Imaging prices at HCA HealthOne Swedish Medical Center
Englewood, CO · every code in this section with a posted price and a Medicare benchmark.
393 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) | $43,818.51 | $43,818.51 | 30.0× |
| Abdomen 2 views (74019) | $2,075.23 | $2,075.23 | 18.8× |
| Acute gastrointestinal blood loss imaging (78278) | $4,615.92 | $4,615.92 | 10.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,641.86 | $4,641.86 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $11,921.19 | $11,921.19 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $11,811.85 | $11,811.85 | 3.5× |
| Angiography internal mammary rs&i (75756) | $12,370.76 | $12,370.76 | 3.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $11,761.04 | $11,761.04 | 2.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $12,535.83 | $12,535.83 | 3.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $11,970.01 | $11,970.01 | 3.6× |
| Angiography Spinal Selective Rs&I (75705) | $16,557.50 | $16,557.50 | 2.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $25,677.05 | $25,677.05 | 4.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $57,086.02 | $57,086.02 | 17.1× |
| Ankle 2 views (73600) | $1,736.63 | $1,736.63 | 18.9× |
| Antegrade urography radiological supvj & interpj (74425) | $1,921.06 | $1,921.06 | 5.2× |
| Aortogram thoracic (75605) | $11,761.04 | $11,761.04 | 2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $31,148.61 | $31,148.61 | 9.4× |
| Aortography abdominal serialography rs&i (75625) | $30,242.41 | $30,242.41 | 9.1× |
| Artery X-Rays Adrenal Gland (75731) | $4,570.39 | $4,570.39 | 1.4× |
| Arthrogram elbow (73085) | $1,827.62 | $1,827.62 | 5.0× |
| Arthrogram hip (73525) | $1,662.19 | $1,662.19 | 4.5× |
| Arthrogram shoulder (73040) | $4,831.24 | $4,831.24 | 13.1× |
| Arthrogram wrist (73115) | $3,704.59 | $3,704.59 | 10.1× |
| Arthrography knee lt (73580) | $1,827.62 | $1,827.62 | 5.0× |
| Basic radiation dosimetry calculation (77300) | $3,145.68 | $3,145.68 | 22.2× |
| Bone &/Joint Imaging Limited Area (78300) | $5,371.22 | $5,371.22 | 12.7× |
| Bone &/Joint Imaging Multiple Areas (78305) | $7,715.97 | $7,715.97 | 18.3× |
| Bone &/joint imaging whole body (78306) | $11,068.85 | $11,068.85 | 26.2× |
| Bone age studies (77072) | $1,462.74 | $1,462.74 | 13.3× |
| Bone Imaging 3 Phase (78315) | $7,484.91 | $7,484.91 | 17.7× |
| Bone survey complete (77075) | $12,344.20 | $12,344.20 | 111.9× |
| Brachytx isodose complex (77318) | $23,639.58 | $23,639.58 | 59.9× |
| Brachytx isodose intermed (77317) | $17,418.68 | $17,418.68 | 44.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $13,680.35 | $13,680.35 | 34.6× |
| Brain image w/flow 4 + views (78606) | $10,376.72 | $10,376.72 | 18.1× |
| Brain imaging < 4 static views w vascular flow (78601) | $5,495.56 | $5,495.56 | 13.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $29,915.82 | $29,915.82 | 19.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $13,158.13 | $13,158.13 | 35.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,756.82 | $4,756.82 | 8.3× |
| Cervical spine 2 or 3 views (72040) | $2,594.93 | $2,594.93 | 28.3× |
| Chest 1 view (71045) | $1,740.50 | $1,740.50 | 19.0× |
| Chest 3 views (71047) | $2,385.69 | $2,385.69 | 26.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,928.24 | $3,928.24 | 21.2× |
| Clavicle complete (73000) | $2,261.36 | $2,261.36 | 24.6× |
| Complete single session course of cranial lesion surgery using radiation (77371) | $314,161.34 | $314,161.34 | 40.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $370.47 | $370.47 | 3.4× |
| Continuing medical physics consltj pr wk (77336) | $4,524.10 | $4,524.10 | 31.9× |
| Corpora cavernosography (74445) | $5,950.60 | $5,950.60 | 54.0× |
| CT abdomen and pelvis without and with contrast (74178) | $14,967 | $14,967 | 40.7× |
| CT abdomen and pelvis without contrast (74176) | $15,552.24 | $15,552.24 | 61.8× |
| CT abdomen w contrast (74160) | $7,778.62 | $7,778.62 | 42.0× |
| CT abdomen w wo contrast (74170) | $7,869.14 | $7,869.14 | 42.5× |
| CT abdomen w/o contrast (74150) | $6,872.37 | $6,872.37 | 62.3× |
| CT angio hrt w/3d image (75574) | $7,090.79 | $7,090.79 | 19.3× |
| CT angiography upper extremity lt (73206) | $9,515.83 | $9,515.83 | 51.4× |
| CT c-spine w/o contrast (72125) | $9,989.42 | $9,989.42 | 90.6× |
| CT cervical spine w&w/o contrast (72127) | $10,670.87 | $10,670.87 | 57.7× |
| CT cervical spine with contrast (72126) | $10,524.98 | $10,524.98 | 28.6× |
| CT chest w/wo contrast (71270) | $9,530.07 | $9,530.07 | 51.5× |
| CT chest with contrast (71260) | $8,271.22 | $8,271.22 | 44.7× |
| CT colonography screening (74263) | $7,070.16 | $7,070.16 | 28.1× |
| CT colonography w/o cntrst (74261) | $6,607.88 | $6,607.88 | 59.9× |
| CT head/brain with contrast (70460) | $7,458.13 | $7,458.13 | 40.3× |
| CT head/brain without and with contrast (70470) | $8,103.64 | $8,103.64 | 43.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $7,090.79 | $7,090.79 | 19.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,478.07 | $2,478.07 | 27.0× |
| CT iac w contrast (70481) | $8,179.40 | $8,179.40 | 44.2× |
| CT limited/localized follow up study (76380) | $2,161.29 | $2,161.29 | 23.5× |
| CT lower ext w/o (73700) | $7,362 | $7,362 | 66.8× |
| CT lower extremity w wo contrast (73702) | $8,554.35 | $8,554.35 | 46.2× |
| CT lower extremity with contrast (73701) | $7,827.75 | $7,827.75 | 42.3× |
| CT lumbar spine w & w/o contrast (72133) | $11,417.91 | $11,417.91 | 61.7× |
| CT lumbar spine w/o contrast (72131) | $9,750.58 | $9,750.58 | 88.4× |
| CT lumbar spine with contrast (72132) | $9,991.50 | $9,991.50 | 27.1× |
| CT maxillofacial w contrast (70487) | $8,192.80 | $8,192.80 | 44.3× |
| CT maxillofacial w/o contrast (70486) | $8,891.42 | $8,891.42 | 80.6× |
| CT maxillofacial w/wo contrast (70488) | $9,887.48 | $9,887.48 | 53.4× |
| CT neck soft tissue w contrast (70491) | $7,683.79 | $7,683.79 | 41.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $9,609.30 | $9,609.30 | 51.9× |
| CT orbits w/o contrast (70480) | $8,990.20 | $8,990.20 | 81.5× |
| CT pelvis w & w/o contrast (72194) | $8,112.72 | $8,112.72 | 43.8× |
| CT pelvis w/o contrast (72192) | $7,329.43 | $7,329.43 | 66.5× |
| CT soft tissue neck w/o & w/contrast material (70492) | $8,271.22 | $8,271.22 | 44.7× |
| CT soft tissue neck w/o contrast (70490) | $7,424.27 | $7,424.27 | 67.3× |
| CT thoracic spine w/contrast (72129) | $10,114.50 | $10,114.50 | 54.7× |
| CT thoracic spine w/o contrast (72128) | $9,785.84 | $9,785.84 | 88.7× |
| CT thoracic spine w/wo contrast (72130) | $10,670.87 | $10,670.87 | 57.7× |
| CT thorax w/o contrast (71250) | $7,424.27 | $7,424.27 | 67.3× |
| CT upper extremity w/o & w/contrast material (73202) | $9,123.21 | $9,123.21 | 49.3× |
| CT upper extremity w/o contrast rt (73200) | $7,855.60 | $7,855.60 | 71.2× |
| CT upper extremity with contrast (73201) | $8,364.02 | $8,364.02 | 22.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $17,359.49 | $17,359.49 | 93.8× |
| Cta Abdomen (74175) | $10,212.59 | $10,212.59 | 55.2× |
| CTA abdomen pelvis (74174) | $8,106.82 | $8,106.82 | 22.0× |
| CTA chest (71275) | $10,245.14 | $10,245.14 | 55.4× |
| Cta Head (70496) | $16,702.72 | $16,702.72 | 90.3× |
| CTA lwr ext w&w/o contrast (73706) | $14,806.89 | $14,806.89 | 80.0× |
| Cta Neck (70498) | $16,863.85 | $16,863.85 | 91.1× |
| Cta Pelvis (72191) | $9,819.80 | $9,819.80 | 53.1× |
| Cystography minimum 3 views rs&i (74430) | $10,208.25 | $10,208.25 | 27.7× |
| Diskogram cervical (72285) | $7,576.74 | $7,576.74 | 3.7× |
| Diskography lumbar (72295) | $7,115.35 | $7,115.35 | 3.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,937.08 | $1,937.08 | 17.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,410.65 | $2,410.65 | 21.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $528.45 | $528.45 | 4.8× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,306.57 | $1,306.57 | 11.8× |
| Dxa bone density study axial skeleton (77085) | $1,306.57 | $1,306.57 | 11.8× |
| Echo exam of fetal heart (76825) | $2,227.36 | $2,227.36 | 3.9× |
| Echoencephalography real time imaging (76506) | $2,847 | $2,847 | 25.8× |
| Esophagus (74220) | $2,928.36 | $2,928.36 | 15.8× |
| Fetal biophysical profile non-stress testing (76818) | $1,568.63 | $1,568.63 | 14.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,174.51 | $3,174.51 | 28.8× |
| Fluoroscopy up to 1 hr (76000) | $3,507.12 | $3,507.12 | 13.9× |
| Foot 2 views (73620) | $2,820.41 | $2,820.41 | 30.7× |
| Forearm 2 views (73090) | $2,560.81 | $2,560.81 | 27.9× |
| Functional MRI brain by tech (70554) | $17,426.24 | $17,426.24 | 69.2× |
| Gated Heart Planar Single (78472) | $10,152.91 | $10,152.91 | 24.1× |
| Hand 2 views (73120) | $2,449.62 | $2,449.62 | 22.2× |
| Hand 3 views (73130) | $1,813.06 | $1,813.06 | 19.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $31,488.78 | $31,488.78 | 42.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $41,652.22 | $41,652.22 | 56.7× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) | $53,128.28 | $53,128.28 | 72.3× |
| Heart Infarct Image (78466) | $1,249.64 | $1,249.64 | 3.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $4,140.76 | $4,140.76 | 1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $14,783.31 | $14,783.31 | 25.8× |
| Hepatobiliary syst imaging including gallbladder (78226) | $14,783.31 | $14,783.31 | 35.1× |
| Ht muscle image spect sing (78451) | $10,486.55 | $10,486.55 | 7.7× |
| Humerus Min 2 Views Left (73060) | $2,939.06 | $2,939.06 | 32.0× |
| Hyperthermia ntrstl prb 5/< (77610) | $68,882.32 | $68,882.32 | 118.2× |
| Hysterosalpingogram (74740) | $3,734.54 | $3,734.54 | 14.8× |
| Interstitial radiation source applic complex (77778) | $24,224.44 | $24,224.44 | 33.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $14,580.25 | $14,580.25 | 25.0× |
| Intracavitary radiation source applic simple (77761) | $10,925.87 | $10,925.87 | 18.7× |
| Intraop radiaj tx deliver xray single tx session (77424) | $45,551.34 | $45,551.34 | 5.9× |
| Kidney imaging morphology (78700) | $6,832.16 | $6,832.16 | 16.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $12,688.30 | $12,688.30 | 22.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $11,062.65 | $11,062.65 | 19.3× |
| Knee 3 views (73562) | $2,103 | $2,103 | 22.9× |
| Liver & spleen imaging static only (78215) | $8,893.01 | $8,893.01 | 21.1× |
| Liver imaging static only (78201) | $8,688.88 | $8,688.88 | 15.2× |
| Liver imaging w/vascular flow (78202) | $11,007.72 | $11,007.72 | 19.2× |
| Lung perfusion differential (78597) | $3,904.09 | $3,904.09 | 9.3× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) | $6,270.94 | $6,270.94 | 1.9× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) | $2,598.95 | $2,598.95 | 3.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) | $6,270.94 | $6,270.94 | 1.9× |
| Lymphoscintigraphy (78195) | $7,933.82 | $7,933.82 | 13.9× |
| Meckels Diverticulum (78290) | $3,795.31 | $3,795.31 | 9.0× |
| Mlc imrt design & construction per imrt plan (77338) | $54,697.37 | $54,697.37 | 138.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $78.36 | $78.36 | 2.6× |
| MRA head w & w/o contrast (70546) | $16,969.09 | $16,969.09 | 46.1× |
| MRA head w/o contrast (70544) | $11,633.49 | $11,633.49 | 46.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $16,950.67 | $16,950.67 | 46.1× |
| MRA neck w/o contrast (70547) | $11,623.23 | $11,623.23 | 46.2× |
| MRI abdomen w contrast (74182) | $16,929.41 | $16,929.41 | 46.0× |
| MRI abdomen w/o & w/contrast material (74183) | $23,936.53 | $23,936.53 | 65.0× |
| MRI abdomen w/o contrast (74181) | $16,766.61 | $16,766.61 | 66.6× |
| MRI any jnt lwr ext with con lt (73722) | $15,124.58 | $15,124.58 | 18.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,771.84 | $14,771.84 | 17.9× |
| MRI c-spine with contrast (72142) | $16,937.78 | $16,937.78 | 46.0× |
| MRI cardiac w/o contrast (75557) | $10,705.08 | $10,705.08 | 42.5× |
| MRI cervical spine w/o contrast (72141) | $16,929.71 | $16,929.71 | 67.3× |
| MRI chest w/o & w/contrast material (71552) | $21,372.26 | $21,372.26 | 58.1× |
| MRI chest w/o contrast (71550) | $15,087.41 | $15,087.41 | 59.9× |
| MRI chest with contrast (71551) | $14,039.03 | $14,039.03 | 17.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $15,124.58 | $15,124.58 | 41.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $15,611.29 | $15,611.29 | 42.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $27,234.43 | $27,234.43 | 108.2× |
| MRI orbit face &/neck w/o contrast (70540) | $15,832.20 | $15,832.20 | 62.9× |
| MRI orbit/face/neck w&w/o cont (70543) | $19,152.41 | $19,152.41 | 52.0× |
| MRI pelvis w contrast (72196) | $18,683.20 | $18,683.20 | 50.8× |
| MRI pelvis w/o & w/contrast material (72197) | $20,921.37 | $20,921.37 | 56.8× |
| MRI pelvis w/o contrast (72195) | $17,089.54 | $17,089.54 | 67.9× |
| MRI scan of arm joint before and after contrast (73223) | $13,490.68 | $13,490.68 | 36.7× |
| MRI scan of leg joint before and after contrast (73723) | $14,771.84 | $14,771.84 | 40.1× |
| MRI spectroscopy (76390) | $5,292.22 | $5,292.22 | 57.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,965.44 | $19,965.44 | 54.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $16,937.78 | $16,937.78 | 46.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $21,733.77 | $21,733.77 | 59.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $16,937.78 | $16,937.78 | 46.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $20,923.99 | $20,923.99 | 56.9× |
| MRI thoracic spine w/o contrast (72146) | $17,739.96 | $17,739.96 | 70.5× |
| MRI tmj (70336) | $15,508.71 | $15,508.71 | 61.6× |
| MRI upper ext joint w/o contrast (73221) | $27,234.43 | $27,234.43 | 108.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $27,234.43 | $27,234.43 | 74.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $27,217.67 | $27,217.67 | 108.1× |
| Myelogram Cervical (72240) | $7,124.39 | $7,124.39 | 8.6× |
| Myelogram Lumbar (72265) | $5,851.09 | $5,851.09 | 7.1× |
| Myelogram thoracic (72255) | $5,691.59 | $5,691.59 | 6.9× |
| Myelography 2 or more regions (72270) | $7,415.02 | $7,415.02 | 9.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $31,033.23 | $31,033.23 | 22.7× |
| Myocardial infarct spect (78469) | $6,103.77 | $6,103.77 | 10.7× |
| Myocardial Spect Multiple Studies (78452) | $19,939.02 | $19,939.02 | 14.6× |
| Myocrd img PET metab eval single study cncrnt CT (78429) | $30,088.13 | $30,088.13 | 19.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $23,611.89 | $23,611.89 | 15.7× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) | $23,611.89 | $23,611.89 | 10.2× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) | $30,088.13 | $30,088.13 | 12.9× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) | $30,088.13 | $30,088.13 | 18.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $3,378.51 | $3,378.51 | 3.7× |
| Neck soft tissue (70360) | $1,785.75 | $1,785.75 | 19.5× |
| Nm adrenal scan (78075) | $8,667.13 | $8,667.13 | 6.3× |
| Nm bone marrow wb (78104) | $10,061.74 | $10,061.74 | 23.9× |
| Nm cisternogram (78630) | $7,662.48 | $7,662.48 | 13.4× |
| Nm csf leak detection (78650) | $8,460.94 | $8,460.94 | 6.2× |
| Nm gastric emptying study (78264) | $8,274.43 | $8,274.43 | 19.6× |
| Nm gastroesophageal reflux study (78262) | $8,274.43 | $8,274.43 | 19.6× |
| Nm peritoneal-venous shunt patency (78291) | $8,096.23 | $8,096.23 | 19.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $113,845.08 | $113,845.08 | 78.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) | $22,139.61 | $22,139.61 | 14.7× |
| Nuclear medicine study of kidney and blood flow (78701) | $7,477.93 | $7,477.93 | 17.7× |
| Nuclear medicine study to assess blood clot in vein of side (78457) | $11,062.65 | $11,062.65 | 19.3× |
| Nuclear Rx Oral Admin (79005) | $11,714.35 | $11,714.35 | 47.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,953.82 | $1,953.82 | 17.7× |
| Orthopantogram (70355) | $1,650.78 | $1,650.78 | 18.0× |
| Osseous survey infant (77076) | $5,414.62 | $5,414.62 | 49.1× |
| Parathyrd planar w/spect&CT (78072) | $10,868.40 | $10,868.40 | 19.0× |
| Parathyroid imaging (78070) | $10,518.66 | $10,518.66 | 24.9× |
| Pelvis 1 or 2 views (72170) | $1,926.74 | $1,926.74 | 17.5× |
| Peritoneogram rs&i (74190) | $4,459.08 | $4,459.08 | 7.7× |
| PET image w/CT, skull-thigh (78815) | $32,907.04 | $32,907.04 | 21.8× |
| PET imaging CT for attenuation limited area (78814) | $5,573.78 | $5,573.78 | 3.7× |
| PET imaging for CT attenuation whole body (78816) | $32,907.04 | $32,907.04 | 21.8× |
| Pr heart first pass single,planar (78481) | $12,100.81 | $12,100.81 | 21.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $27,234.43 | $27,234.43 | 74.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,140.76 | $4,140.76 | 1.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $4,177.76 | $4,177.76 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,070.33 | $8,070.33 | 19.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $15,315.88 | $15,315.88 | 26.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,909.89 | $4,909.89 | 8.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $3,624.85 | $3,624.85 | 39.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $5,437.31 | $5,437.31 | 49.3× |
| Radex hips bilateral with pelvis 2 views (73521) | $4,050.57 | $4,050.57 | 36.7× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,806.44 | $1,806.44 | 16.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $8,171.80 | $8,171.80 | 74.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $399,191.36 | $399,191.36 | 51.4× |
| Radiation treatment delivery 1 mev >= complex (77412) | $8,253.14 | $8,253.14 | 14.2× |
| Radiation treatment delivery 1 mev >= simple (77402) | $3,551.58 | $3,551.58 | 33.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,719.70 | $2,719.70 | 24.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,884.42 | $1,884.42 | 20.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,594.03 | $2,594.03 | 23.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,908.57 | $1,908.57 | 20.8× |
| Radiologic exam colon single contrast study (74270) | $3,700.29 | $3,700.29 | 20.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $940.81 | $940.81 | 5.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,345.40 | $5,345.40 | 28.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,549.39 | $3,549.39 | 19.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $3,334.81 | $3,334.81 | 36.3× |
| Radiological examination surgical specimen (76098) | $1,200.75 | $1,200.75 | 2.1× |
| Radiopharmaceutical therapy, by intra-articular administration Age Under 21 (79440) | $21,274.61 | $21,274.61 | 86.4× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) | $25,028.44 | $25,028.44 | 101.7× |
| Review by radiologist of adrenal gland vein image (75840) | $6,018.03 | $6,018.03 | 1.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $4,140.76 | $4,140.76 | 1.2× |
| Ribs bilateral 3 views (71110) | $2,862.82 | $2,862.82 | 26.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $14,316.03 | $14,316.03 | 25.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $2,934.29 | $2,934.29 | 5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,604.92 | $6,604.92 | 4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,492.56 | $7,492.56 | 5.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $6,604.92 | $6,604.92 | 4.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $9,050.49 | $9,050.49 | 36.8× |
| Rp therapy intra-arterial particulate admn (79445) | $1,155.80 | $1,155.80 | 4.7× |
| Rp Therapy Intravenous Administration (79101) | $11,714.35 | $11,714.35 | 47.6× |
| Sacroiliac Joints < 3 Views (72200) | $1,882.80 | $1,882.80 | 17.1× |
| Scanogram (77073) | $1,492.71 | $1,492.71 | 13.5× |
| Scapula complete (73010) | $3,159.47 | $3,159.47 | 28.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $2,391.61 | $2,391.61 | 21.7× |
| Sialogram (70390) | $2,506.77 | $2,506.77 | 10.0× |
| Simulation intermediate (77285) | $9,250.31 | $9,250.31 | 23.4× |
| Small bowel series (74250) | $4,012.29 | $4,012.29 | 21.7× |
| Spec medical radj physics consltj (77370) | $10,672.13 | $10,672.13 | 75.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $12,987.36 | $12,987.36 | 32.9× |
| Special dosimetry (77331) | $7,133.15 | $7,133.15 | 50.3× |
| Special treatment procedure (77470) | $23,219.85 | $23,219.85 | 39.8× |
| Speech evaluation complex (70371) | $3,928.24 | $3,928.24 | 15.6× |
| Spine thoracic 3 views (72072) | $3,698.99 | $3,698.99 | 33.5× |
| Splenoportograpy rs&i (75810) | $3,767.88 | $3,767.88 | 1.1× |
| Stereotactic body radiation delivery (77373) | $99,797.84 | $99,797.84 | 52.9× |
| Superior sagittal sinus venogram (75870) | $3,914.52 | $3,914.52 | 1.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $2,944.64 | $2,944.64 | 27.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $17,958.88 | $17,958.88 | 45.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $9,787.63 | $9,787.63 | 24.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,827.62 | $1,827.62 | 7.3× |
| Ther rad simulaj-aided field setting complex (77290) | $12,194.58 | $12,194.58 | 30.9× |
| Ther rad simulaj-aided field setting simple (77280) | $5,175.94 | $5,175.94 | 36.5× |
| Thoracolumbar 2 views (72080) | $2,642.92 | $2,642.92 | 28.8× |
| Thyroid carcinoma metastases img whole body (78018) | $7,037.31 | $7,037.31 | 12.3× |
| Thyroid Imaging With Vascular Flow (78013) | $5,144.34 | $5,144.34 | 12.2× |
| Thyroid uptake measurement (78012) | $3,092.83 | $3,092.83 | 7.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,798.13 | $5,798.13 | 13.7× |
| Tmj unilateral (70328) | $3,343.58 | $3,343.58 | 36.4× |
| Tomogram (76100) | $3,794.32 | $3,794.32 | 34.4× |
| Treatment device intermediate (77333) | $7,074.19 | $7,074.19 | 49.9× |
| Treatment devices simple (77332) | $3,772.87 | $3,772.87 | 26.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $13,459.16 | $13,459.16 | 23.5× |
| Tx devices design & construction complex (77334) | $9,700.70 | $9,700.70 | 24.6× |
| Ultrasound, abdomen limited (76705) | $3,027.01 | $3,027.01 | 27.4× |
| Umbilical-artery Doppler (OB) (76820) | $528.45 | $528.45 | 4.8× |
| Unlisted magnetic resonance procedure (76498) | $17,056.88 | $17,056.88 | 185.8× |
| Upper Extremity Infant (73092) | $1,768.83 | $1,768.83 | 16.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $12,688.30 | $12,688.30 | 30.1× |
| Urethrocystography retrograde rs&i (74450) | $3,619.17 | $3,619.17 | 14.4× |
| Urethrocystography voiding (74455) | $1,308.53 | $1,308.53 | 5.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $4,658.90 | $4,658.90 | 25.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $7,660.22 | $7,660.22 | 41.4× |
| Us abdl aorta screen aaa (76706) | $2,905.62 | $2,905.62 | 26.3× |
| Us breast unilateral complete (76641) | $1,947.33 | $1,947.33 | 17.7× |
| Us breast unilateral limited (76642) | $1,142.11 | $1,142.11 | 12.4× |
| Us chest (76604) | $2,767.98 | $2,767.98 | 25.1× |
| Us compl joint r-t w/image documentation (76881) | $2,505.66 | $2,505.66 | 22.7× |
| Us fetal nuchal translucency 1st gestation (76813) | $1,521.20 | $1,521.20 | 13.8× |
| Us infant hips dynamic (76885) | $2,387.86 | $2,387.86 | 26.0× |
| Us infant hips limited static (76886) | $1,996.63 | $1,996.63 | 21.7× |
| Us kidney transplant (76776) | $6,169.43 | $6,169.43 | 55.9× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $355.67 | $355.67 | 3.2× |
| Us ob detailed single fetus (76811) | $3,662.97 | $3,662.97 | 14.6× |
| Us ob transvaginal (76817) | $1,523.98 | $1,523.98 | 13.8× |
| Us pelvic non ob complete (76856) | $2,173.90 | $2,173.90 | 19.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,134.50 | $2,134.50 | 19.4× |
| Us pregnancy ltd (76815) | $2,271.12 | $2,271.12 | 20.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,847.56 | $2,847.56 | 25.8× |
| Us retroperitoneal complete (76770) | $3,862.99 | $3,862.99 | 35.0× |
| Us retroperitoneal limited (76775) | $3,020.36 | $3,020.36 | 27.4× |
| Us scrotum and contents (76870) | $2,810.44 | $2,810.44 | 25.5× |
| Us soft tissue head/neck (76536) | $3,165.66 | $3,165.66 | 28.7× |
| Us spinal canal and contents (76800) | $2,141.76 | $2,141.76 | 19.4× |
| Us transrectal (76872) | $2,259.94 | $2,259.94 | 20.5× |
| Us transrectal prostate volume (76873) | $4,467.73 | $4,467.73 | 40.5× |
| Us xtr non-vasc lmtd (76882) | $2,815.74 | $2,815.74 | 25.5× |
| Vascular flow imaging (78445) | $2,115.74 | $2,115.74 | 5.0× |
| Venogram extremity bilateral (75822) | $5,660.19 | $5,660.19 | 3.4× |
| Venography caval inferior serialography rs&i (75825) | $19,975.31 | $19,975.31 | 6.0× |
| Venography caval superior serialography rs&i (75827) | $5,111.17 | $5,111.17 | 3.1× |
| Venography extremity unilateral rs&i (75820) | $3,503.50 | $3,503.50 | 2.1× |
| Venography Renal Bilateral (75833) | $6,991.13 | $6,991.13 | 2.1× |
| Venography renal unilateral selective rs&i (75831) | $6,690.97 | $6,690.97 | 2.0× |
| Venography venous sinus/jugular cath rs&i (75860) | $6,258.63 | $6,258.63 | 1.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $4,140.69 | $4,140.69 | 0.7× |
| Wrist 2 views (73100) | $2,536.50 | $2,536.50 | 27.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,206.38 | $2,206.38 | 20.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,889.50 | $1,889.50 | 20.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,932.69 | $2,932.69 | 31.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $4,274.34 | $4,274.34 | 23.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,549.23 | $2,549.23 | 27.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,898.80 | $2,898.80 | 31.6× |
| X-ray exam entire spi 4/5 vw (72083) | $5,447.84 | $5,447.84 | 49.4× |
| X-ray exam hip uni 1 view (73501) | $2,037.69 | $2,037.69 | 22.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,859.47 | $2,859.47 | 31.1× |
| X-ray exam hip uni 4/> views (73503) | $4,336.86 | $4,336.86 | 39.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $6,798.29 | $6,798.29 | 61.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $10,197.43 | $10,197.43 | 92.5× |
| X-ray exam of femur 1 (73551) | $2,223.19 | $2,223.19 | 24.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $2,315.97 | $2,315.97 | 12.5× |
| X-ray eye for foreign body (70030) | $1,805.05 | $1,805.05 | 19.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $3,033.07 | $3,033.07 | 27.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,009.48 | $2,009.48 | 21.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $3,023.74 | $3,023.74 | 32.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $5,744.54 | $5,744.54 | 2.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $2,214.34 | $2,214.34 | 24.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $4,229.62 | $4,229.62 | 38.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,847.72 | $1,847.72 | 20.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,714.86 | $1,714.86 | 18.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,874.66 | $2,874.66 | 26.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $6,597.39 | $6,597.39 | 59.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $3,744.51 | $3,744.51 | 34.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,086.85 | $2,086.85 | 22.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,640.82 | $1,640.82 | 17.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,676.30 | $2,676.30 | 24.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $2,250.13 | $2,250.13 | 20.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $1,647.30 | $1,647.30 | 2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $6,256.95 | $6,256.95 | 17.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,895.32 | $1,895.32 | 20.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,427.74 | $2,427.74 | 22.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,939.83 | $2,939.83 | 26.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,205.29 | $2,205.29 | 24.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $3,077.42 | $3,077.42 | 33.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,652.05 | $2,652.05 | 28.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,740.28 | $1,740.28 | 19.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,792.44 | $2,792.44 | 25.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,357.72 | $2,357.72 | 21.4× |
| X-Ray Spine One View - Xr Spine (72020) | $2,037.29 | $2,037.29 | 22.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $2,048.20 | $2,048.20 | 22.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,071.45 | $2,071.45 | 22.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,644.30 | $2,644.30 | 24.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,411.27 | $3,411.27 | 30.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $2,229.23 | $2,229.23 | 24.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $2,883.98 | $2,883.98 | 31.4× |
| Xr arthrogram ankle (73615) | $2,021.03 | $2,021.03 | 5.5× |
| Xr c-spine 6 or more views (72052) | $3,233.15 | $3,233.15 | 29.3× |
| Xr chest 4+ views (71048) | $3,069.40 | $3,069.40 | 27.8× |
| Xr Cholecystography Oral Contrast (74290) | $2,641.27 | $2,641.27 | 14.3× |
| Xr finger(s) 2+ views (73140) | $1,526.27 | $1,526.27 | 16.6× |
| Xr shoulder 1 view (73020) | $2,799.22 | $2,799.22 | 30.5× |
| Xr spine cervical 4 or 5 views (72050) | $3,806.57 | $3,806.57 | 34.5× |
| Xr tibia/fibula 2 views (73590) | $2,962.39 | $2,962.39 | 32.3× |
| Xr tmj bilateral (70330) | $4,220.28 | $4,220.28 | 46.0× |
| Xray knee 1 or 2 views rt (73560) | $1,847.72 | $1,847.72 | 20.1× |