Imaging prices at HCA HealthOne Sky Ridge Medical Center
Lone Tree, CO · every code in this section with a posted price and a Medicare benchmark.
399 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $31,061.25 | $31,061.25 | 21.3× |
| Abdomen 2 views (74019) | $3,560.15 | $3,560.15 | 32.3× |
| Acute gastrointestinal blood loss imaging (78278) | $5,017.50 | $5,017.50 | 11.9× |
| Angiography extremity bilateral rs&i (75716) | $38,699.38 | $38,699.38 | 11.6× |
| Angiography extremity unilateral rs&i (75710) | $20,825.48 | $20,825.48 | 6.3× |
| Angiography internal mammary rs&i (75756) | $14,353.90 | $14,353.90 | 4.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $21,718.95 | $21,718.95 | 3.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $24,868.25 | $24,868.25 | 7.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,284.85 | $17,284.85 | 5.2× |
| Angiography Spinal Selective Rs&I (75705) | $19,108.65 | $19,108.65 | 3.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $27,191.18 | $27,191.18 | 4.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $10,391.70 | $10,391.70 | 3.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $24,197.25 | $24,197.25 | 7.3× |
| Ankle 2 views (73600) | $1,509.75 | $1,509.75 | 16.4× |
| Antegrade urography radiological supvj & interpj (74425) | $12,848 | $12,848 | 34.9× |
| Aortogram thoracic (75605) | $19,335.52 | $19,335.52 | 3.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $38,328.40 | $38,328.40 | 11.5× |
| Aortography abdominal serialography rs&i (75625) | $31,157.50 | $31,157.50 | 9.4× |
| Arthrogram elbow (73085) | $8,647.65 | $8,647.65 | 23.5× |
| Arthrogram hip (73525) | $9,494.65 | $9,494.65 | 25.8× |
| Arthrogram shoulder (73040) | $6,112.98 | $6,112.98 | 16.6× |
| Arthrogram wrist (73115) | $9,186.10 | $9,186.10 | 25.0× |
| Arthrography knee lt (73580) | $6,510.90 | $6,510.90 | 17.7× |
| Basic radiation dosimetry calculation (77300) | $4,162.40 | $4,162.40 | 29.4× |
| Bone &/Joint Imaging Limited Area (78300) | $11,150 | $11,150 | 26.4× |
| Bone &/Joint Imaging Multiple Areas (78305) | $12,390.50 | $12,390.50 | 29.4× |
| Bone &/joint imaging whole body (78306) | $14,767.50 | $14,767.50 | 35.0× |
| Bone age studies (77072) | $1,492.15 | $1,492.15 | 13.5× |
| Bone Imaging 3 Phase (78315) | $13,489.50 | $13,489.50 | 32.0× |
| Bone Marrow Imaging Limited Area (78102) | $7,991.50 | $7,991.50 | 19.0× |
| Bone survey complete (77075) | $13,181.30 | $13,181.30 | 119.5× |
| Brachytx isodose complex (77318) | $25,481.50 | $25,481.50 | 64.5× |
| Brachytx isodose intermed (77317) | $25,481.50 | $25,481.50 | 64.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $25,481.50 | $25,481.50 | 64.5× |
| Brain image w/flow 4 + views (78606) | $10,412.50 | $10,412.50 | 18.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,883.50 | $6,883.50 | 12.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $35,879.80 | $35,879.80 | 23.8× |
| Brain Imaging Vascular Flow Only (78610) | $5,510 | $5,510 | 9.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $20,447.90 | $20,447.90 | 55.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,442 | $6,442 | 11.2× |
| Cervical spine 2 or 3 views (72040) | $3,022.80 | $3,022.80 | 32.9× |
| Chest 1 view (71045) | $1,689.05 | $1,689.05 | 18.4× |
| Chest 3 views (71047) | $3,432 | $3,432 | 37.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $5,525.85 | $5,525.85 | 29.9× |
| Clavicle complete (73000) | $2,657.32 | $2,657.32 | 28.9× |
| Continuing medical physics consltj pr wk (77336) | $5,445.55 | $5,445.55 | 38.4× |
| Corpora cavernosography (74445) | $10,503.90 | $10,503.90 | 95.2× |
| CT abdomen and pelvis without and with contrast (74178) | $24,877.05 | $24,877.05 | 67.6× |
| CT abdomen and pelvis without contrast (74176) | $18,179.15 | $18,179.15 | 72.2× |
| CT abdomen w contrast (74160) | $21,049.05 | $21,049.05 | 113.8× |
| CT abdomen w wo contrast (74170) | $25,613.50 | $25,613.50 | 138.4× |
| CT abdomen w/o contrast (74150) | $18,179.15 | $18,179.15 | 164.8× |
| CT angio hrt w/3d image (75574) | $24,140.60 | $24,140.60 | 65.6× |
| CT angiography upper extremity lt (73206) | $11,297 | $11,297 | 61.1× |
| CT c-spine w/o contrast (72125) | $18,179.15 | $18,179.15 | 164.8× |
| CT cervical spine w&w/o contrast (72127) | $17,786.72 | $17,786.72 | 96.1× |
| CT cervical spine with contrast (72126) | $21,049.05 | $21,049.05 | 57.2× |
| CT chest w/wo contrast (71270) | $24,877.05 | $24,877.05 | 134.4× |
| CT chest with contrast (71260) | $21,049.05 | $21,049.05 | 113.8× |
| CT head/brain with contrast (70460) | $21,049.05 | $21,049.05 | 113.8× |
| CT head/brain without and with contrast (70470) | $24,877.05 | $24,877.05 | 134.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,716.90 | $3,716.90 | 40.5× |
| CT iac w contrast (70481) | $21,049.05 | $21,049.05 | 113.8× |
| CT limited/localized follow up study (76380) | $7,473.40 | $7,473.40 | 81.4× |
| CT lower ext w/o (73700) | $17,640.70 | $17,640.70 | 160.0× |
| CT lower extremity w wo contrast (73702) | $15,969.25 | $15,969.25 | 86.3× |
| CT lower extremity with contrast (73701) | $20,425.90 | $20,425.90 | 110.4× |
| CT lumbar spine w & w/o contrast (72133) | $24,877.05 | $24,877.05 | 134.4× |
| CT lumbar spine w/o contrast (72131) | $18,179.15 | $18,179.15 | 164.8× |
| CT lumbar spine with contrast (72132) | $21,049.05 | $21,049.05 | 57.2× |
| CT maxillofacial w contrast (70487) | $21,049.05 | $21,049.05 | 113.8× |
| CT maxillofacial w/o contrast (70486) | $18,179.15 | $18,179.15 | 164.8× |
| CT maxillofacial w/wo contrast (70488) | $23,184.15 | $23,184.15 | 125.3× |
| CT neck soft tissue w contrast (70491) | $21,049.05 | $21,049.05 | 113.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $24,877.05 | $24,877.05 | 134.4× |
| CT orbits w/o contrast (70480) | $18,179.15 | $18,179.15 | 164.8× |
| CT pelvis w & w/o contrast (72194) | $24,877.05 | $24,877.05 | 134.4× |
| CT pelvis w/o contrast (72192) | $18,179.15 | $18,179.15 | 164.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $24,877.05 | $24,877.05 | 134.4× |
| CT soft tissue neck w/o contrast (70490) | $18,179.15 | $18,179.15 | 164.8× |
| CT thoracic spine w/contrast (72129) | $21,049.05 | $21,049.05 | 113.8× |
| CT thoracic spine w/o contrast (72128) | $18,179.15 | $18,179.15 | 164.8× |
| CT thoracic spine w/wo contrast (72130) | $24,877.05 | $24,877.05 | 134.4× |
| CT thorax w/o contrast (71250) | $17,222.70 | $17,222.70 | 156.2× |
| CT upper extremity w/o & w/contrast material (73202) | $17,041.48 | $17,041.48 | 92.1× |
| CT upper extremity w/o contrast rt (73200) | $17,640.70 | $17,640.70 | 160.0× |
| CT upper extremity with contrast (73201) | $21,672.20 | $21,672.20 | 58.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $17,222.70 | $17,222.70 | 93.1× |
| Cta Abdomen (74175) | $17,222.70 | $17,222.70 | 93.1× |
| CTA abdomen pelvis (74174) | $21,569.62 | $21,569.62 | 58.6× |
| CTA chest (71275) | $17,222.70 | $17,222.70 | 93.1× |
| Cta Head (70496) | $17,222.70 | $17,222.70 | 93.1× |
| CTA lwr ext w&w/o contrast (73706) | $16,712.85 | $16,712.85 | 90.3× |
| Cta Neck (70498) | $17,222.70 | $17,222.70 | 93.1× |
| Cta Pelvis (72191) | $17,222.70 | $17,222.70 | 93.1× |
| Cystography minimum 3 views rs&i (74430) | $4,430.80 | $4,430.80 | 12.0× |
| Diskogram cervical (72285) | $7,256.70 | $7,256.70 | 3.5× |
| Diskography lumbar (72295) | $8,075.65 | $8,075.65 | 3.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,114.85 | $1,114.85 | 10.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,114.85 | $1,114.85 | 10.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,784.75 | $1,784.75 | 16.2× |
| Echoencephalography real time imaging (76506) | $2,563.28 | $2,563.28 | 23.2× |
| Esophageal motility (78258) | $8,668 | $8,668 | 20.6× |
| Esophagus (74220) | $4,758.32 | $4,758.32 | 25.7× |
| Fetal biophysical profile non-stress testing (76818) | $1,526.25 | $1,526.25 | 13.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,523.95 | $2,523.95 | 22.9× |
| Fluoroscopy up to 1 hr (76000) | $4,330.70 | $4,330.70 | 17.2× |
| Foot 2 views (73620) | $2,290.75 | $2,290.75 | 25.0× |
| Forearm 2 views (73090) | $2,290.75 | $2,290.75 | 25.0× |
| Gated Heart Planar Single (78472) | $9,604.50 | $9,604.50 | 22.8× |
| Hand 2 views (73120) | $1,243.82 | $1,243.82 | 11.3× |
| Hand 3 views (73130) | $2,223.10 | $2,223.10 | 24.2× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $33,544.50 | $33,544.50 | 45.7× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $43,842.70 | $43,842.70 | 59.7× |
| Heart Infarct Image (78466) | $9,722 | $9,722 | 23.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $11,238.15 | $11,238.15 | 3.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $11,363 | $11,363 | 19.8× |
| Hepatobiliary syst imaging including gallbladder (78226) | $9,032.50 | $9,032.50 | 21.4× |
| Ht muscle image spect sing (78451) | $17,253.50 | $17,253.50 | 12.6× |
| Humerus Min 2 Views Left (73060) | $2,726.90 | $2,726.90 | 29.7× |
| Hysterosalpingogram (74740) | $5,525.85 | $5,525.85 | 22.0× |
| Interstitial radiation source applic complex (77778) | $34,814 | $34,814 | 47.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) | $2,173.05 | $2,173.05 | 19.7× |
| Kidney funcj study non-img radioisotopic study (78725) | $8,502 | $8,502 | 20.2× |
| Kidney imaging morphology (78700) | $5,223.50 | $5,223.50 | 12.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,650.50 | $6,650.50 | 11.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $20,270.50 | $20,270.50 | 35.4× |
| Knee 3 views (73562) | $2,595.45 | $2,595.45 | 28.3× |
| Liver & spleen imaging static only (78215) | $9,508 | $9,508 | 22.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,433.50 | $3,433.50 | 8.1× |
| Liver imaging static only (78201) | $5,585 | $5,585 | 9.8× |
| Liver imaging w/vascular flow (78202) | $11,410 | $11,410 | 19.9× |
| Lung perf&ventilat diferentl (78598) | $15,303.50 | $15,303.50 | 26.7× |
| Lung perfusion differential (78597) | $8,802.50 | $8,802.50 | 20.9× |
| Lung Ventilation Imaging (78579) | $6,341.50 | $6,341.50 | 15.0× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $8,605.30 | $8,605.30 | 2.6× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $8,605.30 | $8,605.30 | 2.6× |
| Lymphoscintigraphy (78195) | $8,480.50 | $8,480.50 | 14.8× |
| Meckels Diverticulum (78290) | $6,098 | $6,098 | 14.5× |
| Mlc imrt design & construction per imrt plan (77338) | $67,564.75 | $67,564.75 | 171.1× |
| Mr elastography (76391) | $19,509.05 | $19,509.05 | 77.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $80.82 | $80.82 | 2.6× |
| MRA head w & w/o contrast (70546) | $18,147.80 | $18,147.80 | 49.3× |
| MRA head w/o contrast (70544) | $13,065.80 | $13,065.80 | 51.9× |
| MRA head with contrast (70545) | $15,302.10 | $15,302.10 | 41.6× |
| MRA neck w contrast (70548) | $14,190 | $14,190 | 38.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,097 | $20,097 | 54.6× |
| MRA neck w/o contrast (70547) | $11,788.15 | $11,788.15 | 46.8× |
| MRI abdomen w/o & w/contrast material (74183) | $24,396.90 | $24,396.90 | 66.3× |
| MRI abdomen w/o contrast (74181) | $19,509.05 | $19,509.05 | 77.5× |
| MRI any jnt lwr ext with con lt (73722) | $22,559.35 | $22,559.35 | 27.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $22,037.40 | $22,037.40 | 26.6× |
| MRI breast w/o contrast bilateral (77047) | $11,788.15 | $11,788.15 | 46.8× |
| MRI breast w/o contrast unilat (77046) | $11,788.15 | $11,788.15 | 46.8× |
| MRI c-spine with contrast (72142) | $20,070.60 | $20,070.60 | 54.5× |
| MRI cardiac w/o cont stress (75559) | $27,669.40 | $27,669.40 | 48.0× |
| MRI cardiac w/o contrast (75557) | $19,272.55 | $19,272.55 | 76.6× |
| MRI cervical spine w/o contrast (72141) | $19,454.05 | $19,454.05 | 77.3× |
| MRI chest w/o & w/contrast material (71552) | $25,560.70 | $25,560.70 | 69.5× |
| MRI chest w/o contrast (71550) | $20,209.75 | $20,209.75 | 80.3× |
| MRI chest with contrast (71551) | $21,400.50 | $21,400.50 | 25.9× |
| MRI fetal sngl/1st gestation (74712) | $19,509.05 | $19,509.05 | 77.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $22,260.70 | $22,260.70 | 60.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $20,070.60 | $20,070.60 | 54.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $19,598.70 | $19,598.70 | 77.9× |
| MRI orbit face &/neck w/o contrast (70540) | $20,658.55 | $20,658.55 | 82.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $24,380.40 | $24,380.40 | 66.2× |
| MRI orbit/face/neck w/contrast (70542) | $20,070.60 | $20,070.60 | 54.5× |
| MRI pelvis w contrast (72196) | $20,070.60 | $20,070.60 | 54.5× |
| MRI pelvis w/o & w/contrast material (72197) | $24,411.75 | $24,411.75 | 66.3× |
| MRI pelvis w/o contrast (72195) | $19,532.70 | $19,532.70 | 77.6× |
| MRI scan of arm joint before and after contrast (73223) | $24,277.55 | $24,277.55 | 66.0× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $28,740.80 | $28,740.80 | 34.8× |
| MRI scan of leg joint before and after contrast (73723) | $24,954.60 | $24,954.60 | 67.8× |
| MRI spectroscopy (76390) | $8,556.90 | $8,556.90 | 93.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $24,408.45 | $24,408.45 | 66.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $21,645.25 | $21,645.25 | 58.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $24,445.85 | $24,445.85 | 66.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $23,489.95 | $23,489.95 | 63.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $24,552 | $24,552 | 66.7× |
| MRI thoracic spine w/o contrast (72146) | $19,355.60 | $19,355.60 | 76.9× |
| MRI tmj (70336) | $21,188.20 | $21,188.20 | 84.2× |
| MRI upper ext joint w/o contrast (73221) | $19,565.70 | $19,565.70 | 77.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $22,230.45 | $22,230.45 | 60.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $19,363.30 | $19,363.30 | 76.9× |
| Myelogram Cervical (72240) | $14,372.05 | $14,372.05 | 17.4× |
| Myelogram Lumbar (72265) | $13,223.65 | $13,223.65 | 16.0× |
| Myelogram thoracic (72255) | $12,455.85 | $12,455.85 | 15.1× |
| Myelography 2 or more regions (72270) | $17,613.75 | $17,613.75 | 21.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $37,219.05 | $37,219.05 | 27.3× |
| Myocardial infarct spect (78469) | $7,210.50 | $7,210.50 | 12.6× |
| Myocardial Spect Multiple Studies (78452) | $30,606.50 | $30,606.50 | 22.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $24,070.20 | $24,070.20 | 26.6× |
| Neck soft tissue (70360) | $2,451.35 | $2,451.35 | 26.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $5,809.50 | $5,809.50 | 13.8× |
| Nm adrenal scan (78075) | $14,603 | $14,603 | 10.7× |
| Nm bone marrow wb (78104) | $9,412 | $9,412 | 22.3× |
| Nm cisternogram (78630) | $13,412 | $13,412 | 23.4× |
| Nm csf leak detection (78650) | $6,805 | $6,805 | 5.0× |
| Nm gastric emptying study (78264) | $7,923 | $7,923 | 18.8× |
| Nm gastroesophageal reflux study (78262) | $10,489 | $10,489 | 24.9× |
| Nm peritoneal-venous shunt patency (78291) | $3,735 | $3,735 | 8.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $48,282.30 | $48,282.30 | 33.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) | $26,552.90 | $26,552.90 | 17.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) | $13,708.75 | $13,708.75 | 9.1× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) | $16,605.60 | $16,605.60 | 11.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $21,656.50 | $21,656.50 | 15.9× |
| Nuclear medicine study of kidney and blood flow (78701) | $7,083.50 | $7,083.50 | 16.8× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) | $5,098 | $5,098 | 12.1× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $5,573 | $5,573 | 9.7× |
| Nuclear Rx Oral Admin (79005) | $6,523 | $6,523 | 26.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,145.45 | $3,145.45 | 28.5× |
| Orthopantogram (70355) | $3,579.95 | $3,579.95 | 39.0× |
| Osseous survey infant (77076) | $5,888.30 | $5,888.30 | 53.4× |
| Osseous survey limited (77074) | $4,062.85 | $4,062.85 | 36.8× |
| Parathyrd planar w/wo subtrj (78071) | $13,319.50 | $13,319.50 | 31.6× |
| Parathyroid imaging (78070) | $11,212 | $11,212 | 26.6× |
| Pelvis 1 or 2 views (72170) | $2,223.10 | $2,223.10 | 20.2× |
| Peritoneogram rs&i (74190) | $9,961.60 | $9,961.60 | 17.3× |
| PET image w/CT, skull-thigh (78815) | $39,465.80 | $39,465.80 | 26.2× |
| PET imaging CT for attenuation limited area (78814) | $39,465.80 | $39,465.80 | 26.2× |
| PET imaging for CT attenuation whole body (78816) | $39,465.80 | $39,465.80 | 26.2× |
| PET imaging limited area chest head/neck (78811) | $13,708.75 | $13,708.75 | 10.0× |
| PET whole body (78813) | $13,708.75 | $13,708.75 | 9.1× |
| Platelet survival study (78191) | $7,126 | $7,126 | 16.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $24,277.55 | $24,277.55 | 66.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,148.25 | $8,148.25 | 2.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $6,432.80 | $6,432.80 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,926 | $7,926 | 18.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $14,415 | $14,415 | 25.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $5,980.70 | $5,980.70 | 10.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,492.15 | $1,492.15 | 16.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $3,978.15 | $3,978.15 | 36.1× |
| Radex hips bilateral with pelvis 2 views (73521) | $4,610.10 | $4,610.10 | 41.8× |
| Radex mastoids compl minimum 3 views pr side (70130) | $5,157.90 | $5,157.90 | 46.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $15,925.80 | $15,925.80 | 144.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $252,911.45 | $252,911.45 | 32.6× |
| Radiation treatment delivery 1 mev >= complex (77412) | $8,680.10 | $8,680.10 | 14.9× |
| Radiation treatment delivery 1 mev >= simple (77402) | $5,001.15 | $5,001.15 | 46.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $8,517.30 | $8,517.30 | 20.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $4,062.85 | $4,062.85 | 36.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,288 | $2,288 | 24.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,829.55 | $4,829.55 | 43.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,561.35 | $2,561.35 | 27.9× |
| Radiologic exam colon single contrast study (74270) | $6,630.25 | $6,630.25 | 35.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $4,430.80 | $4,430.80 | 23.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,888.30 | $5,888.30 | 31.8× |
| Radiologic exam upr gi trc single contrast study (74240) | $5,525.85 | $5,525.85 | 29.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $6,034.05 | $6,034.05 | 65.7× |
| Radiological examination surgical specimen (76098) | $906.40 | $906.40 | 1.6× |
| Radiopharm Dacryocystography (78660) | $6,098 | $6,098 | 14.5× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) | $11,787 | $11,787 | 47.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $8,803.50 | $8,803.50 | 20.9× |
| Review by radiologist of adrenal gland vein image (75840) | $6,952.55 | $6,952.55 | 2.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $12,097.25 | $12,097.25 | 3.6× |
| Ribs bilateral 3 views (71110) | $4,430.80 | $4,430.80 | 40.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $8,998.50 | $8,998.50 | 21.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $10,516.50 | $10,516.50 | 18.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $2,109.50 | $2,109.50 | 3.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,460.50 | $7,460.50 | 5.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,460.50 | $7,460.50 | 4.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $7,460.50 | $7,460.50 | 5.5× |
| Rp therapy intra-arterial particulate admn (79445) | $3,690 | $3,690 | 15.0× |
| Rp Therapy Intravenous Administration (79101) | $3,077 | $3,077 | 12.5× |
| Sacroiliac Joints < 3 Views (72200) | $2,950.75 | $2,950.75 | 26.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $5,474.70 | $5,474.70 | 21.8× |
| Scanogram (77073) | $3,406.70 | $3,406.70 | 30.9× |
| Scapula complete (73010) | $2,746.70 | $2,746.70 | 24.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $5,402.38 | $5,402.38 | 49.0× |
| Sialogram (70390) | $6,213.90 | $6,213.90 | 24.7× |
| Simulation intermediate (77285) | $12,242.45 | $12,242.45 | 31.0× |
| Small bowel series (74250) | $4,062.85 | $4,062.85 | 22.0× |
| Spec medical radj physics consltj (77370) | $6,960.52 | $6,960.52 | 49.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $17,644 | $17,644 | 44.7× |
| Special dosimetry (77331) | $9,447.90 | $9,447.90 | 66.6× |
| Special treatment procedure (77470) | $83,727.05 | $83,727.05 | 143.6× |
| Speech evaluation complex (70371) | $5,525.85 | $5,525.85 | 22.0× |
| Spine thoracic 3 views (72072) | $3,765.30 | $3,765.30 | 34.1× |
| Splenoportograpy rs&i (75810) | $10,391.70 | $10,391.70 | 3.1× |
| Stereotactic body radiation delivery (77373) | $56,069.20 | $56,069.20 | 29.7× |
| Superior sagittal sinus venogram (75870) | $17,416.30 | $17,416.30 | 5.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $31,701.45 | $31,701.45 | 80.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $22,454.30 | $22,454.30 | 56.8× |
| Testicular Imaging With Vascular Flow (78761) | $10,547 | $10,547 | 25.0× |
| Ther rad simulaj-aided field setting complex (77290) | $14,333.55 | $14,333.55 | 36.3× |
| Ther rad simulaj-aided field setting simple (77280) | $6,233.15 | $6,233.15 | 44.0× |
| Therapeutic Enema (74283) | $4,430.80 | $4,430.80 | 23.9× |
| Thoracolumbar 2 views (72080) | $3,341.25 | $3,341.25 | 36.4× |
| Thyroid carcinoma metastases img whole body (78018) | $11,704.50 | $11,704.50 | 20.4× |
| Thyroid Imaging With Vascular Flow (78013) | $12,375.50 | $12,375.50 | 29.3× |
| Thyroid uptake measurement (78012) | $2,813.50 | $2,813.50 | 6.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,703.50 | $7,703.50 | 18.3× |
| Tmj unilateral (70328) | $3,326.95 | $3,326.95 | 36.2× |
| Tomogram (76100) | $6,981.15 | $6,981.15 | 63.3× |
| Treatment device intermediate (77333) | $8,517.30 | $8,517.30 | 60.1× |
| Treatment devices simple (77332) | $5,001.15 | $5,001.15 | 35.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $10,516.50 | $10,516.50 | 18.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $5,424 | $5,424 | 12.9× |
| Tx devices design & construction complex (77334) | $8,680.10 | $8,680.10 | 22.0× |
| Ultrasound, abdomen limited (76705) | $4,473.42 | $4,473.42 | 40.6× |
| Umbilical-artery Doppler (OB) (76820) | $1,784.75 | $1,784.75 | 16.2× |
| Unlisted magnetic resonance procedure (76498) | $8,556.90 | $8,556.90 | 93.2× |
| Upper Extremity Infant (73092) | $2,223.10 | $2,223.10 | 20.2× |
| Urethrocystography retrograde rs&i (74450) | $5,525.85 | $5,525.85 | 22.0× |
| Urethrocystography voiding (74455) | $3,804.62 | $3,804.62 | 15.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $10,443.40 | $10,443.40 | 56.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $10,511.60 | $10,511.60 | 56.8× |
| Us breast unilateral complete (76641) | $2,540.72 | $2,540.72 | 23.0× |
| Us breast unilateral limited (76642) | $2,540.72 | $2,540.72 | 27.7× |
| Us chest (76604) | $3,586 | $3,586 | 32.5× |
| Us compl joint r-t w/image documentation (76881) | $3,579.68 | $3,579.68 | 32.5× |
| Us elastography parenchyma (76981) | $5,902.60 | $5,902.60 | 53.5× |
| Us fetal nuchal translucency 1st gestation (76813) | $1,784.75 | $1,784.75 | 16.2× |
| Us guided compression repair (76936) | $4,791.05 | $4,791.05 | 21.0× |
| Us infant hips dynamic (76885) | $3,562.90 | $3,562.90 | 38.8× |
| Us infant hips limited static (76886) | $3,579.68 | $3,579.68 | 39.0× |
| Us kidney transplant (76776) | $4,491.58 | $4,491.58 | 40.7× |
| Us ob detailed single fetus (76811) | $3,144.35 | $3,144.35 | 12.5× |
| Us ob transvaginal (76817) | $5,948.25 | $5,948.25 | 53.9× |
| Us pelvic non ob complete (76856) | $5,892.70 | $5,892.70 | 53.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,786.95 | $1,786.95 | 16.2× |
| Us pregnancy ltd (76815) | $2,231.62 | $2,231.62 | 20.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,844.70 | $1,844.70 | 16.7× |
| Us retroperitoneal complete (76770) | $4,913.15 | $4,913.15 | 44.6× |
| Us retroperitoneal limited (76775) | $3,064.60 | $3,064.60 | 27.8× |
| Us scrotum and contents (76870) | $3,960.82 | $3,960.82 | 35.9× |
| Us soft tissue head/neck (76536) | $4,542.72 | $4,542.72 | 41.2× |
| Us spinal canal and contents (76800) | $2,257.75 | $2,257.75 | 20.5× |
| Us transrectal (76872) | $4,503.12 | $4,503.12 | 40.8× |
| Us xtr non-vasc lmtd (76882) | $3,596.45 | $3,596.45 | 32.6× |
| Vascular flow imaging (78445) | $8,150.50 | $8,150.50 | 19.3× |
| Venogram extremity bilateral (75822) | $8,218.10 | $8,218.10 | 4.9× |
| Venography caval inferior serialography rs&i (75825) | $21,209.65 | $21,209.65 | 6.4× |
| Venography caval superior serialography rs&i (75827) | $23,346.95 | $23,346.95 | 14.1× |
| Venography extremity unilateral rs&i (75820) | $12,922.80 | $12,922.80 | 7.8× |
| Venography Renal Bilateral (75833) | $32,247.32 | $32,247.32 | 9.7× |
| Venography renal unilateral selective rs&i (75831) | $24,958.72 | $24,958.72 | 7.5× |
| Venography venous sinus/jugular cath rs&i (75860) | $10,336.70 | $10,336.70 | 3.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $24,026.20 | $24,026.20 | 4.1× |
| Wrist 2 views (73100) | $1,906.30 | $1,906.30 | 20.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,699.30 | $3,699.30 | 33.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,950.75 | $2,950.75 | 32.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $3,075.05 | $3,075.05 | 33.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,981.15 | $6,981.15 | 37.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,290.75 | $2,290.75 | 25.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,490.95 | $2,490.95 | 27.1× |
| X-ray exam entire spi 4/5 vw (72083) | $11,924 | $11,924 | 108.1× |
| X-ray exam hip uni 1 view (73501) | $2,755.50 | $2,755.50 | 30.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,086.60 | $3,086.60 | 33.6× |
| X-ray exam hip uni 4/> views (73503) | $3,416.60 | $3,416.60 | 31.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $9,219.10 | $9,219.10 | 83.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $13,827 | $13,827 | 125.4× |
| X-ray exam of femur 1 (73551) | $4,022.70 | $4,022.70 | 43.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $4,430.80 | $4,430.80 | 23.9× |
| X-ray eye for foreign body (70030) | $4,237.75 | $4,237.75 | 46.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $3,699.30 | $3,699.30 | 33.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,595.45 | $2,595.45 | 28.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,385.35 | $2,385.35 | 26.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $8,199.40 | $8,199.40 | 3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,514.05 | $2,514.05 | 27.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,837.45 | $2,837.45 | 30.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $3,880.25 | $3,880.25 | 35.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,945.35 | $1,945.35 | 21.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $2,174.15 | $2,174.15 | 23.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $4,536.40 | $4,536.40 | 41.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $8,517.30 | $8,517.30 | 77.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $5,142.50 | $5,142.50 | 46.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,950.75 | $2,950.75 | 32.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $2,413.40 | $2,413.40 | 26.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $3,699.30 | $3,699.30 | 33.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,950.75 | $2,950.75 | 26.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $10,397.20 | $10,397.20 | 18.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $5,525.85 | $5,525.85 | 15.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $3,699.30 | $3,699.30 | 40.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $5,665.55 | $5,665.55 | 51.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $6,981.15 | $6,981.15 | 63.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,490.95 | $2,490.95 | 27.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,879.25 | $2,879.25 | 31.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,699.30 | $3,699.30 | 40.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,364 | $1,364 | 14.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,430.80 | $4,430.80 | 40.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,595.45 | $2,595.45 | 23.5× |
| X-Ray Spine One View - Xr Spine (72020) | $1,468.50 | $1,468.50 | 16.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,950.75 | $2,950.75 | 32.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,008.50 | $3,008.50 | 32.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,694.90 | $3,694.90 | 33.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $4,312 | $4,312 | 39.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,086.15 | $2,086.15 | 22.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,584.45 | $2,584.45 | 28.2× |
| Xr arthrogram ankle (73615) | $6,510.90 | $6,510.90 | 17.7× |
| Xr c-spine 6 or more views (72052) | $5,729.35 | $5,729.35 | 52.0× |
| Xr chest 4+ views (71048) | $3,843.95 | $3,843.95 | 34.9× |
| Xr Cholecystography Oral Contrast (74290) | $4,130.50 | $4,130.50 | 22.3× |
| Xr finger(s) 2+ views (73140) | $2,310.55 | $2,310.55 | 25.2× |
| Xr shoulder 1 view (73020) | $2,173.05 | $2,173.05 | 23.7× |
| Xr spine cervical 4 or 5 views (72050) | $4,702.50 | $4,702.50 | 42.6× |
| Xr tibia/fibula 2 views (73590) | $2,571.25 | $2,571.25 | 28.0× |
| Xr tmj bilateral (70330) | $4,062.85 | $4,062.85 | 44.3× |
| Xray knee 1 or 2 views rt (73560) | $2,292.95 | $2,292.95 | 25.0× |