Imaging prices at Hialeah Hospital
Hialeah, FL · every code in this section with a posted price and a Medicare benchmark.
287 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) | $1,836.65 | $1,836.65 | 16.8× |
| Acute gi blood loss imaging (78278) | $3,464.02 | $3,464.02 | 8.3× |
| Angiography extremity bilateral rs&i (75716) | $3,589.37 | $3,589.37 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,589.37 | $3,589.37 | 1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $8,130.31 | $8,130.31 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,802.72 | $8,802.72 | 2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $5,383.51 | $5,383.51 | 0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $2,147.30 | $2,147.30 | 0.7× |
| Ankle 2 views (73600) | $1,478.04 | $1,478.04 | 16.3× |
| Aortogram thoracic (75605) | $6,314.37 | $6,314.37 | 1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,729.81 | $8,729.81 | 2.6× |
| Aortography abdominal serialography rs&i (75625) | $4,414.50 | $4,414.50 | 1.3× |
| Arthrogram hip (73525) | $1,970.72 | $1,970.72 | 5.4× |
| Arthrogram knee (73580) | $3,216.86 | $3,216.86 | 8.8× |
| Arthrogram shoulder (73040) | $3,364.83 | $3,364.83 | 9.2× |
| Bone &/Joint Imaging Limited Area (78300) | $3,138.11 | $3,138.11 | 7.5× |
| Bone &/joint imaging whole body (78306) | $2,987.69 | $2,987.69 | 7.2× |
| Bone age studies (77072) | $243.07 | $243.07 | 2.2× |
| Bone Imaging 3 Phase (78315) | $5,596.06 | $5,596.06 | 13.4× |
| Bone survey complete (77075) | $1,025.69 | $1,025.69 | 9.4× |
| Bone survey infant (77076) | $1,197.91 | $1,197.91 | 11.0× |
| Bowel imaging (78290) | $3,806.28 | $3,806.28 | 9.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,438.58 | $1,438.58 | 2.5× |
| Brain Imaging Vascular Flow Only (78610) | $1,741.82 | $1,741.82 | 3.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $3,607.90 | $3,607.90 | 8.6× |
| Cervical spine 2 or 3 views (72040) | $737.93 | $737.93 | 8.1× |
| Chest 1 view (71045) | $1,228.43 | $1,228.43 | 13.5× |
| Chest xray 3 views (71047) | $743.38 | $743.38 | 8.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,261.75 | $2,261.75 | 12.3× |
| Clavicle complete (73000) | $537.37 | $537.37 | 5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,591.40 | $1,591.40 | 14.6× |
| CT abdomen and pelvis without and with contrast (74178) | $18,223.07 | $18,223.07 | 50.0× |
| CT abdomen and pelvis without contrast (74176) | $16,191.81 | $16,191.81 | 65.0× |
| CT abdomen w contrast (74160) | $8,534.33 | $8,534.33 | 46.6× |
| CT abdomen w wo contrast (74170) | $11,461.62 | $11,461.62 | 62.6× |
| CT abdomen w/o contrast (74150) | $6,851.03 | $6,851.03 | 62.8× |
| CT angio hrt w/3d image (75574) | $4,620.51 | $4,620.51 | 12.7× |
| CT angio lwr extr w/o&w/dye (73706) | $7,112.25 | $7,112.25 | 38.8× |
| CT angiography upper extremity lt (73206) | $6,147.98 | $6,147.98 | 33.6× |
| CT c-spine w/contrast (72126) | $7,667.06 | $7,667.06 | 21.0× |
| CT c-spine w/o contrast (72125) | $8,908.59 | $8,908.59 | 81.6× |
| CT cervical spine w&w/o contrast (72127) | $7,512.28 | $7,512.28 | 41.0× |
| CT chest w contrast (71260) | $9,061.58 | $9,061.58 | 49.5× |
| CT chest w/wo contrast (71270) | $7,768.43 | $7,768.43 | 42.4× |
| CT head/brain with contrast (70460) | $9,374 | $9,374 | 51.2× |
| CT head/brain without and with contrast (70470) | $11,690.56 | $11,690.56 | 63.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $2,203.98 | $2,203.98 | 24.3× |
| CT iac w contrast (70481) | $8,873.37 | $8,873.37 | 48.4× |
| CT limited/localized follow up study (76380) | $1,883.52 | $1,883.52 | 20.7× |
| CT lower ext w/o (73700) | $6,382.67 | $6,382.67 | 58.5× |
| CT lower extremity w wo contrast (73702) | $7,941.74 | $7,941.74 | 43.4× |
| CT lower extremity w/contrast material (73701) | $5,395.50 | $5,395.50 | 29.5× |
| CT lumbar spine w & w/o contrast (72133) | $11,222.64 | $11,222.64 | 61.3× |
| CT lumbar spine w/contrast (72132) | $6,777.88 | $6,777.88 | 18.6× |
| CT lumbar spine w/o contrast (72131) | $8,125.30 | $8,125.30 | 74.4× |
| CT maxillofacial w contrast (70487) | $8,274.33 | $8,274.33 | 45.2× |
| CT maxillofacial w/wo contrast (70488) | $13,672.96 | $13,672.96 | 74.6× |
| CT maxillofacial wo contrast (70486) | $8,200.16 | $8,200.16 | 75.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,227.40 | $14,227.40 | 77.7× |
| CT orbits w/o contrast (70480) | $8,605.15 | $8,605.15 | 78.8× |
| CT pelvis w/o contrast (72192) | $7,633.43 | $7,633.43 | 69.9× |
| CT pelvis w/wo contrast (72194) | $17,023.62 | $17,023.62 | 92.9× |
| CT scan of arm combo (73202) | $6,242.93 | $6,242.93 | 34.1× |
| CT soft tissue neck w contrast (70491) | $9,277.18 | $9,277.18 | 50.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,896.91 | $9,896.91 | 54.0× |
| CT soft tissue neck w/o contrast (70490) | $8,103.70 | $8,103.70 | 74.2× |
| CT thoracic spine w/contrast (72129) | $10,751.76 | $10,751.76 | 58.7× |
| CT thoracic spine w/o contrast (72128) | $7,432.08 | $7,432.08 | 68.1× |
| CT thoracic spine w/wo contrast (72130) | $13,154.12 | $13,154.12 | 71.8× |
| CT thorax w/o contrast (71250) | $6,306.61 | $6,306.61 | 57.8× |
| CT upper ext wo (73200) | $6,268.74 | $6,268.74 | 57.4× |
| CT upper extremity with contrast (73201) | $5,439.25 | $5,439.25 | 14.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $7,807.14 | $7,807.14 | 42.6× |
| Cta Abdomen (74175) | $7,861.85 | $7,861.85 | 42.9× |
| CTA abdomen pelvis (74174) | $5,820.45 | $5,820.45 | 16.0× |
| CTA chest (71275) | $8,828 | $8,828 | 48.2× |
| Cta Head (70496) | $6,118.78 | $6,118.78 | 33.4× |
| Cta Neck (70498) | $6,782.25 | $6,782.25 | 37.0× |
| Cta Pelvis (72191) | $9,550.80 | $9,550.80 | 52.1× |
| Cystography minimum 3 views rs&i (74430) | $1,983.80 | $1,983.80 | 5.4× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $4,092.95 | $4,092.95 | 1.9× |
| Dxa bone density study 1/> sites axial skel (77080) | $764.09 | $764.09 | 7.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $860.01 | $860.01 | 9.5× |
| Esophagus (74220) | $1,697.13 | $1,697.13 | 9.3× |
| Facial bones min 3 views (70150) | $788.07 | $788.07 | 7.2× |
| Fetal biophysical profile non-stress testing (76818) | $2,038.30 | $2,038.30 | 18.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,803.95 | $1,803.95 | 16.5× |
| Fluoroscopy up to 1 hr (76000) | $1,970.72 | $1,970.72 | 7.9× |
| Foot 2 views (73620) | $1,058.39 | $1,058.39 | 11.6× |
| Forearm 2 views (73090) | $1,218.62 | $1,218.62 | 13.4× |
| Hand 2 views (73120) | $1,197.91 | $1,197.91 | 11.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,789.31 | $2,789.31 | 4.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $2,789.31 | $2,789.31 | 6.7× |
| Hysterosalpingogram (74740) | $1,438.80 | $1,438.80 | 5.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $3,498.90 | $3,498.90 | 6.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $4,111.48 | $4,111.48 | 7.3× |
| Knee 3 views (73562) | $1,204.45 | $1,204.45 | 13.3× |
| Liver & spleen imaging static only (78215) | $3,813.91 | $3,813.91 | 9.1× |
| Liver imaging static only (78201) | $2,970.25 | $2,970.25 | 5.2× |
| Lung perf&ventilat diferentl (78598) | $12,925.22 | $12,925.22 | 22.8× |
| Lung perfusion differential (78597) | $1,165.18 | $1,165.18 | 2.8× |
| Lymphoscintigraphy (78195) | $3,735.43 | $3,735.43 | 6.6× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $10,518.50 | $10,518.50 | 12.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $5,028.17 | $5,028.17 | 13.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $11,568.17 | $11,568.17 | 31.8× |
| Mammary ductogram or galactogram multiple (77054) | $2,751.16 | $2,751.16 | 11.0× |
| Mammary ductogram or galactogram single (77053) | $1,728.74 | $1,728.74 | 6.9× |
| MRA head w & w/o contrast (70546) | $20,397.17 | $20,397.17 | 56.0× |
| MRA head w/o contrast (70544) | $6,823.40 | $6,823.40 | 27.4× |
| MRA head with contrast (70545) | $8,158.65 | $8,158.65 | 22.4× |
| MRA neck w contrast (70548) | $8,810.47 | $8,810.47 | 24.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,637.31 | $10,637.31 | 29.2× |
| MRA neck w/o contrast (70547) | $5,581.89 | $5,581.89 | 22.4× |
| MRI abdomen w contrast (74182) | $3,205.69 | $3,205.69 | 8.8× |
| MRI abdomen w/o & w/contrast material (74183) | $4,869.03 | $4,869.03 | 13.4× |
| MRI abdomen w/o contrast (74181) | $2,641.07 | $2,641.07 | 10.6× |
| MRI any jt lower extrem w/contrast material (73722) | $16,683.54 | $16,683.54 | 20.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,411.53 | $8,411.53 | 23.1× |
| MRI c-spine with contrast (72142) | $4,490.80 | $4,490.80 | 12.3× |
| MRI cervical spine w/o contrast (72141) | $5,069.59 | $5,069.59 | 20.3× |
| MRI chest with contrast (71551) | $5,299.58 | $5,299.58 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,179.68 | $5,179.68 | 14.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $18,931.12 | $18,931.12 | 52.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,736.67 | $5,736.67 | 23.0× |
| MRI orbit face &/neck w/o contrast (70540) | $4,475.54 | $4,475.54 | 18.0× |
| MRI orbit face neck w contrast (70542) | $6,392.85 | $6,392.85 | 17.5× |
| MRI orbit/face/neck w&w/o cont (70543) | $6,837.57 | $6,837.57 | 18.8× |
| MRI pelvis w/contrast (72196) | $9,423.05 | $9,423.05 | 25.9× |
| MRI pelvis w/o & w/contrast material (72197) | $3,122.85 | $3,122.85 | 8.6× |
| MRI pelvis w/o contrast (72195) | $1,602.30 | $1,602.30 | 6.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $10,687.45 | $10,687.45 | 29.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $5,908.89 | $5,908.89 | 16.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $9,588.73 | $9,588.73 | 26.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $5,350.81 | $5,350.81 | 14.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $9,794.74 | $9,794.74 | 26.9× |
| MRI temporomandibular joint (70336) | $4,077.69 | $4,077.69 | 16.4× |
| MRI thoracic spine w/o contrast (72146) | $3,886.94 | $3,886.94 | 15.6× |
| MRI up ext w/o contrast (73218) | $4,073.33 | $4,073.33 | 16.3× |
| MRI upper ext joint w/o contrast (73221) | $3,258.01 | $3,258.01 | 13.1× |
| MRI, joint upper extrem combo (73223) | $5,632.03 | $5,632.03 | 15.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $7,573.32 | $7,573.32 | 5.6× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $6,582.51 | $6,582.51 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $7,330.25 | $7,330.25 | 5.4× |
| Neck soft tissue (70360) | $919.96 | $919.96 | 10.1× |
| Nm bone marrow multi (78103) | $7,352.05 | $7,352.05 | 17.6× |
| Nm bone marrow wb (78104) | $4,774.20 | $4,774.20 | 11.4× |
| Nm cisternogram (78630) | $2,166.92 | $2,166.92 | 3.8× |
| Nm csf leak detection (78650) | $4,905 | $4,905 | 3.6× |
| Nm gastric emptying study (78264) | $3,777.94 | $3,777.94 | 9.0× |
| Nm kidney scan w/flow (78701) | $4,333.84 | $4,333.84 | 10.4× |
| Nuclear Rx Oral Admin (79005) | $3,254.74 | $3,254.74 | 13.4× |
| Osseous survey limited (77074) | $903.61 | $903.61 | 8.3× |
| Parathyrd planar w/spect&CT (78072) | $1,438.58 | $1,438.58 | 2.5× |
| Parathyroid Planar Imaging (78070) | $3,223.13 | $3,223.13 | 7.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,866.23 | $3,866.23 | 9.3× |
| Pelvis 1 or 2 views (72170) | $1,425.72 | $1,425.72 | 13.1× |
| Perineogram (74775) | $2,800.21 | $2,800.21 | 11.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,789.76 | $8,789.76 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,831.97 | $4,831.97 | 11.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,233.86 | $8,233.86 | 14.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $447.99 | $447.99 | 0.8× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,265.49 | $1,265.49 | 13.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $826.22 | $826.22 | 9.1× |
| Radex Elbw Compl Minimum 3 Views (73080) | $1,620.83 | $1,620.83 | 17.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $304.77 | $304.77 | 2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $8,709 | $8,709 | 79.8× |
| Radex fingr minimum 2 views (73140) | $1,058.39 | $1,058.39 | 11.6× |
| Radex Foot Compl Minimum 3 Views (73630) | $1,818.12 | $1,818.12 | 20.0× |
| Radex Hand Minimum 3 Views (73130) | $1,943.47 | $1,943.47 | 21.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $295.39 | $295.39 | 3.3× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $1,466.05 | $1,466.05 | 13.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $2,292.27 | $2,292.27 | 21.0× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $3,098.87 | $3,098.87 | 28.4× |
| Radex Humerus Minimum 2 Views (73060) | $1,232.79 | $1,232.79 | 13.6× |
| Radex Kne 1/2 Views (73560) | $1,132.51 | $1,132.51 | 12.5× |
| Radex Kne Compl 4/More Views (73564) | $1,124.88 | $1,124.88 | 10.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $591.87 | $591.87 | 5.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $518.84 | $518.84 | 5.7× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $417.47 | $417.47 | 3.8× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,398 | $2,398 | 26.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $259.08 | $259.08 | 2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $2,063.37 | $2,063.37 | 18.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $681.25 | $681.25 | 7.5× |
| Radex Toe Minimum 2 Views (73660) | $900.34 | $900.34 | 9.9× |
| Radex upper extremity infant minimum 2 views (73092) | $466.52 | $466.52 | 4.3× |
| Radex Wrst Compl Minimum 3 Views (73110) | $1,400.65 | $1,400.65 | 15.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,192.46 | $1,192.46 | 13.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $839.30 | $839.30 | 7.7× |
| Radiologic exam chest 2 views (71046) | $1,407.19 | $1,407.19 | 15.5× |
| Radiologic exam colon single contrast study (74270) | $2,776.23 | $2,776.23 | 15.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,143.41 | $1,143.41 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,433.35 | $1,433.35 | 7.8× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,309.09 | $1,309.09 | 7.1× |
| Radiologic examination femur 1 view (73551) | $688.88 | $688.88 | 7.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,874.80 | $1,874.80 | 20.6× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $734.66 | $734.66 | 6.7× |
| Radiological examination surgical specimen (76098) | $837.12 | $837.12 | 1.5× |
| Ribs bilateral 3 views (71110) | $1,038.77 | $1,038.77 | 9.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $2,471.03 | $2,471.03 | 5.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,154.46 | $3,154.46 | 7.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,138.26 | $5,138.26 | 9.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $3,139.20 | $3,139.20 | 5.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $3,997.03 | $3,997.03 | 7.0× |
| Rp Therapy Intravenous Administration (79101) | $10,850.95 | $10,850.95 | 44.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,060.10 | $2,060.10 | 8.3× |
| Scapula (73010) | $995.17 | $995.17 | 9.1× |
| Shoulder 1 view (73020) | $951.57 | $951.57 | 10.5× |
| Small bowel series (74250) | $2,294.45 | $2,294.45 | 12.5× |
| Spine thoracic 3 views (72072) | $1,448.61 | $1,448.61 | 13.3× |
| Testicular Imaging With Vascular Flow (78761) | $1,411.55 | $1,411.55 | 3.4× |
| Thoracolumbar 2 views (72080) | $2,901.58 | $2,901.58 | 31.9× |
| Thyroid carcinoma metastases img whole body (78018) | $5,281.05 | $5,281.05 | 9.3× |
| Thyroid uptake measurement (78012) | $1,377.76 | $1,377.76 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,344.12 | $3,344.12 | 8.0× |
| Tmj unilateral (70328) | $259.08 | $259.08 | 2.9× |
| Ultrasound breast complete (76641) | $722.67 | $722.67 | 6.6× |
| Ultrasound elastography first target lesion (76982) | $686.70 | $686.70 | 6.3× |
| Ultrasound Exam Aaa Screen (76706) | $703.05 | $703.05 | 6.4× |
| Ultrasound, abdomen limited (76705) | $3,251.47 | $3,251.47 | 29.8× |
| Ureteral reflux study (78740) | $3,339.76 | $3,339.76 | 8.0× |
| Urethrocystogram voiding (74455) | $1,613.20 | $1,613.20 | 6.5× |
| Urethrocystography retrograde rs&i (74450) | $1,112.89 | $1,112.89 | 4.5× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $2,134.22 | $2,134.22 | 11.7× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $1,664.43 | $1,664.43 | 9.1× |
| Us breast unilateral limited (76642) | $259.08 | $259.08 | 2.9× |
| Us chest (76604) | $879.63 | $879.63 | 8.1× |
| Us compl joint r-t w/image documentation (76881) | $1,100.90 | $1,100.90 | 10.1× |
| Us elastography parenchyma (76981) | $737.93 | $737.93 | 6.8× |
| Us encephalogram (76506) | $1,566.33 | $1,566.33 | 14.3× |
| Us hips infant static (76886) | $780.44 | $780.44 | 8.6× |
| Us infant hips w manipulation (76885) | $805.51 | $805.51 | 8.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $893.80 | $893.80 | 8.2× |
| Us ob detailed single fetus (76811) | $1,447.52 | $1,447.52 | 5.8× |
| Us ob limited (76815) | $1,972.90 | $1,972.90 | 18.1× |
| Us ob transvaginal (76817) | $1,650.26 | $1,650.26 | 15.1× |
| Us pelvic non ob complete (76856) | $3,886.94 | $3,886.94 | 35.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,604.01 | $2,604.01 | 23.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,528.18 | $1,528.18 | 14.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $2,283.55 | $2,283.55 | 20.9× |
| Us retroperitoneal complete (76770) | $2,444.87 | $2,444.87 | 22.4× |
| Us retroperitoneal limited (76775) | $2,426.34 | $2,426.34 | 22.2× |
| Us scrotum and contents (76870) | $1,931.48 | $1,931.48 | 17.7× |
| Us soft tissue head/neck (76536) | $1,240.42 | $1,240.42 | 11.4× |
| Us spinal canal and contents (76800) | $979.91 | $979.91 | 9.0× |
| Us transrectal (76872) | $2,231.23 | $2,231.23 | 20.4× |
| Us transrectal prostate volume (76873) | $348.71 | $348.71 | 3.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $3,801.92 | $3,801.92 | 34.8× |
| Venogram extremity bilateral (75822) | $10,532.67 | $10,532.67 | 6.4× |
| Venogram Extremity Unilateral (75820) | $7,098.08 | $7,098.08 | 4.3× |
| Venography caval inferior serialography rs&i (75825) | $5,647.29 | $5,647.29 | 1.7× |
| Venography caval superior serialography rs&i (75827) | $3,106.50 | $3,106.50 | 1.9× |
| Venography Renal Bilateral (75833) | $10,624.23 | $10,624.23 | 3.2× |
| Wrist 2 views (73100) | $1,055.12 | $1,055.12 | 11.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,416.53 | $2,416.53 | 22.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,300.52 | $3,300.52 | 18.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,249.14 | $1,249.14 | 13.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,335.25 | $1,335.25 | 14.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $348.71 | $348.71 | 3.2× |
| X-ray exam of femur 2/> (73552) | $860.01 | $860.01 | 9.5× |
| X-ray eye for foreign body (70030) | $1,837.74 | $1,837.74 | 20.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $364.06 | $364.06 | 4.0× |
| X-ray IV pyelogram (ivp) (74400) | $2,191.99 | $2,191.99 | 12.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $259.08 | $259.08 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,262.84 | $2,262.84 | 20.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,217.68 | $3,217.68 | 29.5× |
| X-ray nose-rectum child f.b. (76010) | $1,397.38 | $1,397.38 | 15.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $853.47 | $853.47 | 7.8× |
| X-ray retrograde pyelogram (74420) | $2,038.30 | $2,038.30 | 5.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $620.21 | $620.21 | 6.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $883.99 | $883.99 | 8.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,638.27 | $1,638.27 | 15.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $447.99 | $447.99 | 4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $578.79 | $578.79 | 6.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $862.19 | $862.19 | 9.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,173.93 | $1,173.93 | 10.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $860.01 | $860.01 | 7.9× |
| X-Ray Small Bowel Enteroclysis (74251) | $572.13 | $572.13 | 3.1× |
| X-Ray Spine One View - Xr Spine (72020) | $601.68 | $601.68 | 6.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $572.25 | $572.25 | 6.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $440.36 | $440.36 | 4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,059.48 | $1,059.48 | 9.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,499.84 | $1,499.84 | 13.7× |
| Xr bone length studies (77073) | $1,232.79 | $1,232.79 | 11.3× |
| Xr c-spine 4 or 5 views (72050) | $1,442.07 | $1,442.07 | 13.2× |
| Xr c-spine 6 or more views (72052) | $1,314.54 | $1,314.54 | 12.0× |
| Xr chest 4+ views (71048) | $1,495.48 | $1,495.48 | 13.7× |
| Xr urogram antegrade (74425) | $2,771.87 | $2,771.87 | 7.6× |