Imaging prices at HCA Florida West Hospital
Pensacola, FL · every code in this section with a posted price and a Medicare benchmark.
317 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,946.05 | $1,946.05 | 21.4× |
| Abdomen 2 views (74019) | $4,268.50 | $4,268.50 | 39.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,110.40 | $4,110.40 | 9.8× |
| Angio internal mammary (75756) | $19,647.60 | $19,647.60 | 6.0× |
| Angio pulmonary bilat (75743) | $17,348.20 | $17,348.20 | 5.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$19,052.70–$21,995.70 | $19,052.70–$21,995.70 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$19,647.60–$20,058.50 | $19,647.60–$20,058.50 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,552.80 | $8,552.80 | 2.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,059.70 | $9,059.70 | 2.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,807.50–$2,705.25 | $1,807.50–$2,705.25 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$23,139.80–$23,620.80 | $23,139.80–$23,620.80 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $19,647.60 | $19,647.60 | 6.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$15,038.85–$30,167.05 | $15,038.85–$30,167.05 | varies |
| Artery X-Rays Pelvis (75736) | $11,327.30 | $11,327.30 | 1.9× |
| Artery X-Rays Spine (75705) | $15,038.85 | $15,038.85 | 2.6× |
| Arthrogram ankle (73615) | $3,967.30 | $3,967.30 | 10.9× |
| Arthrogram hip (73525) | $4,906.50 | $4,906.50 | 13.5× |
| Arthrogram Wrist (73115) | $4,110.40 | $4,110.40 | 11.3× |
| Bone age studies (77072) | $1,827.30 | $1,827.30 | 16.7× |
| Bone Imaging 3 Phase (78315) | $8,904.55 | $8,904.55 | 21.3× |
| Bone Imaging Limited Area (78300) | $7,088.20 | $7,088.20 | 17.0× |
| Bone Imaging Multiple Areas (78305) | $7,997.70 | $7,997.70 | 19.2× |
| Bone Imaging Whole Body (78306) | $10,073.80 | $10,073.80 | 24.1× |
| Bone survey infant (77076) | $6,285.70 | $6,285.70 | 57.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,693.05 | $7,693.05 | 21.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $8,001.75 | $8,001.75 | 9.8× |
| Cat Scan Follow-Up Study (76380) | $4,007.15 | $4,007.15 | 44.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,948.40 | $5,948.40 | 10.5× |
| Cerebrospinal Fluid Scan (78630) | $6,384.70 | $6,384.70 | 11.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$1,353.80–$1,733.65 | $1,353.80–$1,733.65 | varies |
| Chest 2 views (71046) | $1,841.75 | $1,841.75 | 20.3× |
| Chest 3 views (71047) | $2,158.70 | $2,158.70 | 23.8× |
| Chest 4 or more views (71048) | $2,725.30 | $2,725.30 | 25.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,247.80–$3,367 | $2,247.80–$3,367 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,697.55 | $1,697.55 | 15.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$12,118.55–$12,483.70 | $12,118.55–$12,483.70 | varies |
| Contrast X-Ray Bladder (74430) | $2,416.35 | $2,416.35 | 6.6× |
| Contrast X-Ray Of Elbow (73085) | $4,158.30 | $4,158.30 | 11.4× |
| Contrast X-Ray Of Knee Joint (73580) | $4,292.85 | $4,292.85 | 11.8× |
| CT abdomen and pelvis without and with contrast (74178) | $18,850.45 | $18,850.45 | 51.7× |
| CT abdomen and pelvis without contrast (74176) | $17,902.15 | $17,902.15 | 71.8× |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$5,753.95–$11,821 | $5,753.95–$11,821 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$5,753.95–$11,481.65 | $5,753.95–$11,481.65 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$4,786.10–$9,306.35 | $4,786.10–$9,306.35 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$28,285.70–$29,260.50 | $28,285.70–$29,260.50 | varies |
| CT Angio Chest (71275) | $16,832.95 | $16,832.95 | 91.9× |
| CT Angio Head (70496) | $12,659.95 | $12,659.95 | 69.1× |
| CT angio hrt w/3d image (75574) | $19,223.35 | $19,223.35 | 52.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $15,722.85 | $15,722.85 | 85.8× |
| CT Angio Neck (70498) | $16,210.75 | $16,210.75 | 88.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $15,722.85 | $15,722.85 | 85.8× |
| CT cervical spine w/ contrast (72126) | $12,618.80 | $12,618.80 | 34.6× |
| CT cervical spine w/o contrast (72125) | $12,252.05 | $12,252.05 | 112.2× |
| CT cervical spine w/wo cont (72127) | $13,553.15 | $13,553.15 | 74.0× |
| CT chest w contrast (71260) | $12,006.20 | $12,006.20 | 65.5× |
| CT chest w/wo contrast (71270) | $15,432.35 | $15,432.35 | 84.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $15,274.50 | $15,274.50 | 139.9× |
| CT head/brain with contrast (70460) | $9,743.70 | $9,743.70 | 53.2× |
| CT head/brain without and with contrast (70470) | $9,998.90 | $9,998.90 | 54.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $16,844.50 | $16,844.50 | 46.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $127.05 | $127.05 | 1.4× |
| CT iac w contrast (70481) | $10,146.80 | $10,146.80 | 55.4× |
| CT l-spine w&w/o contrast (72133) | $15,044.20 | $15,044.20 | 82.1× |
| CT lower ext w/o (73700) | $9,202.55 | $9,202.55 | 84.3× |
| CT lower extremity w/contrast material (73701) | $10,908.40 | $10,908.40 | 59.6× |
| CT lumbar spine w contrast (72132) | $12,084.30 | $12,084.30 | 33.2× |
| CT lumbar spine w/o contrast (72131) | $11,555.75 | $11,555.75 | 105.9× |
| CT maxillofacial w contrast (70487) | $15,188.40 | $15,188.40 | 82.9× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,739–$7,995.30 | $1,739–$7,995.30 | varies |
| CT neck tissue combo (70492) | $13,553.15 | $13,553.15 | 74.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $12,091.80 | $12,091.80 | 66.0× |
| CT orbits w/o contrast (70480) | $9,217 | $9,217 | 84.4× |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$8,043.75–$16,082 | $8,043.75–$16,082 | varies |
| CT pelvis w/o contrast (72192) | $14,923 | $14,923 | 136.7× |
| CT scan of leg combo (73702) | $13,063.90 | $13,063.90 | 71.3× |
| CT scans face/jaw combo (70488) | $18,288.70 | $18,288.70 | 99.8× |
| CT soft tissue neck w contrast (70491) | $12,123.35 | $12,123.35 | 66.2× |
| CT soft tissue neck w/o contrast (70490) | $8,453.55 | $8,453.55 | 77.4× |
| CT thoracic spine w contrast (72129) | $11,266.55 | $11,266.55 | 61.5× |
| CT thoracic spine w/o contrast (72128) | $10,248.75 | $10,248.75 | 93.9× |
| CT thoracic spine w/wo cont (72130) | $12,158.95 | $12,158.95 | 66.4× |
| CT thorax w/o contrast (71250) | $9,375.90 | $9,375.90 | 85.9× |
| CT unlisted procedure (76497) | $4,007.15 | $4,007.15 | 44.1× |
| CT upper ext wo (73200) | $6,662.60 | $6,662.60 | 61.0× |
| CT upper extremity w/o & w/contrast material (73202) | $14,094.30 | $14,094.30 | 76.9× |
| CT upper extremity with contrast (73201) | $11,764.40 | $11,764.40 | 32.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,832.95 | $16,832.95 | 91.9× |
| Cta Abdomen (74175) | $14,148.90 | $14,148.90 | 77.2× |
| CTA pelvis (72191) | $14,148.90 | $14,148.90 | 77.2× |
| Dilation ureters/urethra rs&i (74485) | $5,004.65 | $5,004.65 | 2.3× |
| Discography Cerv/Thor Spine (72285) | $7,269.85 | $7,269.85 | 3.6× |
| Diskography lumbar (72295) | $7,269.85 | $7,269.85 | 3.6× |
| Dxa Bone Density Axial (77080) | $610.15 | $610.15 | 5.6× |
| Echo Guide For Artery Repair (76936) | $3,756.25 | $3,756.25 | 16.7× |
| Echograp Trans R Pros Study (76873) | $2,516.65 | $2,516.65 | 23.1× |
| Esophagram (74220) | $6,068.75 | $6,068.75 | 33.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,199.55 | $3,199.55 | 29.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $5,626.35 | $5,626.35 | 22.6× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$2,926.70–$5,114.35 | $2,926.70–$5,114.35 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$8,852.40–$9,116.65 | $8,852.40–$9,116.65 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,135.70–$2,748.05 | $2,135.70–$2,748.05 | varies |
| Forearm 2 views (73090) | $2,488.80 | $2,488.80 | 27.4× |
| Gastric emptying imaging study (78264) | $7,190.65 | $7,190.65 | 17.2× |
| Gated Heart Planar Single (78472) | $7,205.90 | $7,205.90 | 17.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,484.90–$2,222.95 | $1,484.90–$2,222.95 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,331 | $8,331 | 2.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,367.75 | $7,367.75 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $11,025.30 | $11,025.30 | 19.4× |
| Hepatobiliary System Imaging (78226) | $7,058.25 | $7,058.25 | 16.9× |
| Ht Muscle Image Spect Sing (78451) | $7,372.05 | $7,372.05 | 5.5× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$4,173–$4,578.55 | $4,173–$4,578.55 | varies |
| Joint Survey Single View (77077) | $2,771.05 | $2,771.05 | 25.4× |
| K Flow/Funct Image W/Drug (78708) | $12,058.10 | $12,058.10 | 21.3× |
| K Flow/Funct Image W/O Drug (78707) | $9,927.75 | $9,927.75 | 17.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,885.05 | $1,885.05 | 4.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $11,073.70 | $11,073.70 | 26.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,012.15–$3,040.65 | $2,012.15–$3,040.65 | varies |
| Leveen/Shunt Patency Exam (78291) | $6,771.25 | $6,771.25 | 16.2× |
| Liver & Spleen Imaging Static Only (78215) | $7,442.10 | $7,442.10 | 17.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,895.20 | $8,895.20 | 21.3× |
| Lung Perf&Ventilat Diferentl (78598) | $14,910.20 | $14,910.20 | 26.3× |
| Lung Ventilat&Perfus Imaging (78582) | $8,536.45 | $8,536.45 | 15.1× |
| Lung Ventilation Imaging (78579) | $5,216.80 | $5,216.80 | 12.5× |
| Lymph System Imaging (78195) | $9,836 | $9,836 | 17.3× |
| Magnetic Image Jaw Joint (70336) | $3,795.85 | $3,795.85 | 15.2× |
| Mammary ductogram or galactogram multiple (77054) | $1,612.50 | $1,612.50 | 6.5× |
| Mammary ductogram or galactogram single (77053) | $1,110.40 | $1,110.40 | 4.5× |
| Meckels Divert Exam (78290) | $5,479.75 | $5,479.75 | 13.1× |
| Mr safety determination physician/other qhp (76016) | $330.90 | $330.90 | 3.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $92 | $92 | 3.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $345.10 | $345.10 | 3.5× |
| Mr safety implt pos&/immoblj (76019) | $223.35 | $223.35 | 3.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $908.70 | $908.70 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) | $6,014.20 | $6,014.20 | 16.5× |
| MRA head w/o contrast (70544) | $4,743.05 | $4,743.05 | 19.0× |
| MRA neck w contrast (70548) | $5,689.20 | $5,689.20 | 15.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,166.40 | $6,166.40 | 16.9× |
| MRA neck w/o contrast (70547) | $5,371.65 | $5,371.65 | 21.6× |
| MRI abdomen w contrast (74182) | $6,318.10 | $6,318.10 | 17.3× |
| MRI abdomen w/o contrast (74181) | $6,165.35 | $6,165.35 | 24.7× |
| MRI any jt lower extrem w/contrast material (73722) | $6,318.10 | $6,318.10 | 7.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,588.45 | $7,588.45 | 20.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,318.10 | $6,318.10 | 7.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,638.30 | $6,638.30 | 26.6× |
| MRI cardiac w/o cont stress (75559) | $6,078.40 | $6,078.40 | 10.7× |
| MRI cardiac w/o contrast (75557) | $5,771.60 | $5,771.60 | 23.2× |
| MRI cervical spine w contrast (72142) | $6,318.10 | $6,318.10 | 17.3× |
| MRI cervical spine w/o cont (72141) | $6,165.35 | $6,165.35 | 24.7× |
| MRI chest w/o contrast (71550) | $5,894.10 | $5,894.10 | 23.7× |
| MRI chest wo w contrast (71552) | $7,588.45 | $7,588.45 | 20.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$6,205.45–$11,364.75 | $6,205.45–$11,364.75 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,588.45 | $7,588.45 | 20.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,165.35 | $6,165.35 | 24.7× |
| MRI lumbar spine w contrast (72149) | $6,318.10 | $6,318.10 | 17.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,588.45 | $7,588.45 | 20.8× |
| MRI orbit face &/neck w/o contrast (70540) | $6,165.35 | $6,165.35 | 24.7× |
| MRI orbit face neck w contrast (70542) | $6,318.10 | $6,318.10 | 17.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,899.80 | $7,899.80 | 21.7× |
| MRI pelvis w contrast (72196) | $5,626.35 | $5,626.35 | 15.4× |
| MRI pelvis w/o & w contrast (72197) | $7,588.45 | $7,588.45 | 20.8× |
| MRI pelvis w/o contrast (72195) | $6,165.35 | $6,165.35 | 24.7× |
| MRI thoracic spine w/o contrast (72146) | $6,165.35 | $6,165.35 | 24.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$13,999.75–$27,997.90 | $13,999.75–$27,997.90 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,165.35 | $6,165.35 | 24.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,588.45 | $7,588.45 | 20.8× |
| MRI, abdomen, combo (74183) | $7,588.45 | $7,588.45 | 20.8× |
| MRI, dorsal spine combo (72157) | $7,588.45 | $7,588.45 | 20.8× |
| MRI, dorsal spine contrast (72147) | $6,318.10 | $6,318.10 | 17.3× |
| MRI, joint upper extrem (73221) | $6,165.35 | $6,165.35 | 24.7× |
| MRI, joint upper extrem combo (73223) | $7,588.45 | $7,588.45 | 20.8× |
| MRI, lumbar spine combo (72158) | $7,588.45 | $7,588.45 | 20.8× |
| Myelogram cervical (72240) | $11,324.90 | $11,324.90 | 13.8× |
| Myelogram Lumbar (72265) | $11,344.70 | $11,344.70 | 13.9× |
| Myelography thoracic (72255) | $11,318.20 | $11,318.20 | 13.8× |
| Myelograpy 2/more regions rs&i (72270) | $11,318.20 | $11,318.20 | 13.8× |
| Myocardial Spect Multiple Studies (78452) | $14,943.35 | $14,943.35 | 11.1× |
| Neck soft tissue (70360) | $2,018.55 | $2,018.55 | 22.2× |
| Nonvascular Shunt X-Ray (75809) | $858.40 | $858.40 | 7.9× |
| Nuclear Rx Oral Admin (79005) | $9,169.90 | $9,169.90 | 37.6× |
| Ob us nuchal meas 1 gest (76813) | $2,662.45 | $2,662.45 | 24.4× |
| Parathyroid Planar Imaging (78070) | $8,117.30 | $8,117.30 | 19.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $13,348.80 | $13,348.80 | 32.0× |
| Pelvis 1 or 2 views (72170) | $2,171.85 | $2,171.85 | 19.9× |
| Peritoneogram Rs&I (74190) | $1,458.40 | $1,458.40 | 2.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,781.05 | $7,781.05 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,440.70 | $5,440.70 | 13.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,356.30 | $3,356.30 | 30.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$1,908.60–$2,347.05 | $1,908.60–$2,347.05 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,631.65–$3,938.40 | $2,631.65–$3,938.40 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$2,662.45–$3,269.65 | $2,662.45–$3,269.65 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,901.65–$2,849.15 | $1,901.65–$2,849.15 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,219.65 | $3,219.65 | 29.5× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$2,261.70–$2,689.45 | $2,261.70–$2,689.45 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,185.45–$3,269.65 | $2,185.45–$3,269.65 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,675.55–$3,583.15 | $2,675.55–$3,583.15 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $2,237.35 | $2,237.35 | 24.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,660.80 | $2,660.80 | 29.3× |
| Radex Ribs Unilateral 2 Views (71100) | $2,064.55 | $2,064.55 | 22.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,742.40–$4,110.40 | $2,742.40–$4,110.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $2,247.80 | $2,247.80 | 24.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $4,592.70 | $4,592.70 | 25.1× |
| Radex Spine 1 View Specify Level (72020) | $1,671.35 | $1,671.35 | 18.4× |
| Radex Sternum Minimum 2 Views (71120) | $2,029.25 | $2,029.25 | 22.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,620.70 | $2,620.70 | 28.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$2,244.05–$2,722.60 | $2,244.05–$2,722.60 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $1,633.90 | $1,633.90 | 15.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,429.95–$3,601.60 | $2,429.95–$3,601.60 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,429.55 | $4,429.55 | 40.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,860.90 | $2,860.90 | 26.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,268.50 | $4,268.50 | 39.1× |
| Radiologic exam colon double contrast study (74280) | $6,081.35 | $6,081.35 | 33.2× |
| Radiologic exam colon single contrast study (74270) | $4,399.85 | $4,399.85 | 24.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $6,068.75 | $6,068.75 | 33.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,237.35–$3,381.45 | $2,237.35–$3,381.45 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,772.90 | $2,772.90 | 25.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,592.70 | $4,592.70 | 25.1× |
| Radiologic exam swallow function contrast study (74230) | $2,698.55 | $2,698.55 | 14.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,916.05 | $5,916.05 | 32.3× |
| Radiologic examination femur 1 view (73551) | $1,985.10 | $1,985.10 | 21.8× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$2,560.25–$3,838.90 | $2,560.25–$3,838.90 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,935.65–$2,907.20 | $1,935.65–$2,907.20 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,660.80 | $2,660.80 | 24.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,526–$3,583.15 | $2,526–$3,583.15 | varies |
| Renal Cyst Study (74470) | $1,217.15 | $1,217.15 | 2.1× |
| Ribs bilateral 3 views (71110) | $2,980.50 | $2,980.50 | 27.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $17,082.80 | $17,082.80 | 30.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $11,387.75 | $11,387.75 | 20.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $13,348.80 | $13,348.80 | 23.5× |
| Rp Therapy Intravenous Administration (79101) | $7,185.85 | $7,185.85 | 29.5× |
| Scapula (73010) range across 3 matching MRF lines |
$1,453.05–$2,093.45 | $1,453.05–$2,093.45 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $311.65 | $311.65 | 13.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,672.95–$2,510.20 | $1,672.95–$2,510.20 | varies |
| Shoulder Arthrography (73040) | $2,352.15 | $2,352.15 | 6.5× |
| Skull less than 4 views (70250) | $2,620.70 | $2,620.70 | 24.0× |
| Sternoclavicular joints (71130) | $2,474.10 | $2,474.10 | 27.2× |
| Superior sagittal sinus venogram (75870) | $9,073.35 | $9,073.35 | 2.8× |
| Testicular Imaging W/Flow (78761) | $7,803.25 | $7,803.25 | 18.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $5,806.10 | $5,806.10 | 31.7× |
| Thoracic spine 3 views (72072) | $3,619 | $3,619 | 33.2× |
| Thoracolumbar 2 views (72080) | $2,886.35 | $2,886.35 | 31.8× |
| Thyroid Imaging With Vascular Flow (78013) | $7,645.70 | $7,645.70 | 18.3× |
| Thyroid Met Imaging Body (78018) | $9,376.40 | $9,376.40 | 16.5× |
| Thyroid Uptake Measurement (78012) | $4,751.05 | $4,751.05 | 11.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,991.85 | $7,991.85 | 19.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,956.50–$2,740 | $1,956.50–$2,740 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,457.25 | $2,457.25 | 22.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$2,869.75–$5,019.65 | $2,869.75–$5,019.65 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,817.85 | $2,817.85 | 25.8× |
| Unlisted Dx Radiographic Procedure (76499) | $4,131.55 | $4,131.55 | 45.5× |
| Unlisted fluoroscopic procedure (76496) | $1,458.40 | $1,458.40 | 16.0× |
| Upper gi w/o kub (74240) | $4,358.65 | $4,358.65 | 23.8× |
| Ureteral Reflux Study (78740) | $6,846.15 | $6,846.15 | 16.4× |
| Urethrocystogram voiding (74455) | $4,195.75 | $4,195.75 | 16.8× |
| Urethrocystography retrograde (74450) | $2,302.90 | $2,302.90 | 9.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$2,869.75–$3,531 | $2,869.75–$3,531 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$1,602.35–$3,025.95 | $1,602.35–$3,025.95 | varies |
| Us exam, pelvic, limited (76857) | $1,217.15 | $1,217.15 | 11.1× |
| Us head (76506) | $2,158.70 | $2,158.70 | 19.8× |
| Us kidney transplant (76776) | $4,513.80 | $4,513.80 | 41.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,793.50 | $2,793.50 | 25.6× |
| Us ob limited 1 or more fetuses (76815) | $1,991.25 | $1,991.25 | 18.2× |
| Us ob transvaginal (76817) | $2,673.15 | $2,673.15 | 24.5× |
| Us pelvic non ob complete (76856) | $2,431.30 | $2,431.30 | 22.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,673.15 | $2,673.15 | 24.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,991.25 | $1,991.25 | 18.2× |
| Us retroperitoneal complete (76770) | $3,755.15 | $3,755.15 | 34.4× |
| Us retroperitoneal limited (76775) | $2,869.75 | $2,869.75 | 26.3× |
| Us scrotum and contents (76870) | $3,402.35 | $3,402.35 | 31.2× |
| Us spinal canal and contents (76800) | $2,431.30 | $2,431.30 | 22.3× |
| Us thyroid (76536) | $3,025.95 | $3,025.95 | 27.7× |
| Vascular Flow Imaging (78445) | $6,307.10 | $6,307.10 | 15.1× |
| Vein X-Ray Chest (75827) | $16,758.90 | $16,758.90 | 10.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,297.95 | $7,297.95 | 2.2× |
| Vein X-Ray Skull Epidural (75872) | $4,025.05 | $4,025.05 | 6.1× |
| Venogram Sinus/Jugular (75860) | $9,073.35 | $9,073.35 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $18,494.15 | $18,494.15 | 5.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,872.40–$2,907.20 | $2,872.40–$2,907.20 | varies |
| Venography extremity unilateral rs&i (75820) | $2,872.40 | $2,872.40 | 1.7× |
| Venography Renal Unilateral (75831) | $9,443 | $9,443 | 2.9× |
| Venous sampling by catheter (75893) | $8,183.10 | $8,183.10 | 1.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,818.20–$2,701.20 | $1,818.20–$2,701.20 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,714.60 | $2,714.60 | 29.9× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$1,527.70–$2,123.40 | $1,527.70–$2,123.40 | varies |
| X-Ray Aorta Leg Arteries (75630) | $13,120.35 | $13,120.35 | 4.0× |
| X-Ray Bend Only L-S Spine (72120) | $2,735.70 | $2,735.70 | 25.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,885.90–$2,849.15 | $1,885.90–$2,849.15 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,225.95 | $1,225.95 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,212.20 | $2,212.20 | 24.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,926.10 | $3,926.10 | 36.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $4,177.80 | $4,177.80 | 38.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,985.10 | $1,985.10 | 21.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,934.20 | $2,934.20 | 32.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,221.05 | $2,221.05 | 20.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,934.20 | $2,934.20 | 26.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,934.20 | $2,934.20 | 26.9× |
| X-Ray Exam L-S Spine Bending (72114) | $3,001.60 | $3,001.60 | 27.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,314.95 | $2,314.95 | 25.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,429.55 | $4,429.55 | 40.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,980.50 | $2,980.50 | 27.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$2,519.05–$3,766.15 | $2,519.05–$3,766.15 | varies |
| X-ray IV pyelogram (ivp) (74400) | $5,959.10 | $5,959.10 | 32.5× |
| X-ray IV pyelogram+tomography (74415) | $5,779.60 | $5,779.60 | 31.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,687.40 | $1,687.40 | 18.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,955.15 | $1,955.15 | 21.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,814.90 | $2,814.90 | 25.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,510.95 | $3,510.95 | 32.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,774.25 | $2,774.25 | 25.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,347.05 | $2,347.05 | 21.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,414.70 | $2,414.70 | 26.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,911.20 | $2,911.20 | 32.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,044.40 | $3,044.40 | 27.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,079 | $2,079 | 5.7× |
| X-Rays Bone Length Studies (77073) | $3,926.10 | $3,926.10 | 36.0× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$5,521.20–$6,286 | $5,521.20–$6,286 | varies |
| Xr c-spine 4 or 5 views (72050) | $3,968.35 | $3,968.35 | 36.4× |
| Xr facial bones less than 3 views (70140) | $1,417.20 | $1,417.20 | 15.6× |
| Xr orbits complete 4 views (70200) | $2,955.90 | $2,955.90 | 27.1× |
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.