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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,880.50 | $3,880.50 | 2.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,534.16–$1,931.97 | $1,534.16–$1,931.97 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$4,063.05–$5,111.12 | $4,063.05–$5,111.12 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $8,811.90 | $8,811.90 | 21.1× |
| Adrenal Cortex & Medulla Img (78075) | $14,436.61 | $14,436.61 | 10.7× |
| Angio internal mammary (75756) | $7,940.93 | $7,940.93 | 2.4× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$10,994.71–$18,324.43 | $10,994.71–$18,324.43 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $20,764.71 | $20,764.71 | 6.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$14,805.33–$21,697.91 | $14,805.33–$21,697.91 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$13,374.74–$28,501.07 | $13,374.74–$28,501.07 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$9,565.72–$13,471.92 | $9,565.72–$13,471.92 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$7,705.91–$9,387.04 | $7,705.91–$9,387.04 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$1,862.48–$8,790.56 | $1,862.48–$8,790.56 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,615.44–$16,730.98 | $1,615.44–$16,730.98 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $793.76 | $793.76 | 0.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$16,730.98–$21,619.19 | $16,730.98–$21,619.19 | varies |
| Artery X-Rays Adrenal Gland (75731) | $20,764.71 | $20,764.71 | 6.3× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$16,769.96–$23,266.33 | $16,769.96–$23,266.33 | varies |
| Artery X-Rays Spine (75705) | $5,878.62 | $5,878.62 | 1.0× |
| Arthrogram ankle (73615) range across 5 matching MRF lines |
$4,573.12–$4,631.76 | $4,573.12–$4,631.76 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$1,670.36–$5,103.34 | $1,670.36–$5,103.34 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$4,573.12–$9,171.68 | $4,573.12–$9,171.68 | varies |
| Basic radiation dosimetry calculation (77300) | $186.90 | $186.90 | 1.3× |
| 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 Imaging Limited Area (78300) | $7,369.66 | $7,369.66 | 17.7× |
| Bone Imaging Multiple Areas (78305) | $10,589.48 | $10,589.48 | 25.4× |
| Bone Imaging Whole Body (78306) | $13,132.53 | $13,132.53 | 31.5× |
| Bone marrow imaging; whole body (78104) | $9,648.87 | $9,648.87 | 23.1× |
| Bone survey infant (77076) | $501.39 | $501.39 | 4.6× |
| Brain Image W/Flow < 4 Views (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× |
| Cat Scan Follow-Up Study (76380) | $2,033.35 | $2,033.35 | 22.4× |
| Cerebrospinal Fluid Scan (78630) | $9,321.20 | $9,321.20 | 16.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$75–$3,538.06 | $75–$3,538.06 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$95–$3,252.87 | $95–$3,252.87 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$3,783.58–$4,757.04 | $3,783.58–$4,757.04 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$3,787.19–$4,551.62 | $3,787.19–$4,551.62 | varies |
| Cholecystography Oral Contrast (74290) | $2,171.74 | $2,171.74 | 11.9× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$2,407.72–$7,430.35 | $2,407.72–$7,430.35 | varies |
| 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× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$16,157.42–$30,433.04 | $16,157.42–$30,433.04 | varies |
| Contrast X-Ray Bladder (74430) | $2,035.47 | $2,035.47 | 5.6× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$4,573.12–$13,181.93 | $4,573.12–$13,181.93 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$4,573.12–$10,068.66 | $4,573.12–$10,068.66 | varies |
| 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 Abdomen and Pelvis (74174) | $37,381.44 | $37,381.44 | 102.6× |
| CT Angio Chest (71275) | $18,866.43 | $18,866.43 | 103.0× |
| CT Angio Head (70496) | $17,107.28 | $17,107.28 | 93.4× |
| 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 Angio Neck (70498) | $16,377.69 | $16,377.69 | 89.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $16,258.85 | $16,258.85 | 88.8× |
| 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 cervical spine w/wo cont (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 no contrast quant eval coronry 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 l-spine w&w/o contrast (72133) | $16,258.85 | $16,258.85 | 88.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$16,377.69–$24,495.80 | $16,377.69–$24,495.80 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$16,258.85–$27,365.84 | $16,258.85–$27,365.84 | varies |
| 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 wo contrast (70486) | $15,207.65 | $15,207.65 | 139.3× |
| CT neck tissue combo (70492) | $16,377.69 | $16,377.69 | 89.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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&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 scan of leg combo (73702) range across 3 matching MRF lines |
$15,794–$32,776.20 | $15,794–$32,776.20 | varies |
| CT scans face/jaw combo (70488) | $17,561.25 | $17,561.25 | 95.9× |
| 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 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 cont (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) range across 3 matching MRF lines |
$16,377.69–$20,305.90 | $16,377.69–$20,305.90 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$16,258.85–$32,776.20 | $16,258.85–$32,776.20 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$16,258.85–$24,368.06 | $16,258.85–$24,368.06 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,693.41 | $18,693.41 | 102.1× |
| Cta Abdomen (74175) | $18,693.41 | $18,693.41 | 102.1× |
| CTA pelvis (72191) | $18,693.41 | $18,693.41 | 102.1× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$7,757.51–$10,949.29 | $7,757.51–$10,949.29 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$5,543.64–$8,993.73 | $5,543.64–$8,993.73 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$4,059.74–$8,774.38 | $4,059.74–$8,774.38 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $3,165.62 | $3,165.62 | 29.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$2,810.31–$3,210.61 | $2,810.31–$3,210.61 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,519.85 | $1,519.85 | 16.7× |
| Echo exam of fetal heart (76825) | $2,147.17 | $2,147.17 | 3.8× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$5,124.76–$6,313.99 | $5,124.76–$6,313.99 | varies |
| Echograp Trans R Pros Study (76873) | $4,790.97 | $4,790.97 | 43.9× |
| Esophagram (74220) | $4,182.05 | $4,182.05 | 22.8× |
| Fetal Biophys Profile W/Nst (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× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$2,762.41–$5,604.73 | $2,762.41–$5,604.73 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,768.97–$6,123.37 | $3,768.97–$6,123.37 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$2,110.67–$5,069.53 | $2,110.67–$5,069.53 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$1,844.88–$4,224.33 | $1,844.88–$4,224.33 | varies |
| Gastric emptying imaging study (78264) | $11,971.18 | $11,971.18 | 28.7× |
| Gastroesophageal Reflux Exam (78262) | $7,251.98 | $7,251.98 | 17.4× |
| Gated Heart Planar Single (78472) | $12,278.66 | $12,278.66 | 29.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$344.40–$4,391.37 | $344.40–$4,391.37 | varies |
| 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 Image W/Drug (78227) | $13,314.09 | $13,314.09 | 23.5× |
| Hepatobiliary System Imaging (78226) | $12,879.39 | $12,879.39 | 30.9× |
| Ht Musc Image Planar Mult (78454) | $20,255.25 | $20,255.25 | 15.0× |
| Ht Muscle Image Spect Sing (78451) | $26,867.21 | $26,867.21 | 19.9× |
| Hysterosalpingogram (74740) | $8,613.09 | $8,613.09 | 34.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,117.47 | $3,117.47 | 34.3× |
| Infant hip ultrasound, limited static exam (76886) | $704.94 | $704.94 | 7.8× |
| Infusion Ivp (74410) | $6,905.23 | $6,905.23 | 37.7× |
| 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× |
| K Flow/Funct Image Multiple (78709) | $12,925.97 | $12,925.97 | 22.8× |
| K Flow/Funct Image W/Drug (78708) | $12,278.66 | $12,278.66 | 21.7× |
| K Flow/Funct Image W/O Drug (78707) | $12,925.97 | $12,925.97 | 22.8× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$3,324.32–$7,946.29 | $3,324.32–$7,946.29 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $3,872.37 | $3,872.37 | 9.3× |
| Leveen/Shunt Patency Exam (78291) | $8,304.33 | $8,304.33 | 19.9× |
| 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 Ventilat&Perfus Imaging (78582) | $24,142.62 | $24,142.62 | 42.6× |
| Lung Ventilation Imaging (78579) | $12,922.94 | $12,922.94 | 31.0× |
| Lymph System Imaging (78195) | $10,589.48 | $10,589.48 | 18.7× |
| Magnetic Image Jaw Joint (70336) | $6,701.23 | $6,701.23 | 26.9× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$1,839.02–$2,156.08 | $1,839.02–$2,156.08 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,010.38–$1,186.21 | $1,010.38–$1,186.21 | varies |
| Meckels Divert Exam (78290) | $9,130.15 | $9,130.15 | 21.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $163.01 | $163.01 | 5.4× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $17,722.40 | $17,722.40 | 71.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$17,782.50–$29,368.47 | $17,782.50–$29,368.47 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$15,837.58–$35,738.19 | $15,837.58–$35,738.19 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,976.13–$26,689.58 | $4,976.13–$26,689.58 | varies |
| MRI Breast W/O 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 contrast (72142) | $19,020.60 | $19,020.60 | 52.2× |
| MRI cervical spine w/o cont (72141) | $15,216.15 | $15,216.15 | 61.1× |
| 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 chest wo w contrast (71552) | $15,324.98 | $15,324.98 | 42.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$17,782.50–$30,901.09 | $17,782.50–$30,901.09 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,569.75–$35,500.83 | $4,569.75–$35,500.83 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$14,392.35–$29,269.12 | $14,392.35–$29,269.12 | varies |
| MRI lumbar spine w contrast (72149) | $19,347.91 | $19,347.91 | 53.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $19,297.31 | $19,297.31 | 53.0× |
| 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 Orbt/Fac/Nck W/O &W/Dye (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 (72197) | $18,241.06 | $18,241.06 | 50.1× |
| MRI pelvis w/o contrast (72195) | $13,418.31 | $13,418.31 | 53.9× |
| MRI thoracic spine w/o contrast (72146) | $15,450.19 | $15,450.19 | 62.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$4,976.13–$26,689.58 | $4,976.13–$26,689.58 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$9,021.02–$14,925.21 | $9,021.02–$14,925.21 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$13,685.53–$14,925.21 | $13,685.53–$14,925.21 | varies |
| MRI, abdomen, combo (74183) | $19,498.13 | $19,498.13 | 53.5× |
| MRI, dorsal spine combo (72157) | $19,512.35 | $19,512.35 | 53.6× |
| MRI, dorsal spine contrast (72147) | $5,893.25 | $5,893.25 | 16.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$13,685.53–$14,435.86 | $13,685.53–$14,435.86 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$15,837.58–$35,716.10 | $15,837.58–$35,716.10 | varies |
| MRI, lumbar spine combo (72158) | $19,297.31 | $19,297.31 | 53.0× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$11,012.61–$12,942.20 | $11,012.61–$12,942.20 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$11,012.61–$12,942.20 | $11,012.61–$12,942.20 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$11,933.12–$14,029.66 | $11,933.12–$14,029.66 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$14,252.90–$16,755.98 | $14,252.90–$16,755.98 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $10,884.46 | $10,884.46 | 26.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $12,278.66 | $12,278.66 | 9.1× |
| Myocardial Spect Multiple Studies (78452) | $35,419.80 | $35,419.80 | 26.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,719.81–$1,968.05 | $1,719.81–$1,968.05 | varies |
| Nm red cell survival study (78130) | $9,754.32 | $9,754.32 | 23.4× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$4,305.82–$4,869.89 | $4,305.82–$4,869.89 | varies |
| Nuclear Rx Oral Admin (79005) | $13,642.99 | $13,642.99 | 56.0× |
| Optic foramina (70190) range across 6 matching MRF lines |
$2,347.14–$6,015.41 | $2,347.14–$6,015.41 | varies |
| Parathyroid Planar Imaging (78070) | $14,436.61 | $14,436.61 | 34.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$2,753.64–$3,143.20 | $2,753.64–$3,143.20 | varies |
| Pet Image W/Ct Lmtd (78814) | $16,649.96 | $16,649.96 | 11.2× |
| PET image w/CT, full body (78816) | $17,242.02 | $17,242.02 | 11.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $16,644.76 | $16,644.76 | 11.1× |
| 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× |
| Pulmonary Perfusion Imaging Particulate (78580) | $11,227.59 | $11,227.59 | 26.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$4,653.22–$5,311.64 | $4,653.22–$5,311.64 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,815.58–$2,137.23 | $1,815.58–$2,137.23 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$2,919.76–$9,462.85 | $2,919.76–$9,462.85 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$2,155.63–$7,301.37 | $2,155.63–$7,301.37 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$2,321.75–$7,416.67 | $2,321.75–$7,416.67 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$3,627.24–$4,147.55 | $3,627.24–$4,147.55 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$1,541.97–$2,587.54 | $1,541.97–$2,587.54 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$2,155.63–$7,301.37 | $2,155.63–$7,301.37 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$2,386.22–$5,455.80 | $2,386.22–$5,455.80 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$855.99–$1,640.60 | $855.99–$1,640.60 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 6 matching MRF lines |
$1,143.30–$9,124.75 | $1,143.30–$9,124.75 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$2,790.78–$3,191.77 | $2,790.78–$3,191.77 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$2,227.94–$2,577.75 | $2,227.94–$2,577.75 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$3,337.99–$7,430.35 | $3,337.99–$7,430.35 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,993.42–$2,281.43 | $1,993.42–$2,281.43 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $5,181.69 | $5,181.69 | 28.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,385.60–$1,585.69 | $1,385.60–$1,585.69 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$2,448.79–$2,800.06 | $2,448.79–$2,800.06 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$3,627.24–$4,147.55 | $3,627.24–$4,147.55 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$1,801.90–$5,069.53 | $1,801.90–$5,069.53 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$855.99–$1,640.60 | $855.99–$1,640.60 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$2,278.75–$5,917.71 | $2,278.75–$5,917.71 | varies |
| 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× |
| Radiolog exam mandible compl minimum 4 views (70110) | $4,147.55 | $4,147.55 | 38.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$5,659.73–$5,748.91 | $5,659.73–$5,748.91 | varies |
| Radiologic exam colon double contrast study (74280) | $6,442.93 | $6,442.93 | 35.2× |
| 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 knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,925.63–$9,056.36 | $2,925.63–$9,056.36 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$3,742.53–$4,274.49 | $3,742.53–$4,274.49 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,729.11 | $3,729.11 | 20.4× |
| Radiologic exam swallow function contrast study (74230) | $3,641.44 | $3,641.44 | 19.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $9,911.99 | $9,911.99 | 54.1× |
| Radiologic examination femur 1 view (73551) | $2,486.69 | $2,486.69 | 27.4× |
| Radiologic examination femur minimum 2 views (73552) | $3,503.57 | $3,503.57 | 38.6× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$2,065.72–$3,265.68 | $2,065.72–$3,265.68 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,715.17 | $3,715.17 | 34.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$2,018.83–$7,301.37 | $2,018.83–$7,301.37 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $3,976.79 | $3,976.79 | 7.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$2,587.54–$3,326.28 | $2,587.54–$3,326.28 | varies |
| 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× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $8,913.71 | $8,913.71 | 36.6× |
| Salivary Gland Function Study (78232) | $11,092.46 | $11,092.46 | 26.6× |
| Scapula (73010) range across 6 matching MRF lines |
$3,429.84–$5,747.65 | $3,429.84–$5,747.65 | varies |
| 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) range across 6 matching MRF lines |
$1,764.76–$4,039.46 | $1,764.76–$4,039.46 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$4,573.12–$10,895.95 | $4,573.12–$10,895.95 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$2,442.90–$2,872.08 | $2,442.90–$2,872.08 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$2,530.85–$2,892.51 | $2,530.85–$2,892.51 | varies |
| Special dosimetry (77331) | $388.80 | $388.80 | 2.8× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$681.50–$711.80 | $681.50–$711.80 | varies |
| Special teletherapy port plan (77321) | $562.70 | $562.70 | 1.4× |
| Special treatment procedure (77470) | $1,552 | $1,552 | 2.7× |
| Speech evaluation, complex (70371) | $3,641.44 | $3,641.44 | 14.6× |
| Sternoclavicular joints (71130) | $2,549.37 | $2,549.37 | 28.1× |
| Testicular Imaging W/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 Intermed (77285) | $805.70 | $805.70 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $483.90 | $483.90 | 3.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $5,086.10 | $5,086.10 | 27.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$3,961.42–$4,525.18 | $3,961.42–$4,525.18 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$3,142.57–$3,589.69 | $3,142.57–$3,589.69 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$1,653.36–$1,702.22 | $1,653.36–$1,702.22 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $7,627.42 | $7,627.42 | 18.3× |
| Thyroid Met Imaging Body (78018) | $11,971.18 | $11,971.18 | 21.1× |
| 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× |
| Tx Devices Design & Construction Complex (77334) | $450.40 | $450.40 | 1.2× |
| Tx devices design & construction intermediate (77333) | $264.60 | $264.60 | 1.9× |
| Tx devices design & construction simple (77332) | $284.10 | $284.10 | 2.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$2,440.55–$4,879.53 | $2,440.55–$4,879.53 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,404.05 | $2,404.05 | 22.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$535.06–$3,606.49 | $535.06–$3,606.49 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,403.32 | $2,403.32 | 22.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$7,113.51–$19,121.78 | $7,113.51–$19,121.78 | varies |
| Unlisted us procedure (76999) | $4,764.68 | $4,764.68 | 52.4× |
| Upper gi w/o kub (74240) | $6,140.62 | $6,140.62 | 33.5× |
| Urethrocystogram voiding (74455) | $7,556.98 | $7,556.98 | 30.3× |
| Urethrocystography retrograde (74450) | $7,556.98 | $7,556.98 | 30.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$3,662.41–$7,323.11 | $3,662.41–$7,323.11 | varies |
| Us chest (76604) | $3,830.02 | $3,830.02 | 35.1× |
| Us complete joint (76881) range across 5 matching MRF lines |
$2,581.45–$3,533.48 | $2,581.45–$3,533.48 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$2,421.21–$2,820.91 | $2,421.21–$2,820.91 | varies |
| Us head (76506) | $3,285.06 | $3,285.06 | 30.1× |
| Us kidney transplant (76776) | $6,744.08 | $6,744.08 | 61.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$2,415.68–$3,695.33 | $2,415.68–$3,695.33 | varies |
| Us ob detailed single fetus (76811) | $4,480.49 | $4,480.49 | 18.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$4,240.53–$4,933.86 | $4,240.53–$4,933.86 | varies |
| Us ob transvaginal (76817) | $4,480.49 | $4,480.49 | 41.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$3,730.50–$4,342.34 | $3,730.50–$4,342.34 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$3,847.75–$4,480.49 | $3,847.75–$4,480.49 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,147.17 | $2,147.17 | 19.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,729.97–$3,181.13 | $2,729.97–$3,181.13 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$535.06–$4,764.68 | $535.06–$4,764.68 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$3,443.25–$4,008.57 | $3,443.25–$4,008.57 | varies |
| Us spinal canal and contents (76800) | $3,117.47 | $3,117.47 | 28.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$3,454.98–$4,058.31 | $3,454.98–$4,058.31 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$4,842.30–$5,991.12 | $4,842.30–$5,991.12 | varies |
| Vascular Flow Imaging (78445) | $24,994.89 | $24,994.89 | 59.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,814.99–$19,913.26 | $4,814.99–$19,913.26 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $12,693.10 | $12,693.10 | 3.8× |
| Venogram Sinus/Jugular (75860) | $12,617.13 | $12,617.13 | 3.8× |
| Venography Adrenal Unilateral (75840) | $8,726.06 | $8,726.06 | 2.6× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,814.99–$6,771.97 | $4,814.99–$6,771.97 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,581.54–$13,393.58 | $4,581.54–$13,393.58 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$3,345.31–$7,108.90 | $3,345.31–$7,108.90 | varies |
| Venography Renal Bilateral (75833) | $14,283.52 | $14,283.52 | 4.3× |
| Venography Renal Unilateral (75831) | $12,649.25 | $12,649.25 | 3.8× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$14,283.52–$21,619.19 | $14,283.52–$21,619.19 | varies |
| Vertebral fracture assessment via dxa (77086) | $3,914.71 | $3,914.71 | 43.1× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$2,396.01–$3,650.68 | $2,396.01–$3,650.68 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$2,108.71–$2,406.77 | $2,108.71–$2,406.77 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,035.47 | $2,035.47 | 5.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$21,174.51–$39,881.15 | $21,174.51–$39,881.15 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$2,366.68–$2,437.04 | $2,366.68–$2,437.04 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$3,094.60–$6,187.64 | $3,094.60–$6,187.64 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,766.71–$2,138.82 | $1,766.71–$2,138.82 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,696.94 | $1,696.94 | 18.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,826.66 | $2,826.66 | 25.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,390.73 | $3,390.73 | 31.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,486.69 | $2,486.69 | 27.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,182.05 | $4,182.05 | 46.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,522.02 | $4,522.02 | 41.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,406.02 | $4,406.02 | 40.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,860.42 | $4,860.42 | 44.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,422.89 | $5,422.89 | 49.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,820.10–$3,224.69 | $2,820.10–$3,224.69 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,091.13–$2,384.78 | $2,091.13–$2,384.78 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$4,444.15–$5,078.19 | $4,444.15–$5,078.19 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,656.54–$4,182.05 | $3,656.54–$4,182.05 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,307.44–$5,069.53 | $1,307.44–$5,069.53 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$2,448.79–$2,800.06 | $2,448.79–$2,800.06 | varies |
| X-ray IV pyelogram (ivp) (74400) | $5,795.92 | $5,795.92 | 31.6× |
| X-ray IV pyelogram+tomography (74415) | $10,895.95 | $10,895.95 | 59.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$2,278.75–$2,605.72 | $2,278.75–$2,605.72 | varies |
| 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) range across 2 matching MRF lines |
$3,203.15–$3,661.83 | $3,203.15–$3,661.83 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,931.97 | $1,931.97 | 21.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$4,111.90–$4,699.12 | $4,111.90–$4,699.12 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$2,710.65–$3,097.77 | $2,710.65–$3,097.77 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$2,448.79–$2,800.06 | $2,448.79–$2,800.06 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$3,627.24–$4,147.55 | $3,627.24–$4,147.55 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$5,235.65–$5,985.38 | $5,235.65–$5,985.38 | varies |
| X-ray thoracic spine 4 vw (72074) | $4,354.70 | $4,354.70 | 39.9× |
| X-Ray Tmj Unilat (70328) | $3,622.60 | $3,622.60 | 39.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,770.77 | $5,770.77 | 15.8× |
| X-Rays Bone Length Studies (77073) | $11,601.03 | $11,601.03 | 106.3× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$10,150.77–$11,601.03 | $10,150.77–$11,601.03 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$2,910–$3,326.48 | $2,910–$3,326.48 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$3,627.24–$4,147.55 | $3,627.24–$4,147.55 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,966.04–$4,147.55 | $1,966.04–$4,147.55 | varies |
| Xr Tomogram Single Plane (76100) | $6,231.48 | $6,231.48 | 57.1× |
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.