Imaging prices at HCA Florida St. Petersburg Hospital
Saint Petersburg, FL · every code in this section with a posted price and a Medicare benchmark.
366 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) | $3,880.50 | $3,880.50 | 2.7× |
| Acute gi blood loss imaging (78278) | $8,811.90 | $8,811.90 | 21.1× |
| Angio adrenal bilat select (75733) | $20,764.71 | $20,764.71 | 6.3× |
| Angio adrenal unilat select (75731) | $20,764.71 | $20,764.71 | 6.3× |
| Angio extremity unilateral (75710) | $25,187.23 | $25,187.23 | 7.6× |
| Angio pulmonary unilateral (75741) | $11,518.82 | $11,518.82 | 3.5× |
| Angiogram extremity bilateral (75716) | $19,175.27 | $19,175.27 | 5.8× |
| Angiogram pelvic (75736) | $20,018.14 | $20,018.14 | 3.4× |
| Angiography internal mammary rs&i (75756) | $7,940.93 | $7,940.93 | 2.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $14,659.57 | $14,659.57 | 4.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $19,175.08 | $19,175.08 | 3.3× |
| Angrph cath f-up std tcat other than thrombylsis (75898) | $4,946.17 | $4,946.17 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,546.48 | $8,546.48 | 2.6× |
| Ankle 2 views (73600) | $2,127.90 | $2,127.90 | 23.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $793.76 | $793.76 | 0.2× |
| Arthrography knee lt (73580) | $5,039.90 | $5,039.90 | 13.8× |
| Arthrography wrist lt (73115) | $4,608.83 | $4,608.83 | 12.7× |
| Barium enema (74270) | $5,086.10 | $5,086.10 | 27.8× |
| Basic dosimetry (77300) | $186.90 | $186.90 | 1.3× |
| Bilat selctv renal venogram (75833) | $14,283.52 | $14,283.52 | 4.3× |
| Bone age studies (77072) | $2,928.57 | $2,928.57 | 26.8× |
| Bone imaging limited area (78300) | $7,369.66 | $7,369.66 | 17.7× |
| Bone marrow imaging whole body (78104) | $9,648.87 | $9,648.87 | 23.1× |
| Bone survey complete (77075) | $10,875.90 | $10,875.90 | 99.6× |
| Bowel imaging (78290) | $9,130.15 | $9,130.15 | 21.9× |
| Brain image w/flow 4 + views (78606) | $13,132.53 | $13,132.53 | 23.2× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) | $9,278.14 | $9,278.14 | 22.2× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) | $2,171.74 | $2,171.74 | 11.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,641.44 | $3,641.44 | 19.9× |
| Cisternogram (78630) | $9,321.20 | $9,321.20 | 16.4× |
| Clavicle complete (73000) | $2,746.73 | $2,746.73 | 30.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) | $13,286.50 | $13,286.50 | 72.5× |
| Continuing medical physics consltj pr wk (77336) | $426.60 | $426.60 | 3.0× |
| Contrast exam abdominl aorta (75625) | $23,295.23 | $23,295.23 | 7.1× |
| Contrast exam thoracic aorta (75605) | $9,173.21 | $9,173.21 | 1.6× |
| Corpora cavernosography (74445) | $9,708.34 | $9,708.34 | 88.9× |
| CT - st neck w&wo contr (70492) | $16,377.69 | $16,377.69 | 89.4× |
| CT abdomen and pelvis without and with contrast (74178) | $37,381.44 | $37,381.44 | 102.6× |
| CT abdomen and pelvis without contrast (74176) | $32,086.62 | $32,086.62 | 128.8× |
| CT abdomen w wo contrast (74170) | $18,693.41 | $18,693.41 | 102.1× |
| CT abdomen w/contrast (74160) | $18,693.41 | $18,693.41 | 102.1× |
| CT abdomen w/o contrast (74150) | $13,397.21 | $13,397.21 | 122.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) | $37,381.44 | $37,381.44 | 102.6× |
| CT angio abdom w/o & w/dye (74175) | $18,693.41 | $18,693.41 | 102.1× |
| CT angio abdominal arteries (75635) | $18,693.41 | $18,693.41 | 102.1× |
| CT angio hrt w/3d image (75574) | $14,466.74 | $14,466.74 | 39.7× |
| CT angiograph pelv w/o&w/dye (72191) | $18,693.41 | $18,693.41 | 102.1× |
| CT cervical spine w/contrast (72126) | $16,377.69 | $16,377.69 | 45.0× |
| CT cervical spine w/o contrast (72125) | $16,377.69 | $16,377.69 | 150.0× |
| CT chest w/contrast (71260) | $15,468.49 | $15,468.49 | 84.4× |
| CT extremity upper w & w/o contrast (73202) | $16,258.85 | $16,258.85 | 88.8× |
| CT head/brain with contrast (70460) | $16,377.69 | $16,377.69 | 89.4× |
| CT head/brain without and with contrast (70470) | $17,107.28 | $17,107.28 | 93.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $19,387.52 | $19,387.52 | 53.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $3,389 | $3,389 | 37.3× |
| CT hrt w/3d image congen (75573) | $14,466.74 | $14,466.74 | 39.7× |
| CT limited/localized follow up study (76380) | $2,033.35 | $2,033.35 | 22.4× |
| CT lower ext w/wo contrast (73702) | $16,258.85 | $16,258.85 | 88.8× |
| CT lower extremity w contrast (73701) | $16,258.85 | $16,258.85 | 88.8× |
| CT lower extremity w/o contrast unilateral (73700) | $16,377.69 | $16,377.69 | 150.0× |
| CT lumbar spine w/contrast (72132) | $18,693.41 | $18,693.41 | 51.3× |
| CT lumbar spine w/o contrast (72131) | $18,693.41 | $18,693.41 | 171.2× |
| CT lumbar spine w/o then w/ con (72133) | $16,258.85 | $16,258.85 | 88.8× |
| CT maxillofacial area w/o contrast (70486) | $15,207.65 | $15,207.65 | 139.3× |
| CT maxillofacial w/contrast (70487) | $16,377.69 | $16,377.69 | 89.4× |
| CT maxillofacial w/o then w/ con (70488) | $17,561.25 | $17,561.25 | 95.9× |
| CT orbit sella ear w/o con (70480) | $18,693.41 | $18,693.41 | 171.2× |
| CT orbit/ear/fossa w/o then w/ con (70482) | $18,693.41 | $18,693.41 | 102.1× |
| CT pelvis w & w/o contrast (72194) | $18,693.41 | $18,693.41 | 102.1× |
| CT pelvis w/o contrast (72192) | $18,693.41 | $18,693.41 | 171.2× |
| CT soft tissue neck w/contrast (70491) | $16,377.69 | $16,377.69 | 89.4× |
| CT soft tissue neck w/o contrast (70490) | $15,207.65 | $15,207.65 | 139.3× |
| CT spine cervical w/wo contrast (72127) | $14,244.39 | $14,244.39 | 77.8× |
| CT thoracic spine w/contrast (72129) | $7,961.93 | $7,961.93 | 43.5× |
| CT thoracic spine w/o contrast (72128) | $7,961.93 | $7,961.93 | 72.9× |
| CT thoracic spine w/o then w/ con (72130) | $11,395 | $11,395 | 62.2× |
| CT thorax lung cancer scr c- (71271) | $11,531.36 | $11,531.36 | 105.6× |
| CT thorax w/o contrast (71250) | $16,554.72 | $16,554.72 | 151.6× |
| CT thorax w/o then w/ contrast (71270) | $18,866.43 | $18,866.43 | 103.0× |
| CT upper extremity w/dye (73201) | $16,258.85 | $16,258.85 | 44.6× |
| CT upper extremity w/o contrast rt (73200) | $16,377.69 | $16,377.69 | 150.0× |
| CTA chest w/wo contrast (71275) | $18,866.43 | $18,866.43 | 103.0× |
| CTA head w contrast (70496) | $17,107.28 | $17,107.28 | 93.4× |
| CTA lower extremity w/wo contrast unilateral (73706) | $16,258.85 | $16,258.85 | 88.8× |
| Cta Neck (70498) | $16,377.69 | $16,377.69 | 89.4× |
| CTA upper extremity w/wo contrast unilateral (73206) | $16,258.85 | $16,258.85 | 88.8× |
| Dilation ureters/urethra rs&i (74485) | $9,353.40 | $9,353.40 | 4.3× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) | $7,268.68 | $7,268.68 | 3.6× |
| Diskography lumbar (72295) | $5,543.64 | $5,543.64 | 2.7× |
| Doppler echo fetal spectral display complete (76827) | $3,165.62 | $3,165.62 | 29.0× |
| Esophogram (74220) | $4,182.05 | $4,182.05 | 22.8× |
| Fetal biophysical profile non-stress testing (76818) | $3,533.48 | $3,533.48 | 32.4× |
| Fetal biophysical profile w/o nst (76819) | $1,769.83 | $1,769.83 | 16.2× |
| Fetal echo complete (76825) | $2,147.17 | $2,147.17 | 3.8× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) | $4,587.86 | $4,587.86 | 18.4× |
| Gastric emptying study (78264) | $11,971.18 | $11,971.18 | 28.7× |
| Gastroesophageal reflux study (78262) | $7,251.98 | $7,251.98 | 17.4× |
| Gated heart planar single (78472) | $12,278.66 | $12,278.66 | 29.4× |
| Heart infarct image (78466) | $10,884.46 | $10,884.46 | 26.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $6,123.37 | $6,123.37 | 1.9× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) | $6,123.37 | $6,123.37 | 1.9× |
| Hepatobil syst image w/drug (78227) | $13,314.09 | $13,314.09 | 23.5× |
| Hepatobiliary system imaging (78226) | $12,879.39 | $12,879.39 | 30.9× |
| Humerus min 2 views (73060) | $2,624.42 | $2,624.42 | 28.9× |
| Hysterosalpingography (74740) | $8,613.09 | $8,613.09 | 34.6× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) | $897.82 | $897.82 | 1.2× |
| Intracavitary radiation source applic simple (77761) | $4,593.44 | $4,593.44 | 8.0× |
| Ivp (74400) | $5,795.92 | $5,795.92 | 31.6× |
| Ivp w tomography (74415) | $10,895.95 | $10,895.95 | 59.5× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) | $12,925.97 | $12,925.97 | 22.8× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) | $12,925.97 | $12,925.97 | 22.8× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) | $12,278.66 | $12,278.66 | 21.7× |
| Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age Under 21 (78140) | $3,872.37 | $3,872.37 | 9.3× |
| Liver & spleen; static only (78215) | $13,238.09 | $13,238.09 | 31.7× |
| Liver & spleen; w vasc flow (78216) | $9,754.32 | $9,754.32 | 23.4× |
| Liver imaging w/vascular flow (78202) | $9,754.32 | $9,754.32 | 17.2× |
| Lung perf&ventilat diferentl (78598) | $24,142.62 | $24,142.62 | 42.6× |
| Lung perfusion differential (78597) | $12,922.94 | $12,922.94 | 31.0× |
| Lung ventilat&perfus imaging (78582) | $24,142.62 | $24,142.62 | 42.6× |
| Lung ventilation imaging (78579) | $12,922.94 | $12,922.94 | 31.0× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) | $15,837.58 | $15,837.58 | 43.5× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) | $4,569.75 | $4,569.75 | 12.5× |
| Mammary ductogram multiple ducts (77054) | $1,997.55 | $1,997.55 | 8.0× |
| Mammary ductogram single (77053) | $1,098.30 | $1,098.30 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $163.01 | $163.01 | 5.4× |
| MRA head w & w/o contrast (70546) | $25,470.41 | $25,470.41 | 69.9× |
| MRA head w/contrast (70545) | $23,157.09 | $23,157.09 | 63.6× |
| MRA head w/o contrast (70544) | $21,049.31 | $21,049.31 | 84.5× |
| MRA neck w/contrast (70548) | $23,157.09 | $23,157.09 | 63.6× |
| MRA neck w/o contrast (70547) | $21,049.31 | $21,049.31 | 84.5× |
| MRA neck w/wo contrast (70549) | $25,470.41 | $25,470.41 | 69.9× |
| MRI abdomen w/contrast (74182) | $19,121.78 | $19,121.78 | 52.5× |
| MRI abdomen w/o & w/contrast material (74183) | $19,498.13 | $19,498.13 | 53.5× |
| MRI abdomen w/o contrast (74181) | $17,722.40 | $17,722.40 | 71.1× |
| MRI any jnt lwr ext with con lt (73722) | $17,782.50 | $17,782.50 | 21.7× |
| MRI breast without contrast bilateral (77047) | $19,441.63 | $19,441.63 | 78.0× |
| MRI breast without contrast material unilateral (77046) | $15,355.31 | $15,355.31 | 61.6× |
| MRI cervical spine w/o contrast (72141) | $15,216.15 | $15,216.15 | 61.1× |
| MRI cervical spine with contrast (72142) | $19,020.60 | $19,020.60 | 52.2× |
| MRI chest w & w/o contrast (71552) | $15,324.98 | $15,324.98 | 42.1× |
| MRI chest w/contrast (71551) | $15,325.27 | $15,325.27 | 18.7× |
| MRI chest w/o contrast (71550) | $13,685.53 | $13,685.53 | 54.9× |
| MRI joint upper ext w/contrast (73222) | $14,392.35 | $14,392.35 | 17.6× |
| MRI joint upr extr w/o&w/dye (73223) | $15,837.58 | $15,837.58 | 43.5× |
| MRI joint upr extrem w/o dye (73221) | $13,685.53 | $13,685.53 | 54.9× |
| Mri Lower Extremity W/O Dye (73718) | $14,392.35 | $14,392.35 | 57.8× |
| MRI lumbar spine with contrast (72149) | $19,347.91 | $19,347.91 | 53.1× |
| MRI lumbar w/wo contrast (72158) | $19,297.31 | $19,297.31 | 53.0× |
| MRI lwr ext w/o jnts with con rt (73719) | $17,782.50 | $17,782.50 | 48.8× |
| MRI orbit/face/neck w/contrast (70542) | $6,701.23 | $6,701.23 | 18.4× |
| MRI orbit/face/neck w/o & w/contrast (70543) | $25,236.40 | $25,236.40 | 69.3× |
| MRI orbit/face/neck w/o contrast (70540) | $16,038.40 | $16,038.40 | 64.4× |
| MRI pelvis w/ contrast (72196) | $14,365.46 | $14,365.46 | 39.4× |
| MRI pelvis w/o contrast (72195) | $13,418.31 | $13,418.31 | 53.9× |
| MRI pelvis w/wo contrast (72197) | $18,241.06 | $18,241.06 | 50.1× |
| MRI spine cervical wo/w contrast (72156) | $19,297.31 | $19,297.31 | 53.0× |
| MRI spine thoracic w/contrast (72147) | $5,893.25 | $5,893.25 | 16.2× |
| MRI thoracic spine w wo contrast (72157) | $19,512.35 | $19,512.35 | 53.6× |
| MRI thoracic spine w/o contrast (72146) | $15,450.19 | $15,450.19 | 62.0× |
| MRI tmj (70336) | $6,701.23 | $6,701.23 | 26.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $14,925.21 | $14,925.21 | 59.9× |
| Mri Upper Extremity W/Dye (73219) | $4,976.13 | $4,976.13 | 13.7× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) | $14,435.86 | $14,435.86 | 39.6× |
| Myelogram thoracic (72255) | $12,981.39 | $12,981.39 | 15.9× |
| Myelography 2 or more regions (72270) | $15,504.44 | $15,504.44 | 18.9× |
| Myelography lumbosacral (72265) | $11,977.40 | $11,977.40 | 14.6× |
| Myocardial perfusion planar 1 study rest/stress (78453) | $12,278.66 | $12,278.66 | 9.1× |
| Myocardial perfusion planar multiple studies (78454) | $20,255.25 | $20,255.25 | 15.0× |
| Myocardial spect single study at rest or stress (78451) | $26,867.21 | $26,867.21 | 19.9× |
| Nm adrenal imaging (78075) | $14,436.61 | $14,436.61 | 10.7× |
| Nm bone 3 phase (78315) | $11,978.96 | $11,978.96 | 28.7× |
| Nm bone imaging whole body (78306) | $13,132.53 | $13,132.53 | 31.5× |
| Nm bone multi (78305) | $10,589.48 | $10,589.48 | 25.4× |
| Nm heart perfusion spect stress rest (78452) | $35,419.80 | $35,419.80 | 26.2× |
| Nm liver image static only (78201) | $3,730.50 | $3,730.50 | 6.6× |
| Nm lymph system (78195) | $10,589.48 | $10,589.48 | 18.7× |
| Nm thyroid imaging only (78013) | $7,627.42 | $7,627.42 | 18.3× |
| Nose to rectum for fb child (76010) | $1,931.97 | $1,931.97 | 21.3× |
| Nuclear medicine study of red blood cell survival (78130) | $9,754.32 | $9,754.32 | 23.4× |
| Ob us < 14 wks single fetus (76801) | $4,164.12 | $4,164.12 | 38.1× |
| Oral radiopharm rx (79005) | $13,642.99 | $13,642.99 | 56.0× |
| Parathyroid imaging (78070) | $14,436.61 | $14,436.61 | 34.6× |
| Peritoneal-venous shunt patency test (78291) | $8,304.33 | $8,304.33 | 19.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $16,644.76 | $16,644.76 | 11.1× |
| PET imaging CT for attenuation limited area (78814) | $16,649.96 | $16,649.96 | 11.2× |
| PET imaging for CT attenuation whole body (78816) | $17,242.02 | $17,242.02 | 11.5× |
| PET imaging whole body (78813) | $16,644.76 | $16,644.76 | 11.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $12,693.10 | $12,693.10 | 3.8× |
| Pulmonary perfusion imaging particulate (78580) | $11,227.59 | $11,227.59 | 26.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,976.40 | $1,976.40 | 3.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,696.94 | $1,696.94 | 18.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,826.66 | $2,826.66 | 25.9× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) | $3,390.73 | $3,390.73 | 31.1× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) | $3,953.21 | $3,953.21 | 36.2× |
| Radex hip unilateral with pelvis 1 view (73501) | $2,486.69 | $2,486.69 | 27.4× |
| Radex hip unilateral with pelvis 2-3 views (73502) | $4,182.05 | $4,182.05 | 46.0× |
| Radex hip unilateral with pelvis minimum 4 views (73503) | $4,522.02 | $4,522.02 | 41.4× |
| Radex hips bilateral with pelvis 2 views (73521) | $4,406.02 | $4,406.02 | 40.4× |
| Radex hips bilateral with pelvis minimum 5 views (73523) | $5,422.89 | $5,422.89 | 49.7× |
| Radex spine cervical 2 or 3 views (72040) | $2,237.96 | $2,237.96 | 24.6× |
| Radex spine cervical 4 or 5 views (72050) | $3,118.24 | $3,118.24 | 28.6× |
| Radex spine cervical 6 or more views (72052) | $4,761.17 | $4,761.17 | 43.6× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) | $1,677.79 | $1,677.79 | 18.5× |
| Radiation tx delivery lvl 1 (77402) | $249.50 | $249.50 | 2.3× |
| Radiation tx delivery lvl 3 (77412) | $326.20 | $326.20 | 0.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) | $4,169.40 | $4,169.40 | 38.2× |
| Radiologic exam esophagus double contrast study (74221) | $3,463.35 | $3,463.35 | 18.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $9,911.99 | $9,911.99 | 54.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $6,140.62 | $6,140.62 | 33.5× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) | $2,486.69 | $2,486.69 | 27.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $3,503.57 | $3,503.57 | 38.6× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) | $4,982.43 | $4,982.43 | 45.6× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) | $6,231.48 | $6,231.48 | 57.1× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) | $4,354.70 | $4,354.70 | 39.9× |
| Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion UNSCHEDULED (79403) | $8,913.71 | $8,913.71 | 36.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $10,338.06 | $10,338.06 | 24.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $9,744.97 | $9,744.97 | 23.3× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) | $10,589.48 | $10,589.48 | 18.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $10,884.46 | $10,884.46 | 19.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,693.56 | $10,693.56 | 18.9× |
| Salivary gland funct study (78232) | $11,092.46 | $11,092.46 | 26.6× |
| Screening digital breast tomosynthesis; bilateral (77063) | $68.43 | $68.43 | 2.9× |
| Selective spinal angiogram (75705) | $5,878.62 | $5,878.62 | 1.0× |
| Shoulder arthrogram (73040) | $5,039.90 | $5,039.90 | 13.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $4,587.86 | $4,587.86 | 42.0× |
| Simulation complex (77290) | $947.20 | $947.20 | 2.4× |
| Simulation intermediate (77285) | $805.70 | $805.70 | 2.1× |
| Simulation simple (77280) | $483.90 | $483.90 | 3.4× |
| Small bowel series (74250) | $3,729.11 | $3,729.11 | 20.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $562.70 | $562.70 | 1.4× |
| Special dosimetry (77331) | $388.80 | $388.80 | 2.8× |
| Special physics consult (77370) | $696.65 | $696.65 | 5.0× |
| Special treatment procedure (77470) | $1,552 | $1,552 | 2.7× |
| Speech evaluation complex (70371) | $3,641.44 | $3,641.44 | 14.6× |
| Testicular imaging w/flow (78761) | $10,126.90 | $10,126.90 | 24.3× |
| Therapeutic enema barium or air (74283) | $5,086.10 | $5,086.10 | 27.8× |
| Thyroid met imaging body (78018) | $11,971.18 | $11,971.18 | 21.1× |
| Thyroid uptake single/multiple quant measurement (78012) | $7,627.42 | $7,627.42 | 18.3× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) | $8,937.68 | $8,937.68 | 21.4× |
| Treatment device intermediate (77333) | $264.60 | $264.60 | 1.9× |
| Treatment devices complex (77334) | $450.40 | $450.40 | 1.2× |
| Treatment devices simple (77332) | $284.10 | $284.10 | 2.0× |
| Ultrasound breast limited (76642) | $3,660.04 | $3,660.04 | 40.3× |
| Ultrasound, abdomen limited (76705) | $3,101.24 | $3,101.24 | 28.4× |
| Umbilical-artery Doppler (OB) (76820) | $2,403.32 | $2,403.32 | 22.0× |
| Unlisted diagnostic radiographic procedure (76499) | $13,117.64 | $13,117.64 | 144.3× |
| Urethrocystography retrograde rs&i (74450) | $7,556.98 | $7,556.98 | 30.3× |
| Urethrocystography voiding (74455) | $7,556.98 | $7,556.98 | 30.3× |
| Urography antegrade (74425) | $2,035.47 | $2,035.47 | 5.6× |
| Urography retrograde w/wo kub (74420) | $5,770.77 | $5,770.77 | 15.8× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) | $6,905.23 | $6,905.23 | 37.7× |
| Us abdominal aorta real time screen study aaa (76706) | $2,404.05 | $2,404.05 | 22.0× |
| Us breast uni real time with image complete (76641) | $5,492.76 | $5,492.76 | 50.3× |
| Us chest (76604) | $3,830.02 | $3,830.02 | 35.1× |
| Us compl joint r-t w/image documentation (76881) | $3,139.17 | $3,139.17 | 28.8× |
| Us encephalogram (76506) | $3,285.06 | $3,285.06 | 30.1× |
| Us guided compression repair (76936) | $5,719.38 | $5,719.38 | 25.4× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) | $3,117.47 | $3,117.47 | 34.3× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) | $704.94 | $704.94 | 7.8× |
| Us kidney transplanted (76776) | $6,744.08 | $6,744.08 | 61.8× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) | $2,494.90 | $2,494.90 | 22.9× |
| Us ob detailed single fetus (76811) | $4,480.49 | $4,480.49 | 18.0× |
| Us ob followup per fetus (76816) | $2,147.17 | $2,147.17 | 19.7× |
| Us ob limited 1 or more fetuses (76815) | $4,587.20 | $4,587.20 | 42.0× |
| Us obstetric transvaginal (76817) | $4,480.49 | $4,480.49 | 41.0× |
| Us pelvic limited or f/u non-ob (76857) | $2,621.06 | $2,621.06 | 24.0× |
| Us pelvis complete (76856) | $4,036.42 | $4,036.42 | 37.0× |
| Us retroperitoneal complete (76770) | $2,955.55 | $2,955.55 | 27.1× |
| Us retroperitoneal limited (76775) | $4,093.96 | $4,093.96 | 37.5× |
| Us scrotum (76870) | $3,725.91 | $3,725.91 | 34.1× |
| Us soft tissue head/neck (76536) | $3,486.23 | $3,486.23 | 31.9× |
| Us spinal canal (76800) | $3,117.47 | $3,117.47 | 28.6× |
| Us transrectal (76872) | $5,207.13 | $5,207.13 | 47.7× |
| Us transrectal prostate volume (76873) | $4,790.97 | $4,790.97 | 43.9× |
| Us unlstd proc (76999) | $4,764.68 | $4,764.68 | 52.4× |
| Vascular flow imaging (78445) | $24,994.89 | $24,994.89 | 59.9× |
| Vein X-ray liver w/hemodynam (75885) | $12,693.10 | $12,693.10 | 3.8× |
| Venogram extremity bilateral (75822) | $8,987.56 | $8,987.56 | 5.5× |
| Venogram ivc w serialography (75825) | $5,793.48 | $5,793.48 | 1.8× |
| Venogram svc w serialography (75827) | $12,364.12 | $12,364.12 | 7.5× |
| Venography adrenal unilateral selective rs&i (75840) | $8,726.06 | $8,726.06 | 2.6× |
| Venography ext unilateral (75820) | $6,105.30 | $6,105.30 | 3.7× |
| Venography renal unilateral selective rs&i (75831) | $12,649.25 | $12,649.25 | 3.8× |
| Venography venous sinus/jugular cath rs&i (75860) | $12,617.13 | $12,617.13 | 3.8× |
| Venous sampling by catheter (75893) | $17,951.36 | $17,951.36 | 3.1× |
| Vertebral fracture assessment via dxa (77086) | $3,914.71 | $3,914.71 | 43.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,257.74 | $2,257.74 | 24.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,337.40 | $3,337.40 | 36.7× |
| X-ray aorta leg arteries (75630) | $30,527.83 | $30,527.83 | 9.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,442.93 | $6,442.93 | 35.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,649.57 | $2,649.57 | 29.2× |
| X-ray exam hips bi 3-4 views (73522) | $4,860.42 | $4,860.42 | 44.5× |
| X-ray exam of finger(s) (73140) | $1,650.80 | $1,650.80 | 18.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $5,181.69 | $5,181.69 | 28.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $3,887.40 | $3,887.40 | 42.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) | $2,153.80 | $2,153.80 | 23.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,466.30 | $2,466.30 | 27.1× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) | $750.45 | $750.45 | 6.9× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) | $2,729.49 | $2,729.49 | 30.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,466.30 | $2,466.30 | 27.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,442.24 | $2,442.24 | 26.9× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) | $3,560.42 | $3,560.42 | 39.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $3,342.14 | $3,342.14 | 30.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $3,760.45 | $3,760.45 | 41.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,432.49 | $3,432.49 | 31.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,022.40 | $3,022.40 | 27.7× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) | $1,261.28 | $1,261.28 | 11.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,402.84 | $2,402.84 | 26.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,405.51 | $4,405.51 | 40.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,904.21 | $2,904.21 | 26.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,624.42 | $2,624.42 | 28.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,776.80 | $3,776.80 | 41.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,887.40 | $3,887.40 | 42.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,610.52 | $5,610.52 | 51.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,711.68 | $2,711.68 | 24.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,549.37 | $2,549.37 | 28.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,058.90 | $2,058.90 | 22.7× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) | $2,737.38 | $2,737.38 | 30.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,605.72 | $2,605.72 | 28.7× |
| Xr abdomen 1 view (74018) | $1,733.06 | $1,733.06 | 19.1× |
| Xr abdomen 2 views (74019) | $4,587.08 | $4,587.08 | 42.0× |
| Xr abdomen 3 views (74021) | $5,704.32 | $5,704.32 | 52.3× |
| Xr arthrogram ankle (73615) | $4,585.90 | $4,585.90 | 12.6× |
| Xr arthrogram elbow (73085) | $5,039.90 | $5,039.90 | 13.8× |
| Xr arthrogram hip (73525) | $2,358.36 | $2,358.36 | 6.5× |
| Xr bone density appendicular (77081) | $1,519.85 | $1,519.85 | 16.7× |
| Xr bone density axial (77080) | $3,010.46 | $3,010.46 | 27.6× |
| Xr bone length study (77073) | $11,601.03 | $11,601.03 | 106.3× |
| Xr bone survey infant (77076) | $501.39 | $501.39 | 4.6× |
| Xr bone survey limited (77074) | $3,715.17 | $3,715.17 | 34.0× |
| Xr chest 1 view (71045) | $2,816.18 | $2,816.18 | 31.0× |
| Xr chest 2 views (71046) | $3,007.71 | $3,007.71 | 33.1× |
| Xr chest 3 views (71047) | $4,270.31 | $4,270.31 | 47.0× |
| Xr cystogram 3+ views (74430) | $2,035.47 | $2,035.47 | 5.6× |
| Xr eye foreign body (70030) | $1,307.44 | $1,307.44 | 14.4× |
| Xr facial bones 3 views (70150) | $3,887.40 | $3,887.40 | 35.6× |
| Xr lower extremity 2 views infant (73592) | $1,434.49 | $1,434.49 | 15.8× |
| Xr lumbar spine 4 views w/ flex ext (72120) | $2,401.86 | $2,401.86 | 22.0× |
| Xr mandible 4 views (70110) | $4,147.55 | $4,147.55 | 38.0× |
| Xr myelogram c-spine (72240) | $11,977.40 | $11,977.40 | 14.6× |
| Xr nasal bones (70160) | $2,991.28 | $2,991.28 | 32.9× |
| Xr pelvis 3 views (72190) | $4,008.51 | $4,008.51 | 36.7× |
| Xr sella turcica (70240) | $3,044.44 | $3,044.44 | 33.5× |
| Xr sialogram (70390) | $2,657.49 | $2,657.49 | 10.7× |
| Xr spine 1 view (72020) | $1,485.64 | $1,485.64 | 16.3× |
| Xr sternum 2 views (71120) | $2,624.42 | $2,624.42 | 28.9× |
| Xr surgical specimen (76098) | $1,817.53 | $1,817.53 | 3.2× |
| Xr upper extremity 2 views infant (73092) | $1,434.49 | $1,434.49 | 13.1× |
| Xray elbow 2 views (73070) | $3,094.60 | $3,094.60 | 34.1× |
| Xray forearm 2 views (73090) | $2,110.65 | $2,110.65 | 23.2× |
| Xray internal auditory meati compl (70134) | $3,976.79 | $3,976.79 | 7.0× |
| Xray knee 1 or 2 views rt (73560) | $2,359.76 | $2,359.76 | 26.0× |
| Xray neck soft tissue (70360) | $1,843.93 | $1,843.93 | 20.3× |
| Xray optic foramina (70190) | $2,415.57 | $2,415.57 | 26.6× |
| Xray orbits complete min 4 views (70200) | $3,056.80 | $3,056.80 | 28.0× |
| Xray pelvis 1 or 2 views (72170) | $2,948.42 | $2,948.42 | 27.0× |
| Xray ribs bilateral 3 views (71110) | $2,956.91 | $2,956.91 | 27.1× |
| Xray ribs unilat w/ pa chest 3v rt (71101) | $3,919.30 | $3,919.30 | 35.9× |
| Xray scapula complete (73010) | $3,675.07 | $3,675.07 | 33.7× |
| Xray shoulder 1 view (73020) | $2,013.48 | $2,013.48 | 22.2× |
| Xray sinuses paranasal <3 views (70210) | $2,137.42 | $2,137.42 | 23.5× |
| Xray spine thoracic 2 views (72070) | $4,243.30 | $4,243.30 | 38.9× |
| Xray spine thoracic 3 views (72072) | $3,366.13 | $3,366.13 | 30.8× |
| Xray tibia-fibula 2 views bil (73590) | $2,306.45 | $2,306.45 | 25.4× |
| Xray tmj open - closed unilat (70328) | $3,622.60 | $3,622.60 | 39.9× |
| Xray tmj's bilateral open-clsc (70330) | $3,887.40 | $3,887.40 | 42.8× |