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.

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,880.50 $3,880.50 2.7×
Abdomen 2 views (74019) $4,587.08 $4,587.08 42.0×
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×
Angiography extremity bilateral rs&i (75716) $19,175.27 $19,175.27 5.8×
Angiography extremity unilateral rs&i (75710) $25,187.23 $25,187.23 7.6×
Angiography internal mammary rs&i (75756) $7,940.93 $7,940.93 2.4×
Angiography pelvic slctv/supraslctv rs&i (75736) $20,018.14 $20,018.14 3.4×
Angiography pulmonary bilateral slctv rs&i (75743) $14,659.57 $14,659.57 4.4×
Angiography pulmonary unilateral slctv rs&i (75741) $11,518.82 $11,518.82 3.5×
Angiography Spinal Selective Rs&I (75705) $5,878.62 $5,878.62 1.0×
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×
Aortogram thoracic (75605) $9,173.21 $9,173.21 1.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $30,527.83 $30,527.83 9.3×
Aortography abdominal serialography rs&i (75625) $23,295.23 $23,295.23 7.1×
Aortography Thoracic W/O Serialography Rs&I (75600) $793.76 $793.76 0.2×
Artery X-Rays Adrenal Gland (75731) $20,764.71 $20,764.71 6.3×
Arthrogram ankle (73615) $4,585.90 $4,585.90 12.6×
Arthrogram elbow (73085) $5,039.90 $5,039.90 13.8×
Arthrogram hip (73525) $2,358.36 $2,358.36 6.5×
Arthrogram knee (73580) $5,039.90 $5,039.90 13.8×
Arthrogram shoulder (73040) $5,039.90 $5,039.90 13.8×
Arthrogram wrist (73115) $4,608.83 $4,608.83 12.7×
Basic dosimetry (77300) $186.90 $186.90 1.3×
Bone &/Joint Imaging Limited Area (78300) $7,369.66 $7,369.66 17.7×
Bone &/Joint Imaging Multiple Areas (78305) $10,589.48 $10,589.48 25.4×
Bone &/joint imaging whole body (78306) $13,132.53 $13,132.53 31.5×
Bone age studies (77072) $2,928.57 $2,928.57 26.8×
Bone Imaging 3 Phase (78315) $11,978.96 $11,978.96 28.7×
Bone survey complete (77075) $10,875.90 $10,875.90 99.6×
Bone survey infant (77076) $501.39 $501.39 4.6×
Bowel imaging (78290) $9,130.15 $9,130.15 21.9×
Brain Imaging < 4 Static Views W Vascular Flow (78601) $9,278.14 $9,278.14 22.2×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $13,132.53 $13,132.53 23.2×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $12,278.66 $12,278.66 29.4×
Cervical spine 2 or 3 views (72040) $2,237.96 $2,237.96 24.6×
Chest 1 view (71045) $2,816.18 $2,816.18 31.0×
Chest xray 3 views (71047) $4,270.31 $4,270.31 47.0×
Cholecystography, oral contrast Non-Facility (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×
Clavicle complete (73000) $2,746.73 $2,746.73 30.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $11,531.36 $11,531.36 105.6×
Continuing medical physics consltj pr wk (77336) $426.60 $426.60 3.0×
Corpora cavernosography (74445) $9,708.34 $9,708.34 88.9×
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 contrast (74160) $18,693.41 $18,693.41 102.1×
CT abdomen w wo contrast (74170) $18,693.41 $18,693.41 102.1×
CT abdomen w/o contrast (74150) $13,397.21 $13,397.21 122.7×
CT angio hrt w/3d image (75574) $14,466.74 $14,466.74 39.7×
CT angio lwr extr w/o&w/dye (73706) $16,258.85 $16,258.85 88.8×
CT angiography upper extremity lt (73206) $16,258.85 $16,258.85 88.8×
CT c-spine w/contrast (72126) $16,377.69 $16,377.69 45.0×
CT c-spine w/o contrast (72125) $16,377.69 $16,377.69 150.0×
CT cervical spine w&w/o contrast (72127) $14,244.39 $14,244.39 77.8×
CT chest w contrast (71260) $15,468.49 $15,468.49 84.4×
CT chest w/wo contrast (71270) $18,866.43 $18,866.43 103.0×
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 iac w contrast (70481) $13,286.50 $13,286.50 72.5×
CT limited/localized follow up study (76380) $2,033.35 $2,033.35 22.4×
CT lower ext w/o (73700) $16,377.69 $16,377.69 150.0×
CT lower extremity w wo contrast (73702) $16,258.85 $16,258.85 88.8×
CT lower extremity w/contrast material (73701) $16,258.85 $16,258.85 88.8×
CT lumbar spine w & w/o contrast (72133) $16,258.85 $16,258.85 88.8×
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 maxillofacial w contrast (70487) $16,377.69 $16,377.69 89.4×
CT maxillofacial w/wo contrast (70488) $17,561.25 $17,561.25 95.9×
CT maxillofacial wo contrast (70486) $15,207.65 $15,207.65 139.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $18,693.41 $18,693.41 102.1×
CT orbits w/o contrast (70480) $18,693.41 $18,693.41 171.2×
CT pelvis w/o contrast (72192) $18,693.41 $18,693.41 171.2×
CT pelvis w/wo contrast (72194) $18,693.41 $18,693.41 102.1×
CT scan of arm combo (73202) $16,258.85 $16,258.85 88.8×
CT soft tissue neck w contrast (70491) $16,377.69 $16,377.69 89.4×
CT soft tissue neck w/o & w/contrast material (70492) $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 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/wo contrast (72130) $11,395 $11,395 62.2×
CT thorax w/o contrast (71250) $16,554.72 $16,554.72 151.6×
CT upper ext wo (73200) $16,377.69 $16,377.69 150.0×
CT upper extremity with contrast (73201) $16,258.85 $16,258.85 44.6×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $18,693.41 $18,693.41 102.1×
Cta Abdomen (74175) $18,693.41 $18,693.41 102.1×
CTA abdomen pelvis (74174) $37,381.44 $37,381.44 102.6×
CTA chest (71275) $18,866.43 $18,866.43 103.0×
Cta Head (70496) $17,107.28 $17,107.28 93.4×
Cta Neck (70498) $16,377.69 $16,377.69 89.4×
Cta Pelvis (72191) $18,693.41 $18,693.41 102.1×
Cystography minimum 3 views rs&i (74430) $2,035.47 $2,035.47 5.6×
Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) $9,353.40 $9,353.40 4.3×
Diskogram cervical (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×
Dxa bone density study 1/> sites axial skel (77080) $3,010.46 $3,010.46 27.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $1,519.85 $1,519.85 16.7×
Esophagus (74220) $4,182.05 $4,182.05 22.8×
Facial bones min 3 views (70150) $3,887.40 $3,887.40 35.6×
Fetal biophysical profile non-stress testing (76818) $3,533.48 $3,533.48 32.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,769.83 $1,769.83 16.2×
Fetal Echo (76825) $2,147.17 $2,147.17 3.8×
Fluoroscopy up to 1 hr (76000) $4,587.86 $4,587.86 18.4×
Foot 2 views (73620) $2,153.80 $2,153.80 23.7×
Forearm 2 views (73090) $2,110.65 $2,110.65 23.2×
Hand 2 views (73120) $750.45 $750.45 6.9×
Heart Infarct Image (78466) $10,884.46 $10,884.46 26.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $6,123.37 $6,123.37 1.9×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $6,123.37 $6,123.37 1.9×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $13,314.09 $13,314.09 23.5×
Hepatobiliary syst imaging including gallbladder (78226) $12,879.39 $12,879.39 30.9×
Hysterosalpingogram (74740) $8,613.09 $8,613.09 34.6×
Interstitial radiation source applic complex (77778) $897.82 $897.82 1.2×
Intracavitary Radiation Source Applic Simple (77761) $4,593.44 $4,593.44 8.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $12,925.97 $12,925.97 22.8×
Kidney img morphology vascular flow 1 w/rx (78708) $12,278.66 $12,278.66 21.7×
Kidney Img Morphology Vascular Flow Multiple (78709) $12,925.97 $12,925.97 22.8×
Knee 3 views (73562) $3,560.42 $3,560.42 39.2×
Liver & spleen imaging static only (78215) $13,238.09 $13,238.09 31.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $9,754.32 $9,754.32 23.4×
Liver imaging static only (78201) $3,730.50 $3,730.50 6.6×
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 ventilation imaging (78579) $12,922.94 $12,922.94 31.0×
Lymphoscintigraphy (78195) $10,589.48 $10,589.48 18.7×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $14,392.35 $14,392.35 17.6×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $4,976.13 $4,976.13 13.7×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $14,435.86 $14,435.86 39.6×
Mammary ductogram or galactogram multiple (77054) $1,997.55 $1,997.55 8.0×
Mammary ductogram or galactogram 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/o contrast (70544) $21,049.31 $21,049.31 84.5×
MRA head with contrast (70545) $23,157.09 $23,157.09 63.6×
MRA neck w contrast (70548) $23,157.09 $23,157.09 63.6×
Mra Neck W/O &W/Contrast Material (70549) $25,470.41 $25,470.41 69.9×
MRA neck w/o contrast (70547) $21,049.31 $21,049.31 84.5×
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 jt lower extrem w/contrast material (73722) $17,782.50 $17,782.50 21.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $15,837.58 $15,837.58 43.5×
MRI breast w/o contrast bilateral (77047) $19,441.63 $19,441.63 78.0×
MRI breast wo contrast unilateral (77046) $15,355.31 $15,355.31 61.6×
MRI c-spine with contrast (72142) $19,020.60 $19,020.60 52.2×
MRI cervical spine w/o contrast (72141) $15,216.15 $15,216.15 61.1×
MRI chest w/o & w/contrast material (71552) $15,324.98 $15,324.98 42.1×
MRI chest w/o contrast (71550) $13,685.53 $13,685.53 54.9×
MRI chest with contrast (71551) $15,325.27 $15,325.27 18.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $17,782.50 $17,782.50 48.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,569.75 $4,569.75 12.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $14,392.35 $14,392.35 57.8×
MRI orbit face &/neck w/o contrast (70540) $16,038.40 $16,038.40 64.4×
MRI orbit face neck w contrast (70542) $6,701.23 $6,701.23 18.4×
MRI orbit/face/neck w&w/o cont (70543) $25,236.40 $25,236.40 69.3×
MRI pelvis w/contrast (72196) $14,365.46 $14,365.46 39.4×
MRI pelvis w/o & w/contrast material (72197) $18,241.06 $18,241.06 50.1×
MRI pelvis w/o contrast (72195) $13,418.31 $13,418.31 53.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $19,297.31 $19,297.31 53.0×
MRI spinal canal lumbar w/contrast material (72149) $19,347.91 $19,347.91 53.1×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $19,297.31 $19,297.31 53.0×
MRI spinal canal thoracic w/contrast matrl (72147) $5,893.25 $5,893.25 16.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $19,512.35 $19,512.35 53.6×
MRI temporomandibular joint (70336) $6,701.23 $6,701.23 26.9×
MRI thoracic spine w/o contrast (72146) $15,450.19 $15,450.19 62.0×
MRI up ext w/o contrast (73218) $14,925.21 $14,925.21 59.9×
MRI upper ext joint w/o contrast (73221) $13,685.53 $13,685.53 54.9×
MRI, joint upper extrem combo (73223) $15,837.58 $15,837.58 43.5×
Myelogram Cervical (72240) $11,977.40 $11,977.40 14.6×
Myelogram Lumbar (72265) $11,977.40 $11,977.40 14.6×
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×
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 Multiple Studies (78452) $35,419.80 $35,419.80 26.2×
Myocardial spect single study at rest or stress (78451) $26,867.21 $26,867.21 19.9×
Neck soft tissue (70360) $1,843.93 $1,843.93 20.3×
Nm adrenal scan (78075) $14,436.61 $14,436.61 10.7×
Nm bone marrow wb (78104) $9,648.87 $9,648.87 23.1×
Nm cisternogram (78630) $9,321.20 $9,321.20 16.4×
Nm gastric emptying study (78264) $11,971.18 $11,971.18 28.7×
Nm gastroesophageal reflux study (78262) $7,251.98 $7,251.98 17.4×
Nm peritoneal-venous shunt patency (78291) $8,304.33 $8,304.33 19.9×
Nm red cell sequestration (78140) $3,872.37 $3,872.37 9.3×
Noncardiac Vascular Flow Imaging (78445) $24,994.89 $24,994.89 59.9×
Nonvascular shunt X-ray (75809) $4,587.86 $4,587.86 42.0×
Nuclear Rx Oral Admin (79005) $13,642.99 $13,642.99 56.0×
Osseous survey limited (77074) $3,715.17 $3,715.17 34.0×
Parathyroid Planar Imaging (78070) $14,436.61 $14,436.61 34.6×
Pelvis 1 or 2 views (72170) $2,948.42 $2,948.42 27.0×
PET image w/CT, skull-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 whole body (78813) $16,644.76 $16,644.76 11.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $12,693.10 $12,693.10 3.8×
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×
Pulmonary Ventilation & Perfusion Imaging (78582) $24,142.62 $24,142.62 42.6×
Radex abscess/fistula/sinus tract rs&i (76080) $1,976.40 $1,976.40 3.5×
Radex Ankle Compl Minimum 3 Views (73610) $3,337.40 $3,337.40 36.7×
Radex Calcaneus Minimum 2 Views (73650) $2,466.30 $2,466.30 27.1×
Radex Elbw Compl Minimum 3 Views (73080) $2,649.57 $2,649.57 29.2×
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 fingr minimum 2 views (73140) $1,650.80 $1,650.80 18.2×
Radex Foot Compl Minimum 3 Views (73630) $2,466.30 $2,466.30 27.1×
Radex Hand Minimum 3 Views (73130) $2,729.49 $2,729.49 30.0×
Radex Hip Unilateral With Pelvis 1 View (73501) $2,486.69 $2,486.69 27.4×
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 Humerus Minimum 2 Views (73060) $2,624.42 $2,624.42 28.9×
Radex Kne 1/2 Views (73560) $2,359.76 $2,359.76 26.0×
Radex Kne Compl 4/More Views (73564) $3,342.14 $3,342.14 30.6×
Radex Mndbl Compl Minimum 4 Views (70110) $4,147.55 $4,147.55 38.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,991.28 $2,991.28 32.9×
Radex Pelvis Compl Minimum 3 Views (72190) $4,008.51 $4,008.51 36.7×
Radex Sho Compl Minimum 2 Views (73030) $3,776.80 $3,776.80 41.6×
Radex Sinuses Paransl < 3 Views (70210) $2,137.42 $2,137.42 23.5×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $2,401.86 $2,401.86 22.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $3,887.40 $3,887.40 42.8×
Radex Toe Minimum 2 Views (73660) $2,058.90 $2,058.90 22.7×
Radex upper extremity infant minimum 2 views (73092) $1,434.49 $1,434.49 13.1×
Radex Wrst Compl Minimum 3 Views (73110) $2,605.72 $2,605.72 28.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $3,953.21 $3,953.21 36.2×
Radiation treatment delivery level 1 (77402) $249.50 $249.50 2.3×
Radiation treatment delivery level 3 (77412) $326.20 $326.20 0.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $1,733.06 $1,733.06 19.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $5,704.32 $5,704.32 52.3×
Radiologic exam chest 2 views (71046) $3,007.71 $3,007.71 33.1×
Radiologic exam colon single contrast study (74270) $5,086.10 $5,086.10 27.8×
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 (73551) $2,486.69 $2,486.69 27.4×
Radiologic examination tibia & fibula 2 views (73590) $2,306.45 $2,306.45 25.4×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $3,976.79 $3,976.79 7.0×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $1,261.28 $1,261.28 11.6×
Radiological examination surgical specimen (76098) $1,817.53 $1,817.53 3.2×
Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion Non-Facility (79403) $8,913.71 $8,913.71 36.6×
Red cell survival study Non-Facility (78130) $9,754.32 $9,754.32 23.4×
Ribs bilateral 3 views (71110) $2,956.91 $2,956.91 27.1×
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 function study (78232) $11,092.46 $11,092.46 26.6×
Scapula (73010) $3,675.07 $3,675.07 33.7×
Screening Digital Breast Tomosynthesis Bi (77063) $68.43 $68.43 2.9×
Sella turcica (70240) $3,044.44 $3,044.44 33.5×
Shoulder 1 view (73020) $2,013.48 $2,013.48 22.2×
Sialogram (70390) $2,657.49 $2,657.49 10.7×
Simulation intermediate (77285) $805.70 $805.70 2.1×
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×
Spine thoracic 3 views (72072) $3,366.13 $3,366.13 30.8×
Testicular Imaging With Vascular Flow (78761) $10,126.90 $10,126.90 24.3×
Ther rad simulaj-aided field setting complex (77290) $947.20 $947.20 2.4×
Ther rad simulaj-aided field setting simple (77280) $483.90 $483.90 3.4×
Thoracolumbar 2 views (72080) $1,677.79 $1,677.79 18.5×
Thyroid carcinoma metastases img whole body (78018) $11,971.18 $11,971.18 21.1×
Thyroid imaging w/blood flow (78013) $7,627.42 $7,627.42 18.3×
Thyroid uptake 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×
Tmj unilateral (70328) $3,622.60 $3,622.60 39.9×
Tomogram (76100) $6,231.48 $6,231.48 57.1×
Treatment device complex (77334) $450.40 $450.40 1.2×
Treatment device intermediate (77333) $264.60 $264.60 1.9×
Treatment devices simple (77332) $284.10 $284.10 2.0×
Ultrasound breast complete (76641) $5,492.76 $5,492.76 50.3×
Ultrasound Exam Aaa Screen (76706) $2,404.05 $2,404.05 22.0×
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×
Unlisted ultrasound procedure (76999) $4,764.68 $4,764.68 52.4×
Urethrocystogram voiding (74455) $7,556.98 $7,556.98 30.3×
Urethrocystography retrograde rs&i (74450) $7,556.98 $7,556.98 30.3×
Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) $6,905.23 $6,905.23 37.7×
Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) $10,895.95 $10,895.95 59.5×
Us breast unilateral limited (76642) $3,660.04 $3,660.04 40.3×
Us chest (76604) $3,830.02 $3,830.02 35.1×
Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) $5,719.38 $5,719.38 25.4×
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 hips infant static (76886) $704.94 $704.94 7.8×
Us infant hips w manipulation (76885) $3,117.47 $3,117.47 34.3×
Us lmtd joint/oth 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 limited (76815) $4,587.20 $4,587.20 42.0×
Us ob transvaginal (76817) $4,480.49 $4,480.49 41.0×
Us pelvic non ob complete (76856) $4,036.42 $4,036.42 37.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $2,621.06 $2,621.06 24.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $4,164.12 $4,164.12 38.1×
Us pg uter r-t img f-up tabdl appr pr fetus (76816) $2,147.17 $2,147.17 19.7×
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 and contents (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 and contents (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,transplanted kidney, real time/ doppler (76776) $6,744.08 $6,744.08 61.8×
Venogram adrenal unilat (75840) $8,726.06 $8,726.06 2.6×
Venogram extremity bilateral (75822) $8,987.56 $8,987.56 5.5×
Venogram Extremity Unilateral (75820) $6,105.30 $6,105.30 3.7×
Venography caval inferior serialography rs&i (75825) $5,793.48 $5,793.48 1.8×
Venography caval superior serialography rs&i (75827) $12,364.12 $12,364.12 7.5×
Venography Renal Bilateral (75833) $14,283.52 $14,283.52 4.3×
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×
Wrist 2 views (73100) $2,737.38 $2,737.38 30.1×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $4,982.43 $4,982.43 45.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,257.74 $2,257.74 24.8×
X-ray b.e. reductn intuss (74283) $5,086.10 $5,086.10 27.8×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $6,442.93 $6,442.93 35.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $3,094.60 $3,094.60 34.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $4,182.05 $4,182.05 46.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $4,860.42 $4,860.42 44.5×
X-ray exam of femur 2/> (73552) $3,503.57 $3,503.57 38.6×
X-ray eye for foreign body (70030) $1,307.44 $1,307.44 14.4×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $3,887.40 $3,887.40 42.8×
X-ray IV pyelogram (ivp) (74400) $5,795.92 $5,795.92 31.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $2,442.24 $2,442.24 26.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $3,760.45 $3,760.45 41.4×
X-ray leg, infant (73592) $1,434.49 $1,434.49 15.8×
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 nose-rectum child f.b. (76010) $1,931.97 $1,931.97 21.3×
X-ray optic foramen (70190) $2,415.57 $2,415.57 26.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $3,056.80 $3,056.80 28.0×
X-ray retrograde pyelogram (74420) $5,770.77 $5,770.77 15.8×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $2,402.84 $2,402.84 26.4×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $3,919.30 $3,919.30 35.9×
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 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 Small Bowel Enteroclysis (74251) $5,181.69 $5,181.69 28.3×
X-Ray Spine One View - Xr Spine (72020) $1,485.64 $1,485.64 16.3×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $2,549.37 $2,549.37 28.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $2,624.42 $2,624.42 28.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $4,243.30 $4,243.30 38.9×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $4,354.70 $4,354.70 39.9×
Xr bone length studies (77073) $11,601.03 $11,601.03 106.3×
Xr c-spine 4 or 5 views (72050) $3,118.24 $3,118.24 28.6×
Xr c-spine 6 or more views (72052) $4,761.17 $4,761.17 43.6×
Xr chest 4+ views (71048) $4,169.40 $4,169.40 38.2×
Xr urogram antegrade (74425) $2,035.47 $2,035.47 5.6×