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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $4,268.50 | $4,268.50 | 39.1× |
| Acute gi blood loss imaging (78278) | $4,110.40 | $4,110.40 | 9.8× |
| Angiography extremity bilateral rs&i (75716) | $20,524.20 | $20,524.20 | 6.2× |
| Angiography extremity unilateral rs&i (75710) | $19,853.05 | $19,853.05 | 6.0× |
| Angiography internal mammary rs&i (75756) | $19,647.60 | $19,647.60 | 6.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $11,327.30 | $11,327.30 | 1.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $17,348.20 | $17,348.20 | 5.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,552.80 | $8,552.80 | 2.6× |
| Angiography Spinal Selective Rs&I (75705) | $15,038.85 | $15,038.85 | 2.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $22,602.95 | $22,602.95 | 3.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $8,984.52 | $8,984.52 | 2.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,059.70 | $9,059.70 | 2.7× |
| Ankle 2 views (73600) | $1,807.50 | $1,807.50 | 19.9× |
| Aortogram thoracic (75605) | $23,380.30 | $23,380.30 | 4.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $13,120.35 | $13,120.35 | 4.0× |
| Aortography abdominal serialography rs&i (75625) | $12,301.12 | $12,301.12 | 3.7× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $19,647.60 | $19,647.60 | 6.0× |
| Arthrogram ankle (73615) | $3,967.30 | $3,967.30 | 10.9× |
| Arthrogram elbow (73085) | $4,158.30 | $4,158.30 | 11.4× |
| Arthrogram hip (73525) | $4,906.50 | $4,906.50 | 13.5× |
| Arthrogram knee (73580) | $4,292.85 | $4,292.85 | 11.8× |
| Arthrogram shoulder (73040) | $2,352.15 | $2,352.15 | 6.5× |
| Arthrogram wrist (73115) | $4,110.40 | $4,110.40 | 11.3× |
| Bone &/Joint Imaging Limited Area (78300) | $7,088.20 | $7,088.20 | 17.0× |
| Bone &/Joint Imaging Multiple Areas (78305) | $7,997.70 | $7,997.70 | 19.2× |
| Bone &/joint imaging whole body (78306) | $10,073.80 | $10,073.80 | 24.1× |
| 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 survey complete (77075) | $5,903.60 | $5,903.60 | 54.1× |
| Bone survey infant (77076) | $6,285.70 | $6,285.70 | 57.6× |
| Bowel imaging (78290) | $5,479.75 | $5,479.75 | 13.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $7,205.90 | $7,205.90 | 17.3× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $8,001.75 | $8,001.75 | 9.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,693.05 | $7,693.05 | 21.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,948.40 | $5,948.40 | 10.5× |
| Cervical spine 2 or 3 views (72040) | $2,314.95 | $2,314.95 | 25.5× |
| Chest 1 view (71045) | $1,543.72 | $1,543.72 | 17.0× |
| Chest xray 3 views (71047) | $2,158.70 | $2,158.70 | 23.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,698.55 | $2,698.55 | 14.7× |
| Clavicle complete (73000) | $2,247.80 | $2,247.80 | 24.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,697.55 | $1,697.55 | 15.5× |
| 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) | $11,820.55 | $11,820.55 | 64.5× |
| CT abdomen w wo contrast (74170) | $10,936 | $10,936 | 59.7× |
| CT abdomen w/o contrast (74150) | $9,306 | $9,306 | 85.2× |
| 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 angiography upper extremity lt (73206) | $15,722.85 | $15,722.85 | 85.8× |
| CT c-spine w/contrast (72126) | $12,618.80 | $12,618.80 | 34.6× |
| CT c-spine w/o contrast (72125) | $12,252.05 | $12,252.05 | 112.2× |
| CT cervical spine w&w/o contrast (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 colonography w/o cntrst (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 w/o contrast quant eval coronary calcium (75571) | $127.05 | $127.05 | 1.4× |
| CT iac w contrast (70481) | $10,146.80 | $10,146.80 | 55.4× |
| CT limited/localized follow up study (76380) | $4,007.15 | $4,007.15 | 44.1× |
| CT lower ext w/o (73700) | $9,202.55 | $9,202.55 | 84.3× |
| CT lower extremity w wo contrast (73702) | $13,063.90 | $13,063.90 | 71.3× |
| CT lower extremity w/contrast material (73701) | $10,908.40 | $10,908.40 | 59.6× |
| CT lumbar spine w & w/o contrast (72133) | $15,044.20 | $15,044.20 | 82.1× |
| 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 w/wo contrast (70488) | $18,288.70 | $18,288.70 | 99.8× |
| CT maxillofacial wo contrast (70486) | $5,000.62 | $5,000.62 | 45.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $12,091.80 | $12,091.80 | 66.0× |
| CT orbits w/o contrast (70480) | $9,217 | $9,217 | 84.4× |
| CT pelvis w/o contrast (72192) | $14,923 | $14,923 | 136.7× |
| CT pelvis w/wo contrast (72194) | $16,081.85 | $16,081.85 | 87.8× |
| CT scan of arm combo (73202) | $14,094.30 | $14,094.30 | 76.9× |
| CT soft tissue neck w contrast (70491) | $12,123.35 | $12,123.35 | 66.2× |
| CT soft tissue neck w/o & w/contrast material (70492) | $13,553.15 | $13,553.15 | 74.0× |
| 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 contrast (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 with contrast (73201) | $11,764.40 | $11,764.40 | 32.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $16,832.95 | $16,832.95 | 91.9× |
| Cta Abdomen (74175) | $14,148.90 | $14,148.90 | 77.2× |
| CTA abdomen pelvis (74174) | $28,773.10 | $28,773.10 | 79.0× |
| CTA chest (71275) | $16,832.95 | $16,832.95 | 91.9× |
| Cta Head (70496) | $12,659.95 | $12,659.95 | 69.1× |
| Cta Neck (70498) | $16,210.75 | $16,210.75 | 88.5× |
| Cta Pelvis (72191) | $14,148.90 | $14,148.90 | 77.2× |
| Cystography minimum 3 views rs&i (74430) | $2,416.35 | $2,416.35 | 6.6× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $5,004.65 | $5,004.65 | 2.3× |
| Diskogram cervical (72285) | $7,269.85 | $7,269.85 | 3.6× |
| Diskography lumbar (72295) | $7,269.85 | $7,269.85 | 3.6× |
| Dxa bone density study 1/> sites axial skel (77080) | $610.15 | $610.15 | 5.6× |
| Esophagus (74220) | $6,068.75 | $6,068.75 | 33.1× |
| Facial bones min 3 views (70150) | $3,219.65 | $3,219.65 | 29.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,199.55 | $3,199.55 | 29.3× |
| Fluoroscopy up to 1 hr (76000) | $3,113.98 | $3,113.98 | 12.5× |
| Foot 2 views (73620) | $2,135.70 | $2,135.70 | 23.5× |
| Forearm 2 views (73090) | $2,488.80 | $2,488.80 | 27.4× |
| Hand 2 views (73120) | $1,484.90 | $1,484.90 | 13.6× |
| 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 Imag Inc Gb W/Pharma Intervenj (78227) | $11,025.30 | $11,025.30 | 19.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $7,058.25 | $7,058.25 | 16.9× |
| Hysterosalpingogram (74740) | $4,375.78 | $4,375.78 | 17.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $2,771.05 | $2,771.05 | 25.4× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) | $1,885.05 | $1,885.05 | 4.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $9,927.75 | $9,927.75 | 17.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $12,058.10 | $12,058.10 | 21.3× |
| Knee 3 views (73562) | $2,012.15 | $2,012.15 | 22.1× |
| 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 ventilation imaging (78579) | $5,216.80 | $5,216.80 | 12.5× |
| Lymphoscintigraphy (78195) | $9,836 | $9,836 | 17.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $6,318.10 | $6,318.10 | 7.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $13,999.75 | $13,999.75 | 38.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $7,588.45 | $7,588.45 | 20.8× |
| 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× |
| 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 & w/o contrast (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 & w/contrast material (74183) | $7,588.45 | $7,588.45 | 20.8× |
| 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 breast w/o contrast bilateral (77047) | $6,638.30 | $6,638.30 | 26.6× |
| MRI c-spine with contrast (72142) | $6,318.10 | $6,318.10 | 17.3× |
| 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/o contrast (72141) | $6,165.35 | $6,165.35 | 24.7× |
| MRI chest w/o & w/contrast material (71552) | $7,588.45 | $7,588.45 | 20.8× |
| MRI chest w/o contrast (71550) | $5,894.10 | $5,894.10 | 23.7× |
| MRI fetal sngl/1st gestation (74712) | $5,626.35 | $5,626.35 | 22.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,205.45 | $6,205.45 | 17.0× |
| 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 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 orbit/face/neck w&w/o cont (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 material (72197) | $7,588.45 | $7,588.45 | 20.8× |
| MRI pelvis w/o contrast (72195) | $6,165.35 | $6,165.35 | 24.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $7,588.45 | $7,588.45 | 20.8× |
| MRI spinal canal lumbar w/contrast material (72149) | $6,318.10 | $6,318.10 | 17.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $7,588.45 | $7,588.45 | 20.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $6,318.10 | $6,318.10 | 17.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $7,588.45 | $7,588.45 | 20.8× |
| MRI temporomandibular joint (70336) | $3,795.85 | $3,795.85 | 15.2× |
| MRI thoracic spine w/o contrast (72146) | $6,165.35 | $6,165.35 | 24.7× |
| MRI up ext w/o contrast (73218) | $6,165.35 | $6,165.35 | 24.7× |
| MRI upper ext joint w/o contrast (73221) | $6,165.35 | $6,165.35 | 24.7× |
| MRI, joint upper extrem combo (73223) | $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× |
| Myelogram thoracic (72255) | $11,318.20 | $11,318.20 | 13.8× |
| Myelography 2 or more regions (72270) | $11,318.20 | $11,318.20 | 13.8× |
| Myocardial Spect Multiple Studies (78452) | $14,943.35 | $14,943.35 | 11.1× |
| Myocardial spect single study at rest or stress (78451) | $7,372.05 | $7,372.05 | 5.5× |
| Neck soft tissue (70360) | $2,018.55 | $2,018.55 | 22.2× |
| Nm cisternogram (78630) | $6,384.70 | $6,384.70 | 11.3× |
| Nm gastric emptying study (78264) | $7,190.65 | $7,190.65 | 17.2× |
| Nm kidney scan w/flow (78701) | $11,073.70 | $11,073.70 | 26.5× |
| Nm peritoneal-venous shunt patency (78291) | $6,771.25 | $6,771.25 | 16.2× |
| Noncardiac Vascular Flow Imaging (78445) | $6,307.10 | $6,307.10 | 15.1× |
| 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× |
| Osseous survey limited (77074) | $2,660.80 | $2,660.80 | 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 after injection (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× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $7,297.95 | $7,297.95 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,440.70 | $5,440.70 | 13.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,536.45 | $8,536.45 | 15.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,120.35 | $2,120.35 | 3.7× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,631.65 | $2,631.65 | 29.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,662.45 | $2,662.45 | 29.3× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,901.65 | $1,901.65 | 20.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $2,212.20 | $2,212.20 | 24.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,926.10 | $3,926.10 | 36.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $4,177.80 | $4,177.80 | 38.3× |
| Radex fingr minimum 2 views (73140) | $2,261.70 | $2,261.70 | 24.9× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,185.45 | $2,185.45 | 24.0× |
| Radex Hand Minimum 3 Views (73130) | $2,675.55 | $2,675.55 | 29.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $1,985.10 | $1,985.10 | 21.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $2,221.05 | $2,221.05 | 20.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $2,934.20 | $2,934.20 | 26.9× |
| Radex Humerus Minimum 2 Views (73060) | $2,519.05 | $2,519.05 | 27.7× |
| Radex Kne 1/2 Views (73560) | $1,935.65 | $1,935.65 | 21.3× |
| Radex Kne Compl 4/More Views (73564) | $2,237.35 | $2,237.35 | 20.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $2,860.90 | $2,860.90 | 26.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,660.80 | $2,660.80 | 29.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $2,772.90 | $2,772.90 | 25.4× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,742.40 | $2,742.40 | 30.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,247.80 | $2,247.80 | 24.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $2,735.70 | $2,735.70 | 25.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,620.70 | $2,620.70 | 28.8× |
| Radex Toe Minimum 2 Views (73660) | $2,244.05 | $2,244.05 | 24.7× |
| Radex upper extremity infant minimum 2 views (73092) | $1,633.90 | $1,633.90 | 15.0× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,429.95 | $2,429.95 | 26.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,429.55 | $4,429.55 | 40.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,946.05 | $1,946.05 | 21.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,268.50 | $4,268.50 | 39.1× |
| Radiologic exam chest 2 views (71046) | $1,841.75 | $1,841.75 | 20.3× |
| 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 upr gi trc double contrast study (74246) | $5,916.05 | $5,916.05 | 32.3× |
| Radiologic exam upr gi trc single contrast study (74240) | $4,358.65 | $4,358.65 | 23.8× |
| Radiologic examination femur 1 view (73551) | $1,985.10 | $1,985.10 | 21.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,526 | $2,526 | 27.8× |
| Radiological examination surgical specimen (76098) | $1,225.95 | $1,225.95 | 2.1× |
| 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× |
| Sacroiliac Joints < 3 Views (72200) | $2,347.05 | $2,347.05 | 21.5× |
| Scapula (73010) | $1,453.05 | $1,453.05 | 13.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $311.65 | $311.65 | 13.3× |
| Shoulder 1 view (73020) | $1,672.95 | $1,672.95 | 18.4× |
| Small bowel series (74250) | $4,592.70 | $4,592.70 | 25.1× |
| Spine thoracic 3 views (72072) | $3,619 | $3,619 | 33.2× |
| Superior sagittal sinus venogram (75870) | $9,073.35 | $9,073.35 | 2.8× |
| Testicular Imaging With Vascular Flow (78761) | $7,803.25 | $7,803.25 | 18.7× |
| Thoracolumbar 2 views (72080) | $2,886.35 | $2,886.35 | 31.8× |
| Thyroid carcinoma metastases img whole body (78018) | $9,376.40 | $9,376.40 | 16.5× |
| Thyroid imaging w/blood flow (78013) | $7,645.70 | $7,645.70 | 18.3× |
| 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 complete (76641) | $2,869.75 | $2,869.75 | 26.3× |
| Ultrasound Exam Aaa Screen (76706) | $2,457.25 | $2,457.25 | 22.5× |
| Ultrasound, abdomen limited (76705) | $2,914 | $2,914 | 26.7× |
| Umbilical-artery Doppler (OB) (76820) | $2,817.85 | $2,817.85 | 25.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $4,131.55 | $4,131.55 | 45.5× |
| Unlisted fluoroscopic procedure (76496) | $1,458.40 | $1,458.40 | 16.0× |
| 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 rs&i (74450) | $2,302.90 | $2,302.90 | 9.2× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $5,779.60 | $5,779.60 | 31.6× |
| Us breast unilateral limited (76642) | $1,956.50 | $1,956.50 | 21.5× |
| Us chest (76604) | $2,778 | $2,778 | 25.4× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $3,756.25 | $3,756.25 | 16.7× |
| Us encephalogram (76506) | $2,158.70 | $2,158.70 | 19.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,793.50 | $2,793.50 | 25.6× |
| Us ob limited (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 pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,217.15 | $1,217.15 | 11.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,673.15 | $2,673.15 | 24.5× |
| Us pg uter r-t img f-up tabdl appr pr 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 soft tissue head/neck (76536) | $3,025.95 | $3,025.95 | 27.7× |
| Us spinal canal and contents (76800) | $2,431.30 | $2,431.30 | 22.3× |
| Us transrectal prostate volume (76873) | $2,516.65 | $2,516.65 | 23.1× |
| Us,transplanted kidney, real time/ doppler (76776) | $4,513.80 | $4,513.80 | 41.3× |
| Venogram extremity bilateral (75822) | $2,889.80 | $2,889.80 | 1.8× |
| Venogram Extremity Unilateral (75820) | $2,872.40 | $2,872.40 | 1.7× |
| Venography caval inferior serialography rs&i (75825) | $18,494.15 | $18,494.15 | 5.6× |
| Venography caval superior serialography rs&i (75827) | $16,758.90 | $16,758.90 | 10.2× |
| Venography renal unilateral selective rs&i (75831) | $9,443 | $9,443 | 2.9× |
| Venography venous sinus/jugular cath rs&i (75860) | $9,073.35 | $9,073.35 | 2.8× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) | $4,025.05 | $4,025.05 | 6.1× |
| Venous sampling by catheter (75893) | $8,183.10 | $8,183.10 | 1.4× |
| Wrist 2 views (73100) | $1,818.20 | $1,818.20 | 20.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,356.30 | $3,356.30 | 30.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,714.60 | $2,714.60 | 29.9× |
| X-ray b.e. reductn intuss (74283) | $5,806.10 | $5,806.10 | 31.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,081.35 | $6,081.35 | 33.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,885.90 | $1,885.90 | 20.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,934.20 | $2,934.20 | 32.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,934.20 | $2,934.20 | 26.9× |
| X-ray exam of femur 2/> (73552) | $2,560.25 | $2,560.25 | 28.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,417.20 | $1,417.20 | 15.6× |
| X-ray IV pyelogram (ivp) (74400) | $5,959.10 | $5,959.10 | 32.5× |
| 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 leg, infant (73592) | $2,237.35 | $2,237.35 | 24.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,814.90 | $2,814.90 | 25.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,001.60 | $3,001.60 | 27.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,955.90 | $2,955.90 | 27.1× |
| X-ray retrograde pyelogram (74420) | $2,079 | $2,079 | 5.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,064.55 | $2,064.55 | 22.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,980.50 | $2,980.50 | 27.3× |
| 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 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 Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,620.70 | $2,620.70 | 24.0× |
| X-Ray Small Bowel Enteroclysis (74251) | $4,592.70 | $4,592.70 | 25.1× |
| X-Ray Spine One View - Xr Spine (72020) | $1,671.35 | $1,671.35 | 18.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,474.10 | $2,474.10 | 27.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,029.25 | $2,029.25 | 22.3× |
| Xr bone length studies (77073) | $3,926.10 | $3,926.10 | 36.0× |
| Xr c-spine 4 or 5 views (72050) | $3,968.35 | $3,968.35 | 36.4× |
| Xr c-spine 6 or more views (72052) | $4,429.55 | $4,429.55 | 40.6× |
| Xr chest 4+ views (71048) | $2,725.30 | $2,725.30 | 25.0× |
| Xr urogram antegrade (74425) | $1,527.70 | $1,527.70 | 4.2× |