Imaging prices at HCA HealthOne Mountain Ridge
Thornton, CO · every code in this section with a posted price and a Medicare benchmark.
345 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) | $2,571.07 | $2,571.07 | 23.3× |
| Acute gastrointestinal blood loss imaging (78278) | $5,796.35 | $5,796.35 | 13.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $15,502.74 | $15,502.74 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $12,224.26 | $12,224.26 | 3.7× |
| Angiography extremity unilateral rs&i (75710) | $11,963.61 | $11,963.61 | 3.6× |
| Angiography internal mammary rs&i (75756) | $10,923.56 | $10,923.56 | 3.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $11,863.84 | $11,863.84 | 2.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $22,648.04 | $22,648.04 | 6.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,357.84 | $13,357.84 | 4.0× |
| Angiography Spinal Selective Rs&I (75705) | $10,006.22 | $10,006.22 | 1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $18,797.72 | $18,797.72 | 3.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $10,942.35 | $10,942.35 | 3.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,368.24 | $11,368.24 | 3.4× |
| Ankle 2 views (73600) | $2,084.43 | $2,084.43 | 22.7× |
| Antegrade urography radiological supvj & interpj (74425) | $4,145.86 | $4,145.86 | 11.3× |
| Aortogram thoracic (75605) | $11,863.84 | $11,863.84 | 2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $11,703.48 | $11,703.48 | 3.5× |
| Aortography abdominal serialography rs&i (75625) | $11,184.31 | $11,184.31 | 3.4× |
| Artery X-Rays Adrenal Gland (75731) | $6,418.37 | $6,418.37 | 1.9× |
| Arthrogram elbow (73085) | $8,928.19 | $8,928.19 | 24.3× |
| Arthrogram hip (73525) | $5,350.17 | $5,350.17 | 14.5× |
| Arthrogram shoulder (73040) | $5,302.42 | $5,302.42 | 14.4× |
| Arthrogram wrist (73115) | $8,107.70 | $8,107.70 | 22.0× |
| Arthrography knee lt (73580) | $8,239.11 | $8,239.11 | 22.4× |
| Basic radiation dosimetry calculation (77300) | $1,090.41 | $1,090.41 | 7.7× |
| Bone &/Joint Imaging Limited Area (78300) | $13,552.17 | $13,552.17 | 32.1× |
| Bone &/Joint Imaging Multiple Areas (78305) | $8,577.71 | $8,577.71 | 20.3× |
| Bone &/joint imaging whole body (78306) | $13,242.86 | $13,242.86 | 31.4× |
| Bone age studies (77072) | $1,847.41 | $1,847.41 | 16.8× |
| Bone Imaging 3 Phase (78315) | $13,294.66 | $13,294.66 | 31.5× |
| Bone survey complete (77075) | $10,058.24 | $10,058.24 | 91.2× |
| Brain image w/flow 4 + views (78606) | $8,925.49 | $8,925.49 | 15.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $8,925.49 | $8,925.49 | 15.6× |
| Brain Imaging Vascular Flow Only (78610) | $4,273.56 | $4,273.56 | 7.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $13,206.02 | $13,206.02 | 35.9× |
| Cervical spine 2 or 3 views (72040) | $3,184.74 | $3,184.74 | 34.7× |
| Chest 1 view (71045) | $1,269.31 | $1,269.31 | 13.8× |
| Chest 3 views (71047) | $3,672.15 | $3,672.15 | 40.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,437.49 | $3,437.49 | 18.6× |
| Clavicle complete (73000) | $1,272.11 | $1,272.11 | 13.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $285.32 | $285.32 | 2.6× |
| Corpora cavernosography (74445) | $13,051.68 | $13,051.68 | 118.4× |
| CT abdomen and pelvis without and with contrast (74178) | $31,409.96 | $31,409.96 | 85.3× |
| CT abdomen and pelvis without contrast (74176) | $22,073.59 | $22,073.59 | 87.7× |
| CT abdomen w contrast (74160) | $14,802.76 | $14,802.76 | 80.0× |
| CT abdomen w wo contrast (74170) | $15,954.21 | $15,954.21 | 86.2× |
| CT abdomen w/o contrast (74150) | $11,838.93 | $11,838.93 | 107.4× |
| CT angio hrt w/3d image (75574) | $14,177.35 | $14,177.35 | 38.5× |
| CT angiography upper extremity lt (73206) | $19,675.06 | $19,675.06 | 106.3× |
| CT c-spine w/o contrast (72125) | $12,999.28 | $12,999.28 | 117.9× |
| CT cervical spine w&w/o contrast (72127) | $15,925.51 | $15,925.51 | 86.1× |
| CT cervical spine with contrast (72126) | $14,147.06 | $14,147.06 | 38.4× |
| CT chest w/wo contrast (71270) | $16,598.60 | $16,598.60 | 89.7× |
| CT chest with contrast (71260) | $12,712.61 | $12,712.61 | 68.7× |
| CT head/brain with contrast (70460) | $17,042.36 | $17,042.36 | 92.1× |
| CT head/brain without and with contrast (70470) | $18,905.82 | $18,905.82 | 102.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $20,982.46 | $20,982.46 | 57.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $891.48 | $891.48 | 9.7× |
| CT hrt w/3d image congen (75573) | $11,341.85 | $11,341.85 | 30.8× |
| CT iac w contrast (70481) | $9,496.91 | $9,496.91 | 51.3× |
| CT limited/localized follow up study (76380) | $6,312.13 | $6,312.13 | 68.8× |
| CT lower ext w/o (73700) | $7,353.07 | $7,353.07 | 66.7× |
| CT lower extremity w wo contrast (73702) | $11,303.75 | $11,303.75 | 61.1× |
| CT lower extremity with contrast (73701) | $8,730.49 | $8,730.49 | 47.2× |
| CT lumbar spine w & w/o contrast (72133) | $17,013.51 | $17,013.51 | 92.0× |
| CT lumbar spine w/o contrast (72131) | $12,999.28 | $12,999.28 | 117.9× |
| CT lumbar spine with contrast (72132) | $14,147.06 | $14,147.06 | 38.4× |
| CT maxillofacial w contrast (70487) | $9,496.91 | $9,496.91 | 51.3× |
| CT maxillofacial w/o contrast (70486) | $7,425.62 | $7,425.62 | 67.3× |
| CT maxillofacial w/wo contrast (70488) | $17,709.46 | $17,709.46 | 95.7× |
| CT neck soft tissue w contrast (70491) | $13,028.42 | $13,028.42 | 70.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,296.33 | $14,296.33 | 77.3× |
| CT orbits w/o contrast (70480) | $7,425.62 | $7,425.62 | 67.3× |
| CT pelvis w & w/o contrast (72194) | $16,739.82 | $16,739.82 | 90.5× |
| CT pelvis w/o contrast (72192) | $10,141.43 | $10,141.43 | 92.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $15,604.20 | $15,604.20 | 84.3× |
| CT soft tissue neck w/o contrast (70490) | $11,656.25 | $11,656.25 | 105.7× |
| CT thoracic spine w/contrast (72129) | $21,604.61 | $21,604.61 | 116.8× |
| CT thoracic spine w/o contrast (72128) | $12,999.28 | $12,999.28 | 117.9× |
| CT thoracic spine w/wo contrast (72130) | $31,121.93 | $31,121.93 | 168.2× |
| CT thorax w/o contrast (71250) | $11,081.44 | $11,081.44 | 100.5× |
| CT upper extremity w/o & w/contrast material (73202) | $11,303.75 | $11,303.75 | 61.1× |
| CT upper extremity w/o contrast rt (73200) | $7,353.07 | $7,353.07 | 66.7× |
| CT upper extremity with contrast (73201) | $8,945.46 | $8,945.46 | 24.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $20,608.69 | $20,608.69 | 111.4× |
| Cta Abdomen (74175) | $19,951.07 | $19,951.07 | 107.8× |
| CTA abdomen pelvis (74174) | $25,052.82 | $25,052.82 | 68.1× |
| CTA chest (71275) | $23,716.46 | $23,716.46 | 128.2× |
| Cta Head (70496) | $12,921.55 | $12,921.55 | 69.8× |
| CTA lwr ext w&w/o contrast (73706) | $19,633.81 | $19,633.81 | 106.1× |
| Cta Neck (70498) | $17,195.30 | $17,195.30 | 92.9× |
| Cta Pelvis (72191) | $26,123.36 | $26,123.36 | 141.2× |
| Cystography minimum 3 views rs&i (74430) | $4,066.04 | $4,066.04 | 11.0× |
| Diskogram cervical (72285) | $6,675.21 | $6,675.21 | 3.2× |
| Diskography lumbar (72295) | $7,415.68 | $7,415.68 | 3.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,280.97 | $2,280.97 | 20.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $958.64 | $958.64 | 8.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $483.89 | $483.89 | 4.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $3,707.84 | $3,707.84 | 33.6× |
| Echo exam of fetal heart (76825) | $4,736.34 | $4,736.34 | 8.2× |
| Echoencephalography real time imaging (76506) | $2,430.74 | $2,430.74 | 22.0× |
| Esophagus (74220) | $3,568.64 | $3,568.64 | 19.3× |
| Fetal biophysical profile non-stress testing (76818) | $3,791.21 | $3,791.21 | 34.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,851.58 | $1,851.58 | 16.8× |
| Fluoroscopy up to 1 hr (76000) | $3,311.08 | $3,311.08 | 13.2× |
| Foot 2 views (73620) | $1,841.06 | $1,841.06 | 20.1× |
| Forearm 2 views (73090) | $2,976.50 | $2,976.50 | 32.4× |
| Gated Heart Planar Single (78472) | $12,575.08 | $12,575.08 | 29.8× |
| Hand 2 views (73120) | $1,412.55 | $1,412.55 | 12.8× |
| Hand 3 views (73130) | $3,705.80 | $3,705.80 | 40.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $10,278.39 | $10,278.39 | 3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $13,035.36 | $13,035.36 | 22.8× |
| Hepatobiliary syst imaging including gallbladder (78226) | $10,428.31 | $10,428.31 | 24.7× |
| Ht muscle image spect sing (78451) | $23,557.05 | $23,557.05 | 17.2× |
| Humerus Min 2 Views Left (73060) | $2,976.50 | $2,976.50 | 32.4× |
| Hysterosalpingogram (74740) | $2,867.10 | $2,867.10 | 11.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $11,900.65 | $11,900.65 | 20.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $8,937.43 | $8,937.43 | 15.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $10,733.73 | $10,733.73 | 18.7× |
| Knee 3 views (73562) | $2,658.88 | $2,658.88 | 29.0× |
| Liver & spleen imaging static only (78215) | $9,984.95 | $9,984.95 | 23.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,482.15 | $8,482.15 | 20.1× |
| Liver imaging static only (78201) | $5,642.33 | $5,642.33 | 9.9× |
| Lung perf&ventilat diferentl (78598) | $24,648.28 | $24,648.28 | 43.0× |
| Lung perfusion differential (78597) | $12,028.06 | $12,028.06 | 28.5× |
| Lung Ventilation Imaging (78579) | $12,620.20 | $12,620.20 | 29.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $6,839.09 | $6,839.09 | 2.1× |
| Lymphoscintigraphy (78195) | $10,210.62 | $10,210.62 | 17.8× |
| Mammary ductogram or galactogram multiple (77054) | $3,884.58 | $3,884.58 | 15.4× |
| Mammary ductogram or galactogram single (77053) | $3,053.52 | $3,053.52 | 12.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $1,958.90 | $1,958.90 | 21.3× |
| Meckels Diverticulum (78290) | $9,702.10 | $9,702.10 | 23.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $80.82 | $80.82 | 2.6× |
| MRA head w & w/o contrast (70546) | $15,082.81 | $15,082.81 | 41.0× |
| MRA head w/o contrast (70544) | $13,352.35 | $13,352.35 | 53.0× |
| MRA head with contrast (70545) | $14,105.36 | $14,105.36 | 38.3× |
| MRA neck w contrast (70548) | $14,104.48 | $14,104.48 | 38.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $15,832.24 | $15,832.24 | 43.0× |
| MRA neck w/o contrast (70547) | $13,120.85 | $13,120.85 | 52.1× |
| MRI abdomen w contrast (74182) | $14,820.49 | $14,820.49 | 40.3× |
| MRI abdomen w/o & w/contrast material (74183) | $17,412.44 | $17,412.44 | 47.3× |
| MRI abdomen w/o contrast (74181) | $14,504.56 | $14,504.56 | 57.6× |
| MRI any jnt lwr ext with con lt (73722) | $13,200.54 | $13,200.54 | 16.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $13,392.64 | $13,392.64 | 16.2× |
| MRI bone marrow blood supply (77084) | $17,351.43 | $17,351.43 | 68.9× |
| MRI breast w/o contrast bilateral (77047) | $16,521.25 | $16,521.25 | 65.6× |
| MRI c-spine with contrast (72142) | $13,576.58 | $13,576.58 | 36.9× |
| MRI cardiac w/o contrast (75557) | $11,399 | $11,399 | 45.3× |
| MRI cervical spine w/o contrast (72141) | $11,357.11 | $11,357.11 | 45.1× |
| MRI chest w/o & w/contrast material (71552) | $17,933.84 | $17,933.84 | 48.7× |
| MRI chest w/o contrast (71550) | $14,967.24 | $14,967.24 | 59.5× |
| MRI chest with contrast (71551) | $12,282.72 | $12,282.72 | 14.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $14,739.76 | $14,739.76 | 40.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $13,327.16 | $13,327.16 | 36.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $12,856.08 | $12,856.08 | 51.1× |
| MRI orbit face &/neck w/o contrast (70540) | $10,256.84 | $10,256.84 | 40.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $13,218.22 | $13,218.22 | 35.9× |
| MRI orbit/face/neck w/contrast (70542) | $10,547.89 | $10,547.89 | 28.7× |
| MRI pelvis w contrast (72196) | $10,181.50 | $10,181.50 | 27.7× |
| MRI pelvis w/o & w/contrast material (72197) | $11,880.36 | $11,880.36 | 32.3× |
| MRI pelvis w/o contrast (72195) | $9,071.84 | $9,071.84 | 36.0× |
| MRI scan of arm joint before and after contrast (73223) | $10,683.77 | $10,683.77 | 29.0× |
| MRI scan of leg joint before and after contrast (73723) | $13,993.52 | $13,993.52 | 38.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $16,679.82 | $16,679.82 | 45.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $13,733.71 | $13,733.71 | 37.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $16,679.78 | $16,679.78 | 45.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,796.74 | $11,796.74 | 32.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $16,679.72 | $16,679.72 | 45.3× |
| MRI thoracic spine w/o contrast (72146) | $10,893.70 | $10,893.70 | 43.3× |
| MRI tmj (70336) | $11,224.94 | $11,224.94 | 44.6× |
| MRI upper ext joint w/o contrast (73221) | $12,012.27 | $12,012.27 | 47.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $15,073.85 | $15,073.85 | 41.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,772.89 | $13,772.89 | 54.7× |
| Myelogram Cervical (72240) | $9,918.52 | $9,918.52 | 12.0× |
| Myelogram Lumbar (72265) | $9,003.84 | $9,003.84 | 10.9× |
| Myelogram thoracic (72255) | $8,711.82 | $8,711.82 | 10.5× |
| Myelography 2 or more regions (72270) | $9,491.08 | $9,491.08 | 11.5× |
| Myocardial infarct spect (78469) | $9,735.35 | $9,735.35 | 17.0× |
| Myocardial Spect Multiple Studies (78452) | $30,914.62 | $30,914.62 | 22.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $3,649.01 | $3,649.01 | 4.0× |
| Neck soft tissue (70360) | $2,039.82 | $2,039.82 | 22.2× |
| Nm cisternogram (78630) | $8,762.20 | $8,762.20 | 15.3× |
| Nm gastric emptying study (78264) | $9,735.35 | $9,735.35 | 23.1× |
| Nm gastroesophageal reflux study (78262) | $11,193.06 | $11,193.06 | 26.5× |
| Nm peritoneal-venous shunt patency (78291) | $2,866.31 | $2,866.31 | 6.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $29,115.70 | $29,115.70 | 21.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $20,016.33 | $20,016.33 | 14.7× |
| Nuclear medicine study of kidney and blood flow (78701) | $8,083.76 | $8,083.76 | 19.2× |
| Nuclear Rx Oral Admin (79005) | $18,088.64 | $18,088.64 | 73.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,784.74 | $1,784.74 | 16.2× |
| Osseous survey infant (77076) | $6,516.22 | $6,516.22 | 59.1× |
| Osseous survey limited (77074) | $6,801.33 | $6,801.33 | 61.7× |
| Parathyrd planar w/wo subtrj (78071) | $24,333.71 | $24,333.71 | 57.7× |
| Parathyroid imaging (78070) | $11,636.46 | $11,636.46 | 27.6× |
| Pelvis 1 or 2 views (72170) | $2,196.61 | $2,196.61 | 19.9× |
| Peritoneogram rs&i (74190) | $3,514.18 | $3,514.18 | 6.1× |
| Pr heart first pass single,planar (78481) | $6,561.10 | $6,561.10 | 11.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $15,073.85 | $15,073.85 | 41.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,387.20 | $10,387.20 | 3.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $9,860.09 | $9,860.09 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,280.95 | $10,280.95 | 24.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $22,901.15 | $22,901.15 | 40.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,544.78 | $3,544.78 | 6.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,323.64 | $1,323.64 | 14.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $4,213.31 | $4,213.31 | 38.2× |
| Radex hips bilateral with pelvis 2 views (73521) | $3,298.34 | $3,298.34 | 29.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $7,511.66 | $7,511.66 | 68.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,027.63 | $3,027.63 | 27.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,987.15 | $1,987.15 | 21.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,342.38 | $3,342.38 | 30.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,160.09 | $2,160.09 | 23.5× |
| Radiologic exam colon single contrast study (74270) | $5,504.31 | $5,504.31 | 29.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,667.91 | $3,667.91 | 19.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $8,644.36 | $8,644.36 | 46.7× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,342.07 | $5,342.07 | 28.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $2,535.83 | $2,535.83 | 27.6× |
| Radiological examination surgical specimen (76098) | $1,852.72 | $1,852.72 | 3.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $9,646.45 | $9,646.45 | 2.9× |
| Ribs bilateral 3 views (71110) | $3,854.28 | $3,854.28 | 34.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,741.02 | $1,741.02 | 4.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $14,034.11 | $14,034.11 | 24.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $12,697.20 | $12,697.20 | 22.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $12,697.20 | $12,697.20 | 9.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,697.20 | $12,697.20 | 8.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $12,697.20 | $12,697.20 | 9.3× |
| Rp Therapy Intravenous Administration (79101) | $3,334.96 | $3,334.96 | 13.5× |
| Sacroiliac Joints < 3 Views (72200) | $2,083.03 | $2,083.03 | 18.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $10,385.35 | $10,385.35 | 41.3× |
| Scanogram (77073) | $4,269.59 | $4,269.59 | 38.7× |
| Scapula complete (73010) | $1,570.79 | $1,570.79 | 14.2× |
| Screening digital breast tomosynthesis (77063) | $180.08 | $180.08 | 7.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $7,122.98 | $7,122.98 | 64.6× |
| Sialogram (70390) | $2,640.62 | $2,640.62 | 10.5× |
| Small bowel series (74250) | $2,535.83 | $2,535.83 | 13.7× |
| Speech evaluation complex (70371) | $3,937.65 | $3,937.65 | 15.6× |
| Spine thoracic 3 views (72072) | $2,492.62 | $2,492.62 | 22.6× |
| Splenoportograpy rs&i (75810) | $10,923.56 | $10,923.56 | 3.3× |
| Ther rad simulaj-aided field setting complex (77290) | $3,271.20 | $3,271.20 | 8.3× |
| Therapeutic Enema (74283) | $4,002.70 | $4,002.70 | 21.6× |
| Thoracolumbar 2 views (72080) | $2,548.11 | $2,548.11 | 27.8× |
| Thyroid carcinoma metastases img whole body (78018) | $10,274.36 | $10,274.36 | 17.9× |
| Thyroid Imaging With Vascular Flow (78013) | $7,331.05 | $7,331.05 | 17.4× |
| Thyroid uptake measurement (78012) | $4,466.07 | $4,466.07 | 10.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $11,193.06 | $11,193.06 | 26.5× |
| Tmj unilateral (70328) | $3,528.81 | $3,528.81 | 38.4× |
| Tomogram (76100) | $5,135.22 | $5,135.22 | 46.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $13,519.01 | $13,519.01 | 23.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $5,635.72 | $5,635.72 | 13.4× |
| Tx devices design & construction complex (77334) | $1,775.68 | $1,775.68 | 4.5× |
| Ultrasound, abdomen limited (76705) | $2,500.72 | $2,500.72 | 22.7× |
| Umbilical-artery Doppler (OB) (76820) | $483.89 | $483.89 | 4.4× |
| Upper Extremity Infant (73092) | $1,962.73 | $1,962.73 | 17.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $7,106.71 | $7,106.71 | 16.9× |
| Urethrocystography retrograde rs&i (74450) | $8,210.49 | $8,210.49 | 32.6× |
| Urethrocystography voiding (74455) | $2,529.28 | $2,529.28 | 10.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $6,154.78 | $6,154.78 | 33.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $9,448.59 | $9,448.59 | 51.1× |
| Us breast unilateral complete (76641) | $8,792.94 | $8,792.94 | 79.7× |
| Us breast unilateral limited (76642) | $5,637.62 | $5,637.62 | 61.4× |
| Us chest (76604) | $3,256.76 | $3,256.76 | 29.5× |
| Us compl joint r-t w/image documentation (76881) | $3,518.83 | $3,518.83 | 31.9× |
| Us guided compression repair (76936) | $11,293.97 | $11,293.97 | 49.6× |
| Us infant hips dynamic (76885) | $2,145.30 | $2,145.30 | 23.4× |
| Us kidney transplant (76776) | $4,540.32 | $4,540.32 | 41.2× |
| Us ob transvaginal (76817) | $5,220.39 | $5,220.39 | 47.3× |
| Us pelvic non ob complete (76856) | $3,526.91 | $3,526.91 | 32.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,035.84 | $3,035.84 | 27.5× |
| Us pregnancy ltd (76815) | $3,692.50 | $3,692.50 | 33.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,765.38 | $3,765.38 | 34.1× |
| Us retroperitoneal complete (76770) | $2,916.76 | $2,916.76 | 26.4× |
| Us retroperitoneal limited (76775) | $3,515.43 | $3,515.43 | 31.9× |
| Us scrotum and contents (76870) | $2,202.34 | $2,202.34 | 20.0× |
| Us soft tissue head/neck (76536) | $2,760.40 | $2,760.40 | 25.0× |
| Us spinal canal and contents (76800) | $2,061.95 | $2,061.95 | 18.7× |
| Us transrectal (76872) | $4,836.47 | $4,836.47 | 43.9× |
| Us xtr non-vasc lmtd (76882) | $1,726.94 | $1,726.94 | 15.7× |
| Vascular flow imaging (78445) | $2,866.31 | $2,866.31 | 6.8× |
| Venogram extremity bilateral (75822) | $4,612.78 | $4,612.78 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $6,330.23 | $6,330.23 | 1.9× |
| Venography caval superior serialography rs&i (75827) | $9,849.26 | $9,849.26 | 5.9× |
| Venography extremity unilateral rs&i (75820) | $4,272.90 | $4,272.90 | 2.6× |
| Venography Renal Bilateral (75833) | $10,967.42 | $10,967.42 | 3.3× |
| Venography renal unilateral selective rs&i (75831) | $10,713.78 | $10,713.78 | 3.2× |
| Venography venous sinus/jugular cath rs&i (75860) | $6,217.18 | $6,217.18 | 1.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $11,246.17 | $11,246.17 | 1.9× |
| Wrist 2 views (73100) | $1,689.67 | $1,689.67 | 18.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,221.25 | $3,221.25 | 29.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,212.82 | $2,212.82 | 24.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,159.54 | $3,159.54 | 34.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,519.51 | $6,519.51 | 35.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,635.65 | $1,635.65 | 17.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $3,349.17 | $3,349.17 | 36.5× |
| X-ray exam entire spi 4/5 vw (72083) | $3,298.34 | $3,298.34 | 29.9× |
| X-ray exam hip uni 1 view (73501) | $1,631.74 | $1,631.74 | 17.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,612.23 | $4,612.23 | 50.2× |
| X-ray exam hip uni 4/> views (73503) | $4,213.31 | $4,213.31 | 38.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,612.61 | $2,612.61 | 23.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,834.57 | $5,834.57 | 52.9× |
| X-ray exam of femur 1 (73551) | $1,245.29 | $1,245.29 | 13.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $3,504.88 | $3,504.88 | 18.9× |
| X-ray eye for foreign body (70030) | $1,596.44 | $1,596.44 | 17.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,731.62 | $2,731.62 | 24.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,635.15 | $2,635.15 | 28.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $3,494.74 | $3,494.74 | 38.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $7,661.61 | $7,661.61 | 3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,580.21 | $1,580.21 | 17.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,756.25 | $2,756.25 | 30.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $5,191.70 | $5,191.70 | 47.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,422.76 | $1,422.76 | 15.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,864.07 | $1,864.07 | 20.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,009.01 | $3,009.01 | 27.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $4,323.14 | $4,323.14 | 39.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $2,286.14 | $2,286.14 | 20.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,781.90 | $2,781.90 | 30.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,212.82 | $2,212.82 | 24.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,420.22 | $3,420.22 | 31.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,589.28 | $2,589.28 | 23.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $5,805.61 | $5,805.61 | 10.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $3,312.36 | $3,312.36 | 9.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,415.60 | $2,415.60 | 26.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,009.01 | $3,009.01 | 27.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,445.07 | $4,445.07 | 40.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,400.71 | $2,400.71 | 21.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,342.59 | $2,342.59 | 25.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,819.97 | $3,819.97 | 41.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,742.34 | $2,742.34 | 29.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,434.80 | $1,434.80 | 15.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,690.80 | $3,690.80 | 33.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,570.86 | $2,570.86 | 23.3× |
| X-Ray Spine One View - Xr Spine (72020) | $1,335.66 | $1,335.66 | 14.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,875.93 | $1,875.93 | 20.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,173.61 | $2,173.61 | 23.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,680.24 | $1,680.24 | 15.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,516.88 | $3,516.88 | 31.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,767.74 | $1,767.74 | 19.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $3,169.54 | $3,169.54 | 34.5× |
| Xr arthrogram ankle (73615) | $8,098.39 | $8,098.39 | 22.0× |
| Xr c-spine 6 or more views (72052) | $4,647.34 | $4,647.34 | 42.1× |
| Xr chest 4+ views (71048) | $4,590.23 | $4,590.23 | 41.6× |
| Xr finger(s) 2+ views (73140) | $1,655.86 | $1,655.86 | 18.0× |
| Xr shoulder 1 view (73020) | $1,777.60 | $1,777.60 | 19.4× |
| Xr spine cervical 4 or 5 views (72050) | $4,061.90 | $4,061.90 | 36.8× |
| Xr tibia/fibula 2 views (73590) | $2,383.11 | $2,383.11 | 26.0× |
| Xr tmj bilateral (70330) | $2,935.24 | $2,935.24 | 32.0× |
| Xray knee 1 or 2 views rt (73560) | $1,823.56 | $1,823.56 | 19.9× |