | $2,901 | 26.6× |
| Brain Flow Imaging Only (78610) | $2,652 | $2,652 | 4.7× |
| Brain Image W/Flow < 4 Views (78601) | $1,603 | $1,603 | 3.8× |
| Brain imaging < 4 static views (78600) | $1,603 | $1,603 | 3.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,527 | $3,527 | 6.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,918 | $2,918 | 5.1× |
| Cat Scan Follow-Up Study (76380) | $5,010 | $5,010 | 55.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,822 | $5,822 | 10.3× |
| Cerebrospinal Fluid Scan (78630) | $2,942 | $2,942 | 5.2× |
| Chest 1 view (71045) | $1,442 | $1,442 | 15.9× |
| Chest 2 views (71046) | $1,652 | $1,652 | 18.2× |
| Chest 3 views (71047) | $1,652 | $1,652 | 18.2× |
| Chest 4 or more views (71048) | $1,718 | $1,718 | 15.7× |
| Cholecystography Oral Contrast (74290) | $1,389 | $1,389 | 7.6× |
| Clavicle complete (73000) | $2,095 | $2,095 | 23.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,585 | $1,585 | 14.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$11,735–$11,933 | $11,735–$11,933 | varies |
| Contrast X-Ray Bladder (74430) | $2,012 | $2,012 | 5.5× |
| Contrast X-Ray Of Elbow (73085) | $5,261 | $5,261 | 14.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,139 | $2,139 | 5.9× |
| CT abdomen and pelvis without and with contrast (74178) | $31,048 | $31,048 | 85.2× |
| CT abdomen and pelvis without contrast (74176) | $19,453 | $19,453 | 78.1× |
| CT abdomen w contrast (74160) | $13,850 | $13,850 | 75.6× |
| CT abdomen w wo contrast (74170) | $16,140 | $16,140 | 88.1× |
| CT abdomen w/o contrast (74150) | $10,102 | $10,102 | 92.5× |
| CT Angio Abdomen and Pelvis (74174) | $9,263 | $9,263 | 25.4× |
| CT Angio Chest (71275) | $13,917 | $13,917 | 76.0× |
| CT Angio Head (70496) | $4,633 | $4,633 | 25.3× |
| CT angio hrt w/3d image (75574) | $7,024 | $7,024 | 19.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,633 | $4,633 | 25.3× |
| CT Angio Neck (70498) | $4,633 | $4,633 | 25.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,633 | $4,633 | 25.3× |
| CT cervical spine w/ contrast (72126) | $13,850 | $13,850 | 38.0× |
| CT cervical spine w/o contrast (72125) | $10,102 | $10,102 | 92.5× |
| CT cervical spine w/wo cont (72127) | $16,140 | $16,140 | 88.1× |
| CT chest w contrast (71260) | $13,850 | $13,850 | 75.6× |
| CT chest w/wo contrast (71270) | $16,140 | $16,140 | 88.1× |
| CT head/brain with contrast (70460) | $13,850 | $13,850 | 75.6× |
| CT head/brain without and with contrast (70470) | $16,140 | $16,140 | 88.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,295 | $5,295 | 14.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $4,433 | $4,433 | 48.8× |
| CT hrt w/3d image congen (75573) | $4,433 | $4,433 | 12.2× |
| CT iac w contrast (70481) | $13,850 | $13,850 | 75.6× |
| CT l-spine w&w/o contrast (72133) | $16,140 | $16,140 | 88.1× |
| CT lower ext w/o (73700) | $10,102 | $10,102 | 92.5× |
| CT lower extremity w/contrast material (73701) | $13,850 | $13,850 | 75.6× |
| CT lumbar spine w contrast (72132) | $13,850 | $13,850 | 38.0× |
| CT lumbar spine w/o contrast (72131) | $10,102 | $10,102 | 92.5× |
| CT maxillofacial w contrast (70487) | $13,850 | $13,850 | 75.6× |
| CT maxillofacial wo contrast (70486) | $10,102 | $10,102 | 92.5× |
| CT neck tissue combo (70492) | $16,140 | $16,140 | 88.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $16,140 | $16,140 | 88.1× |
| CT orbits w/o contrast (70480) | $10,102 | $10,102 | 92.5× |
| CT pelvis w&w/o contrast (72194) | $16,140 | $16,140 | 88.1× |
| CT pelvis w/o contrast (72192) | $10,102 | $10,102 | 92.5× |
| CT scan of leg combo (73702) | $16,140 | $16,140 | 88.1× |
| CT scans face/jaw combo (70488) | $16,140 | $16,140 | 88.1× |
| CT soft tissue neck w contrast (70491) | $13,850 | $13,850 | 75.6× |
| CT soft tissue neck w/o contrast (70490) | $10,102 | $10,102 | 92.5× |
| CT thoracic spine w contrast (72129) | $13,850 | $13,850 | 75.6× |
| CT thoracic spine w/o contrast (72128) | $10,102 | $10,102 | 92.5× |
| CT thoracic spine w/wo cont (72130) | $16,140 | $16,140 | 88.1× |
| CT thorax w/o contrast (71250) | $10,102 | $10,102 | 92.5× |
| CT unlisted procedure (76497) | $1,043 | $1,043 | 11.5× |
| CT upper ext wo (73200) | $10,102 | $10,102 | 92.5× |
| CT upper extremity w/o & w/contrast material (73202) | $16,140 | $16,140 | 88.1× |
| CT upper extremity with contrast (73201) | $13,850 | $13,850 | 38.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $31,048 | $31,048 | 169.5× |
| Cta Abdomen (74175) | $4,633 | $4,633 | 25.3× |
| CTA pelvis (72191) | $4,633 | $4,633 | 25.3× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $4,962 | $4,962 | 8.8× |
| Dilation ureters/urethra rs&i (74485) | $1,793 | $1,793 | 0.8× |
| Dxa Bone Density Axial (77080) | $1,225 | $1,225 | 11.2× |
| Dxa bone density study (77085) | $619 | $619 | 5.7× |
| Echo exam uterus (76831) | $1,923 | $1,923 | 7.7× |
| Echo Guide For Artery Repair (76936) | $2,412 | $2,412 | 10.7× |
| Esophagram (74220) | $3,669 | $3,669 | 20.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,050 | $1,050 | 9.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,617 | $3,617 | 33.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$892–$1,361 | $892–$1,361 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,900–$5,293 | $1,900–$5,293 | varies |
| Foot 2 views (73620) | $1,338 | $1,338 | 14.7× |
| Forearm 2 views (73090) | $2,095 | $2,095 | 23.1× |
| Gastric emptying imaging study (78264) | $6,950 | $6,950 | 16.6× |
| Gated Heart Planar Single (78472) | $10,342 | $10,342 | 24.8× |
| Gated Heart, Multiple (78473) | $11,049 | $11,049 | 26.5× |
| Hand 2 views (73120) | $1,338 | $1,338 | 12.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,704 | $6,704 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,704 | $6,704 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $8,832 | $8,832 | 15.6× |
| Hepatobiliary System Imaging (78226) | $3,266 | $3,266 | 7.8× |
| Ht Muscle Image Spect Sing (78451) | $9,788 | $9,788 | 7.2× |
| Hysterosalpingogram (74740) | $3,518 | $3,518 | 14.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,184 | $1,184 | 13.0× |
| Infusion Ivp (74410) | $5,815 | $5,815 | 31.7× |
| Interstitial radiation source applic complex (77778) | $21,574 | $21,574 | 29.7× |
| K Flow/Funct Image W/Drug (78708) | $6,463 | $6,463 | 11.4× |
| K Flow/Funct Image W/O Drug (78707) | $10,799 | $10,799 | 19.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,448 | $1,448 | 3.5× |
| Kidney Imaging Morphol (78700) | $2,523 | $2,523 | 6.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,523 | $2,523 | 6.0× |
| Knee 3 Views (73562) | $1,337 | $1,337 | 14.7× |
| Leveen/Shunt Patency Exam (78291) | $4,247 | $4,247 | 10.2× |
| Liver & Spleen Imaging Static Only (78215) | $7,561 | $7,561 | 18.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,506 | $3,506 | 8.4× |
| Liver imaging static only (78201) | $2,098 | $2,098 | 3.7× |
| Liver imaging w/vascular flow (78202) | $2,294 | $2,294 | 4.0× |
| Lung Perf&Ventilat Diferentl (78598) | $9,654 | $9,654 | 17.0× |
| Lung perfusion differential (78597) | $6,898 | $6,898 | 16.5× |
| Lung Ventilat&Perfus Imaging (78582) | $9,654 | $9,654 | 17.0× |
| Lung Ventilation Imaging (78579) | $6,898 | $6,898 | 16.5× |
| Lymph System Imaging (78195) | $2,393 | $2,393 | 4.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,851 | $2,851 | 4.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $278 | $278 | 0.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $202 | $202 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $2,514 | $2,514 | 10.1× |
| Mammary ductogram or galactogram single (77053) | $3,547 | $3,547 | 14.2× |
| Meckels Divert Exam (78290) | $4,089 | $4,089 | 9.8× |
| Mr safety determination physician/other qhp (76016) | $287 | $287 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $79 | $79 | 2.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $297 | $297 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $6,114 | $6,114 | 16.8× |
| MRA head w/o contrast (70544) | $4,244 | $4,244 | 17.0× |
| MRA head with contrast (70545) | $4,723 | $4,723 | 13.0× |
| MRA neck w contrast (70548) | $4,723 | $4,723 | 13.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,114 | $6,114 | 16.8× |
| MRA neck w/o contrast (70547) | $4,244 | $4,244 | 17.0× |
| MRI abdomen w contrast (74182) | $8,739 | $8,739 | 24.0× |
| MRI abdomen w/o contrast (74181) | $7,845 | $7,845 | 31.5× |
| MRI any jt lower extrem w/contrast material (73722) | $8,739 | $8,739 | 10.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,302 | $11,302 | 31.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,739 | $8,739 | 10.7× |
| MRI bone marrow blood supply (77084) | $10,472 | $10,472 | 42.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,447 | $4,447 | 17.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,102 | $5,102 | 20.5× |
| MRI cervical spine w contrast (72142) | $8,739 | $8,739 | 24.0× |
| MRI cervical spine w/o cont (72141) | $7,845 | $7,845 | 31.5× |
| MRI chest w/o contrast (71550) | $7,845 | $7,845 | 31.5× |
| MRI chest with contrast (71551) | $8,739 | $8,739 | 10.7× |
| MRI chest wo w contrast (71552) | $11,302 | $11,302 | 31.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,739 | $8,739 | 24.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,302 | $11,302 | 31.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,845 | $7,845 | 31.5× |
| MRI lumbar spine w contrast (72149) | $8,739 | $8,739 | 24.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,302 | $11,302 | 31.0× |
| MRI orbit face &/neck w/o contrast (70540) | $7,845 | $7,845 | 31.5× |
| MRI orbit face neck w contrast (70542) | $8,739 | $8,739 | 24.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,302 | $11,302 | 31.0× |
| MRI pelvis w contrast (72196) | $8,739 | $8,739 | 24.0× |
| MRI pelvis w/o & w contrast (72197) | $11,302 | $11,302 | 31.0× |
| MRI pelvis w/o contrast (72195) | $7,845 | $7,845 | 31.5× |
| MRI thoracic spine w/o contrast (72146) | $7,845 | $7,845 | 31.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,739 | $8,739 | 24.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,845 | $7,845 | 31.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $11,302 | $11,302 | 31.0× |
| MRI, abdomen, combo (74183) | $11,302 | $11,302 | 31.0× |
| MRI, dorsal spine combo (72157) | $11,302 | $11,302 | 31.0× |
| MRI, dorsal spine contrast (72147) | $8,739 | $8,739 | 24.0× |
| MRI, joint upper extrem (73221) | $7,845 | $7,845 | 31.5× |
| MRI, joint upper extrem combo (73223) | $11,302 | $11,302 | 31.0× |
| MRI, lumbar spine combo (72158) | $11,302 | $11,302 | 31.0× |
| Myelogram cervical (72240) | $9,947 | $9,947 | 12.2× |
| Myelogram Lumbar (72265) | $9,947 | $9,947 | 12.2× |
| Myelography thoracic (72255) | $9,947 | $9,947 | 12.2× |
| Myelograpy 2/more regions rs&i (72270) | $9,947 | $9,947 | 12.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $5,896 | $5,896 | 14.1× |
| Myocardial Spect Multiple Studies (78452) | $9,788 | $9,788 | 7.2× |
| Neck soft tissue (70360) | $1,971 | $1,971 | 21.7× |
| Nm unlisted gi procedure (78299) | $910 | $910 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $1,358 | $1,358 | 12.4× |
| Nuclear Rx Intra-Arterial (79445) | $1,673 | $1,673 | 6.9× |
| Nuclear Rx Oral Admin (79005) | $2,336 | $2,336 | 9.6× |
| Optic foramina (70190) | $1,507 | $1,507 | 16.6× |
| Parathyroid Planar Imaging (78070) | $5,397 | $5,397 | 12.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,607 | $4,607 | 11.0× |
| Pelvis 1 or 2 views (72170) | $1,928 | $1,928 | 17.7× |
| Peritoneogram Rs&I (74190) | $1,669 | $1,669 | 2.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,704 | $6,704 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,806 | $5,806 | 13.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $933 | $933 | 8.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,673 | $2,673 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,204 | $2,204 | 24.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,548 | $1,548 | 17.0× |
| Radex elbow complete minimum 3 views (73080) | $2,241 | $2,241 | 24.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,998 | $2,998 | 27.5× |
| Radex fingr minimum 2 views (73140) | $1,695 | $1,695 | 18.7× |
| Radex foot complete minimum 3 views (73630) | $2,062 | $2,062 | 22.7× |
| Radex Hand Minimum 3 Views (73130) | $1,966 | $1,966 | 21.6× |
| Radex lower extremity infant minimum 2 views (73592) | $374 | $374 | 4.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,669 | $1,669 | 15.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,185 | $2,185 | 24.0× |
| Radex shoulder complete minimum 2 views (73030) | $2,205 | $2,205 | 24.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $374 | $374 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $1,737 | $1,737 | 19.1× |
| Radex Sternum Minimum 2 Views (71120) | $2,081 | $2,081 | 22.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,265 | $2,265 | 24.9× |
| Radex Toe Minimum 2 Views (73660) | $1,702 | $1,702 | 18.7× |
| Radex upper extremity infant minimum 2 views (73092) | $374 | $374 | 3.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,075 | $2,075 | 22.8× |
| Radiologic exam colon double contrast study (74280) | $4,293 | $4,293 | 23.4× |
| Radiologic exam colon single contrast study (74270) | $3,402 | $3,402 | 18.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $700 | $700 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $1,337 | $1,337 | 12.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,928 | $1,928 | 17.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,662 | $3,662 | 20.0× |
| Radiologic exam swallow function contrast study (74230) | $3,669 | $3,669 | 20.0× |
| Radiologic examination femur 1 view (73551) | $1,122 | $1,122 | 12.3× |
| Radiologic examination femur minimum 2 views (73552) range across 9 matching MRF lines |
$2,077–$2,243 | $2,077–$2,243 | varies |
| Radiologic examination knee 1/2 views (73560) | $1,337 | $1,337 | 14.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,163 | $2,163 | 23.8× |
| Renal Cyst Study (74470) | $1,431 | $1,431 | 2.5× |
| Ribs bilateral 3 views (71110) | $3,090 | $3,090 | 28.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,636 | $4,636 | 11.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,747 | $5,747 | 13.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,667 | $9,667 | 17.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $9,667 | $9,667 | 17.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,068 | $8,068 | 14.2× |
| Rp Therapy Intravenous Administration (79101) | $2,336 | $2,336 | 9.6× |
| Scapula (73010) | $2,009 | $2,009 | 18.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $301 | $301 | 12.9× |
| Shoulder 1 view (73020) | $1,338 | $1,338 | 14.7× |
| Shoulder Arthrography (73040) | $5,468 | $5,468 | 15.0× |
| Skull less than 4 views (70250) | $1,737 | $1,737 | 15.9× |
| Special dosimetry (77331) | $1,659 | $1,659 | 11.8× |
| Special Physics Consult (77370) | $5,481 | $5,481 | 39.0× |
| Spleen Imaging (78185) | $3,553 | $3,553 | 8.5× |
| Sternoclavicular joints (71130) | $1,026 | $1,026 | 11.3× |
| Testicular Imaging W/Flow (78761) | $5,619 | $5,619 | 13.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $8,412 | $8,412 | 21.5× |
| Thoracic spine 3 views (72072) | $2,694 | $2,694 | 24.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,021 | $1,021 | 2.4× |
| Thyroid Met Imaging Body (78018) | $7,674 | $7,674 | 13.5× |
| Thyroid Uptake Measurement (78012) | $4,829 | $4,829 | 11.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,829 | $4,829 | 11.6× |
| Tx devices design & construction simple (77332) | $2,051 | $2,051 | 14.6× |
| Ultrasound Breast Limited (76642) | $927 | $927 | 10.2× |
| Ultrasound Exam Aaa Screen (76706) | $728 | $728 | 6.7× |
| Ultrasound, abdomen limited (76705) | $3,591 | $3,591 | 32.9× |
| Umbilical-artery Doppler (OB) (76820) | $864 | $864 | 7.9× |
| Unlisted magnetic resonance procedure (76498) | $2,514 | $2,514 | 27.7× |
| Unlisted us procedure (76999) | $2,940 | $2,940 | 32.4× |
| Upper gi w/o kub (74240) | $805 | $805 | 4.4× |
| Ureteral Reflux Study (78740) | $12,599 | $12,599 | 30.2× |
| Urethrocystogram voiding (74455) | $4,251 | $4,251 | 17.1× |
| Urethrocystography retrograde (74450) | $2,740 | $2,740 | 11.0× |
| Us breast unilateral complete (76641) | $927 | $927 | 8.5× |
| Us chest (76604) | $927 | $927 | 8.5× |
| Us complete joint (76881) range across 4 matching MRF lines |
$1,727–$3,453 | $1,727–$3,453 | varies |
| Us exam, pelvic, limited (76857) | $2,940 | $2,940 | 26.9× |
| Us head (76506) | $1,985 | $1,985 | 18.2× |
| Us kidney transplant (76776) | $901 | $901 | 8.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$1,333–$2,657 | $1,333–$2,657 | varies |
| Us ob detailed single fetus (76811) | $1,167 | $1,167 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $2,940 | $2,940 | 26.9× |
| Us ob transvaginal (76817) | $571 | $571 | 5.2× |
| Us pelvic non ob complete (76856) | $4,793 | $4,793 | 43.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $889 | $889 | 8.1× |
| Us retroperitoneal complete (76770) | $6,282 | $6,282 | 57.5× |
| Us retroperitoneal limited (76775) | $5,000 | $5,000 | 45.8× |
| Us scrotum and contents (76870) | $4,171 | $4,171 | 38.2× |
| Us spinal canal and contents (76800) | $1,844 | $1,844 | 16.9× |
| Us thyroid (76536) | $3,764 | $3,764 | 34.5× |
| Us transrectal (76872) | $910 | $910 | 8.3× |
| Vascular Flow Imaging (78445) | $2,367 | $2,367 | 5.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,293–$6,704 | $5,293–$6,704 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $11,933 | $11,933 | 3.6× |
| Vein X-Ray Spleen/Liver (75810) | $15,330 | $15,330 | 4.6× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$4,524–$15,948 | $4,524–$15,948 | varies |
| Venography Adrenal Unilateral (75840) | $15,330 | $15,330 | 4.6× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$6,172–$16,381 | $6,172–$16,381 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,130–$5,199 | $4,130–$5,199 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$4,130–$5,293 | $4,130–$5,293 | varies |
| Venography Renal Bilateral (75833) | $6,704 | $6,704 | 2.0× |
| Venography Renal Unilateral (75831) | $4,524 | $4,524 | 1.4× |
| Venous sampling by catheter (75893) | $3,203 | $3,203 | 0.6× |
| Venous thrombosis imaging (78457) | $1,561 | $1,561 | 2.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $5,653 | $5,653 | 13.5× |
| Vertebral fracture assessment via dxa (77086) | $619 | $619 | 6.8× |
| Wrist 2 views (73100) | $1,338 | $1,338 | 14.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,027 | $2,027 | 22.3× |
| X-ray antegrade pyelogram tube (74425) | $4,007 | $4,007 | 11.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$11,043–$11,933 | $11,043–$11,933 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,338 | $1,338 | 14.7× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$691–$1,442 | $691–$1,442 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $364 | $364 | 4.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $593 | $593 | 5.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,126 | $1,126 | 10.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,338 | $1,338 | 14.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,075 | $2,075 | 22.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,075 | $2,075 | 19.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,130 | $4,130 | 37.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,130 | $4,130 | 37.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,130 | $4,130 | 37.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,062 | $2,062 | 22.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,891 | $2,891 | 26.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $374 | $374 | 3.4× |
| X-ray eye for foreign body (70030) | $3,159 | $3,159 | 34.8× |
| X-ray humerus (73060) | $2,038 | $2,038 | 22.4× |
| X-ray IV pyelogram (ivp) (74400) | $5,146 | $5,146 | 28.1× |
| X-ray IV pyelogram+tomography (74415) | $1,391 | $1,391 | 7.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,968 | $1,968 | 21.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,062 | $2,062 | 18.9× |
| X-ray nose-rectum child f.b. (76010) | $390 | $390 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $618 | $618 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,038 | $2,038 | 18.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,502 | $2,502 | 27.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,313 | $2,313 | 25.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,038 | $3,038 | 27.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,331 | $4,331 | 11.9× |
| X-Rays Bone Length Studies (77073) | $374 | $374 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $2,992 | $2,992 | 27.4× |
| Xr facial bones less than 3 views (70140) | $1,341 | $1,341 | 14.8× |
| Xr orbits complete 4 views (70200) | $2,767 | $2,767 | 25.3× |
| Xr Tomogram Single Plane (76100) | $3,817 | $3,817 | 35.0× |
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.