Imaging prices at HCA Florida Trinity Hospital
Trinity, FL · every code in this section with a posted price and a Medicare benchmark.
270 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $5,032.16 | $5,032.16 | 46.1× |
| Acute gi blood loss imaging (78278) | $3,251.01 | $3,251.01 | 7.8× |
| Angio Adrenal Bilat Select (75733) | $11,766.60 | $11,766.60 | 3.6× |
| Angiography extremity bilateral rs&i (75716) | $18,608.60 | $18,608.60 | 5.6× |
| Angiography extremity unilateral rs&i (75710) | $10,982.19 | $10,982.19 | 3.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,455.74 | $14,455.74 | 2.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,707.93 | $12,707.93 | 3.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $11,985.26 | $11,985.26 | 2.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $19,352.05 | $19,352.05 | 5.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,488.61 | $11,488.61 | 3.5× |
| Ankle 2 views (73600) | $640.48 | $640.48 | 7.0× |
| Aortogram thoracic (75605) | $22,108.03 | $22,108.03 | 3.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $46,954.34 | $46,954.34 | 14.2× |
| Aortography abdominal serialography rs&i (75625) | $24,311.54 | $24,311.54 | 7.4× |
| Arthrogram ankle (73615) | $2,152.48 | $2,152.48 | 5.9× |
| Arthrogram elbow (73085) | $4,033.89 | $4,033.89 | 11.1× |
| Arthrogram hip (73525) | $3,796.52 | $3,796.52 | 10.4× |
| Arthrogram knee (73580) | $2,483.26 | $2,483.26 | 6.8× |
| Arthrogram shoulder (73040) | $8,087.06 | $8,087.06 | 22.2× |
| Arthrogram wrist (73115) | $4,150.30 | $4,150.30 | 11.4× |
| Bone &/joint imaging whole body (78306) | $17,630.44 | $17,630.44 | 42.2× |
| Bone age studies (77072) | $751.20 | $751.20 | 6.9× |
| Bone Imaging 3 Phase (78315) | $8,294.98 | $8,294.98 | 19.9× |
| Bone Marrow Imaging Limited Area (78102) | $4,075.29 | $4,075.29 | 9.8× |
| Bone survey complete (77075) | $7,043.54 | $7,043.54 | 64.5× |
| Bone survey infant (77076) | $1,431.38 | $1,431.38 | 13.1× |
| Bowel imaging (78290) | $9,376.11 | $9,376.11 | 22.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $10,134.74 | $10,134.74 | 17.9× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $14,018.88 | $14,018.88 | 33.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $8,344.15 | $8,344.15 | 14.7× |
| Cervical spine 2 or 3 views (72040) | $2,869.38 | $2,869.38 | 31.6× |
| Chest 1 view (71045) | $1,062.82 | $1,062.82 | 11.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $4,031.83 | $4,031.83 | 22.0× |
| Clavicle complete (73000) | $3,320.22 | $3,320.22 | 36.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $15,969.76 | $15,969.76 | 146.3× |
| CT abdomen and pelvis without and with contrast (74178) | $31,577.77 | $31,577.77 | 86.7× |
| CT abdomen and pelvis without contrast (74176) | $24,912.90 | $24,912.90 | 100.0× |
| CT abdomen w contrast (74160) | $17,956.71 | $17,956.71 | 98.0× |
| CT abdomen w wo contrast (74170) | $20,706.46 | $20,706.46 | 113.0× |
| CT abdomen w/o contrast (74150) | $16,975.04 | $16,975.04 | 155.5× |
| CT angio hrt w/3d image (75574) | $22,500.30 | $22,500.30 | 61.8× |
| CT angio lwr extr w/o&w/dye (73706) | $34,500.24 | $34,500.24 | 188.4× |
| CT angiography upper extremity lt (73206) | $19,076.19 | $19,076.19 | 104.1× |
| CT c-spine w/contrast (72126) | $19,647.41 | $19,647.41 | 53.9× |
| CT c-spine w/o contrast (72125) | $19,647.41 | $19,647.41 | 180.0× |
| CT cervical spine w&w/o contrast (72127) | $21,213.56 | $21,213.56 | 115.8× |
| CT chest w contrast (71260) | $20,598.83 | $20,598.83 | 112.5× |
| CT chest w/wo contrast (71270) | $22,044.02 | $22,044.02 | 120.3× |
| CT head/brain with contrast (70460) | $19,919.51 | $19,919.51 | 108.7× |
| CT head/brain without and with contrast (70470) | $22,647.73 | $22,647.73 | 123.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $22,963.33 | $22,963.33 | 63.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $10,761.13 | $10,761.13 | 118.4× |
| CT iac w contrast (70481) | $19,261.71 | $19,261.71 | 105.2× |
| CT limited/localized follow up study (76380) | $6,417.08 | $6,417.08 | 70.6× |
| CT lower ext w/o (73700) | $20,411.03 | $20,411.03 | 187.0× |
| CT lower extremity w wo contrast (73702) | $21,321.70 | $21,321.70 | 116.4× |
| CT lower extremity w/contrast material (73701) | $20,411.03 | $20,411.03 | 111.4× |
| CT lumbar spine w & w/o contrast (72133) | $20,101.89 | $20,101.89 | 109.7× |
| CT lumbar spine w/contrast (72132) | $20,242.88 | $20,242.88 | 55.6× |
| CT lumbar spine w/o contrast (72131) | $19,628.17 | $19,628.17 | 179.8× |
| CT maxillofacial w contrast (70487) | $16,791.82 | $16,791.82 | 91.7× |
| CT maxillofacial w/wo contrast (70488) | $17,896.69 | $17,896.69 | 97.7× |
| CT maxillofacial wo contrast (70486) | $15,422.20 | $15,422.20 | 141.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $18,832.33 | $18,832.33 | 102.8× |
| CT orbits w/o contrast (70480) | $17,773.47 | $17,773.47 | 162.8× |
| CT pelvis w/o contrast (72192) | $15,206.45 | $15,206.45 | 139.3× |
| CT pelvis w/wo contrast (72194) | $22,216.71 | $22,216.71 | 121.3× |
| CT scan of arm combo (73202) | $20,411.03 | $20,411.03 | 111.4× |
| CT soft tissue neck w contrast (70491) | $16,802.80 | $16,802.80 | 91.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $20,059.67 | $20,059.67 | 109.5× |
| CT soft tissue neck w/o contrast (70490) | $15,379.15 | $15,379.15 | 140.9× |
| CT thoracic spine w/contrast (72129) | $20,242.88 | $20,242.88 | 110.5× |
| CT thoracic spine w/o contrast (72128) | $19,628.17 | $19,628.17 | 179.8× |
| CT thoracic spine w/wo contrast (72130) | $20,101.89 | $20,101.89 | 109.7× |
| CT thorax w/o contrast (71250) | $18,549.87 | $18,549.87 | 169.9× |
| CT upper ext wo (73200) | $16,899.48 | $16,899.48 | 154.8× |
| CT upper extremity with contrast (73201) | $18,441.79 | $18,441.79 | 50.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $41,864.14 | $41,864.14 | 228.6× |
| Cta Abdomen (74175) | $20,411.03 | $20,411.03 | 111.4× |
| CTA abdomen pelvis (74174) | $20,411.03 | $20,411.03 | 56.0× |
| CTA chest (71275) | $27,186.27 | $27,186.27 | 148.4× |
| Cta Head (70496) | $22,181.90 | $22,181.90 | 121.1× |
| Cta Neck (70498) | $16,565.53 | $16,565.53 | 90.4× |
| Cta Pelvis (72191) | $20,534.23 | $20,534.23 | 112.1× |
| Cystography minimum 3 views rs&i (74430) | $5,421.55 | $5,421.55 | 14.9× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $13,706.36 | $13,706.36 | 6.3× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,759.74 | $1,759.74 | 16.1× |
| Esophagus (74220) | $3,320.22 | $3,320.22 | 18.1× |
| Facial bones min 3 views (70150) | $4,553.36 | $4,553.36 | 41.7× |
| Fetal biophysical profile non-stress testing (76818) | $3,422.55 | $3,422.55 | 31.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,422.55 | $3,422.55 | 31.4× |
| Fluoroscopy up to 1 hr (76000) | $2,845.99 | $2,845.99 | 11.4× |
| Foot 2 views (73620) | $1,261.61 | $1,261.61 | 13.9× |
| Forearm 2 views (73090) | $3,320.22 | $3,320.22 | 36.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $11,329.03 | $11,329.03 | 3.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $13,120.05 | $13,120.05 | 23.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $13,120.05 | $13,120.05 | 31.4× |
| Hysterosalpingogram (74740) | $6,379.19 | $6,379.19 | 25.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $17,453.93 | $17,453.93 | 30.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $17,453.93 | $17,453.93 | 30.8× |
| Knee 3 views (73562) | $4,268.74 | $4,268.74 | 47.0× |
| Liver & spleen imaging static only (78215) | $11,201.89 | $11,201.89 | 26.8× |
| Lung perf&ventilat diferentl (78598) | $11,727.14 | $11,727.14 | 20.7× |
| Lung perfusion differential (78597) | $11,727.14 | $11,727.14 | 28.1× |
| Lung ventilation imaging (78579) | $11,353.77 | $11,353.77 | 27.2× |
| Lymphoscintigraphy (78195) | $6,046.76 | $6,046.76 | 10.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $9,191.62 | $9,191.62 | 11.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $7,909.69 | $7,909.69 | 21.7× |
| Mammary ductogram or galactogram multiple (77054) | $4,787.12 | $4,787.12 | 19.2× |
| Mammary ductogram or galactogram single (77053) | $4,031.83 | $4,031.83 | 16.2× |
| MRA head w & w/o contrast (70546) | $10,792.78 | $10,792.78 | 29.6× |
| MRA head w/o contrast (70544) | $9,531.67 | $9,531.67 | 38.3× |
| MRA head with contrast (70545) | $11,282.77 | $11,282.77 | 31.0× |
| MRA neck w contrast (70548) | $10,786.15 | $10,786.15 | 29.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,408.66 | $12,408.66 | 34.1× |
| MRA neck w/o contrast (70547) | $9,531.67 | $9,531.67 | 38.3× |
| MRI abdomen w contrast (74182) | $10,792.78 | $10,792.78 | 29.6× |
| MRI abdomen w/o & w/contrast material (74183) | $12,915.95 | $12,915.95 | 35.5× |
| MRI abdomen w/o contrast (74181) | $6,905.79 | $6,905.79 | 27.7× |
| MRI any jt lower extrem w/contrast material (73722) | $8,813.18 | $8,813.18 | 10.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,873.24 | $9,873.24 | 27.1× |
| MRI breast w/o contrast bilateral (77047) | $7,512.68 | $7,512.68 | 30.2× |
| MRI c-spine with contrast (72142) | $9,192.63 | $9,192.63 | 25.2× |
| MRI cervical spine w/o contrast (72141) | $8,714.32 | $8,714.32 | 35.0× |
| MRI chest w/o & w/contrast material (71552) | $9,870.71 | $9,870.71 | 27.1× |
| MRI chest w/o contrast (71550) | $7,696.70 | $7,696.70 | 30.9× |
| MRI chest with contrast (71551) | $8,698.58 | $8,698.58 | 10.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,886.47 | $9,886.47 | 27.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,909.69 | $7,909.69 | 21.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,698.58 | $8,698.58 | 34.9× |
| MRI orbit face &/neck w/o contrast (70540) | $7,922.08 | $7,922.08 | 31.8× |
| MRI orbit face neck w contrast (70542) | $9,192.63 | $9,192.63 | 25.2× |
| MRI orbit/face/neck w&w/o cont (70543) | $7,929.49 | $7,929.49 | 21.8× |
| MRI pelvis w/contrast (72196) | $12,948.98 | $12,948.98 | 35.5× |
| MRI pelvis w/o & w/contrast material (72197) | $13,443.55 | $13,443.55 | 36.9× |
| MRI pelvis w/o contrast (72195) | $11,353.41 | $11,353.41 | 45.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $9,972.86 | $9,972.86 | 27.4× |
| MRI spinal canal lumbar w/contrast material (72149) | $9,192.63 | $9,192.63 | 25.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $9,972.86 | $9,972.86 | 27.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $9,192.63 | $9,192.63 | 25.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $9,492.53 | $9,492.53 | 26.1× |
| MRI temporomandibular joint (70336) | $7,634.68 | $7,634.68 | 30.6× |
| MRI thoracic spine w/o contrast (72146) | $8,714.32 | $8,714.32 | 35.0× |
| MRI up ext w/o contrast (73218) | $8,629.95 | $8,629.95 | 34.6× |
| MRI upper ext joint w/o contrast (73221) | $8,714.32 | $8,714.32 | 35.0× |
| MRI, joint upper extrem combo (73223) | $9,873.24 | $9,873.24 | 27.1× |
| Myocardial infarct spect (78469) | $8,883.73 | $8,883.73 | 15.7× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $37,167.71 | $37,167.71 | 27.5× |
| Myocardial Spect Multiple Studies (78452) | $37,167.71 | $37,167.71 | 27.5× |
| Myocardial spect single study at rest or stress (78451) | $15,683.22 | $15,683.22 | 11.6× |
| Neck soft tissue (70360) | $3,052.38 | $3,052.38 | 33.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $3,287.03 | $3,287.03 | 7.9× |
| Nm bone marrow multi (78103) | $5,749.50 | $5,749.50 | 13.8× |
| Nm bone marrow wb (78104) | $7,423.68 | $7,423.68 | 17.8× |
| Nm cisternogram (78630) | $8,674.07 | $8,674.07 | 15.3× |
| Nm gastric emptying study (78264) | $9,294.81 | $9,294.81 | 22.3× |
| Nonvascular shunt X-ray (75809) | $5,276.69 | $5,276.69 | 48.3× |
| Nuclear Rx Oral Admin (79005) | $8,527.82 | $8,527.82 | 35.0× |
| Osseous survey limited (77074) | $6,403.09 | $6,403.09 | 58.7× |
| Parathyrd planar w/spect&CT (78072) | $4,484.98 | $4,484.98 | 7.9× |
| Parathyroid Planar Imaging (78070) | $17,971.86 | $17,971.86 | 43.0× |
| Pelvis 1 or 2 views (72170) | $3,225.18 | $3,225.18 | 29.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,362.23 | $13,362.23 | 4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,135.46 | $7,135.46 | 17.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $11,353.77 | $11,353.77 | 20.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $737.56 | $737.56 | 1.3× |
| Radex Ankle Compl Minimum 3 Views (73610) | $3,533.71 | $3,533.71 | 38.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,279.20 | $2,279.20 | 25.1× |
| Radex Elbw Compl Minimum 3 Views (73080) | $3,652.15 | $3,652.15 | 40.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,899.69 | $3,899.69 | 35.7× |
| Radex fingr minimum 2 views (73140) | $2,750.92 | $2,750.92 | 30.3× |
| Radex Foot Compl Minimum 3 Views (73630) | $3,391.40 | $3,391.40 | 37.3× |
| Radex Hand Minimum 3 Views (73130) | $3,177.91 | $3,177.91 | 35.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,110.47 | $2,110.47 | 23.2× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $3,106.72 | $3,106.72 | 28.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,323.95 | $2,323.95 | 21.3× |
| Radex Humerus Minimum 2 Views (73060) | $2,988.30 | $2,988.30 | 32.9× |
| Radex Kne 1/2 Views (73560) | $1,304.33 | $1,304.33 | 14.4× |
| Radex Kne Compl 4/More Views (73564) | $800.36 | $800.36 | 7.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,506.11 | $4,506.11 | 41.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,391.40 | $3,391.40 | 37.3× |
| Radex Sho Compl Minimum 2 Views (73030) | $3,474.27 | $3,474.27 | 38.2× |
| Radex Toe Minimum 2 Views (73660) | $2,845.99 | $2,845.99 | 31.3× |
| Radex Wrst Compl Minimum 3 Views (73110) | $3,260.79 | $3,260.79 | 35.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,708.91 | $4,708.91 | 43.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,062.82 | $1,062.82 | 11.7× |
| Radiologic exam chest 2 views (71046) | $1,386.26 | $1,386.26 | 15.3× |
| Radiologic exam colon single contrast study (74270) | $2,822.09 | $2,822.09 | 15.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $6,557.07 | $6,557.07 | 35.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $3,391.40 | $3,391.40 | 37.3× |
| Radiological examination surgical specimen (76098) | $1,069.48 | $1,069.48 | 1.9× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $8,467.58 | $8,467.58 | 20.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $19,797.38 | $19,797.38 | 47.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,308.08 | $4,308.08 | 7.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $9,947.81 | $9,947.81 | 17.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $9,781.99 | $9,781.99 | 17.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,602.16 | $12,602.16 | 8.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $11,284.78 | $11,284.78 | 8.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $5,726.60 | $5,726.60 | 23.0× |
| Scapula (73010) | $2,490.18 | $2,490.18 | 22.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78.98 | $78.98 | 3.4× |
| Shoulder 1 view (73020) | $1,433.14 | $1,433.14 | 15.8× |
| Small bowel series (74250) | $6,118.45 | $6,118.45 | 33.4× |
| Testicular Imaging With Vascular Flow (78761) | $6,693.74 | $6,693.74 | 16.0× |
| Thyroid carcinoma metastases img whole body (78018) | $14,764.42 | $14,764.42 | 26.0× |
| Thyroid uptake measurement (78012) | $13,786.06 | $13,786.06 | 33.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $16,630.60 | $16,630.60 | 39.8× |
| Ultrasound breast complete (76641) | $2,097.82 | $2,097.82 | 19.2× |
| Ultrasound, abdomen limited (76705) | $3,217.70 | $3,217.70 | 29.5× |
| Umbilical-artery Doppler (OB) (76820) | $2,465.01 | $2,465.01 | 22.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,856.31 | $1,856.31 | 167.8× |
| Urea breath test, C-14 (isotopic); analysis Facility (78268) | $1,959.08 | $1,959.08 | 20.8× |
| Urethrocystogram voiding (74455) | $6,758.92 | $6,758.92 | 27.1× |
| Urethrocystography retrograde rs&i (74450) | $6,758.92 | $6,758.92 | 27.1× |
| Us breast unilateral limited (76642) | $1,506.74 | $1,506.74 | 16.6× |
| Us chest (76604) | $1,379.75 | $1,379.75 | 12.6× |
| Us compl joint r-t w/image documentation (76881) | $5,678.46 | $5,678.46 | 52.0× |
| Us encephalogram (76506) | $2,301.28 | $2,301.28 | 21.1× |
| Us hips infant static (76886) | $2,160.18 | $2,160.18 | 23.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,913.80 | $3,913.80 | 35.9× |
| Us ob limited (76815) | $2,925.38 | $2,925.38 | 26.8× |
| Us ob transvaginal (76817) | $2,301.28 | $2,301.28 | 21.1× |
| Us pelvic non ob complete (76856) | $6,433.12 | $6,433.12 | 58.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,561.92 | $3,561.92 | 32.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,287.97 | $4,287.97 | 39.3× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $2,420.89 | $2,420.89 | 22.2× |
| Us retroperitoneal complete (76770) | $5,911.69 | $5,911.69 | 54.2× |
| Us retroperitoneal limited (76775) | $3,900.51 | $3,900.51 | 35.7× |
| Us scrotum and contents (76870) | $6,248.02 | $6,248.02 | 57.2× |
| Us soft tissue head/neck (76536) | $4,899.90 | $4,899.90 | 44.9× |
| Us spinal canal and contents (76800) | $2,564.79 | $2,564.79 | 23.5× |
| Us transrectal (76872) | $35,041.31 | $35,041.31 | 321.0× |
| Us,transplanted kidney, real time/ doppler (76776) | $3,458.08 | $3,458.08 | 31.7× |
| Venogram extremity bilateral (75822) | $19,451.69 | $19,451.69 | 11.8× |
| Venogram Extremity Unilateral (75820) | $11,313.02 | $11,313.02 | 6.9× |
| Venography caval inferior serialography rs&i (75825) | $11,320.58 | $11,320.58 | 3.4× |
| Venography caval superior serialography rs&i (75827) | $7,519.10 | $7,519.10 | 4.6× |
| Wrist 2 views (73100) | $2,074.90 | $2,074.90 | 22.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $5,169.95 | $5,169.95 | 47.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,803.31 | $2,803.31 | 30.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,707.37 | $7,707.37 | 42.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,992.06 | $1,992.06 | 21.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,323.95 | $2,323.95 | 25.6× |
| X-ray exam of femur 2/> (73552) | $3,382.69 | $3,382.69 | 37.2× |
| X-ray eye for foreign body (70030) | $853.94 | $853.94 | 9.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $806.18 | $806.18 | 8.9× |
| X-ray IV pyelogram (ivp) (74400) | $8,098.77 | $8,098.77 | 44.2× |
| X-ray leg, infant (73592) | $948.50 | $948.50 | 10.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,177.91 | $3,177.91 | 29.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $8,444.45 | $8,444.45 | 77.4× |
| X-ray nose-rectum child f.b. (76010) | $2,234 | $2,234 | 24.6× |
| X-ray optic foramen (70190) | $617.10 | $617.10 | 6.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,482.23 | $4,482.23 | 41.1× |
| X-ray retrograde pyelogram (74420) | $8,110.47 | $8,110.47 | 22.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $4,351.84 | $4,351.84 | 39.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,506.11 | $4,506.11 | 41.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,964.41 | $2,964.41 | 27.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,794.48 | $3,794.48 | 41.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,036.44 | $1,036.44 | 11.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,205.52 | $5,205.52 | 47.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,510.66 | $1,510.66 | 13.8× |
| X-Ray Spine One View - Xr Spine (72020) | $2,715.34 | $2,715.34 | 29.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $667.27 | $667.27 | 7.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,491.02 | $3,491.02 | 38.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $4,031.83 | $4,031.83 | 36.9× |
| Xr bone length studies (77073) | $860.63 | $860.63 | 7.9× |
| Xr c-spine 4 or 5 views (72050) | $4,684.02 | $4,684.02 | 42.9× |
| Xr c-spine 6 or more views (72052) | $4,577.29 | $4,577.29 | 41.9× |
| Xr chest 4+ views (71048) | $2,893.23 | $2,893.23 | 26.5× |
| Xr urogram antegrade (74425) | $2,561.35 | $2,561.35 | 7.0× |