Imaging prices at HCA Florida Woodmont Hospital

Tamarac, FL · every code in this section with a posted price and a Medicare benchmark.

306 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $2,083.50 $2,083.50 22.9×
Abdomen 2 views (74019) $4,622.75 $4,622.75 42.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $4,809.50 $4,809.50 11.5×
Angio pulmonary bilat (75743) $12,486 $12,486 3.8×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $6,782.25 $6,782.25 2.1×
Angiography extremity bilateral rs&i (75716)
range across 3 matching MRF lines
$10,313–$12,216.25 $10,313–$12,216.25 varies
Angiography extremity unilateral rs&i (75710) $7,737 $7,737 2.3×
Angiography pulmonary unilateral slctv rs&i (75741) $8,461.50 $8,461.50 2.6×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $8,951.50 $8,951.50 2.7×
Aortography thoracic serialography rs&i (75605) $7,827.25 $7,827.25 1.3×
Artery X-Rays Abdomen (75726) $16,026.75 $16,026.75 2.8×
Artery X-Rays Adrenal Gland (75731) $6,782.25 $6,782.25 2.1×
Artery X-Rays Pelvis (75736) $8,143.75 $8,143.75 1.4×
Arthrogram hip (73525)
range across 4 matching MRF lines
$1,776.25–$4,628.25 $1,776.25–$4,628.25 varies
Bone age studies (77072) $2,195.75 $2,195.75 20.1×
Bone Imaging 3 Phase (78315) $6,257 $6,257 15.0×
Bone Imaging Limited Area (78300) $3,346.75 $3,346.75 8.0×
Bone Imaging Whole Body (78306) $8,580.50 $8,580.50 20.6×
Bone survey infant (77076) $1,107 $1,107 10.1×
Brain Flow Imaging Only (78610) $2,337.75 $2,337.75 4.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $7,033.50 $7,033.50 12.4×
Brain Imaging Minimum 4 Static Views (78605) $4,745.25 $4,745.25 8.4×
Brain Imaging Pet Metabolic Evaluation (78608) $7,565 $7,565 5.1×
Cat Scan Follow-Up Study (76380) $6,056.25 $6,056.25 66.6×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $3,479.25 $3,479.25 6.1×
Cerebrospinal Fluid Scan (78630) $7,625.50 $7,625.50 13.4×
Chest 1 view (71045) $1,485.25 $1,485.25 16.3×
Chest 2 views (71046) $1,699 $1,699 18.7×
Chest 3 views (71047) $1,114 $1,114 12.3×
Chest 4 or more views (71048) $2,004.75 $2,004.75 18.4×
Cholecystography Oral Contrast (74290) $1,367.75 $1,367.75 7.5×
Cisternography Positive Contrast Rs&I (70015) $3,879.25 $3,879.25 4.7×
Clavicle complete (73000)
range across 3 matching MRF lines
$1,806.75–$3,610.25 $1,806.75–$3,610.25 varies
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$8,459–$17,826.25 $8,459–$17,826.25 varies
Contrast X-Ray Bladder (74430) $2,364.50 $2,364.50 6.5×
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$4,285.75–$4,628.25 $4,285.75–$4,628.25 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$4,265.25–$4,608.75 $4,265.25–$4,608.75 varies
Contrast Xray Throat/Cerv Esopha (74210) $4,223 $4,223 23.1×
CT abdomen and pelvis without and with contrast (74178) $22,631.75 $22,631.75 62.1×
CT abdomen and pelvis without contrast (74176) $19,352.50 $19,352.50 77.7×
CT abdomen w contrast (74160) $19,352.50 $19,352.50 105.7×
CT abdomen w wo contrast (74170) $22,631.75 $22,631.75 123.6×
CT abdomen w/o contrast (74150) $21,068 $21,068 193.0×
CT Angio Abdomen and Pelvis (74174) $1,818.75 $1,818.75 5.0×
CT Angio Chest (71275) $19,807 $19,807 108.1×
CT Angio Head (70496) $20,101.25 $20,101.25 109.7×
CT angio hrt w/3d image (75574) $15,598.25 $15,598.25 42.8×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$507–$18,786 $507–$18,786 varies
CT Angio Neck (70498) $20,101.25 $20,101.25 109.7×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$1,388.50–$18,786 $1,388.50–$18,786 varies
CT cervical spine w/ contrast (72126) $8,639.50 $8,639.50 23.7×
CT cervical spine w/o contrast (72125) $8,639.50 $8,639.50 79.1×
CT cervical spine w/wo cont (72127) $15,777.75 $15,777.75 86.1×
CT chest w contrast (71260) $19,807 $19,807 108.1×
CT chest w/wo contrast (71270) $19,807 $19,807 108.1×
CT head/brain with contrast (70460) $20,101.25 $20,101.25 109.7×
CT head/brain without and with contrast (70470) $21,662 $21,662 118.3×
CT iac w contrast (70481) $18,986 $18,986 103.7×
CT l-spine w&w/o contrast (72133) $21,362.25 $21,362.25 116.6×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$17,715.25–$35,422 $17,715.25–$35,422 varies
CT lower extremity w/contrast material (73701) $17,715.25 $17,715.25 96.7×
CT lumbar spine w contrast (72132) $16,292.50 $16,292.50 44.7×
CT lumbar spine w/o contrast (72131) $19,707.75 $19,707.75 180.5×
CT maxillofacial w contrast (70487) $16,755.50 $16,755.50 91.5×
CT maxillofacial wo contrast (70486) $16,755.50 $16,755.50 153.5×
CT neck tissue combo (70492) $9,564.25 $9,564.25 52.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $16,744.50 $16,744.50 91.4×
CT orbits w/o contrast (70480) $17,263.50 $17,263.50 158.1×
CT pelvis w&w/o contrast (72194) $20,861.25 $20,861.25 113.9×
CT pelvis w/o contrast (72192) $19,747.25 $19,747.25 180.9×
CT scans face/jaw combo (70488) $20,101.25 $20,101.25 109.7×
CT soft tissue neck w contrast (70491) $6,999.75 $6,999.75 38.2×
CT soft tissue neck w/o contrast (70490) $6,999.75 $6,999.75 64.1×
CT thoracic spine w contrast (72129) $19,707.75 $19,707.75 107.6×
CT thoracic spine w/o contrast (72128) $19,707.75 $19,707.75 180.5×
CT thoracic spine w/wo cont (72130) $19,707.75 $19,707.75 107.6×
CT thorax w/o contrast (71250) $19,807 $19,807 181.4×
CT upper ext wo (73200)
range across 3 matching MRF lines
$17,715.25–$35,422 $17,715.25–$35,422 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$1,267–$17,715.25 $1,267–$17,715.25 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $13,071.75 $13,071.75 71.4×
CTA pelvis (72191) $682.75 $682.75 3.7×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $1,381 $1,381 5.5×
Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) $2,133 $2,133 3.8×
Dxa Bone Density Axial (77080) $1,508 $1,508 13.8×
Echo exam uterus (76831) $4,550.25 $4,550.25 18.3×
Echo Guide For Artery Repair (76936) $2,966 $2,966 13.2×
Esophagram (74220) $4,223 $4,223 23.1×
Fetal Biophys Profile W/Nst (76818) $2,940.50 $2,940.50 26.9×
Fluoroscopy up to 1 hr (76000) $4,021.25 $4,021.25 16.1×
Follow-Up Angiography (75898) $13,592.75 $13,592.75 4.1×
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,950–$3,902.50 $1,950–$3,902.50 varies
Gastric emptying imaging study (78264) $3,339 $3,339 8.0×
Gastric Mucosa Imaging (78261) $2,314.50 $2,314.50 5.5×
Gastroesophageal Reflux Exam (78262) $3,815 $3,815 9.1×
Gated Heart Planar Single (78472) $4,662.25 $4,662.25 11.2×
Hand 2 views (73120) $1,363.25 $1,363.25 12.5×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $13,142.50 $13,142.50 4.0×
Hepatobil Syst Image W/Drug (78227) $13,731.75 $13,731.75 24.2×
Hepatobiliary System Imaging (78226) $6,760.50 $6,760.50 16.2×
Ht Musc Image Planar Mult (78454) $16,391 $16,391 12.1×
Ht Muscle Image Spect Sing (78451) $8,193 $8,193 6.1×
Hysterosalpingogram (74740) $5,827.50 $5,827.50 23.4×
Infusion Ivp (74410) $5,685.50 $5,685.50 31.0×
Interstitial radiation source applic complex (77778) $17,806.75 $17,806.75 24.5×
Joint Survey Single View (77077) $1,314.25 $1,314.25 12.0×
K Flow/Funct Image W/Drug (78708) $4,423.75 $4,423.75 7.8×
K Flow/Funct Image W/O Drug (78707) $8,734.50 $8,734.50 15.4×
Knee 3 Views (73562)
range across 3 matching MRF lines
$2,049.75–$4,408.25 $2,049.75–$4,408.25 varies
Leveen/Shunt Patency Exam (78291) $4,458.75 $4,458.75 10.7×
Liver & Spleen Imaging Static Only (78215) $4,203.50 $4,203.50 10.1×
Liver imaging static only (78201) $8,623 $8,623 15.2×
Lung perfusion differential (78597) $9,227.25 $9,227.25 22.1×
Lung Ventilat&Perfus Imaging (78582) $4,974.50 $4,974.50 8.8×
Lung Ventilation Imaging (78579) $11,719.50 $11,719.50 28.1×
Lymph System Imaging (78195) $3,766 $3,766 6.6×
Lymphangiography extremity only unilateral rs&i (75801) $6,867 $6,867 10.5×
Magnetic Image Jaw Joint (70336) $14,502.50 $14,502.50 58.2×
Mammary ductogram or galactogram single (77053) $1,939.25 $1,939.25 7.8×
Meckels Divert Exam (78290) $2,314.50 $2,314.50 5.5×
Mra Head W/O & W/Contrast Material (70546) $17,202.50 $17,202.50 47.2×
MRA head w/o contrast (70544) $9,723.75 $9,723.75 39.0×
MRA head with contrast (70545) $10,973.25 $10,973.25 30.1×
MRA neck w contrast (70548) $1,047 $1,047 2.9×
Mra Neck W/O &W/Contrast Material (70549) $9,220.25 $9,220.25 25.3×
MRA neck w/o contrast (70547) $9,220.25 $9,220.25 37.0×
MRI abdomen w contrast (74182) $9,220.25 $9,220.25 25.3×
MRI abdomen w/o contrast (74181) $9,220.25 $9,220.25 37.0×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$8,460.50–$18,279 $8,460.50–$18,279 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$9,168.50–$19,801.75 $9,168.50–$19,801.75 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$8,460.50–$18,279 $8,460.50–$18,279 varies
MRI bone marrow blood supply (77084) $14,502.50 $14,502.50 58.2×
MRI Breast W/O Contrast Bilateral (77047) $2,012.50 $2,012.50 8.1×
MRI Breast Without Contrast Material Unilateral (77046)
range across 2 matching MRF lines
$1,013–$1,154.50 $1,013–$1,154.50 varies
MRI cervical spine w contrast (72142) $18,069.25 $18,069.25 49.6×
MRI cervical spine w/o cont (72141) $18,069.25 $18,069.25 72.5×
MRI chest w/o contrast (71550) $13,760.50 $13,760.50 55.2×
MRI chest with contrast (71551) $13,760.50 $13,760.50 16.8×
MRI chest wo w contrast (71552) $15,340.25 $15,340.25 42.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$14,502.50–$29,002 $14,502.50–$29,002 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$14,129–$30,525.75 $14,129–$30,525.75 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$16,725–$36,135.75 $16,725–$36,135.75 varies
MRI lumbar spine w contrast (72149) $18,069.25 $18,069.25 49.6×
Mri Neck Spine W/O & W/Dye (72156) $20,130.50 $20,130.50 55.3×
MRI orbit face &/neck w/o contrast (70540) $5,684.25 $5,684.25 22.8×
MRI orbit face neck w contrast (70542) $14,502.50 $14,502.50 39.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $15,262.50 $15,262.50 41.9×
MRI pelvis w contrast (72196) $14,502.50 $14,502.50 39.8×
MRI pelvis w/o & w contrast (72197) $15,262.50 $15,262.50 41.9×
MRI pelvis w/o contrast (72195) $18,069.25 $18,069.25 72.5×
MRI spectroscopy (76390) $7,889 $7,889 86.8×
MRI thoracic spine w/o contrast (72146) $5,952.75 $5,952.75 23.9×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$14,502.50–$28,994 $14,502.50–$28,994 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$9,144–$16,921.50 $9,144–$16,921.50 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$15,262.50–$30,520.50 $15,262.50–$30,520.50 varies
MRI, abdomen, combo (74183) $13,947.50 $13,947.50 38.3×
MRI, dorsal spine combo (72157) $11,685.50 $11,685.50 32.1×
MRI, dorsal spine contrast (72147) $5,952.75 $5,952.75 16.3×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$9,168.50–$18,279 $9,168.50–$18,279 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$9,168.50–$19,801.75 $9,168.50–$19,801.75 varies
MRI, lumbar spine combo (72158) $20,130.50 $20,130.50 55.3×
Myelogram cervical (72240)
range across 2 matching MRF lines
$2,150.75–$6,030.50 $2,150.75–$6,030.50 varies
Myelogram Lumbar (72265)
range across 2 matching MRF lines
$2,150.75–$6,030.50 $2,150.75–$6,030.50 varies
Myelography thoracic (72255) $2,633.75 $2,633.75 3.2×
Myelograpy 2/more regions rs&i (72270)
range across 2 matching MRF lines
$2,150.75–$7,077 $2,150.75–$7,077 varies
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $6,037.25 $6,037.25 14.5×
Myocardial Imaging Pet Metabolic Evaluation (78459) $7,565 $7,565 5.6×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $8,193 $8,193 6.1×
Myocardial Spect Multiple Studies (78452) $16,392.25 $16,392.25 12.1×
Neck soft tissue (70360) $1,963.75 $1,963.75 21.6×
Nm csf leak detection (78650) $5,812.50 $5,812.50 4.3×
Nuclear Rx Oral Admin (79005) $10,131.50 $10,131.50 41.6×
Optic foramina (70190) $1,302.25 $1,302.25 14.3×
Parathyroid Planar Imaging (78070) $4,247.50 $4,247.50 10.2×
Pelvis 1 or 2 views (72170) $3,208 $3,208 29.4×
Pet Image W/Ct Lmtd (78814) $14,748.25 $14,748.25 9.9×
PET image w/CT, full body (78816) $20,087.50 $20,087.50 13.5×
PET imaging CT attenuation skull base mid-thigh (78815) $16,932.75 $16,932.75 11.3×
Pulmonary Perfusion Imaging Particulate (78580) $6,324 $6,324 15.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $611.75 $611.75 5.6×
Radex abscess/fistula/sinus tract rs&i (76080) $2,592.50 $2,592.50 4.5×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,115–$4,566.75 $2,115–$4,566.75 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$1,914.25–$3,831.50 $1,914.25–$3,831.50 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$2,540.75–$5,066.25 $2,540.75–$5,066.25 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $3,256.75 $3,256.75 29.8×
Radex fingr minimum 2 views (73140) $2,086.50 $2,086.50 23.0×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$2,235.50–$4,474 $2,235.50–$4,474 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$2,044.25–$4,073 $2,044.25–$4,073 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$601–$1,204 $601–$1,204 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $2,585.75 $2,585.75 23.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,430 $2,430 26.7×
Radex Ribs Unilateral 2 Views (71100) $3,208 $3,208 35.3×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$2,562.75–$5,124.50 $2,562.75–$5,124.50 varies
Radex Spine 1 View Specify Level (72020) $890 $890 9.8×
Radex Sternum Minimum 2 Views (71120) $2,612.75 $2,612.75 28.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,083.50 $2,083.50 22.9×
Radex Toe Minimum 2 Views (73660) $2,086.50 $2,086.50 23.0×
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$651.25–$1,204 $651.25–$1,204 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,963.75–$5,917 $2,963.75–$5,917 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $800 $800 7.3×
Radiolog exam mandible compl minimum 4 views (70110) $3,256.75 $3,256.75 29.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $4,622.75 $4,622.75 42.3×
Radiologic exam colon double contrast study (74280) $6,480.50 $6,480.50 35.4×
Radiologic exam colon single contrast study (74270) $5,659.50 $5,659.50 30.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $935 $935 5.1×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,562.75–$5,124.50 $2,562.75–$5,124.50 varies
Radiologic Exam Small Int Single Contrast Study (74250) $4,265.25 $4,265.25 23.3×
Radiologic exam swallow function contrast study (74230) $1,178.25 $1,178.25 6.4×
Radiologic exam upr gi trc double contrast study (74246) $935 $935 5.1×
Radiologic examination femur 1 view (73551) $317.25 $317.25 3.5×
Radiologic examination femur minimum 2 views (73552) $317.25 $317.25 3.5×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,474–$2,948.50 $1,474–$2,948.50 varies
Radiologic Examination Osseous Survey Limited (77074) $4,265.25 $4,265.25 39.1×
Radiologic Examination Salivary Gland Calculus (70380) $1,439.75 $1,439.75 15.8×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$2,235.50–$4,474 $2,235.50–$4,474 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $2,323.75 $2,323.75 4.1×
Renal Cyst Study (74470) $2,709 $2,709 4.7×
Ribs bilateral 3 views (71110) $4,285.75 $4,285.75 39.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,636.25 $1,636.25 3.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $6,257 $6,257 15.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,076.75 $5,076.75 9.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,583.25 $5,583.25 9.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,634 $5,634 9.9×
Rp Therapy Intravenous Administration (79101) $9,884.75 $9,884.75 40.6×
Scapula (73010) $2,049.75 $2,049.75 18.8×
Sella turcica (70240) $2,004.75 $2,004.75 22.1×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$2,210.50–$4,408.25 $2,210.50–$4,408.25 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$4,285.75–$4,628.25 $4,285.75–$4,628.25 varies
Sialogram (70390) $3,834.25 $3,834.25 15.4×
Skull less than 4 views (70250) $1,880.50 $1,880.50 17.2×
Spleen Imaging (78185) $7,831.25 $7,831.25 18.8×
Sternoclavicular joints (71130) $2,149 $2,149 23.6×
Testicular Imaging W/Flow (78761) $6,128.75 $6,128.75 14.7×
Thoracic spine 2 views (72070) $2,612.75 $2,612.75 23.9×
Thyroid Met Imaging Body (78018) $10,372.75 $10,372.75 18.3×
Thyroid Uptake Measurement (78012) $5,474 $5,474 13.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $6,085.25 $6,085.25 14.6×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$2,537.50–$5,076 $2,537.50–$5,076 varies
Ultrasound Exam Aaa Screen (76706) $216.75 $216.75 2.0×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $1,253.25 $1,253.25 3.4×
Ultrasound, abdomen limited (76705) $2,274.75 $2,274.75 20.8×
Upper gi w/o kub (74240) $835.50 $835.50 4.6×
Ureteral Reflux Study (78740) $4,107.25 $4,107.25 9.8×
Urethrocystogram voiding (74455) $3,646 $3,646 14.6×
Urethrocystography retrograde (74450) $3,646 $3,646 14.6×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$2,537.50–$5,076 $2,537.50–$5,076 varies
Us chest (76604) $3,185.75 $3,185.75 29.2×
Us complete joint (76881)
range across 4 matching MRF lines
$1,061.50–$5,333.25 $1,061.50–$5,333.25 varies
Us exam, pelvic, limited (76857) $1,475.50 $1,475.50 13.5×
Us kidney transplant (76776) $2,357.75 $2,357.75 21.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$2,041.75–$4,087.50 $2,041.75–$4,087.50 varies
Us ob limited 1 or more fetuses (76815) $1,984.50 $1,984.50 18.2×
Us ob transvaginal (76817) $4,920.50 $4,920.50 45.1×
Us pelvic non ob complete (76856) $5,646.25 $5,646.25 51.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $3,067.25 $3,067.25 28.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $2,651.75 $2,651.75 24.3×
Us retroperitoneal complete (76770) $3,164 $3,164 29.0×
Us retroperitoneal limited (76775) $3,970 $3,970 36.4×
Us scrotum and contents (76870) $4,920.50 $4,920.50 45.1×
Us spinal canal and contents (76800) $4,162 $4,162 38.1×
Us thyroid (76536) $2,106 $2,106 19.3×
Us transrectal (76872) $2,412.50 $2,412.50 22.1×
Vascular Flow Imaging (78445) $2,707 $2,707 6.5×
Vein X-Ray Chest (75827) $8,087.75 $8,087.75 4.9×
Venography Adrenal Unilateral (75840) $8,492 $8,492 2.6×
Venography caval inferior serialography rs&i (75825) $9,437 $9,437 2.9×
Venography extremity bilateral rs&i (75822) $4,628.25 $4,628.25 2.8×
Venography extremity unilateral rs&i (75820) $4,408.25 $4,408.25 2.7×
Venous sampling by catheter (75893) $12,471.50 $12,471.50 2.1×
Venous thrombosis imaging (78457) $5,385.50 $5,385.50 9.5×
Venous Thrombosis Imaging Venogram Bilateral (78458) $10,302.25 $10,302.25 24.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,105.50 $2,105.50 23.2×
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines
$2,595.25–$2,802.75 $2,595.25–$2,802.75 varies
X-Ray Aorta Leg Arteries (75630) $11,393.75 $11,393.75 3.5×
X-Ray Bend Only L-S Spine (72120) $1,339 $1,339 12.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,266.50 $1,266.50 13.9×
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$733–$788.75 $733–$788.75 varies
X-Ray Exam Entire Spi 1 Vw (72081) $317.25 $317.25 3.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $523.25 $523.25 4.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $800 $800 7.3×
X-Ray Exam Hip Uni 1 View (73501) $317.25 $317.25 3.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $317.25 $317.25 3.5×
X-Ray Exam Hip Uni 4/> Views (73503) $523.25 $523.25 4.8×
X-Ray Exam Hips Bi 2 Views (73521) $419.50 $419.50 3.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $419.50 $419.50 3.8×
X-Ray Exam Hips Bi 5/> Views (73523) $800 $800 7.3×
X-Ray Exam L-S Spine Bending (72114) $4,363.50 $4,363.50 40.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,921.25 $1,921.25 21.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $3,996.75 $3,996.75 36.6×
X-Ray Exam Unilat Ribs/Chest (71101) $611.75 $611.75 5.6×
X-ray eye for foreign body (70030) $1,056.25 $1,056.25 11.6×
X-ray humerus (73060) $2,129 $2,129 23.4×
X-ray IV pyelogram (ivp) (74400) $5,071.50 $5,071.50 27.7×
X-ray IV pyelogram+tomography (74415) $9,449.50 $9,449.50 51.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $651.25 $651.25 7.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,176.75 $2,176.75 19.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $611.75 $611.75 5.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $793 $793 7.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $2,280 $2,280 25.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $3,678.50 $3,678.50 40.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $3,766 $3,766 34.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $3,217.50 $3,217.50 8.8×
X-Rays Bone Length Studies (77073) $1,467 $1,467 13.4×
X-Rays Bone Survey Complete (77075) $5,397.50 $5,397.50 49.4×
Xr c-spine 4 or 5 views (72050) $3,876.50 $3,876.50 35.5×
Xr orbits complete 4 views (70200) $4,265.25 $4,265.25 39.1×
Xr Tomogram Single Plane (76100) $4,285.75 $4,285.75 39.3×

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.